13
OMB No. 1545 .0047 2003 Open to Public Inspection Under section 501(c~ 527, or 4947(a)('1) of the Internal Revenue Code (except black lung benefit trust or private foundation) ~ The organization may have to use a copy of this return to satisfy state reporting requirements . r year. or tax year beainnina . 200& and ending D Enqfterldendflcxl km Number 86-0736514 Other (specify) x and l are not applicable to section 527 organizations . H (a) is this a group return for affiliates? . . . . FlYes M No H (b) if 'Yes,' enter number of affiliates . H (C) Are all affiliates included? . . . . ... . . . . Fl Yes F] No Of No,' attach a fist . See instructions.) H (c) 1s his a separate return filed by an organization covered by a group ruling? n Yes n No ~ Section 501(c)(3) organizations and 4947(a~('1) nonexempt charitable trusts must attach a completed Schedule A (Form 990 or 990-M G Web site: 1' N/A J Organization ty {check only one . . . . . . . 501(c) 3 -4 ~~t ~w .> n 4947(x)(1) or ~ 5V K Check here ll~ X if the organization's gross receipts are normally not more than $25,000 . The organization need not file a return with the IRS ; but if the organization received a Form 990 Package in the mail, it should file a return without financial data . Some states require a complete return. Number . . . 01 1 M Check - U if the organization is not required to attach Schedule B (Form 990, 990-E7, or 990-PF). and lOb to Tine 12 P- 126, 048 . L Gross 'art 1 Revenue, Expenses , and Change s in Net Assets or Fund Balances (see instructions 1 Contributions, gifts, grants, and similar amounts received: a Direct public support . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . 18 1 115,448 . b indirect public support . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . 7 b c Government contributions (grants) ... ... ....... . ..... . ...... .. ..... .. .... 1 c d aa~ (add fines ~a through t c) (cash $ 115, 448 . noncas, $ 3 . . . . . .. . . . . . .. . . . . . .. . . 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 andinterest from securities . . . . . . . . . .. . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . .. . . . . . . . . . . . . . . . 6a Gross rents . .. . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . .. . . . . . .. . . . . ... . 6a b less : rental expenses. . . . . . . . .. . . . . . . . ... . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . 6b c Net rental income a (toss) (subtract line 6b from line 6a) . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Other investment income (describe . . . . . . . . 10- 115,448 . I I 10,600 . 126, 048 . 124,224 . 124,224 . 1,824 . 40,890 . 42,714 . Farm 990 (2003) 6c y (A) Securities (B) Other Sa Gross amount from sales of assets other than inventory. . . . . . . . .. . . . . . .. . . . . . . . ... . . . . . . . . . 8a b less : cost a other basis and sales expenses . . . . . . . . 8b c Gain or (toss) (attach schedule). . . . . . . . . . . . . . . . . .. . . . . . . . Sc d Net gain or (loss) (combine line 8c, columns (A) and (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8d 9 Special events and activities (attach schedule). If any amount is from gaming, check here . .. . . . 11-0 a Gross revenue (not including $ of contributions reported on line 1a) . . . . . . . . . . . . . . . . . . . . . . .. ***''**''*** . . . . . . . . . . . . . . . . I ga l b less: direct expenses other than fundraising expenses . . . . . . . .. . . . . . . . . . . . 9b c Net income or (loss) from special events (subtract line 9b from line 9a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . 9c 10a Gross sales of inventory, less returns and allowances . .. . . . . . . . . . . . . . . . . . . 11081 10,600 . b less : cast of goods sold . . . . . . . . . . . . . . . . . . ... . . . . . . . .. . . . . . . . . . . . . . . . . . . l O b c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line t(Ya) . . . .. . . . . . . . . . . . . . . . . . . . . . . . 10c Ln 11 Other revenue (tram Part Vll,line 103) . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . 11 12 Total revenue add lines l d, 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11) ,. ,- . . V . . . . . . 12 13 Program services (from line 44 . column E cry E (B)) ... ....... .. ....... .. . ~~ .... . . 13 P 14 Management and general (from line 44, column (C)) .. .. ....... .. . . . .~~. .~ . . . ...... .... .. 14 15 Fundraising (from line 44, column (D)) . . . . . . . . ... ...... . ....... . Ga (f qi» aAt~ ? 15 5 16 Payments to affiliates (attach schedule) . . . . . . . ... . . . . . . . . . . . . . . . ~ ~ ,~U~ . . . 16 . . . . . . . 17 Total expenses (add lines 16 and 44, column A)) . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. 17 18 Excess or deficit for the ear subtract line 17 from tine 1 . . . . . . . E S 19 Net assets or fund balances at beginning of year (from line 73, column (A)) . . . . . . . . . . . . . . . . . . . . . .. . . . . . . 19 7 T ZO Other changes in net assets or fund balances (attach explanation) .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . 20 5 21 Net assets or fund balances at end of ear combine tines 18, 19, and 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 BAA For Paperwork Reduction Act Notice, see the separate instructions. TEEnoioR 1ota3roa (!` ." f Fortm 990 Department of the Treasury t Internal Reven u e Serv ice A For the 2003 calm B Check if applicable: Address change Name change Initial return Final return Amended return application pending Return of Organization Exempt from Income Tax Rs~~ TOTAL LIFE MINISTRIES, INC . °'~""~ 5740 E . SHEA BLVD orsl-p - ~ SCOTTSDALE, AZ 85254-4843 iestrea Pons . E Telephone number 602-390-3678 F :°"° F X1 eccruaE 1

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Page 1: Return of Organization Exempt from Income Tax 2003990s.foundationcenter.org/990_pdf_archive/860/860736514/...Final return Amended return application pending Return of Organization

OMB No. 1545.0047

2003 Open to Public

Inspection

Under section 501(c~ 527, or 4947(a)('1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

~ The organization may have to use a copy of this return to satisfy state reporting requirements . r year. or tax year beainnina . 200& and ending

D Enqfterldendflcxl km Number

86-0736514

Other (specify)

x and l are not applicable to section 527 organizations .

H (a) is this a group return for affiliates? . . . . FlYes M No

H (b) if 'Yes,' enter number of affiliates .

H (C) Are all affiliates included? . . . . . . . . . . . FlYes F] No

Of No,' attach a fist . See instructions.)

H (c) 1s his a separate return filed by an

organization covered by a group ruling? n Yes n No

~ Section 501(c)(3) organizations and 4947(a~('1) nonexempt charitable trusts must attach a completed Schedule A (Form 990 or 990-M

G Web site: 1' N/A

J Organization ty {check only one . . . . . . . 501(c) 3 -4 ~~t ~w .> n 4947(x)(1) or ~ 5V

K Check here ll~ X if the organization's gross receipts are normally not more than $25,000 . The organization need not file a return with the IRS ; but if the organization received a Form 990 Package in the mail, it should file a return without financial data . Some states require a complete return.

Number . . . 01 1 M Check - U if the organization is not required

to attach Schedule B (Form 990, 990-E7, or 990-PF). and lOb to Tine 12 P- 126, 048 . L Gross 'art 1 Revenue, Expenses, and Changes in Net Assets or Fund Balances (see instructions

1 Contributions, gifts, grants, and similar amounts received: a Direct public support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 1 115,448 . b indirect public support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 b c Government contributions (grants) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 c d aa~ (add fines ~a through t c) (cash $ 115, 448 . noncas, $ 3 . . . . . . . . . . . . . . . . . . . . . . . 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 andinterest from securities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6a Gross rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6a b less : rental expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . 6b

c Net rental income a (toss) (subtract line 6b from line 6a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Other investment income (describe . . . . . . . . 10-

115,448 .

I

I

10,600 .

126, 048 . 124,224 .

124,224 . 1,824 .

40,890 .

42,714 . Farm 990 (2003)

6c

y (A) Securities (B) Other Sa Gross amount from sales of assets other than inventory. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8a

b less : cost a other basis and sales expenses . . . . . . . . 8b c Gain or (toss) (attach schedule). . . . . . . . . . . . . . . .

. . . . . . . . . . Sc

d Net gain or (loss) (combine line 8c, columns (A) and (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8d 9 Special events and activities (attach schedule). If any amount is from gaming, check here . . . . . . 11-0 a Gross revenue (not including $ of contributions

reported on line 1a) . . . . . . . . . . . . . . . . . . . . . . . . ***''**''*** . . .

. . . . . . . . . . . . . I ga l b less: direct expenses other than fundraising expenses . . . . . . . . . . . . . . . . . .

. . 9b

c Net income or (loss) from special events (subtract line 9b from line 9a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9c 10a Gross sales of inventory, less returns and allowances . . . . . . . . . . . . . . . . . . . . . 11081 10,600 . b less : cast of goods sold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . l O b c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line t(Ya) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10c

Ln 11 Other revenue (tram Part Vll,line 103) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 12 Total revenue add lines l d, 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11) ,. ,- . . V . . . . . . 12 13 Program services (from line 44. column E cry E (B)) . . . . . . . . . . . . . . . . . . . . . . ~~ . . . . . . 13

P 14 Management and general (from line 44, column (C)) . . . . . . . . . . . . . . . . .~~. .~. . . . . . . . . . . . . . . 14 15 Fundraising (from line 44, column (D)) . . . . . . . . . . . . . . . . . . . . . . . . . . Ga (f qi» aAt~ ? 15

5 16 Payments to affiliates (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . ~ ~ ,~U~ . . . 16 . . . . . . . 17 Total expenses (add lines 16 and 44, column A)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 18 Excess or deficit for the ear subtract line 17 from tine 1 . . . . . . .

E S 19 Net assets or fund balances at beginning of year (from line 73, column (A)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 7 T ZO Other changes in net assets or fund balances (attach explanation) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 5 21 Net assets or fund balances at end of ear combine tines 18, 19, and 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

BAA For Paperwork Reduction Act Notice, see the separate instructions. TEEnoioR 1ota3roa (! .̀"

f

Fortm 990

Department of the Treasury t Internal Revenue Service

A For the 2003 calm

B Check if applicable:

Address change

Name change

Initial return

Final return

Amended return

application pending

Return of Organization Exempt from Income Tax

Rs~~ TOTAL LIFE MINISTRIES, INC . °'~""~ 5740 E . SHEA BLVD orsl-p-

~ SCOTTSDALE, AZ 85254-4843 iestrea Pons .

E Telephone number

602-390-3678 F "°:°"° F X1 eccruaE

1

Page 2: Return of Organization Exempt from Income Tax 2003990s.foundationcenter.org/990_pdf_archive/860/860736514/...Final return Amended return application pending Return of Organization

i 7

Y

t

Ao not ax*Ade amxwnfis pan kne 6b. k76, 9b, 10h, or 16 of Pad L

22 firaqs aad albs (att sdi) MEE TM ] (cash $ 4 .797 . n~-c~r S }. .- . .- .-

23 Spade siddow b hiriduh (ad! sue) . at emefUspmfd b or tar tan scfil . . . . . . . . 25 Qor4P of oHW4 direcbM etc . . . . . . . . . . 26 Other salaries acrd . . - -' - - . . . . . . . . 27 Pension plan contribukiam . . . . . . . . . . . . . 28 Oar errplayee benefits. . . . . . . . . . . . . . . . 29 pap'oU tam . . . . . . . . . . . . . . . . . . . . . . . . . . is Professional icndraising leers . . . . . . . . . . 33 AooourrTmgiem . . . . . . . . . . . . - . . . . ----- .

32 Legal fees . - . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Telephone .. . . . . . . . . . . . . . . . . . . . . . . . . . . 35 Postage and stipphng . . . . . . . . . . . . . . . . . 36 Qcxupancy. . . . . . . . . . . . . . .--- . . . . . . . .--31 Equiprner+t rental and rnakesronce . 3s Printing and publice6m . . . . . . . . . . . . . . . 39 Travel . . . . . . . . . . . . . .I . . . . . . . . . . . . . . . . . . AQ Coelermon tia'rR. and a . . . . . . . . . 41 Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A2 Uwedrt dog * (albrh sdiebie) . . . . . . 43 09W mM carerW dwie {aa"ee): e ADFlIA12STRATM EXPENSE b FUNDRAISING c PROGRAM fiXPENSE _

_ _ _ _ _ _

~--------------------------------------

44 -,eea lad~f (iRS ~~ -,IML (m)

.

18,644 .1 18,644-

0 toner ser"oes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (catarns am s4 fT+otalof tMM Savios gyggM WxxW equa+!rM a4.wkrnrr sesvice+s--- . . . . . . . . . - . . . . . . . . . . . . . ~ 124, 224

BM MMam4a ia+oaAa Form 990 (20th

b T 40- T b ~raqv~ s~any~ e6~, c ~Q SO T Z t nC

secUocr 501 Coo arm WMfS orgakvborn mast complete a,oam ti'Y" 0MYns 1Y)) S ), ad 0 am

WgarambQt15 and Section 4$47'(2)(li{E.Y1}11 dw1#U'Sft but optional for W'IBa'S.

CA1TaW (C) , ger~eraj ~Fticg

22 1 4,797 .1 4,797 .

Job* Costs. Check . r'U if you are following SOP 9~2. Are any joint mats Worn a combined eeucatioruei campaign and fundraising solicitation reported in (S) Prcgaim seiv+oes?. . . . . . . . . . . WO Yes M ft If 'Yes,' wrter CA the aggregate amount of these ioinc costs $ : t r~ the arrqunt allocated to Prom svrvioea $ : (IM the mofrit albcalod 10 Management and general $ ~ : and ft the amour[ allocated

Wh9t IS U1B qg8n&3tion S Primary exempt purpose? w --- ----------------------w-of AH ptg~lit+~GOns 1'nt~t describe ttieir ,exempt purpose actuevernerft ia clear nd concise - ' thuxn ........

at'~erlts Served issued. C1c . Disd~s ~ II'1at 8IB hd rT1~saWe . 1 t do (4~ agan" izations end (1 rpne charitable trusts rrr~st ado enter to arraur~t of & o~irers.

. PROVIDED OVER 3000 HOURS of coURSELIM AND DIscIPr.EsHIP AND AssIsTAWE_ --------------------------------------------------------_-________________-----_-~~a~~________-___~

b

--------- ------------------ ------------------------- --C } -

~t a $ c ------------------------------------------------------------------------------------------------------------------------------------------------------------------

Mrants aw allocations $-d ------------------------------------------------------------------------------------------------------------

Page 3: Return of Organization Exempt from Income Tax 2003990s.foundationcenter.org/990_pdf_archive/860/860736514/...Final return Amended return application pending Return of Organization

TEEa0103 . 10ro1ro3

t

Form 990 (2Q03} TOTAL LIFE MINISTRIES, INC . 86-073651'4 Page 3

Part !V : . , Balance Sheets (see instructions)

Mote: Where required, attached schedules and amounts within the description (A) (B) column should be for end-of-year amounts qty. Beginning of year End of year

45 Cash - non-interest-bearing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22,107 . 45 22,093 . 46 Savings and temporary cash investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

47a Accounts receivable. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47a b less : allowance far doubtful accounts . . . . . . . . . . . . . 47 b 47c

48a Pledges receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48a b less: allowance for doubtful accounts . . . . . . . . . . . . . 48b 48c

49 Grants receivabie . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

50 Receivables from officers, directors, trustees, and key s employees (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 e 51 a Other notes & loans receivable (attach sch) . . . . . . . . . . . . . . . . 51 a s b less: allowance for doubtful accounts . . . . . . . . . . . . . 51 b 51 c

52 Inventories for sale or use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,175 . 52 2,175 . 53 Prepaid expenses and deferred chargers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53 54 Investments - securities (attach schedule) . . . . . . . . . . . . . . . ~'[j Cost[_] FMV 54 55a Investments - land, buildings, & equipment: basis . 55a 15,699 .

b Less: accumulated depreciati (attach schedule) . . . . . . . . . . .ogTATEMEI4T .2 . . . 55b 982 . 14,729 . 55c 14,717 .

56 investments - other (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 57a Land, buildings, and equipment: basis . . . . . . . . . . . . 57a

b Less : accumulated depreciation (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57b 57c

58 Other assets (describe I- SEE STATEMENT 3 ) . 2,659 . 58 4,757 . 59 Total assets add lines 45 through (must dual line 74) . . . . . . . . . . . . . . . . . . . . 41,670 . 59 43,742 . 60 Accounts payable and accrued expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 780 . 60 275 . 61 Grants payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61 62 Deferred revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62 63 Loans from officers, directors, trustees, and key employees (attach schedule) . . . . . . . . . . . . . . . . . . 63 64a Tax-exempt bond liabilities (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64a T b Wrtgages and other notes payable (attach sctWule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64b

s 65 Other liabilities (describe P- . SEE STATEMENT 4 ) . 65 753 . 66 Total liabilities add lines 60 through 65) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 780 . 66 1,028 .

Organizations that follow SEAS 117, check here ~ u and complete fines 67 Organizations through 69 aril lines 73 and 74.

67 Unrestricted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 68 Temporarily restricted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68 69 Permanently restricted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69

Organizations that do not follow SFAS 117, check here and complete lines 70 through 74 .

70 Capital stock, trust principal, or current funds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40, 8 90 . 70 4 2, 714 . 71 Paid-in a capital surplus, or land, building, and equipment ~P ~P fund . . . . . . . . . . . . . . . 71 72 Retained earnings, endowment, accumulated income, or other funds . . . . . . . . . . . 72

73 Total net assets or fund balances (add lines 67 through 69 or lines 70 through 72 ; column (A) must equal line 19; column (B) must equal line 21}. . . . . . . . . . . . . 40,890 73 42,714 .

74 Total liabilities and net assetslfund balances (add lines 66 and 73~ . . . . . . . . . . . . ~ 41, 670t74~ 43,742 .

Form 990 Es available for tie inspection and, for some people, serves as the primary or sate source of information about a particular organizafaon. How the public perceives an organization such cases may be determined by the information presented on ifs return . Therefore, please make sure the return is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments.

BAA

Page 4: Return of Organization Exempt from Income Tax 2003990s.foundationcenter.org/990_pdf_archive/860/860736514/...Final return Amended return application pending Return of Organization

Farm 390 TOTAL LIFE MINISTRIES, IZ Part N A Reconciliation of Revenue per Audi

Financier StdmerftvAth Revenue per Retuum (see insbuctions

a Total remue, gains, sad o4w support per audited finacial staranmts. . . . . . . . . " a 1

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

(1) Net urcealized gains. on

(2) Donated serv-ices and use of facilities . . . . . $

(3) Rewvaies M prior yes gmts . . . . . . . $

(4) fear (specify) :

Add amosnts on tines (1) through (t) . . . . . '' b c Line a maws line b. . . . . . . . . . . . . . . ~ e 1

d Amatrts included on Isle 12, Form 990 but not on line w

(7) lrwestment «pmses not intkded on line fib. Form 99Q . . . . . $

(2) Other (Apecify) :

Add amourrts on lines (1) and M. . 01 d

e Total revenue per line 12, Farm f 990 (line c fllus fine d1 . . . . . . . . . . . . ~ e i 1

4 'art IV-5 IReaonciiatlon of Expenses pet Audted

Financial Stallennnts with Expenses per Return

a Total =S=s

losses per audited firranc . . . . . . . . . " s 124

b Artta,nts irx :fuded on tine a but not m line 17. Farm 990 :

(1) Dar~ ser+r- ices and use of facilities . . . . . . $

(2) Prior ym aknll~ menumporw an

990 line ZQ Form 990 . . . $

(3) twie' Z(?, Fam99D~. . . $

(4) O'w (speW:

Add xnn~ts'oe tines (1) rionph (4) . . . . . . ~ b c lire a minus line b . . . . . . . . . . . . . . . . ~ c 124 '

d Atnourris inckxled an firx3 17, Farm 990 but rot on Me a:

r) r ,t arerwt not included m line 6b. Form 99d. . . . . . . $

CA ate' (Spwm:

Add snouts on tines to and (:4 . . . ~ d -

o TOW - pa' lire 17 Form

224 .

8 .1 99Q nirte c plus tfie d1. . . . . . . . . . . . . . W e i 124 .224 .

(8) Tiee and average hats (A Cw"nsation (M Car*ibutions to (E) Expense (A) Name and address per week devoted (~f cwt V~d. eMPbYw benefit account and oa~a

to position sofa" -a) plan and deferred alloavanoes compensation

SUZANNE RITZENTHALER CONTROLLER 0 . 5470 E SHEA BLW --~-l-- 25 SCOT'xSDALE� AZ $5254 --

..~Dli{L IN -------~NONfi 85029

2116 N . WILL( PHOENIX, AZ DAVID RITZEN7 5470 E_ SHEA

0 . ' 900 .1 0 . .R -~ PR F --------~35

--------------------------------------------

---------------------------------------------

bILO-TEB-084 jiqoj_-4on43_ l.~e6t.sB0 S0 TZ InC~

r

- - - - - - - - - - - - - - - - - - - - -

- - - - - - - --- - - - - - - - - - - - -

75 Did any officer, director, trustee, or key empbyee receive aggregate compensation of more than $100,000 from ycxu organization end all related organizations, of which more than $10,000 was provided by the related organizations? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - QYes N No If 'Yes,' attach schedule - see insfiutions .

BM Form 990 (2003)

TEEaoicrk I o~o?~a3

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86-0736514 Pam 5 Yes No

Form 9910 (2003 TOTAL LIFE MINISTRIF Part VI Other Information (see instruction

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 w 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 $1,000 a more during the year covered by this return? . . . . b If 'Yes,' has it filed a tax return on Form 990-7' for this year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

76 X n x

78a X 78b X

79 Was there a liquidation, dissolution, termination, or substantial contraction during the year? If 'Yes,' attach a statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79

8Qa !s 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 a nonexempt organization? . . . . . . . . . . . . . . . . 80a

b If 'Yes,' enter the name of the organization a, N/A - _ _ - _ and- check wh- _ether it is T] exempt ar nwiexempt . -----------------------------

81 a Enter direct and indirect political expenditures . See line 81 instructions . . . . . . . . . . . . . . . . . . . . 81 a 0 . b Did the organization file Form 7120-POL for this year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 b I-X

rEEn0105L 12xiM

X

X

82 a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at substantially less than fair rentalvalue? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82a X

b If 'Yes,' you may indicate the value of these items here. Do not include this amount as revenue in Part I or as an expense in Part fl . (See instructions in Part Ill .) . . . . . . . . . . . . . . . . . 82b N/A

83a Did the organization comply with the public inspection requirements for returns and exemption applications? . . . . . . . . . . . . . 83a X b Did the organization comply with the disclosure requirements relating to quid pro quo contributions? . . . . . . . . . . . . . . . . . . . . 83b X

84a Did the organization solicit any contributions a gifts that were not tax deductible? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84a

b If 'Yes,' did the or ~anizatian include with every solicitation an express statement that such contributions a gifts wee not tax deductible . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 801 N A

85 501(c)(4), (5), or (6) organizations . a Were substantially al! dues nondeckictible by members? . . . . . . . . . . . . . . . . . . . . . . . . . . 858 NIA b Did the organization make only in-house lobbying expenclitixes of $2,000 a less? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85b N A

If 'Yes' was answered to either 85a a 85b, do riot complete 85c through 85h below unless the organization received a waiver for proxy tax owed for the prior year .

c Dues, assessments, and similar amounts from members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85c N/A d Section 162(e) lobbying and political expenditures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85d N/A e Aggregate nondeductible amount of section 6033(e)(t)(A) yes notices . . . . . . . . . . . . . . . . . . . . 85e N/A f Taxable amount of lobbying and political expenditures pine 85d less $5e) . . . . . . . . . . . . . . . . . . 85f N/A g Does the organization elect to pay the section 6033(e) tax on the amount on line 85f? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85g NIA

h If section 6Q33(eX1xA) dues notices vine sit does the organization free to add the amount on line 85f to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the tollouving flax year?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85h NIA

86 501(c)(7) organizations . Enter : a Initiation fees and capital contributions included on line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86a N/A

b Gross receipts, included on line 12, for public use of club facilities . . . . . . . . . . . . . . . . . . . . . _ . . 86b N/A 87 501(cx12) organizations. Enter : a Gross income from members or shareholders . . . . . . . . . . . 87a N/A

b Gross income from other sources . (Do not net amounts due or paid to other sources against amounts due a received from them .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87b N/A

88 At any time during the yew, 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 3Q1.7701-2 and 301 .7701-3? If'Yes,'complete Part IX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88 X

89a 50i(c)(3) organizations . Enter: Amount of tax imposed on the organization firing the year under : section 4911 0, 0 . ; section 4912 1,- 0 . ; section 4955 ~ 0 .

b 5Q1(c)(3) and 501(c)(4) organizations . Did the organization engage in any section 4958 excess benefit transaction caring the year or did it become aware of an excess benefit transaction from a prior year? If 'Yes,' attach a statement explaining each transaction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89b X

c Enter : Amount of tax imposed on the organization managers or disqualified persons firing the year under sections 4932, 4955, and 4958 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ 0 .

d Enter : Amount of tax on tine 89c, above, reimbursed by the organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~' 0 . 9Qa List the states with which a copy of this return is filed P- NONE b Number of employees employed in the pay period that includes March 12, 2003 (See instructions.) . . . . . . . . . . . . . . . . . . . . . ~ 90 bT - - -

97 The books are in care of 1, DAVID RITZENTHALER Telephone number ~ 602-39Q-3678 Located a¬ - 5?44 E . SHEA BLVD;- SCOTTSDALE, AZ ztP+4 " 85254-4843

92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of Form 1Q41- Check here . . . . . . . . . . . . . . . . . . . . . . . . . N/A . . ------------------------------------------- ---------and enter the amount of tax-exempt interest received a accrued during the tax year . . . . . . . . . . . . . . . . . . . . . . 0-192 I N/A

BAA Form 990 (2Q03)

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Paid ?= =s I p~_ ~ CHARLES D . KOBER 141 4,P pacer's Firm's (or name CHARLES D . KOBER Q C0 .

yours if setf- ~ 18 39 S ALMA SCHOOL RD, #24? Only aP~ "d MESA, AZ 85210 BAA

Form 90 2003 TOTAL LIFE MINISTRIES, INC . 86-0736514 Pa 6

Part Vtl Analysis of Income-Producin Activities (See instructions .y Unrelated business income Excluded b section 512, 513, a 514

Note: Enter gross amounts unless te - (q) (g) (~ (p) Related a exempt otherwise indicated. Business code Amount Enlusion code Amount function income

93 Program service revenue: a b c d e f Medicare/Medicaid payments . . . . . . . . g Fees & contracts from government agencies . . .

94 Membership yes and assessments . . 95 Interest on savings & temporary cash immnts. . 96 Dividends & interest from securities . . 97 Net rental income or (loss) from real estate: _-

a debt-financed property, . . . . . . . . . . . . . b not debt-financed property. . . . . . . . . . .

98 Net rental income or (loss) from pets prop . . . . 99 Other investment income . . . . . . . . . . . . 100 Gain or (loss) from sales of assets

other than inventory . . . . . . . . . . . . . . . . 101 Net income or (lass) from special events . . . . . 102 Gross profit a (loss) stun, sales of inventory . . . . 511120 10 , 600 . 103 Other revenue : a

b c d e

104 Subtotal (add columns (B), (D), and (E)) . . . . . r ~ 10,600 . 1 105 Total (add line 104, columns (B), (D) and (E)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ 10,600 .

Note: Line 105 plus line Td, Part l, should equal the amount on fine 12, Part l . Part,Vlfl, Relationship of Activities to the Accomplishment of Exempt Purposes (See instructions.) Line Na Explain how each activity for which income is reported in column (E) of Pmt VII contributed importantly to the accomplishment

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

N/A

Part IX Information Regarding Taxable Subsidiaries and Disre arded Entities (see instructions.) (D)

Name, address, and EIN of corporation, Percentage of Nature of activities Total End-of-year partnership, or disregarded entity ownership interest income assets

N/A

0

Part 'X Information Regarding Transfers Associated with Personal Benefit Contracts ee instructions .) a Did the organization, during the year, receive any funds, directly or indirectly, to pay b Did the organization, during the year, pay premiums, directly a indi Note: If 'Yes' to file Form 8870 and Farm 47 see instructions .

true1~ , an p~ry~l ~ t e - ed this re

Please Sign Signature of officer Here

0' DAVID RITZENTHALER ~LSIDENT & CEO Type M print name and tide w

Page 7: Return of Organization Exempt from Income Tax 2003990s.foundationcenter.org/990_pdf_archive/860/860736514/...Final return Amended return application pending Return of Organization

OMB No . 1545-0047 Organization Exem t Under Section 501(c(~

(Except Private Foundation) and section 5o7(e), SQ1(f), 501(k), so1(n), or Section 4947(a)(1) Nonexempt Charitable Trust Supplementary Information - (See separate instructions.)

~ MUST be completed by the above organizations and attached to their Form 990 or 990-E7-

2003 Department of the Treasury Internal Revenue Service

Name of 1he organization Employeride~ficaGon nanber

86-0736514

on (cn Contributions (e) Expense I to employce benefit ~ account and other plans ~d deferred allowances compensation

NONE

Total number of other employees paid over $50.000. . . . . . . . . . . . . . . . . . . . . . . ., . . . . . . . . . . 0.1 O

L

Part If Compensation of the Five Highest Paid Independent Contractors for Professions Services - (See instructions. List each aye (vvhethw individuals or tms) . If there are tee, enter 'None.)

(b) Type of service ( (c) Compensation

NONE

TF-EtL ost2sro3

SCHEDULE A (Form 990 or 990-EZ)

(See instructions. List each one. If there are none, enter 'None.)

(a) Name and address of each (b) Title and average employee ~ paid more hours per week

than $50,(lQ0 devoted to position

and Trustees

(a) Name and address of each independent contractor paid more than $50,000

Total number of others receiving over $50,000 for professional services. . . . . .

. . . . ~~ 01

BAA Fox Paperwork Reduction Act Notice, see the lnstnhctions for Form 990 and Form 990-EZ. Schedule A (Form 990 or 990-EZ) 2Q03

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BAA TEEnnaon oinsroa Schedule A (Form 990 w Form 990-EZ) 2003

Schedule A (Form 990 a 990-E 2003 TOTAL LIFE MINISTRIES, INC . $6-0736514 Pa 2

Part lit Statements About Activities (see instructions .) rtes No

1 During the year, has the organization attempted to influence national, state, or local legislation, including any attempt to influence public opinion on a legislative matter or referendum? If 'Yes,' meter the tots! expenses paid w incurred in connection with the lobbying activities . . . . . 01 $ N/A Wt equal amounts on line 38, Part VI-A, a line i of Pmt VI-B .} . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 X

Organizations that made an election under section 501(h) by filing Form 5768 must complete Part V1-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 erectly 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, a principal beneficiary? (if the answer to any question is `Yes,' a#taeh a detailed statement explaining the transactions.)

a Sale, exchange, or leasing of property? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . 2a X

b Lending of money a other extension of credit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b X

c Furnishing of goods, services, or facilities? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I Zcl

d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)? . . . . . . . . . . . . . . . . . . . . . . . . . . . 241 1 X

e Transfer of any part of its income or assets? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2e X

3a Do you make grants for scholarships, fellowships, student loans, etc? (If 'Yes,' attach an explanation of how you determine that recipients duality to receive payments.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a X

b Do you have a section 903 annuity plan for o~ employees? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3b X 4 Did you maintain any separate account for participating donors where donors have the right to provide advice

on the use or distribution of funds? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 X

Part IV < Reason for Non-Private Foundation Status see instructions.)

The organization is not a private foundation because it is : (Please check only ONE applicable box.)

5 X A church, convention of churches, or association of churches . Section 170(b)(t)(A)(? . 6 A school. Section 170(b)(1)(A)(i). (Also complete Part V.) 7 A hospital or a cooperative hospital service organization . Section 170(b)(1)(A)(i) . 8 A Federal, state, a local government or governmental unit . Section 170(b)(i)(A)(v) . 9 u A medical research organization berated in conjunction with a hospital . Section 170(b)(1)(A)(iii). Enter the hospital's name, city,

and state P - 10 a An organization operated for the benefit of a college or university owned a operated by a governmental unit. Section 170(b)(l)(A)(v) .

(Also complete the Support Schedule in Part IV-A .)

11 a ~ An organization tat ncnmaBty receives a substantial part of its support from a governmental tit or from trie general public . Section 17Q(b)(i)(A)(ve) . (Also complete the Schedule ~ ¬Y-A.)

11 b Q A community trust. Section 170(b)(1) (A)(0). (Also complete the Support Schedule in Part #V-A .)

An organization that normally receives : (1) more than 331/3X 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 33-11396 of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after hone 30, 1975 . See section 509(a)(2) . (Also complete the Support Schedule in Part IV-A .)

13 F] An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations described in : (1 ) lines 5 through 12 above; a (2) section 501(c)(4), (5), or (6), if they mgt the test of section 509(a)(2) . (See section 509(a)(3) .)

Provide the fQflowing information supported organizations. about the (See Ir1Stfl .ICtIOf}S .}

(b) Line number (a) Name(s) of supported organization(s) above from

'f4 n ,,4n organization organized operated to and fast for public safety., Section 5f}9(a)(4). (see instructions.)

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Schedule a orrr 993 or 99c)-E 21303 TOTAL LIFE MINISTRIES, INC . 86-0736514 Pa 3 Parrt IV-A Support Schedule (complete only if you checked a box on fine 10, 11, or 12 .) !/secash rtretfiadofaccourrting. Note : You may use the worksheet in the instructions -for cariverti front the accrual to the cash method of accounting

Calendar year (or fiscal year (a) (b) (c) (d)_ (e) beginningin) . . . . . . . . . . . . . . . . . . . . ~ 2b()2 2001 2000 1999 Total 15 Gifts, grants, and contributions

received . (Do not include unusual ants . See line 28. . . . N/A

16 Membership fees received . . . . .

17 Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc, pu rpose . . . . . . . . . . .

..

18 Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a}(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organ- ization after June 30,1 97S . . . . . . . . . .

19 Net income from unrelated business activities not included in line 18 . . . . . . Tax revenues levied for the ~ganization's benefit and either paid to it a expended on its behalf . . . . . . . . . . . . . . . . . . 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 char . . . . . . . Other income . Attach a schedule . Do not include gain or (loss) from sale of capital assets . . . . . . . . . . . . . . . . .

20

23 Total of lines 15 through 22 . . . . 24 Line 23 minus line 17 . . . . . . . . . . 25 Enter 1% of line 23 . . . . . . . . . . . . 26 Organizations described on lines 70 or 11 : a Enter 2% of amount in column (e), line 24 . . . . . . . . I11/A . . . ~ 26s 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 wi

supported organization) whose total gifts for 1999 through 2002 exceeded the amount show in line 26a. Do ad file this N with your return. Enter the total of all these amiss amounts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~' 26 b

c Total support for section 503(a)(1) test: Enter line 24, column (e) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _26c d Add : Amounts from column (e) for tines : 18 19

22 26b 26d e Public support (line 26c minus line 26d totalj . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~- 26e f Public support percentage {line 26e (numerator) divided by line 26c (denomirwtorD . . . . . . . . . . . . . . . . . . . . . . . ~ 26f

27 Organizations described on line 12: N/A a For amounts included in firm 15, 16, and 17 that were received from a *disqualified person,' prepare a fist for yon records to show the narne 04 aid total amounts received Wt each yeas from, each 'disqualified person.' as cwt file this list with your reform. Enter the stem of such amounts for- each year: (2002) ------------ (2001)------------ (2000) ----------

bFor any amount included in line 17 that was received tom each person (other than 'disqualified persons'), prepare a list for your records to show the name of, and amount received for each yew, that was more than the larger of (I) die amount on line 25 for the year a ¢j $5,000 . (Include in the list organizations described in fines 5 through 1 .1, as well as viduats.) 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.

E------------ 1) ---------- ) ------------ (1999) ------- c Add: Amounts from column (e) for lines : 15 16 17 20 21 27c

d Add: Line 27a total . . . . . and line 27b total . . . . . . . . . . . . 27d e Public support (tine 27c total minus line 27d total) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . '' 27e f Total support for section 509(a)(2) test: Enter amount from line 23, column (e) . . . . . '' 27f g Public support percentage (line 27e (numerator) divided by line 27f (cienominat+or)j . . . . . . . . . . . . . . . . . . . . . . . . '' 27 h Investment income percentage ine 1$, column e (numerator) divided line 27f (denominator)) . . . . . . . . . . 1-27h a

28 Unusual Grants: For an organization described in line 10, 11, or 12 t received any unusual grants ding 1999 through 2Q02, prepare a list for records your to stew. for each year, name the of the contributor, the date and amount of the grant and a brief description of the #e of ttte grant . Do not file this fist witty your retum[3a got ineiiude these grants in line 15 . N/A

8AA TEeaoao3L 0&rzsa3 Schedule A (Form 990 or 99Q-E2D 2003

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r

Schedule A (Fa TOTAL LIFE MINISTRIES, INC . 6-0736514 Page 4 Private School Questionnaire see instructions.) (To be completed ONLY by schools that checked the box on line 6 in Park IV) A

Yes No

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

35 Does the organization certify that it has complied with theapplicable requirements of sections 4.01 through 4.05 of Rev Pros 75-50, t9?5-2 C.B. 587, covering racial nondiscrimination? If 'No,' attach an explanation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

TEEAS40Mt. fW&Ff3 BAA

29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws, 129 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 scholarsttips? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

37 Has the organization publicized its racially nondiscriminatory policy out 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 #o all parts of the general community at serves?

. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3'!

If 'Yes,' please describe ; if 'No,' please explain . (if you need more space, attach a separate statement.) ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------32 Does the organization maintain the flowing: ---------------------------------------------------------

a Records indicating the racial composition of the student body, faculty, and administrative staff? . . . . . . . . . . . . . . . . . . . . . . . . 32a

b Recalls documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory basis? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32b

c Copies of alt catalogues, brochures, announcements, and oUw written communications to the public dealing with student admissions, programs, and scholarships? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32c

d Copies of all material used by the organization a on its behalf to solicit contributions? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32d

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 a privileges? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33a

b Admissions poiicies? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33b

c Employment of faculty a administrative staff? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33c

d Scholarships or other financial assistance? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33d

e Educationalpolicies? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33e

f Use offacitities? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33f

g Athletic programs? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Other extracurricular activities? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I 33h

If 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 a assistance from a governmental agency? . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34a

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Schedule A orm 990 or 99o-E 2003 TOTAL LIFE MINISTRIES, INC . 86-073b514 P 5 Part VI-A Lobbying Exenditures by Electing Public Charities (see instructions)

(To be completed ONLY by an eligible organization that filed corm 5768) N/A Check 1, a if the orqanization belongs to an affiliated croup . Check -- b n if you checked ' a' and 'li mited control' provisions . apply.

(a) Affiliated god

totals To be completed for ALL electirV

Limits on Lobbying Expenditures (The term 'expenditures' means amounts paid or incurred.) orqan

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

If the amount on line 40 is - The lobbying nontaxable amount is -to Not over $500,004 . . . . . . . . . . . . . . . . . . . . . . 2O% of the amount on line 40. . . . . .

Over X000 but not over 31,ODQ,000. . . . . . . . . . . $100,000 plus 15% of the exess ow W,000

Over $1,000,000 but not over $1,50qfl0U . . . . . . . . . $175,000 pigs tU°h of the excess over $1,00D,000 - 41

TEEa0405L osrzW

f Z

Over $1,500,000 but not over ;17,000,000. . . . . . . . . $225,000 plus 596 of the exess over =1,50d,00d Over $17,000000 . . . . . . . . . . . . . . . . . . . . . . $1,000,000 . . . . . . . . . . . . . . . . . . . . . .

42 Grassroots nontaxable amount (enter 25% of line 41) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 43 Subtract line 42 from line 36 . Enter -0- if line 42 is more the line 36 . . . . . . . . . . . . . . . . . 43 44 Subtract line 41 from line 38 . Enter -4- if line 41 is more than line 38 . . . . . . . . . . . . . . . . . 44

Caution : If there is an amount on either line 43 or fine 44, you must fib Form 472C}.

4 -Year Averaging Period Under Section 501(h) (Scorgwizamade a sect 501 (h) election do rat have to complete all of the five columns below.

See the instructions for tines 45 through 50.)

Lobbying Expenditures Ding 4 -Year Averaging Period

Calendar year (a) (b) (c) (d) (e) (or fiscal year 2003 2002 2001 2000 Total beginning in) ~

45 Lobbying nontaxable amount . . . . . . . . . . . . . .

46 Lobbying ceiling amount (150% of line 45(e))

. . . . . .

47 Total lobbying expenditures . . . . . . . . . .

48 Grassroots non- taxable amount, . . . . . .

49 Grassroots ceiling amount (15096 of line e)) . . . . . .

50 Grassroots lobbying ex hares. . . . . . . . . .

Lobbying Activity by Nonelecting Public Charities (For reporting only by organizations mat did not compile Pmt VI-A) see wistructions.) N/A

During the year, cad the organization attempt to influence national, state or local ~, anY attempt to influence public opinion on a legislative matter a referendum, through Vie use of:

a

Yes No Amount

Valcnteers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f 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, a any other means i Total lobbying expenditures (add lines c through h.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ft "Yes` to any of tie above, also attach a statement giving. a de#aifeai description Q¬ flee lobbying activities. BEFa Schedule A (Form 990 or 990-EZ) 20Q3

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52a ts organization drec or irxdre~ctl~' affiliated with, or related ~ cue car more tax-exempt ex-gartazati s described u~ sari 541(E) of S~ Cede (other section than 54t (c)~3?) or in sew 527? . . . . . . . . . . . . . . . . . . . . . . . . . . . -- El Yes 9 No

BAA TEERaaca9MO3 Schedule A (Form 990 or -EZ) 20(73

Schedule A orm 994 a- 990- 2003 TOTAL LIFE MINISTRIES, INC, $5-U736514 P 6 Part VII Information Regarding Transfers To and Transactions and Relationships With Noncharitabte

Exempt Organizations tree ismtrructicm)

51 Did the reporting organization directly or ir&ecUy engage in any of the following with arry other organization described in section 501 (c) of the Code (other than section 501 (c)(3) organizations) a in section 527, relating to political organizations?

a Transfers from the reporting organization to a nancharitable exempt organization of: Yes No (i)Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51a i) X (H)Other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a n X

b Other transactions : (i)Sales a exchanges 4f assets with a noncharitable exempt organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 01 X (H)Purchases of assets from a noncharitabfe exempt organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b pi X (W)Rental of facilities, equipment, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b (iii) X (nt) Reimbursement arrangements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - - . . . . . . . . . . . . . . . . . . b rv X (v)Loans or loan guarantees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b (v) X (vi)Performance of services or membership a fundraising solicitations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b (Vii) X

c Sharing of facilities, equipment, mailing fists, other assets, or paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c X ~ ~. ~~ saes. C~xnrt (tai shed always show the fair market valve of d: It v to a of elks is 'Yes� ' complete f fo

the mods. sassess� or sees c~w~ 4a~ die r cu . If e &cazatiixi received less than fair market value in

(e) (b) Line no .

J

Amount involved Name of noncharitable exempt organization Dtion of trwstas, trctiam aid sliming wang=ents

N/ I

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LOO FEDERAL STATEMENTS

CLIENT 11548 TOTAL LIFE MINISTRIES, LNG. 7/15!Q5

STATEMENT 1 FORM 990, PART 11, LIKE 22 GRANTS AND ALLOCATIONS

CASH GRANTS AND ALLOCATIONS

D4NEE'S NAME: AMOUNT GIVEN:

DONEE' S NAME : AMOUNT GIVEN:

1NJNEE' S NE AMOUNT GIVEN:

DQNEE' S NAME : AMOUNT GIN :

$ 1,925-

525 . 1

951 .

1,396 .

4,797 .1 TOTAL GRANTS AND ALLOCATIONS

---------~------- . . . . . . . . . . . . ..-~---- . . . . . . . .~--- . . . . . .------------ . .-------- . . . . . ._ . .---- 753 . TOTAL 753 .

'r .u w

KENNY MUNDS

JOANN BiJRKRALDER

JONES-MARVEL BLDG

MEDICAL AND HOSPITAL EXPENSES

PAGE 11

STATEMENT 2 131, LIKE 55B FORM 990, PART

INVESTMENTS - LAND, BUILDINGS, AND EQUIPMENT

ACCiTM. BOOK CATEGORY BASIS DEP_ VALUE

AUTOMOBILES / TRANSPORTATION EQiIIPMENT $ 11,314 . $ 4_ $ 11,314 . MACHINERY Vii(? I4 X85. 982 . 3,403 .

TOTAL 15-,-6997- W. $ 14, 7'rr~

STAT1EMEt+1T 3 FORM 990, FART IV, LSE 58 OTHER ASSETS

NET INTANGIBLE lA.SSETS------------- . . . . .__ . .--- . . ._ . . ._ . . .----------- . . . . . . . . . . . .--- . .-- .----- 4,757 . Tt3TA.L 4, 757 .

STATEMENT 4 FORM 990, PART IV, LINE 65 OTHER LIABILITIES