Citizens for Community Values IRS-990 (2004)

8/9/2019 Citizens for Community Values IRS-990 (2004)

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CITIZENS FOR COMMUNITY VALUES 31-1075684Statement of A l l o r g a n i z a t i o n s must c o m p l e t e column A ) Columns B , C , and D ) a re r eq u i re d f o r s e c t i o n 5 0 1 c ) 3 )Functional Expenses a n d 4 ) o r g a n i z a t i o n s and s e c t i o n 4 9 4 7 a ) 1 ) nonexempt c h a r i t a b l e t ru s ts b u t o pt io n al f o r o t h e r s

Do not include a m ou n t s reported on l i n e6b , 8b , 9b , 10 b o r 16 of P a r t / . A ) T o t a l B ) Programs e r v i c e s C ) Managementa n d g e n e r al D ) F u n d r a i s i n g2 2 G r a n t s a n d b a l l o c a h o n s a t t a c h s c h e d u l e )

c a s h 109,750. n o n c a s h s 2 2 109,750. 1 0 9, 7 5 0. 5 TAITRMENT 72 3 S p e c i f i c a s s i s t a n c e t o i n d i v i d u a l s a t t a c h s c h e d u l e ) 2 32 4 B e n e f i t s p a i d t o o r f o r members a t t a c h s c h e d u l e ) 2 4 ..2 5 C o m p e n s a t i o n o f o f f i c e r s d i r e c t o r s e t c 2 5 231,263. 180,742.

24 6. 4, 226 O t h er s a l a n e s an d wages 2 2 7 , 4 4 0. 9 0, 9 7 8. , 2 26. 81,2327 P e n s i o n p l a n c o n t r i b u t i o n s 272 8 O t h e r employee b e n e f i t s 2 8 27,223. 16,015 . 6 , 16 9 . 5,032 9 P a y r o l l t a x e s 2 9 31,729. 18,666 . 7,190. 5,873 0 P r o f e s s i o n a l f u n d r a i s i n g f e e s 3 03 1 A c c o u n t n g f e e s 3 1 7,302 . 7,302 .3 2 L e g a l f e e s 3 2 355, 835. 337, 630. 18,205.3 3 S u p p l e s 3 3 13 ,111. 7,271 . 5,677. 13 4 T e l e p h o n e 3 4 16,312 . 10,213. 4,494. 1,603 5 P o s t a g e a n d s h i p p i n g 3 5 31,832 . 22,514 . 1,787. 7 , 53 6 O c c u p a n c y 3 6 20,698. 16,773. 2,960. 93 7 Equipment r e n t a l a n d m a i n t e n a n ce 37 2 3 , 0 5 3 . 17,655 . 4 , 2 3 0 . 1, 163 8 P r i n t i n g and p u b l i c a t i o n s 38 82 ,535. 65, 771 . 42 . 16, 723 9 T r a v e l 3 9 29,068. 28,188. 433. 444 0 C o n f e r e n c e s c o n v e n t i o n s a n d m e e t i n g s 4 0 4 , 3 2 4 . 3, 775 . 534 .4 1 I n t e r e s t 4 14 2 D e p r e c i a t i o n d e p l e t i o n e t c a t t a c h s c h e d u l e 4 2 13,287 . 628 . 12 , 659 .4 3 O t h e r expenses n o t c o v e r e d a b o v e i t e m i z e )

a 43ab 43 bc 43cd 43de SEE STATEMENT 3 4 3 e 424,477. 364,282. 14,873. 45,32

44 Organ,= c o m p l e t i n g co lmrs8 {Dja r r22y t h e s e t o t a l s t o l i n e s 1 3 . 1 5 4 4 1 649,239. 1,290,851. 188,027. 170,36J o i n t C o s t s Check L:J i f you a r e f o l l o w n g SO P 9 8 - 2A r e a n y j o i n t c o s t s from a combined e d u c a t o n a l campaign a n d f u n d r a i s i n g s o l i c i t a t i o n r e p o r t e d i n B ) Program s e r v i c e s ? EX YesoI f Y e s , e n t e r i t h e a g g r e g a t e amount o f t h e s e j o i n t c o s t s 7 , 6 6 6 . i i ) t h e amount a l l o c a t e d t o Program s e r v i c e s 18 517.

i i i t h e amount a l l o c a t e d t o Ma n a g ement an d g e n e r a l a n d i v ) t h e amount a l l o c a t e d t o F u n d r a i s i n g 52 149.P ar t I I I S t a t e m e n t o f P r o g r a m Se r v i c e A c c o m p l i s h m e n t s

W h a t i s t h e o r g a n i z a t i o n s p n m a r y e x e m p t p u r p o s e ? SEE STATEMENT 4Program S e r v i c

A ll organizations must de s cr ibe theirexempt purpose achievements i n a c le ar and c o n c i s e manner State th e number of clie nt s served publications i s s u e d, et c Discussachievements that ar e n ot measurable Section 5 01 c ) 3 ) and 4 ) organizations and 4947 a ) 1 ) nonexempt c h a r i t ab le t r u st s must a l s o en t er th e amount of g r a n t s andallocations to others

Expenses Required f o r 5 01 4 a

4 ) orgs,and494 9 4 7 7 )

t r u s t s , but optional f o r oa SEE STATEMENT 5

G r a n t s a n d a l l o c a t i o n s 55,500. 730,40b SEE STATEMENT 6

G r a n t s a n d a l l o c a t i o n s 54,250. 560,44C

G r a n t s a n d a l l o c a t i o n s d

G r a n t s an d a l l o c a t i o n s e O t h e r p r o g ra m s e r v i c e s a t t a c h s c h e d u l e ) G r a n t s an d a l l o c a t i o n s f Total o f P r o g r a m Service E x p e n s e s should equal l i n e 4 4 , column B ) , P r o g r a m s e r v i c e s ) 1 290 85430110113-05 Form 99 0

2757957 30125A 2004.09040 CITIZENS FOR COMMUNITY VALU 30125A


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I AF o r m 9 9 0 2 0 0 4 ) CITIZENS FOR COMMUNITY VALUES 31 1075684Par t alance Sheets

N o t e : Where r e q u i r e d , attached schedules a nd amounts w i t h i n t h e d e sc r i pt i o n column A ) B )should be f o r end of year amounts o n l y . B e g i n n i n g o f y e a r End o f y e a r

45 C a s h - n o n - i n t e r e s t - b e a r i n g 96 006. 4 5 187 346 S a v i n g s a n d t e mp o r a r y c a s h i n v e s t m e n t s 153 866. 4 6 125 847 a A c c o u n t s r e c e i v a b l e 47 a 252.

b L e ss a l l ow an ce f o r d o u b t f u l a c c o u n t s 47b 8 892. 47 c 2

48 a P l e d g e s r e c e i v a b l e 48a 162 839.b L e s s a l l o w a n c e f o r d o u b t f u l a c c o u n t s 4 8 b 20 000. 97 078. 4 8 c 142 8

49 G r a n t s r e c e i v a b l e 4 950 R e c e i v a b l e s f r o m o f f i c e r s d i r ec t o r s , t r u s t e e s ,

a n d k e y employees 5 0Hy 5 1 a O t h e r n o t e s a n d l o a n s r e c e i v a b l e 5 1 aU )Q b L e s s a l l o wa nc e f o r d o u b t f u l a c c o u n t s 51 b 51 c

52 I n v e n t o r i e s f or sal e o r u s e 5 253 P r e p a i d e x p e ns e s a nd d e f e r r e d c h a r g e s 10 968. 5 3 6 35 4 I n v e s t m e n t s - s e c u r i t i e s STMT 8 C o s t MV 1 256. 5455 a I n v e s t m e n t s - l a n d, b u i l di n gs , and

equipment b a s i s 55 a

b L e s s a c c u m u l a t e d d e p r e c i a t i o n 55 b 55 c56 I n v e s t m e n t s - o t h e r 5657 a L a n d b u i l d i n g s and equipment b a s i s 57 a 96 829.

b L e s s a c c u m u l a t e d d e p r e c i a t i o n STMT 57 b 56 287. 53 829. 5 7 c 40 55 8 O t h e r a s s e t s d e s c r i b e DEPOSITS 5 8 2 15 9 T o t a l a s s e t s a d d l i n e s 4 5 t h r o u g h 5 8 m u s t e q u a l l i n e 7 4 421 895. 5 g 505 , 36 0 A c c o u n t s p a y a b l e a n d a c c r u e d e x p e n s e s 27 132. 6 0 15 36 1 G r a n t s p a y a b l e 6 16 2 D e f e r r e d r e v e n u e 6 2

N2 63 L o a n s f r o m o f f i c e r s d i r e c t o r s t r u s t e e s , and k e y employees 6 364 a T a x - e x e m p t bond l i a b i l i t i e s 64 a

2 0 b Mortgages a n d o t h e r n o te s p a y ab l e 64b65 O t h e r l i a b i h t i e s d e s c r i b e ) 6 5

66 T o t a l l i a b i l i t i e s ad d l i n e s 60 t h r o w h 65 ) 27 132. 6 6 15 3O r g a n i z a t i o n s t h a t f o l l o w SFAS 1 1 7 , check h e r e n d c o m p l e t e l i n e s 67 t h r o u g h

6 9 a n d l i n e s 7 3 a n d 7 46 7 U n r e s t r i c t e d 297 684. 6 7 347 16 8 T e m p o r a r i l y r e s t r i c t e d 97 079. 6 8 142 8M 69 P e r m a n e n t l y r e s t r i c t e d 6 9

r - O r g a n i z a t i o n s t h a t d o n o t f o l l o w SFAS 1 1 7 check h e r e n d c o m p l e te l i n e sL L 70 t h r o u g h 7 4

, 70 a p i t a l s t o c k t r u s t p r i n c i p a l o r c u r r e n t f u n d s 7 0y 7 1 P a i d - i n o r c a p i t a l s u r p l u s , o r l a n d b u i l d i n g a n d equipment f u n d 7 1N< 72 R e t a i n e d e a r n i n g s , endowment accumulated i n c o m e , o r o t h e r f u n d s 7 2Z 7 3 T o t a l n e t a s s e t s o r f u n d b a l a n c e s ad d l i n e s 67 t h r o u g h 6 9 o r l i n e s 70 t h r o u g h 7 2 ,

column A ) must e q u a l l i n e 1 9 column B ) must e q u a l l i n e 2 1 ) 394 763. 7 3 4 8 9 97 4 T o t a l l i a b i l i t i e s a n d n e t a s s e t s f u n d balances a d d l i n e s 6 6 a n d 7 3 ) 421 895 . 7 4 555 , 3

Form 9 9 0 i s a v a i l a b l e f or p u b l i c i n s p e c t i o n a n d , f or some p e o p l e , s e r v e s a s t h e p r i m a r y o r s ol e s o u r c e o f i n f o r m a t i o n a b o u t a p a r t i c u l a r o r g a n i z a t i o n Ho w t h e p u bp e r c e i v e s a n o r g a n i z a t i o n i n s u c h c a s e s ma y b e d e t e r m i n e d b y t h e i n f o r ma t i o n p r e s e n t e d o n i t s r e t u r n . T h er e f or e , p l e as e make s ur e t he r e t u r n i s c o m p l e t e and a c c u rand f u l l y d e s c r i b e s , i n P a r t I I I , t h e o r g a n i z a t i o n s programs and accomplishments

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PartIV- Reconciliation of Revenue pe r Audited Part B Reconciliation of Expenses pe r AuditedFinancial Statements with Revenue pe r Financial Statements with Expenses pe rReturn Returna T o t a l r e v e r f u e g a i n s , a n d o t h e r s u p p o r t

p e r a u d i t e d f i n a n c i a l s t a t e m e n t s a 1 777 547 . a T o t a l expenses and l o s s e s p era u d i t e d f i n a n c i a l s t a t e m e n t s a 1, 6 8 2, 3 4b Amounts i n c l u d e d o n l i n e a b u t n o t o nb Amounts i n c l u d e d o n l i n e a b u t n o t o n l i n e 1 7 , Form 990l i n e 1 2 , Form 990 1 ) D o n a t e d s e r v i c e s

( 1 ) N e t u n r ea l iz e d g a i n s a n d u s e o f f a c i l i t i e s 35 898.o n i n v e s t m e n t s 2 ) P r i o r y e a r a d j u s t m e n t s

( 2 ) D o n a t e d s e r v i c e s r e p o r t e d o n l i n e 2 0 ,a n d u s e o f f a c i l i t i e s 35 898. F o r m 9 9 0

3 R e c o v e r i e s o f p r i o r 3 ) L o s s e s r e p o r t e d o ny e a r g r a n t s l i n e 2 0 Form 99 0

4 O t h e r s p e c i f y 4 ) O t h e r s p e c i f y )E

Add amounts o n l i n e s 1 ) t h r o u g h 4 ) b 35 898. Add amounts o n l i n e s 1 ) t h r o u g h 4 ) b 35 89c L i n e a minus l i n e b c 1, 741 649. c L i n e a minus l i n e b c 1, 646 44d Amounts i n c l u d e d o n l i n e 1 2 Form d Amounts i n c l u d e d o n l i n e 1 7 , Form

990 b u t n o t o n l i n e a : 990 b u t n o t o n l i n e a 1 I n v e s t m e n t e x p e n s e s 1 ) I n v e s t m e n t expenses

n o t i n c l u de d o n n o t i n c l u d e d o nl i n e 6b Form 99 0 l i n e 6b Form 99 0

2 O t h e r ( s p e c i f y ) 2 ) O t h e r ( s p e c i f y )STMT 2 793. STMT 2 793.

Add amounts o n l i n e s 1 ) and 2 ) d 2 793. Add amounts o n l i n e s 1 ) a n d 2 ) d 2 79e T o t a l r e v e n u e p e r l i n e 1 2 Form 99 0 a T o t a l expenses p e r l i n e 1 7 Form 99 0

l i n e c p l u s l i n e d ) e 1 7 4 4 4 4 2. l i n e c p l u s l i n e d ) e 1 649 23 Fart V List of Offiicers. Directors . Trustees. and Kev Emolovees L i s t e a c h one e v e n i t n o t compensated

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p o s i t i o n C ) Compensation I f n o t p a i e n t e r- 0 - .

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1 2fSEE ST TEMENT 231 263. 8 846.

7 5 D i d a n y o f f i c e r d i r e c t o r t r u s t e e o r k e y employee r e c e i v e a g g r e g a t e c o m p e n s a t i o n o f more t h a n 1 0 0 , 0 0 0 from y o u r o r g a n i z a t i o n a n d a l l r e l a t e do r g a n i z a t i o n s o f w h i c h more t h a n 1 0 00 0 was p r o v i d e d b y t h e r e l a t e d o r g a n i z a t i o n s ? I f Y e s , a t t a c h s c h e d u l e es X No

4 2 3 0 3 1 0 1 - 1 3 - 0 5 Form 99 0 ( 24



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i AF o r r n 9 9 0 2 0 0 4 ) CITIZENS FOR COMMUNITY VALUES 31 1075684pad V1 Other Information Ye s

7 6 D i d t h e o r g a n i z a t i o n engage i n an y a c t i v i t y n o t p r e vi o u sl y r e p o r t e d t o t h e I R S 7 I f ' Y e s , a t t a c h a d e t a i l e d d e s c r i p t i o n o f e a c h a c t i v i t y 7 67 7 Wer e an y chan g es made i n t h e o r g a n i z i n g o r g o v e r n i n g documents b u t n o t r e p o r t e d t o t h e I R S ' 7 7

I f Y e s ' a t t a c h a conformed copy o f t h e changes7 8 a D i d , t h e o r g a n i z a t i o n h a v e u n r e l a t e d b u s i n e s s g r o s s income o f 1 , 0 0 0 o r more d u r i n g t h e y e a r c o v e r e d b y t h i s r e t u r n 9 7 8 a

b I f Y e s , h a s i t f i l e d a t a x r e t u r n o n F orm 9 90 - T f o r t h i s y e a r ? N A 78 b7 9 W a s t h e r e a l i q u i d a t i o n d i s s o l u t i o n t e r m i n a t i o n o r s u b s t a n t i a l c o n t r a c t i o n d u r i n g t h e y e a r ' 7 9

I f Y e s , a t t a c h a s t a t e m e n t8 0 a I s t h e o r g a n i z a t i o n r e l a t e d o t h e r t h a n b y a s s o c i a t i o n w i t h a s t a t e w i d e o r n a t i o n w i d e o r g a n i z a t i o n t h r o u g h c o m m o n membership,

g o v e r n i n g b o d i e s t r u s t e e s , o f f i c e r s e t c t o a n y o t h e r exempt o r nonexempt o r g a n i z a t i o n ? 80a Xb I f Y e s e n t e r t h e name o f t h e o r g a n i z a t i o n ACT011/

a n d c h e c k w h e t h e r i t i s xempt o r nonexempt.8 1 a E n t e r d i r e c t o r i n d i r e c t p o l i t i c a l e x p e n d i t u r e s S e e l i n e 8 1 i n s t r u c t i o n s 8 1 a 0.

b D i d t h e o r g a n i z a t i o n f i l e Form 1120 - P OL f o r t h i s y e a r ? 81b8 2 a D i d t h e o r g a n i za t i o n r e c e i ve d o n a t e d s e r v i c e s o r t h e u s e o f m a t e r i a l s equipment o r f a c i l i t i e s a t n o c h a r g e o r a t s u b s t a n t i a l l y l e s s t h a n

f a i r r e n t a l v a l u e 2 82a Xb I f ' Y e s you m a y i n d i c a t e t h e v a l u e o f t h e se i t e m s h e r e Do n o t i n c l u d e t h i s amount a s r e v e n u e i n P a r t I o r a s a n

e x p e n s e i n P a r t I I ( S e e i n s t r u c t i o n s i n P a r t I I I 82b 35 898.8 3 a D i d t h e o r g a n i z a t i o n comply w i t h t h e p u b l i c i n s p e c t i o n r e q u i r e m e n t s f o r r e t u r n s a n d e x e m p t i o n a p p l i c a t i o n s ? 83 a X

b D i d t h e o r g a n i z a t i o n comply w i t h t h e d i s c l o s u r e r e q u i r e m e n t s r e l a t i n g t o q u i d p r o quo c o n t r i b u t i o n s ? 83 b X8 4 a D i d t h e o r g a n i z a ti o n s o l i c i t a n y c o n t r i b u t i o n s o r g i f t s t h a t w e r e n o t t a x d e d u c t i b l e ? 84 a

b I f ' Y e s , d i d t h e o r g a ni z a t i o n i n c l u de w i t h e v e r y s o l i c i t a t i o n a n e x p r e s s s t a t e m e n t t h a t s u c h c o n t r i b u t i o n s o r g i f t s w e r e n o tt a x d e d u c t i b l e s N A 84 b

8 5 5 01 c ) 4 ) , 5 ) , or 6 o r g a n i z a t i o n s a Were s u b s t a n t i a l l y a l l d u e s n o n d e d u c t i b l e b y members? N A 85 ab D i d t h e o r g a n i z a t i o n make o n l y i n - h o u s e l o b b y i n g e x p e n d i t u r e s o f 2 , 0 0 0 o r l e s s ? N A 85 b

l f ' Y e s ' was answered t o e i t h e r 85 a o r 85b d o n o t c o m p l e t e 8 5c t h r o u g h 85 h b e l o w u n l e s s t h e o r g a n iz a t i o n r e c e i v ed a w a i v e r f o r p r o x y t a xowed f o r t h e p r i o r y e a r

c D u e s , a s s e s s m e n t s an d s i m i l a r amounts f r o m m e m b e rs 85 c N Ad S e c t i o n 16 2 e ) l o b b y i n g a n d p o l i t i c a l e x p e n d i t u r e s 85 d N Ae A g g r e g a t e n o n d e d u c t i b l e amount o f s e c t i o n 6 033 e ) ( 1 ) ( A ) d u e s n o t i c e s 8 5 e N Af T a x a b l e amount o f l o b b y i n g an d p o l i t i c a l e x p e n d i t u r e s l i n e 85d l e s s 8 5 e 8 5 f N Ag Does t h e o r g a n i z a t i o n e l e c t t o p a y t h e s e c t i o n 6 033 e ) t a x o n t h e amount o n l i n e 8 5 f 7 N A 85h I f s e c t i o n 6033 e ) ( 1 ) ( A ) d u e s n o t i c e s w e r e s e n t does t h e o r g an i z a t i o n a g r e e t o a d d t h e amount o n l i n e 8 5 f t o i t s r e a s o n a b l e e s t i m a t e o f d u e s

a l l o c a b l e t o n o n d e d u c t i b l e l o b b y i n g a n d p o l i t i c a l e x p e n d i t u r e s f o r t h e f o l l o w i n g t a x y e a r ' N A 85h8 6 5 01 c ) 7 ) o r g a n i z a t i o n s . E n t e r a I n i t i a t i o n f e e s an d c a p i t a l c o n t r i b u t i o n s i n c l u d e d o n l i n e 1 2 86a N A

b G r o s s r e c e i p t s , i n c l u d e d o n l i n e 1 2, f o r p u b l i c u s e o f c l u b f a c i l i t i e s 86b N A8 7 5 0 1( c ) (1 2 ) o r g a n i z a t i o n s E n t e r a G r o s s income f r o m members o r s h a r e h o l d e r s 8 7a N A

b G r o s s i n c o m e f r o m o t h e r s o u r c e s Do n o t n e t amounts d u e o r p a i d t o o t h e r s o u r c e sa g a i n s t amounts d u e o r r e c e i v e d from them 8 7b N A

8 8 A t a n y t i m e d u r i n g t h e y e a r d i d t h e o r g a n i z a t i o n ow n a 5 0 o r g r e a t e r i n t e r e s t i n a t a x a b l e c o r p o r a t i o n o r p a r t n e r s h i p ,o r a n e n t i t y d i s r e g a r d e d a s s e p a r a t e from t h e o r g a n i z a ti o n u n d e r R e g u l a t i o n s s e c t i o n s 3 0 1 7701-2 a n d 3 0 1 7701-3I f ' Y e s ' c o m p l e t e P a r t IX 88

8 9 a 5 01 c ) 3 ) o r g a n i z a t i o n s . E n t e r Amount o f t a x imposed o n t h e o r g a n i z a t i o n d u r i n g t h e y e a r u n d e rs e c t i o n 4 9 1 1 0 0 , 0 . s e c t i o n 4912 0 . s e c t i o n 4955 0.

b 5 0 1 ( c ) ( 3 ) a n d 501 c ) ( 4 ) o r g a n i z a t i o n s D i d t h e o r g a n i z a ti o n e n g a g e i n a n y s e c t i o n 4958 e x c e s s b e n e f i tt r a n s a c t i o n d u r i n g t h e y e a r o r d i d i t become aware o f a n e x c e s s b e n e f i t t r a n s a c t i o n f r o m a p r i o r y e a r ?

I f Y e s , a t t a c h a s t a t e m e n t e x p l a i n i n g e a c h t r a n s a c t i o n 89bc E n t e r Amount o f t a x imposed o n t h e o r g a n i z a t i o n managers o r d i s q u a l i f i e d p e r s o n s d u r i n g t h e y e a r u n d e r

s e c t i o n s 4 9 1 2 , 4 9 5 5 , an d 4 95 8 d E n t e r Amount o f t a x o n l i n e 8 9 c , a b o v e r e i m b u r s e d b y t h e o r g a n i z a t i o n

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7757957 30125A 2004 09040 CITIZENS FOR COMMUNITY VALU 30125A


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31 1075684part I J I Statements About Activities ( S e e p a g e 2 o f t h e i n s t r u c t i o n s ) Yes

1 D u r i n g t h e y e ar , h a s t h e o r g a n i z a t i o n a t t e m p t e d t o i n f l u e n c e n a t i o n a l , s t a t e , o r l o c a l l e g i s l a t i o n , i n c l u d i n g an y a t t e m p t t o i n f l u e n c ep u b l i c o p i n i o n o n a l e g i s l a t i v e m a t t e r o r referendum? I f ' Y e s ' e n t e r t h e t o t a l e x p e n s e s p a i d o r i n c u r r e d i n c o n n e c t i o n w i t h t h el o b b y i n g a c t i v i t i e s 228 452. ( M u s t e q u a l amounts o n l i n e 3 8 , Par t V I - A ,o r l i n e o f P a r t V I - B . ) VI A LINE 38B 1 XO r g a n i z a t i o n s t h a t m a d e a n e l e c t i o n u n d e r s e c t i o n 5 0 1 ( h ) b y f i l i n g F or m 5 76 8 must c o m p l e t e P a r t V I - A O t h e r o r g a n i z a t i o n s c h e c k i n g Y e s , must c o m p l e t e P a rt V I - 1 3 AN D a t t a c h a s t a t e m e n t g i v i n g a d e t a i l e d d e s c r i p t i o n o f t h e l o b b y i n g a c t i v i t i e s

2 D u r i n g t h e y e ar , h a s t h e o r ga n i za t i on , e i t h e r d i r e c t l y o r i n d i r e c t l y , engaged i n a n y o f t h e f o ll o w i n g a c t s w i t h any s u b st a n t ia l c o n t r ib u t o rs ,t r u s t e e s , d i r e c t o r s , o f f i c e r s , c r e a t o r s , k e y e m p l o y e e s , o r members o f t h e i r f a m i l i e s , o r w i th a n y t a x a b l e o r g a n i z a t i o n w i t h w h i c h a n y s u c hp e r s o n i s a f f i l i a t e d a s a n o f f i c e r , d i r e c t o r , t r u s t e e , m a j o r i t y o w n e r , o r p r i n c i p a l b e n e f i c i a r y ? I f t h e answer t o a n y question i s Y e s , a t t a c h a d e t a i l e d statement e x p l a i n i n g t h e t r an s a c t i o n s )

a S a l e , e x c h a n g e , o r l e as i ng o f p r o p e r t y ? 2 a

b L e n d i n g o f mone y o r o t h e r e x t e n s io n o f c r e d i t ? 2 b

c F u r n i s h i n g o f g o o d s , s e r v i c e s , o r f a c i l i t i e s ? 2 c

d Payment of compensation ( or payment o r reimbursement o f e x p e n s e s i f more t h a n 1 , 0 0 0 ) 7 SEE PART V FORM 990 2 d X

e T r a n s f e r o f a n y p a r t of i t s income o r a s s e t s ? 2 e

3 a Do y o u m a ke g r a n t s f o r s c h o l a r s h i p s , f e l l o w s h i p s , s t u d e n t l o a n s , e t c 2 I f Y e s ' a t t a c h a n e x pl a n at i o n of ho wyou d e t e r m i n e t h at r e c ip ie n t s q u a l i f y t o r e c e i v e payments 3 ab Do y o u h a v e a s e c t i o n 4 0 3 ( b ) a n n u i t y p l a n f o r y o u r employees 3 b X

4 a D i d y o u m a i n t a i n an y s e p a r a t e a c c o u n t f o r p ar t i c i pa t i n g donors where d o n o r s h a v e t h e r i g h t t o p r ov i d e a d v i ceo n t h e u s e o r d i s tr i bu t i on o f f u n d s 4 a

b Do y o u p r o v i d e c r e d i t c o u n s e l i n g , d e b t m a n a g ement c r e d i t r e p a i r o r d e b t n e g o t i a t i o n s e r v i c e s ? 4 bP o ri lV Reason f or Non- Private Foundation Status ( S e e p a g e s 3 t h r o u g h 6 o f t h e i n s t r u c t i o n s

T h e o r g a n i z a t i o n i s n o t a p r i v a t e f o u n d a t i o n b e c a u s e i t i s - ( P l e a s e c h e c k o n l y ONE a p p l i c a b l e bo x )5 A c h u r c h , c o n v e n t i o n o f c h u r c h e s , o r a s s o c i at i o n of c h u r c h e s S e c t i o n 1 7 0 ( b ) ( 1 ) ( A ) ( i )6 A s c h o o l . S e c t i o n 1 7 0 ( b ) ( 1 ) ( A ) ( n ) ( A l s o c o m p l e t e P a rt V )7 A h o s p i t a l o r a c o o p e r a t i v e h o sp it al s e rv i c e o r ga n iz a t io n S e c t i o n 1 7 0 ( b ) ( 1 ) ( A ) ( 1 1 i )8 A F e d e r a l , s t a t e , o r l o c a l government o r g o v e r n m e n t a l u n i t S e c t i o n 1 7 0 ( b ) ( 1 ) ( A ) ( v )9 A m e d i c a l r e s e a r c h o r g a n i z a t i o n o p e r a t e d i n c o n j u n c t i o n w i t h a h o s p i t a l S e c t io n 1 7 0 ( b ) (1 ) (A ) ( m ) E n t e r t h e h o s p i t a l s name, c i t y ,

an d s t a t e 1 0 An o r g a n i z a t i o n o p e r a t e d f o r t h e b e n e f i t o f a c o l l e g e o r u n i v er s it y owned o r o p e r a t e d b y a g o v e r n m e n t a l u n i t S e c t i on 1 70 ( b) ( 1 )( A )( i v )

( A l s o c o m p l e t e t h e S u p p o r t Schedule i n P a r t I V - A 1 1 a E X I An o r g a n i z a t i o n t h a t n o r m a l l y r e c e i v e s a s u b s t a n t i a l p a r t o f i t s s u p p o r t f r o m a g o v e r n m e n t a l u n i t o r f r o m t h e g e n e r a l p u b l i c

S e c t i o n 1 7 0 ( b ) ( 1 ) ( A ) ( w ) ( A l s o c o m p l e t e t h e S u p p o r t Schedule i n P a rt I V - A 1 1 b A community t r u s t S e c t i o n 1 7 0 ( b ) ( 1 ) ( A ) ( v i ) ( A l s o c o m p l e t e t h e S u p p o r t Schedule i n P a rt I V - A )1 2 An o r g a n i z a t i o n t h a t n o r m a l l y r e c e i v e s 1 ) m o re t h a n 3 3 1/3 o f i t s s u p p o r t from c o n t r i b u t i o n s , membership f e e s , a n d g r o s s

r e c e i p t s from a c t i v i t i e s r e l a t e d t o i t s c h a r i t a b l e , e t c f u n c t i o n s - s u b j e c t t o c e r t a i n e x c e p t i o n s , and 2 n o m o re t h a n 3 3 1/3 o fi t s s u p p o r t from g ro s s i n v e s t me n t income a n d u n r e l a t e d b u s i n e s s t a x a b l e income l e s s s e c t i o n 5 1 1 t a x ) f r o m b u s i n e s s e s a c q u i r e db y t h e o r ga n i za t i on a f t e r J u n e 3 0 , 1975 S e e s e c t i o n 5 0 9 ( a ) ( 2 ) ( A l s o c o m p l e t e t h e S u p p o r t Schedule i n P ar t I V - A

1 3 El An o r g a n i z a t i o n t h a t i s n o t c o n t r o l l e d b y a n y d i s q u a l i f i e d p e r s o n s o t h e r t h a n f o u n d a t i o n managers a n d s u p p o r t s o r g a n i z a t i o n s d e s c r i b e d i n 1 ) l i n e s 5 t h r o u g h 1 2 above o r 2 ) s e c t i o n 5 0 1 ( c ) ( 4 ) , 5 ) , o r 6 ) , i f t h e y meet t h e t e s t o f s e c t i o n 5 0 9 ( a ) 2 ) ( S e e s e c t i o n 5 0 9 ( a ) ( 3 )

P r o v i d e t h e f o l lo w i ng i n f o r m a t i o n a b o u t t h e s u p p o r t e d o r g a n i z a t i o n s ( S e e page 5 o f t h e i n s tr u c ti o n s L i n e n a ) Name s) o f s u p p o r t e d o r g a n i z a t i o n ( s ) ( b ) f r o m a b o

14 n o r g a n i z a t i o n o r g a n i z e d a n d o p e r a t e d t o t e s t f o r p u b l i c s a f e t y S e c t i o n 5 0 9 ( a ) ( 4 ) ( S e e p a g e 5 o f t h e i n st r uc t io n s 757957 30125A

Schedule A Form 9 90 o r 9 9 0 - E Z )8

2004.09040 CITIZENS FOR COMMUNITY VALU 30125A


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I A .S c h e d u l e A F o r m 9 9 0 o r 9 9 0 - E Z 2 0 0 4 CITIZENS FOR COMMUNITY VALUES 31 1075684PadIVA Support Schedule Complete o n l y i f you checked a box o n l i n e 1 0 , 1 1 , o r 1 2 . Use cash m et ho d o f a c c o u n t i n g .

Note: You mayuse the worksheet in the instruction fo r converting from the accrual to th cash method o f accnuntinnCalendar y e a r or f i s c a l y e a rb e g i n n i n g i n ) a ) 2003 b ) 2002 c ) 2 0 0 1 d ) 2000 e ) T o t a l15 ed D no ncludeunuuo t i s a lceivr a n t s S e e l i n e 2 8 950 565. 756 078. 830 196. 506 313. 3 043 11 6 Membership f e e s r e c e i v e d17 Gross r e c e i p t s f r o m a d m i s s i o n s ,

merchandise s ol d o r s e rv ic e sperformed o r f u r n is h i n g o ff a c i l i t i e s i n an y a c t i v i t y t h a t i sr e l a t e d t o t h e o r g a n i z a t i o n ' sc h a r i t a b l e e t c . , p u r p o s e 16 251. 26 547. 1 565.


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1S c h e d u l e A F o r m 9 9 0 o r 9 9 0 - E Z 2 0 0 4 CITIZENS FOR COMMUNITY V LUES 31 1075684 Ppa^j V Private School Questionnaire ( S e e p a g e 7 o f t h e i n s t r u c t i o n s N

To be completed ONLY by schools that checked the box on l i n e 6 i n Part I V )

29 Does t h e o r ga n iz a t io n h a v e a r a c i a l l y n o n d i s c r i m i n a t o r y p o l i c y t o w a r d s t u d e n t s b y s t a t e m e n t i n i t s c h a r t e r , b y l a w s , o t h e r g o v e r n i n gi n s t r u m e n t , o r i n a r e s o l u t i o n o f i t s g o v e r n i n g body?

30 Does t h e o r ga n iz a t io n i n c l u d e a s t a t e m e n t o f i t s r a c i a l l y n o n d i s c r i m i n a t o r y p o l i c y t o w a r d s t u d e n t s i n a l l i t s b r o c h u r e s , c a t a l o g u e s ,and o t h e r w r i t t e n communications w it h t h e p u b l i c d e a l i n g w i t h s t u d e n t a d m i s s i o n s , p r o g r a m s , a n d s c h o l a r s h i p s ?

3 1 Has t h e o r ga n iz a t io n p u b l i c i z e d i t s r a c i a l l y n o n d i s c r i m i n a t o r y p o l i c y t h r o u g h newspaper o r b r o a d c a s t m e d i a d u r i n g t h e p e r i o d o fs o l i c i t a t i o n f o r s t u d e n t s , o r d u r i n g t h e r e g i s t r a t i o n p e r i o d i f i t h a s n o s o l i c i t a t i o n p r o g r a m , i n a w ay t h a t makes t h e p o l i c y knownt o a l l p a r t s o f t h e g e n e r a l community i t s e r v e s ?I f Y e s p l e a s e d e s c r i b e , i f N o , p l e a s e e x p l a i n I f you n e e d more s p a c e , a t t a c h a s e p a r a t e s t a t e m e n t

32 Does t h e o r ga n iz a t io n m a i n t a i n t h e f o l l o w i n ga R e c o r d s i n d i c a t i n g t h e r a c i a l c o m p o s i t i o n o f t h e s t u de n t b o dy , f a c u l t y , a n d a d m i n i s t r a t i v e s t a f f ?b R e c o r d s documenting t h a t s c h o l a r s h i p s a n d o t h e r f i n a n c i a l a s s i s t a n c e a r e awarded o n a r a c i a l l y n o n d i s c r i m i n a t o r y b a s i s ?c C o p i e s o f a l l c a t a l o g u e s , b r o c h u r e s , announcements a n d o t h e r w r i t t e n communications t o t h e p u b li c d e a li ng w i t h s t u d e n t

a d m i s s i o n s , p r og r a m s, a n d s c h o l a r s h i p sd C o p i e s o f a l l m a t e r i a l u se d b y t h e o r g a n i z a t i o n o r o n i t s b e h a l f t o s o l i c i t c o n t r i b u t i o n s ?

I f you answered N o t o a n y o f t h e a b o v e , p l e a s e e x p l a i n I f y ou n e e d more s p a c e , a t t a c h a s e pa r a t e s t a t e m e nt

3 3 Does t h e o r g a n i z a t i o n d i s c r i m i n a t e b y r a c e i n a n y way w i t h r e s p e c t t oa S t u d e n t s r i g h t s o r p r i v i l e g e s ?b Admissions p o l i c i e s ?c Employment o f f a cu l ty o r a d m i n i s t r a t i v e s t a f f ?d S c h o l a r s h i p s o r o t h e r f i n a n c i a l a s s i s t a n c e ?e E d u c a t i o n a l p o l i c i e s ?f U s e o f f a c i l i t i e s ?g A t h l e t i c programs?h O t h e r e x t r a c u r r i c u l a r a c t i v i t i e s ?

I f you answered Y e s t o a n y o f t h e a b o v e , p l e a s e e x p l a i n I f y o u n e e d more s p a c e , a t t a c h a s e p a ra t e s t at e m en t . )

3 4 a Does t h e o r g a n i z a t i o n r e c e i v e a n y f i n a n c i a l a i d o r a s s i s t a n c e f r o m a g o v e r n m e n t a l agency?b Has t h e o r g a n i z a t i o n s r i g h t t o s u c h a i d e v e r b e e n r e v o k e d o r suspended?

I f you answered Y e s t o e i t h e r 3 4 a o r b , p l e a s e e x p l a i n u s i n g a n a t t a ch e d s t a t e m e n t35 Does t h e o r g a n i z a t i o n c e r t i f y t h a t i t h a s c o m p l i e d w i t h t h e a p p l i c a b l e r e q u i r e m e n t s o f s e c t i o n s 4 0 1 t h r o u g h 4 05 o f Rev P r o c 7 5 - 5 0 ,

Yes2 9

30

32a

3 3 f

33h

1975-2 C B 5 8 7 , c o v e r i n g r a c i a l n o n d i s c r i m i n a t i o n ? I t N o , a t t a c h a n e x p la na t io n 3 5 Schedule A Form 990 o r 9 9 0 - E Z

42313111 24 04 1 0

757957 30125A 2004 09040 CITIZENS FOR COMMUNITY VALU 30125A


11/21

S c h e d u l e A ( F o r m 9 9 0 o r 9 9 0 - E Z ) 2 0 0 4 CITIZENS FOR COMMUNITY VALUES 31 1075684P VI-A Lobbying Expenditures by Electing Public Charities S e e p a g e 9 o f t h e i n s t r u c t i o n s )

( T o b e c o m p l e t e d ONLY b y a n e l i g i b l e o r g a n i z a t i o n t h a t f i l e d Form 5 7 6 8 )Chark af t h e o r g a n i z a t i o n b e l o n g s t o a n a f f i l i a t e d a r o u o Check b i f y o u c h e c k e d a and l i m i t e d c o n t r o l ' p r o v i s i o n s a p p l y

a ) b )Limits on Lobbying Expenditures A f f i l i a t e d g r o u p T o b e c o m p l e t e d f o r( T h e t e r m ' e x p e n d i t u r e s means amounts p a i d o r i n c u r r e d t o t a l s e l e c t i n g o r g a n i z a t i o

N/A36 T o t a l l o b b y i n g e x p e n d i t u r e s t o i n f l u e n c e p u b l i c o p i n i o n ( g r as sr o o ts l o b b y in g ) 36 7 1137 T o t a l l o b b y i n g e x p e n d i t u r e s t o i n f l u e n c e a l e g i s l a t i v e b o d y d i r e c t l o b b y i n g ) 37 22 1 ,338 T o t a l l o b b y i n g e x p en d it u re s ( a d d l i n e s 3 6 and 3 7 ) 38 228 ,43 9 O t h e r exempt p u r p o s e e x p e n d i t u r e s 3 9 1 , 453 894 0 T o t a l exempt p u r p o s e e x p en d i tu r e s ( a dd l i n e s 3 8 a n d 3 9 ) 4 0 1 , 682 344 1 L o b b y i n g n o n t a x a b l e amount E n t e r t h e amount f r o m th e f o l l o w i n g t a b l e -

I f t h e amount on l i n e 40 i s - The l o b b y i n g n o n t a x a b l e amount i s -No t over 500,000 20 o f t h e amount on l i n e 40 Over 500,000 but n o t over 1,000,000 100,000 p l u s 15 o f t h e excess over 500,000Over 1,000,000 but not over 1,500,000 175,000 p l u s 10 o f t h e excess over 1,000,000 41 234 11Over 1,500,000 but notover 17,000,000 225,000 p l u s 5 o f t h e excess over 1,500,000Over 17,000,000 1,000,000

42 G r a s s r o o t s n o n t a x a b l e amount ( e n t e r 25 o f l i n e 4 1 ) 4 2 58 524 3 S u b t r a c t l i n e 4 2 f r o m l i n e 3 6 E n t e r - 0 - i f l i n e 4 2 i s more t h a n l i n e 3 6 4 34 4 S u b t r a c t l i n e 4 1 f r o m l i n e 3 8 . E n t e r - 0 - i f l i n e 4 1 i s more t h a n l i n e 38 4 4

C a u t i o n : I f t h e r e i s an amount on e i t h e r l i n e 43 o r l i n e 4 4 , yo u must f i l e Form 4720.

4-Year Averaging Period Under Section 501(h)(Some o r g a n i z a t i o n s t h a t made a s e c t i o n 5 0 1 ( h ) e l e c t i o n do n o t h a v e t o c o m p l e t e a l l o f t h e f i v e columns

b e l o w S e e t h e i n s t r u c t i o n s f o r l i n e s 4 5 t h r o u g h 50 o n p a g e 11 o f t h e i n s tr u c ti o n s L o b b y i n g E x p e n d i t u r e s D u r i ng 4 - Y e a r A v e r a g i n g P e r i o d

C a l e n d a r y e a r o r a ) b c ) d ) e )f i s c a l y e a r b e g i n n i n g i n ) 2004 2003 2002 2 0 0 1 T o t a l4 5 L o b b y i n g n o n t a x a b l e

a m o u n t 234 117: 168 268. 141 110. 149 841. 693 3346 L o b b y i n g c e i l i n g amount

1 5 0 o f l i n e 45e 1 040 0047 T o t a l l o b b y i n g

e x p e n d i t u r e s 228 452. 9 062. 15 570. 148 773. 401 848 G r a s sr o o t s n o n ta x a b l e

a m o u n t 58 529. 42 067. 35 278. 37 460. 173 334 9 G r a s s r o o t s c e i l i n g amount

150 o f l i n e 48 e 260 005 0 G r a s s r o o t s l o b b y i n g

e x p e n d i t u r e s 7 , 111. 0 . 1 0 217. 1 7 , 3Pam V I - E t Lobbying A c t i v i t y by Nonelecting Public Charities

F o r r e p or ti n g o n ly b y o r g a n i z a t i o n s t h a t d i d n o t c o m p l e t e P a r t V l - A ) See p a g e 1 1 o f t h e i n st r uc t i on s N/AD u r i n g t h e y e a r d i d t h e o r g a n i z a t i o n a t t e m p t t o i n f l u e n c e n a t i o n a l s t t e o r l o c a l l e g i s l t i o n i n c l u d i n g a n y a t t e m p t t o Yes No Amounti n f l u e n c e p u b l i c o p i n i o n o n a l e g i s l a t i v e m a t t e r o r r e f e r e n d u m t h r o u g h t h e u s e o f .

V o l u n t e e r sb P a i d s t a f f o r management ( I n c l u d e compensation i n e x p e n s e s r e p o r t e d o n l i n e s c t h r o u g h h . )c M e d i a a d v e r t i s e m e n t sd M a i l i n g s t o members l e g i s l a t o r s o r t h e p u b l i ce P u b l i c a t i o n s o r p u b l i s h e d o r b r o a d c a s t s t a te m e n t s

f G r a n t s t o o t h e r o r g a n i z a t i o n s f o r l o b b y i n g p u r p o s e sg D i r e c t c o n t a c t w i t h l e g i s l a t o r s t h e i r s t a f f s government o f f i c i a l s o r a l e g i s l a t i v e bodyh R a l l i e s d e m o n s t r a t i o n s s e m i n a r s c o n v e n t i o n s s p e e c h e s l e c t u r e s o r a n y o t h e r means

i T o t a l l o b b y i n g e x p e n d i t u r e s Add l i n e s c t h r o u g h h . )I f ' Y e s * t o a n y o f t h e above a ls o a tt ac h a s t a t e m e n t g i v i n g a d e t a i l e d d e s c r i p t i o n o f t h e l o b b y i n g a c t i v i t i e s

431411 2 - 2 4 0 4 Schedule A (Form 99 0 o r 9 9 0 - E Z )11



12/21

S c h e d u l e A F o r m 9 9 0 o r 9 9 0 - E Z 2 0 0 4 CITIZENS FOR COMMUNITY VALUES 31 1075684 Pp2j y[I Information Regarding Transfers To and Transactions and Relationships With Noncharitable

Exempt Organizations S e e p a g e 1 1 o f t h e i n s t r u c t i o n s 5 1 D i d t h e r e p or t i ng o r g an i z at i o n d i r e c t l y o r i n d i r e c t l y engage i n a n y o f t h e f o l lo w i n g w i th a n y o t h er o r ga n i za t i on d e s c r i b e d i n s e c t i o n

5 0 1 c o f t h e Code o t h e r t h a n s e c t i o n 5 0 1 c 3 o r g a n i z a t i o n s o r i n s e c t i o n 5 2 7 , r e l a t i n g t o p o l i t i c a l o r g a n i z a t i o n sa T r a n s f e r s from t h e r e p o r t i n g o r g a n i z a t i o n t o a n o n c h a n t a b l e exempt o r g a n i z a t i o n o f Ye s

i C a s h i i O t h er a s se t sO t h e r t r a n s a c t i o n s

i S a l e s o r exchanges o f a s s e t s w i th a n o n c h a n t a b l e exempt o r g a n i z a t i o n i i P u r c h a s e s o f a s s e t s f r o m a n o n c h a n t a b l e exempt o r g a n i z a t i o n

i i i R e n t a l o f f a c i l i t i e s e q u i p m e n t o r o t h e r a s se t s i v Reimbursement a r r a n g e m e n t s v Loans o r l o a n g u a r a n t e e s v i Performance o f s e r v ic e s o r membership o r f u n d r a i s i n g s o l i c i t a t i o n s _

S h a r i n g o f f a c i l i t i e s , equipment m a i l i n g l i s t s o t h e r a s s e t s , o r p ai d employeesI f t h e answer t o any o f t h e above i s Y e s , c o m p l e t e t h e f o l lo w i ng s c h e d u l e Column b s h o u l d a l w a y s show t h e f a i r m a r k e t v a l u e o f t h egoods o t h e r a s s e t s , o r s e rv i c es g i v en b y t h e r e p o r t i n g o r g a n i z a t i o n I f t h e o r g a n i z a t i o n r e c e i v e d l e s s t h a n f a i r m a r k e t v a l u e i n a n yt r a n s a c t i o n o r s h ar i n g a r r a n g e m e n t show i n column d t h e v a l u e o f t h e g o o d s , o t h e r a s s e t s , o r s e r v i c e s r e c e i v e d

5 1 a ia i i

b ib i ib i i ib i vb v

b v iC

N A a ) b ) c d

L i n e n o. Amount i n v o l v e d Name o f n o n c h a r i t a b l e exempt o r g a n i z a t i o n D e s c r i p t i o n o f t r a n s f e r s , t r a n s a c t i o n s , a n d s h a r i n g a r r a n g e m e

58 7 3 757957 3 125A 2 4 9 4 CITIZENS FOR COMMUNITY VALU 3 125A

5 2 a I s t h e o r g a n i z a t i o n d i r e c t l y o r i n d i r e c t l y a f f i l i a t e d w i t h o r r e l a t e d t o one o r more t a x - e x e m p t o r g a n i z a t i o n s d e s c r i b e d i n s e c t i o n 5 0 1 c o f t h eCode o t h e r t h a n s e c t i o n 5 0 1 c 3 o r i n s e c t i o n 5 79 _ es


13/21

2004 DEPRECIATION AND AMORTIZATION REPORTFORM 990 PAGE 2 990

s s tN o D e s c r i p t i o n D a t eA c q u i r e d M e t h o d L i f e L i n eNa U n a d j u s t e dC o s t O r B a s i s B u s E x c l R e d u c t i o n I nB a s i s B a si s F o rD e p r e c i a t i o n A c c u m u l a t e dD e p r e c i a t i o n C u r r e n tS e c 1 7 9 AmouD e p r e c

1 FURNITURE AND FIXTURES I S S L 10 00 16 6 643 6 643 2 1502 0FFICE EQUIPMENT VA RIESSL 5 00 16 61 786. 61 786. 33 970 9x3 LEASEHOLD IMPROVEMENTS I S SL 10.00 16 28 400. 28 400. 6 880. 2

TOTAL 99 0 PAGE 2APR 96 829. 0 96 829. 43 000. 0 13x

4281021 0 - 0 8 - 0 4 D - A s s et d i s p os e d I T C S e c t i o n 1 7 9 S a l v a g e Bonus Commercial R e v i t a l i z a t i o n Deducti16


14/21

CITIZENS FOR COMMUNITY VALUES 31-10 5

990 RENTAL INCOME STATEMENT

AND LOCATION OF PROPERTYOF OFFICE SPACE

TO FORM 990, PART I, LINE 6A

ACTIVITY GROSSNUMBER RENTAL INC

2,7

2,7

990 SPECIAL EVENTS AND ACTIVITIES STATEMENT

GROSS CONTRIBUT. GROSS DIRECT NETOF EVENT RECEIPTS INCLUDED REVENUE EXPENSES INCOM

OUTING 47,800. 47,800. 28,613. 19,1BANQUET 25,400. 25,400. 23,639. 1,7

O FM 990, PART I, LINE 73,200. 73,200. 52,252. 20,9

990 OTHER EXPENSES STATEMENT

A)

TOT L

173,667.EXPENSE 10,044.

MPUTER SUPPLIES 9,229.NTRACT SERVICES 142,077.

3,441.SUPPORT 3,669.

3,333.

6,205.EVENTS 30,829.

COURCE MATERIALS 10,134.COSTS OFEVENTS 31,849.

TO FM 990, LN 43 424,477.

B)PROGR MSERVI ES

173,667.7,326.7,442.

118,971.2,856.3,481.140.

4,235.30,829.8,772.

6,563.

C)MANAGEMENTAND GENERAL

854.1,699.7,692.551.175.

3,054.

848.

D)FUNDRAISI

1,815,4

1

1,1

1,3

25,2

364,282 14,873. 45,3

17 STATEMENT S) 1, 2757957 30125A 2004.09040 CITIZENS FOR COMMUNITY VALU 30125A


15/21

CITIZENS FOR COMMUNITY VALUES 31-10756

990 STATEMENT OF ORGANIZATION S PRIMARY EXEMPT PURPOSE STATEMENTPART III

ION

AWARENESS OF THE DESTRUCTIVE IMPACT OF OBSCENITY,AND INDECENCY.

990 STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS STATEMENT

OF PROGRAM SERVICE ONEACTION VS. PORNOGRAPHY- WORK WITH CITIZENS TO BETTER

WITH LAW ENFORCEMENT AND ELECTED OFFICIALS.SEMINARS, PROVIDE MATERIAL AND SPEAKERS TO MOBILIZE

EA AND NATIONAL RESIDENTS. BENEFITS 2-5 MILLION IN 2004.GRANTS EXPENSES

FORM 990, PART III, LINE A 55,500. 730,40

STATEMENT S) 757957 30125A 2004.09040 CITIZENS FOR COMMUNITY VALU 30125A


16/21

CITIZENS FOR COMMUNITY VALUES

EXPENSES

990 STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS STATEMENT

OF PROGRAM SERVICE TWO

EDUCATION - THROUGH CCV SPEAKERS BUREAU, PUBLICATIONSND MEDIA ADVISORIES, CCV ADDRESSES ISSUES OF PORNOGRAPHY,XUALLY ORIENTED BUSINESSES, MATERIAL HARMFUL TO CHILDREN

SEXUAL BEHAVIOR. BENEFITS OVER 5 MILLION IN 2004.

O FORM 990, PART III, LINE BGRANTS

54,250. 560,44

31-107156

990 CASH GRANTS AND ALLOCATIONS STATEMENT

DONEE S NAMEMASSACHUSETTS

FAMILY INSTITUTE

PRODIG LMINISTRIES

DONEE SDONEE S ADDRESS RELATIONSHIP381 ELLIOT ST, STE NONE130, NEWTON UPPERFALLS, MA 02164PO BOX 19949, NONECINCINNATI, OHIO45219

EQUAL RIGHTS NOT 11175 READING COMMONSPECIAL RIGHTS ROAD, SUITE 103, LEADERSHIP

CINCINNATI, OHIO

CHRISTIAN PO BOX 852, NONECOALITION OF OHIO WESTFIELD CENTER,

OHIO 44251EXODUS PO BOX 540119, COMMON BOARDINTERNATIONAL ORLANDO, FL 32854 MEMBER

FAMILY AFA OF MICHIGAN 3800 MONRIE ROAD, NONESUITE 100,MIDLAND, MI 48642

FAMILY FAMILY FIRST 645 M STREET, NONESUITE 21, LINCOLN,NE 68508

FAMILY THE CENTER FOR 11000 N NONEARIZONA POLICY SCOTTSDALE, SUITE

144, SCOTTSDALE,

50,00

1,60

50,00

1,00

2,00

5

INCLUDED ON FORM 990, PART II LINE 109,75

19 STATEMENT S) 6757957 30125A 2004.09040 CITIZENS FOR COMMUNITY VALU 30125A

MOUN

5,00

10


17/21

FOR COMMUNITY VALUES 31-107h6

FOOTNOTES

RETURN IS BEING AMENDED TO CORRECT SCHEDULE OF CONTRIBUTORS. THE PROCEEDS FROM THE SALE OF

WAS ORIGINALLY REPORTED AS BOTH A CASH AND ACONTRIBUTION.

STATEMENT S)


18/21

CITIZENS FOR COMMUNITY VALUES 31-107 5

990 NON-GOVERNMENT SECURITIES STATEMENT

OTHERPUBLICLY TOTAL

CORPORATE CORPORATE TRADED NON-GOVDESCRIPTION COST/FMV STOCKS BONDS SECURITIES SECURITIE

FMVFORM 990 LINE 54 COL B

0.0.

990 DEPRECIATION OF ASSETS NOT HELD FOR INVESTMENT STATEMENT

COST OR ACCUMULATEDOTHER BASIS DEPRECIATION BOOK VALUE

RNITURE AND FIXTURES 6 643. 2 817. 3 82EQUIPMENT 61 786. 43 750. 18 03IMPROVEMENTS 28 400. 9 720. 18 68TO FORM 990 PART IV LN 96 829. 56 287. 40 54

990 OTHER REVENUE INCLUDED ON FORM 990 STATEMENT

NATED SERVICES FOR SPECIAL EVENTSTO FORM 990 PART IV-A

AMOUNT2 792 79

990 OTHER EXPENSES INCLUDED ON FORM 990 STATEMENT

SERVICES FOR SPECIAL EVENTSTAL TO FORM 990 PART IV-B

AMOUNT2 792 79

20 STATEMENT S 8 9 10757957 30125A 2004.09040 CITIZENS FOR COMMUNITY VALU 30125A


19/21

FOR COMMUNITY VALUES

EMPLOYEETITLE AND COMPEN- BEN PLAN EXPENSAVRG HRS/WK SATION CONTRIB ACCOUNPRESIDENT40 161,142. 4,552.

990

AND ADDRESS

PART V LIST OF OFFICERS, DIRECTORS, STATEMENTTRUSTEES AND KEY EMPLOYEES

BURRESSREADING ROAD

OHIO 45241ELLISONREADING ROAD

OHIO 45241M TARKINGTON

READING ROADINCINNATI, OHIO 45241

GROSSMANN, ESQ.READING ROADOHIO 45241

EV CLYDE MILLERRE DING RO D

OHIO 45241L TRAUTH, JR., ESQ.RE DING RO D

OHIO 45241N L MBERT


H SCHROEDERREADING ROAD

OHIO 45241VAILREADING ROAD

OHIO 45241R. RONALD MEEKS


L MILLERREADING ROAD

OHIO 45241

OTALS INCLUDED ON FORM 990, PART V

BOARD MEMBER5 0

CHAIRMAN5 0

BOARD MEMBER AT LARGE5 0

BOARD MEMBER5 0

BOARD MEMBER5 0

VICE-CHAIRMAN5 0

TRE SURER5 0

SECRETARY5 0

BOARD MEMBER5 0

VICE PRESIDENT

31-107 56

0

0

0

0

0

0

0

40 70,121. 4,294.

231,263 8,846.

21 STATEMENT S)757957 30125A 2004.09040 CITIZENS FOR COMMUNITY VALU 30125A


20/21

CITIZENS FOR COMMUNITY VALUES 31-10756

HEDULE A OTHER INCOME STATEMENT

2003 2002 2001 2000ESCRIPTION AMOUNT AMOUNT AMOUNT AMOUNT

1,724. 848. 6 ,457. 7

TO SCHEDULE A LINE 1,724. 848. 6 ,457. 7

STATEMENT S)757957 30125A 2004.09040 CITIZENS FOR COMMUNITY VALU 30125A


21/21

F o r m 8868Rev. December 2004Department o f t he TreasuryI n t e r n a l Revenue Service

Application f o r Extension o f Time To F i l e anExempt Organization Return i l e a i c a t i o n f o r each r e tu r n .

OMB No . 1545-17

I f y ou are f i l i n g f o r an A u t om at i c 3-Month Extension c omplete only Part I and check t h i s bo x FX0 I f y ou are f i l i n g f o r an Additional no t automatic 3-Month Extension c omplete only Part I I o n page 2 o f t h i s f o r m ) .Do no t c omplete Part I I unless y ou have a l r e a d y been granted an automati c 3-month extension on a previously f i l e d Form 8868.Part t Automatic 3-Month Extension of Time - O nl y s u bm i t o n g i n a l n o copies neededF o r m 990 - T corporations requesting an automatic 6-month extension - check t h i s b ox a nd complete Part I o n l y A l l other corporations I n c l u d i n g Form 990-C f i l e r s m u s t u se Form 7004 t o req uest an extension o f t i m e t o f i l e i n c ome t a xr e t u r n s . P a r t n e r s h i p s , REMICs, and t r u s t s must u se Form 8736 t o request an extension o f t i m e t o f i l e Form 1065, 1 0 6 6 , o r 1 0 4 1 .Electronic F i l i n g e - f i l e . Form 8868 c an be f i l e d e l e c t r o n i c a l l y i f y ou want a 3-month automatic extension o f time t o f i l e one o f the r e t u r n s notedbelow 6 months f o r corporate Form 990-T f i l e r s . However, yo u cannot f i l e i t e l e c t r o n i c a l l y i f y ou want the a d d i t i o n a l n o t automatic 3-monthe x t e n s i o n , instead y o u m u s t submit the f u l l y completed signed page 2 P a r t I I o f Form 8868. Fo r more d e t a i l s on the e l e c t r o n i c f i l i n g o f t h i s f o r m ,v i s i t w w w . i r s . g o v / e f i l e .T y pe orp r i n tF i l e by th edue date forf i l i n g yourreturn Seeinstru ctions

Name o f Exempt Organization Employer i d e n t i f i c a t i o n num

CITIZENS FOR COMMUNITY VALUES 31 1075684Number s t r e e t a nd r o om o r s u i t e no I f a P . O . b ox , s e e i n s t r u c t i o n s .11175 READING ROAD NO. 103C i t y town o r p o s t o f f i c e s t a t e an d Z I P c o d e . F o r a f o r e i g n a d d r e s s , s e e i n s t r u c t i o n sCINCINNATI OH 45241

heck type o f return to be f i l e d f i l e a separate a p p l i c a t i o n f o r each r e t u r n ) :LJ Form 990 Form 990-T c o r p o r a t i o n Form 4720

Form 990-BL Form 990-T s e c . 4 0 1 a ) o r 40 8 a t r u s t F or m 5 227Form 990-EZ Form 990-T t r u s t other than above F or m 60 69Form 990-PF Form 1041-A F or m 887 0

The books a r e i n t he c a r e o f CHRIS KERBERT e l e p h o n e N o . 513-733-5775 FA X N o .

I f the o r g a n i z a t i o n does no t have an o f f i c e o r place o f business i n t h e United States check t h i s bo x _ I f t h i s i s f o r a Gro u p Return enter the o r g a n i z a t i o n s f o u r d i g i t Group Exemption Number GEN . I f t h i s i s f o r t h e wh o le group checkbo x I f i t i s f or p a r t o f the group check t h i s bo x nd a tt a c h a l i s t w i t h the names and EINs o f a l l members the extension w i l l c o v

request an automatic 3-month 6-months f o r a F o r m 990 - T corporation extension o f time u n t i l AUGUST 15 2005t o f i l e the exempt o r g a n i z a t i o n r e t u r n fo r the o r g a n i z a t i o n named above . T he extension i s f o r the o r g a n i z a t i o n s r e t u r n f o rOX c a l e n d a r y e a r 2 0 0 4 o r

a x yea r beginning and ending

2 I f t h i s tax year i s f o r l e s s than 12 months check reason : n i t i a l r e t u r n F i n a l r e t u r n Change i n accounting p e3a I f t h i s a p p l i c a t i o n i s f o r Form 990-BL, 990-PF, 9 9 0 - T , 4720, o r 6069 e n t e r the t e n t a t i v e t a x l e s s an y

nonrefundable c r e d i t s . S ee i n s t r u c t i o n s

b I f t h i s a p p l i c a t i o n i s f o r Form 990-PF o r 9 9 0 - T , enter an y refundable c r e d i t s an d estimatedt a x pa y ment s made. Include an y pnor year overpayment allowed as a c r e d i t

c Balance Due. Subtract l i n e 3b from l i n e 3 a . I n c l u d e your payment w i t h t h i s f o r m , or , i f r e q u i r e d , deposit w i t h FT Dc o u p on or , i f r e q u i r e d , by using E F T P S E l e c t r o n i c F e d e r a l Tax Payment System . S ee I n s t r u c t i o n s N/A

Caution I f y o u a r e going t o make an e l e c t r o n i c fund withdrawal w i t h t h i s Form 8868, see Form 8453-EO and F o rm 8 87 9- EO f or payment i n s t r u c t iLH Fo r P r iv ac y Act and Paperwork Reduction ct N o t i c e see instructions . Form 8868 Rev 12-

Citizens for Community Values IRS-990 (2004)

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Transcript of Citizens for Community Values IRS-990 (2004)