Return of Organization Exempt From Income Tax 01VIR No 15415-CC Form sgo Under section 501(c),52T,or4947(a)(1) otlheInternal Revenue Code (ecceptblack lung

oww~»~eo~m "r~y 2001 benefit trust orprivate lounEatlon) 0 eri 6Vuhlu

i~�~~ R�,e�.e S�� ,� 1 The organization may have to use a copy of this return to satisfy state reporting requirements A Forthe2001calendar year,orlaxyear period beginning JUL 1 2001 and ending JITN 30, 2002 B cns~ a Rm, C Name of organization

epPllmble ." IRS

"°°^" "°"°' [~Dcn .~c s SCH INC . .~cs Print, Number and street (or P 0 box if mall is not delivered to street address)

] InidW .W. spdfl,22-44 119TH STREET Final In~buo-

O2wm nor. City ortown,state orcountry,anAZIP .4 ^^^"°° COLLEGE POINT NY 11356 nwm

~oad~o0^ " Sectlon501(c)(3)orpanlcatIons anG0947(a)(t) noneaemptcharits hletrus must anach a completed Sc heOule A (Form 990 ar 990-EZ)

r. won~rtn No-N/A

11-2542430

F Azannnormnoa U cnn IJ Acausl

H and l are not applicable to section 527 organizations H(a) Isthis agroup return foraffiliates? D Yes EXI No H(b) 11 Yes ; enter number of attillates " H(c) Areallaffiliates included9 NBA Ej Yes 0 No

(IIT1o ; attach a list )

H(0) Is Nn a separate return filed by an or- J Orqanlzationtype trieamvo~e)~~X SOt(c)(3 )" nm.n-104947(a)(1) or0527 K Check hero " L-j A the organization's gross receipts are nortnaly not more than E25,000 The

organization need not file a return with the IRS, 6W It the organization received a Form 990 Package In the mail, h should file a return without financial data Some states require a complete return

M Check " L-J A tie organization is not required to attach SCi B IFortn 990 . 990-EZ . or 99o-PF1

6e 7

fill

9c

,201,512 . ,567,631 . <822,601 . > ,946,542 .

Form 990 (2001) 09230514 733030 0395V 2001 .09000 PSCH, INC .

D Employer Identification number

NooMSUite E Telephone number 1 718-445-4700

1 Contributions, gifts . Grants, and similar amounts received a Direct Public support 1a Zf b Indirect public support 16 s Government contributions (gants) D Total (add lines 1a through 1c)

(cash $ 2 $ r g 12 " noncash= 2 ProgramsemcerevenueincludinpgovernmanifeesanOCOniracls(fromPaAVll,line93) 3 Membership dues and assessments d Interest on savings and temporary cash investments 5 Dividends and interest from securities 6 a Gross rents 6a D Less rental expenses 6h

o c Net rental income or (loss) (subtract line 6b tram line 6a) c 7 Other investment income (descnbe i ,.~ B a Gross amount from sale o1 assets other A Secunties B Oth~ o than inventory Be

b Less cost or other basis and sales expenses 8b c Gain or (loss) (attach schedule) 8e d Net gain or (lass) (combine line Bc, columns (A) and (B))

9 Special events and activities (attach schedule) e Gross revenue not Including S of contributions i

O reported on hna 1a) 9a h Less direct expenses other than fundraising expenses 9b c Net Income or (loss) from special events (subtract line 9b from line 9a)

d 10 a Gross sales of inventory, less returns and allowances 10a 6 Less cost of goads sold 106 c Gross profit or (lass) from sales o1 Inventory (attach schedule) (subtract line 10b from line 10a)

11 Other revenue (from Part VII, line 103) 12 Total revenue (add lines 1d , 2 1 3 1 4 , 5 , 6c , 7 . Bit. 9c , 10c: and 11 )

y 13 Program services (from line 44, column (131)) RECEIVED H 14 Management and general (tram line 44, column (C)) Q 15 Fundraising (from line 44, column (D)) M

w 16 Payments to affiliates (attach schedule) 1c-vFMAr 1O ZUU3

18 Excess or (deficit) for the year (subtract line 17 Irom line 12) VI

d y 19 Net assets or land balances at beginning of yew (from line 73, column (A)) - -_O 20 Other changes in net assets or land balances (attach explanation) SEE STATEMENT 1

21 Net assets or fund balances al end of ear (combine bras 18, 19, and 20) ,saoo, 01 04 02 LHA FarPaperwork Reduction ACtNO11ce,seethe separate Instructiona l

11 28,812 .

tan 11 1 Functional Expenses (4 ) or amulions and section 4947(a ) 1 nonersm t charitable ims6 but op tional for others Do not include amounts reported on line Program 66, 86, 9b, 10b, or 76 0l Part 1 (A) Total (8) ) (C) Management

semces and eneral 22 Grants and allocations (attach schedule)

mn S rwnwn S 22 23 Specific assistance to individuals (attach schedule) 23 24 Benefits paid to or for members (attach schedule) 2d

00- 0 Yes OX No

What is the organization's primary exempt purposes 10,

I of r " Form 990 (2001) 0395V21 )9230514 733030 0395V2 2001 .09000 PSCH, INC .

are Page 2

(D) FunOralslnq

25 Compensation ototticers,airedors,etc 25 476 187 . 476 187 . z6 Other salaries andwages z5 21 862 191 . 19 742 734 . 2 119 9 27 Pension plan contributions 27 1 , 099 , 909 . 982 219 . 116 5 28 Other employee benerrts 2e 2 , 463 , 050 . 2 , 199 504 . 261 f 0 29 Payroll taxes 29 1 , 604 , 114 . 1 , 433 , 757 . 170 1 30 Professional fundraising tees 30 31 Accounting fees 31 170 867 . 170 8 3z Lepaltees 92 82 , 610 . 8z 33 Supplies 39 404 , 569 . 269 069 . 135 5 34 Telephone 30 273 , 903 . 243 500 . 19 7 35 Postage and shipping 35 36 occupancy s6 1 5 4 7 813 . 1 , 547 , 813. 37 Equipment rental and maintenance 37 1 219 91 8 . 1 , 171 , 121 . 4 8 f 7 38 Printing and publications 38 39 Travel 39 40 Conferences, conventions, and meetings a0 46 , 565 . A r, 5 41 interest e1 1 , 330 , 794 . 1 157 791 . 173 0 42 Depreciation, depletion . etc (attach schedule) a2 1 , 243 , 655 . 1 , 156 , 599 . 87 , 0 43 Other expenses not covered above (itemize)

a 43a h 43b c 43c 0 43C SEE STATEMENT 2 nse 6 , 203 , 391 . 5 , 666 , 274 . 537 1

44 Tow Nncllond eapenao Ima nnm IY mrough 43) O~nixstlonawmpleGnOc~umnp(B).(D) onyNwe Iorobto~Ine1J15 44 40 029 536 . 36 , 046 , 568 . 3,968 5

Joint Costs Check " = d You are following SOP 98-2 Are any joint costs from a combined educational campaign and Nndnising solicitation reported in (B) Program services? It Yes,' enter (I) the aggregate amount of these point costs $ , (II) the amount allocated to Program services E

MoynheCOnamwtdmlbeNdreicwnp~Wrpw~~Misv~wibln~WV~nyponds~rtunnx Stntsd,nurroroldlenL Wniwsmsnb Mat n not ~uMie (9sCOn 501(cM " (4) a~IUYOna WC 4847(qX1) nonexsmpt aMyW, "So, mint

,

o~don. to th~)

aPROVIDES SERVICES FOR THE PSYCHIATRICALLY DIS.

b

c

d

2

Program Service sum e1e ~basa EIPenses al renbend

S°7uIrW o, 501(.M end 0 (<) orpa end 4W7(eMt)

".ft. but opWrwl br oNan J

7 209 313 .

28,837,255 .

Form 99a(2001) . PSCH, INC . 11-2542430 Page 3

p IV Balance Sheets

Note Where required, attached schedules and amounts within the description column (p) I (B) 'should be for end-of-year amounts only I Beginning of year I I End of year a

47 a Accounts receivable 47a 5 974 , 088 . b Less allowance tordoubtfulaaounls 47E 5 , 048 , 328 . ~47t

48 a Pledges receivable 482 p Less allowance tordoubtful accounts IBh ~aea

69 Grants receivable 49 50 Recervables from officers . directors, trustees,

and key employees 50 x u 51 a Other notes and loans receivable 51a

h Less allowance lordoubtful accounts 51b `51C

7

52 Inventories for sale or use 52 53 Prepaid expenses anddeferred charges 309 746 . 59 389 358 . 50 Investments -securities " ~ Cost ED FMV 50 55a Investments - land, buildings, and

equipment basis SSa

b less accumulated depreciation 55h ' 550 Ss investments-other SEE STATEMENT 4 10 , 96 1 323 . 58 9 , 431 , 005 . 57 a Land, buildings, and equipment basis 57a 2 7 9 42 , 118 . ,

b Hess accumulated depreciation STMT 5 Sip 9 753 836 . 18 , 478 , 537 . s7o~ 18 188 282 . 58 Other assets (aescnbe " SEE STATEMENT 6 ~ 3 , 274 , 505- 58 4 , 425 , 445 .

59 Total assets adelines 45through 58 mustequal line74 40 , 774 686 . 59 43 129 654 . 60 accounts payable and accrues expenses 4 , 920 , 845 . 6D 5 708, 550 . 81 Grants payable 62 Deferred revenue 52

= 63 Loans from officers, directors, trustees, and keyemployees 63 D 64 a Tax-exempt bond liabilities A Baa J

bMortgages anaother notes payable 18 , 311 808 . beo 17 898 371 . 65 Other liabilities (eescdDe "DUE TO NYS AGENCIES ~ 4 , 974 , 402 . 65 5 , 576 , 191 .

86 Total Ila6ilitles addlines 60throu h65 28 , 207 055 . 66 29 183 112 . Organizations that follow SFAS 117, check here 10, ~X and complete lines 67 through

69 and bass 73 and 74

7 Unrestricted 12 , 567 , 631 . ~~67~ 13 , 946 , 542 . A 68 Temporarily restricted 68 1 ill 69 Permanently restricted 69 °c Organizations that 0a not follow SFAS 117, check here 1 1:3 and complete lines

70 through 74 ° 70 Capital stack, trust principal, or current funds 7p d y 71 Paid-in or capital surplus, or land, building, and equipment fund 71 `a 72 Retained earnings, endowment, accumulated income, or other funds 72

79 Total net assets or fund balance : (add lines 67 through 69 OR lines 70 through 72, Z column (A) must equal line 19, column (e) must equal dine 21) 12 56 7 6 31 . ~ 77 13 9 4 6 542 .

174 Total liabilities and net assets / fund balances (add ones 66 and 73) ~ 40 774 6 .6 . 7e 4 3 12 9 659 . Form 990 is available for public Inspection and, for some peo0le, serves as the primary or sole source o1 information about a particular organization How the public

perceives an organization in such cases may be determined by the information presented an it slum Therefor, please make sure the return is complete and accurate and fully descnbes, in Part III, the organization's programs and accomplishments

123021 o,-as-0z 3 09230514 733030 0395V2 2001 .09000 PSCH, INC . 0395V2_1

45 Cash -nanintereSFbearlnp 46 Savings and temporary cash Investments

(p) Name and address

SEE SEPARATE SCHEDULE_ATTACHED______ ---------------------------------

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

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

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

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

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

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

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

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

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

6, 187 .1119655 .

15 Did any otfice~, duedo~, trustee, o1key employee receive apqwepate Campensatton of mope than 5100,000 Uomyoai or anizaiion and all related organizahonsotwhichmorethan$ 10,000wasprowdeAbVtherelated orpanizationS' IfYes'attac~sche0ulelYes OX No Form 990120011

Reconciliation of Revenue per Audited Financial Statements with Revenue per Return

a Total revenue, pains, and other support . per audited financial statements " a 41 "408 , 447

0 Amounts included on line a but not on ~ ~ ~ - - line 12, Form 990

(1) Net unrealized gains on investments S < 8 22 r 601 .

(2) Donated services and use of facilities

(3) Recoveries of prior year grants

J4) Other (specify) + s Add amounts on lines (l)through (1) " D <822~,601 .

c Line e minus dine b 1 c42,231,048 .

0 Amounts included on line 12, Form 990 but not on line a `

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

(2) Other (speedy) ~~ S ' .< . � .

Add amounts on lines (1) and (2) 1 4

e Total revenue per line 12, Form 890 (linecplus uned) " e42,231 .048 .

11-2542430

Financial Statements With Expenses per Return

a Total expenses an0losses par w audited financial statements " ~e 4 0 , 029 536 .

6 Amounts included on line a but not on line 17, Forth 990

(1) Donated services and use of facilities $

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

(3) Losses reported on line 20, Forth 990 t - ,

(4) Other (specify) s

Add amounts on lines (1) through (4) " 0 0' . c Line If minus line b " e40 029 536 . d Amounts included on Lna 17, Form '

990 but not on line 1

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

(2) Other (specify) S �

Ado amounts on lines (1) and (2) " ,d , ~ 0 . e Totalezpenses Derlinet7,FOrm 990

(Iinecplus line d) ~ B40 029 536 . Iployees (List each one even d not compensated I)Title andaverage hours 'C) Compensation (Oco~aweoneto (E) Expense per week devoted to 'llnotoalA .entar °~,°~.~° .pccountand

1

76 Did the organization engage in any activity not previously reported to the IRS? If 'Yes .' attach a detailed Oescnp4on of each activity 77 Were any changes made in the organ rzinp or qovemlnp documents but not reported to the IRS?

Ii Yes; attach a conformed copy of the changes

78a DWthaorpanna6nnhaveunrelatedDusmessprossincoma otSl,pppormore durtnqtheyearcoveredOyNBretum? b If Yes; has M filed a tax retu rn on Form 090-T for this yeah NBA

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

80 a Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, ate , to any other exempt or nonexempt organvalion4

D If'Yes,'enter ihename oltheorganization " SEE STATEMENT 7 and check whether R Is 0 exempt OR =nonexempt

Bt a Enter direct or Indirect political expenditures Sea line 81 instructions I 011 ~ 0 . D Did the organization file Form 1120-POL for this year)

82 a Did the organization receive donated services or the use of materials, equipment, or IaciINes at no charge or at substantially less than fair rental value?

D It Yes,' you may Indicate the value of these items here Do not include this amount as revenue In Part I or as an expense m Part II (See Instructions in Part III ) a26 ~ N/A

83 a Did the orqannation comply with the public inspection requirements for returns and exemption applications? h Did the organization comply with the disclosure requirements relating to quid Pro quo contributions?

84 a Did the organization solicit any contributions or gifts that wen not tax deductibles 0 If *Yes, 'did the organization include wRh every solicitation an express statement that such contributions orprils were not

tax deductible? N/A &5 501(c)(4),(5),or(s)organizations aWere substantially andues nondeductible bymembers9 NBA

D Did the organization make only in-house lobbying expenditures of E2,000 or less N/A It 'Yes' was answered to either BSa or BSb, do not complete 8x 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 g5i N/A d Section 164(e) lobbying and political expenditures pea NBA e Aggregate nondeductible amount of section 6033(o)(1)(A) dues notices 858 /A I Taxable amount of lobbying and Political expenditures (line BSO less 85e) 95f N/A p Does the organization elect to pay the section 6033(e) tax on the amount In 85f? N/A h It section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount in 851 to Its reasonable estimate o1 dues

allocable to nondeductible lobbying and Political expenditures for the following tax year? N/A 86 507(c)(7) organizations Enter a initiation fees and capital contributions included on line 12 861 NBA

D Gross receipts, included on line 12, for public use of club facilities BfiE N/A 87 501(c)(12) organizations Enter a Gross income from members or shareholders 071 N/A

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

BB At any time during the year, did the organization own a 50% or greater interest m a taxable corporation Of partnership . or an entity disregarded as separate tram the organization under Regulations sections 301 7701-2 and 3017701 .3 It Y¢s,'tomplete Part IX

89a SC7(c)~9)orpanlzatrcns.EntarAmountc! :axImposa0oniIleurpanizaliondurinpcneyearunder section 4911 DO,- 0 . , section 4912 . 0 . , section 4955 t 0 .

D 501(c)(3) and 501(c)(4) organizations Did the organization engage in any section 4958 excess benefit transaction dunnq the year or did d become aware Glen excess benefA transaction from a poor year? If'Yes; attach a statement explaining each transaction

c Enter Amount of tax imposed on the organization managers orAisQualified persons during the year under X

92 Section 494 7(a)(1) nonexempt chentable busts riling Form 990 in lieu of Form 1041 . Check here

oi

1~ F-1 and enter the amount of taxtxempt Interest received or accrued dunno the tax veer 1 1 92 ~ N/A

~-'oz 5 Farm 990 (2001) 9230514 733030 0395V2 2001 .09000 PSCH, INC . 0395V21

on 1 .3 Page 5

Yes No 7e X 77 X

7Ba' A 78b 79 X

BOa X~

ein` X ~

82a X

83a X 83b X 84a X

B4h~ BSa B5h

y' . >

!BY `X

sections 49t2,4955,and 4958 0 Enter Amount of tax online 89c, above, reimbursed by the organization

90a List the states with which a copy of this return Is filed " NEW YORK h Number of employees employed in the pay period that mGuOes March 12, 2001 gph p -) 1

91 rneboaksareincare ot " SHARON DANENHERG-DIR . OF FINANCE Teiephoneno " 718-445-4700

Locatedat lp- 22-4 4 119TH STREET, COLLEGE POINT NY ZIP .4 . 11356

2430 vanes Form 990(2007) P

m~LYb AnVls4-D N ~no~P P~(om~'r olnool WonYllnbr Please Please ~ Sign Sign Slqn (/ 41 Here Signature of icer

a Preparers' Signature

Preparers ~,�������, rL0 B TROPER

Use Only ~m°~"n10Y.Md ,655 THIRD AVENUE 010102 7JP .A NEW YORK NY 10017

09230514 733030 0395V2 2001 .09000

on

Note Enter gross amounts unless otherwise unrauieaousmnssmcame . ~ ~onsx,a1+.«m.

indicated Business (B) tea,- (D) Related or exempt Amount .ion Amount function Income 93 Program service revenue code ~1,

e CONSUMER FEES 3 , 45-8 , 848 . e 0 a e f Medicare/Medicaidpayments 3-4 , 62-7 , 25-2 . p Fees and contracts from government agencies ]I F 459 F 712 .

94 membership dues and assessments 95 Interest on savings and temporary

cash investments 14 617 254 . 96 Dividends and interest from securities 14 39 170 . 97 Net rental Income or (loss) from deal estate a debt-financed property h not debt-financed property

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

102 Gross profit or (loss) from sales of inventory 103 Other revenue

a 0 c a I-~ e

ton Subtotal (adecolumns (s),(o),and(Q) .a~ 0 . 656,424 . 41,545,812 . toy Total (aadline 10e.columns (e),(D),and(E) " 42,202,236 . Note Line 105 plus line Id, Part/. should eq ual the amount online 12, Part/ pak yIIIJ Relationship of Activities to the Accomplishment 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 Imporlanty to the accomplishment al the organization's exempt purposes (otharthan Gyproviding funds forsuc00urposes)

9'3F SRRVTCRS FOR THE PSYCH IATRrCAT,T.Y AND/OR DEVELOPMENTALLY DISABLED

H

on

Name, address, anO~EIN of corporation, I Percentage of I Natu re

(a) Did the organization, during the year, receive any funds, directly or indirectly, tO (h) Did the organization . do ring the year, pay premiums, directly or indirectly, on a

Undr

OMB No 7505-0047

2001 Organization Exempt Under Section 501(c)(3)

(Except Private Foundation) and Section 501(e) , 501(Q, 501(Y), 501(n), or Section 4947(a)(1) Naneiempl Charity Ule Trust

Supplementary Information-(See separate instructions.) .MUST be C0111GIBIeE hvihe ahnvo nrn~nbafinn. .nn .xerhod in tn .i . c...., nnn ... enn ev

DepWmsnl of M@T~uy In1emY iWWue Sw~iw

Name of the organization Employer Identification number 1 11 2542430

Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (Sea page 1 of the Instructions List each one N there are none, enter 'None') (a) Name and address of each employee paid (b) Title and average hours (d) aMu~~W (e) Expense

morathan350,000 Uerweek ~evotedto (c/Compensation p~,n,�~ aceountanAa

123, 073 .1 30 .768

94, 074 .1 23,519

88, 952 .1 22 .238

90., 837. .E 22,709 .E

. . . . . .__ ._ . . . _ . r . . . r. . . . . . . ~ . Professional Services

(b) Type of service (c) Compensation

ICAL 645 295 .

ICS 129 , 584 .

2NEY 113 967 .

JNTING 107 113 .

:CAL 87 , 210 .

Schedule A (Form 990 or _ . .990-EZ) 2001

0395V21

LOEB AND

(,SS '3RIl aVFNIIF NY NY 10017

LOUISE MURPHY, PT_

6 WALNUT PLACE HUNTINGTON NY LIN Total number of others receiving over $50,000 for professional services 1 6 LHA ForPaperwork ReductionRct NOtICe,seethe ln:tractionslorForm990andForm990 .E2

ua,m is-zao, 7 09230514 733030 0395V2 2001 .09000 PSCH, INC .

SCHEbULEA (Form 990 or 9B0-EZ)

SHARON DANENBURG __________ F

22-44 119 STREET COLLEGE PT . NY 11356140

JOSEPH DIBIANCO_____________--___-EO

77-44 119 STREET COLLEGE PT . NY 1135630

SUZANNE TIMMERHAN_S ------------------ JDIRECTOR

22-44 119 STREET COLLEGE PT . NY 1135640

VIRGINIA HIRT ----------------------

1 22-44 119 STREET COLLEGE PT . NY 11356140

BARBARA COHEN DIRECTOR

22-44 119 STREET COLLEGE PT . NY 1135640 Total number of other employees paid

1111- I 44 ompensation of the Five Highest Paid Independent Contractors :e papa 2 0l the instru ctions List each on e (whether individuals or firms) If there are none, anti

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

ULTIMATE CONSULTATION

271 N . AVENUE NEW ROCHELLE, NY 16961

VTA PHYSICAL AND OCCUP_-THERAPY

1901 EMMONS AVENUE BROOKLYN, NY

LEVY AND STOPEL_______

190 EAB PLAZA UNIONDALE, NY

ScneUUleA{ForrR990or990-EZ)2001 PSCH INC . 11-2542430 F

Statements About Activities (See cage 2 of the instructions) Yes

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? It Yes; enter the total expenses paid or incurred in connection with the lobbying adrvrtes 1 E $ (Must equdimounls online 98, Part VI-A, or line I of Pert VI-B ) 1 Organizations that made an election under section 501(h) by filing Forth 5768 must complete Part VI-A Olhaiaryanrrations checking Yes; must complete Part VI-8 AND attach a statement giving a detailed descnption of the lobbying activities

2 During the year, has the organization, either directly or indirectly, engaged m any o1 the following acts with any substantial contributors, trustees, directors, officers. creators, key employees, or members of then families, or with any taxable orqantru6on with which any such person is affiliated as an officer, director, trustee, majority owner, or principal beneficiary' Q! the answer to enyquesnon Is 'Yes,' attach e detailed statement explaining the transactions)

e Sale, exchange, or leasing of property? 2e ̀

No

3 Does the organization make grants for scholarships, fellowships, student loans, etc ? (See Note below ) 3 X

C Do you have a section 403(D) annuity plan for your emDloyeesi 4 X

Note Attach e statement to explain how the organization determines that Indrviduels or organizations rets'ving grants orloens from it in furtherance of its charitable programs 'qualify' to receive payments `

y Reason for Non-Private Foundation Status (See pages 3 through 6 of the instructions

The organization is nab a private foundation because d is (Please check only ONE applicable bo: ) $ ~ ACIIUfLh,convention 01ChurchBS,orassociation ofchurches Section 170(b)(1)(A)(1)

A school section 170(b)(1)(A)(11) (Also complete Part V ) 7 ~ A hospital or a cooperative hospital service organization Section 770(b)(1)(A)(ni) g 0 AFeUeraI,state or local government argovernmental unit Section 170(b)(1)(A)(v) g ~ A medical research organization operated in conjunction with a hospital Section 170(b)(1)(A)(ni) Enter the haspltel't name, city,

and state 00, 10 0 An organization operated for the benefit 01 a college or university owned or operated by a qovemmenlalunR Section 170(b)(1)(A)(rv)

(Also complete the Support Schedule in Part IV-A ) 11 a D An organization that normally receives a substantial part of its support tram a governmental unAOrtramthe general public

Section 170(b)(1)(A)(vl) (Also Complete the Support Schedule in Part IV-A ) 11b D AcommunitytruslSection170(b)(1)(A)(vi)(AlsocomplelatheSupporlScheEuleInPartIV-A) 12 EKI An organization that normally receives (1) more than 39 1/3Yo of its support from contributions membership tees, and gross

receipts from activities related to it charitable, etc, functions - subject to certain exceptions, and /21 no more then 33 1/3% of Its support from gross investment income and unrelated business taxable Income (less section 511 tu)from businesses acquired by tie organization after June 30, 1975 See section 509(a)(2) (Also complete the Support Schedule In Pa at IV-A )

13 D An organization that Is hat controlled by any disqualified persons (other than foundation managers) and supports organizations described in

and

123111 01 .07-02

0395v21 09230514 733030 0395V2 2001 .09000 PSCH, INC .

D Lending otmoney orother extension olcradit? 2b X

c Furnishing of goods, services, or facilities? 2c X

d Payment olcompensaUOn(orpaymentorreimbursementolexpansesAmorethan31,000) SEE PART V, FORM 990

e Transfer of any part of its income or assets

is

Provide the Information

(a) Name(s) of supported organ Ization(s)

to

(b) Line number from above

Schedule A (Form 990 or 990-EZ) 2001

'~cheduba(Fortn990or990-EZ)2001 PSCH INC . EaftLV_/~ Support Schedule (Complete only rt you checked a box on

Note You me use the worksheet in the msfruchons /o~ eor 'elBnOar yBel(0llptalyear ie Innln In " a 2000 (b 1999 15 carts, coo .na ee,,mwnw reo.wW

100 got induea uou.iw pvan see 11.2e 34 , 899 . 181 1, 31

16 Membership fees recerve0 17 Gross receipts from admissions .

merchandise sold or services performed, or furnishing of facilities m any act" that is related to the organization's cnantabie,etc .purpose 3-7 1 1918 , 125,36 , 654 , 2

18 Gross income from Interest, dividends, amounts received from payments on securities loans (Sec- tion 572(a)(5)), rents, royalties . and unrelated business taxable income (less section 571 taxes) from businesses acQUUed

by I's organization after June30.1975 6-0-6 , 44-06 . _ 726 7 19 Net income from unrelated business

activities not included in line 18 Qp Tv mama Yv4p br the oWnl:MdW I

MeRt snU stner W7 b it a ~aW Op on Its ba1W1

21 The value otservicas or facilities famished 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 Oms Inwrta MIEN . sNayule Do rot Include pain or (bu) hum me of ceVIm assets

23 Total otlines t5through 2z 38 559 430 .37 562 2 2e Line 23minus line 77 6-41 , 305, 908 , 113 25 enter 1 xotline 23 385 594 . 375 6

11-2542430 Pape3 1, or 12 ) Use cash method o1 eeeountmg ,Dm the accrual to the cash method o! accountln

(c) 1998 d 1997 a Total

108 570 . 232 239 . 557 , 041 .

5658 790.33 503 383 .143 734 513 .

591,851 . 571 .530 . 2,496,534 .

,769 . ~3 , 053 , 575 . ,072 . " 2Ba ` N/A 'T

" 26b N/A " 26c N/A

" z6d` N/A

0,

28e N/A " 261 N/A

e Public support (line Y6c minus line 26d total)

28 Unusual Grants For an organization described m line 10,11 or 72, that received any unusual grants dunnp 1997 th rough 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 brat description at the nature of the grant Do not llle this list with your return Do not include these grants In line 15

NONE 12312, 12-29-01 9 Schedule A (Form 990 or 990-EZ) 2001

09230514 733030 0395V2 2001 .09000 PSCH, INC . 0395V21

26 Organizations described on final 10 0r 71 a Enter 2% otamount m column (e), line 24 h 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 gifts for 1997 through 2000 exceeded the amount shaven 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)(1) test Enter line 24, column (e) d Add Amounts from column (0) for lines 18 19

sz ssn

27 Organizations described on line 12 a For amounts included in lines 15, 16, and 17 that were received homa'disqualified person ; prepare a list for your records to show the name o1, and total amounts received in each year tram, each 'disqualified person' Do not file IA6Iht with your return Enter the sum o1 such amounts for each year (2000) 0- (1999) 0 . (1998) 0 . (1997) 0 .

D For any amount included in line 17 that was received from each Deson (other than 'disqualified persons', prepare a list for your recorAS to show the name of, and amount received for each year, that was more than the lerperot (lithe amount on line YS for the year or M$5,000 (Include In the list organizations descnbed in Ones S through 11, as well as individuals / Do not ffle lhfs Ilsl rlth your return . After computing the difference between the amount received and tie larger amount described in (1) or (2), enter the sum of these differences (the excess amounts) for each year (2000) 0- (1999) 0 . (1998) 0 . (1997) 0 .

c Add Amounts twin column (a) for lines 15 557F 041 . 16 17 . 143,734,513 . 20 21 10- 27e 144 291 554 .

A Add Line 27a total 0 " and line 276 total _ -0 . " 27E 0 . e Public support (line 27c tool minus line 27C total) _ 1 27e 1144 2 9 1 554 . 1 Total support for section 509(a)(2) test Enter amount on hne 23, column (e) 1 271 146 , 78 8 0 88 . p Public support percentage (line 27e (numerator) divided by line 271 (denominator)) 110~ 27p s 98 .2992% 5

i PSCH 11-2 a re (See pipe 7 of the instructions ) schools that checked the box be

30a DoeslheorpanizationrecarveanyfinanclalaiAOrassisGncetromaqovemmentalaqency? h Has the organization's right to such old ever been revoked or suspended?

II you answered Yes' to either 34a or b, please explain using an attached statement 35 Does lea organization certify that H has complied with the applicable requirements of sections 4 01 through 40.5 0l Rev Proc 75-50,

1975-2 C B 587, covering rectal nonGiscrlminatlon9 If No ; attach an explanation

10

9230514 733030 0395V2 2001 .09000 PSCH, INC . 0395V21

Schedule A (Form 990 or

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

instrument,armaresolution of Its governing body? 29 30 Does the organization Include a statement o1 its racially nondiscnminatory policy toward students in all its brochures, catalogues,

and other written communications with the public dealing with student admissions . programs . and scholarships ~90m' 31 Has theoryanhahonpubhazedllsnclalynondiscnmlnalarypolicylhmugAnewspaperorbroadcastmeGhEunnpthepedoAO1

solicitation tar students, or during the registration period M d has no solicitation program, m o way that makes Ne Dolicy known to all parts of the general communAy M servas7 ~31 T if 'Yes : please descnbe, A 'NO,' please explain (If you need more span, 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? ,32a~i , h Records documenting that scholarships and otherlinancialassistanceareawardedonaracialtynonAiscrimmatoryDasis? 92b c Copies of allwlalopues,brochures,announcements,andolherwnriencommun¢aUOnstotheDublicdeallnpxiNStudent

admissions, programs . and scholarships? 32c d Copies o1 all material used by the organization or on it behallto solicttcantributlons7 32d

ttyouanswered 'NO'taanyoftheabove,Please explain (If you need more space, attach a separate statement )

33 Does tie organization discriminate by race in any way with respect to a Students' rights or privileges? `33a b Admissions policies? 33h c Employment offaculty oradministrative statf7 33e d Scholarships or older financial assistance? 33d e Educational POI1cles7 33e 1 Use of facilities? 331 q Athletic Programs 7 33a h Other extracurricular actrvities9 33h

if you answered 'res'to any of [he above, please explain (If you need more space, attach a separate statement )

127731 12-29-01

Schedule A (Form 990 or 990-E2) 2001

Schedule n(FOrm9s0or990-EZ)200t PSCH INC . 11-2542430 pag e 5 Part VI-Lobbying Expenditures by Electing Public Charities (Seepage 9 of the instructions ) N/A

(To De camnletee ONLY by an elialDle onoanrution that filed Form 57681

(8) Affiliated group

totals N/A

(h) To be completed for ALL electing organizations

96 Total lobbying expenditures to Influence public opinion (grassroots lobbying) 97 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 an line <01:- The lobbying nontaxable amount Is -

Not ws $500,000 20% et tM ertnunt m U. 40

dw $500 ODD Wt mt ws{1,Opp00D f700mOpIU,15%olMevcmovs5300,000

OvoS1,000000GUtnotrnsf1,500000 5775000pua10%o1N*v<a.warS1 .U00UW

0v~111,500000EUtrotws117,000,000 $225 001) pl~n5% of $1 5M

OVf$)7 000 OM f~0OO,ODO

42 Grassroots nontaxable amount (enter 25% of line 41) 43 Subtract line 42 from line 36 Enter-0-ft line 4215 more than line 36 44 Subtract line 41 tram Ilna 38 Enter -0-H Iine 41 I5 more than line 38

. . .. ~c ; , .. ,.,

w.. .., ... ... ., %t. .. ... . . ., r .. . ~. 41

Part YI-B Lobbying Activity by Nonelectinp Public Charities (For reporting any by organizations that did not complete Park VI-A) (See page 12 of the instructions ~ N/A_

During the year, did the organization attempt to influence national, state or local legislation, including any attamptto influence public opinion on a legislative maser or referendum. through the use of

Yes No Amount

a Volunteers D Paid staff or management (include compensation In expenses reported on lines c through If c Media advertisements E Mailings to members, legislators . or tie public a Publications, or published or broadcast statements f Grants to other organizations for lobbying purposes q Direct contactwilhleplslators,thelrsWtts,povemmentafficuls,oralepislatNe body A Rallies,demonstraUOns,seminars .convenpons,speeches,lecturas,oranyothermeans I Total lobbying expenditures (Add lines c through h ) _ ~ . . . - Q ,

If 'Yes'to any at tie above, also attach a stateme n t giving a detailed descnption of the lobbying activities 1232141 12 9-01 Schedule A (Farm 990 or 990-EZ) 2001

11 )9230514 733030 0395V2 2001 .09000 PSCH, INC . 0395v2_1

Limits on Lobbying Expenditures

term "expenditures' means amounts paid or incurred

FF ~., (rz .~- on either line 43 or line 44, you must file Form 4720 I ~ ~1 '

0-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete a0 at the five columns

below See the instructions for lines 45 through SO on page 11 of the instructions )

Lobbying Expenditures During 4-Yeir Averaging Period N/A

Calendar year (or (a) (b) (c) (d) (a) fiscal year beginning In) 1 2001 2000 1999 1998 Total 45 Lobbying nontaxable

amount 0 . 46 Lobbying ceiling amount A~

(15096 of line 45(ell U . 47 Total lobbying

48 Grassroots nontaxable amount 0 .

49 Grassroots ceiling amount (150% of line 4B(e))

5^ Grassroots lobbying

or 990-EZl 2001 42430 Part VII Information Regarding Transfers To and Transactions and Relationships With Noncharitable

Exempt Organizations (See Page 12 of one Instructions 1 51 Did therepoAinporpanirationdiredyormdiraclryenpaqeinanyollhefoilowingwi(hanyotherorpanizatlanEescnbedtnseclion

501(c) at the Code (other than section 501(c)(3) organizations) or In section 527, relating to Political Organizations?

Sharing of facilities . equipment, mailing lists, other assets, or geld employees It the answer to any of tie above is Yes ; complete the following schedule Column (D) should always show the fair market value of the

goods, other assets, or services given by the reporting organization If tie orpanlzatlon received less than fair market value m any ~o~~~~enn nr shannn arrane0ment. Show In Column (dl the value of the nooAS. other ucafs. or services renlvnd N/A

(o) I Iel I 10 I lal line no Amount involved Name of nonchantabla exempt organization Description of transfers, transactions, and sharing arrangements

52 a Is tie organization directly or Indirectly affiliated with, or related to, one or more tax-exempt organizations described m section 501(c) of the Cede (other than section 501(c)(3)) or in section 5277 " Ej Yes

n it 'Ves .' complete the following schedule NBA EXI Ho

M Type of organization

12 2001 .09000 PSCH, INC . 09230514 733030 0395V2 0395V21

Transfers from the reporting organization to a nonchantable exempt organization of

(1) Cash (11) Other assets Other transactions (I) Sales or exchanges of assets wild a noncharrtable exempt organization (11) Purchases o1 assets from a nanchantabla exempt organization

(III) Rental of facilities . equipment . or other assets

(Iv) Reimbursement arrangements (v) Loans or loan guarantees (vi) Performance of services or membership or tundralsing solicitations

Yes No 51a(1) X e(11) X

6(I) X 6/1I) X b(ill) x e(ro) x b(

111) X

bill) X e X

(a) Name at organization

(e) Description of relationship

Schedule R (Form 980 or 990-Et) 2001

2001 DEPRECIATION AND AMORTIZATION REPORT

FORM 990 PAGE 2 990

HeAudion In ,��, Date use Unadjusted Bus % Basis- Basis For Accumulated Current Amount Of

Description Acquired Method Life No Cost Or Basis Fxcl IT,,179, Depreciation Depreciation Sec 179 Depredation SaNaqe

000 .000 16 4647799 . 4647799 . M AND 000

Y . � 2 ,llTLDTNG .�.rt ., ., .-oho. 6.. .,7�1,43850 . , . �� , . 71~385~~ 21515$b ao

3 BUILDING AND IMPROVEMENT:000000 .000 16 12341405 . 12341405 . 4796705 . 0 .

4 UR?~TTURE ~Ai~D~.E tTTPMENI' .~ . ~ _ . ~. .., . ~m . R. . . .. .. . .. . . OOD000 , Z533404 : ~"AA, O 6, 253740 . 18055 _,~~ .~.~~~ . . . . . . . . ._ .~ 5 VEHICLES 00000 .000 16 1286554 . 1286554 . 968,919 . 0 .

i x~ x � , " ~S~xEA5E80LD'(xIMPROVEMENT OOOOp4 a, .Ox~O~ , . _ ~ . ~ _~ ._ . . ~ ~ . ~"'3i,,i=io ~. . . . .a ;,iio~. ;

TOTAL 990 PAGE 2 DEPR 7942118 . 0 . 2 7942118 . 9753836 . 0 . 0 . A, .,. . . .r .~. .

.. .. , , ... .., . . .. ... .. . . , s n~ . .. .. .. ,. R .. ... . , .. ... .. x H . . ,. « .. ..,.... . . 'i V .. . ..,...x~ . ... . ..x... .~ : .o-s:".., ~ .. .,......«.....wwos..

. . , . . . .

s"xs's . .. . .d.. . ;4...6,.w..s3

.., rx..v ... ..e 7 v, .. .,. ..~ ~,. ..

.~ T

i. ..~c . ..... . ....3a1 ~.~r..,a .... ... .,...~... ...~.......mm... ... ...2 .~V~ , i. .S. " r"=~x r %,a

ueiox ,o-mm m (D) -Asset disposed

13

11-2542430 PSCH, INC .

ORM 990 OTHER CHANGES IN NET ASSETS OR FUND BALANCES STATEMENT 1

OTAL TO FORM 990, PART I, LINE 20 <822,601 .>

'O PROVIDE SERVICES TO INDIVIDUALS DEVELOPMENTALLY AND MENTALLY DISABLED .

STATEMENT S) 1, 2, 3 / 0395V2-1 ~I

14 19230514 733030 0395V2 2001 .09000 PSCH, INC .

ESCRIPTION

EALIZED AND UNREALIZED LOSS ON INVESTMENT

AMOUNT

<822,601 .>

ORM 990 OTHER EXPENSES STATEMENT 2

(A) (H) (C) (D) PROGRAM MANAGEMENT

ESCRIPTION TOTAL SERVICES AND GENERAL FUNDRAISING

ROFESSIONAL FEES 96,786 . 51,297 . 45,489 . ECRUITMENT AND UBLIC RELATIONS 294,744 . 109,055 . 18 5,689 . NSURANCE 235,997 . 198,237 . 37,760 . TILITIES 599,354 . 587,367 . 11,987 . TAFF MEETINGS, 'RAINING AND TRAVEL 369,019 . 309,238 . 59,781 . OMPUTER OPERATIONS 182,364 . 34,649 . 14 7,715 . OUSEHOLD SUPPLIES 314,568 . 314,568 . '00D 886,070 . 886,070 . 'LIENT ,CTIVITIES/FAMILY ;UPPORT 205,344 . 205,344 . 'EHICLE EXPENSES 221,480 . 212,621 . 8,859 . fYS FACILITY TAX 1,005,999 . 1,005,999 . [ISCELLANEOUS 128,505 . 88,668 . 39,837 . 'LIENT EXPENSES 1,638,084 . 1,638,084 . :EAL ESTATE TAXES 25,077 . 25,077 .

'OTAL TO FM 990, LN 43 6,203,391 . 5,666,274 . 53 7,117 .

'ORM 990 STATEMENT OF ORGANIZATION'S PRIMARY EXEMPT PURPOSE STATEMENT 3 PART I I I

:XPLANATION

11-2542430 PSCH, INC .

ORM 990 OTHER INVESTMENTS STATEMENT 4

'OTAL TO FORM 990, PART IV, LINE 56, COLUMN B 9,431,005 .

'ORM 990 DEPRECIATION OF ASSETS NOT HELD FOR INVESTMENT STATEMENT 5

0 . 2,151,586 . 4,796,705 . 1,805,516 . 968,919 . 31,110 .

4,647,799 . 4,952,264 . 7,544,700 .

725,884 . 317,635 .

0 .

4, 647,799 . 7, 103,850 .

12, 341,405 . 2,531,400 . 1, 286,554 .

31,110 .

AND fUILDING fUILDING AND IMPROVEMENTS 'URNITURE AND EQUIPMENT 7EHICLES LEASEHOLD IMPROVEMENTS

COTAL TO FORM 990, PART IV, IN 57 27, 942,118 . 9,753,836 . 18, 188,282 .

i'ORM 990 OTHER ASSETS STATEMENT 6

COTAL TO FORM 990, PART IV, LINE 58, COLUMN B

STATEMENT ( S ) 4, 5, 6/ 0395V2_1

15 09230514 733030 0395V2 2001 .09000 PSCH, INC .

DESCRIPTION

NVESTMENT SECURITIES

VALUATION METHOD AMOUNT

COST 9,431,005 .

DESCRIPTION COST OR

OTHER BASIS ACCUMULATED DEPRECIATION BOOK VALUE

ASCRIPTION

iECURITIES AND OTHER DEPOSITS )EFERRED ASSETS-PROPERTY BOND FINANCING COSTS )EST SERVICE SUE TO TENDER TRANSPORT, INC . ASSETS LIMITED TO USE )UE FROM PSCH NEW JERSEY INC .

AMOUNT

115,811 . 2,144,052 .

926,857 . 166,639 .

1,018,791 . 53,295 .

4,425,445 .

AME OF ORGANIZATION EXEMPT NONEXEMPT

ENDER TRANSPORT X SCH-NJ, INC . X

ORM 990 PART IX STATEMENT 8 INFORMATION REGARDING TAXABLE SUBSIDIARIES

STATEMENT ( S ) 7 8 0395v2_1 y

16 2001 .09000 PSCH, INC . 9230514 733030 0395V2

PSCHr INC . 11-2542430

ARM 990 IDENTIFICATION OF RELATED ORGANIZATIONS STATEMENT 7 PART VI, LINE BOB

AME, ADDRESS 6 ID NUMBER F CORP OR PARTNERSHIP

ENDER TRANSPORT INC .

PCT NATURE OF OWN BUSINESS

100 .00$ INDUSTRIAL TRAINED HANDICAPPED HANDICAPPED CLEANERS

TOTAL END-OF-YEAR INCOME ASSETS

1,108,533 . 220,269 .

DIRECTORS

Vice-Chairperson Knsuna Romanzi 142 Radcliffe Road Plamview, NY 11803

Lou Weinberg Legend Land Abstract 185 Great Neck Road Great Neck, NY 11021

All above board member's terms began on November 1, 2002 and will end October 31, 2003

OFFICERS

Chairperson Hiram A Rothkrug 185 Great Neck Road - Suite 402 Great Neck, NY 11021

M- M

22-44 119`h Street College Point, NY 11356

(718) 445-4700

LIST OF OFFICERS AND DIRECTORS

Donna Ermete 58-09 187'" Street Fresh Meadows, NY 1[ 365

Leo Laventhal Industrial Drive Components 113-OS Springfield Blvd Queens Village, NY 11429

Dr Martin Lazar 42 Elderwood Drive East St James, NY 11780

Ann Mittasch 9 Cherry Lane Glen Head, NY 11545

RosaLe Pratt 7 Barry Lane Smrthtown, NY 11787

Herman Weiner 75-12 172"d Street Flushing, NY 11366

David E Lune 20 Sycamore Terrace Lrvmgston, NJ 07039

Form BB6fl(: '100 ) Page 2

e If you aAWiilg'for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box Note Only complete Part // i1 you have already been granted an automatic 3-month extension on a previously filed Form 8868

STOP Do not complete Part 11 d you were not already granted an automatic 3-monthextension on a previously filed Form 8868 .

*If the organization does not have an office or place of business in the United States, check this box I. n o If this is for a Group Return, enter the organization's tour digit Group Exemption Number (GEN ) If this is for the whole group, check this box mi~ 0 If it is for part of the group, check this box li~ hand attach a list with the names and EINS of all members the extension is for

4 1 request an additional 3-month extension of time until 4 5 For calendar year , or other tax year beginning J~~ , 20 ~l and ending - 6 Ii this tax year is for less than 12 months, check reason

"I nitial return ~ Final return

7 State in detail why you need the extension Certain infation necessary to f1I 2 4 C

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

b It this application is for Form 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimated tax 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 Ba Include your payment with this form, or, d required, deposo with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System) See instructions

S

$TF FE WOS6F7

0 . 20 .Q2 in accounting period

Signature and Ver ification Under penalties of penury I Declare that I have epxamined this loan including accompanying schedules aid statements and to the best Of myknowledge and belief it is true correct and complek~dffd 11 ama 1 1 repare _

y~ i Sipnalure" Titled CPA Date, Feb . 7, 20

Notice to Applicant To Be Completed by the IRS RECEIVED d We have approved this application Please attach this form to the organizations return

We have not approved this application However, we have granted a 10.day gram period from the later d the d e s awn below a the due a organization's return (including any poor extensions) This grace penod is considered W be a valM edeisian of Um 49 eJeeLpys, otY~erwsq~yve~ made on a timely return Please attach this loan to the organization's return ~ r C O 1 `f L U U J

0 W e have not approved this application After considering the reasons stated m itan 7, we cannot pran~R!~r~q sion of hme to file e not granting a 1P4ay grace period ,0 N ~t` St-1~9 O We cannot consider this application because it eras filed after the due date of the return for which at eaens~on E N, UT

p Other

Date

Alternate Mailing Address -Enter the address if you want the copy of this application far an additional 3-month extension returned to an address different than the one entered above

Name Loeb & Tro er --- Frederick H Rothman

Type or Number and street (include suite, room, or apt no I Or a PO boa number print 655 Third Avenue

City or town, province or state, and country (including postal or ZIP code)

Form 8868 (+2-2000)