Return of Organization Exempt From Income Tax: IX) IX)

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Form

990

Department
oftheTreasury
1ntema1
Revenue
serv,ce

andending

B Ch~klf

D EmployerIdentificationnumber

applicablePlease C Nameof organization


use1RsTHEANNAPOLIS CENTER FOR SCIENCE
D~~~~s :~:~~PUBLIC POLICY,
INC.

%:

2004

Undersection501(c),527, or 4947(a)(1)of the InternalRevenueCode(exceptblacklung


benefittrust or privatefoundation)
.... Theorganization
mayhaveto usea copyof this returnto satisfystatereportingrequirements

A Forthe 2004calendaryear, or tax yearbeginning

D~~~e

OMB No 1545-0047

Return of Organization Exempt From Income Tax

BASED

52-1759134

IRoom/suiteETelephonenumber

Numberandstreet(or P.O.box1fma1l1snotdelivered
to streetaddress)

D~\t"::, Specific
111 FORBES STREET
lnstruc~r~~
tlons
Cityor town,stateor country,andZIP+ 4
D
D~ru~d~.__-~AN;;;;..;.;;:N~A;;.;;;;;;P~O~L~I~S~,___;M;;.;;;;;;D
__ 2;;;;..;;;1~4~0;;....;;;1
__________
D~g~Jl;,"J10n Section501(c)(3)organizationsand4947(a)(1)nonexemptcharitabletrusts

1200

(410)268-3302
D

Cashrv1
LX.JAccrual
........
D==<.~~~tDh,~=e~=-::M
....
'--------F AccounUng
method

,--_____

Hand I are not applicable to section 527 organizations.


H(a) Is this a groupreturnfor affiliates?
Yes IX] No

mustattacha completedScheduleA (Form990or 990-EZ).

_WWW
__ ._AN_N_A_P~O=L=I~S_C_E_N_T_E_R_._O_R_G
__ =~---~~----l
=G_W=eb=s=lte=:.:...
....
J Organization
type (checiconlyone)
.... IX] 501(c)( 3
).....(insert
no>D 4947(a)(1)or

H(b) If "Yes.'enternumberof aff1l1ates


....-=--=527 H(c) Areall affiliatesincluded? N / A D Yes D No
(If 'No,'attacha list.)
K Checkhere ~
1ftheorganization's
grossreceiptsarenormallynot morethan$25,000.The H(d) Is thisa separatereturnfiledby an orrv,
organization
neednotfilea returnwiththe IRS;but 1fthe organization
received
a Form990Package
ganization
coveredby a groupruling?
Yes LAJ No
in themall,it shouldfilea returnwithoutfinancialdata Somestatesrequirea completereturn.
I GrouoExemotion
Number....

.......
D

M Check....
if the organization
1snot requiredto attach
Sch.8 (Form990,990-EZ,or 990-PF).

665 , 6 79

L Grossrece1ots
Addlines6b,Bb,9b,and1Obto line12 ....

! Part 11Revenue, Expenses, and Changes in Net Assets or Fund Balances


1
a
b
c
d

GI
:::,

&.t",

c:=
c:=

2
3
4
5
6a
b
c
7
8a

a:

b
c
d

C',J

C\2
C\2

UJ
Cl

z
z
<(
0

(fl
Ill

GI
Ill

GI

a.

IC
w

b
c
10 a
b
c
11
12
13
14
15
16
17
18
19
20
21

iii
z:a

Contributions,
gifts,grants,andsimilaramountsreceived:
594,000.
Directpublicsupport
1a
1b
Indirectpublicsupport
contributions
(grants)
Government
1c
1d
Total(addlines1athrough1c) (cash$
5 9 4, 0 0 0 noncash$ -------)
2
Programservicerevenue
includinggovernment
feesandcontracts(fromPartVII,line93)
3
Membership
duesandassessments
4
Intereston savingsandtemporarycashinvestments
5
D1v1dends
andinterestfrom securities
17,691.
...
..
SEE
STATEMENT
1
6a
Grossrents
6b
Less:rentalexpenses
..
6c
Netrentalincomeor (loss)(subtractline6b from line6a)
\
7
Otherinvestment
income(describe....
(BlOther
(A) Securities
Grossamountfrom salesof assetsother
thaninventory
..
8a
Less:costor otherbasisandsalesexpenses
8b
Gainor (loss)(attachschedule)
. .
8c
8d
.. ..
.
. .
Netgainor (loss)(combinelineBe,columns(A)and(8))
Specialeventsandactivities(attachschedule)If anyamountis from gaming,checkhere ....
Grossrevenue(notincluding$
0 of contributions
9a
45 , 894
reportedon line1a)
..
Less directexpenses
otherthanfundraisingexpenses
... .
9b
4 0 , 18 8
9c
Netincomeor (loss)fromspecialevents(subtractline9bfrom line9a)
.....
STAT.~MENT . 2
Grosssalesof inventory,lessreturnsandallowances
..
i...;1:..;o=-a-1---------1
._1'-"0-=-b~--------1
Lesscostof goodssold . . .
..... . ...
..
10c
Grossprofitor (loss)from salesof inventory(attachschedule)(subtractline10bfrom line10a)
11
Otherrevenue(fromPartVII,lme103) .. .
12
Total revenue(addlines1d 2 3 4 5 6c 7 Bd 9c 10c and11\
13
Programservices(fromline44,column(8)) .
~-- w r
.
14
Management
andgeneral(fromlme44,column(C))
15
Fundra1smg
(fromline44,column(D))
16
Payments
to affiliates(attachschedule)
... .... ..
17
Total expenses(addImes16and44 columnlA\\
Excessor (def1c1t)
for theyear(subtractline17from line12)
18
Netassetsor fundbalances
at beginningof year(fromlme73,col~~1 (A))
19
Otherchangesin netassetsor fund balances
(attachexplanation)
.... '
.
20
Netassetsor fundbalances
at endof year(combinelines18,19,and20)
21
LHA ForPrivacyActandPaperworkReductionAct Notice,seethe sepate Instructions.

6,125.
14.

17,691.

pl~~.
1

QGOEN-.UT

g~~fj.15
15561121

594,000.

134341

11022

2004.07000

THE ANNAPOLIS

5,706.

1, 955.
625,491.
528,290.
46,325.
77,946.

652,561.
-27,070.
-83,642.
-110,712.

o.

Form990(200~

CENTER FOR SC 11022

17

THE ANNAPOLIS CENTER FOR SCIENCE BASED


PUBLIC POLICY, INC.

52-1759134

II Stateiy1ent of
I""'Part
"'-"'--"--"'--'~
Functional Expenses

All organizations
mustcompletecolumn(A).Columns(B),(C),and(D)arerequiredfor section501(c)(3)
Page2
and(4) organizations
andsection4947(a)(1)nonexempt
charitable
trustsbut optionalfor others.
, Do not include amounts reported on line
(8) Program
(C) Management
(A)Total
(D) Fundra1sing
6b Bb 9b 10b or 16 of Part/.
services
andoeneral
22 Grantsandallocations(attachschedule)
(cash$
noncash
$
22
23 Specificassistance
to individuals(attachschedule) 23
24 Benefitspaidto or for members(attachschedule) 24
166,635.
149,971.
8,332.
of officers,directors,etc
8,332.
25 Compensation
25
203,604.
145,186.
8,066.
50,352.
26 Othersalariesandwages
26
27 Pensionplancontributions
27
42,829.
38,547.
2,141.
2,141.
28 Otheremployeebenefits
28
23,972.
21,575.
1,199.
1,198.
29 Payrolltaxes
29
fundraisingfees
30 Professional
30
5,387.
5,387.
31
31 Accountingfees
..
32 Legalfees
32
......
33 Supplies
33
.......
16,901.
15,211.
845.
845.
34
34 Telephone
. ....
...
6,328.
5,696.
316.
316.
35 Postageandshipping .. .. . .. ..
35
. .
40,978.
36,880.
2,049.
2,049.
36 Occupancy
...
.. 36
19,117.
17,205.
956.
956.
37 Equipmentrentalandmaintenance
37
38
38 Printingandpubl1cat1ons
54,696.
43,757.
10,939.
39 Travel
39
40 Conferences,
conventions,
andmeetings
40
41
41 Interest
. .
.... ....
...
5,179.
5,179.
42 Deprec1at1on,
depletion,etc.(attachschedule)
42
43 Otherexpenses
notcoveredabove(itemize)
43a
a
43b
b
43c
c
43d
d
66,935.
54,262.
11,855.
818.
43e
e SEE STATEMENT 3
~tal luncl1onal
expenses
(addhnes
22through
43)
652,561.
46,325.
528,290.
77,946.
44 -;1zanons
completing
colurms
(B)-(D).
carry
lhesetolals
toImes13-1544
Joint Costs.Check~
1fyouarefollowingSOP98-2
~
Yes [X] No
Areanyjointcostsfrom a combinededucational
campaignandfundraisingsolicitationreportedin (8) Programservices?
amountof theseJointcosts$
; (ii) the amountallocated
to Programservices$______
_
If 'Yes,'enter(I) theaggregate
the amountallocated
to Manaoement
andoeneral$
andfivl theamountallocated
to Fundraisino
$

rnn
I P~

Ill I Statement of Program Service Accomplishments

Whatis the organization's


primaryexemptpurpose?~

SEE STATEMENT 4

Pro~m Service
penses
Allorgamzabons
mustdescnbe
theirexempt
purpose
achievements
Inacleerandconcise
manner.
State
thenumber
ofclients
served,
publications
Issued,
etc.Discuss (Required
for501(c)(3)
and
achievements
thatarenotmeasurable
(Section
501(c)(3)
and(4)organizations
and4947(a)(1)
nonexempt
charltable
trustsmustalsoenter
theamount
ofgrants
and
(4)ergs, and4947(a)(1)
allocations
to others
)
forothers
)
trusts,butoptional
a DEVELOPMENT& COMMUNICATIONOF STANDARDS
TO EVALUATE PRODUCT & EVIRONMENTALSTUDIES &

RESEARCH. EDUCATION OF INDUSTRY AND PUBLIC TO


BENEFITS OF SUCH STANDARDS.
(Grantsandallocations
$

<Grants
andallocations
S

(Grantsandallocations
$

(Grantsandallocations$

528,290.

(Grantsandallocations
$
e Otheroroaramservices(attachschedule)
f Totalof ProgramServiceExpenses(shouldequalline44,column(B),Programservices)

423011
01-13-05

528,290.
Form990(2004)

15561121

134341

11022

2004.07000

THE ANNAPOLIS CENTER FOR SC 11022

Form990(2004)

THE ANNAPOLIS CENTER FOR SCIENCE BASED


PUBLIC POLICY, INC.

52-1759134

Page3

IPartIV IBalance Sheets


Note: Where required, attached schedules and amounts withm the description column

(A)
Beginning
of year

should be for end-of-year amounts only.

45
46

Cash- non-interest-bearing
Savingsandtemporary
cashinvestments

CII

47a
47b

Pledgesreceivable
..
Lessallowance
for doubtfulaccounts
Grantsreceivable
Receivables
fromofficers,directors,trustees,
andkeyemployees
51 a Othernotesandloansreceivable
for doubtfulaccounts
b Lessallowance
for saleor use
52 Inventories
. ...
. ....
anddeferredcharges. .. . ..
53 Prepaidexpenses
54 Investments
- securities .. .... ..... ..
....
- land,buildings,
and
55 a Investments
equipment:
basis .......... .. ...
....

48a
48b

b
56
57 a
b
58

CII

.!!

=
:s
.!!
.J

CII

a>

Ill

ia
m
't,

c::::,

u..
~
CII

1i
CII

:l...

"

. .

47 a Accountsreceivable
for doubtfulaccounts
b Lessallowance
48 a
b
49
50

1i

Lessaccumulated
depreciation
Investments
- other
Land,bu1ldmgs,
andequipmentbasis
Less:accumulated
deprec1at1on STMT
Otherassets(describe~

12,199.

...
..

(B)

Endof year

971.

47c

2,043.

48c
49

..

50

51b

.................
..
..
~ D Cost DFMV

51c
52
53
54

5,013.

2,500.

55a
55c
56

55b

1, 832.

2,043.

I 51a1
....

45
46

I 57a i
57b

.....

50,572.
40,396.

11,618.

57c
58

10,176.

29,801.
61,627.

59
60
61
62
63
64a
64b
65

16,551.
104,610.

66

127,263.

59 Totalassetsladdlines45throuah58\ lmusteaualline74\
andaccruedexpenses
60 Accountspayable
..
61 Grantspayable
.....
revenue
62 Deferred
.. . ...
..........
63 Loansfromofficers,directors,trustees,andkeyemployees. ....
..........
bondl1ab1llt1es
64 a Tax-exempt
b Mortgages
andothernotespayable
. "
65 Otherliabilities(describe~
66 Totalllabllltles{addImes60throuoh65\
Organizations
thatfollowSFAS117,checkhere ~ D andcompletelines67 through
69 andlines73and74
67 Unrestricted
...... ..... . "
........ .....
restricted
68 Temporarily
.. ... ..
. ....
restricted..
69 Permanently
"
.
Organizations
that do notfollowSFAS117,checkhere~ [XJ andcompletelines
70 through74.
or currentfunds
70 Capitalstock,trust pnnc1pal,
. .
.....
Paid-inor capitalsurplus,or land,building,andequipment
fund
71
earnings,
endowment,
accumulated
income,or otherfunds....
72 Retained
73 Totalnet assetsor fundbalances(addlines67through69 or lines70 through72;
column(A)mustequalline19;column(B)mustequallme21)
74 Totalliabilitiesandnetassets/fundbalances(addImes66 and73)

35,000.
16,816.

113,443.

22,653.

67
68
69

o.
o.
-83,642.

o.
o.

70
71

72

-110,712.

-83,642.
29,801.

-110,712.
73
16,551.
74
Form990is available
for publicmspect1on
and,for somepeople,servesasthe primaryor solesourceof information
abouta particularorganization
Howthepublic
perceives
an organization
msuchcasesmaybedetermined
bythemformat1on
presented
onIts return.Therefore,
pleasemakesurethe returnis complete
andaccurate
andfullydescribes,
in PartIll, theorganization's
programsandaccomplishments

423021
01-13-05

15561121

134341

11022

2004.07000

3
THE ANNAPOLIS CENTER FOR SC 11022

THE ANNAPOLIS CENTER FOR SCIENCE BASED


52 - 1759134
PUBLIC POLICY, IN c
I PartlV ..Aj Reconciliation of Revenue per Audited
Part 1v8 I Reconciliation of Expenses per Audited

Form990 (2004)

Financial Statements with Expenses per


Return

Financial Statements with Revenue per


Return

'

Totalrevenue,
gains,andothersupport
perauditedfinancialstatements

Amountsincludedon line a butnoton


line12, Form990:
(1) Netunrealized
gams
on investments
$
(2) Donated
services
anduseof facil1t1es$
(3) Recoveries
of pnor
yeargrants
$
(4) Other(specify)
STMT 6
40l188.
$
Addamountson lines(1) through(4)
c Linea minuslineb
d Amountsincludedon line12,Form
990 butnoton lmea:

....a

665,679.

....b
....c

40,188.
625,491.

Totalexpenses
andlossesper
auditedfinancialstatements ...
b Amountsincludedon line a butnoton
line17,Form990
(1) Donated
services
anduseof facilities $
(2) Prioryearadjustments
reportedon line20,
$
Form990 ..
(3) Lossesreportedon
line20, Form990
$
(4) Other(specify):
STMT 7
40,188.
$
Addamountson lines(1) through(4)
c Linea mmusline b
. ...
..
d Amountsincludedon line17,Form
990 butnoton line a:
a

(1) Investment
expenses

(1) Investment
expenses

notincludedon
lme6b,Form990
(2) Other(specify):

notincludedon
lme6b,Form990
(2) Other(specify):

....a

692,749.

....b

40,188.
652,561.

....c

$
Addamountson lines(1) and(2)
d
.......
perline17, Form990
e Totalexpenses
625,491.
(lmec pluslined)
652,561.
e
e
List of Officers, Directors, Trustees, and Key Employees (Listeachoneevenif notcompensated.)
('?In
Contnbubons to
(E)Expense
hours IC)
(B)Titleandaverage
Compensation
plo~ee benefit
accountand
perweekdevotedto
(A)Nameandaddress
If not
enter plans & deferred other
allowances
oosition
comoensatlon

$
Addamountson Imes(1) and(2)
Totalrevenue
perlme12, Form990
(lmec pluslined)

I PartVl

Page4

o.

....d

o.

....
....

....

~8!1

H. RICHARD SEIBERT
ANNAPOLIS, _MD_ 21401 _______________
HAROLD M. KOENIG
SAN DIEGO, _CA_ 92116 _______________

EXECUTIVE VP
40HRS/WK
PRESIDENT
20HRS/WK

137.475.

o.

o.

29,160.

o.

o.

o.

o.

SEE ATTACHED LIST OF OTHER DIRECTORS

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

o.

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------75 Didanyofficer,director,trustee,or keyemployee


receiveaggregate
compensation
of morethan$100,000fromyourorganization
andall related
If "Yes,'attachschedule
..... D Yes 00 No
organizations,
of whichmorethan$10,000wasprovidedbythe relatedorganizations?
Form990(2004)

423031 01-13-05

15561121

134341

11022

2004.07000

4
THE ANNAPOLIS CENTER FOR SC 11022

THE ANNAPOLIS CENTER FOR SCIENCE BASED


PUBLIC POLICY, INC.

Form990(2004)

52-1759134

Page5

I Part VI I Other Information

Yes No

76 '
77

Didtheorganization
engagein anyactivitynotpreviouslyreportedto theIRS?If "Yes,"attacha detaileddescription
of eachactlVlty
or governingdocuments
butnot reportedto the IRS?
Wereanychangesmademtheorganizing
If "Yes,'attacha conformed
copyof thechanges.
78 a Didtheorganization
haveunrelated
businessgrossincomeof $1,000or moreduringtheyearcoveredbythis return?
N/A
b If 'Yes,'hasit fileda tax returnon Form990-Tfor thisyear? ........ . . .
. ..
..
79 Wastherea liquidation,
dissolution,
termination,
or substantial
contraction
dunngtheyear?
..
..
If 'Yes,'attacha statement
80 a Is theorganization
related(otherthanbyassociation
witha statewide
or nationwide
organization)
throughcommonmembership,
governingbodies,trustees,officers,etc.,to anyotherexemptor nonexempt
organization?

x
x

76
77

78a
78b
79

x
x

80a

b If 'Yes,"enterthenameof theorganization ~ ----------------=---------

andcheckwhetherit is D exemptor D nonexempt


I 81a I
81 a Enterdirector indirectpoliticalexpenditures.
Seeline81 instructions
b Didtheorganization
file Form1120-POL
for thisyear?
81b
82 a Didtheorganization
receivedonatedservicesor theuseof materials,
equipment,
or facil1t1es
at nochargeor at substantially
lessthan
82a
fair rentalvalue?
..... . ..
..
. . ... ...
.....
b If 'Yes,"youmayindicatethevalueof theseitemshere.Donotincludethisamountasrevenuem PartI or asan
expensein PartII. (Seeinstructions
m PartIll ) ............. .
.. .... ... .
I'-="'--''------'------1
82b I
NI A
complywiththepublicinspectionrequirements
for returnsandexemption
appl1cat1ons?....... .
83 a Didtheorganization
83a x
complywiththedisclosurerequirements
relatingto quidproquocontributions?
b Didtheorganization
83b
84 a Didtheorganization
sol1c1t
anycontributions
or giftsthatwerenottaxdeductible?
84a
anexpressstatement
thatsuchcontributions
or giftswerenot
includewitheverysolicitation
b If "Yes,'didtheorganization
taxdeductible?.
..
.. .. . ..
NI A
,_8_4~b
___

85

501 (c)(4},(5), or (6) organizations.a Weresubstantially


allduesnondeductible
by members?

...

N/.~
NI A

x
x

x
_

1-8~5=a-+--+-t-8""5""b..i--+....-

b Didtheorganization
makeonlyin-houselobbyingexpenditures
of $2,000or less?
..
lf "Yes'wasanswered
to either85aor 85b,do notcomplete85cthrough85hbelowunlesstheorganization
received
a waiverfor proxytax
owedfor theprioryear.
c Dues,assessments,
ands1m1lar
amountsfrommembers . .... ...
.. 85c
NI A
d Section162(e)lobbyingandpoliticalexpenditures
. ... . ........
85d
NI A
e Aggregatenondeductible
amountof section6033(e)(1
)(A)duesnotices . ....
85e
NI A
f Taxableamountof lobbyingandpol1t1cal
expenditures
(lme85dless85e) ... ....
. ..
851
NI A
g Doestheorganization
electto paythesection6033(e)taxontheamounton line85f? . ...
...
..... .. . ~ l.:A
1-8~5-io-+---+---h If section6033(e)(1)(A)
duesnoticesweresent,doestheorganization
agreeto addtheamounton line85fto its reasonable
estimateof dues
N/ A
1-8~5~h-+---+-~allocable
to nondeductible
lobbyingandpoliticalexpenditures
for thefollowingtaxyear?
..
..
86 501(c)(7) organizations. Entera Initiationfeesandcapitalcontributions
includedon lme12
86a
NI A
b Grossreceipts,includedon lme12,for publicuseof clubfacilities.
86b
NI A
87 501 (c)(12)organizations. Enter.a Grossincomefrommembersor shareholders
. . 87a
NI A
b Grossincomefromothersources(Donotnetamountsdueor paidto othersources
'---"-87""b'-'____
N.....;../_A
__ _
againstamountsdueor received
fromthem.)
.. . .
. .. .
owna 50%or greaterinterestin a taxablecorporation
or partnership,
88 At anytimeduringtheyear,didtheorganization
or anentitydisregarded
asseparate
fromtheorganization
underRegulations
sections301.77012
and301.7701-3?
x
88
If "Yes,'completePartIX
. ........
.. .. ..
.. ......
........
89 a 501 (c)(3)organizations. Enter:Amountof taximposedontheorganization
duringtheyearunder:
section4911~
0 ; section4912~
0 ; section4955 ~
b 501 (c)(3)and 501(c)(4)organizations.Didthe organization
engagein anysection4958excessbenefit
transaction
duringtheyearor did 1tbecomeawareof anexcessbenefittransaction
froma pnoryear?
x
89b
explaining
eachtransaction
. .. .. .
...... .
If "Yes,'attacha statement
c Enter:Amountof taximposedontheorganization
managers
or disqualified
personsduringtheyearunder
sections4912,4955,and4958
~
0
d EnterAmountof taxon lme89c,above,reimbursed
bytheorganization
~
0
90 a Listthestateswithwhicha copyof this return1sfiled ~ _MAR
__ Y_L_AN
__ D_____________
~----------b Numberof employees
employed
in thepaypenodthatincludesMarch12,2004
90b
9
91 Thebooksaremcareof ~H. RICHARD SEIBERT
Telephoneno.~ 410-268-3302

o.

---------

I I

Locatedat ~
92

111 FORBES STREET, SUITE 2 0 0

ZIP+4 ~

21401
-------

Section 4947(8)(1)nonexempt charitable trusts ft/mg Form 990 in lieu of Form1041-Checkhere

interestreceived
or accruedduringthetaxyear
andentertheamountof tax-exempt
423041
01-13-05

92
Form990(2004)

15561121

134341

11022

2004.07000

THE ANNAPOLIS CENTER FOR SC 11022

THE ANNAPOLIS CENTER FOR SCIENCE BASED


PUBLIC POLICY INC

Form990 (2004)

! PartVH I

52 - 1759134

Page6

Analysis of Income-Producing Activities (Seepage33 of theinstructions.)

Excluded
bysection
512, 513, or514
(C)
(D)
ExcluAmount
slon

Unrelated
businessincome
(A)
(B)
Business
Amount
code

No'te:Enter gross amounts unless otherwise


indicated.

93 Programservicerevenue.

code

(E)
Related
or exempt
functionincome

a
b

c
d
e
f Med1care/Med1caid
payments....

g Feesandcontractsfromgovernment
agencies
94 Membership
duesandassessments......
95 Interestonsavingsandtemporarycashinvestments..
andinterestfromsecurities
96 Dividends
97 Netrentalincomeor (loss)fromrealestate.
a debt-financed
property
b notdebt-financed
property .. ........
98 Netrentalincomeor (loss)frompersonalproperty ....
income
99 Otherinvestment
......
...
100 Gainor (loss)fromsalesof assets
otherthaninventory
..
101 Netincomeor (loss)fromspecialevents
102 Grossprofitor (loss)fromsalesof inventory
103 Otherrevenue:

6,125.
14.
17,691.

5,706.

a MISCELLANEOUSINCOME

1, 955.

c
d
e
104 Subtotal(addcolumns(B),(D),and(E)) ..
105 Total(addline104,columns(B),(D),and(E))
Not e: L"
l fme 1d Part/ , S h OUId eau a/th e amoun on fme 12 Part/
me 105 pus

'

! PartVIIII
LineNo.
~

'

o.

Relationship of Activities to the Accomplishment

o.

....____

31,491.
3_1..._,_4_9_1_

of Exempt Purposes (Seepage34 of theinstructions.)

importantly
to theaccomplishment
of theorganization's
Explainhoweachactivityfor whichincomeis reportedin column(E)of PartVII contributed
exemptpurposes(otherthanby providingfundsfor suchpurposes).

SEE STATEMENT8

I Part IX I Information Regarding Taxable Subsidiaries and Disregarded Entities (Seepage34 of theinstructions.)
(A}
(B)
(D)
(~) ..
(~-year
Name,address,andEINof corporation,
Percenta11e
of
End-o
Natureo act1v1ties
Totalincome
oartnershio.
or disreaarded
ent1tv

interest
ownershio

assets

N/A

%
%

!PartX

I Information Reaardina Transfers Associated with Personal Benefit Contracts

(Seepage34 of theinstructions.)
[Kl No
Dves
[Kl No
Dves

(a) Didtheorganization,
duringtheyear,receiveanyfunds,directlyor indirectly,
to paypremiumsona personalbenefitcontract?

(b) Didtheorganization,
duringtheyear,paypremiums,
directlyor indirectly,ona personalbenefitcontract?
Note:If "Yes" to b , ftle Form 8870 and Form 4720 see instructions.
1
1:'m~iri::i'l:i'tcla~"f.~"nreof't~~~:~(g:<~;~~':I,
~'Ji\'C:J~:."1,:';'l'1:~ga~~=r,i:,ngi5~~~hu~~;~,!!rs~:::'.:";l:'.;o~~~!he
bestofmy knowledge
andbelief,
1t1strue,
Please ~~:~~
Sign
Signature
of officer
=ry_p_e_o_r
p-r.,...in.,...t
n_a_m_e_a-nd.,..,t,..,.1t1=-e.-----------Here

Preparer'sSSN

Paid

423161
01-13-05

Phoneno ....

orPTIN

410 822-4656
Form990 (2004)

15561121

134341

11022

2004.07000

THE ANNAPOLIS CENTER FOR SC 11022

SCHED\,JLEA

Organization Exempt Under Section 501(c)(3)

(Form 990 or 990-EZ)

(ExceptPrivateFoundation)
andSection501(e),501(1),501(k),
501(n), or Section4947(a)(1)Nonexempt
CharitableTrust
~

Nameof the organizationTHE

MUSTbe completedbythe aboveorganizations


andattachedto their Form990or 990-EZ
ANNAPOLIS CENTER FOR SC !ENCE BASED
EmployerIdentificationnumber

PUBLIC

Part I

2004

Supplementary lnformation-(See separate instructions.)

Department of the Treasury


Internal Revenue Se,voce

OMB No. 1545-0047

POLICY,

52. 1759134

INC.

Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees
(Seepage1 of the instructions.
Listeachone If therearenone,enter'None.')
(d) Contnbut,ons to
(b) Titleandaveragehours
(e) Expense
(a) Nameandaddressof eachemployee
paid
benefit
(c) Compensationemplo~ee
perweekdevotedto
andother
plans & deferred account
morethan$50,000
oosit1on
compensation
allowances

NONE
----------------------------------

------------------------------------------------------------------------------------------------------------------------------------Totalnumberof otheremployees
paid
over$50,000

IPartHI Compensation

of the Five Highest Paid Independent Contractors for Professional Services

(Seepage2 of the instructions.


Listeachone(whethermd1v1duals
or finns).If therearenone,enter"None")
(a) Nameandaddressof eachindependent
contractorpaidmorethan$50,000

(b) Typeof service

(c) Compensation

NONE
--------------------------------------------

Totalnumberof othersreceivingover
$50,000for professional
services
423101111-24.04

15561121

LHA ForPaperworkReductionActNotice,seethe Instructionsfor Form990andForm990-EZ.

134341

11022

2004.07000

7
THE ANNAPOLIS

ScheduleA (Form990or 990-EZ)2004

CENTER FOR SC 11022

5 2 -1 7 5 913 4

!P@ftIll j Statements

About Activities (Seepage2 of theinstructions.)

Yes No

includinganyattemptto influence
Dunngtheyear,hastheorganization
attempted
to influencenational,state,or locallegislation,
publicopinionon a legislative
matteror referendum?
If 'Yes,'enterthetotalexpenses
paidor incurredmconnection
withthe
lobbyingactivities..... $
$
(Mustequalamountson line38, PartVI-A,
or linei of PartVI-B.)
Organizations
thatmadeanelectionundersection501(h)byfilingForm5768mustcompletePartVI-A.Otherorganizations
checking
'Yes,'mustcompletePartVI-BANDattacha statement
givinga detaileddescriptionof thelobbyingactivities
Duringtheyear,hasthe organization,
eitherdirectlyor indirectly,engagedin anyof thefollowingactswithanysubstantial
contributors,
trustees,directors,officers,creators,keyemployees,
or membersof theirfam1l1es,
or withanytaxableorganization
withwhichanysuch
personis affiliatedasan officer,director,trustee,majorityowner,or principalbenef1c1ary?
(If the answer to any question is "Yes,"

attach

Page2

a detailed statement explaining the transactions.)

a Sale,exchange,
or leasingof property? . ........

2a

b Lendingof moneyor otherextension


of credit?

2b

c Furnishing
of goods,services,or fac1l1t1es?

2c

d Payment
of compensation
(or paymentor reimbursement
of expenses
if morethan$1,000)?

2d

e Transferof anypartof its incomeor assets?

2e

3 a Doyou makegrantsfor scholarships,


fellowships,
studentloans,etc.?(If 'Yes,'attachanexplanation
of how
..
......
youdetermine
that recipients
qualifyto receivepayments)
b Doyou havea section403(b)annuityplanfor youremployees?
. .......... ..

3a
3b
4a
4b

IPart IV I Reason for Non-Private

x
x
x
x

Foundation Status (Seepages3 through6 of theinstructions.)

Theorganization
is nota privatefoundationbecause
1t1s(PleasecheckonlyONEapplicable
box.)
5 D
A church,conventionof churches,or association
of churchesSection170(b)(1
)(A)(i).
6 D
A school.Section170(b)(1
)(A)(ii).(AlsocompletePartV.)
7
D A hospitalor a cooperativehospitalserviceorganizationSection170(b)(1)(A)(iil).
8 D
A Federal,
state,or localgovernment
or governmental
unit Section170(b)(1
)(A)(v).
9
D A medicalresearchorganizationoperatedin con1unction
witha hospital.Section170(b)(1)(A)(11i)
Enterthe hospital'sname,city,
andstate .....
An organization
operated
for the benefitof a collegeor universityownedor operated
by a governmental
unit Section170(b)(1)(A)(iv).
10 D
(Alsocompletethe SupportSchedulein PartIV-A.)
unit or fromthegeneralpublic
An organization
thatnormallyreceives
a substantial
partof its supportfroma governmental
11a D
Section170(b)(1
)(A)(vi).(Alsocompletethe SupportSchedulein PartIV-A.)
A communitytrust.Section170(b)(1)(A)(vi).
(Alsocomplete
the SupportSchedulein PartIV-A)
11b D
thatnormallyreceives:(1) morethan331/3%of its supportfromcontributions,
membership
fees,andgross
12 00 An organization
receiptsfromactivitiesrelatedto its charitable,
etc, functions- subjectto certainexceptions,
and(2) no morethan331/3% of
its supportfromgrossinvestment
incomeandunrelated
businesstaxableincome(lesssection511tax)from businesses
acquired
by the organization
afterJune30, 1975. Seesection509(a)(2).(Alsocomplete
the SupportSchedulein PartIV-A.)
13

An organization
that is notcontrolledby anydisqualified
persons(otherthanfoundationmanagers)
andsupportsorganizations
described
in:
(1) lines5 through12above;or (2) section501(c)(4),(5), or (6)1 if theymeetthetestof section509(a)(2).(Seesection509(a)(3))
Providethefollowinginformation
aboutthe supportedorganizations.
(Seepage5 of the instructions.)
(b) Linenumber
fromabove

(a) Name(s)of supportedorganizat1on(s)

14

An organization
organized
andoperated
to testfor publicsafetySection509(a)(4).(Seepage5 of theinstructions)

1~~cld-1
4

ScheduleA (Form990or 990-EZ)2004

15561121

134341

11022

2004.07000

THE ANNAPOLIS CENTER FOR SC 11022

THE ANNAPOLIS CENTER FOR SCIENCE BASED


ScheduleA(Form990or990EZ)2004
PUBLIC POLICY INC.
52-1759134
Page3
c-c--c____:c__l=--"-.._c__c_, Support Schedule (Completeonly If you checked a box on line 10, 11, or 12.) Use cash method of accounting.
'
Not e: Yiou mavuse th e wo rksh eet m
. th e mstruct1ons
.
.
fior convertmc
. fJrom the accrual to the cash method of accountino.
Calendaryear(or fiscalyear
beginningin) ..
.
(c) 2001
(a) 2003
(b) 2002
(d) 2000
(e) Total
.... ~
15 Gifts,grants,andcontributions
received.
(Donot infludeunusual
646,125.
532,250.
678,000.
416.250.
2,272,625.
arants.Seeline28
7,250.
28,600.
13,050.
15,599.
64,499.
feesreceived
16 Membership
17 Grossreceiptsfromadm1ss1ons,
merchandise
soldor services
performed,
or furnishingof
facil1t1es
m anyactivitythatis
relatedto the organization's
charitable,
etc.,purpose
67,813.
64,480.
199,042.
32,294.
34.455.
18

19
20

Grossincomefrom interest,
dividends,
amountsreceived
from
payments
on securitiesloans(sect1on512(a)(5)),rents,royalties,
and
unrelated
businesstaxableincome
(lesssection511taxes)from
businesses
acquiredbythe
organization
afterJune30, 1975
Netincomefrom unrelated
business
activitiesnot includedin lme18
Taxrevenues
leviedfor the
organization's
benefitandeither
paidto 1tor expended
on its behalf

12, 251.

13,287.

13,695.

12,044.

51,277.

Thevalueof servicesor facilities


furnishedto the organization
by a
governmental
unitwithoutcharge.
Donot includethevalueof services
or fac1l1t1es
generally
furnishedto
thepublicwithoutcharge
SEE STATEMENT 9
22 Otherincome.Attacha schedule.
Donot includegainor (loss)from
4,116.
1, 806.
739.
630.
941.
saleof capitalassets .
2,591,559.
643,756.
770.166.
479.087.
698,550.
23 Totaloflines15through22
2,392,517.
444.632.
575,943.
705.686.
24 Line23 mmusline17 ..... ...
666,256.
4,791.
6,986.
6,438.
7,702.
25 Enter1% of line23
...
N/A
26 Organizations
~ 26a
describedon lines1Dor 11: a Enter2% of amountin column(e),lme24
..
a list tor your recordsto showthe nameof andamountcontributed
by eachperson(otherthana governmental
b Prepare
unitor publiclysupportedorganization)
whosetotalgiftsfor 2000through2003exceeded
theamountshownin line26a.
N/A
~ 26b
Donotfile this list with yourreturn. Enterthetotalof all theseexcessamounts
..
..
N/A
~ 26c
c Totalsupportfor section509(a)(1)test:Enterline24,column(e) .
..
..........
19
d Add:Amountsfromcolumn(e)for lines: 18
N/A
26b
22
..... ~ 26d
N/A
.. . . .. ~ 26e
e Publicsupport(line26cminusline26dtotal)
.. .
. .
. . .....
N/A %
...
~ 261
f Publicsunnortnercentaaelllne 26elnumeratorldividedbv line 26cldenomlnatorll
27 Organizations
describedon line 12: a Foramountsincludedin lines15,16,and17thatwerereceived
froma 'disqual1f1ed
person,'preparea listfor your
recordsto showthenameof,andtotalamountsreceivedin eachyearfrom,each'disqualified
person.'Donot file this list withyourreturn.Enterthesumof
suchamountstor eachyear:
_Q (2000)
0. (2001)
0 (2002)
(2003)
b Foranyamountincludedm lme17thatwasreceived
fromeachperson(otherthan'disqualified
persons"),
preparea listfor your recordsto showthenameof,
andamountreceived
tor eachyear,thatwasmorethanthe larger of (1) theamounton line25for theyearor (2) $5,000.(Includemthe list organizations
described
in lines5 through11,aswellas individuals.)
Donotfile this list with yourreturn.Aftercomputingthedifference
between
theamountreceived
and
in (1) or (2),enterthesumof thesedifferences
(theexcessamounts)tor eachyear
thelargeramountdescribed
(2003)
0 (2002)
. . 0 (2001)
0 (2000)
c Add:Amountstromcolumn(e)forlines:
15
2,272,625.
16
64,499.
17
19 9 1 0 4 2 20
21
~ i-:2:..:..7:..C
+---=2::.J,'-'5=-3::.6=-i..
d Add Lme27atotal
O
andline27btotal
O
~ f-'2::..:7c.:d--1______
0;....;...
e Publicsupport(line27ctotalmmuslme27dtotal)
~ r-:2:::.7:::.e
+....;;;2~5:;...3;;...;,.6J.,,.
f Totalsupportfor section509(a)(2)test:Enteramounton lme23,column(e)
~
271
2 5 91 , 5 5 9
g Public support percentage (line 27e (numerator) divided by line 27f (denominator))
~ 27
9 7 86 2 6%
h Investment income ercenta e line 18 column e numerator divided b line 27f denominator
~ 27h
1 9 7 86%
28 Unusual Grants: Foran organization
described
m line10,11,or 12thatreceived
anyunusualgrantsduring2000through2003,preparea listfor yourrecords
to show,for eachyear,the nameof thecontributor,thedateandamountof the grant,anda briefdescriptionof the natureof the grant Donotfile this listwith
yourreturn.Donot includethesegrantsm line15.
21

o.

o.

NONE

423121 12-03-04

Schedule A (Form 990 or 990-EZ} 2004

15561121

134341

11022

2004.07000

THE ANNAPOLIS CENTER FOR SC 11022

THE ANNAPOLIS CENTER FOR SCIENCE BASED


POLI CY, INC

Schedule
A (Form990or 990-EZ)2004 PUBLIC

I.PartVI
29

5 2-1 7 5 913 4
N/A

31

Doestheorganization
maintain
thefollowing:
indicating
theracialcomposition
of thestudentbody,faculty,andadministrative
staff?...
a Records
... ... . .
basis?
documenting
thatscholarships
andotherfinancialassistance
areawarded
ona raciallynondiscriminatory
b Records
brochures,
announcements,
andotherwrittencommunications
to thepublicdealingwithstudent
c Copiesof allcatalogues,
admissions,
programs,
andscholarships?
...
or onits behalfto solicitcontributions?
d Copiesof all materialusedbytheorganization
If youanswered
"No'to anyoftheabove,pleaseexplain(If youneedmorespace,attacha separate
statement)

33
a
b
c
d
e
I
g
h

Doestheorganization
discriminate
by racein anywaywithrespectto:
Students'rightsor privileges? .... .. .. .
. ...
.. .
. ..
Admissions
policies? ....
.....
. ..... ..
..
..
Employment
of facultyor administrative
staff?
. .. .
..
...
assistance?
Scholarships
or otherfinancial
..
. ..... ..
.......
Educational
policies?
..
...
. ....
.....
..
Useoffacilities?
...
....
... .
.....
Athleticprograms?
..
Otherextracurricular
act1v1ties?
.. .
. . . . ..
. ..
..
If youanswered
'Yes'to anyof theabove,pleaseexplain.(If youneedmorespace,attacha separate
statement.)

29
30

31

..........

...

..

.....

..

...
....

receive
anyfinancialaidor assistance
froma governmental
agency?
34 a Doestheorganization
rightto suchaideverbeenrevoked
or suspended?
b Hastheorganization's
.
If youanswered
'Yes'to either34aorb, pleaseexplainusinganattached
statement.
certifythatit hascompliedwiththeapplicable
requirements
of sections4.01through4 05 of Rev.Proc.7550,
35 Doestheorganization
If "No,"attachanexplanation
19752C.B.587,coveringracialnondiscrimination?
..
...

Page4

Yes No

Doestheorganization
havea raciallynondiscriminatory
policytowardstudentsby statement
in its charter,bylaws,othergoverning
instrument.
or in a resolution
of its governingbody?
.....
. ..
Doestheorganization
includea statement
of its raciallynondiscriminatory
policytowardstudentsin allrtsbrochures,
catalogues,
programs,
andscholarships?
andotherwrittencommunications
withthepublicdealingwithstudentadmissions,
rtsraciallynondiscriminatory
policythroughnewspaper
or broadcast
mediaduringtheperiodof
Hastheorganization
publicized
periodif it hasnosolicitation
program,in a waythatmakesthepolicyknown
sol1c1tation
for students,or duringtheregistration
it serves? . .
to allpartsof thegeneralcommunity
. .
.....
..
if 'No,"pleaseexplain.(If youneedmorespace,attacha separate
statement.)
If "Yes,"
pleasedescribe;

30

32

Private School Questionnaire (Seepage7 of theinstructions


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

32a
32b
32c
32d

33a
33b
33c
33d
33e
331
330
33h

34a
34b
'

35
Schedule
A (Form990or 990-EZ)2004

423131
11-24-04

15561121

134341 11022

2004.07000

10
THE ANNAPOLIS CENTER FOR SC 11022

THE ANNAPOLIS CENTER FOR SCIENCE BASED


POLICY INC.

Schedule
A (Form990or 990-EZ)2004 PUBLIC

Part VI..A Lobbying Expenditures by Electing Public Charities


'

(Seepage9 of the instructions.)

5 2-1 7 5 913 4 Pa e 5
N/A

(Tobecompleted
ONLYbyan eligibleorganization
thatfiledForm5768)

Check

if the oroanization
belonasto anaffiliatedarouo.

Check

aoolv
1fvoucheckeda and"limitedcontrol"orov1sions
(a)
(b)
Affiliatedgroup
To becompleted
for ALL
totals
electingorganizations

Limits on Lobbying Expenditures


(Theterm"expenditures'
meansamountspaidor incurred.)

N/A
36
37
38
39
40
41

Totallobbyingexpenditures
to influencepublicopinion(grassrootslobbying)
Totallobbyingexpenditures
to influence
a legislative
body(directlobbying)
Totallobbyingexpenditures
(addlines36 and37)
... ..
Otherexemptpurposeexpenditures
.... . . . ...
.....
...
Totalexemptpurposeexpenditures
(addlines38 and39)
......
Lobbyingnontaxable
amountEntertheamountfromthefollowingtable
If the amounton line 40 Is
Thelobbyingnontaxableamountis

36
37
38
39
40

.....
...

"

Not over $500,000

,0%0<-~-" ............... }

Over $500,000 but not over $1,000,000 .

$100,000 plus 15% of the excess over$500,000

Over $1,000,000 but not over $1,500,000


Over $1,500,000 but not over $17,000,000

..

"

41

$175,000 plus 10% of the excess over $1,000,000 .


$225,000 plus 5% of the excess over $1,500,000

Over$17,000,000
$1,000,000
. . . ....
....
42 Grassroots
nontaxable
amount(enter25%of line41) ....
43 Subtractline42 from line36 EnterOif line42 is morethanline36
44 Subtractline41 fromlme38.EnterO1fllne41 is morethanline38 ....

,,,

"

..

"

..
...

..

..

42
43
44

Caution: If there is an amount on either line 43 or /me 44, you must file Form 4720.

4-Year Averaging Period Under Section 501(h)


(Someorganizations
thatmadea section501(h)electiondo not haveto completeall of thefivecolumns
below.Seethe instructions
for Imes45 through50 on page11 of the instructions)
LobbyingExpenditures
During4-YearAveragingPeriod
Calendaryear(or
fiscalyearbeginningin)

(a)
2004

2003

45 Lobbyingnontaxable
amount
46 Lobbyingceilingamount
1150%of lme451e\\ ...
47 Totallobbying
exoenditu
res
nontaxable
48 Grassroots
amount ...
ceilingamount
49 Grassroots
1150%ofline 481e\l
50 Grassroots
lobbying
exoend1tures

I Part v1..a l

(t)
2002

(b)

"

N/A

(d)
2001

(e)

Total

o.
o.
o.
o.
o.
o.

"

"

"

Lobbying Activity by Nonelecting Public Charities

N/A

(Forreportingonlyby organizations
thatdid notcompletePartVlA)(Seepage11 of the instructions)
Duringtheyear,did the organization
attemptto influencenational,stateor localleg1slat1on,
includinganyattemptto
matteror referendum,
throughtheuseof
influencepublicopinionon a legislative
a Volunteers
..
...
. ..
..
.... .. ....
(Includecompensation
m expenses
reportedon linesc throughh.)
b Paidstaffor management
.....
c Mediaadvertisements
. ..
..
or thepublic .... . ..
d Mailingsto members,legislators,
......
or publishedor broadcast
statements
e Publications,
..
.... . .. .
f Grantsto otherorganizations
for lobbyingpurposes
...
....
theirstaffs,government
off1c1als,
or a legislative
body
g Directcontactwithlegislators,
...
demonstrations,
seminars,
conventions,
speeches,
lectures,or anyothermeans.
h Rallies,
.... ..
I Totallobbyingexpenditures
(Addlinesc throughh.)
. .... ..... .....
. .
.... .....
If 'Yes"to anyof theabove,alsoattacha statement
givinga detaileddescription
of thelobbyingactivities.
423141
11-24-04

15561121

Yes

No

Amount

o.
ScheduleA (Form990or 990-EZ)2004

134341

11022

2004.07000

11
THE ANNAPOLIS CENTER FOR SC 11022

THE ANNAPOLIS CENTER FOR SCIENCE BASED


POLICY INC.

ScheduleAForm990or990-EZ)2004PUBLIC

52-1759134
Part VII Information Regarding Transfers To and Transactions and Relationships With Noncharitable

51

Exempt Organizations (Seepage11of theinstructionsl


Didthereportingorganization
directlyor indirectlyengagein anyof thefollowingwithanyotherorganization
described
in section
501(c) of theCode(otherthansection501(c)(3)organizations)
or in section527,relatingto politicalorganizations?
a Transfers
fromthe reportingorganization
to a noncharitable
exemptorganization
of:
(i) Cash
(ii) Otherassets ...
b Othertransactions:
(I) Salesor exchanges
of assetswitha nonchantable
exemptorganization
(ii) Purchases
of assetsfroma noncharitable
exemptorganization
(iii) Rentalof fac1l1t1es,
equipment,
or otherassets
.......... .
(Iv) Reimbursement
arrangements
(v) Loansor loanguarantees
(vi) Performance
of servicesor membership
or fundraisingsolicitations
c Sharingof facilities,equipment,mailinglists,otherassets,or paidemployees
d If theanswerto anyof theaboveis 'Yes,'complete
thefollowingschedule.
Column(b) shouldalwaysshowthefair marketvalueof the
goods,otherassets,or servicesgivenbythe reportingorganization.
If theorganization
received
lessthanfair marketvaluein any
showin column(d)thevalueof thegoods,otherassets,or servicesreceived.
transaction
or sharingarrangement,
(a)

(b)

Lineno.

Amountinvolved

(c)

Nameof noncharitable
exemptorganization

Yes

b(I)
b(ii)
b(III)
b(lv)
b(v)
b(vi)

(b)

Typeof organization

423151
11-24-04

15561121

N/A

(d)
Description
of transfers,transactions,
andsharingarrangements

(a)

No

x
x
x
x
x
x
x
x
x

51a(i)
a(il)

52 a Istheorganization
directlyor indirectlyaffiliatedwith,or relatedto, oneor moretax-exempt
organizations
described
in section501(c) of the
Code(otherthansection501(c)(3))or in section527?
~ D Yes
b If 'Yes' complete
thefollowingschedule
NIA
Nameof organization

Page&

[XJ

No

(c)

Description
of relationship

ScheduleA (Form990or 990-EZ)2004

134341

11022

2004.07000

12
THE ANNAPOLIS CENTER FOR SC 11022

2004 DEPRECIATION AND AMORTIZATION REPORT

990

FORM 990 PAGE 2


Asset
No

428102

Description

Date
Acquired Method

Life

Line
No

Unad1usted
CostOrBasis

Bus%
Exel

Reduction
In
Basis

BasisFor
Depreciation

Accumulated
Depreciation

Current
Sec179

AmountOf
Depreciation

o.
o..

lFAX MACHINE

06 24 93 SL

15.00 16

688.

688.

688.

2 l?AX/TYP.EWRITER

10 13 94 SL

15.00 16

1,150 ...

1,150 ..

1, 15()..

3FILE CABINETS

11 11 94 SL

10.00 16

100.

100.

92.

5:0MPUTERPRINTER

11 14 94 SL

15..oo 16

1,410 ...

l,410ir

1,410.

60FFICE

11 29 94 SL

10.00 16

1,800.

1,800.

1,635.

10 SOFTWARE

01 11 95 SL

3 ..00 16

243 ...

243 ..

2.43.

o..

14 SOFTWARE

08 04 98 SL

3.00

106.

106.

106.

o.

15 CARDSCAN

09 04 9l:lSL

5.00 16

414 ...

414ir

414.

o..

16 PRINTER

05 05 98 SL

3.00

Hl CO.MPtnERS

(}204 9tl SL

19 COMPUTERS

FURNITURE

16

8.

o.
165.

1,400.

1,400.

1,400.

o.

3 ..00 16

7,732.

1-t 732 ..

7-,732w-

o.

04 05 99 SL

3.00

6,794.

6,794.

6,794.

20 ZOMPUTER.

()3OS00 SL

3.00 16

2,449.

2,449 ..

2,449.

21 COMPUTER,

12 05 00 SL

3.00

2,152.

2,152.

2,152.

o.
o..
o.

COMPUTER.
22 ~ATEWAY

02 04 02 SL

3 ..00 16

1,296.

1,296 ..

828.

432 ..

23 GATEWAYCOMPUTER

12 05 02 SL

3.00

16

1,131.

1,131.

408.

377.

COMPUTERS
24 JATEWAY

12 05 02 SL

3 ..00 16

5,748.

5,748 ..

25 POSTAL METER

03 09 03 SL

15.00 16

3,296.

3,296.

549.

659.

26 COMPUTER

b.3l'.>90:3SL

1.00 16

1#303 ..

1;303.

3fJ2.

434 ..

10-08-04

16

16

16

(D)- Asset disposed

16

2,07=6.

1 ,9lfJ ..

ITC,Section 179, Salvage,Bonus, CommercialRevitalizationDeduction

2004 DEPRECIATION AND AMORTIZATION REPORT

990

FORM 990 PAGE 2


Asset
No.

Date
Acquired Method

Description

Life

l..Jne
No

UnadJusted
CostOrBasis

3.00

16

933.

5.00

16

1,300.

09 05 03 SL

3.00

16

Otl05 04 SL
COMPUTER.
30 lATEWAY
COMPUTER SERVER/BACKUP
10 05 04 SL
31 UPGRADE

5.00
ls.00

27 COMPUTER

04 05 03 SL

2a PROJECTOR

07

29 COMPUTER

- ~-::-L
~

990 PAGE 2 TOTAL* GRAND TOTAL 990 PAGE

2 DEPR

Reduction
In
Basis

933.

Accumulated
Depreciation

Current
Sec179

'

AmountOf
Depreciation

311.

1,300.

130

260.

1,152.

1,152.

128.

384.

16

1,36-2.

1~362.

114.

16

2,375.

2,375.

119.

o...

46,334 ..
5.00

BasisFor
Depreciation

233.

* 990 PAGE 2 TOTAL12 LEASEHOLD IMPROVEMENT 12 27 97 SL

Bus%
Exel

16

4,238.

o.
o.

4,238.
50,572.

46,334.

3.0,979.

4,238.

4,238.

4,238.

4,238 ...

50,572.

35,217.

o.
o...
o.

5,179.

o.
o.
5,179.

'

428102

10-08-04

(D) - Asset disposed

17

ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction

~HE 'ANNAPOLIS CENTER FOR SCIENCE BASED


FORM '990

52-1759134

RENTAL INCOME

STATEMENT
ACTIVITY
NUMBER

KIND AND LOCATION OF PROPERTY


SUBLET OF OFFICE SPACE, ANNAPOLIS, MD
TOTAL TO FORM 990,

PART I,

FORM 990

ANNUAL DINNER
TICKET PROMOTION
TO FM 990,

PART I,

LINE 9

17,691.

GROSS
RECEIPTS

CONTRIBUT.
INCLUDED

DIRECT
EXPENSES

41,350.
4,544.

37,997.
2,191.

3,353.
2,353.

45,894.

45,894.

40,188.

5,706.

TOTAL

(B)
PROGRAM
SERVICES

DUES AND
SUBSCRIPTIONS
BANK FEES
INSURANCE
REGISRTATION FEES
OFFICE SUPPLIES
INTERNET EXPENSES
COMMUNICATIONS
WORKSHOPS/PROJECTS

1,499.
6,964.
3,404.
225.
11,330.
5,018.
11,325.
27,170.

10,197.
4,516.
11,325.
27,170.

TOTAL TO FM 990,

66,935.

54,262.

134341

11022

2004.07000

1,054.

STATEMENT
(C)
MANAGEMENT
AND GENERAL
445.
6,964.
3,404.
225.
566.
251.

11,855.

NET
INCOME

41,350.
4,544.

(A)

15561121

GROSS
REVENUE

STATEMENT

OTHER EXPENSES

LN 43

17,691.

LINE 6A

FORM 990

DESCRIPTION

GROSS
RENTAL INCOME

SPECIAL EVENTS AND ACTIVITIES

DESCRIPTION OF EVENT

(D)
FUNDRAISING

567.
251.

818.

18
STATEMENT(S) 1, 2, 3
THE ANNAPOLIS CENTER FOR SC 11022
l

THE 1\NNAPOLIS CENTER FOR SCIENCE BASED


FORM'990

52-1759134

STATEMENTOF ORGANIZATION'S PRIMARYEXEMPTPURPOSE


PART III

STATEMENT 4

EXPLANATION
EDUCATIONALORGANIZATIONWHICHASSESSES THE QUALITY OF RESEARCHAND THE
MANNERIN WHICH IT IS APPLIED TO MANAGERISK.
DEPRECIATION OF ASSETS NOT HELD FOR INVESTMENT

FORM 990

COST OR
OTHER BASIS

DESCRIPTION
FAX MACHINE
FAX/TYPEWRITER
FILE CABINETS
COMPUTERPRINTER
OFFICE FURNITURE
SOFTWARE
LEASEHOLDIMPROVEMENT
SOFTWARE
CARD SCAN
PRINTER
COMPUTERS
COMPUTERS
COMPUTER
COMPUTER
GATEWAYCOMPUTER
GATEWAYCOMPUTER
GATEWAYCOMPUTERS
POSTAL METER
COMPUTER
COMPUTER
PROJECTOR
COMPUTER
GATEWAYCOMPUTER
COMPUTERSERVER/BACKUPUPGRADE
TOTAL TO FORM 990,

15561121

134341

PART IV, LN 57

11022

2004.07000

688.
1,150.
100.
1,410.
1,800.
243.
4,238.
106.
414.
1,400.
7,732.
6,794.
2,449.
2,152.
1,296.
1,131.
5,748.
3,296.
1,303.
933.
1,300.
1,152.
1,362.
2,375.
50,572.

ACCUMULATED
DEPRECIATION
688.
1,150.
100.
1,410.
1,800.
243.
4,238.
106.
414.
1,400.
7,732.
6,794.
2,449.
2,152.
1,260.
785.
3,992.
1,208.
796.
544.
390.
512.
114.
119.
40,396.

STATEMENT 5

BOOKVALUE

o.
o.
o.
o.
o.
o.
o.
o.
o.
o.
o.
o.
o.
o.
36.
346.
1,756.
2,088.
507.
389.
910.
640.
1,248.
2,256.
10,176.

STATEMENT(S) 4, 5
19
THE ANNAPOLIS CENTER FOR SC 11022
1

~HE -ANNAPOLISCENTER FOR SCIENCE BASED


FORM'990

52-1759134

OTHER REVENUENOT INCLUDEDON FORM 990

DESCRIPTION

AMOUNT

EXPENSES ASSOCIATED WITH THE ANNUALDINNER AND TICKET


PROMOTION
REPORTEDAS PROGRAMSERVICE AND FUNDRAISING EXPENSE,
RESPECTIVELY
ON THE FINANCIAL STATEMENT.
TOTAL TO FORM 990,

PART IV-A

FORM 990

OTHER EXPENSES NOT INCLUDEDON FORM 990

40,188.

40,188.

DESCRIPTION

STATEMENT 7
AMOUNT

EXPENSES ASSOCIATED WITH THE ANNUALDINNER AND TICKET


PROMOTION
REPORTEDAS PROGRAMSERVICE AND FUNDRAISING EXPENSE,
RESPECTIVELY
ON THE FINANCIAL STATEMENT.
TOTAL TO FORM 990,

PART IV-B

40,188.

40,188.

PART VIII - RELATIONSHIP OF ACTIVITIES TO


ACCOMPLISHMENT
OF EXEMPTPURPOSES

FORM 990

STATEMENT 6

STATEMENT 8

LINE

EXPLANATIONOF RELATIONSHIP OF ACTIVITIES

94

FUNDS USED TO FUND PROGRAMSERVICES

95

TEMPORARYINVESTMENTOF ORGANIZATION'S FUNDS

97

SUBLET OF OFFICE SPACE USED FOR ADMINISTRATION

101

NET REVENUEFROMANNUALDINNER EXPRESSING THE PROGRAMACCOMPLISHMENTS


OF THE PAST YEAR

103

OTHER REVENUESUSED TO OFFSET EXEMPTFUNCTION EXPENSES

15561121

134341

11022

2004.07000

20
STATEMENT(S) 6, 7, 8
THE ANNAPOLIS CENTER FOR SC 11022
1

XHE ANNAPOLIS CENTER FOR SCIENCE BASED


SCHEDULE A

52-1759134

OTHER INCOME
2003
AMOUNT

DESCRIPTION

STATEMENT

2002
AMOUNT

2001
AMOUNT

2000
AMOUNT

MISCELLANEOUS

630.

1,806.

941.

739.

TOTAL TO SCHEDULE A, LINE 22

630.

1,806.

941.

739.

15561121

134341

11022

2004.07000

21
STATEMENT(S) 9
THE ANNAPOLIS CENTER FOR SC 11022
1

' Form ..8868 (Rev.12-2004)

Page 2

00

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 if you have already been granted an automatic 3month extension on a previously filed Form 8868.
If you are filing for an Automatic 3-Month Extension, complete only Part I (on page 1).

!Partll

Additional (not automatic) 3-Month Extension of Time - Must file Original and One Copy.
Name of Exempt Organization

Type or

Employer identification

THE ANNAPOLIS CENTER FOR SCIENCE BASED


PUBLIC POLICY, INC.

print.
File by the
extended
due date for
fihng the
return See
1nstruct1ons

number

52-1759134

Number, street, and room or suite no. If a P.O. box, see instructions.

For IRS use only

111 FORBES STREET, NO. 200


City, town or post office, state, and ZIP code. For a foreign address, see instructions.

ANNAPOLIS, MD 21401

Check type of return to be filed (File a separate application for each return):

00 Form 990
D Form 990BL

D
D

D
D

Form 990EZ
Fonn 990PF

Form 990T (sec. 401 (a) or 408(a) trust)


Form 990T (trust other than above)

D
D

Form 1041 A

Form5227

Form 4720

Fonn8870

Form6069

STOP: Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868.

~ H. RICHARD SEIBERT
410-268-3302

Thebooksareinthecareof
TelephoneNo.~

FAX No.~-----------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)

box

D . If it is for part of the group, check this box~ D

~o
. If this is for the whole group, check this

and attach a list with the names and EINs of all members the extenslOI\ 1sfor.

I request an additional 3month extension of time until

FEBRUARY 15 , 2 0 0 6 .

For calendar year 2 0 0 4 , or other tax year beginning


If this tax year is for less than 12 months, check reason:

-==---------

6
7

State in detail why you need the extension

Initial return

and ending
Final return

Change 1naccounting period

ADDITIONAL TIME IS NEEDED IN THE PREPARATION OF AUDITED FINANCIAL


STATEMENTS.
8a

If this application is for Fonn 990BL, 990PF. 990T, 4720, or 6069, enter the tentative tax, Jess any
nonrefundable credits. See instructions

... ~$
________

If this application 1sfor Form 990PF, 990T, 4720, or 6069, enter any refundable credits and estimated
tax payments made. Include any prior year overpayment allowed as a credit and any amount paid
.. . . .....
previously with Form 8868 .. .

Balance Due. Subtract line Sb from line Sa. 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

N/A

Signature and Verification


mmedthis form, includingaccompanyingschedulesand statements,and to the best of my knowledgeand belief,
this form.
thonzed
Title~

'--

vf I

C,Po

Date~

--

Notice to Applicant - To Be Completed by the IRS


We have approved this application. Please attach this fonn to the organization's return.
We have not approved this application. However, we have granted a 1Oday 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 a 10-day grace period.

D
D

We cannot consider this application because it was filed after the extended due date of the return for which an extension was requested.
Other

--------------------------------------------By:______________

_
Date

Director

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

ACCOUNTING STRATEGIES GROUP,


Type

or print

LLC

Number and street (include suite, room, or apt. no.) or a P.O. box number

8221

TEAL DRIVE SUITE 406

City or town, province or state, and country (including postal or ZIP code)
423832

01-10-05

EASTON, MD 21601
Form8868 (Rev.12-2004)

15561121

134341

11022

2004.07000

22
THE ANNAPOLIS CENTER FOR SC 11022

[ -W]
D~ NancyAdams
495 Helena Ct , Apt 204
Aurora, CO 80011-9100
Dr. George K. Anderson
8 Little Harbor Way
Annapolis, MD 21403

Phone: 303-676-3841
Fax: 303-676-3979
Mobile Phone: 303-249-5519
Phone:410-263-4855
Mobile Phone: 703-862-9683

RADM Alberto Diaz (Ret.)


9721 Digging Rd.
MontgomeryVillage, MD 20886

Phone: (301) 977-4781

Mr. Richard E. Hug


992 StoningtonDnve
Arnold, MD 21012

Home Phone: 410-974-4396

Phone: 301-402-6238
Alt Phone: 301-365-7828
Home Phone: 301-365-0117

A&M System Health Science Center


Paul K Carlton Jr., MD
Director, HomelandSecurity
301 Tarrow Street, 7th Floor
College Station, TX77840

Phone: 979-458-7246
Fax:979-458-7202

General Motors Corporation


George Wolff, Ph.D.
PrincipalScientist
PO Box 300, MC #482-C27-B76
Detroit, Ml 48265-3000

Phone: 313-665-2948
Fax: 313-665-0746
Home Phone: 248-553-9834

Huxley College of Enviro Studies


BradleySmith Ph.D.
Dean
West Washington University,516 High St
Bellingham,WA 98225

Phone: 360-650-3521
Fax. 360-650-2842

141 SoundviewRoad, Bellingham,WA 98225


ISIS Pharmaceuticals Inc.
Dr Stan Crooke
Chainnan
2292 FaradayAvenue
Carlsbad,CA 92208-7208
Rowan & Blewitt
Mr. Ford Rowan
402 Ridgely Avenue
Annapolis, MD 21401

Phone: 202-585-2145
Fax:703-234-4420
Mobile Phone: 301-873-5001
Home Phone: 410-295-7587
Pager: 888-428-6313
Asst. Phone: 703-234-4400

402 RidgelyAvenue, Annapolis, MD 21401


Assistant: Laura 703-234-4400
3rd Contact: 410-295-7587
SAIC
Gen. John Parker (Ret.)
4363 PenwoodDnve
Alexandria,VA 22310
The Annapolis Center
Vice Admiral Harold M. Koenig (Retired)
Chair & President
4933 MarlboroughDrive
San Diego, CA 92116-2346
The Annapolis Center
Dr. Harrison Schmitt
Chainnan Emeritus
POBox90730
Albuquerque,NM 87199-0730

University of Clnnclnnati
M.D. Charles Pierce
5563 Regimental Place
Cinncinnati, OH 45239
University of North Texas Health Sci Ctr
Dr. Ronald R Blanck
President
3500 Camp Bowie Boulevard
Fort Worth, TX 76107-2699
West Virginia University
Paul F. Ziemkiewicz, Ph.D.
PO Box 6064, Room 2020 NRCCE
Morgantown,WV 26506-6064

992 StoningtonDrive, Arnold, MD 21012


Dr Jack W. Snyder
9443 Turnberry Dnve
Potomac,MD 20854

The Forensic Panel


Dr. Michael Welner
224 W. 30th Street, Suite 807
New Yori<:,NY 10001

Phone. 619-281-9377
Fax:603-388-5942
Mobile Phone.
619-855-1181
Home Phone: 619-563-1748

Phone: 505-823-2616
Alt Phone: 608-263-3285
Alt Phone Ext.:Wisc
Fax: 505-823-2617
Home Phone. 505-856-7528

Phone: 513 681 4084

Phone: 817-735-2509
Fax:817-735-2486

Phone:304-293-2867
Phone Ext.:5441
Fax: 304-293-7822

Form 886~(Rev 122004)

Page2

If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box

'

[Kl

N~t'e: Only complete Part II 1fyou have already been granted an automatic 3month extension on a previously filed Form 8868.
If you are filing for an Automatic 3-Month Extension, complete only Part I (on page 1).

! PartU
Type or
print.

Additional (not automatic) 3-Month Extension of Time - Must file Original and One Copy.
Name of Exempt Organ1zat1on

File by the
extended
due date for
filing the

return See
1nstruct1ons

Employer identification

IT'HE ANNAPOLIS CENTER FOR SCIENCE BASED p


~OLICY, INC.

52-1759134

Number, street, and room or surte no. If a P.0. box, see instructions.

111 FORBES STREET,

number

For IRS use only

NO. 200

City, town or post office, state, and ZIP code. For a foreign address, see instructions.

MNAPOLIS,

MD 21401

Check type of return to be filed (File a separate application for each return):

00 Form 990

Form 990EZ

Form 990T (sec. 401 (a) or 408(a) trust)

Form 1041A

Form5227

Form 990PF

Form 990T (trust other than above)

Form4720

Form6069

Form 990BL

Form8870

STOP: Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868.

e Thebooksare,nthecareof
~ H. RICHARD
Telephone No.~
410-26 8-3302

SEIBERT

FAX No.~------------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 organ1zat1on'sfour d1g1tGroup Exemption Number (GEN)

box
4

~ D

5
6
7

. If 1t1sfor part of the group, check this box ~ D


I request an add1t1onal3month extension of time until

~D
. If this 1sfor the whole group, check this

and attach a list with the names and EINs of all members the extension 1sfor.

NOVEMBER 15 , 2 0 0 5.

For calendar year 2 001_ , or other tax year beginning -==-----------,==-If this tax year 1sfor less than 12 months, check reason: D
lnrt1alreturn
State in detail why you need the extension

and ending
Final return

Change 1naccounting period

ADDITIONAL TIME IS NEEDED IN THE PREPARATION OF AUDITED FINANCIAL


STATEMENTS.
Sa

If this application 1sfor Form 990BL, 990PF, 990T, 4 720, or 6069, enter the tentative tax, less any
nonrefundable credits. See instructions

If this application 1sfor Form 990PF, 990T, 4 720, or 6069, enter any refundable credits and estimated
tax payments made. Include any prior year overpayment allowed as a credit and any amount paid
previously with Form 8868

Balance Due. Subtract line Sb from line Ba. Include your payment with this form, or, rf required, deposit with FTD
coupon or, rf required, by using EFTPS (Electronic Federal Tax Payment System). See instructions

N/A

Signature and Verification


o

1sfor , includingaccompanyingschedulesand statements,andto the best of my knowledgeand belief,


g e this form
Tltle ~

Notice t
~Ne
D

c8,,,:

Date

pplicant - To Be Completed by the IRS

~7/Zfl/os-

ave approved this appiicat1on. Please attach this form to the organ1zat1on'sreturn.
We have not approved this application. However, we have granted a 10day 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 1sconsidered to be a valid extension of time for elections
otherwise required to be made on a timely return. Please attach this form to the organ1zat1on'sreturn.

We have not approved this application. After considering the reasons stated in rtem 7, we cannot grant your request for an extension of time to
file. We are not granting a 10day grace period.

D
We cannot consider this application because 1twas filed after the extended due date of the return for which an extension was requested.
________________________________________
D0ther
By _________________
Director

Date

Alternate Mailing Address Enter the address if you want the copy of this application for an add1t1onal3month extension returned to an address
different than the one entered above.
Name

ACCOUNTING STRATEGIES GROUP,


Type
or print

LLC

Number and street (include suite, room, or apt. no.) or a P.O. box number

8221

TEAL DRIVE SUITE 406

City or town, province or state, and country (including postal or ZIP code)
423832

01-10-05

EASTON, MD 21601

'
SUBMISSION
PROCESSING,
OGDEN
Form8868 (Rev 122004)

14380728

134341

11022ACE

2004.05060

THE ANNAPOLIS CENTER FOR SC 11022AC1

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