Professional Documents
Culture Documents
DT 2003 990
DT 2003 990
Form 990 Department of the Treasury Internal Revenue Service B Check if applicable Address anee Name Fichange Initial = return Final return eded D return Application ~ ng
Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black loop benefit trust or private foundation) " The organization may have to use a copy of this return to satisfy state reporting requirements. and ending
A For the 2003 calendar year, or tax year beginning please C Name of organization use IRS label Or INC . pr,nt w D ONORS TRUST type Number and street (or P.O . box if mail is not delivered to street address) see Specdic 111 NORTH HENRY STREET 'nstrucCity or toWfl, state Of country, and ZIP + 4 lions
D Employer identification number 52-2166327 Room/suite E Telephone number 703-535-3563 F Accounting method ~ Cash ~ Accrual Other D (specify) 10, H and I are not applicable to section 527 organizations.
H(a) Is this a group return for affiliates? E::] Yes M No . ORG H(b) Ii "Yes ; enter number of affiliates No. G Website : WWW . DONORSTRUST 1 (insert no) [~:] 4947 ( a) ( 1 ) 0r 0 527 H(c) Are all affiliates included? J Organization typ e (check onryone>1 EFC] 501 c) 3 N/A 0 Yes ~ No (If "No; attach a list.) normally not more than $25,000 . The K Check here 1 = if the organization's gross receipts are H(d) Is this a separate return filed by an oranization covered b a g rou p rulin g ? 0 Yes ~ No organization need not file a return with the IRS ; but if the organization received a Form 990 Package in the mad, it should file a return without financial data. Some states require a complete return . I Grou p Exem p tion Number M Check 1 = if the organization is not required to attach Sch . B (Form 990, 990-EZ, or 990-PF) . and 10b to line 121 L Gross recei p ts : Add lines 6b, 8b, 9b, 1 , 3 4 0 , 376 . 1 Revenue, Expenses, and Changes in Net Assets or Fund Balances Part I 1 Contributions, gifts, grants, and similar amounts received: 1a a Direct public support 1 , 020 , 852 . b Indirect public support 1b c Government contributions (grants) 1c d Total (add lines 1a through 1c) (cash $ 1 , 020 , 852 . noncash $ Program service revenue including government fees and contracts (from Part VII, line 93) Membership dues and assessments Interest on sarongs and temporary cash investments Dividends and interest from securities 6a a Gross rents b c
LEXANDRIA VA 22314 ~ Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach a completed Schedule A (Form 990 or 990-EZ) .
2 3 4 5 6
1d 2 3 4 5
~, 'c
7 8 a b c d a
cleD 9
N y a u~ N ~y ZQ
19 20 21 9230003
reported on line ia) 9a b Less: direct expenses other than fundraising expenses 9b Net income or (loss) from special events (subtract line 9b from line 9a) c 10a 10 a Gross sales of inventory, less returns and allowances Less: cost of goods sold 10b b Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line 10a) c Other revenue (from Part VII, line 103) 11 12 Total revenue add lines 1d 2 3 4 5 tic 7 Sd 9c 10c and 11 13 Program services (from line 44, column (B)) o ~ ~ ~ ~ n `~ ~ 14 Management and general (from line 44, column (C)) Fundraising (from line 44, column (D)) ~ NOV 2 ~ 2004 15 Payments to affiliates (attach schedule) 16 17 Total ex p enses add lines 16 and 44 column A 1 18 Excess or (deficit) for the year (subtract brie 17 from brie 12) ~ Net assets or fund balances at beginning of year (from line 73, column (A)) Other changes in net assets or fund balances (attach explanation) Net assets or fund balances at end of year combine lines 18, 19, and 20 SEE
Less : rental expenses 6b Net rental income or (loss) (subtract line 6b from line 6a) Other investment income (describe 1 Grass amount from sales of assets other A Securities than inventory 122 , 290 . 8a Less: cost or other basis and sales expenses 117 , 182 . 8b Gain or (loss) (attach schedule) 5 , 108 . 8c Net gain or (loss) (combine line 8c, columns (A) and (B)) STMT 1 Special events and activities (attach schedule) . If any amount is from gaming, check here 1 of contributions Gross revenue (not including $
B Other
tic 7
Bd
5 , 108 .
9c
tOc 11 12 ~ ~ ~ ~ 13 14 15 16 17 18 19 20 21
STATEMENT
LHA
17081102
For Paperwork Reduction Act Notice, see the separate instructions . 1 745960 10807 2003 .06030 DONORS
06 4 86 8 . 158 326 . 992 158 . 7 6 175 . 226 659 . Form 990 (2003) 10807-1
TRUST,
INC .
uxb ~rnuO~l~,
s
on line
All organizations must complete column (A) . Columns (B), (C), and (D) are required for section 501(c)(3) and (4) organizations and section 4947(a)( 1) nonexempt charitable trusts but optional for others . (A) Total
iivu .
DZ-ZiooJZi
Page 2
(B) Program
carvirac
(C) M anagemen t
and nanaral
(D) Fundraising
Other salaries and wages Pension plan contributions Other employee benefits 29 Payroll taxes 30 Professional fundraising fees 31 Accounting fees 32 Legal fees 33 Supplies 34 Telephone 35 Postage and shipping
23 24 25 26 27 28
Specific assistance to individuals (attach schedule) Benefits paid to or for members (attach schedule) Compensation of officers, directors, etc.
550,213
. noncash $
213 .ISTATEMENT 6
1,7 466 .
39 Travel
40 Conferences, conventions, and meetings 41 Interest 42 Depreciation, depletion, etc . (attach schedule) 43 Other expenses not covered above (itemize) : a b
.I
1 .4
Joint Costs . Check 1 E] if you are following SOP 98-2. Are any joint costs from a combined educational campaign and fundraising solicitation reported in (B) Program services ; (ii) the amount allocated to Program services $ If `Yes,' enter (i) the aggregate amount of these point costs $ ' and iv the amount allocated to Fundraisin g iii the amount allocated to Mana g ement and eneral $
SEE STATEMENT 3
1,064,868 . 1
820,330 . 1
46,676 . 1
197,862
;
" ~ Yes ~ No
Part III Statement of Program Service Accomplishments What is the organization's primary exempt purpose? " SEE STATEMENT 4
Program Service Expenses All organizations must describe their exempt purpose achievements in e clear and concise manner State the number of clients served, publications issued, etc Discuss (Required for 501(cX3) end achievements that are not measurable (Section 501(cX3) and (4) organizations and 4847(ax1) nonexempt charitable trusts must also enter the amount of grants and (4) orgs , and 4947(aXt) frusta, but optional for others allocations to others ) a SEE STATEMENT Ca
(Grants and allocations $ e Other program services (attach schedule) f Total of Program Service Expenses (should equal line 44, column (B), Program services) ~Z30~ ~3
"
10807-1
r
Form 990 (2003) DONORS TRUST, INC .
(A) Beginning of year 45
52-2166327
(B) End of year
Page 3
46
46
47c
789 , 327 .
52 , 905 .
47 a Accounts receivable
52 , 905 .
30 , 9 73 .
and key employees 51 a Other notes and loans receivable b Less: allowance for doubtful accounts 52 Inventories for sale or use
48 a Pledges receivable b Less: allowance for doubtful accounts 49 Grants receivable Receivables from officers, directors, trustees, 50
48c 49 50
51a 51b
53 Prepaid expenses and deferred charges 54 Investments - securities STMT 7 55 a Investments - land, buildings, and
equipment: basis
51c 52
. 0 Cost
55a 55b 57a
Ell FMV
318 , 631 .
53 54
5 48 . 372 , 018 .
D Less: accumulated depreciation 56 Investments - other 57 a Land, buildings, and equipment: basis
57b
17 , 120 .
55c 56
7 , 373 . )
9 , 747 . 4 , 103 .
1
'
29
Total assets add lines 45 throu g h 58 must e q ual line 74 Accounts payable and accrued expenses Grants payable Deferred revenue Loans from officers, directors, trustees, and key employees Tax-exempt bond liabilities Mortgages and other notes payable Other liabilities (describe "
, ,
512 . 354 .
59 60 61 62 63 64a 64b 65
228
, 648 1 , 989
. .
) 3 , 354 .
Total liabilities add lines 60 throu g h 65 66 Organizations that follow SFAS 117, check here " 69 and lines 73 and 74 .
66
1 , 989 .
~, .. a Z
Y
992 , 158 . 73 1 , 226 , 659 . 99 5 , 512 . 995,512 .11 74 1 1,228,648 . Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a particular organization . How the public perceives an organization m 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 . 74 _
68 Temporarily restricted 69 Permanently restricted Organizations that do not follow SFAS 117, check here " D and complete lines 70 through 74 . Capital stock, trust principal, or current funds 70 71 Paid-in or capital surplus, or land, building, and equipment fund 72 Retained earnings, endowment, accumulated income, or other funds 73 Total net assets or fund balances (add lines 67 through 69 or lines 70 through 72 ; column (A) must equal line 19; column (B) must equal line 21) Total liabilities and net assets / fund balances (add fines 66 and 73) . . . . . . . . . . .
unrestricted
992 , 158 . 67
68 69
1 , 226 , 659 .
70 71 72
323021 12-17-03
INC .
10807-1
Form 990
Part IV-A
a
Reconciliation of Revenue per Audited Financial Statements with Revenue per Return
" a 1 2 99 , 3
a b
on investments (2) Donated services and use of facilities (3) Recoveries of prior year grants (4) Other (specify):
Total expenses and losses per audited financial statements Amounts included on line a but not on line 17, Form 990 : and use of facilities $
(2) Prior year adjustments reported on line 20, Form 990 $ (3) Losses reported on
c d
Add amounts on lines (1) through (4) Line a minus line b Amounts included on line 12, Form 990 but not on line a :
c d
Add amounts on lines (1) through (4) Line a minus line b Amounts included on line 17, Form 990 but not on line a :
10.
(1) Investment expenses not included on line 6b, Form 990 $ (2) Other (specify) : Add amounts on lines (1) and (2) Total revenue per line 12, Form 990 (line c plus line d) 1 1
(1) Investment expenses not included on line 6b, Form 990 $ (2) Other (specify) : Add amounts on lines (1) and (2) 1 e Total expenses per line 17, Form 990 (line c plus line d) mployees (List each one even if not comb nsated.
(B) Title and average hours per week devoted to
and
3EC'Y/TREAS
p osition
C) Compensation (Ell Contributions to e ployee benefit ~If not P enter plans 8 deferred
-~- .
PRESIDENT KIMBERLY- O . - DENNIS --------------------------------2-5 OARD MEMBER JAMES PIERESON 2-5 NATHANIEL C . MOFFAT BOARD MEMBER --------------------------------2-5 DANIEL C . SEARLE ICE PRESIDE: --------------------------------2-5 WILLIAM J . HUME BOARD MEMBER --------------------------------2-5 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------75 Did any officer, director, trustee, or key employee receive aggregate compensation of more than $100,000 from your organization and all related organizations, of which more than $10,000 was provided by the related organizations? If 'Yes,' attach schedule . " [---] Yes FX] No
323031 12-17-03
10807-1
INC .
52-
Did the organization engage in any activity not previously reported to the IRS? If 'Yes,' attach a detailed description of each activity Were any changes made in the organizing or governing documents but not reported to the IRS?
78 a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return? b If 'Yes,' has it filed a tax return on Form 990-T for this year? 79 Was there a liquidation, dissolution, termination, or substantial contraction during the year? If 'Yes,' attach a statement
N/A
80 a Is the organization related (other than by association with a statewide or nationwide organization) through common membership,
b governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization? If "Yes,' enter the name of the organization = nonexempt 0
81 a Enter direct or indirect political expenditures . See line 81 instructions b Did the organization file Form 1120-POL for this year? 82 a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at substantially less than fair rental value? b If "Yes; you may indicate the value of these items here. Do not include this amount as revenue in Part I or as an N/A expense in Part II . (See instructions in Part III .) 1 82b ~ 83 a Did the organization comply with the public inspection requirements for returns and exemption applications?
0 exempt or ~ 81a ~
b Did the organization comply with the disclosure requirements relating to quid pro quo contributions? N/A 84 a Did the organization solicit any contributions or gifts that were not tax deductibles b If 'Yes,* did the organization include with every solicitation an express statement that such contributions or gifts were not N/A tax deductible? N/A 85 501(c)(4), (5), or (6) organizations. a Were substantially all dues nondeductible by members? N/A b Did the organization make only in-house lobbying expenditures of $2,000 or less If 'Yes' was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization received a waiver for proxy tax c d e f p h owed for the prior year . Dues, assessments, and similar amounts from members Section 162(e) lobbying and political expenditures ~ 85c ~ 85d 85e N/A N /A N /A
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices Taxable amount of lobbying and political expenditures (line 85d less 85e) 85t N /A Does the organization elect to pay the section 6033(e) tax on the amount on line 85f? N/A If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line 85f to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year? N/A 86 501(c)(7) organizations . Enter: a Initiation fees and capital contributions included on line 12 86a N /A b Gross receipts, included on line 12, for public use of club facilities 86b N /A 501(c)(12) organizations. Enter : a Gross income from members or shareholders 87a N /A 87 from other sources. (Do not net amounts due or paid to other sources b Gross income 87b against amounts due or received from them .) organization own a 50% or greater interest in a taxable corporation or partnership, 88 At any time during the year, did the or an entity disregarded as separate from the organization under Regulations sections 301 .7701-2 and 301 .7701-3? If "Yes," complete Part IX 89 a 501(c)(3) organizations . Enter: Amount of tax imposed on the organization during the year under: section 49111 0 . ; section 49121 0 . ; section 49551 b 501(c)(3) and 501(c)(4) organizations . Did the organization engage in any section 4958 excess benefit If "Yes," attach a statement explaining each transaction c Enter : Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 d Enter: Amount of tax on line 89c, above, reimbursed by the organization 90 a List the states with which a copy of this return is filed " NONE
0.
transaction during the year or did it become aware of an excess benefit transaction from a prior year?
89b . 1
X 0. 0.
91
b Number of employees employed in the pay period that includes March 12, 2003 The books are in care of O- THE TRUST
9230103
10807-1
Form 990 (2003) DONORS TRUST INC . Part VII Analysis of Income-Producing Activities See page 33 of the instructions .
indicated
52-2166327
(D) Amount
Page 6
(A) Business
code
E~~~ _ S,o
rode
function income
189 383 .
98 Net rental income or (loss) from personal property 99 Other investment income 100 Gain or (loss) from sales of assets
Medicare/Medicaid payments Fees and contracts from government agencies Membership dues and assessments Interest on savings and temporary cash investments Dividends and interest from securities Net rental income or (loss) from real estate :
14 14
764 . 7 087 .
other than inventory 101 Net income or (loss) from special events
18
5 , 108 .
102 Gross profit or (loss) from sales of inventory 103 Other revenue: a b
c
d
105 Total (add line 104, columns (B), (D), and (E)) Note: Line 105 plus line 1d, Part l, should equal the amount on line 12, Part I.
0 .1
12,959 .
"
189,383 .
202 , 342 .
Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment of the organization's exempt purposes (other than by providing funds for such purposes) .
Relationship of Activities to the Accomplishment of Exempt Purposes (See page 34 of the instructions .) ZATI
~ Part X I Information Regarding Transfers Associated v+ (a) Did the organization, during the year, receive any funds, directly or indirectly, ti (b) Did the organization, during the year, pay premiums, directly or indirectly, on a Note : H "Yes" to b 1e Form 8870 and Form 4720 see instructions).
Please Sign Under p corr of per I declare th let ecl anon f examined this return, including accoml (o officer) is based on all inforn
Here
~$~fieture of officer/
Preparer's' signature "v
IV V
i
Date
Paid
Use Only
323181
yours if
,2- -03
ZIP +a
GELMAN, ROSENBERG & FRE ' 4550 MONTGOMERY AVE ., S BETHESDA, MARYLAND 2081
2003 .06030
OMB No 1545-0047
1o. MUST be completed by the above organizations and attached to their Form 990 or 990-EZ Employer identification number
2003
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (See page 1 of the instructions . List each one. If there are none, enter "None.')
a Name and address of each employee aid more than $50,000 (b) Title and average hours per week devoted to
position
(c) Compensation
(d) Contributions to (e) Expense employee benefit n~~9 & deferred account and other
compensation
allowances
JESSICA F .
DICKSON
SOCIATE DI + 58 , 7
STACI M .
ROOT
RKETING DI
over $50,000 . 0 Part 11 Compensation of the Five Highest Paid Independent Contractors for Professional Services (See page 2 of the instructions . List each one whether individuals or firms) . If there are none, enter 'None!)
(a) Name and address of each independent contractor paid more than $50,000 (b) Type of service (c) Compensation
NONE
LHA
For Paperwork Reduction Act Notice, see the Instructions for Form 990 and Form 990-EZ .
" I
INC .
10807-1
Part III
No
During the year, has the organization attempted to influence national, state, or local legislation, including any attempt to influence public opinion on a legislative matter or referendum? If 'Yes,' enter the total expenses paid or incurred in connection with the
Organizations that made an election under section 501(h) by fling Form 5768 must complete Part VI-A. Other organizations checking 'Yes,' must complete Part VI-B AND attach a statement giving a detailed description of the lobbying activities . During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any substantial contributors, trustees, directors, officers, creators, key employees, or members of their families, or with any taxable organization with which any such person is affiliated as an officer, director, trustee, majority owner, or principal beneficiary? (if the answer to any question is "Yes," attach a detailed statement explaining the transactions.)
7 8 9
~ D 0
D I-XI 0 0
10 11a 11b 12
A hospital or a cooperative hospital service organization . Section 170(b)(1)(A)(ui) . A Federal, state, or local government or governmental unit. Section 170(b)(1)(A)(v). A medical research organization operated in conjunction with a hospital . Section 170(b)(1)(A)(ui) . Enter the hospital's name, city, and state
An organization operated for the benefit of a college or university owned or operated by a governmental unit. Section 170(b)(1)(A)(iv) . (Also complete the Support Schedule in Part IV-A .) An organization that normally receives a substantial part of its support from a governmental unit or from the general public. Section 170(b)(1)(A)(vi) . (Also complete the Support Schedule in Part IV-A.) A community trust. Section 170(b)(1)(A)(vi). (Also complete the Support Schedule in Part IV-a) An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its charitable, etc., functions - subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2) . (Also complete the Support Schedule in Part IV-A.) An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations described in: (1) lines 5 through 12 above; or (2) section 501(c)(4), (5), or (6), if they meet the test of section 509(a)(2) . (See section 509(a)(3) .) Provide the following information about the supported organizations . (See page 5 of the instructions.) (a) Name(s) of supported organization(s) (b) Line number from above
13
14
An
and operated to test for public safety . Section 509(a)(4) . (See page 6 of the instructio
323111 12-OS-03
INC .
10807-1
Support Schedule (Complete only if you checked a box on line 10, 11, or 12 ) Use cash method of accounting . Note: You ma use the worksheet in the instructions for convertin g from the accrual to the cash method o/ accounting. Calendar year (orfiscal year
TRUST ,
INC .
52-2166327 e Total
Page 3
a 2002
b 2001
c 2000
d 1999
reamsSee line28
crude unusual
17
1 , 067 , 912 .
743 , 044 .
411 , 328 .
80 , 150 .
2 , 302 , 434 .
18
Gross income from interest, dividends, amounts received from payments on securities loans (secunrelated business taxable income
102 , 129 .
36 , 216 .
138 , 345 .
tion 512(a)(5)), rents, royalties, and (less section 511 taxes) from businesses acquired by the
19 pp 21
Net income from unrelated business activities not included in line 18 Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge Other income . Attach a schedule. Do not include gam or (loss) from sale of capital assets Total of lines 15 through 22 Line 23minus line 17 Enter 1% of pine 23 b
8 , 276 .
13,300 .
6,464 .
28 , 040 .
22 23 24 25 26
c d e f
076 188 . 756 344 . 417 792 . 80 11 , 783 . 1 7 , 926 . 1 4 , 178 . 1 Organizations described on lines 10 or 11 : a Enter 2% of amount in column (e), line 24 Prepare a list for your records to show the name of and amount contributed by each person (other than a governmental unit or publicly supported organization) whose total gifts for 1999 through 2002 exceeded the amount shown in line 26a. Do not file this list with your return . Enter the total of all these excess amounts Total support for section 509(a)(1) test : Enter line 24, column (e) Add: Amounts from column (e) for lines: 18 28,040 . 19 22 26b 873,841 . Public support (line 26c minus line 26d total)
2 .1
80,150 .1
, 150 . 802 . 1 26a
2,4
27
(2002) (2001) (2000) Add : Amounts from column (e) for lines: 15 16 17 20 21 d Add: Line 27a total and line 27b total e Public support (line 27c total minus line 27d total) f Total support for section 509(a)(2) test : Enter amount on line 23, column (e) 1 27f g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) c
111- 26d 901 , 881 . 00- 1 He 1 428 , 593 . Public support percentage (line 26e (numerator) divided by line 26c (denominator)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 01-1 26f 61 .3005% Organizations described on line 12 : a Far amounts included in lines 15, 16, and 17 that were received from a 'disqualified person ; prepare a list for your records to show the name of, and total amounts received in each year from, each "disqualified person :' Do not file this list with your return . Enter the sum of such amounts for each year: N/A (2002) (2001) (2000) (1999) For any amount included in line 17 that was received from each person (other than "disqualified persons"), prepare a list for your records to show the name of, and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000. (Include m the list organizations described in lines 5 through 11, as well as individuals .) Do not file this list with your return . After computing the difference between the amount received and the larger amount described in (1) or (2), enter the sum of these differences (the excess amounts) for each year: N/A (1999)
N /A
N/ A N/ A N/ A N/ A
28 Unusual Grants: For an organization described in line 10, 11, or 12 that received any unusual grants during 1999 through 2002, prepare a list for your records to show, for each year, the name of the contributor, the date and amount of the grant, and a brief description of the nature of the grant. Do not file this list with your return . Do not include these grants in line 15. 323121 12-OS-03 Schedule A (Form eeo or GOO-ez) zoos NONE
INC .
10807-1
Schedule A (Form 990 or 990-EZ) 2003 DONORS TRUST INC . Private School Questionnaire (See page 7 of the instructions .) Part V
(To be completed ONLY by schools that checked the box on line 6 in Part IV)
52-2166327 N/A
Page 4
29 30 31
Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures, catalogues, and other written communications with the public dealing with student admissions, programs, and scholarships? Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during the period of solicitation for students, or during the registration period if it has no solicitation program, in a way that makes the policy known to all parts of the general community it serves If 'Yes,* please describe ; if 'No,' please explain . (If you need more space, attach a separate statement.)
Does the organization have a racially nondiscriminatory policy toward students by statement m its charter, bylaws, other governing instrument, or in a resolution of its governing body?
No
32
a Records indicating the racial composition of the student body, faculty, and administrative stafY9
b Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory basis? c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing with student admissions, programs, and scholarships? d Copies of all material used by the organization or on its behalf to solicit contributions? If you answered "No" to any of the above, please explain . (If you need more space, attach a separate statement.)
33 a b c d e f p h
Does the organization discriminate by race in any way with respect to : Students' rights or privileges? Admissions policies? Employment of faculty or administrative staff? Scholarships or other financial assistance Educational policies? Use of facilities? Athletic programs? Other extracurricular activities? If you answered 'Yes' to any of the above, please explain . (If you need more space, attach a separate statement.)
34 a Does the organization receive any financial aid or assistance from a governmental agency? b Has the organization's right to such aid ever been revoked or suspended? If you answered 'Yes' to either 34a or b, please explain using an attached statement. Does the organization certify that it has complied with the applicable requirements of sections 4 .01 through 4 .05 of Rev . Proc. 75-50, 35 1975-2 C .B. 587, covenna racial nondiscrimination? If 'No ." attach an exalanation
323131 12-OS-03
INC .
10807-1
Schedule A (Form 990 or 990-EZ) 2003 DONORS TRUST , INC . Part VI-A Lobbying Expenditures by Electing Public Charities (see page s or the instructions .)
(To be completed ONLY by an eligible organization that fled Form 5768)
Limits Oh Lobbying Expenditures (The term 'expenditures' means amounts paid or incurred .)
36 37 38 39 Total lobbying expenditures to influence public opinion (grassroots lobbying) Total lobbying expenditures to influence a legislative body (direct lobbying) Total lobbying expenditures (add lines 36 and 37) Other exempt purpose expenditures
40 Total exempt purpose expenditures (add lines 38 and 39) If the amount on line 40 is Not over $500,000 Over $500,000 but not over $1,000,000 Over $1,000,000 but not over $7,500,000
41 Lobbying nontaxable amount. Enter the amount from the following table 20% of the amount on line 40
The lobbying nontaxable amount is $100,000 plus 15% of the excess over $500,000 $175,000 plus 10% of the excess over $7,000,000
41
43 Subtract line 42 from line 36. Enter -0- if line 42 is more than line 36 44 Subtract line 41 from line 38. Enter -0- if line 41 is more than line 38
Caution : I/ there is an amount on eitherline 43 or line 44, you must file Form 4720.
42
43 44
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 on page 11 of the instructions.) Lobbying Expenditures During 4-Year Averaging Period Calendar year (or fiscal year beginning in) 45 Lobbying nontaxable 46 Lobbying ceding amount 47 Total lobbying Ill. (a) 2003 (b) 2002 (c) 2001 (d) 2000 (e) Total
Lobbying Activity by Nonelecting Public Charities (For reporting only by organizations that did not complete Part VI-A) (See page 12 of the instructions.) Yes No
During the year, did the organization attempt to influence national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of: a Volunteers D Paid staff or management (Include compensation in expenses reported on lines c through h ) c Media advertisements d Mailings to members, legislators, or the public e Publications, or published or broadcast statements f Grants to other organizations for lobbying purposes g Direct contact with legislators, their staffs, government officials, or a legislative body h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means i Total lobbying expenditures (Add linesc through h ) If 'Yes" to any of the above, also attach a statement giving a detailed description of the lobbying activities . iz3osoa 17081102 745960 10807 2003 .06030 11 DONORS TRUST, INC .
N /A Amount
0 .
Schedule A (Form 990 or 99o-EZ) 2003 DONORS TRUST INC . 52-2166327 Part VII Information Regarding Transfers To and Transactions and Relationships With Noncharitable
51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations a Transfers from the reporting organization to a nonchantable exempt organization of: (i) Cash (ii) Other assets b Other transactions: (i) Sales or exchanges of assets with a noncharitable exempt organization (ii) Purchases of assets from a noncharitable exempt organization (iii) Rental of facilities, equipment, or other assets (iv) Reimbursement arrangements (v) Loans or loan guarantees c
Page 6
No X X g X X X X
(vi) Performance of services or membership or fundraising solicitations Sharing of facilities, equipment, mailing lists, other assets, or paid employees d If the answer to any of the above is "Yes," complete the following schedule . Column (b) should always show the fair market value of the goods, other assets, or services given by the reporting organization . If the organization received less than fair market value in any
52 a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527 1 0 Yes
M No
INC .
10807-1
2003 DEPRECIATION AND AMORTIZATION REPORT FORM 990 PAGE Asset No Description OFFICE FURNITURE & 1 EQUIPMENT * TOTAL 990 PAGE 2 EPR Date Acquired I Method L
2 Life Line No Unadjusted Cost Or Basis 17,120 . 17,120 . 0. Bus % Excl Reduction In Basis Basis For Depreciation
990 Accumulated Depreciation 4,123 . 4,123 . 0. Current Sec 179 Amount Of Depreciation 3,250 . 3,250 .
5 .00 16
17,120 . 17,120 .
328102 05-01-03
'
INC . GAIN (LOSS) FROM PUBLICLY TRADED SECURITIES GROSS SALES PRICE COST OR OTHER BASIS EXPENSE OF SALE
52-2166327
STATEMENT NET GAIN OR (LOSS) 1
122,290 . 122,290 .
117,182 . 117,182 .
0. 0.
5,108 . 5,108 .
STATEMENT AMOUNT
76,175 . 76,175 .
FORM 990 (A) DESCRIPTION MISCELLANEOUS PROFESSIONAL PROGRAM FEES WEB SITE COSTS ADVERTISING AND PROMOTION PROJECT FOR NEW PHILANTHROPY OTHER GRANT EXPENSES TOTAL TO FM 990, LN 43 TOTAL
OTHER EXPENSES (B) PROGRAM SERVICES 3,703 . 5,303 . 719 . (C) MANAGEMENT AND GENERAL 1,190 . 1,702 . 231 .
17081102 745960
10807
INC .
52-2166327
STATEMENT 4
EXPLANATION SUPPORT CHARITIES WHICH ALLEVIATE, THROUGH EDUCATION, RESEARCH AND PRIVATE INITIATIVES, SOCIETY'S MOST PERVASIVE AND RADICAL NEEDS, INCLUDING THOSE RELATING TO SOCIAL WELFARE, HEALTH, ENVIRONMENT, ECONOMICS, GOVERNANCE, FOREIGN RELATIONS AND ARTS AND CULTURE ; AND WHICH ENCOURAGE PHILANTHROPY AND INDIVIDUAL GIVING AND RESPONSIBILITY AS AN ANSWER TO SOCIETY'S NEEDS, AS OPPOSED TO GOVERNMENTAL INVOLVEMENT . FORM 990 STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS STATEMENT 5
DESCRIPTION OF PROGRAM SERVICE TWO THE PROJECT FOR NEW PHILANTHROPY STUDIES (NPS) IS A PROGRAM OF DONORS TRUST THAT ENGAGES SCHOLARS AND PRACTITIONERS SEEKING TO BETTER UNDERSTAND THE ROLE OF VOLUNTARY ACTION AND PHILANTHROPY IN ACHIEVING SOCIAL COOPERATION AND DISTRIBUTION OF PRIVATE AND PUBLIC GOODS .
EXPENSES
91,538 .
FORM 990
CLASSIFICATION GRANT
DONEE'S ADDRESS
AMOUNT
550,213 . 550,213 .
PART II,
LINE 22
52-2166327
STATEMENT 7
CORPORATE STOCKS
CORPORATE BONDS
OTHER PUBLICLY TOTAL TRADED OTHER NON-GOV'T SECURITIES SECURITIES SECURITIES 372,018 . 372,018 .
TO 990, LN 54 COL B
372,018 .
372,018 .
FORM 990
DEPRECIATION OF ASSETS NOT HELD FOR INVESTMENT COST OR OTHER BASIS ACCUMULATED DEPRECIATION
STATEMENT
DESCRIPTION OFFICE FURNITURE & EQUIPMENT TOTAL TO FORM 990, PART IV, LN 57
17,120 . 17,120 .
7,373 . 7,373 .
STATEMENT
ANY PERSON, CORPORATION OR FOUNDATION MAY ESTABLISH A DONORADVISED FUND TO ENGAGE IN ACTIVITIES CONSISTENT WITH DONORS TRUST'S CHARITABLE PURPOSES . DONORS CAN MAKE RECOMMENDATIONS CONCERNING GRANTS FROM DONOR-ADVISED ACCOUNTS ; HOWEVER, THE ORGANIZATION'S BOARD OF DIRECTORS IS LEGALLY RESPONSIBLE FOR MAKING ALL GRANTS .
18181102
745960 10807
ForKn 8888 (12 .2000) 0 If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box Note : Only complete Part II ii you have already been granted an automatic 3-month extension on a previously flied Form 8868 . 0 If you are filing for an Automatic 3-Month Extension, complete only Part I (on page 1) . Part II Additional (not automatic 3-Month Extension of Time - Must file Original and One Cop y . Type or print . File b y Name of Exempt Organization D ONORS TRUST INC . Number, street, and room or suite no . If a P .O . box, see Instructions .
Page 2
due dale for 111 NORTH HENRY STREET filing the return see City, town or post office, state, and ZIP code . For a foreign address, see instructions . Instructions A LEXANDRIA , VA 22314 Check type of return to be tiled (File a separate application toy each return) : Form 990 ~ Form 990~EZ 0 Form 990-T (sec . 401(a) or 408(a) trust) ~ Form 1041-A ~ Form 990-T (trust other than above) 0 Form 990-BL ~ Form 990-PF [~ Form 4720
0 Form 8870
STOP : Do not complete Part II Ii you were not al ready gra nted a n automatic 3-month extension on a previously flied Form 8868 . " If the organization does not have an office or place of business in the United States, check this box " If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) . If this is for the whole group, check this box 1 0 . If d Is for part of the group, check this box 1 = and attach a list with the names and EINs of all members the extension is for . 4 5 6 7 I request an additional 3-month extension of time until For calendar year 2 0 0 3 , or other tax year beginning If this tax year is for less than 12 months, check reason : State in detail why you need the extension NOVEMBER 0 Initial return 15, 2004 .
8a
Balance Due. Subtract line 8b from line 8a . Include your payment with this form, or, if required, deposit with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System) . See instructions , .
NBA
Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and mplete, and that I am author zed to prepare this form. Sinnature 1
We have not approved this application . However, we have granted a 10-day grace period from the later of the date shown below or the due date of the organization's return (including any prior extensions) . This grace period is considered to be a valid extension of time for elections otherwise required to be made on a timely return . Please attach this form to the organization's return . We have not approved this application . After considering the reasons stated in item 7, we cannot grant your request for an extension of time to file . We are not granting the 10-day grace period . 0 We cannot consider this application because it was filed after the due date of the return for which JWJVA as requested . Other
Notice to Applicant - To Be Completed by the IRS We have approved this application. Please attach this form to the organization's return .
~' '
' e ~
C/A' Ar
gq~ AppRpVED
Director
By :
AU G 1
wM
Alternate Mailing Address - Enter the address it you want the copy of this application for an additional 3-gmi!?MS?M different than the one entered above . Name
Type or print I Number and street (include suite, room, or apt . no .) Or a P.O . box number d g;S fl M(1MT(:f1MFRV aVF . CTTTTF 0; 9;0 N(1RTV
City or town, province or state, and country (including postal or ZIP code)
INC .
10807-1
(December 2000)
Depytment of the Treasury Internal Revenue Service
Form 8868
OMB No 15451709
It if you are filing for an Automatic 3-Month Extension, complete only Part I and check this box . . 0 Ii you are filing for an Additional (not automatic) 3-Month Extension, complete only Part 11 (on page 2 of this form) . Note : Do not complete Part II unless you have already been granted an automatic 3-month extension on a previously filed Form 8868. PBIt'I I Automatic 3-Month Extension Of Tulle - Only submit original (no copies needed)
ERI
Note : Form 990-T corporations requesting an automatic 6-month extension - check this box and complete Part I only . All other corporations (including Form 990-C filers) must use Form 7004 to request an extension of time to file income tax returns . Partnerships, REMICs and trusts must use Form 8736 to request an extension of time to file Form 1065, 1066, or 1047 . Type or print
File by the
DONORS TRUST
due date r
filing your return See
Number, street, and room or suite no . If a P .O . box, see instructions . City, town or post office, state, and ZIP code For a foreign address, see instructions .
INC .
52-2166327
instructions
ALEXANDRIA
990 990-BL 990-EZ 990-PF
Check type of return to be filed (file a separate application for each return) : Form 0 Form Form Form ~ [~ [] 0 Form Form Form Form 990-T (corporation) 990-T (sec . 401(a) or 408(a) trust) 990-T (trust other than above) 1041 ~A ~ F ~ [~ ~ Form Form Form Form 4720 5227 6069 8870
" If the organization does not have an office or place of business in the United States, check this box If this is for the whole group, check this " If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) box 10- = . If it is for part of the group, check this box )P- = and attach a list with the names and EMS of all members the extension will cover . 1 1 request an automatic 3-month (6-month, for 990-T corporation) extension of time until AUGUST 16, 200 4 to file the exempt organization return for the organization named above. The extension is for the organization's return for : " ~ calendar year 2 0 0 3 or 10 tax year beginning , and ending if this tax year is for less than 12 months, check reason : 0 Initial return [~ Final return ~ Change in accounting period
2 3a
If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any nonrefundable credits . See instructions , . . . . . . . . . .,_ . . . , . , , . . ., , , . , , ., . _. If this application is for Forth 990-PF or 990-T, enter any refundable credits and estimated tax payments made . Include any prior year overpayment allowed as a credit
, . _.
., _, . $
Balance Due. Subtract line 3b from line 3a . Include your payment with this form, or, if required, deposit with FTD
coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions Signature and Verification
N/A
Under penalties of perjury, l declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete, and that I am authorized to prepare this form.
LHA
For
CIF
323831 05-01-03
10807