OMB No 1545-0047

2002

Open to Public

Form Return of Organization Exempt from Income Tax

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

Department at the TreasuryInternal Revenue Semce > The organization may have to use a copy of this return to satisfy state reporting requirements '"SPGCtionA For the 2002 calendar year, or tax year beginning 7 /0 1 ,2002, and endinL 6/ 30 , 2003B Check .1 apphcable "one use ' D Employer Identification Number

Address change iigrsimi EgggsESctzloglé Incé 86—0908854Name change "saga Tucson - AIZI 8 5 E Telephone numberInitial return ' 52 0 ‘32 6 ' 63 67Final return tions. F 3:71:33?“ El Cash AccrualAmended return Other (specify) ’Application pending o r:1;Lgsatnaitztaat(i:(:‘nag-,caéhnc‘lI 1§7§a§1gngnlexgmpt H andl are not applicable to section 527 organizations

(Form 990 or 990_Ez)l p e c e u e H (a) Is this a group return for al‘liliates7 DY" NoG Web site: > N/A H (b) It 'Yes.‘ enter number at affiliates ’

I ' H (C) Are all affiliates included? DY” E] NoJ gaggirfiizartliyggpe I > 501“) 3 ‘ (men no) D 4947(3)“) or EL?” (Ii 'No, attach a list See instructions)

H d Isthsase arate et rnlledb anK Check here > le the organization's gross receipts are normally not more than ( ) | p r u | y

$25,000. The organization need not file a return With the IRS, but if the organization o'gamzamn coverea bya group mung? I—IY“ m N°received a Form 990 Package in the mail, it should file a return Without finanCial data. I Enter 4-digit GEN . >some States reqUire a complete retum' M Check > le the organization is not required

L Gross receipts: Add lines 6b, 8b, 9b, and 10b to line 12 P 1 , 2 94 , 517 . ‘0 mac“ SChedUIE B (F°"" 990- 99°41 °r 990'”)Part | IRevenuefipensegLand Changes in Net Assets or Fund Balances @ee instructions)

1 Contributions, gifts. grants, and Similar amounts received:a Direct public support . . . . 1a 42, 806 .b Indirect public support .. . .... . . 1bc Government contributions (grants) . . . 1c 1 , 213 A74 .

d 13111333 't'cficash $ noncash $_) . .Program serVice revenue including government fees and contracts (from Part VII, line 93)Membership dues and assessments . . . _ ..h.Interest on savmgs and temporary cash in estmeDiVidends and interest from securities 'M’ "MAW

6a Gross rents . . . . . . Nb Less rental expenses . . . . . . 9063c Net rental income or (loss) (subtract line 6 fro _ . . . . . . . . . . .

7 Other investment income (describe . (fif‘DEN, UTAH ) 7$11) {securities (3) Other

d 1,256,280.12,007.

01ber6a6b

_RES-08C

8a Gross amount from sales of assets otherthan inventory . . . . . . 8a

b Less cost or other ba5is and sales expenses 8bc Gain or (loss) (attach schedule) . . . 8cd Net gain or (loss) (combine line 8c, columns (A) and (B)) . 8d

9 SpeCial events and actiVities (attach schedule)a Gross revenue (not including $ of contributions

reported on line 1a) . . . . .. .. . . 93b Less. direct expenses other than fundraismg expenses . . 9bc Net income or (loss) from speCIal events (subtract line 9b from line 9a) . . . . . .. 9c

10a Gross sales of inventory, less returns and allowances . . . . 10ab Less. cost of goods sold . . . . . . 10bc Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line 10a) . . . . . 10c

11 Other revenue (from Part VII, line 103) .. .. . . . . . . 11 26, 230.12 Total revenue (add lines 1d, 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11) . 12 1, 294, 517.13 Program serVices (from line 44, column (B)) ... . . . . . . 13 1 , 154 , 405.14 Management and general (from line 44, column (C)) . . . . . . . . . . . . . 14 1 62, 021 .15 Fundraismg (from line 44, column (D)) . .. ... .. . ... 1516 Payments to affiliates (attach schedule) . . . . . . . 1617 Total expenses (add lines 16 and 44, column (A)) . . . . . 17 1, 316, 426.18 Excess or (deficn) for the year (subtract line 17 from line 12) . .. . .. ... .. . 18 -21 , 909.19 Net assets or fund balances at beginning of year (from line 73, column (A)) .. . . . 19 47 , 251 .20 Other changes in net assets or fund balances (attach explanation) See Statement 1 20 12 , 452 .21 Net assets or fund balances at end of mar (combine lines 18, 19, and 20) . . . . 21 37 , 794 .

BAA For Paperwork Reduction Act Notice, see the separate instructions. TEEA0107L 09/04/02 Form 990 (2002)

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Form 990 (2002) Basis School, Inc. 86-0908854 Page 2|Part II [Statement of Functional Expenses All organizations must complete column (A). Columns (B), (C), and (D) are

requnred for section 501(c)(3) and 4) organizations and section 4947(a)(l) nonexempt charitable trusts but optional for others.

0°"glz'gfifizzéaz'izf{26241.1 (mom @5234? (2.132222% mandrast

22 Grants and allocations (att sch)(cash 3non-cash $ ) 22

23 Specmc assrstance to mdrvrduals (att sch) 2324 Benefits paId to or for members (att sch) 2425 Compensation of officers, directors, etc 25 90 , 000 . 90 , 000 .26 Other salaries and wages 26 711, 953. 699,869. 12,084.27 PenSIon plan contributions 2728 Other employee benefits 28 68, 052. 62, 764. 5, 288.29 Payroll taxes 29 61, 919. 53, 946. 7, 973.30 ProfeSSIonal fundralsmg fees 3031 Accounting fees 31 5 , 00 0 . 5 , 0 0 0 .32 Legal fees 32 1,151. 1,151.33 Supplies 33 78,914. 75,838. 3,076.34 Telephone 34

, 35 Postage and shipping 35 1 , 250. 1, 250 .l 36 Occupancy 36i 37 Equrpment rental and maintenance 37 10 , 687 . 10 , 687.l 38 Pnntmg and publications 38 9, 523 . 9, 523.l 39 Travel 39 4, 162. 4, 162 .l 40 Conferences, conventions, and meetings 40

41 Interest 41 103,905. 94,011. 9,894.42 Deprecuatron, depletion, etc (attach schedule) 42 58 , 1 1 6 . 52 , 30 4 . 5 , 8 1 2 .43 Other expenses not covered above (Itemize)

a§e_e_§t_a1:gm_egt;_2______ __ 43a 111,794. 91,301. 20,493.b_________________ __ 43bc _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 43cd_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 43de _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 43c

44 Bltaa'nl‘z’flfiiifii‘ac'oeépie'lifis Efii’lil'l‘ftszi 5533'caPrymesecotarstfinneé’n-Is ' 44 1,316,426. 1,154,405. 162,021. 0.

Joint Costs. Check ’D If you are followmg SOP 98-2Are any 10ml costs from a combined educational campaign and fundrausrng soIICItatIon reported In (3) Program servrces?If 'Yes,‘ enter (i) the aggregate amount of these Jomt costs $

’EI Yes No; (ii) the amount allocated to program serVIces

; and (iv) the amount allocated, (iii) the amount allocated to management and general $to fundralsmg $ .[Part III [Statement of Program Service AccomplishmentsWhat IS the organization's primary exempt purpose? >All organizations must describe their exempt purpose achlevements in a clear and concrse manner. State the number ofclients served ubllcatlons Issued etc.Izatlons and 4937(a)(l) nonexempt charitable trusts must also enter the amount of grants & allocations

DISCUSS achievements that are not measurable. (Section 501(c)(3) & (4) organ-0 others.)

a 13911031; i_o_n_I=1_n£1_a_f_t2691091 pgeeraes. £11a_t_<1f_fer_ 9621:3928. 2 31121.13! _____ _ ._a1 t_e_rI_Iat_iye_ 32 _t1:ad}; i_0_nel_ 9221.19 .891109131 _f9r_ 9£a_d§ _5_-1 2.-__________ _ .

Program SerVIce Expenses(Re u1red lor 501(c)(3) and

( organizations and4 7(a)?) trusts, butoptuona for others )

(Grants and allocations $ ) 1 , 154 , 405.b _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

_________________________ 7 7(G7ra7ntE EnE SilEcStBrTs7$7 7 7 7 7 7 7 7 7 7 7 7 7 7)'c _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .

________________________ 7 7(G7ra7ntZ SnE 511351612737 7 7 7 7 7 7 7 7 7 7 7 7 7)’d_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .

77777777777777777777777777 7 7(G7ra7mE eTnE 31135181275 7 7 7 7 7 7 7 7 7 7 7 7 7)‘e Other program servuces . (Grants and allocations $ )f Total of Program Service Expenses (should equal line 44, column (B), program servuces) > 1 , 154 , 405 .

BAA TEEAOI 02L 01/22/03 Form 990 (2002)

Form 990 (2002) Basis School, Inc. 86-0908854 Page3

Balance Sheets (See Instructions)

Note: Where requrred, attached schedules and amounts Within the description (A) (3)column should be for end-of—year amounts only. Beginning of year End of year

45 Cash-non-interest-bearing... . . . . .. . . .. 23,624. 45 8,523.46 Savmgs and temporary cash investments 46

47a Accounts receivable . 47a 31 , 688 . > Wb Less: allowance for doubtful accounts . . . . . . . . . . . 47b 47c 31 , 688 .

48a Pledges receivable. . . . 48ab Less allowance for doubtful accounts 48b 48c

49 Grants receivable . . . . . . 49 33 , 552 .

A 50 Receivables from officers, directors. trustees, and key2 employees (attach schedule) . . . . . . . . . 50e 51 a Other notes & loans receivable (attach sch) 51 as b Less: allowance for doubtful accounts . . . . 51 b 51c

52 Inventories for sale or use . . . . . 5253 Prepaid expenses and deferred charges. . . 53 2 , 040 .54 Investments - securities (attach schedule) >|:| Cost El FMV 5455a Investments — land, bUIldings, & eqUIpment: ba5is 55a

b Less: accumulated depreCIation —~(attach schedule) . . . . . . . . . . . . . . 55b 55c

56 Investments — other (attach schedule) . . . . . . . . . . . . . . 5657a Land, bu1ldings, and equipment. basrs .. . . 57a 1 , 290, 608.

b Less accumulated depreCIation we ~(attach schedule) Statement 3 57b 169,681. 1,144,339. 57c 1,120,927.

58 Other assets (describe > ) 5859 Total assets (add lines 45 through 58) (must equal line 74) l , 167 , 963. 59 1 , 196, 730.

60 Accounts payable and accrued expenses . . .. . .. *8 , 862 . 60 36, 864.

L 61 Grants payable . . . . . . 61a 62 Deferred revenue . . . . . 62i 63 Loans from officers, directors, trustees, and key employees (attach schedule) 631 64a Tax-exempt bond liabilities (attach schedule) 64aIIE b Mortgages and other notes payable (attach schedule) . . . . 64b5 65 Other liabilities (describe > See Statement 4 ) 1 , 129, 574. 65 1, 122 , 072.

66 Total liabilities (add lines 60 through 65) ... . l , 120, 712. 66 1 , 158 , 936 .N Organizations that follow SFAS 117, check here > and complete lines 67g through 69 and lines 73 and 74 _

A 67 Unrestricted 47, 251 . 67 37 , 274 .g 68 Temporarily restricted 68 520 .g 69 Permanently restricted . . . . . . . . . . . . . . . 698 Organizations that do not follow SFAS 117, check here > E] and complete lines

70 through 74. 7Q 70 Capital stock, trust prinCIpal, or current funds . .. . . . .. . . 70z 71 Paid‘in or capital surplus, or land, building, and equment fund 71f 72 Retained earnings, endowment. accumulated income, or other funds . . 72

g 73 Total net assets or fund balances (add lines 67 through 69 or lines 70 through v Ag 72, column (A) must equal line 19, column (B) must equal line 21) 47, 251. 73 37 , 794.

74 Total liabilities and net assets/fund balances (add lines 66 and 73).. 1 , 167 , 963. 74 1, 196, 730.

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

BAA

TEEAO‘I 03L 09/04/02

Form 990 (2002) Basis School, Inc. 86-0908854 Page4

IPart lV-A [Reconciliation of Revenue er Audited Part IV-B [Reconciliation of Expenses per AuditedFInancral Statements WIth evenue FInanCIal Statements with Expensesper Return (See Instructions.) per Return

a Total revenue, mm, and other support a Total expenses and losses per audItedper mm fInanCIal statements a 1, 294, 517. Manual statements . . . . > a 1, 316, 426.

b Amounts Included on Me a but b Amounts Included on Me a but notnot on NM 12, Form 990. on me 17, Form 990:

(1) Net unreaIIzed (1) Donated serv-gaIns on Ices and useInvestments $ of faCIlItIes $

(2) Donated serv- (2) PW year adlust-Ices and use ments re orted onof faCIlItIes S Ma 20, orm 990 . $

(3) Recovenes of prIor (3) Losses reported onyear grants Me 20, Form 990 . $

l (4) Other (speCIfy): (4) Other (speCIfy):

l _______ _.$ , _--- - 2:22:23 , ,‘ Add amounts on “ms (1) through (4) > b Add amounts on “ms (1) through (4) . > b

c LIneamInusllneb ’ c 1,294,517. c LIneamInuslIneb. > c 1,316,426.

d Amounts Included on Me l2, d Amounts Included on Me 17,Form 990 but not on Me a: Form 990 but not on [me a:

(1) Investment expenses (1) Investment expensesnot Included on We not Included on Me6b, Form 990 $ 6b, Form 990

(2) Other (speCIfy)' (2) Other (speCIfy).

_______ __$ _g _________$Add amounts on lInes (1) and (2) > (I Add amounts on lInes (1) and (2) > d

e Total revenue per Me 12, Form e Total expenses per Me 17, Form990 (lInecplus lIne d) .. . e 1,294,517. 990 (IInecplus IIne d) e 1,316,426.

[Part V JLiSt of Officers, Directors, Trustees, and Key Employees (LIst each one even If not compensated, see InstructIons)(B) True and average hours (C) CompensatIon (D) ContrIbutIons to (E) Expense

w and address marge“ “newss- possesses; “amaze”compensatIon

_oggA_ y._ _BLQC_K__________ _ _ Executive Direc 90,000. 0. o._61 go_ QA_I._L§_D_E_QA_L_II:S_0____ _ _ 45 hrs/weekTUCSON, AZ 85718

_Mggagxgg _K_. _B_L9§K_ _______ _ _ Secretary 0. 0 . 0.

_64 10_ A]; _CALL_E_QE_ _CAL_I§S_O_ _ _ _ 1 0 hrs/weekTUCSON, AZ 85718

_LglflI_S_g._ §QL_M911 ________ _ _ 0. 0. 0.

.32 I: .55»; _v;@513. 1391.0.- _#_1:1 _ _ NoneSANTA MONICA, CA 90402

75 DId any officer, dIrector, trustee, or key employee recere aggregate compensatlon of morethan $100,000 from your organIzatIon and all related organIzatIons, of mm more than$10,000 was prOVIded by the related organIzatIons?. . . .. . . ...... . > DYes No

If 'Yes,‘ attach schedule — see InstructIons.BAA Form 990 (2002)

TEEAOIML 01/22/03

Form 990 (2002) Basis School, Inc. 86-0908854 Page 5[Part VI [Other Information (See Instructions) Yes No

76 DId the organlzatIon engage In any actIVIty not prevrously reported to the IRS? If 'Yes,‘ » ~attach a detaIled descnptIon of each actIvrty ...... . . .. . . . . . . . . . . . 76 X

77 Were any changes made In the organrzrng or governIng documents but not reported to the IRS? . 77 XIf 'Yes,‘ attach a conformed copy of the changes.

78a DId the organIzatIon have unrelated busmess gross Income of $1,000 or more durIng the year covered by thIs return? 783 Xb If 'Yes,' has It filed a tax return on Form 990-T for Ms year? .. . 78b N A

79 Was there a quurdatIon, dIssolutIon, termInatIon, or substantIal contractIon durIng theyear? If 'Yes,‘ attach a statement . . . . . 79 X

80a Is the organIzatIon related éother than by assocIatIon WIth a statewrde or natIonwrde organIzatIon) through commonmembershIp, governIng bo Ies, trustees, offIcers, etc, to any other exempt or nonexempt organIzatIon?. . . 80a X

b If 'Yes,’ enter the name of the organIzatIon > _NZA _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ and check whether It Is U exempt or E nonexempt81 a Enter dIrect or IndIrect polltIcal expendItures. See |Ine 81 InstructIons. . . . . . 81 a 0 7

b DId the organIzatIon file Form 1120-POL for thIs year? . . 81 b X

82 a DId the or anIzatIon recere donated serVIces or the use of materIals, eqUIpment, or faCIlItIes at no charge or at h 7substantIa ly less than faIr rental value? . . . . .. . . . ...... . .... . . 82a X

b If 'Yes,‘ you may IndIcate the value of these Items here. Do not Include thIs amount asrevenue In Part I or as an expense In Part II. (See InstructIons In Part III.) 82b N/A

833 Old the organIzatIon comply wrth the publIc InspectIon reqwrements for returns and exemptIon appIIcatIons? . . . 83a X

b DId the organIzatIon comply wrth the dIsclosure requrrements relatIng to quId pro quo contrIbutIons? 83b X

84a DId the organIzatIon what any contrIbutIons or ngts that were not tax deducthle? . . . . . . . . 84a X

b If 'Yes,’ dId the organrzatIon Include WIth every solICItatIon an express statement that such contrIbutIons or ngts werenot tax deducthle. . .. . . . . .. . ... . . . . . 84b N VA

85 501(c)(4), (5), or (6) organrzatrons. a Were substantIally all dues nondeducthle by members? 85a N A

b DId the organIzatIon make only In-house lobbyIng expendItures of $2,000 or less? . . . .. . . . . . 85b N A

If 'Yes' was answered to eIther 85a or 85b, do not complete 85c through 85h below unless the organIzatIon recered awaIver fOr proxy tax owed for the prIor year.

c Dues, assessments, and SImIlar amounts from members 85c N/A

d SectIon 162(e) lobbyIng and polItIcal expendItures . 85d N/A

e Aggregate nondeductrble amount of sectIon 6033(e)(1)(A) dues notIces 85e N/A

t Taxable amount of lobbyIng and poIItIcal expendItures (lIne 85d less 85e) . . 85f N/A

9 Does the organIzatIon elect to pay the sectIon 6033(e) tax on the amount on Me 85f? . . 859 N A

h It sectIon 6033(e)(1)(A) dues notIces were sent does the organIzatIon agree to add the amount on Me 851 to Its reasonable estImate ofdues allocable to nondeducthle lobbyIng and poIItIcaI expendrtures for the followmg tax year7 85h N A

86 501(c)(7) organizatrons. Enter: a lnItIatIon fees and capItal contrIbutIons Included onIIne12 . . 86a N/A

b Gross receIpts, Included on Me 12, for publIc use of club faCIlItIes 86b N/A

87 501 (c)(12) organizations. Enter: a Gross Income from members or shareholders 87a N/A

bGross Income from other sources. (Do not net amounts due or mm to other sources IagaInst amounts due or recered from them.).... . . .. . . . 87b N/A 1

88 At any tIme durIng the year, dId the organIzatIon own a 50% or greater Interest In a taxable corporatIon or partnershIp,or an entIty dIsregarded as separate from the organlzatIon under RegulatIons sectIons 301.7701-2 and 301.7701-3?lf'Yes,'completeParth. . .... . .. . .. . . 88 X

89a 501(c)(3) organIzatIons Enter: Amount of tax Imposed on the organIzatIon durIng the year under.

sectIon 4911 > 0 . ; sectIon 4912 > 0 . ; sectIon 4955 > 0 . V

b 501(c)(3) and 501(c)(4) organizations. DId the organIzatIon engage In an sectIon 4958 excess benefIt transactIondurIng the year or dId It become aware of an excess benefIt transactIon rom a prIor year? If 'Yes,‘ attach a statementexplaInIng each transactIon . . . . . .. . . . . . . 89b X

c Enter. Amount of tax Im osed on the or anIzatIon managers or dIsquaIIerd persons durIng theyear under sectIons 491 .4955, and 49 8 . . . . .. .... .... ’ 0 .

d Enter: Amount of tax on Me 89c, above, reImbursed by the organIzatIon > 0 .

90a LIst the states WIth mm a copy of Ms return Is fIled > _ABI_Z_0NA _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

b Number of employees employed In the pay perIod that Includes March 12. 2002 (See InstructIons.) . .. 90b 0

91 The books are In care of > _0_lgat_ y._ _Blggk___________ __ Telephone number > _52 9:32 _6_-__6§ Q7______ __

Located at > _3_82_5_ §._ _ZLIQ _S_tr.;e_et: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ZIP + 4 ’ _8_511_8_ _ _ _ _ _

92 Section 4947(a)(l) nonexempt charitable trusts filing Form 990 In lieu of Form 1047 — Check here . N/A >

and enter the amount of tax-exempt Interest recered or accrued durIng the tax year . . >l 92 I N/A

BAATEEAOlOSL owzzroa

Form 990 (2002)

Form 990 (2002) Basis School, Inc. 86-0908854 Page6I Part VII [Analysis of Income-Producing Activities (See instructions.)

Note: Enter gross amounts unless A (Botherwrse‘indicated.

93 Program serVice revenue:a EXTRACURRICULAR ACTIV

s Unrelated busmess income Excluded by section 512, 513, or 514(D)

Amount

(E)Related 0r exempt( ) (C)

Busmess code Amount EXCIUSIOI‘I code function income

12,007.bCdef Medicare/Medicaid payments . . . . .9 Fees & contracts from government agenCies

94 Membership dues and assessmentsInterest on savmgs & temporary cash invmnts

96 DiVidends & interest from securities .97 Net rental income or (loss) from real estate:

a debt-financed propertyb not debt-financed property

Net rental income or (loss) from pers prop . .Other investment incomeGain or (loss) from sales of assetsother than inventory. . . . .Net Income or (loss) from special eventsGross profit or (loss) from sales of inventoryOther revenue: 3

bSeeJLatement 5

95

9899

100

101102103

Cde

104 Subtotal (add columns (B), (D), and (E))105 Total (add line 104, columns (B), (D), and (E)) . ’

Note: Line l05 plus line 1d, Part I, should equal the amount on line 72, Part I.[Part Vlll Relationship of Activities to the Accomplishment of Exempt Purposes (See instructions)

Line "0- Explain how each actiVity for which Income is reported in column (E) of Part VII contributed importantly to the accomplishmentv of the organization's exempt purposes (other than by prowding funds for such purposes).

93A Extracurricular Activities Fees Tax Credit revenue raised in conjunction withArizona Revised Statutes Section 43-1089.01.

[Part IX Information lLeggding Taxable Subsidiaries and Disregarded Entities (See instructions.)

(A) (B) (C) (D) (E)

Name, address, and EIN of corporation, Percentage of Nature of actwmes Total End-of-yearpartnership, or disregarded entity ownership interest income assets

N/A %%%%

Part X I Information Regarding Transfers Associated with Personal Benefit Contracts (See instructions.)

a Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contrath Yes No

b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? NoYes

Note: If 'Yes' to (b), file Form 8870 and Form 4720 (see Instructions).Under penalties f periury. Igeclare that I have examined this return. including accompan ing schedules and statements, and to the (best of my knowledge and belief, it istrue. correct a comple e e ge I1/ cl/ ation of preparer (other than officer) is has d on all inf rmation of which preparer has any knowle

Please ’ 17).. | NM 5, 2099‘;Signature Sibflicer Date I

Here ’ OLGA v. BLOCK. Executive DirectorType or print name and title

- Date Check If Prepar r's SSN or PTIN (seeP Preparer‘s _ Genera InstructionW)

a: » ill-«ind list, , x. . m. ,g/s/a 2::me .

arer's Firm's name (or HEi £81 , MEGCh & COse twilpioyeo p 6740 North Oracle Rd. Ste. 100 cm > | 86'0559065

Only if???“ Tucson, AZ 85704 phoneno > (520) 742-2611

BAA TEEA0106L 10/10/02 Form 990 (2002)

SCHEDULE A(Form 990 or 990-EZ)

Department of the Treasurylnlernal Revenue Sewice

Organization Exempt UnderSection 501(c)(3)

(Except Private Foundationgand Section 501(e), 501(0, 501(k),501(n), or Section 4947(a 1) Nonexempt Charitable Trust

Supplementary Information — (See separate instructions.)> MUST be completed by the above organizations and attached to their Form 990 or 990-EZ.

OMB No 1545-0047

2002

Name of the organization

Basis School, Inc.

(See instructions. List each|Part I I Compensation of the Five Highest Paid Employees Other Than Officers,

one If there are none, enter 'None ')

Employer identification number

86-0908854Directors, and Trustees

(a) Name and address of eachemployee gaid more

than $ 0,000

(b) Title and averagehours per week

devoted to posmon

(c) Compensation (d) Contributionsto employee benefitplans and deferred

compensation

(e) Expenseaccount and other

allowances

Total number of other employees paidover $50,000 0

Part II I Compensation of the Five Highest Paid Independent Contractors for Professional Services(See instructions List each one (whether indiVIduals or firms). if there are none, enter 'None.')

(a) Name and address of each independent contractor paid more than $50,000 (b) Type of serVice (c) Compensation

_.——_____.__________——.

Total number of others receivmg over$50,000 for professwnal serVicesBAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 and Form 990-EZ.

TEEA040'I L 01/22/03

Schedule A (Form 990 or 990-EZ) 2002

Schedule A (Form 990 or 990-EZ) 2002 Basis School , Inc . 8 6-0 908854 Page 2

Part III Statements About Activities (See instructions.) Yes No

1 During the year, has the organization attempted to influence national, state, or local legislation, including any attemptto influence public opinion on a legislative matter 0r referendum? If 'Yes,‘ enter the total expenses paidor incurred in connection With the lobbying activmes > $ N/A(Must equal amounts on line 38, Part Vl-A, or line i of Part Vl-B.) . . . . . . . . . . . . . . . . . . . .. . 1 X

Organizations that made an election under section 501(h by filin Form 5768 must complete Part Vl-A. Otherorganizations checking 'Yes,‘ must complete Part Vl-B A D attac a statement giVing a detailed description of thelobbying actiwties

2 During the year, has the organization, either directly or indirectly, engaged in any of the followmg acts With anysubstantial contributors, trustees, directors, officers, creators, key em loyees, or members of their families, or With anytaxable organization With which any such person is affiliated as an o icer, director, trustee, maiority owner, or prinCIpal ,benefiCIary? (If the answer to any question is 'Yes,‘ attach a detailed statement explaining the transactions ) ’

aSale, exchange. or leasmg of property? . . . . . . . .. . . . . . . 2a X

b Lending of money or other extenSion of credit? . . .. . .. . . . . . . 2b X

cFurnishing of goods, serVIces, or faCIlities? . . . .. . . . . . .. . .. . 2c XSee Form 990, Part V

d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)? . . . 2d X

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

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

4 Do you have a section 403(b) annUIty plan for your employees? . . . . . . . . . . .. 4 X

Note: Attach a statement to explain how the organization determines that Il'lleldua/S or organizations receivrnggrants or loans from it in furtherance of its charitable programs 'qualify' to receive payments.

Part IV Reason for Non-Private Foundation Status (See instructions.)

The organization is not a private foundation because it is: (Please check only ONE applicable box )5 I A church, convention of churches, or assooation of churches. Section 170(b)(l)(A)(i).

6 A school. Section 170(b)(1)(A)(ii). (Also complete Part V.)7 I A hospital or a cooperative hospital servrce organization. Section 170(b)(l)(A)(iii).

8 I A Federal, state, or local government or governmental unit. Section l70(b)(l)(A)(v).

9 I A medical research organization operated in conjunction With a hospital. Section l70(b)(l)(A)(iii). Enter the hospital's name, city,

and state > _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

10 I3 An organization operated for the benefit of a college or univerSity owned or operated by a governmental unit. Section 170(b)(l)(A)(iv)(Also complete the Support Schedule in Part NA)

11 a [I An organization that normally receives a substantial part of its supgort from a governmental unit or from the general public.Section 170(b)(l)(A)(VI). (Also complete the Support Schedule in art lV-A.)

11 b E] A community trust Section l70(b)(1)(A)(Vi). (Also complete the Support Schedule in Part WA)

12 [:1 An organization that normally receives (1) more than 33-1l3% of its support from contributions, membership fees, and gross receiptsfrom actIVIties related to its charitable, etc. functions — sub ect to certain exceptions, and (2) no more than 33-1l3% of its supportfrom gross investment income and unrelated busmess taxa Ie income (less section 511 tax) from busmesses acqwred by theorganization after June 30, 1975. See section 509(a)(2). (Also complete the Support Schedule in Part lV-A)

13 E] An or anization that is not controlled by any disqualified ersons (other than foundation managers) and supports organizationsdes‘cri e503}: )Ii)nes 5 through 12 above; or (2) section 01(c)(4), (5), or (6), if they meet the test of section 509(a)(2). (Seesec ion a .

Prowde the followmg information about the supported organizations. (See instructions.)

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

14 [-1 An organization organized and operated to test for public safety. Section 509(a)(4). (See instructions.)

TEEAMOZL 01/22/03 SChedUIe A (Form or Form

Schedule A (Form 990 or 990-EZ) 2002 Basis School , Inc . 86-0908854 Page 3[Part IV-A [Support Schedule (Complete only If you checked a box on Me 10, 11, or 12.) Use cash method ofaccounting.Note: You may Use the worksheet In the Instructions for converting from the accrual to the cash method of accounting.

Calendahyear (or fiscal year a b) c d ebeginning in) > 2031 2000 1999 13338 Tgt)al

15 GIfts, grants, and contrIbutIonsrecered Do not Includeunusual gsants. See Me 28). N/A

16 MembershIp fees recered

17 Gross receIpts from admIssrons,merchandIse sold or serVIces performed,or furnIshIng of faCIIItIes In any actIVItythat Is related to the organIzatIon'schantable, etc, purpose

18 Gross Income from Interest, dIVIdends,amounts named from payments onsecurItIes loans (sectIon 512(a)(5)),rents, royaItIes, and unrelated busmesstaxable Income (less sectron 511 taxes)from busmesses achIred by the organ-IzatIon after June 30, 1975 . .

19 Net Income from unrelated busmessactIVItIes not Included In Me 18 .

20 Tax revenues leVIed for theor anIzatIon's benefit anded er ad to It or expendedon Its ehalf

21 The value of serVIces orfaCIlItIes furnIshed to theorganIzatIon by a governmentalunIt wrthout charge Do notInclude the value of serVIces orfaCIlItIes generally furnIshed tothe publrc WIthout charge

22 Other Income. Attach aschedule Do not IncludegaIn or (loss) from sale ofcapItaI assets

23 Total of “ms 15 through 2224 LIne 23 mInus Me 1725 Enter 1% of Me 2326 Organizations described on lines 10 or 11: a Enter 2% of amount In column (e), lIne 24 N/A . > 26a

b Prepare a “st for your records to show the name of and amount contnbuted by each person (other than a governmental wt or publIclysupported organIzatIon) whose total mm for 1998 through 2001 exceeded the amount shown In Me 263 Do not file this list with your areturn. Enter the total of all these excess amounts . .. . . . . . . . .. . . . . . . > 26b

c Total support for sectIon 509(a)(1) test: Enter Me 24, column (e). . . . . . . > 26c(.1 Add: Amounts from column (e) for lines. 18 19 7

22 26 b 26d

e PubIIc support (lIne 26c mInus lIne 26d total) .. . . . . > 26e

1 Public support percentage (line 26e (numerator) divided by line 26c (denominator)) . . . > 261 %27 Organizations described on line 12: N/A

a For amounts Included In lInes 15, 16, and 17 that were recered from a 'dIsqualIerd person,‘ prepare a IIst for your records to show thename of, and total amounts recered In each year from, each 'dIsqualIerd person.‘ 00 not file this list with your return. Enter the sum ofsuch amounts for each year:(2001) _ _ _ _ _ _ _ _ _ _ _ _ (2000) _ _ _ _ _ _ _ _ _ _ _ _ (1999) _ _ _ _ _ _ _ _ _ _ __ _ (1998) _ _ _ _ _ _ _ _ _ _ _ _ _

bFor any amount Included In Me 17 that was recered from each person (other than 'dIsquaIIerd persons'), prepare a “st for your records toshow the name of, and amount recered for each‘year, that was more than the larger of (1) the amount on Me 25 for the year or (2)$5,000. (Include In the “st organIzatIons descrIbe In lInes 5 through 11, as well as IndIVIduals.) Do not tile this list with your return. AftercomputIng the dIfference between the amount recered and the larger amount descnbed In (1) or (2), enter the sum of these drfferences(the excess amounts) for each year:(2001) _ _ _ _ _ _ _ _ _ _ _ _ (2000) _ _ _ _ _ _ _ _ _ _ _ _ (1999) _ _ _ _ _ _ _ _ _ _ _ _ (1998) _ _ _ _ _ _ _ _ _ _ _ _ _

c Add: Amounts from column (e) for Mes: 15 1617 20 21 27c

(1 Add: LIne 273 total and Me 27b total 27d

e PublIc support (IIne 27c total mInus IIne 27d total) . . . . . . . . . ’ 27et Total support for sectron 509(a)(2) test: Enter amount from Me 23, column (e) >I 27f I 7 7 7 i ,

g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) .. > 27g %

h Investment income percentage (line 18, column (e) (numerator) divided by line 271 (denominator)) > 27h %

28 Unusual Grants: For an organIzatIon descrIbed In Me 10, 11, or 12 that recered any unusual grants durIng 1998 throu h 2001, pre are alIst for your records to show, for each year, the name of the contnbutor, the date and amount of the grant, and a brIef escrIptIon o thenature of the grant. Do not file this list with your return. Do not Include these grants In Me 15. N/A

BAA TEEA0403L 08/12/02 Schedule A (Form 990 or 990-EZ) 2002

Schedule A (Form 990 or 990-EZ) 2002 Basis School , Inc . 86-0908854 Page 4[Part V [Private School Questionnaire (See instructions.)

(To be completed ONLY by schools that checked the box on line 6 in Part IV)

. Yes No

29 Does the organization have a raCIally nondiscriminatory policy toward students by statement in its charter, bylaws,other governing instrument, or in a resolution of its governing body? . . . . . 29 X

30 Does the organization include a statement of its raCIally nondiscriminato policy toward students in all its brochures,catalo ues, and other written communications With the public dealing Wit student admisswns, programs,andsc olarships?. 30 X

31 Has the organization pubIICIzed its raCIally nondiscriminatory policy through newspaper or broadcast media durinthe period of solicnation for students, or during the registration period if it has no soIICItation program, in a way t at 7makes the policy known to all parts of the general community it serves? . . .. . . 31 XIf 'Yes,‘ please describe, if 'No,‘ please explain. (If you need more space, attach a separate statement )

32 BéEiEe'oEZrizStBri'nKai-néifi In; iBiEiiZii—g.‘ """""""""""""""""""""" ' ‘a Records indicating the meal composnion of the student body, faculty, and administrative staff? 32a X

b Records documenting that scholarships and other finanCIal aSSistance are awarded on a raCIallynondiscriminatory ba5is? .. . .. . ...... .. . . . . . . . . .. 32b X

c Coplies of all catalogues, brochures, announcements, and other written communications to the public dealingWit student admissmns, programs, and scholarships? . . . . . . . .. ... . . . . . .... . 32c X

dCopies of all material used by the organization or on its behalf to solicn contributions? 32d X

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

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

a Students' rights or priVileges? . . . . . . . . . 33a X

b Admisswns poliaes? 33b X

c Employment of faculty or administrative staff? 33c X

d Scholarships or other finanCIal aSSistance? 33d X

e Educational poliCIes? .. . .. 33e X

f Use of facmties? 33f X

9 Athletic programs? . . . . . 339 X

h Other extracurricular actIVIties? 33h X

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

343 Does the organization receive any finanCial aid or a55istance from a governmental agency? 34a X

b Has the organization's right to such aid ever been revoked or suspended? . . See. .Statement; 6 34b XIf you answered 'Yes' to either 34a or b, please explain usmg an attached statement.

35 Does the organization certify that it has com lied With the abpgplicable requnements ofsections 4.01 throu h 4 05 of Rev Proc 75-5 , 1975-2 CB. 7, covering raCialnondiscrimination? f 'No,’ attach an explanation. . . . . 35 X

BAA TEEA0404L 01/24/03 Schedule A (Form 996 or 990-EZ) 2002

Schedule A (Form 990 or 990-EZ) 2002 Basis School, Inc. 86-0908854 Page 5[Part Vl-A ILobb in Ex enditures b Electin Public Charities s t t

(To be¥on§plete§ ONLY by an ellgible orgagiization that filed Form(5%g8')ns me long) N/A

Check > _a fill the organization belongs to an affiliated group. Check > b m if you checked 'a' and 'limited control“ prowsmns apply.

Limits on Lobbying Expenditures

(The term 'expenditures' means amounts paid or Incurred )

(a)Affiliated group

totals

(b)To be completedfor ALL electing

organizations36 Total lobbying expenditures to influence public opinion (grassroots lobbying) . . . . . . 3637 Total lobbying expenditures to influence a legislative body (direct lobbying) 3738 Total lobbying expenditures (add lines 36 and 37) 3839 Other exempt purpose expenditures . . 3940 Total exempt purpose expenditures (add lines 38 and 39) 4041 Lobbying nontaxabte amount. Enter the amount from the followmg table —

If the amount on line 40 is — The lobbying nontaxable amount is —Not over $500,000. . . .. . .. 20% of the amount on line 40Over $500,000 but not over $1,000,000 . . . . . . $100,000 plus 15% of the excess over $500,000 a v 7 V 7 HOver $1,000,000 but not over $1,500,000 . . . . . . $175,000 plus 10% of the excess over $1,000,000 41Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000Over $17,000,000. . . ... . . . . . . $1,000,000. _ V v

42 Grassroots nontaxabte amount (enter 25% of line 41) 4243 Subtract line 42 from line 36. Enter -0- if line 42 is more than line 36 4344 Subtract line 41 from line 38. Enter -0- if line 41 IS more than line 38 . . .. . . . 44

Caution: If there IS an amount on either line 43 or line 44, you must file Form 4720

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

See the instructions for lines 45 through 50.)

Lobbying Expenditures During 4 -Year Averaging Period

Calendar year (a) (b) (c) (d) (e)(0r {ISCFI Y?“ 2002 2001 2000 1999 Totalbeginning in) >

45 Lobbying nontaxabteamount

46 Lobbying ceiling amount(150/o of line 45(e)). . .

47 Total lobbyingexpenditures

48 Grassroots non-taxabte amount

49 Grassroots ceiling amount(150% of line 48(e))

50 Grassroots lobbyingexpenditures

IPad Vl-B ILobbying Activity by Nonelecting Public Charities(For reporting only by organizations that id not complete Part Vl-A) (See instructions ) N/A

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

a Volunteersb Paid staff or management (Include compensation in expenses reported on lines c through h.)c Media advertisements . . .d Mailings to members, legislators, or the publice Publications, or published or broadcast statementsf Grants to other organizations for lobbying purposes . .9 Direct contact With legislators, their staffs, government offICIals, or a legislative body . . . . . . . . . . .h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other meansi Total lobbying expenditures (add lines c through h.)

If 'Yes' to any of the above, also attach a statement givmg a detailed description of the lobbying activrties.BAA

TEEA0405L 08/12/02

Schedule A (Form 990 or 990-EZ) 2002

Schedule A (Form 990 or 990-EZ) 2002 Basis School, Inc. 86-0908854 Page 6

IPart Vll [Information Regarding Transfers To and Transactions and Relationships With NoncharitableExempt Organizations (See Instructions)

51 Old the reporting or anIzatIon directly or IndIrectIy engage In any of the followmg WIth any other organIzatIon descrIbed In sectIon 50l(c)of the Co e (other t an sectIon 501(c)(3) organIzatIons) or In sectIon 527, relatIng to polrtlcal organIzatIons?

a Transfers from the reportIng organIzatIon to a nonchantable exempt organIzatIon of:(i)Cash . .

(ii)Other assetsb Other transactlons:

(i)Sales or exchanges of assets wrth a nonchantable exempt organIzatIon(ii)Purchases of assets from a nonchantable exempt organlzatIon(Iii)Rental of faCIIItIes, eqqument, or other assets(iv)ReImbursement arrangements(v)Loans or loan guarantees

Yes No. . . . . . . . . . . . . . .. . . 51a X

. . . . . . . . . a X

(vi)Performance of servrces or membershlp or fundrarsrng so|ICItatIons .c Shanng of faCIlItIes, eqqument, maIIIng IIsts, other assets, or paId employees . .. cd If the answer to

><><><><><><><should alwa 5 show the fan market value of

receive less than faIr market value Inassets or servrces recered:

of the above Is 'Yes,‘ completeb the

schedule Column (bts, or servrces lf thethe oods, other .

ransactron or show In va of the

(a)Um no.

N

) c) «0Amount Involved Name of nonchantable exempt organIzatIon DescrIptIon of transfers, transactIons, and shanng arrangements

52a Is the organIzatIon dIrectIy or IndIrectl affIlIated wnth, or related to, one or more tax-exempt organIzatIonsdescrIbed In sectIon 501(c) of the Co e (other than sectIon 501(c)(3)) or In section 5277 . . >|:]Yes No

b If 'Yes ' te the follow schedule.

(a) (b) (cName of organIzatIon Type of organIzatIon DescrIptIon o relationshIp

N A

BAA TEEA0406L 08/12/02 Schedule A (Form 990 or 990-EZ) 2002

2002 , Federal Statements Page 1

Client BASIS Basis School, Inc. 86-0908854

5/03/04 03 12PM

Statement 1Form 990, Part I, Line 20Other Changes in Net Assets or Fund Balances

ADJUSTMENT FOR ACCRUAL BASIS ACCOUNTING $ 12 452.Total S 12, 452.

Statement 2Form 990, Part II, Line 43Other Expenses

(A) (B) (C) (D)Program Management

Total Services & General Fundraising

ADVERTISING 1, 622. 1, 622.INSURANCE 12,501. 12,501.INTERNET SERVICES 1,169. 1,169.MISC. PURCHASED SERVICES 75,082. 63,270. 11,812.UNCAPITALIZED CAPITAL EXPENSES 5,890. 5,890.UTILITIES 15,530. 15,530.

Total 3 111,794. $ 91,301. $ 20,493. $ 0.

Statement 3Form 990, Part IV, Line 57Land, Buildings, and Equipment

Accum. BookCategorv Basis Deprec, yalue

Machinery and Equipment $ 180,435. $ 27,114. $ 153,321.Buildings 948,741. 142,567. 806,174.Land 157,637. 157,637.Miscellaneous 3,795. 0 3,795.

Total $ 1 290 608. $7 169,681: $ 1,120,927.

Statement 4Form 990, Part IV, Line 65Other Liabilities

ABS SCHOOL SERVICE LOAN ... .H. $ 1,089,589.BANK OVERDRAFT.. . . H. . . ... 14,008.DEPOSITS HELD FOR OTHERS . ..... . . . . . . . 18 475

Total §__1,1‘2'2','o'72:

2002 ‘ Federal Statements Page 2

Client BASIS Basis School, Inc. 86-0908854

5/03/04 03:12PM

Statement 5Form 990, Part VII, Line 103Other Revenue

(A) (B) (C) (D) (E)Busi- Unrelated Exclu- Related orness Business sion Excluded Exempt

Other Revenue Code _Am_oiin_t__ fide— _A_m_oim__ Amon—

Field Trip 1 $ 7,424.Ice Skating 1 780.Misc. 1 14,842.Optional Study Supplies 3 1,299.SAT, ACT, PSAT Test Fees 3 655.Yearbook 3 1,230.

Total § 0. $ 26,230. $ 0.

Statement 6Schedule A, Part V, Line 34Exphnafion

THE ORGANIZATION RECEIVES REVENUE FROM THE FEDERAL AND STATE GOVERNMENTS FOREDUCATIONAL PROGRAMS AND FROM THE STATE OF ARIZONA FOR STATE EQUALIZATION.

STATEMENT 7Schedule AForm 990Part III Pg2Statements about Activities

Statement on how BASIS School. Inc decided on who received the 2003 College Scholarship

The scholarship was open to all graduating seniors and was equal to one years tuition at anyuniversity in the Arizona system. Students who were interested filled out applications and acommittee of teachers and administrators made a final selection. The selection was made on thebasis of grade point average, financial need, and community service.

Form 8868 (12-2000) '0 / Q .0 If you are‘wtgder an Additional (not aut0r ic) 3-Month Extension. complete only Part II and _ eck this box >

Note: Only complete Part II ifyou have already been granted an automatic 3-month extension on a previously filedForm 8868.

0 If you are filing for an Automatic 3-Month Extension, complete only Partl (on page I)[Part II J‘ Additional (not automatic) 3-Month Extension of Time — Must File Original and One Copy.

Name of Exempt Organization Employer identification number

86—0908854For IRS Use Only

Type orprint BASIS CHARTER

Number street and room 0r Surte number It a P 0 box, see InstructionsFile by theextendeddue date tortiling thereturn Seeinstructions

3825 E. 2ND STREETCity town Or post office. state. and ZIP code For a Ioreign address. see instructions

TUCSON, AZ 85716Check type of return to be filed (file a separate application for each return)Form 990 HForm 990-EZ HForm 990-T (Section 401 (a) or 408(a) trust) HForm 1041 -A HForm 5227 [1 Form 8870

Form 990-BL Form 990-PF . Form 990-T (trust other than above) Form 4720 ‘ Form 6069Stop: Do not complete Part II it you were not already granted an automatic 3-month extension on a preVIously filed Form 8868.

9 If the organization does not have an office or place of busmess in the United States. check thts box ’ D0 If this is for a Group Return, enter the organizations four digit Group Exemption Number (GEN) If this is for the

whole group, check this box * D . If it is part of the group. check this box > E] and attach a list With the names and EINs of allmembers the extenSion is for

4 I request an additional 3-month extenSion of time until _ _ _ _ _ _ _ _ _ , 20 _O45 For calendar year _ _ __ , or other tax year beginningm and ending _ 6/3_0_ _ _ _ _ , 20 __0§6 If this tax year is for less than 12 months. check reason: Initial return Final return Change in accounting period7 State in detail why you need the exten5ion ENTITY RESPECTFULLY REQUESTS ADDITIONAL TIME FOR

5/15

83 If this application is for Form 990-BL. 990-PF, 990-T, 4720. or 6069. enter the tentative tax, less anynonrefundable credits See instructions 5

b If this application is for Form 990-PF, 990-T, 4720, or 6069. enter any refundable credits and estimated taxgaymesrétesamade Include any prior year overpayment allowed as a credit and any amount paid preViously With

orm

c Balance due. Subtract line 8b from line 8a Include your ajyment With this form, or. if reqUired. depOSit WithFTD coupon or, if requned, by usmg EFTPS (Electronic e eral Tax Payment System) See instructions

Signature and VerificationUnder penalties of per|ury. I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and panel. it is true,correct. and complete and that I am authorized to prepare this form

Signature ’ 40. Title ’ PREPARERNotice to Applicant — To be Completed by the IRS

E We have approved this application. Please attach this form to the organization's return

We have not approved this application. However, we have granted a 10-day grace period frdue date of the organization's return (including any prior extenSions) This grace period is t" .elections otherWise reqUired to be made on a timely filed return. Please attach this form to —

Date ’

We have not approved this application. After conSidering the reasons stated in item 7, we < ,': 5 y .time to file We are not granting a 10-day grace period 754349.13” fifiafifgfi5147,m‘7

. ~. if mm’ *We cannot conSider this application because it was filed after the due date of the return to “M; m " ami -Other. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ (j Maggy". .‘b'eiafiarfl ': ‘ .-

l v “'7 £253» 'q'r I fi-éfg’w $592” w _,'\""-5.'Au:i.‘a:§.j‘_ «pf-{1“ 3" -=

BY ' _ . a“ “3:” . . 'Director __ - _' -- --A‘Luale__‘ , _ ,

monogamous}:Alternate Mailing Address —— Enter the address if you want the copy of this application for an additionaladdress different than the one entered above.

Name

HEINFELD, MEECH & CO., P.C.Number and street (include suite. room, or apartment number) or a PD. box numberType or

pm" 6740 N ORACLE RD STE 100City or town. provmce or state. and country (including postal or ZIP code)

TUCSON, AZ 85704BAA FIFZOSOZL 10/04/02 Form 8868 (Rev 12-2000)