Form 990 - Foundation Center
Transcrição
Form 990 - Foundation Center
t ) /n .3, Return of Organization Exempt From Income Tax Form 9 9 0 Under section 501 (c), 527, or 4947 (a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) Department of the Treasury Internal Revenue Service • .- ^ The organization may have to use a copy of this return to satisfy state reporting requirements 09/01, 2011, and ending A For the 2011 calendar year , or tax year beginning 08/31, 20 12 D C Name of organization B OMB No ' Employer identification number Chock f1pprsde STUDIOS OF BORHOOD FAIRFIELD COUNTY, INC. 06-0993269 Doin g Business As A e change N.,,,, char,, Number and street (or P O box If mail is not delivered to street address) naw.etmn 391 E. E Room/ suite WASHINGTON AVE Telephone number (203) 366-3300 City or town, state or country, and ZIP + 4 T„m,n,tad BRIDGEPORT, An1nrn0ed retu G Gross receipts $ CT 06608 F Name and address of principal officer Appl'coten Pawing 391 E. WASHINGTON AVENUE I Tax-exempt status J Website: ^ WWW. NSTUDIOS . ORG K Form of oroamzation X 501(c) ( 501(c)(3) X FRANK Corooratlon DERI CO BRIDGEPORT, (insert no) ) CT 06608 4947(a)(1) or Yes affiliates' H(b) Are all affiliates induded' Yes Association Other ^ X No No If 'No,' attach a list ( see instructions) 527 H(c) Group exemption number Trust 1, 278, 899. H(a ) Is this a group return for L Year of formation ^ 19 7 9 M State of legal domicile CT Summary Briefly describe the organization's mission or most significant activities -------------- --------------- -------------TO PROVIDE A MEASURABLE PLATFORM FOR LIFELONG SUCCESS THROUGH THE ------------------------------------------------------------------------- -------------___ DELIVERY _____ _ _ S_ _ E_ D_ UCAT _ _ I__ ON ___ TO ___ C_ H I L _D _RE _N_ _A_T __R_I_S_K_ _A_N_D__T_H_O_S_E_ _WI_T_H__S_P_E_C_I_A_L____ ______________ O _F _ ART I . E C t o 2 NEEDS THROUGHOUT FAIRFIELD COUNTY. --------------------------------------------------------- ---------------- -------------Check this box ^ if the organization discontinued its operations or disposed of more tha n 25% of its net assets 3 Number of voting members of the governing body (Part VI, line 1a ) , , , , , , , , , , , , , , , , , 3 20. 4 Number of independent voting members of the governing body ( Part VI, line 1b ) , , , , , , , , , , , , , , , 4 20. > 5' Total number of individuals employed in calendar year 2011 (Part V, line 2a ), , , , , , , , , , , , , , 5 88 . . 6 Total number of volunteers ( estimate if necessary ) 6 13 ap , , , , , , , , , , , , , , , , , , , , , , , , , 7a Total unrelated business revenue from Part VIII , column ( C), line 12 , , , , , , , , , , , , , , , , b Net unrelated business taxable income from Form 990-T, line 34 N ............. .......... Prior Year Contributions and grants (Part VIII, line 1h), , , , , , , , , , , , , , , , , , , , , , , Program service revenue (Part VIII, line 2g ) .. . . . .. .. . . . . . .. . . .. .. . 8 9 7a 10 Investment Income (Part VIII, column ( A), lines 3, 4, and 7d) 11 Other revenue ( Part VIII , column ( A), lines 5, 6d, 8c, 9c, 1Oc, and 1le) 12 Total revenue - add lines 8 throw h 11 must a ual Part Vlll, column A , line 12 13 Grants and similar amounts paid (Part IX, column ( A), lines 1-3 ) 14 Benefits paid to or for members ( Part IX , column ( A), line 4 ) 15 Salaries , other compensation , employee benefits ( Part IX , column ( A),lines5-10 ) 7b 1,218, 175. . 545,214 . Current Year 631, 969. 617 , 7 8 4 1, 022. 834 89, 688. 22, 107 854 , 099. 1, 272, 694 767,035. 892,677 16a Professional fundraising fees (Part IX , column (A), line Ile ) -0 831 b Total fundraising expenses ( Part IX , column (D), line 25 ) Other expenses ( Part IX , column ( A), lines 1a-11d , 11f-24e ) 549, 234. 553, 949. 18 Total expenses Add lines 13 - 17 (must equal Part IX , column (A), line 25 ) 316, 2 69 . 1, 446, 626. 19 Revenue less expenses Subtract line 18 from line 12 . W 17 537,830. Beginning of Current Year 00 Nr 20 21 Total assets ( Part X , line 16 ) , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , Total liabilities ( Part X, line 26 ), , , , , , , , , , , , , , , , , , , , , , , , , , , , , i,J3` 22 Net assets or fund balances Subtract line 21 from line 20. JZ.M 791, 629. 291, 840. 499 , 789. -173, 932. End of Year 707, 512. 385,530. 321, 982. Signature Block Under penalties of per jury, I declare that I have examined this return. Including accompanying schedules and statements, and to the best of my knowledge and belief, it is true. prep than officer ) is based on all information of which preparer has any knowledge correct , and complete Declaratl ltd Sign natu ffice Here ^),_ Xe k & iii (4-_ f Type or print name and title Prep Print/Type preparers name bes Sig ur Paid ERIC N. HENDLIN, CPA Preparer Use Only Firm's name ^ DWORKEN HILLMAN Firm' saddress ^ FOUR CORPORATE DRIVE LAMORTE & STE SUITE 488 SHELTON C May the IRS discuss this return with the preparer shown abo ve ' (see In struc t, For Paperwork Reduction Act Notice , see the separate Instructions. JSA 1E10101000 36825U K276 V 11 I NEIGHBORHOOD OF STUDIOS FAIRFIELD COUNTY, INC. 06-0993269 Page 2 Form 990 (2011) Statement of Program Service Accomplishments Check if Schedule 0 contains a response to any question in this Part III ... . . .. .. .. . . .. . . . . . . . .. ❑ I Briefly describe the organization ' s mission STATEMENT SEE 2 3 1 Did the organization undertake any significant program services prior Form 990 or 990- EZ'? . . . . . . . . . . . . . . . . . . . . If "Yes," describe these new services on Schedule 0 Did the organization cease conducting , or make significant services .. .. .. .. .. .. .. .. .. .. during the year which were not listed on the .. . . .. . . . .. . . . . . . . .. .. . ❑ Yes ❑ No changes in how it conducts, any program ❑ Yes F No .. .. .. ... If "Yes," describe these changes on Schedule O. 4 Describe the organization ' s program service accomplishments for each of its three largest program services , as measured by expenses . Section 501 ( c)(3) and 501 ( c)(4) organizations and section 4947( a)(1) trusts are required to report the amount of grants and allocations to others , the total expenses, and revenue , if any, for each program service reported. ) ( Expenses $ 4a (Code . 51, 097 .. .. including grants of $ ) (Revenue $ LIGHTHOUSE: NSFC WORKS ARTS IN COLLABORATION WITH THE ENRICHMENT CLASSES STEEL DRUMMING 4b (Code* AILEY CAMP DANCE, & CHORUS IN LIGHTHOUSE DANCE/CREATIVE INSTRUCTION FOR PROGRAM TO MOVEMENT, 300 TO RESPECT THE DISCIPLINE OF ) (Revenue $ "TURNED ON" DANCE DEMANDED BY ANY SPORT. DISCIPLINES AS WELL AS CLASSES PERSONAL ) ( Expenses $ PRIVATE MUSIC SCHOOL OFFERS WOODWIND, CHAMBER MUSIC, LESSONS ARE BASIS TAKE COMPARABLE PART IN TO FOUR IN CREATIVE COMMUNICATION AND DEVELOPMENT. 4c (Code * BRASS, PARTICIPANTS TO DANCE AS A PHYSICAL ACTIVITY WHICH REQUIRES ATHLETIC ABILITIES THAT ARE SKILLS PROVIDE THEATER, YOUTHS. ) (Expenses $ 75, 248 including grants of $ IS A SUMMER DAY CAMP WHERE PRETEENS ARE AND COME ART, 57, 578 including grants of $ GROUP INSTRUCTION IN IMPROVISATION, 150 FOR CHILDREN, ) (Revenue $ PIANO, STRINGS, THERE ARE ALSO CLASSES GUITAR AND PERCUSSION. JAZZ PROVIDED FOR OVER & THEORY AND CULTURAL TEENS & ADULTS IN DRUMMING. ON A YEAR ROUND STUDENTS. ATTACHMENT 1 4d Other program services ( Describe in Schedule O ) ) (Revenue $ (Expenses $ 806, 430 including grants of $ 990,353. 4e Total program service expenses ^ 7sA 1E1020 1 000 Form 990 (2011) 36825U K276 V 11-6.5 I NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC. 06-0993269 Page 3 Form 990 ( 2011) Checklist of Re q uired Schedules Yes e Is the organization described in section 501 ( c)(3) or 4947 ( a)(1) (other than a private foundation)? If 'Yes," complete Schedule A . . . . . . . . . .. .. .. .. .. . . .. . . . . ... .. . . .. .. . . . .. .. . . . Is the organization required to complete Schedule B, Schedule of Contributors ( see instructions )? ........ Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I .. . . . .. . . . . .. .. . .. .. .. . . . Section 501 ( c)(3) organizations . Did the organization engage in lobbying activities , or have a section 501(h) election in effect during the tax year? if "Yes," complete Schedule C, Part ll . . . . . . .. .. . . . .. .. . . . Is the organization a section 501 ( c)(4), 501 ( c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part lll ........................................................ Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts' If "Yes,"complete Schedule D, Part I .. . . . . . . . . . ... .. . .. . ... .. .. . . .. . ... . .. . . . Did the organization receive or hold a conservation easement , including easements to preserve open space, the environment , historic land areas , or historic structures? If "Yes," complete Schedule D, Part 11. . . .. . . . Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part Ill . . . .. .. .. . . .. .. . . .. .. . .. . . .. .. . . .. . .. . . .. . .. Did the organization report an amount in Part X , line 21, serve as a custodian for amounts not listed in Part X, or provide credit counseling , debt management , credit repair, or debt negotiation services ' If "Yes," complete Schedule D, Part IV .. . . . . . .. . . .. .. .. ... .. . . . . . . . . .. .. ... . . .. . ... Did the organization , directly or through a related organization , hold assets in temporarily restricted endowments , permanent endowments , or quasi - endowments ? If "Yes," complete Schedule D, Part V .. . .. If the organization ' s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable Did the organization report an amount for land, buildings, and equipment in Part X , line 10' If "Yes," complete Schedule D, Part VI . .. .. .. . . . .. .. . . .. .. .. . .... .... .. .... .. ... . . .. . .. . Did the organization report an amount for investments-other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X , line 16 ? If "Yes," complete Schedule D, Part VII . . . .. . .. . . . . ... . Did the organization report an amount for investments - program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes,"complete Schedule D, Part Vlll . . . .. . .. .. .. .. . . Did the organization report an amount for other assets in Part X , line 15 that is 5% or more of its total assets reported in Part X , line 16? If "Yes," complete Schedule D, Part IX .. . . . . . . .. . ... . .. . . .. . . . . Did the organization report an amount for other liabilities in Part X, line 25' If "Yes,"complete Schedule D, Part X f Did the organization ' s separate or consolidated financial statements for the tax year include a footnote that addresses 1 2 3 4 5 6 7 8 9 10 11 a b c d 1 2 No X X 3 X 4 X 5 6 X 7 X 8 X 9 X 10 X 11a X 11b X 11c X 11 d 110 X X X 11 f the organization ' s liability for uncertain tax positions under FIN 48 ( ASC 740 ) ? If "Yes,"complete Schedule D, PartX . . . . . 12a Did the organization obtain separate , independent audited financial statements for the tax year's If "Yes," complete Schedule D, Parts Xl, Xll, and X/ll .. . ... . . . . ... .. .... .. .. .. .. ... . . . . . . . . . 12a X b Was the organization included in consolidated , independent audited financial statements for the tax year? If 'Yes," and if 12b X . 13 14a X X . 14b X 15 X 16 X 17 X the organization answered "No" to line 12a, then completing Schedule D, Parts Xl, XII, and XIII is optional . . . . . . . . . . . . 13 Is the organization a school described in section 170(b)(1)(A)(u)? If "Yes," complete Schedule E . . . . . ... 14a Did the organization maintain an office , employees, or agents outside of the United States?. ... . . . . ... . b Did the organization have aggregate revenues or expenses of more than $ 10,000 from grantmaking, fundraising , business, investment , and program service activities outside the United States , or aggregate foreign investments valued at $100 , 000 or more? If "Yes," complete Schedule F, Parts I and IV. . . .. . . . . . 15 Did the organization report on Part IX , column (A), line 3 , more than $5 , 000 of grants or assistance to any organization or entity located outside the United States? If "Yes,"complete Schedule F, Parts ll and IV .. .. . 16 Did the organization report on Part IX , column (A), line 3 , more than $5 , 000 of aggregate grants or assistance to individuals located outside the United States ' If "Yes," complete Schedule F, Parts 111 and IV .. . . .. . . . 17 Did the organization report a total of more than $15 , 000 of expenses for professional fundraising services on Part IX , column (A), lines 6 and 1 le? If "Yes,"complete Schedule G, Part I (see instructions) ... .. . .. . 18 Did the organization report more than $15 , 000 total of fundraising event gross income and contributions on Part VIII, lines 1 c and 8a? If "Yes,"complete Schedule G, Part ll . . .. .... . . .. . ... ... . . . . .. . 19 Did the organization report more than $15 , 000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part 111 . . . .. . . .. .. . . . . . .. ... . .. . . . ... ... .. . . .. . 20 a Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H . ... .. . . .. . . b If "Yes" to line 20a, did the org anization attach a co py of its audited financial statements to this return? . 18 . . 19 20a 20b X X X Form 990 (2011) JSA 1 E1021 1 000 36825U K276 V 11-6.5 i NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC. 06-0993269 Form 990 (2011) Page 4 Checklist of Req uired Schedules (continued) Yes 21 22 23 24a b c d 25a b 26 27 28 a b c 29 30 31 32 33 34 35a b 36 37 38 Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If "Yes,"complete Schedule 1, Parts I and ll. . . . .. .. . .. . Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If "Yes," complete Schedule 1, Parts I and 111 . ... . . . . . . . . . . .. . . . .. . Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J . . . . . . . . . ... . .. ... ... . ... .. . . . . .. . . . . . Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 24b through 24d and complete Schedule K If'No,"go to line 25 ... . .. .. . . .. . ... .. .. . . .. . . . .. . Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception ? .. . . .. . Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? ................. ........ ................. Did the organization act as an "on behalf of issuer for bonds outstanding at any time during the year? . . . . .. . Section 501(c)(3) and 501(c)(4) organizations . Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part1 . .... .. .. . . . . . . . .. . Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ' If "Yes,"complete Schedule L, Part I . . .. .. . . . . ... . . . . . . . . .. .. .... .. ... . . .. . . .. Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization's tax yeah If "Yes," complete Schedule L, Part 11 . Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes,"complete Schedule L, Part Ill . . . ... . . .. . . .. . Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions): A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV. ... . .. . A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV . . . . .. . . . . . .. .. .. . . .. . . ... .. ... . .. . . . . . . ... . . .. . . .. An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes,"complete Schedule L, Part IV . . .. . ... . Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes,"complete Schedule M . .. . . . . . . ... . ... . .... . . .. . ... . Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part l .......................................................... Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part ll . . . . . . .. . . . . . . ... . .. . .. . . .. .. . ... .. . .. . ... ... Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301 7701-2 and 301.7701-3? If "Yes,"complete Schedule R, Part 1 . .. .. .. .. . .. . . .. ... Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Parts 11, lll, IV, and V, line 1 . . . .. . . .. . . . .. .. .. . . .. . . .. . ... ... . . . . .. .. . .. .. .. .. . Did the organization have a controlled entity within the meaning of section 512(b)(13)? , , , , , , , , , , , , Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)' If "Yes,"complete Schedule R, Part V, line 2 , , , , , , , , , , , , , , , , , , Section 501(c )( 3) organizations . Did the organization make any transfers to an exempt non-charitable related organization? If "Yes,"complete Schedule R, Part V, line 2 .. .. .. . . . . ... . . ... . .. .. .. . Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R Part VI ......................................................... Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 11 and 19' Note. All Form 990 filers are re q uired to com p lete Schedule 0 . No 21 X 22 X 23 X 24a 24b X 24c 24d 25a X 25b X 26 X 27 X 28a X 28b X 28c 29 X X 30 X 31 X 32 X 33 X 34 35a X X 35b X 36 X 37 X 38 Form 990 (2011) JSA 1 E 1030 1 000 36825U K276 V 11-6.5 i V NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC. 06-0993269 Form 990 (2011) Page 5 Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule 0 contains a response to any question in this Part V . . . . . . . . . . . . . . . . . . . . . . . n Yes 1a b c 2a 32 la Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable. 0 1b Enter the number of Forms W-2G included in line 1 a Enter -0- if not applicable. . . . . . . . Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners'. .. . .. .. . . .. . . . . . . . . .. . .. . . .. . . . Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax 88 Statements, filed for the calendar year ending with or within the year covered by this return . 2a b If at least one is reported on line 2a, did the organization file all required federal employment tax returns? Note . If the sum of lines 1 a and 2a is greater than 250, you may be required to a-file (see instructions). . .. . . 3a Did the organization have unrelated business gross income of $1,000 or more during the year? , , , , , , , , , b If "Yes," has it filed a Form 990-T for this year? If "No,"provide an explanation in Schedule 0 . .. . . . . . . 4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ....................................................... b If "Yes," enter the name of the foreign country: ^ ____________________ __ See instructions for filing requirements for Form TD F 90-22 1, Report of Foreign Bank and Financial Accounts. 5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? , , , . , , , b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? c If "Yes" to line 5a or 5b, did the organization file Form 8886-T? .. . . .. . . . . . . . . . . ... . . . . . . .. . 6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible? . . .. . . . . .. .. . . .. . . . . . .. . . b If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? .. ... ....................................... . 7 Organizations that may receive deductible contributions under section 170(c). a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? , , ,, , , , , , , ,, , , , , , , b If "Yes," did the organization notify the donor of the value of the goods or services provided' ... .. .. .. .. . c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was . .. . .. ... . .. . ... . . . . . . . .. . .. . . . . . .. required to file Form 8282 .. .. .. . d If "Yes," indicate the number of Forms 8282 filed during the year . . . .. . . . .. . . .... ^ 7d No 1c 3a 3b X 4a X Sa 56 X X 6a X 6b 7c X e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? .. . X Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? X f g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required' , , , h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C' 8 9 a b 10 a b 11 a b 12a b 13 a b c 14a b Sponsoring organizations maintaining donor advised funds and section 509(a )( 3) supporting organizations . Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year? , , , , , , , , , , , , , , , , , , , , , , , Sponsoring organizations maintaining donor advised funds. Did the organization make any taxable distributions under section 4966 . . . . . .. .. . . .. . . . . . .. .. . Did the organization make a distribution to a donor, donor advisor, or related person? , , , , , , , , , , , , , , , , Section 501(c )( 7) organizations. Enter 10a Initiation fees and capital contributions included on Part V I I I , line 12 . .. . .. . . . . . . 10b Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities , , , Section 501(c )( 12) organizations . Enter: 11 a Gross income from members or shareholders .. . . .. .. . ... . .. . . . . . . . .. Gross income from other sources (Do not net amounts due or paid to other sources 11 b against amounts due or received from them ) . .. . ... .. . .. . ... . . . . .. . ... Section 4947( a)(1) non -exempt charitable trusts . Is the organization filing Form 990 in lieu of Form 1041? If "Yes," enter the amount of tax-exempt interest received or accrued during the year , , , , , 1 12b Section 501(c )( 29) qualified nonprofit health insurance issuers. Is the organization licensed to issue qualified health plans in more than one state? .. .. .. .. . . . .. .. .. . Note . See the instructions for additional information the organization must report on Schedule 0 Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans , , , , , , , , , , , , , , , , , 13b 13c Enter the amount of reserves on hand . . .. . .. . . .. .. . .. . . .. . .. . . . . . .. Did the organization receive any payments for indoor tanning services during the tax year? . ... .. .. .. .. . If "Yes," has it filed a Form 720 to report these payments' If No."vrowde an explanation in Schedule 0 .... . . 1D 1 000 i E1040 9a X Form 990 (2011) 36825U K276 V 11-6.5 Form 990 (2011) NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY,INC. 06-0993269 Page 6 Governance , Management , and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to line 8a, 8b, or 1Ob below, describe the circumstances , processes, or changes in Schedule 0. See instructions. Check if Schedule 0 contains a response to any question in this Part VI ... .. ... . ... .. .... ... . .. .. Section A. Governing body and management No 1a Enter the number of voting members of the governing body at the end of the tax year If there are . . . . . . 1a 2 material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule 0 b 2 3 2 1b Enter the number of voting members included in line 1a, above, who are independent .. . .. Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .. . . . . . . ... .... .. . .. . .. . .. . . .. .. Did the organization delegate control over management duties customarily performed by or under the direct 2 X supervision of officers, directors, or trustees, or key employees to a management company or other person? . . 3 X 4 Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?. . . . . 4 X 5 Did the organization become aware during the year of a significant diversion of the organization's assets?.. . 5 X 6 Did the organization have members or stockholders? . . . . .. . . ... .... . . . ... .. . . . .. .. . . 6 X 7a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? .. .... ......... ............. ........ 7a b Are any governance decisions of the organization reserved to (or subject to approval by) members, 7b stockholders, or persons other than the governing body? . . .. .. ... .... . . . . . . . . . . . .. .... 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following a The governing body? . .. ................. ......... .... ................. 8a 8b b Each committee with authority to act on behalf of the governing body? . . ... . . . . . . ... .. .. . . .. 9 Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the org anization's mailin g address? If 'Yes," provide the names and addresses in Schedule 0 9 Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) X X X Yes Did the organization have local chapters, branches, or affiliates? . . . .. . ... . .. . . . ... .. . ... .. . If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes ? . ... 10a 11a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? . . 11a X 12a X 12b X 12c 13 X 14 X 15a 15b X b 12a b Describe in Schedule 0 the process, if any, used by the organization to review this Form 990. Did the organization have a written conflict of interest policy? If "No,"go to line 13 . . . . . ... .. . ... ... Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? .. . .. . . .. . . . ... . .. . . .. ... .... .. .... . . . . . . ... .. . . .. .. c Did the organization regularly and consistently monitor and enforce compliance with the policy? If 'Yes," descnbe in Schedule 0 how this was done . . . . . ... .. . .... . . .... .. . . . . ... ... . .. .. 13 Did the organization have a written whistleblower policy? .. . ... . .. .... . . . . . . ... ... ... .. 14 Did the organization have a written document retention and destruction policy? . .. . . . . ... .. . . .. .. 15 Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? a The organization's CEO, Executive Director, or top management official . . . .. .. . . . . ... .. . . .. ... b Other officers or key employees of the organization . . . . . .... . .. . . .. .. . . . . ... .. . . .. ... If "Yes" to line 15a or 15b, describe the process in Schedule 0 (see instructions ) 16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................................... b If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements? No X 10a b 10b 16a X X X 16b Section C . Disclosure 17 18 ------------------ ------------List the states with which a copy of this Form 990 is required to be filed Section 6104 requires an organization to make its Forms 1023 ( or 1024 if applicable ), 990, and 990-T (Section 501(c)(3)s only) available for public ins ection Indicate how you made these available Check all that apply Own website Another' s website j Upon request F-J 19 20 Describe in Schedule 0 whether ( and if so , how), the organization made its governing documents , conflict of interest policy, and financial statements available to the public during the tax year. State the name , physical address, and telephone number of the person who possesses the books and records of the organization ^ GEORGE COMER 391 E. WASHINGTON AVENUE BRIDGEPORT, JSA 1E1042 1 000 36825U CT 06608 203-366-3300 Form 990 (2011) K276 V 11-6.5 Pagel 06-0993269 NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC. Form 990 (2011) ORM Compensation of Officers, Directors , Trustees , Key Employees , Highest Compensated Employees, and Independent Contractors Check if Schedu l e 0 co nta i ns a response to any question in this Part VII .................... ❑ Officers, Directors , Trustees , Key Employees , and Highest Compensated Employees Report compensation for the calendar year ending with or within the Section A. 1a Complete this table for all persons required to be listed organization's tax year. • List all of the organization 's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation Enter -0- in columns (D), (E), and (F) if no compensation was paid • List all of the organization' s current key employees, if any. See instructions for definition of "key employee " • List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations • List all of the organization' s former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations • List all of the organization' s former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. List persons in the following order individual compensated employees; and former such persons or trustees directors; institutional trustees, officers, key employees, highest ❑ Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee (A) (B) (C) (D ) ( E) (F) Name and Title Average hours per Position ( do not check more than one Reportable compensation Reportable compensation from Estimated amount of box, unless person is both an from related other the organization (W - 2/1099-MISC) organizations (W-2/1099-MISC) compensation from the organization and related organizations week (describe hours for related or g anizations in Schedule 0) officer and adirector/tn,stee ) o s s 0 cD = o 3 0 5 a o N n C ? m C D y 3 y CD ID n FREEDMAN DOROTHY N. SECRETARY _ _ C31 - LAURIE X X 0 X X 0 X X 0 0 0 0 GROSS 0 0 X 0 0 0 X 0 0 0 X 0 0 0 X 0 0 0 X 0 0 CHAIRMAN 0 X 0 0 ROSENBAUM -----------------------DIRECTOR 0 X 0 0 0 X 0 X 0 X 0 X VICE 4 0 ----------- --- - - --w-ROBER - -PRESIDENT CHAIRMAN ANDREW HART DIRECTOR _ _ C51- DAVID HART DIRECTOR _6 PATRICIA HART DIRECTOR 1 _ _ C71- ROBERT A JACOBS DIRECTOR -8 MADDY LAP IDES -9 HAROLD LEVINE DIRECTOR X -j10)-JOAN 11 DAVID ROSS DIRECTOR 12 PEGEEN VICE 13 0 RUBINSTEIN CHAIRMAN GINA LEVON DIRECTOR -114J-JACQUELINE X 0 0 0 0 SIMPSON WOODS-------------- DIRECTOR 0 Form 990 (2011) JSA 1 E 1041 1 000 36825U K276 V 11-6.5 f % t I NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC. 06-0993269 Form 990 (2011) Page 8 Section A. Officers . Directors . Trustees . Kev Emolovees . and Highest Compensated Emolovees icnnnnrued) FWffM (A) Name and title (B) (C) (D ) ( E) Average Position Reportable Reportable (F) Estimated hours per ( do not check more than one box , unless person is both an compensation compensation from amount of week from related other (describe officer and a director / trustee the or g anizations compensation organization ( W-2/1099-MISC) ( W-2/1099-MISC) 71 hours for ° Q > related = Q - organizations i n Schedule a g 2 o m '0 m m 2 m 0) m 6 m ' D M. o m CD -n o I CD and related organizations a 8 N from the organization y CD N d 15) CATHY COLGAN --------------------------------BOARD MEMBER 0 X 0 0 16) BRUCE COOPER --------------------------------BOARD MEMBER 0 X 0 0 17) VIDA FLORIAN --------------------------------BOARD MEMBER 0 X 0 0 0 0 18) JIM KEMPNER --------------------------------- EXEC. COMM. AT LARGE 0 X 19) ERIKA MILLER --------------------------------BOARD MEMBER X 0 X 0 0 20) ANN PAPPAS PHILLIPS --------------------------------BOARD MEMBER 0 X 0 0 21) DR. DONALD RAINONE --- -----------------------------EXECUTIVE DIRECTOR/CEO 0 X 127,750. 0 --------------------------------------------------------------------------------------------------------------------------------- 1b c d 2 0 ^ Sub -total 127, 750. Total from continuation sheets to Part VII , Section A ^ Total ( add lines lb and 1c 127, 750. . ^ Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization ^ 1 3 Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee on line la? If "Yes,"complete Schedule J for such individual . .. . .. . .. ... . .. .... . . . .. .. 0 0 0 Yes No _ 3 For any individual listed on line la, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000 If "Yes," complete Schedule J for such individual ........................................................... 4 5 Did any person listed on line la receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If 'Yes,"complete Schedule J for such person 5 Section B. Independent Contractors 1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization Report compensation for the calendar year ending with or within the organization's tax year. X 4 (A) Name and business address 2 (B) Description of services X X (C) Compensation Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization ^ 0 Form 990 (2011) ieioss2000 36825U K276 V 11-6.5 Form 990 ( 2011 ) NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC . Statement of Revenue Page9 06-0993269 ,.x Related or exempt function revenue Total revenue f• '` , ^ ;, ^ ^^ , Unrelated business revenue Revenue excluded from tax under sections 512, 513, or 514 In, Federated campaigns 1a 1a ^ b Membership dues . . . . . . . 1b c Fundraisin g events . . . . . . . IC (32 d Related or g anizations . . . . . . 1d c jn e Government grants (contributions ) . 1 e 45 029 f All other contributions , gifts, grants , ^f 586 940 o and similar amounts not included above o g Noncash contributions included in lines la-1 1' h Total . Add lines la-1f -`- a w ", .4 ^ 631 , 969 . °' Business Code > 2a b TUITION AND FEES CONTRACTED SERVICES 127 , 167 127 , 167 490 , 617 490 , 617 c in d 2 e o f 9 3 All other program service revenue . . . . . Total . Add lines 2a-2f ^ 617 784 Investment income ( including dividends , interest, and other similar amounts ). . ATTACHMENT 2 ^ 834 Income from investment of tax-exempt bond proceeds . . . ^ " " • • • • ^ Royalties . . . . . . . . (s) Personal (1) Real 4 5 6a , - Less rental expenses . c d R en t a l income or ( loss ) Net rental income or (loss) . ............... . ^ ( ii) Other (i) Seconties Gross amount from sales of assets other than inventory b 0 0 Gross rents . . . . . . . b 7a 834 - - Y_ = 0 Less cost or other basis and sales expenses . . . c d d 8a G ain or ( l oss) . . . . . . . Net gain or (loss) . . . . . . . . . . . . . ^ 0 Gross income from fundraising events ( not including $ - of contributions reported on line 1c) IX 24 , 047 a 6 , 205 L ess d irec t expenses . . . . . . . . . . b Net income or (loss ) from fundraising events . AT CH .3 . ^ See Part IV , line 18 . . . . . . . . . . . b c 9a b c 10a b c 11a Gross income from gaming activities See Part IV, line 19 . . . . . . . . . . . a Less direct ex p enses . . . . . . . . . . b Net income or (loss ) from gaming activities . less sales of inventory, Gross returns and allowances . . . . . . . . . . ^ 0 . ^ Business Code 0 a L ess cos t o f g oods sold . . . . . . . . . b Net income or ( loss ) from sales of invento ry Miscellaneous Revenue MISCELLANEOUS 17 842 & ART SALES 4 , 265 4 , 265 4 265 1 27z 694 622883 b c d All other revenue . . . . . . . . . . . . . e Total . Add lines 1la -11d . . . . . . . . . . . . . . . . . ^ • ^ Total revenue . See instructions 12 Form 990 (2011) JSA 1E10511000 36825U K276 V 11-6.5 Page 10 NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY,INC. Form 990 (2011) 06-0993269 FORR. Statement of Functional Expenses Section 501 (c)(3) and 501 (c)(4) organizations must complete all columns All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D) Check if Schedule 0 contains a response to any question in this Part IX . , Grants 1 2 and other assistance to (B) Program service expenses ( A) Total expenses Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 106 of Part Vlll. (C) Management and general expenses (D) Fundraising expenses governments and organizations in the United States See Part IV, line 21 0 Grants and other assistance to individuals in the United States See Part IV, line 22. . . . 0 Grants and other assistance to governments, organizations , and individuals outside the 3 United States See Part IV, lines 15 and 16 0 4 Benefits paid to or for members , , , , , , , 0 5 Compensation of current officers, directors, trustees, and key employees . . . . . . .. Compensation 6 not included above, to 127,750. 127, 750. disqualified persons (as defined under section 4958 ( f)(1)) and persons described in section 4958 ( c)(3)(B) , , , , 0 687, 372. 7 Other salaries and wages . . ... .. . .. 8 Pension plan accruals and contributions (include section Other employee benefits . . . . . . . . . . 10 Payroll taxes . . . .... .. .. . . ... 11 Fees for services ( non-employees) a Management b Legal . . . . . . . . . . . . . . . 0 . . . . . . . . . . . . . . . . . . . 0 Professional fundraising services See Part IV , line 17 18, 411. 0 0 0 .. .. ... 798. g Other . . . . . . . . . . . . . . . . . . . 0 f Investment management fees 59, 144. 0 77,555. c Accounting . . . . . . . . . . . . . . . . . . d Lobbying . . . . . . . . . . . . . . . . . e 82, 049. 0 401(k ) and 403 ( b) employer contributions ) . . . . 9 605, 323. 798. 1, 041. 16, 564. 12 13 Advertising and promotion . ... .. . . . Office expenses . . . .. . ... .. . .. 14 Information technology . . . . . . . . . . . 15 Royalties . . . . . . . . . . . . . . . . . . 16 17 Occupancy . . .. .. . .. .. . . .. . .. Travel .. .. .. .... . . .. .. . .. 18 Payments of travel or entertainment expenses for any federal , state, or local public officials 19 20 Conferences , conventions , and meetings . . . Interest . .. .. .... .. .. . . . .. 21 Payments to affiliates 22 23 Depreciation , depletion , and amortization . . . Insuranc e .. . . . . .. . . . . .. . . . 24 Other 1, 041. 16, 564. 0 0 125, 978. 7, 726. 100, 782. 4, 631. 0 1, 860. 17, 978. . . . . . . . . . . . . . 1, 860. 17, 978. 0 7 7, 847. 27, 489. 21,991. aCONTRACTED_SERVICES__________ 67, 980. 67, 980. bPROFESSIONAL-FEES ____________ cPRINTING_____________________ 57, 366. 14, 680. 1,229. expenses Itemize expenses not 25, 196. 3, 095. 77, 847 . 5, 498. covered above ( List miscellaneous expenses in line 24e If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule 0) 51,366. 6,620. dTELEPHONE ____________________ 7,595. 6,076. 1,519. e All other expenses _________________ 129, 047. 1, 446, 626. 123, 197. 990, 353. 5, 850. 443, 442. 25 Total functional ex p enses . Add lines 1 throu g h 24e 26 Joint costs . Complete this line only if the organization reported in column ( B) joint costs from a combined educational campaign and fundraising solicitation Check here ^ ED if following SOP 98-2 (ASC 958-720) , 12, 831. Q JSA 1 E 1052 1 000 36825U K276 6,000. 6,831. Form 990 (2011) V 11-6.5 NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC. 06-0993269 Page 1 1 Form 990 (2011) FOM Balance Sheet (A) Beginning of year (B) End of year 34, 272. 1 Cash - non-interest- bearing , , , , , , , , , , , , , , , , , , , , , , , , , , , 2 Savings and temporary cash investments C 3 Pledges and grants receivable, net,,,,,,,,,,,,,,,,,,,,, 43, 870. 4 Accounts receivable , net Receivables from current and former officers , directors , trustees, key employees , and highest compensated employees . Complete Part II of 5 Schedule L ................................. as' defined under section 6 Receivables from other disqualified persons (as 4958 ( f)(1)), persons described in section 4958 ( c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary 6 employees ' beneficiary organizations ( see instructions ) , , , , , , , , , , y 7 Notes and loans receivable, net 0 7 8 Inventories for sale or use Q 8 35,378. 9 Prepaid expenses and deferred charges . .. 9 . . ATCH. .4. . cost or 10a Land , buildings , and equipment 811, 641. other basis Complete Part VI of Schedule D 1 Oa 232, 417. 623, 405. 10c 1 Ob b Less : accumulated depreciation .. . . .. .. 11 11 Investments - publicly traded securities . .. . . . . . . . . . . .. .. . 12 12 Investments - other securities See Part IV, line 11 , , , , , , , , , , , , , 13 13 Investments - program-related See Part IV, line 11 , , , , , , , , , , , , 14 14 Intangible assets . . . . . . . . .. . .. .. . ... . . .. . . . . . . . . , . 54, 704. 15 15 Other assets See Part IV, line 11 , , , , , 91, 629. 16 16 Total assets . Add lines 1 throw h 15 must a ual line 34 27, 470. 17 ,,, 17 Accounts payable and accrued expenses 18 . . . . . . . . .. . .. ... . ... 18 Grants payable 1, 550. 19 , 19 Deferred revenue 20 20 Tax-exempt bond liabilities 21 21 Escrow or custodial account liability Complete Part IV of Schedule D Payables to current and former officers , directors , trustees, key 22 employees , highest compensated employees , and disqualified persons. 39, 250. 22 Complete Part II of Schedule L 23, 570. 23 23 Secured mortgages and notes payable to unrelated third partiesCH , 24 24 Unsecured notes and loans payable to unrelated third parties , , , , , , Other liabilities ( including federal income tax , payables to related third 25 parties , and other liabilities not included on lines 17 - 24) Complete Part X 25 of Schedule D . . . .. .. . .. . .. . . . . ... .. . . .. ... . .. 291, 840. 26 Total liabilities . Add lines 17 through 25 .. . . . . . . . . . . . . . . . . . . 26 Organizations that follow SFAS 117 , check here ^ X and complete lines 27 through 29, and lines 33 and 34. . 1 2 3 4 5 U Unrestricted net assets Temporarily restricted net assets Permanently restricted net assets . . . .. .. ... . .. . . Organizations that do not follow SFAS 117, check here complete lines 30 through 34. 30 31 32 33 34 Capital stock or trust principal, or current funds Paid-in or capital surplus , or land , budding , or equipment fund Retained earnings , endowment , accumulated income, or other funds Total net assets or fund balances Total liabilities and net assets /fund balances . 424, 05 3 . 27 . 5, 938. 28 9, 798. 29 . 27 28 29 . .. and 9, 789. 1, 629. 33 34 38,087. 0 0 12,042. 0 0 0 0 27,294. 579,224. 0 0 0 0 50, 865. 707, 512 . 159, 605. 0 41, 550. 0 0 36, 250 . 148, 125. 0 0 385, 530. -314,190. 566,374. 69, 798. 321, 982. 707, 512. Form 990 (2011) JSA 1E1053 1 000 36825U K276 V 11-6.5 NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC. 06-0993269 Page 12 Form 990 (2011) FO NM, Reconciliation of Net Assets Check if Schedule 0 contains a response to any question in this Part XI .. .. .. .. .. . . ... .. .. . . .. 1 2 3 4 5 6 Total revenue (must e q ual Part VIII , column (A) , line 12) . . . . . . .. .. . . . . . . . . . . . . . .. . Total ex p enses (must equal Part IX , column (A) , line 25) . . .. .. .. . . .. . . .. . .. . . . . . . . Revenue less expenses . Subtract line 2 from line 1 . . . .. .. ... . . .. . . .. .. .. .... . Net assets or fund balances at beginning of year (must equal Part X , line 33 , column (A)) .. .... .. Other chan g es in net assets or fund balances (explain in Schedule 0) . .. . . . . . . . .. ... . .. Net assets or fund balances at end of year Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) .................................................. 1 2 3 4 5 1,272,694* 1,446, 626. -173, 932. 499, 789. -3, 875. 6 321, 982. [jM M Financial Statements and Reporting Check if Schedule 0 contains a response to any question in this Part XII . .. .. . ... ... . . .. .. . . . Yes ❑ Accrual ❑ Other ❑ Cash Accounting method used to prepare the Form 990• If the organization changed its method of accounting from a prior year or checked "Other," explain in Schedule O. 2a Were the organization's financial statements compiled or reviewed by an independent accountants b Were the organization's financial statements audited by an independent accountant? c If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O. d If "Yes" to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both* ❑ Both consolidated and separate basis Separate basis ❑ Consolidated basis 3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133 .. .. ....... . ... .. . b If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule 0 and describe any steps tak en to undergo such audits No I L 2a X x 2c X - 3a X 3b Form 99 0 (2011) JSA 1E1054 1 000 36825U K276 V 11-6.5 SCHEDULE A (Form 990 or 990-EZ) O MB No 1545-0047 Public Charity Status and Public Support 2011 Complete if the organization is a section 501(c )( 3) organization or a section 4947( a)(1) nonexempt charitable trust. Department of the Treasury Interna l R eve nue Service ^ Attach to Form 990 or Form 990 - EZ. ^ See separate instructions. Employer identification number Name of the organization 06-0993269 Reason for Public Charity Status (All organizations must complete this part.) See instructions The organization is not a private foundation because it is (For lines 1 through 11, check only one box) 1 HA church, convention of churches, or association of churches described in section 170 (b)(1)(A)(i). A school described in section 170 (b)(1)(A)(ii). (Attach Schedule E.) 2 A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). 3 A medical research organization operated in conjunction with a hospital described in section 170 (b)(1)(A)(iii). Enter the 4 hospital's name, city, and state: 5 ❑ An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170 ( b)(1)(A)(iv ). (Complete Part II ) 6 A federal, state, or local government or governmental unit described in section 170 ( b)(1)(A)(v). An organization that normally receives a substantial part of its support from a governmental unit or from the general public 7 X described in section 170 (b)(1)(A)(vi). (Complete Part II ) 8 ❑ A community trust described in section 170 (b)(1)(A)(vi). (Complete Part II ) An organization that normally receives (1) more than 331/3%of Its support from contributions, membership fees , and gross 9 receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 331/3% 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 ❑ An organization organized and operated exclusively to test for public safety See section 509(a)(4). An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the 11 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 e through 11 h d ❑ Type III - Other c ❑ Type III - Functionally integrated b ❑ Type II a ❑ Type I e ❑ 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) f 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 Since August 17, 2006, has the organization accepted any gift or contribution from any of the g following persons? Yes No (i) A person who directly or indirectly controls, either alone or together with persons described in (ii) 11g(i) and (ul) below, the governing body of the supported organization? . . . . ... . . ... . ... . .. . . .. .. . ... .. ... . ... . . . . . 119U4 (ii) A family member of a person described in (I) above? .. . (iii) A 35% controlled entity of a person described in (I) or (a) above'? . . .. ... . . . . . . . . . . . . . . . 1tg(iii) Provide the following information about the supported organization(s). h NEIGHBORHOOD STUDIOS (i) Name of supported organization OF FAIRFIELD COUNTY, INC. (ii) EIN (iii) Type of organization (described on lines 1-9 above or IRC section see instructions )) (iv) is use organization in ` a (i) i'sted in your governing Yes No (v) D i d you notify (vi) Is the the organization in col (i) of your support? organization in col (i) organized i n the U S ? Yes No Yes (vii) Amount of support No (A) (B) (C) (D) (E) Total Schedule A (Form 990 or 990-EZ) 2011 For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. JSA 1E12101000 36825U K276 V 11-6.5 NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC. 06-0993269 Page 2 Schedule A (Form 990 or 990-EZ) 2011 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 or if the organization failed to qualify under Part Ill. If the organization fails to qualify under the tests listed below, please complete Part III.) Section A- Public Suooort Calendar year ( or fiscal year beginning in) I Gifts , grants, contributions , (a) 2007 ^ ( c) 2009 2 revenues levied for the Tax 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 than a each person ( other governmental unit or publicly supported organization ) included on line 1 that exceeds 2 % of the amount shown on line 11, column (f). Public su pp ort. Subtract line 5 from line (d) 2010 ( e) 2011 (f) Total ATCH 1 and membership fees received (Do not include any " unusual grants " ) . . . . 6 ( b) 2008 937 , 704 976 , 982 455 , 023 1 , 218 , 174 631 , 969 4 , 219 , 852 937 704 MTV 976 , 982 455 , 023 1 , 218 , 174 , 631 , 969 9 219 , 852 573 , 154 3 646 , 698 Section B . Total Suaoort Calendar year ( or fiscal year beginning in) 7 8 (a) 2007 ^ Amounts from line 4 . . . . . . . . . Gross income from interest, dividends, payments received on securities loans, rents, royalties 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) . . . . . . . . . . ( b) 2008 937 , 704 976 , 982 1 , 124 1 , 530 40 176 -+.- ' ( c) 2009 455 , 023 ( d) 2010 ( e) 2011 1 , 218 , 174. ( f) Total 631 , 969. 834 1 , 022 41 514 __ ' _Fa.. 4 , 219 , 852 9 510 81 690 _:-i 4 306 052 11 Total support. Add lines 7 through 10 . 12 Gross receipts from related activities, etc (see instructions ) . .. .. . . . .. . ... .. .... .. . .. 13 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) 10. organization , check this box and stop here `` --^_ - `^`^^• - " 12 Section C . Com p utation of Public Su pp ort Percenta g e 84.69% 14 14 Public support percentage for 2011 ( line 6, column (f) divided by line 11, column (f)) . ... .. . 91.79% 15 Public support percentage from 2010 Schedule A, Part II, line 14 .. . . . . . . . .. . . .. ... 15 16a 331/3 % support test - 2011 . If the organization did not check the box on line 13, and line 14 is 331/3% or more, check this box and stop here . The organization qualifies as a publicly supported organization . .. ... . . .. .. . . . . . . . . ^ D] b 331/3% support test - 2010 . If the organization did not check a box on line 13 or 16a , and line 15 is 331/3 % or more, check this box and stop here . The organization qualifies as a publicly supported organization ... . . .. .. .. . . . . . . No. 1:1 17a 10 %- facts - and-circumstances test - 2011 . If the organization did not check a box on line 13 , 16a, or 16b , and line 14 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 organization meets the " facts-and-circumstances " test. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bo- 1:1 b 10%-facts - and-circumstances test - 2010 . 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 organzatlon meets the "facts-and-circumstances " test The organization qualifies as a publicly supported organization . . .... . .. ... . . .. .. .. . . . . . . I- El 18 Private foundation . If the organization did not check a box on line 13, 16a , 16b, 17a, or 17b, check this box and see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ^ ❑ Schedule A (Form 990 or 990 -EZ) 2011 JSA 1E1220 1 000 36825U K276 V 11-6.5 NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC. 06-0993269 Schedule A (Form 990 or 990-EZ) 2011 Page 3 Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.) Section A. Public Suonort Calendar year (or fiscal year beginning in) ^ 1 (a) 2007 (b) 2008 (c) 2009 (d) 20 10 (e) 2011 (f) Total (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total Gifts, grants, contributions, and membership fees received (Do not include any "unusual grants ") 2 Gross receipts from admissions, merchandise sold services or or performed, 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 revenues Tax levied for the organization'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 received included on from other lines than 2 and 3 disqualified persons that exceed the greater of $5,000 or 1 % of the amount on line 13 for the year 8 c Add lines 7a and 7b. . . . . . . . . . Public support (Subtract line 7c from line 6 Section B. Total Su pport Calendar year (or fiscal year beginning in ) ^ Amounts from line 6. . . . . . . . . . 9 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 10a and lob 11 12 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on . . . . . . . . . . . . . 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, 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, check this box and stop here . and 12) Section C . Com p utation of Public Su pp ort Percenta g e 15 Public support percentage for 2011 (line 8, column (f) divided by line 13, column (f)) 16 Public support percentage from 2010 Schedule A. Part III, line 15. . ^ ❑ 15 % 16 % Section D. Com p utation of Investment Income Percenta g e 17 Investment income percentage for 2011 (line 1Oc, column (f) divided by line 13, column (f)) • • • . . , . 17 % 18 Investment income percentage from 2010 Schedule A, Part III, line 17 , • , , • , , • • • • • • • . • . , , , 18 % 19a 331/3% support tests - 2011 . If the organization did not check the box on line 14. and line 15 is more than 331/3%, and line 17 is not more than 331/3%, check this box and stop here The organization qualifies as a publicly supported organization ^ ❑ b 331 / 3% support tests - 2010 . If the organization did not check a box on line 14 or line 19a, and line 16 is more than 331/3%. and line 18 is not more than 331/3%, check this box and stop here 20 Private foundation . If the organization did not check a box on The organization qualifies as a publicly supported organization line 1 EA 1 E1221 1 000 14, 19a, or 19b, check this box and see ^ instructions ^ Schedule A (Form 990 or 990-EZ) 2011 36825U K276 V 11-6.5 NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC. 06-0993269 Schedule A ( Form 990 or 990-EZ) 2011 Page 4 Supplemental Information . Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b ; and Part III , line 12. Also complete this part for any additional information. (See Instructions). ATTACHMENT SCHEDULE A, PART II NAME OF CONTRIBUTOR - ORGANIZATIONS RECEIVING ANY DATE UNUSUAL GRANTS AMOUNT HUD 623,305. TOTAL 623,305. FOR 1 2010 EXPLANATION Schedule A (Form 990 or 990 -EZ) 2011 SSA 1 E1225 2 000 36825U K276 V 11-6.5 SCHEDULED (Form 990) Internal Revenue Service Name of the organization JiM STUDIOS 2011 if the organization answered " Yes," to Form 990, Part IV , line 6, 7 , 8, 9, 10 , 11a, 11b , 11c, 11d, 11e, 11f , 12a, or 12b. ^ Attach to Form 990 . ^ See separate instructions. Department of the Treasury NEIGHBORHOOD OMB No 1545-0047 Supplemental Financial Statements Employer identification number OF FAIRFIELD COUNTY, INC. 06-0993269 Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts . Complete if the organization answered "Yes" to Form 990, Part IV, line 6. (a) Donor advised funds (b) Funds and other accounts I Total number at end of year . .. . . . . . . . . Aggregate contributions to (during year) . . . . Aggregate grants from (during year) . . . . . . . Aggregate value at end of year.. . . . . . . . . Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization's property, subject to the organization's exclusive legal control? . ... . . . . . . . ❑ Yes ❑ No Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferrin g im p ermissible p rivate benefit? . ❑ Yes ❑ No Conservation Easements . Complete if the organization answered "Yes" to Form 990, Part IV, line 7. Pur ose(s) of conservation easements held by the organization (check all that apply). I 2 3 4 5 6 1 H Preservation of land for public use (e g., recreation or education) Preservation of an historically important land area Protection of natural habitat Preservation of a certified historic structure Preservation of open space Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year 2 Held at the End of the Tax Year a Total number of conservation easements . .. ... . .. .. .. . . . . . . . .. .. .. b c d Total acreage restricted by conservation easements . .. . . .. .. . . . .. .. .. .. 2b Number of conservation easements on a certified historic structure included in (a) .. .. 2c Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ... . .. .. .. . . . . . .. .. .. .. . 2d Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year ^ ----------------Number of states where property subject to conservation easement is located ^ _________________ Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? . .. . . .. . . . . . . .... .. . ... ❑ Yes ❑ No Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year ON- ----------------Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year 3 4 5 6 7 8 2a Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B) (1) and section 170(h)(4)(B)(II)? .. .. .. .. .. . . ... .. .. .. .. . . . . . . . . . .. .. .. .. . .. ❑ Yes ❑ No In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and balance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describes the organization's accounting for conservation easements. 9 EMEF 1a b 2 a b Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. Complete if the organization answered "Yes" to Form 990, Part IV, line 8. If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIV, the text of the footnote to its financial statements that describes these items If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items (i) Revenues included in Form 990, Part VIII, line 1 . .. .. .. . .. .. . . .. .... .. . .. . . . . ^ $ _ _ _ _ _ _ _ _ _ _ _ _ _ (ii) Assets included in Form 990, Part X . . . .. . . .. . . .. . . . .. . . .. .... .. .. . . . . . ^ $ _ _ _ _ _ _ _ _ _ _ _ _ _ If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under SFAS 116 (ASC 958) relating to these items Revenues included in Form 990, Part VIII, line 1 . . ... . . .. ... .. .. .. .... .. ... . . . . ^ $ _ _ _ _ _ _ _ _ _ _ _ _ _ Assets included in Form 990, Part X ^ $ For Paperwork Reduction Act Notice , see the Instructions for Form 990. JSA 1E1268 1 000 36825U K276 V 11-6.5 Schedule D (Form 990) 2011 NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC. 06-0993269 Page 2 Schedule D (Form 990) 2011 Organizations Maintaining Collections of Art, Historical Treasures , or Other Similar Assets (continued) Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply) Loan or exchange programs Public exhibition d e a Scholarly research Other a b ---------------------------------Preservation for future generations c 4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIV 5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization's collection? . . . .. Yes No Escrow and Custodial Arrangements . Complete if the organization answered "Yes" to Form 990, Part IV, ji^ 3 line 9, or reported an amount on Form 990, Part X, line 21. Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included on Form 990, Part X? .. . . . . . .... .. . . .. . . . . . . . .. .. .. . . . ... . .. . .. .. El Yes b If "Yes," explain the arrangement in Part XIV and complete the following table Amount c Beginning balance . . .. . . .. . . . .. . . .. . . .. .. ... .. . . .. .. 1 c d Additions during the year . . .. . . . .. . . .. . . . . .. ... ... . . . .. 1 d e Distributions during the year . .. . . . .. . . .. .. . . . . ... .. . . . . .. le f Ending balance .. .. .. . . .. . . . . . . . .. .. . . . . ... ... . .. .. if 2a Did the organization include an amount on Form 990, Part X, line 21? . . ... . . . .. .. .. ... .. . .. Yes b If "Yes," explain the arrangement in Part XIV. Ia No No Endowment Funds . Com p lete if the org anization answered "Yes" to Form 990, Part IV, line 10 (a) Current year (b ) Prior year ( c) Two years back ( d) Three years back 54,704. 57,393. 64,996. 75,736. I a Beginning of year balance . . . . b Contributions . .. . . .. . . . . c Net investment earnings, gains, and losses . .. .. .. . . . . . 10,976. -1,424. -5,940. 12,800. 3,087. d Grants or scholarships .. . . . 1,900. e Other expenditures for facilities . and programs ......... . 1,713. f Administrative expenses . . . . . 515. 865. g End of year balance.. .. . . . 54,704. 64,996. 50,865. 64,996. 2 Provide the estimated percentage of the current year end balance (line 1 g, column (a)) held as. a Board designated or quasi-endowment ^ % b Permanent endowment ^ __ % c Temporarily restricted endowment ^ % The percentages in lines 2a, 2b, and 2c should equal 100% 3a Are there endowment funds not in the possession of the organization that are held and administered for the organization by (i) unrelated organizations ............................................... (ii) related organizations . . . .. . . . . . . ... . .. . .. ... .. .. ... .. .. .. .. ... .. ... b If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? . .. .. . . .. .. . . . . ... 4 Describe in Part XIV the intended uses of the organization's endowment funds. Land . Buildings . and Eauioment . See Form 990. Part X. line 10. MMM Description of property la Land .. .. ... .. . .. . . .. . b Buildings . .. . . . . .. . . .. . c Leasehold Improvements . . . .. . d Equipment . . .. .. .. . . .. . e Other . . . . . . . .. .. . . ... Total . Add lines 1a through 1e (Column ( a) Cost or other basis (investment) (b) Cost or other basis (other ) . . . . . 657, .. . . 136, . .. 18, (d) must equal Form 990, Part X, column (B), ( c) Accumulated depreciation 158. 85, 927. 194. 128, 602.. 289. 17,888 line 10(c)). . ^ (e) Four years back Yes 3a(i) X 3a(ii) 3b No X ( d) Book value 571,231. 7,592. 401. 579,224 . Schedule D (Form 990) 2011 JSA 1E1269 1 000 36825U K276 V 11-6.5 NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC. 06-0993269 Schedule D ( Form 990) 2011 FEMIM Page 3 Investments - Other Securities . See Form 990 , Part X , line 12. (a) Description of security or category (including name of security ) ( b) Book value ( c) Method of valuation Cost or end-of-year market value (1) Financial derivatives .. . . .. ... .. . . .. . (2) Closely- held equity interests .. ... .. . . .. , (3) Other (A) ------------------------------------(B) ------------------------------------(C) ------------------------------------( D) ------------------------------------(E)------------------------------- -(F) ------------------------------------(G) ------------------------------------( H) ------------------------------------(I) Total (Column (b) must equal Form 990, Part X, col (B) line 12) 0'. 1 1 MUMF Investments - Program Related _ See Form 990. Part X line 13 (a) Description of investment type (b ) Book value ( c) Method of valuation Cost or end-of-year market value (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) Total (Column (b) must equal Form 990, Part X, col (B) line 13) 92M^I ^ Other Assets . See Form 990. Part X. line 15. (a) Description (1)BENEFICIAL (2)TRUST AT (3)ASSETS (4)TERM INT IN ( b) Book value PERPETUAL FCCF 6,002. RESTRICTED INVEST. AT FOR LONG FCCF 44,863. (5) (6) (7) (8) (9) (10) Total . (Column (b) must equal Form 990, Part X, col (B) line 15) , , ^ 50,865, Other Liabilities . bee Form 99U, Part X, line 25. I 1. (a) Description of li (1) Federal income taxes 4 5 6 7 10 Total . (Column (b) must equal Form 990, Part X, col (B) line 25 ) ^ 2. FIN 48 (ASC 740) Footnote In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740) SSA 1 E 7270 7 000 Schedule D (Form 990) 2011 36825U K276 V 11-6.5 NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC. 06-0993269 Page 4 Schedule D (Form 990) 2011 Olin M Reconciliation of Chan g e in Net Assets from Form 990 to Audited Financial Statements Total revenue (Form 990, Part VIII, column (A), line 12) . .. .. . . . . . . . . .. . ... .. I 1 Total expenses (Form 990, Part IX, column (A), line 25) . .. .. . . . . . . . . .. . ... .. . 2 2 .. 3 3 Excess or (deficit) for the year. Subtract line 2 from line 1 .. .. . . .. ... . .. 4 Net unrealized gains (losses) on investments . . .. . . ... .. .. . . . . . . . . .... 4 Donated services and use of facilities ...................... ......... ... 5 5 Investment expenses .. . . .. . .. .. .. .. . . .. . . . .. . . .. .. . . .. ... . .. . 6 6 Prior period adjustments 7 . . . .. . . .. . . . . .. . . . .. . . .. .. . . .. . . . . 7 . .. . . .. . . . .. . ... .. . . .. . . . . 8 8 Other (Describe in Part XIV ) Total adjustments (net). Add lines 4 through 8 .. . . . 9 , , , , 9 10 Excess or (deficit) for the year per audited financial statements Combine lines 3 and 9 10 1,272, 694. 1,446, 626. -173,932. -3, 876. -3, 876. -177,808. Reconciliation of Revenue p er Audited Financial Statements With Revenue per Return I 2 a b c d e 3 4 a b c Total revenue, gains, and other support per audited financial statements , , , . . , . . . . , . Amounts included on line 1 but not on Form 990, Part VIII, line 12 Net unrealized gains on investments , , , , , , . -3, 876. 2a Donated services and use of facilities ...................... 2b Recoveries of prior year grants 2c Other (Describe in Part XIV) .. . .. .. .. .. . . . . . . . .. . . .. .. . 2d 5, 408. Add lines 2a through 2d .. . . . . . .. .. . . . . .. . . . .. . . .. ... . .. .... .. Subtract line 2e from line 1 .. . .. . . .. ... . .. . . . .. . . .. . ... .. . . . Amounts included on Form 990, Part VIII, line 12, but not on line 1 Investment expenses not included on Form 990, Part VIII, line 7b . . , , 4a Other (Describe in Part XIV) .. . .. . .. . ... .. . . . . . . . . .. .. . 4b Add lines 4a and 4b ............................... ......... .... Total revenue Add lines 3 and 4c. (This must equal Form 990, Part 1, line 12) 5 fORST.W Reconciliation of Expenses per Audited Financial Statements With Ex penses Total expenses and losses per audited financial statements .......... ......... 1 Amounts included on line 1 but not on Form 990, Part IX, line 25 2 a Donated services and use of facilities ...................... 2a b Prior year adjustments .............................. 2b c Other losses 2c ................................. d Other (Describe in Part XIV) ........................... 2d e Add lines 2a through 2d ............................. ......... Subtract line 2e from line 1 .. . ... .. . ... .. . . . . .. . . .. . ... .. 3 4 Amounts included on Form 990, Part IX, line 25, but not on line 1: a Investment expenses not included on Form 990, Part VIII, line 7b 4a b Other (Describe in Part XIV) ........................... 4b c Add lines 4a and 4b Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part 1, line 18.) . 5 . . . . . . . 1 1, 274, 226. 2e 3 1,532. 1, 272, 694. c 5 1,272, 694. per Return 1 1,452,034. ..... ... 2e 3 5,408. 1,446, 626. ..... c 5 1,446, 626. ..... 5,408. SuDDlemental information Complete this part to provide the descriptions required for Part Il, lines 3, 5, and 9, Part III, lines la and 4, Part IV, lines 1 b and 2b, Part V, line 4, Part X, line 2, Part XI, line 8, Part XII, lines 2d and 4b, and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information ----------------------------------------------------------------------------------------SEE PAGE 5 -------------------------------------------------------------------------------------------- Schedule D (Form 990) 2011 JSA 1 E1271 1 000 36825U K276 V 11-6.5 '-f ) I NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC. Schedule D ( Form 990 ) 2011 INSTISupplemental Information (continued) RECONCILIATION OF REVENUE/EXPENSE PAGE 4, PART XII, INVESTMENT FEES #2D & OF $834 PART XIII ARE THE FINANCIAL FUNDRAISING STATEMENTS. DIFFERENCE OF $5,408 EXPENSE ON PAGE 4, FINANCIAL (MISC. $1 990 FINANCIAL EXPENSES RETURN, BUT EFFECT OF THESE TWO DIFFERENCE STATEMENTS, OF $6,205 ARE BUT SHOWN STATED SEPARATELY ON ITEMS IS A DUE TO ROUNDING). RETURN NOT ON BOOKS PART XIII, ADJUSTMENT FUNDRAISING INCOME ON THE THE NET Page 5 #2D SHOWN NET ON THE STATED SEPARATELY ON THE RETURN. NETTED AGAINST PER FINANCIALS WITH 06-0993269 #4B TO MISCELLANEOUS STATEMENTS AFTER EXPENSE FOR-AMOUNTS-ADJUSTED ON FILING OF TAX PRIOR YEAR- RETURN Schedule D (Form 990) 2011 JSA 1E1226 2 000 36825U K276 V 11-6.5 (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service OMB No 1545-0047 Supplemental Information Regarding Fundraising or Gaming Activities SCHEDULE G I Name of the organization NEIGHBORHOOD STUDIOS ^11 Complete if the organization answered 'Yes' to Form 990, Part IV, lines 17 , 18, or 19 , or if the organization entered more than $15,000 on Form 990 -EZ, line 6a ^ Attach to Form 990 or Form 990-EL ^ See separate instructions Employer identification number OF FAIRFIELD COUNTY, INC. 06-0993269 Fundraising Activities . Complete if the organization answered "Yes" to Form 990, Part IV, line 17. Form 990-EZ filers are not required to complete this part. 1 a b c d Indicate whether the organization raised funds throughe an of the following activities. Check all that apply Solicitation of non-government grants H Mall solicitations f Internet and email solicitations Solicitation of government grants Phone solicitations g Special fundraising events In-person solicitations 2a Did the organization have a written or oral agreement with any individual (including officers, directors, trustees or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services? ❑ Yes ❑ No b If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be compensated at least $5,000 by the organization. (i) Name and address of individual or entity (fundraiser) (d) Activity (ii) Did fundraiser have custody or control of contributions? Yes (iv) Gross receipts from activity (v) Amount paid to (or retained by) fundraiser listed in col (I) (vi) Amount paid to (or retained by) organization No 1 2 3 4 5 6 7 8 9 10 Total ^ 3 List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing Paperwork Reduction Act Notice , see the Instructions for Form 990 or 990-EZ JSA 1E1281 1 000 36825U K276 V 11-6 Schedule G (Form 990 or 990-EZ) 2011 NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC. 06-0993269 Page 2 Schedule G ( Form 990 or 990 -EZ) 2011 Fundraising Events . Complete if the organization answered " Yes" to Form 990, Part IV , line 18, or reported more than $15 , 000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b List events with gross receipts greater than $5,000 (a) Event #1 (c) Other Events ( b) Event #2 (event type) (event type) I I ( d) Total events (add col (a) through col (c)) (total number) u) of 1 Gross receipts , , , , , , , , , , 2 Less Charitable contributions 3 Gross income ( line 1 minus line 2) .. . . . . . . .. . . . . . . . 24, 047. 24, 047. 24, 047 . 24, 047. 6,205. 6, 205. 4 Cash prizes , , , , , , , , , , , , 5 Noncash prizes , , , , , , , , , , , 6 Rent /facility costs a) O. X p`- 7 Food and beverages , , , , , , 8 Entertainment 9 Other direct expenses , , , , , , , , 10 Direct expense summary . Add lines 4 through 9 in column (d) , ,, , , ,, ,, , , , , , , , , , , , , ^ ( . ^ 11 Net income summar y Combine line 3, column ( d ) , and line 10 . Gaming . Complete if the organization answered "Yes" to Form 990, Part IV, line 19 , or reported more 6,205.) 17, 842. than $15 , 000 on Form 990-EZ , line 6a. ( b) Pull tabs/ instant (a) Bingo °t C C bingo/ progressive bingo ( d) Total gaming (add ( c) Other gaming col ( a) through col (c)) CD a, 1 Gross revenue . 2 Cash prizes C a) X w 3 Noncash prizes . ... . . .. . . 4 Rent/facility costs , , , . , , , , 0 5 Other direct expenses . .. . . . . . Yes 6 Volunteer labor . . . . , . . .. o/ LJ Yes No No % LJ Yes % No 7 Direct expense summary Add lines 2 through 5 in column (d) , , , , , , , , , , , , , , , , , , , , , ^ 8 Net gaming income summary . Combine line 1, column d , and line 7 .. ^ . ( ) _ _ _ ____ Enter the state(s ) in which the organization operates gaming activities a Is the organization licensed to operate gaming activities in each of these states? . .. . ... . ... . . . . Yes U No b If "No ," explain ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------10 a Were any of the organization ' s gaming licenses revoked, suspended or terminated during the tax year 's . . Yes Q No b If "Yes ," explain: --------------------------------------------------------------------------------------------------------------------------------------------------------------------9 Schedule G (Form 990 or 990-EZ) 2011 JSA 1E1282 1 000 36825U K276 V 11-6.5 NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC. 06-0993269 Page 3 Schedule G (Form 990 or 990 -EZ) 2011 11 Does the organization operate gaming activities with nonmembers? 12 Is the organization a grantor , beneficiary or trustee of a trust or a member of a partnership or other entity 13 a b 14 formed to administer charitable gaming? , , , , , , , , , , , , , , , , , , , , Indicate the percentage of gaming activity operated in The organization ' s facility . . . . . . . .. . .. . . . .. . . ... .. . . . . An outside facility .. . . .. . . . . . .. . .. . . . .. . . ... Enter the name and address of the person who prepares the organization ' s records Name ^ b c , , ,, , ,,, , , , , , No ❑ Yes El No .. . . .. ... .. . 1 3a 13b .. .. ... .. .. gaming /special events books and % % ---------------------------------------------------------------------------------- Address ^ 15a Yes -------------------------------------------------------------------------------- Does the organization have a contract with a third party from whom the organization receives gaming revenue? .. . .. . . . . .. . . . . . . . . . . . . . . . . . .. . . . ... . ... . . . .. . . . . . .. . . . . ❑ Yes [-I No If "Yes," enter the amount of gaming revenue received by the organization ^ $ --------------- and the amount of gaming revenue retained by the third party ^ $ ---------------If "Yes," enter name and address of the third parryName ^ ---------------------------------------------------------------------------------- Address ^ 16 -------------------------------------------------------------------------------- Gaming manager information. Name ^ ---------------------------------------------------------------------------------- Gaming manager compensation ^ $ Description of services provided ^ ❑ Director/officer 17 ----------------------------------------------------------------------------- ❑ Employee ❑ Independent contractor Mandatory distributions. a b Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the state gaming license? , , , , , , , , , , , , , , , , , ,, , , ,, , ,,, , , , , , , , , , , , , , ,, ,, ❑ Yes ❑ No Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the organization's own exempt activities during the tax year ^ $ Supplemental Information . Complete this part to provide the explanation required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions). Schedule G (Form 990 or 990-EZ) 2011 JSA 1E1503 2 000 36825U K276 V 11-6.5 I k 1L 1 SCHEDULE L Department of the Treasury Internal Revenue Service OMB No 1545-0047 Transactions With Interested Persons (Form 990 or 990-EZ) Name of the organization NEIGHBORHOOD X011 if the organization answered "Yes" on Form 990, Part IV, line 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b. to Form 990 or Form 990-EZ. ^ See separate instructions. Employer identification number STUDIOS OF FAIRFIELD COUNTY, INC. 06-0993269 Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only) Complete if the organization answered "Yes" on Form 990. Part IV, line 25a or 25b, or Form 990-EZ. Part V. line 40b. (a) Name of disqualified person 1 (1) ( 2) (3) (4) (5) (6) 2 3 (b) Description of transaction Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958 . ................. ............................ . ^ $ Enter the amount of tax, if any, on line 2, above, reimbursed by the organization .. . . . . .. .. . . . . ^ $ Loans to and/or From Interested Persons. Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a ji^ (a) Name of interested person and purpose tbl' ."eo.^."mod To (1) I`I '7 Yes No HAROLD LEVINE WORKING CAPITAL ( 2) (3) (4) (5) (6) (7) (8) (9) (10) Total JjEM (c) Original principal amount (d) Balance due From X (e) In default'? (f) Approved (g) Written Yes 39,250. 36,250. 36,250. 1 by board or committee? agreement? No Yes Yes X X No No X 1 Grants or Assistance Benefi ting Interested Persons. Complete if the organization answered "Yes" on Form 990. Part IV. line 27. (a) Name of interested person (b) Relationship between interested person and the organization (c) Amount and type of assistance (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ JSA 1 E1297 1 000 36825U K276 V 11-6.5 Schedule L (Form 990 or 990-EZ) 2011 NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC. 06-0993269 Schedule L (Form 990 or 990 -EZ) 2011 Page 2 Business Transactions Involving Interested Persons. Complete if the organization answered "Yes" on Form 990, Part IV, line 28a , 28b, or 28c (a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction ( e) Shanng of organization's re,enues9 Yes No (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) Li^ suppiementat tntormation Complete this part to provide additional information for responses to questions on Schedule L (see instructions). J SA 1 E1507 07 2 000 Schedule L ( Form 990 or 990-EZ) 2011 36825U K276 V 11-6.5 • -' • , '- SCHEDULE 0 Supplemental Information to Form 990 or 990-EZ (Form 990 or 990-EZ) Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. 'Attach to Form 990 or 990-EZ. Department of the Treasury Internal Revenue Ser ce Name of the organization NEIGHBORHO OD THE 2011 Employer identification number STUDIOS CONFLICT OF PART VI OMB No 1 5 45-0047 OF FAIRFIELD COUNTY, INC. 06-0993269 INTEREST SECTION B #12 BOARD OF DIRECTORS BOARD MEMBER DISCLOSE INTEREST AND (2) RESPECTING THE ALL CONFLICT OF TO THE BOARD FACTS INTEREST (1) THE POLICY REQUIRES EACH EXISTENCE AND NATURE OF THE KNOWN TO THE MEMBER OF THE SUBJECT MATTER OF THE THAT PROPOSED BOARD OF TRANSACTION. DIRECTORS THIS IS MONITORED AND UPDATED BY THE BOARD ON AN ANNUAL BASIS. EXECUTIVE PART VI DIRECTOR COMPENSATION SECTION B #15 FOR THE EXECUTIVE COMPENSATION RESOURCES COMMITTEE DIRECTOR OF THE BOARD OF IS NEGOTIATED BY THE DIRECTORS HUMAN AND APPROVED BY THE OVERALL BOARD. RELATED DIRECTORS PART VI SECTION A #2 THREE MEMBERS OF THE SERVES BOARD OF ONLY AS A BOARD MEMBER, DIRECTORS ARE AND NOT AS AN RELATED TO EACH OTHER. EACH EMPLOYEE OF THE ORGANIZATION. TO GOVERNING BODY COPY OF 990 PART VI SECTION A A COPY OF THE IRS FORWARDED TO THE #10 FORM 990 IS DISTRIBUTED TO THE EXECUTIVE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTOR AND DIRECTORS For Privacy Act and Paperwork Reduction Act Notice , see the Instructions for Form 990 or 990- EZ. JSA 1 E1227 2 000 36825U K276 V 11-6.5 FOR Schedule 0 (Form 990 or 990-EZ) (2011) Schedule 0 (Form 990 or 990-EZ) 2011 Page 2 Name of the organization NEIGHBORHOOD Employer identification number STUDIOS OF FAIRFIELD COUNTY, INC. 06-0993269 REVIEW. ATTACHMENT FORM 990, PART III, LINE 4D - OTHER PROGRAM DESCRIPTION GRANTS OTHER NEIGHBORHOOD STUDIOS EXPENSES PROGRAMS REVENUE 806,430. TOTALS 806,430. ATTACHMENT FORM 990, PART VIII - INVESTMENT DESCRIPTION INCOME - FCCF (B) (C) TOTAL RELATED OR REVENUE EXEMPT REVENUE INVESTMENTS TOTALS (D) UNRELATED 834. 834. 834. 834. - BUSINESS 990, PART VIII - GROSS PLAYHOUSE/GALA TOTALS REVENUE 3 FUNDRAISING EVENTS DESCRIPTION WESTPORT EXCLUDED REV. ATTACHMENT FORM 2 INCOME (A) INVESTMENT 1 SERVICES INCOME DIRECT NET EXPENSES INCOME 24,047. 6,205. 17,842. 24,047. 6,205. 17,842. ATTACHMENT 4 Schedule 0 (Form 990 or 990-EZ) 2011 JSA 1E12282000 36825U K276 V 11-6.5 Yy •' ' Y_ Schedule 0 (Form 990 or 990-EZ) 2011 2 Employer identification number Name of the organization NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC. 06-0993269 ATTACHMENT FORM 990, PART X - 4 (CONT'D) PREPAID EXPENSES AND DEFERRED CHARGES ENDING DESCRIPTION BOOK VALUE 27,294. PREPAID EXPENSES TOTALS 27,294 . ATTACHMENT FORM 990, PART X - 5 DEFERRED REVENUE c' A1 Tl T A7(_ DESCRIPTION ADVANCES ON GRANTS Y I, J J U 41,550. TOTALS ATTACHMENT FORM 990, LENDER: PART X - PEOPLES SECURED MORTGAGES AND NOTES BANK LOC ORIGINAL AMOUNT: INTEREST REPAYMENT SECURITY 50,000. RATE: 15.000000 DUE ON TERMS: PROVIDED: BEGINNING BALANCE BALANCE LENDER: DUE WORKING CAPITAL 42, 992. 48, 125. DUE .. GROW BRIDGEPORT ORIGINAL AMOUNT: INTEREST DEMAND UNSECURED PURPOSE OF LOAN: ENDING 6 PAYABLE FUND, LLC 85,000. RATE: 5.000000 DATE OF NOTE: 08/15/2008 REPAYMENT TERMS: DUE ON SECURITY UNSECURED PROVIDED: PURPOSE OF LOAN: BEGINNING BALANCE ENDING BALANCE DUE DEMAND WORKING CAPITAL DUE ........................................ 80,578. ... ........................................ 100,000. Schedule 0 ( Form 990 or 990-EZ) 2011 JSA 1 E 1228 2 000 36825U K276 V 11-6.5 I A 2 Schedule 0 (Form 990 or 990-EZ) 2011 Employer identification number Name of the organization NEIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY, INC. TOTAL BEGINNING MORTGAGES AND OTHER NOTES TOTAL ENDING MORTGAGES AND OTHER NOTES PAYABLE PAYABLE 06-0993269 ATTACHMENT 6 (CONT'D) 123,570. 148,125. Schedule 0 (Form 990 or 990-EZ) 2011 JSA 1 E1228 2 000 36825U K276 V 11-6.5 NFTf:NRf1RNC0f1 STI7f1T0q ( 1F FATRFTF.I.n 2011 (77((NTY. INC 06-0993269 Description of Property DEPRECIATION Asset descri ption 2 AIR CONDITIONERS Date placed in service 07/03/2002 Unadjusted Cost or basis Bus % 179 exp reduction in basis Basis Reduction Basis for de p reciation Life 1 , 398 100 000 1 , 398 1 , 398 1 , 398 SL 5 000 5 , 250 5 , 250 5 , 250 SL 7 000 7 , 279 7 458 SL 7 000 9 4 740 SL 5 000 MIRRORS d INSTALL 06 / 26 / 2003 5 , 250 100 000 CUBICLE & 10/28 / 2004 7 458 100 000 7 TELEPHONE SYSTEM 09/06/2004 4,740 100 000 4 , 740 DANCE MIRRORS PANELS Beginning Ending Accumulated Accumulated Mede p reciation de p reciation thod Conv 458 740 MA Current-year 179 ACR E CRS class class e xp ense Current-year de p reciation 179. 06/29/2006 3 450 100 000 3 450 3 450 3 , 450 SL 3 000 (3) 48-INCH TRANS 06/27/2007 2 463 100 000 2 463 2 054 2 463 SL 5 000 409 3 MOBILE STORAGE 06/27/2007 1 , 161 100 000 1 181 983 1 181 SL 5 000 198 2 MOBILE STORAGE 06/27/2007 787 000 787 654 787 SL 5 133 10 CANON POWERSHOT 07/07/ 2007 100 000 1 , 500 1 , 500 1 , 500 SL 3 000 BRAILLE BLAZER EMB 07 /08/2002 1,955 100 000 1,955 1,955 1,955 SL 5 DELL LATITUDE 0600 11/06/2003 2,202 100 000 2,202 2,202. 2,202 SL 3 000 DUAL. ANALOG ROUTER 06/15/2000 549 100 000 549 540 540 SL 5 IBM 545 DESKTOP 09/30/1999 880 100 000 880 865 865 SL 5 000 G4 MACINTOSH 02/21/2002 1 , 200 100 000 1 , 200 1 , 200 1 , 200 SL 5 000 TWO IBM A-30 2GHZ 06/24/2003 1,028 100 000 1 , 028. 1,028 1,028 SL 3 000 8 (3) APPLE IMAC DELL VOSTRO 1 , 500. 100 000 000 000 08/09 /2007 8 000 8 , 740 7 138 8 , 740 SL 5 08/09/2007 2 884 100 000 2 884 2 356 2 , 884 SL 5 000 528 603 708 SL 5.000 105 SL 5 000 740 100 DEL DIMENSION 1501 06/12/2007 708 100 000 DELL LATITUDE D520 06/12/2007 1 , 237 100 000 708. 1 , 237 Less Retired Assets Subtotals . . 1 , 050 000 1 602 5 187 51000 811 641 159 679 232 , 417 72 , 738 811 , 641 159 , 679 232 , 417 72 738 Listed Pro p erty Retired Assets . Subtotals . .............. TOTALS . . . . . . . . . . . . . . . . . 811 641 AMORTIZATION Asset descri p tion Date placed in service Cost or basis Ending Accumulated Accumulated amortization amortization Code 'Assets Retired JSA 1X9024 1 000 36825U K276 V 11-6 5 Life Current-year amortization oFIELD COUNTY 2011 1NC 06-0993269 Description of Property DEPRECIATION Asset descri ption Date placed in service Unadjusted Cost or basis Bus % 179 exp reduction in basis Basis Reduction Basis for de p reciation Ending Beginning Accumulated Accumulated Mede p reciation de p reciation thod Conv Life MA Current-year 179 ACRE CRS class class e xp ense Current-year de p reciation 2 DELL OPTI 320 06/12/2007 2 , 078 100 000 2 , 078 1 , 768 2 078 SL 5 000 310 4 MAC MINI 1 6 05/17/2007 2 , 588 100 000 2 588 2 , 201 2 588 SL 5.000 387 06/04/2007 1 , 910 100 000 1 910 1 624 1 910 SL 5 000 286 2,415 SL 3 000 DIGIT AUDIO WORKST 4 ADOBE PHOTOSH 08/09/2007 2 415 100 000 2 415 2 , 415 4 ADOBE ILLUSTRA 08/09/2007 2 , 28 5 100 000 2 285 2 , 285 2 285 SL 3 000 4 ADOBE DREAMWEA 08/09/2007 1 , 556 100.000 1 , 556 1 , 556 1 , 556 SL 3 DIGIDESIGN CONSOLE 08/09/2007 2 , 230 100 000 2 , 230 2 , 230 2 , 230 SL 3 000 900 100 000 900 SL 3 000 440 100 440 SL 3 900 900 000 ADOBE PSHP 07/07/2007 VLA CREATIVE 06/19/2007 2 06/27/1998 1,000 100 000 1,000 1,000 1,000 SL 8 000 ORGAN 05/31/1998 2,500 100 000 2,500 2,500 2,500 SL 8 000 KEYBOARD 08/13/1999 1 , 059 100 000 1,059 1 , 059 1,059 SL 8.000 STEINWAY GRAND PIA 12/13/1999 20,000 000 20,000 15,554 16,887 SL 5 UPRIGHT PIANO 12/17/1999 3 , 000 100 000 3,000 2 334 2 534 SL 5 000 STEEL DRUM SET 02/28/2001 4 000 100 000 9 000 4 000 9 000 SL 8 000 CUSTOM DRUM SET 07/31/2001 3,950 100 000 3 950 3 , 950 SL 8 000 08/09/2007 1 , 215 100 000 1 , 215. HANDICAPPED BUS 01/12/2001 45 , 876 3 AIR CONDITIONERS 1 07 / 02/2009 1 051 10 4 KEYBOARDS (9) YAMAHA PIANO 100 2 000 440 2 440 2 000 000 992 1 , 215 SL 5 000 000 45 , 876 45 , 876 45 , 876 SL 7 100 000 1 , 051 455 665 SL 5 000 100 1,333. 200 223 000 210 Less Retired Assets . Subtotals . Listed Pro pe rty Less Retired Assets . Subtotals . ................ TOTALS. ................. AMORTIZATION Asset descri ption Date placed in service Cost or basis Ending Accumulated Accumulated amortization amortization Code O 'Assets Retired JSA 1X9024 1 000 36825U K276 V 11-6 5 Life Current-year amortization 2011 06-0993269 Description of Property DEPRECIATION Asset descri ption Date placed in service Unadjusted Cost or basis Bus % 179 exp reduction in basis Basis Reduction Basis for de p reciation Beginning Ending Accumulated Accumulated Mede p reciation de p reciation thod Conv Life MA Current-year 179 ACR CRS class class e xp ense Current-year de p reciation 128 DESKTOP COMPUTER 07/20/2009 639 100 000 639 267 395 SL 5 000 TABLE 5 CHAIRS 07/08/2009 733 100 000 733 227. 332 SL 7 000 105 COMPUTER 07/27/2009 1 434 100 000 1 434 598 885 SL 5 000 287 COMPUTER 01/02/2009 950 100 000 950 507 697 SL 5 000 190 DRUM SET 07/28/2009 1 , 017 100 000 1 , 017 265 392 SL 8.000 127 E Q UIPMENT 02/01/2010 586 100 000 586 185 302 SL 5 000 117 E Q UIPMENT 04/30/2011 450 100 000 450 30 120 SL 5 000 90 981 3 , 925 SL 0 000 2 944 1 , 000 C03 DEMOLITION 04/30/2011 29 , 443 100 000 29 , 443. HANDICAP RAMP 04/30/2011 10,000 100.000 10 , 000 333 1 333 SL 0 000 FEES 6 PERMITS 04/30/2011 68,841 100 000 68,841 2,295 9,179 SL 0 000 6,884 BATHRM RENOVATIONS 04/30/2011 135,391 100 000 135,391 4,513 18,052 SL 0 000 13,539 DANCE FLOOR 04/30/2011 18 , 000 100 000 18,000 600 2,400. SL 0 000 1,800 BOILER 04/30/2011 45 , 000 100 000 45,000 1,500 6,000 SL 0 000 4,500 1 SL 0 000 1 , 064 2 , 533. SL 0 000 1 900 OFFICE CNSTRUCTION 04/30/2011 10,639 100 000 10 , 639 355 419. C01 OFFICE 04/30/2011 19 , 000 100.000 19,000 633 CO2 MASONRY 04/30/2011 9 000 100 000 4 000 133 533 SL 0 000 400 C04 ELECTRICAL SVC 04/30/2011 17 , 279 100 000 17 , 279 576 2 304 SL 0 000 1 , 728 PAINTING 04/30/2011 17 , 000 100 000 17 , 000 567 2 267 SL 0 000 1 , 700 ELECTRICAL 04/30/2011 25 , 920 100 000 25,920 864 3 , 456 SL 0 000 2 , 592 Less Retired Assets . Subtotals . Listed Pro p erty Retired Assets . Subtotals . ................ TOTALS. ................. AMORTIZATION Asset descri p tion Date placed in service Cost or basis Ending Accumulated Accumulated amortization amortization Code Life Current-year amortization I. 'Assets Retired JSA 1X9024 1 000 36825U K276 V 11-6 5 EIGHBORHOOD STUDIOS OF FAIRFIELD COUNTY 2011 !!IC 06-0993269 Description of Property • DEPRECIATION Asset descri ption HVAC L PLUMBING STRUCTURAL ENG Date placed in service Unadjusted Cost or basis Bus % 04/30/2011 115 , 869 100 000 04 /30/2011 32 , 000 179 exp reduction in basis Basis Reduction Basis for de p reciation 115 , 869 Ending Beginning Accumulated Accumulated Mede p reciation de p reciation thod Conv 3 862 100 000 32 , 000 1 , 067 100 2 497 Life MA Current-year 179 ACR CRS class class e xp ense Current-year de p reciation 11 , 587 15 , 449 SL 0 000 4 , 267 SL 0 000 3 , 200 989 SL 0 000 7 , 492 440 04/30/2011 74 , 923 000 74 , 923 2 MACBOOK COMPUTER 05/31/2010 2,198 100 000 2,198 880 SL 5 000 GAS LINES & PLUMB 12/06/2011 6 , 825 100 000 6 , 825 569 SL 9 000 569 WHEELCHAIR LIFT 01/30/2012 27 , 028 100 000 27 , 028 2 , 252 SL 7 000 2 , 252 ELEVATOR SHAFT 440 9 5 187 Less Retired Assets . 811 , 641 Subtotals . Listed Pro p e rty Less Retired Assets . Subtotals . .............. TOTALS. ................. AMORTIZATION Asset descri p tion Date placed in service Cost or basis Ending Accumulated Accumulated amortization amortization Code Life Current-year amortization f ti *Assets Retired JSA 1X9024 1 000 36825U K276 V 11-6 5
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