Form 990 Return of Organization Exempt From Income Tax OMB No 1545

~oo Under section 501(c), 527, or 4947(a)(1) of the internal Revenue Code (except black lung

benefit trust or private foundation) pepenrtpnt of the Trrdvry

" The organization intmul Revanue service ganizauon may have to use a copy of this return to satisfy state reporting requirements

B Check J applicable A~ 5 C Name of organisation

Association for Children & P 0 Address change label or Worl d Name change

print or Number and street (w P O box d mail i5 not delivered to sure[ addrE tnPe

Initial return See 88948 D Spanfc City or sown state ar country and ZIP + 4

Final return Seattle, WA 98138 Amende0 rewrn

Application pending 0 Section 501(c)(3) organizabons and 4947(a)(7) nonexempt charitable trusts must attach a completed Schedule A (Forth 990 or 990-En

G WebsRe " WWW.WaCap .OLQ

n and i are nor appncaoie to section 5u or, ~a,m:arrons H(a) Is this a group realm for a7iLates9 LJ Yes ZIxo H(b) If 'Yes' enter number of affiliates ii, . H(c) Are all affiliates included? E ]Yes 0111.

(If "NO," attach a list See instructions) Him Is this a separate rerun filed by an

orqanirauon covered by a rnoup MRq7 1:1 Yes 50 No

J

K Check here li, 0 A the organization 5 gross receipts are normally not more than $25 ODO The organizauan need not file a return with the IRS Out d the organization received a Form 990 Package in the mall it should file a return without financial dale Some states requite a complete return I Enter 4 digit GEN ~

M Check " F d the to epoch $Ch B (FOrn L Gross receipts Add lines 6b 8b 9b and 10b to line 12 . 4 , 7`ZZ , 096

Revenue, Expenses. and Chances m Net Assets or F

8 1

32,267

74 .961

N 18 E ce ° nrn Gut~ gr=Np~ai°~su tract bite 17 from line 12) Q 19 t ass[ Ya r~~ at b inning of year (from line 73, column (A)) ~ d 20 e for and balances (attach explanation) F 990T ~I -21 z 21 Net assets or fund balances at end of year (combine lines 18, 19 and 20) ~ z

For Paperwork Reduction Act Notice, see the separate instructions Cat No 11282V Farm 990 (2001)

9\

A For the 2001 c

RooMSUite I E Telephone number

F Axaimrtg mellod U Cash L19 Acaual

O omen (soxim .

1 Contributions, gifts grants, and similar amounts received a Direct public support ja 1, 615, 346

b Indirect public support 1b 22 862

c Government contributions (grants) 1c 51 , 290

d Total (add lines 1a through lc) (cash E 1 . 689,498 noncash E -0- 1 2 Program service revenue including government fees and contracts (from Part VII, line 93) 3 Membership dues and assessments 4 Interest on savings and temporary cash investments 5 Dividends and interest from securities 6a Gross rents 6a 54 000 b Less rental expenses 6b 21 733 c Net rental income or (loss) (subtract line 6b from line 6a)

7 Other investment income (describe Ill (A) Securities (B) Other v 8a Gross amount from sales of assets other

o ~ than inventory b Less cost or other basis and sales expenses Bb

c Gain or (loss) (attach schedule) O d Net gain or pons) (combine line 8c, columns (A) and (B))

9 Special events and activities (attach schedule) Auctions a Gross revenue (no[ including $ 22 - 574 of

contributions reported on line la) ±20,D05 to F990T 9a 137 , 100 b Less direct expenses other than fundraising expenses 9b 62 13

L1J c Net income or (loss) from special events (subtract line 9b from line 9a) 10a Gross sales of inventory, less returns and allowances 10a 4 , 429

b Less cost of goods sole lob 3 , 034

c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line lOb from bite 10a) 71 Other revenue (from Part VII, line 103) 12 Total revenue (add lines td, 2 3 4 5 6c, 7 8d, 9c, 10c, and 11)

13 -144 column (B)) 14 anage~ " ~~to'1-~fr If e 44, column (C))

a 15 tin' aising (from line 44, cot ~~ (D)) w 16 e~~ "(~~~ is h dule)

17 eriSenseslad~es~1612dt144 . column IAII

is not or 9'

Farm 990 (2001)

For. 990(2001) WORLD ASSOCIATION FOR CHILDREN & PAREN'CS 91-0962079 Page 2

Statement of All wganizaWns must complete column (A) Columns (B) (C) and (D) are requited for section 501(c)(3) and (4) organizations Functional Expenses am serum Iw7(a)(t) nonexempt charitable ousts but optional f« avers (See speurc Instructions an page 21)

22 Grants and allocations (attach schedule) (cash $ noncash $ 1

23 24 25 Compensation or officers, directors etc 25 215 160 193,213 10,113 11,034 26 Other salaries and wages 26 1,511,435 1,358,041 70 598 82,796 27 Pension plan contnCulions 27 28 Other employee benefits 28 182,877 164,535 8,958 9,324 29 Payroll taxes 29 149,189 134,270 7,310 7,609 30 Professional fundraising tees 30

31 Accounting fees 31 17,591 5,312 5,717 6,562 32 Lega lees 32 6,789 2,050 2,206 2,533 33 Supplies 33 40,476 30,624 8132 1,720 34 Telephone 34 47,142 42,409 3,740 993 35 Postage and shipping 35 120,464 102,048 11,071 7,345 36 Occupancy 36 23,325 17,676 4,656 993 37 Equipment rental and maintenance 37 78,899 60,225 15,428 3,246 38 Fruiting and publications 38 109,160 78,621 434 30,105

40 Conferences, conventions, and meetings 4,001 1,079 2,922 39 Travel

[4313d

26,127 19,684 5,374 1,069

41 Interest 42 Depreciation, Depletion etc (attach sch ) 43 126 32,903 8,424 1,799 43 Other expenses not covered above a Consult 65,522 19,756 21,353 24,413

b Advertising 8 Program development 139,978 136,580 62 3 336 c Insurance 77,123 58,910 14,998 3,215 d Business tax 8 other r 95,036 ~ 76,474 ~ 18,124 ~ 1,238 e Direct services for children 43e 1,72 895 7,676,387 43,778 9,330

44 Total fun ctional expenses 44 4,683,055 4,210,797 262,798 209 460

Joint Costs Check " E3 d you are following SOP 98-2 Are any joint costs from a combined educational campaign and fundraising solicitation reported in (B) Program services " 0 Yes 0 No If "Yes " enter (i) the aggregate amount of thesejoint costs f (it) the amount allocated to Program services f (ii) thc amount allocated to Management and general f and (iv) the amount allocated to Fundraisin $ MMMF Statement of Program Service Accomplishments See Specific Instructions on a e 24 What is the organization's primary exempt purposes ". AdnRtion & Child Assistance . . Program Service

Expenses All organizations must describe their exempt purpose achievements in a clear and concise manner State the number (peq �vee is soi(c)U1 w of clients served, publications issued etc Discuss achievements that are not measurable (Section 501(c)(3) and (4) (4)a9s AM 4947(a)(1) organizations and 4947(a)(1) nonexempt charitable trusts must also enter the amount of grants and allocations [o others ) ~ a Adoption services - US and International placement of children with

families homestudies for families post placement reports and acting intermediary in brining children and families together in- acceptable 1 (Grants and allocations f -0- ) 3,228,792

b Child asslsXanrz -work in _9 foreign cAUnLtJea and the US -_foQd . tlathing, medical supplies and medical treatment - SQQOt children served- . . . .

(Grants and allocations $ _f1_ I 9R9 0115

(Grants and allocations S

d --

(Grants and allocations $ e other program services (attach Schedule) (Grants and f Total of Program Service Expenses (should equal line 44,

r

Form sso (zooi) WORLD ASSOCIATION FOR CHILDREN b PARENTS 91-0962079 Page 3

Balance Sheets (See Specific Instructions on page 24

Note Where required, attached schedules and amounts within the description (A) (3) column should be for end of-year amounts only Beginning of year End of year

45 Cash-non-interest-bearing 59 . 5 26 45 503 033 46 Savings and temporary cash investments 1,241-097 46 595 112

47a Accounts receivable 47a 46,926 47b -0- 40,054 47c 46,926

b Less allowance for doubtful accounts

48a Pledges receivable 48a

b Less allowance for doubtful accounts 48b 48c

49 Grants receivable 49 50 Receivables from officers, directors, trustees, and key employees

50 (attach schedule) 51a Other notes and loans receivable (attach

'" schedule) 40w.n 5 51a 299,718

b Less allowance for doubtful accounts 51b 5 010 284,770 51c 294 .708 a 52 Inventories (or sale or use 52

53 Prepaid expenses and deferred charges 72 , 311 53 79 , 512

54 Investments-securities (attach schedule) " 0 Cost El FMV 549 , 726 54 6--54 , 78-5-

55a Investments-land, buildings, and equipment basis SSa

b Less accumulated depreciation (attach hiii schedule) 55b SSc

56 Investments-other (attach schedule) 56 57a Land, buildings, and equipment basis 57a 837 , 0 9 3

b Less accumulated depreciation (attach 270,075 11 schedule) 57b 597 , 500 57c -56-7 1 0-1-8-

58 Other assets (describe " ) 58

59 Total assets (add lines 45 through 58) (must equal line 74) 2 , 844 ,9 84 59 2 , 741 , 094 60 Accounts payable and accrued expenses 1 60 9AA 1( 17 61 Grants payable 61 62 Deterred revenue 62

d 63 Loans from officers, directors, trustees, and key employees (attach 63 schedule)

9 64a Tax-exempt bond liabilities (attach schedule) 64a b Mortgages and other notes payable (attach schedule) 64b

65 Other liabilities (describe " ) 65

66 Total liabilities (add lines 60 through 65) 563,968 66 516,956

Organizations that follow SFAS 117, check here " lid and complete lines 0 67 through 69 and lines 73 and 74 ///// u 67 Unrestricted

88,282 s~ " '~z~,643

68 Temporarily restricted 1 128760 68 1,223-924 273 974 69 272 571 m 69 Permanently restricted

°c Organizations that do not follow SFAS 117, check here " El and u complete lines 70 through 74 `0 70 Capital stock trust principal, or current funds '"

70 71 Paid-in or capital surplus, or land, building, and equipment fund »

N 72 Retained earnings, endowment, accumulated income, or other funds a

72

73 Total net assets or fund balances (add lines 67 through 69 OR lines Z 70 through 72

column (A) must equal line 19, column (B) must equal line 21) 2 281 016 73 2 224 138 74 Total liabilities and net assets / fund balances (add lines 66 and 73) 2, 844, 984 ~q 2 741 094

Form 990 is available for public inspection and . (or some people, serves as the primary or sole source o! information about a particular organization How the public perceives an organization in such cases may be determined by the information presented on its return Therefore, please make sure the return is complete and accurate and fully describes in Pan III, the organization's programs and accomplishments

Form 990 (2001) SJORLD ASSOCIATION FOR CHILDREN & PARENTS 91-0962079 4 Reconciliation of Revenue per Audited Financial Statements with Revenue per Return (See Specific Instructions, page 26

Reconciliation of Expenses per Audited Financial Statements with Expenses per

a Total expenses and losses per audited financial statements

b Amounts included on line a but not on line 17, Form 990

(1) Donated services and use of facilities f 122

(2) Prior year adjustments reported on line 20 Form 990

(3) Losses reported on line 20, Form 990 $

(4) Other (specify) F990T S Part I, Lines 6b,9b, 101o $ 88 ;043

Add amounts on lines (1) through (4)" c Line a minus line b d Amounts included on line 17,

Form 990 but not on line a

(1) Investment expenses not included on line fib, Form 990

(2) Other (specify)

(1) Investment expenses not included on line 6b, Form 990

(2) Other (specify)

Add amounts on lines (1) and (2) " d Add amounts on lines (1) and (2) e Total revenue per line 12, Form 990 e Total expenses per line 17, Form 990

(line c plus line d " e 625,190 (line c plus line d " e k , 683,055 List of Officers, Directors, Trustees, and Key Employees (List each one even d not compensated, see Specific

75 Did any officer director trustee or key employee receive aggregate compensation of more than f100000 from your organization and all related organizations of which more than E10 000 was provided by the related organizations? " ~ Yes D No If 'Yes," attach schedule-see Specific Instructions on page 27

Form 990 (2001)

a Total revenue gains, and other support per audited Manual statements

b Amounts included on line a but not on line 12, Form 990

(1) Net unrealized gains on investments

(2) Donated services and use of facilities f 122

(3) Recoveries of poor year grants

(4) Other (specify) F990T & Part I, Lines ,6b, 9b .lOb $ 89,030

Add amounts on lines (7) through (4) 111,

c Line a minus line b d Amounts included on line 12,

Form 990 but not on line a

X '

c Dues assessments, and similar amounts from members ooc

d Section 162(e) lobbying and political expenditures BSd

e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices 85e t Taxable amount of lobbying and political expenditures (line 85d less 85e) g Does the organization elect [o pay the section 6033(e) tax on the amount on line 85f? h If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line 85f to it

reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year

86 5071W(1) orgs Enter a Initiation fees and capital contributions included on line 12 86a

b Gross receipts included on line 12, for public use of club facilities B6b

87 501(c)(17) orgs Enter a Gross income from members or shareholders 87a

b Gross income from other sources (Do no[ net amounts due or paid to other sources against amounts due or received from them )

88 At any time during the year did the organization own a 50% or greater interest in a taxable corporation or partnership, or an entity disregarded as separate from the organization under Regulations sections 301 7701-2 and 301 7701 V I( "Yes ." complete Part IX

89a 5071c1(3) organizations Enter Amount of tax imposed on the organization during the year under section 4911 " -0- section 4912 " -0- , section 4955

b 507(c)(3) and 501(c)(4) orgs Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware o! an excess benefit transaction from a prior years If "Yes," attach a statement explaining each transaction 89b

c Enter Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912 . 4955, and 4958

d Enter Amount of tax on line 89c above reimbursed by the organization " -0- 90a List the states with which a copy of this return is filed " Washingtna - - - - - - 4I - - -b Number of employees employed in the pay period that includes March 12 2001 (See instructions 1 '90b I 91 The books are in care of " World Assoc . for +Children & Paren4ephone no " (2 75-4559

Located at t 315 South 2nd St ., Renton, WA Zip , q X98055 _ 92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 m lieu of Form 7047-Check here 1-0

and enter the amount of tax-exempt interest received or accrued during the tax year " I 92 I Form 990 (2001

Fo.mssotzoon WORLD ASSOCIATION FOR CHILDREN b PARENTS 91-0962079

76 Did the organization engage in any activity not previously reported to the IRS If 'Yes" attach a detailed description of each activity 77 Were any changes made in the organizing or governing documents but not reported to the IRS

If 'Yes," attach a conformed copy of the changes 78a Did the organization have unrelated business gross income of E1,000 or more during the year covered by this return?

b If Yes, has it filed a tax return on Form 990-T (or [his year 79 Was there a liquidation, dissolution termination, or substantial contraction during the years If "Yes," attach a statement 80a Is the organization related (other than by association with a statewide or nationwide organization) through common

membership, governing bodies trustees, officers, etc to any other exempt or nonexempt organization? b If "Yes enter the name of the organization

. . . . . . . and check whether it is 0 exempt OR nonexempt 81a Enter direct or indirect political expenditures See line 81 instructions [81a ~

b Did [he organization file Form 7120-POL for this year 82a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge

or at substantially less than fair rental value b If "Yes you may indicate the value of these items here Do not include [his amount

as revenue in Part I or as an expense in Part II (See instructions in Part III ) 1 82b I 83a Did the organization comply with [he public inspection requirements for returns and exemption applications

b Did the organization comply with the disclosure requirements relating to quid pro quo contributions 84a Did the organization solicit any contributions or gifts 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?

85 501(c)/41 (5), or (6) organizations a Were substantially all dues nondeductible by members b Did [he organization make only in-house lobbying expenditures of E2,000 or less

If Yes was answered to either BSa or BSb, do not complete BSc through 85h below unless the organization received a waiver for proxy tax owed for the prior year

WORLD ASSOCIATION FOR CHILDREN & PARENTS 91-0962079 Form 990 (2001) Page 6

Analysis of Income-Producm Actrvrties See Specific Instructions on a e 32

Note Enter gross amounts unless otherwise Unrelated business income Excluded by section 512 513 or She (E) Related or

indicated (A) (B) (C) (D) exempt function

93 Program service revenue Business code Amount Exclusion code Amount income

Adoption services ?� 737,226

b c d e f Medicare/Medicaid payments g Fees and contracts from government agencies 27 .338

94 Membership dues and assessments 95 Interest on sarongs and temporary cash investments

49 ,9G5 96 Dividends and interest from securities 97 Net rental income or (loss) from real estate

a debt-financed property b not debt-(financed property 3-2, 26-7

98 Net rental income or (loss) from personal property 99 Other investment income 100 Gain or (loss) from sales of assets other than inventory 101 Net income or (loss) from special events - 7 4 -9 61 102 Gross profit or (loss) from sales of inventory 1 ,39-5 103 Other revenue a Commissions -0-

Culture Camp 13- 1 -82-5 c d

---104 Subtotal (add columns (B), (D), and (E)) ~~~~~~~~W - - ~~~~~~~~~ 12 .935 .692 105 Total (add line 104, columns (B), (D), and (E)) " 2,935 .692 Note Line 105 lus line Id. Part l, should equal the amount on line 17, Part I

Relanonshi of Activities to the Accom plishment of Exempt Purposes See Specific Instructions on page 32 Line No Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment

of the organization s exempt purposes (other than by providing funds for such purposes)

Name address and ON o! corporation, I Percentage of I Nature of activities

19

(a) Did the organization during the year receive any funds directly or indirectly, to pay premiums on a personal benefit contract' U Yes LI No (b) Did the organization during the year, pay premiums direct Note 1! "Yes" to (6), ale Form 8870 and Form 4720 (see inst

Under penalties of penury I declare that I have examined this return i and belief it 5 line correct and complete Declaration of preparer /o

Please Sign ' Signature of oRCu Here peggy S . Moncrief, Business Mana

' Type or pant name and title

Paid Reparer s'

PfEPafOf 5 signature Firm s name (or yours 1

X50 Only if sell employed)

p~ofe snumber of ional services

receiving over $50,000 f~

For Paperwork Reduction Act Notice, sea the Instructions for Form 990 and Form 990-EZ Cat No 11285F Schedule A (Form 990 or 990-EZ) 2001

SCHEDULE A Organization Exempt Under Section 501(c)(3) OMB No 1545 0047

(Form 990 of 990-EZ) (Except Private Foundation) and Section 501(e), 501(Q, 501(k), 501(n), or Section 4947(a)(1) Nonexempt Charitable Trust ~ O .~

Supplementary Information-(See separate instructions ) LSO 1 oew~ent of me ,«a~ iniennai Revenue service " MUST be completed by the above organizations and attached to their Form 990 or 990-EZ Name of the organization Employer ~derrtilwlion number WORLD ASSOCIATION FOR CHILDREN & PARENTS 91 0962079

Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (See page 1 of the instructions List each one If there are none, enter "None ")

(a) Name and address of each employee paid more (b) Tide and average hours (d) ConNtfWOrts to (e) Expense

than $50000 per week devoted to position (<) Compensation employee benefit plans b account and other deferred com ensauon allowances

Kristine Leander Development Dir 5608 34th NW . . . . . 40 55,217 -0- -0- Seattle, WA 98107

Evelyn Mogster Peony Project 1202 Chesty Avenue - -- Manager Bainbridge Island, WA 98110 40 57,819 -0- -0-

Total SSOOOO

umber of other employees paid over I

LjMW Compensation of the Five Highest Paid Independent Contractors for Professional Services (See page 2 of the instructions List each one (whether individuals or firms) If there are none, enter "None ")

(a) Name and address of each independent conVactor paid more than 550000 (b) Type of service (c) Compensation

NONE

3 Does the organization make grants for scholarships, fellowships, student loans, etc 7 (See Note below ) 4 Do you have a section 403(b) annuity plan for your employees Note Attach a statement to explain how [he organization determines [ha[ individuals or organizations receiving giants or 109n5 from I! In furtherance o/ I(5 charitable D/OO/3I/IS Oual1(V" to receive Pavments

10 0 An organization operated (or the benefit of a college or university owned or operated by a governmental unit Section 170(b)(1)(A)(rv) (Also complete the Support Schedule in Part IV-A )

11a El An organization that normally receives a substantial part of its support from a governmental unit or from the general public Section 170(b)(1)1A1(vQ (Also complete the Support Schedule in Part IV-A)

11b ~ A community trust Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A ) 12 ~ An organization that normally receives (1) more than 33Y3% of its support from contributions, membership fees and gross

receipts from activities related to its charitable, etc , functions-subject to certain exceptions and (2) no more than 331A% of ifs support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by [he organization after June 30 1975 See section 509(a)(2) (Also complete the Support Schedule in Part IV-A)

13 El An organization [hat is not controlled by any disqualified persons (other than foundation managers) and supports organizations described in (1) lines 5 through 12 above, or (2) section 501(c)(4), (5) or (6), if they meet [he test of section 509(x)(2) (See section 5091x1(3) 1

14 El An organization organized and operated to test for public safety Section 509(x)(4) (See page 6 of the instructions ) Schedule A (Form 990 or 990-EZ) 2007

Schedule A (Form sso a sso Ez) Zoos WORLD ASSOCIATION FOR CHILDREN S PARENTS 91-0962079

Statements About Activities (See page 2 of the instructions ) I Yes I No

1 During the year, has the organization attempted to influence national slate or local legislation including any attempt to influence public opinion on a legislative matter or referendums If 'Yes,' enter the total expenses paid or incurred in connection with the lobbying activities " f (Must equal amounts on line 38 . Part VI-A or line i of Part VI-B )

Organizations that made an election under section 501(h) by filing Form 5768 must complete Part VI-A Other organizations checking Yes, must complete Part VI-B AND attach a statement giving a detailed description of the lobbying activities

2 During the year has the organization either directly or indirectly engaged in any of the following acts with any substantial contributors trustees, directors officers, creators key employees, or members of their families, or with any taxable organization with which any such person is affiliated as an officer, director, trustee majority owner or principal beneficiary? (If answer to any question is "Yes,"attach a detailed statement explaining the transactions )

a Sale exchange or leasing of property?

b Lending of money or other extension of credit?

c Furnishing of goods services, or facilities?

d Payment of compensation (or payment or reimbursement of expenses d more than $1 000)?

e Transfer of any part of ifs income or assets

Reason (or Non-Private Foundation Status (See pages 3 through 6 of the instructions)

The organization is not a private foundation because it is (Please check only ONE applicable box ) 5 El A church, convention of churches or association of churches Section 170(b)(1)(A)(i) 6 El A school Section 170(b)(1)(A)(n) (Also complete Part V ) 7 El A hospital or a cooperative hospital service organization Section 170(b)(7)(A)(u) 8 0 A Federal state, or local government or governmental unit Section 170(b)(1)(A)(v) 9 C1 A medical research organization operated in conjunction with a hospital Section 170(b)(1)(A)(n) Enter the hospital's name, city,

and state " . , . . . . .

28 Unusual Grants For an organization described in line 10, 11, or 12 that received any unusual grants during 1997 through 2000 prepare a list for your records to show for each year the name of the contributor the date and amount of the grant and a brief description of the natu re of the gran t Do not file this list with your return Do not include these grants in line 15

Schedule A (Form 990 or B90-EZ) 21101

Schedule n(FOrmssoor 990-EZ) xooi WORLD ASSOCIATION FOR CHILDREN S PARENTS 91-0962079 sage 3 /~TiiDSe\ Support Schedule (Complete only if you checked a box on line 10 11 or 12 ) Use cash method of accounting Note You ma use the worksheet in the instructions for converting lrom the accrual to the cash method of accounting Calendar ear (or fiscal ear beginning m) " (a) 2000 (b) 1999 (c) 1998 (d) 1997 (e) Total is Gifts grants andcontributions received (Do

not include unusual grants See line 28 ) 556,583 1,046,469 403,Q78 279,242 2,285,372

16 Membership fees received 17 Gross receipts from admissions merchandise

sold or services performed or furnishing of taulroes in any activit y that is related to the 2,727,580 2,586,376 2,579,188 2,226,456 0,119,600 or anization s charitable etc , purpose

18 Gross income from interest dividends, amounts received from payments on securities loans (season 5tz(a)(s)), rents royalties, and 97,088 50,469 44,960 22,284 214,801 unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30 7975

19 Net income from unrelated business activities not included in line 18

899 1,95 2,95

20 Tax revenues levied for the organizations benefit and either paid to it or expended on its behalf

21 The value of services or facilities furnished to the organization by a governmental unit without charge Do not include the value of services or facilities generally furnished to the public without charge

22 Other income Attach a schedule Do not include gain or (loss) from safe of Capital assets 8,641 8,268 i 7, , 281 24,190

23 Total oflines l5through 22 3,382,141 3,693 ,860~3,035,494~2,535,263 2,6 6,75 24 Line 23minus line t7 654,561 1,107,484 456,306 308,807 2,527,158 25 Enter I% of line 23 33 .821 36 .939 30 .355 25 . 353 ~ 26 Organizations described on lines 10 or 11 a Enter 2% of amount in column (e), line 24

b Prepare a list for your records to show the name of and amount contributed by each person (other than a governmental unit or publicly supported organization) whose total grits for 1997 through 2000 exceeded the amount shown in line 26a Do not file this list with your return Enter the total of all these excess amounts

c Total support for section 509(a)(7) test Enter line 24 column (e) d Add Amounts from column (e) for lines 18 19

22 26b e Public support One 26c minus line 26d total) Ill 1 Public suooort oercentaae (line 26e (numerator) divided by line 26c (denominator)1 Ill

27 Organizations described on line 12 a For amounts included in lines 15, 16, and 17 that were received from a 'disqualified person " prepare a list for your records to show the name of and total amounts received in each year from each' disqualified person Do not file this list with your return Enter the sum of such amounts for each year

(2000) 58,064 (isss) 47,350_ _ _ (1998) 47732 _ __ _ _ _ (iss» 17,200_ b For any amount included in line 17 that was received from each person (other than "disqualified persons', prepare a list for your records to

show the name of, and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000 (Include in the list organizations described in lines 5 through 11 as well as individuals ) Do not file this list with your return After computing the difference between the amount received and the larger amount described in (1) or (2), enter the sum of these differences (the excess amounts) for each year (2000) . . . . . . (1999) (1998) (1997) . .

c Add Amounts from column (e) for lines 15 Z +ZaS,372 16 -0- i71 0,119,600 20 -0- 21 -0-

d Add Line 27a total 170,346 and line 27b total -0- e Public support (line 27c total minus line 27d total) f Total support for section 509(a)(2) test Enter amount from line 23 column (e) " 1 27f 1 2 ,646 ,758

g Public support percentage (line 27e (numerator) divided by line 27( (denominator)) h Investment income oercentaae (line 78 . column let (numerator) divided 6v line 27( fdenominatorll

Schedule A (Form 990 or 990-EZ)

Schedule A(Form990or990EZ) 2001 WORLD ASSOCIATION FOR CHILDREN 6 PARENTS 91-0962079 Page 4 Private School Questionnaire (See page 7 of the instructions ) (fo be completed ONLY b schools that checked the box on line 6 in Part IV) N/A

29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter bylaws, Yes No

other governing instrument or in a resolution of its governing body? 30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its

brochures catalogues and other written communications with the public dealing with student admissions, programs and scholarships? 30

31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during the period of solicitation for students or during the registration period if it has no solicitation program in a way that makes the policy known to all parts of the general community it serves If 'Yes " please describe if No please explain (If you need more space attach a separate statement )

32 Does the organization maintain the following a Records indicating the racial composition of the student body, faculty and administrative staff b Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory

basis c Copies of all catalogues brochures, announcements, and other written communications to the public dealing

with student admissions, programs and scholarships d Copies of all material used by the organization or on its behalf to solicit contributions?

If you answered 'No" to any of the above please explain (If you need more space, attach a separate statement )

33 Does the organization discriminate by race in any way with respect to

a Students rights or privileges

b Admissions policies?

c Employment of faculty or administrative staff's

d Scholarships or other financial assistance

e Educational policies?

f Use of facilities?

g Athletic programs

h Other extracurricular activities?

II you answered "Yes" to any of the above, please explain (If you need more space attach a separate statement

34a Does the organization receive any financial aid or assistance from a governmental agency

b Has the organization s right to such aid ever been revoked or suspended? If you answered 'Yes" to either 34a or b, please explain using an attached statement

35 Does [he organization certify that it has complied with the applicable requirements of sections 4 Ot through 4 OS

(b) To be completed for ALL elating organizations

36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 37 Total lobbying expenditures to influence a legislative body (direct lobbying) 38 Total lobbying expenditures (add lines 36 and 37) 39 Other exempt purpose expenditures 40 Total exempt purpose expenditures (add lines 38 and 39) 41 Lobbying nontaxable amount Enter the amount from the following table-

If the amount on line 40 is- The lobbying nontaxable amount is- Not over $500,000 20% of the amount on line 40 Over 5500000 but not over $1000 000 5700000 plus 15% of the excess over $500,000 Over $7,000,000 but not over $1 500,000 5775 000 plus 70`Yo of the excess over $7,000 000 Over 57,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1 500 000 Over $17,000,000 $1,000,000

42 Grassroots nontaxable amount (enter 259'0 of line 41) 43 Subtract line 42 from line 36 Enter -0- if line 42 is more than line 36 44 Subtract line 41 from line 38 Enter -0- it line 41 is more wan line 38

Caution II there is an amount on either line 43 or line 44 you must rile Form 4720

Lobbying Expenditures During 4-Year Averaging Period

(b) I (d I (d) I (e) 2000 1999 1998 Total

48 Grassroots nontaxable amount

49 Grassroots ceiling amount (1509'0 of line

During the year did the organization attempt to influence national state or local legislation including any Yes No Amount attempt to influence public opinion on a legislative matter or referendum through the use of

a Volunteers b Paid staff or management (Include compensation in expenses reported on lines c through h ) c Media advertisements d Mailings to members, legislators or the public e Publications or published or broadcast statements ( Grants to other organizations for lobbying purposes g Direct contact with legislators their staffs, government officials, or a legislative body h Rallies demonstrations seminars, conventions speeches, lectures or any other means i Total lobbying expenditures (Add lines c through h

If Yes to any of the above also attach a statement giving a detailed description of the lobbying activities Schedule A (Form 990 or 990-EA 2001

Schedule n (Form sso o~ sso EzJ zoos WORLD ASSOCIATION FOR CHILDREN 6 PARENTS 91-0962079

Lobbying Expenditures by Electing Public Charities (See page 9 of the instructions (To be completed ONLY by an eligible organization that filed Form 5768)

Check " a if the organization belongs to an affiliated group Check " b El d u checked "a° and 'limned control"

Limits on Lobbying Expenditures Afraisted group locals

(The term 'expenditures" means amounts paid or incurred)

N/A

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below

See the instructions for lines 45 ihrouoh 50 on page 11 of the instructions I

Calendar year (or (a) fiscal year beamnma in) " I 2001

45 Lobbying nontaxable amount

46 Lobbvina ceiling amount 1150% of line

47 Total

50 Grassroots lobbying expenditures Lobbying Activity by Nonelecting Public Charities N/A (For reporting only by organizations that did not complete Part VI-A) (See page 12 of the instructions

Schedule nlFOrmssoorssoezlzoot WORLD ASSOCIATION FOR CHILDREN & PARENTS 91-0962079 Page 6 Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations (See page 12 of the instructions)

51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of we Code (other than section 501(c)(3) organizations) or in section 527 relating to political organizations?

a Transfers from the reporting organization to a nonchantabie exempt organization of Yes No

(i) Cash 51a rl(u) Other assets au X

b Other transactions (i) Sales or exchanges of assets with a noncharitable exempt organization b i X (ii) Purchases of assets from a nonchantabte exempt organization (nD Rental of facilities equipment, or other assets b (iv) Reimbursement arrangements b( iv ) X (v) Loans or loan guarantees b v X (vi) Performance of services or membership or fundraising solicitations b w X

c Sharing of facilities equipment, mailing lists, other assets, or paid employees d If the answer to any of the above is Yes,' complete the following schedule Column (b) should always show the fair market value of the

goods other assets, or services given by the reporting organization If the organization received less than fair market value in any transaction or sharing arrangement, show in column (d) we value of the goods other assets or services received

roI I (c) I cm Line no Amount ~nvolve0 Name of noncnarilable exempt organization Description of transfers Transactions and

52a Is the organization directly or indirectly affiliated with or related to, one or more tax-exempt organizations described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527 " El Yes El No

91-0962079 JUNE 30, 2002 PAGE 1 OF 3

Michael Dobias I 2031 216th PI NE Redmond, WA 98053

Wayne Flood 1 11722 136th Ave E Puyallup, WA 98374

Mike Glenn I 1093 Doc Run Rd Sequim WA 98023

Mary Hunter 1 3205 25th Ave SW Federal Way, WA 98023

WORLD ASSOCIATION FOR CHILDREN & PARENTS FORM 990 SCHEDULES

PAGE 3, PART IV, LINE 54, INVESTMENTS-SECURITIES (FMV)

6/30/2001 6/30/2002 Stocks $239,519 $517,1(6 Moral Funds 10,207 10,356 Corporate Bonds 200,000 127,313 Municipal Bonds 100,000 -0-

$549,726 $654,785

PAGE 4, PART V

BOARD MEMBERS (No compensation, benefits or expenses paid)

TITLE HOURS

Kam Batra 5413 142nd Ave SE 1 Bellevue, WA 98006

Lew Bequette 1 4117 8th St NW Gig Harbor, WA 98335

Michael Bisesi 7747 31st Ave NW Seattle, WA 98126 Anne Browse "TREASURER 2 4200 Blakely Ave NE Bainbndge Island, WA 98110

Scott Collins PRESIDENT 5 13256 SE 43rd PI Bellevue, WA 98006

91-0962079 JUNE 30, 2002 PAGE 2 OF 3

PAGE 4, PART V

BOARD MEMBERS (No compensation, benefits or expenses paid)

TITLE HOURS Charles W Johnson, Justice I Washington State Supreme Court PO Box 40929 Olympia, WA 98504-0929

Ellen Middleton 4646 Oyster Bay Road NW Olympia, WA 98502

Dense Montoya 23113 128th Place SE Kent, WA 98504

Mike Roleru 24540 NE 1 I th St Redmond, WA 98053

DiIroza Shah 615 West Lee St Seattle, WA 98119 Michael Shaw 5411 40th Avenue S W Seattle, WA 98136

VICE PRESIDENT

Paul] H Shin, PhD 8910 189th PI SW Edmonds, WA 98026-5929

Barbara Jo Sylvester PO Box 1317 Tacoma, WA 98401

KEY EMPLOYEES TITLE HOURS COMPENSATION

Executive Director $82,754 40

BENEFITS EXPENSES

-0- -0- Janice Nelson PO Box 88948 Seattle, WA 98138

Lillian Thogersen PO Box 88948 Seattle, WA 98138

Barbara Knowles PO Box 88948 Seattle, WA 98138

Asst Executive Director $66,203 -0- 40

-0-

WORLD ASSOCIATION FOR CHILDREN & PARENTS FORM 990 SCHEDULES

SECRETARY 2

2

1

1

1

Asst Executive Director $66,203 -0- 40

-0-

91-0962079 JUNE 30, 2002 PAGE 3 OF 3

PAGE 6, PART VIII

93a Income for placement of clnldren m adoptive homes 93g State purchase of service contacts for placement of children m foster care 96 Dividends & interest on temporarily and restricted funds 976 Rent from excess space m building purchased to reduce occupancy costs 99 Unrealized loss on stock purchased as instructed by donor of endowment fund 101 Rundraismg auctions for Child Assistance 102 Sales of books and tapes on related adoption issues supplied to adoptive farmhes 103a Websue direct access to Amazon corn for adoption related books for fartulies (required reading) 1036 WACAP annual culture camp for adopted children and their families

WORLD ASSOCIATION FOR CHILDREN & PARENTS FORM 990 SCHEDULES

Page 1

WORLD ASSOCIATION FOR CHILDREN & PARENTS 91-0962079 F990 Page 3, Fare IV, Line 57a 0630-02

DEPRECIATION SCHEDULE 6/30/2002 DEPRE XLS

EQUIPMENT <--------DEPRECIATION--------> Book

I Method Accum Value Description ~ Acquired ~ Life Cost 613011998 ~ 6/30N999 613012000 6/30/2001 6/30/2001

IBM Seleclncll 1/28/1980 SL 7 S 1,00800 3 1,00800 $ - BUSS Off IBM Selectnc II 6/4/1980 SL 7 $ 1,11997 $ 1,11997 $ - adoption Olympia Super 230 Typewrite 10/1/1980 SL 7 $ 1,15304 $ 1,15304 $ - reception IBM Selectnc III 4/30/1983 ACRS 5 $ 1,04000 $ 1,04000 $ - reception Canon AP550 Type(12017096) 9/1/1984 ACRS 5 $ 1,99500 $ 1,99500 $ - flnBllZatl CAM VMEI/AKEI Camcorder 6/9/1986 SL 5 $ 1,86227 $ 1,86227 $ Olympia Super 230 Typewriter 10/1611986 SL 5 $ 1,02803 $ 1,02803 $ - program HP Laze9et II Printer 2/10/1989 SL 5 $ 4,10750 $ 4,10750 $ - HP Lazeqet II Printer 2/10/1989 SL 5 $ 4,10750 $ 4.10750 $ - Equity II W/hp Lazepet II Printer 5/30/1989 SL 5 $ 1,541 55 $ 1,541 55 $ - Omega III Telephone System 3/17/1992 SL 5 $ 3,93848 $ 3,93848 $ - Ricoh Copier FT-4220 10115/1994 SL 5 $ 592936 $ 5,63286 $ 29650 $ - 3 Blue Awnings 1/15/1995 SL 5 $ 2,26639 $ 2,03974 $ 22665 $ (000) Reception area modular 5/30/1995 SL 5 $ 2,09556 $ 1,71137 $ 38419 $ 000 Sharp lap top (4a122057) 6/14/1995 SL 5 $ 2,82298 $ 2,30545 $ 51753 $ 0 00 LT home Sharp lap top (4a122057) 6/1/1995 SL 5 $ 2,92704 $ 2,39042 $ 53662 $ (0 00) LT home HP 4P Laser Printer 7/13/1995 SL 5 $ 1,481 19 $ 1,18496 $ 29623 $ - 70 Folding Chairs (Gray) 8/31/1995 SL 5 $ 1,211 08 $ 94869 $ 24221 $ 2018 $ (000) Lasepet 5 Printer 7/17/1996 SL 5 $ 1,88718 113232 $ 377 44 $ 37742 $ 0 00 Dell Dim XPS200JHZ Pentium 7/10/1997 SL 5 $ 2,77370 $ 1,10948 $ 55474 $ 55474 $ 55474 $ - COfT1fT1Uf11 Web Site Design (Saltmine) 7/21/1997 SL 3 $ 4.19500 $ 2.79666 $ 1,39833 $ 001 $ 000 Web Site Design (Danger Island) 8/13/1997 SL 3 $ 57000 $ 36417 $ 19000 $ 1583 $ 000 Web Site Design (Saltmine) 12/3/1997 SL 3 $ 4,190 00 $ 2,211 39 $ 1,39667 $ 58194 $ (000) Web Site Design (Sallmine) 1/30/1998 SL 3 $ 1.65375 $ 78094 $ 551 25 $ 32156 $ (000) Web Site Design (Saltmine) 2/27/1998 SL 3 $ 1.09775 $ 48789 $ 36592 $ 24394 $

Impressions On Hold ( hold Message) 5/8/1998 SL 3 $ 2,94002 $ 1,14334 $ 98001 $ 81667 $ 000 Toshiba Lap Top 9/78/1998 SL 5 $ 1,82031 $ 30335 $ 36406 $ 36406 $ 36406 $ 424 78 JN home Merit Pentium II (619596) 3/15/1999 SL 5 $ 1,33063 $ 8871 $ 26613 $ 26613 $ 26613 $ 443 53 COfTIR1Uf11

Merit Pentium II (619597) 3/16/1999 SL 5 $ 1,48511 $ 9901 $ 29702 $ 29702 $ 29702 $ 495 04 finalizati Merit Pentium II (620153) 3/18/1999 SL 5 $ 1,27062 5 8471 ~$254 12 $ 25412 $ 254 12 $ 423 55 8m8i1 Merit Pentium #(620365) 4/6/1999 SL 5 $ 1.27062 $ 6353 $ 254 12 $ 25412 $ 254 12 $ 444 73 program

Page 2

0630-02

CP1 333Mhz 5/7/1999 SL 5 $ 1 .14030 $ 3801 $ 22806 $ 22806 $ 22806 $ 41811 exec asst NPS So(tware "Book value dos 6/23/1999 SL 3 $ 5,38924 $ 1,79641 $ 1 79641 $ 1 79641 E 001 Inspiron A333GT Pentium 11 7/1/1999 SL 5 S 2,32406 E 46481 $ 464 87 $ 464 87 S 92963 BK Network wire (Wilkerson 8/99 8 9/99) 9/17/1999 SL 3 $ 8,211 25 $ 2,28090 $ 2,73708 $ 2,73708 $ 45619 Microsoft Network - donated 9/30/1999 SL 3 $ 41,953 00 $ 11,653 61 S 1398434 $ 13,984 33 $ 233072 NPS Allocation Module 1/6/2000 SL 3 $ 1,36935 $ 22823 $ 45645 $ 45645 $ 22822 BlackbaudRaiser'sEdge 6/6/2000 SL 3 $ 501500 $ 13931 $ 1,67167 $ 1,67167 $ 1,53235 Adobe programs - donated 6/20/2000 SL 3 $ 1 78500 $ 59500 $ 59500 $ 59500 Cabling - Network additions 3/9/2007 SL 3 $ 3,71493 $ 41277 $ 1,23831 $ 2.06385 Digital rodeo - donated by Hathaways 3/17/2001 SL 3 $ 108581 $ 12065 $ 36194 $ 60322 Computer for WACAP Olympia office 4/3/2001 SL 3 E 205908 E 171 59 $ 68636 $ 1 201 13 PEONY HP Server upgrade 5/1/2001 SL 3 E 1,75374 $ 9743 $ 58458 $ 1 071 73 Sprint Telephone System (1 of 3) 6/28/2001 SL 5 $ 6,63499 $ 1,32700 $ 530799 Sprint Telephone System (2 of 3) 7/31/2001 SL 5 $ 6,63499 $ 1,32700 $ 5,30799 Sprint Telephone System (3 of 3) 8/31/2001 SL 5 $ 6,63497 $ - $ 1,32699 $ 5,30798 COMPAQ U213JYHZB169 3/28/2002 SL 3 $ 1,08013 $ 9001 $ 99012 COMPAQ U213JYHZ8170 3/28/2002 SL 3 $ 1,08013 $ 9001 $ 99012 COMPAQ U213JYHZ8171 3/28/2002 SL 3 E 1,08014 $ 9001 $ 990 13 PEONY COMPAQ U216JYHZB136 4/17/2002 SL 3 $ 1,24256 E 10355 $ 1,13901 COMPAQU216JYHZ8138 4/17/2002 SL 3 I $ 1,242551 E 10355 $ 1,13900 TOTAL EQUIPMENT ~ E 169,55085 ~ $ 4981834 ~ $ 26,54107 ~ $ 27,104 00 $ 31,25332 ~ E 34,83412 ~ $ 34.834 12

RETIRED

TOTAL RETIRED I $I ~$ ~I $ I $I $ $ I I

REMAINIG EQUIPMENT S 169,550 85 ~ $ 49,818 34 S 26 54107 ~ 5 27,10400 ~ $ 31 .25332 ~ $ 34.83412 ~ E 34.83412

I

zo-os-so

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S4 E8l'Zf4 4 S4 E8L'ZES $ ~ BL 4dZ'BL $ 09 BSO'9t S I 4L 6ZB'LL $ 1 6094Z'LB S ~ 99 L4S'L99 $ ~ `JNIOlIf181V101

9Z 6ZS'BSL S BZ 644'8 4 ~ 09 E9L 9 f 4L 4S0'8 S 9Z SZZ'4Z S ~ 99 L4S'[OZ S I SNOIlI00V 1V101 S 4 S

L8 609'6 S ES B4L $ 48 Z8 $ 4Z L46 6 $ 04 l5 LOOL/LL2 weds 60£ lapowaa

SL 66L'Z S 2Z E6Z $ ZZ E6Z S l9 901, $ OZ Z£6'Z 4 OL is OOOZ/9Z/L ( a0ionui Z) awe, ssacm dde0ipueH

LB 690'Z $ LS ME $ L5 6ZE S LS 6Z£ $ BL L4Z S OL S6Z'E S OL is 8661/S/OL L LE'60E'SOE 1001 MON Z9lZS'S $ 91, egg $ 94£98 4 94 EBB S L9 Z99 S L9 4E8'9 S OL is 9661,00L LlE'60ESOf I00iMaN 9LZLZ'6 $ SBE64'L 4 98664'L S SBE64'L S ZB44L'L S VG B66'4L 4 OL IS B66t/U6 Ll£'60E'SOE I00J MON LSLLE'B $ SSL4EL $ SSL4£'L $ SSL4E'l $ ZELZL'l 4 VS SL4'El S OL IS 966L/616 LLE'60ESOE I00J MON LC 90['0Z $ 99 SZ9 S BB SZ9 S 99 SZ9 Y [E LS4'd S ZC SEO'SL $ 04 7S S661/B/6 (uoqmnSUOo mod) japowaa

6Z Z46'E $ LL 61,L $ LL 51,1. $ LL 6l L $ 90 694 $ 99 O6L'4 $ 04 lS S661/9Z/S LZf I00J MON 4L 9S0'E 4 OE 46 f OE 46 4 OE 46 S LZ ZE4 S 59 LLL'£ S 04 IS V66L/SL2L (vonoMSUOo Moa) lapowaa

9L OZ8'EB S 44 699'Z $ W 6B9'Z S 44689'Z $ Ob 889 5L $ OS L[S'LOL $ 04 IS 466L/l/4 (uonoNlsuoo mod) japowaa

098EZ'Z $ EB L[ $ EB L[ $ E9 LL 4 to 614 S OL £[9'Z 4 04 IS 1766L/L/4 (anow) walsRsauoydaial

94 Z LZ $ Z9 9 f ZB 9 $ Z9 9 $ 9L 6£ 4 OL ZLZ 4 04 -is 466L/L/1, mainaI u6isaa

94 999 $ 4L BL $ 4L 9L S 4L BL $ ZB got $ OL SZL $ 04 IS 466L/L/4 slimed Buipling

94 ZLO'L 4 Z6 9ZZ $ Z6 9ZZ S Z6 9ZZ 4 99 EZE' l S 06 9L0'6 $ 04 IS E66 L2ZlOl G LC 1001 MON SNOIlIOOV

LL 4S9'£LE S ~ 00 SLL'6 S 1 00 SLC'6 S ~ 00 SCL'6 $ ~ EB OZO'CS 4 1 00000-0917 4 ~ 3SVHoilfld 1V101 100000'69 S 00000'69 4 VIN f661/9/Ot %,SL Puej LL 459'40£ S 00 SLL'6 4 00 SLL 6 S 00 SLL'6 S E8 OWLS 4 00 000 L6E $ 04 lS E66L/9/Ot %S8 6uipling

LOOZ/0619 LOOZIOE/9 ~ OOOZ/0£l9 666L/Ot/9 B66L/OEl9 ~ isoD ~ eJi-1 pajinboy uoqduosa4 ayy an1eA wmoy poy4

4009 ~NOIIV103Nd30 > ON1aiina

~~~aie filing for an Additional (no[ automatic) 3-Month Extension, complete only Part 11 and check this box , " [ Not,~~Lnly complete Pan 11 d you have already been granted an automatic 3-month extension on a prehously file0 Form 8868 a II you are filinq for an Automatic 3-Month Extension. comolate onlv Part 1 (on oaoe 1)

Type or Name of Exempt Organization print r c~ Gi n or C~+ . care. a.IU7

",a by the N , trees and room or suite no If e P O box . see InswcUons r= "

eateneee , O , B O A ~l ~J `f' 8 due data for filing me City, town a post office sate and ZIP code For a foreign address . see insuvcuons fB4Yf1 see, instructions SC.4 iC n' .3~r Check type of return to be glad (Fde a separate application for each return)

Form 990 C1 Form 990-EZ 0 Form 990-T (sec 401(a) or 408(a) trust) 0 Form 1041-A

Employer iEantlflcaUOn numbs' 9i' of62o79

For IRS use only

d Form 5227 ~ Form 8870

" If the organization does not have an once or place of business in the United States, check this box , b. 0 " If this is for a Group Return, enter the omanizanon's four digit Group Exemption Number (GEN) 11 this is far the whole group, check this box " LI I( R Is for part of the group . check this box " Q and attach a list with the

F 68 02-20M

FEB E 0 203 DIGp ; UT

STOP Do not complete Part II d you were not already granted an automatic 3-month extension on a previously filed Form 8868

4 I request an additional 3-month extension of time until . . . . _ . . . .1?'x 5 For calendar year , or other tax year beginning -TtA.~~C . ./ . 200( and ending . .r:l+.rLC . 30, 20 .0 2- 6 I( this tax year is for less than 12 months, check reason 0 Iniua~l return d Final return D Change in accounting period 7 State in dated why you need the extension Q& ~-c~_it~d . .F< rl.K~7.Gi.a.1 . . . ..5 f ~ 7 .̀erscan.7ES .Ffi l(

jn rfyoatattun, .fh.c-1.'cpatri~, .~n .FaY'jna.t.iu.~.xiGC.cssmr . to F~l-`_ . .c~ .~ ezi ~o. fvtc jr. Lcc~-Y4.Pe. ~t~tce.n .i h rcvf .ava.i l~ h lam'

8a If this application is far Farm 990-BL. 990-PF 990-T, 4720, or 6069, enter the tentative tax, less any nonrefundable credits See instructions

b If this application is for Form 990-PF 990-T, 4720, or 6069, enter any refundable credits and estimated (ax payments made Include any prior year overpayment allowed as a credit and any amount paid previously with Form 8868

c Balance Due Subtract line 8b from line 8a Include your payment with [his form, or. if required deposit with FTD coupon or. R required, by using EFTPS (Electronic Federal Tax Payment Systems See instructions $

Signature and Verification Undn penalties of perJivy, I declare that I haw examined the form including accompanying scheGWes and stntemenu and to Vie best of my knvMeCge and belie) n is we, correct. and complete, and )lies I em euthm:e0 to prepare W s form

Signature v y" X nue ~ o~lu,p,.,v.,a.o W O,nOy~,Cti Date ~ .7

i Notice to Applica To Be Completed by the IRS IN We have approved this application Please attach this lain to we organization s return

We have not approved this application However, we have granted a 10-day grace period from the later of the date shown below or we due date of the organization s return (including any prior extensions) This grace period is considered to be a valid extension of time for elections othervnse required to 6e made on a timely return Please attach this form [o the organization s return We have not approved this application After considering the reasons stated m item 7, we cannot grant your request for an extension of time to file We are not granting a 10-day grace period

o We cannot consider this application because it was filed after the due date of the return for which a2extension was requested Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .vi

.FFVSI oNn

11 APPROVco .

er Mn, Direnu ate

Ni Alternate Mailing Address - Enter the address d you want the copy of this application ford Poq~~al 3-month ten2k sion returned to an address different than the one entered above M~SS~pu �pF FlF~~ . .

Type or Number and sweet (include suits, room, w apt. no ) Or a P 0 box number print I

or town, province w state, and country pncluding postal w ZIP City