Return of Organization Exempt From Income Tax ... - Peace Corps Wiki

Form 9906Part VII Analysis of income-rroaucing Activities (See page 33 of the instructions .)Note : Enter gross amounts unless otherwise Unrelated business income Excluded by section aiz, sia, or sia(E)indicated (A) (B) R (D)Business ~Xclu- Related or exemptAmount Sion Amount93, Proaram service revenue: code code function incomea CONFERENCE AND AWARDS 07 25 , 032 .b PUBLICATIONS 39 , 787 .cdef Medicare/Medicaid paymentsp Fees and contracts from government agencies94 Membership dues and assessments 290 , 290 .95 Interest on savings and temporary cash investments 14 2 , 769 .96 Dividends and interest from securities97 Net rental income or (loss) from real estate:a debt-financed propertyb not debt-financed property98 Net rental income or (loss) from personal property99 Other investment income100 Gain or (loss) from sales of assetsother than inventory101 Net income or (loss) from special events102 Gross profit or (loss) from sales of inventory 12 , 057 .103 Other revenue:a ADVERTISING 541800 195 049 .b ROYALTIES 15 17 , 604 .c MISCELLANEOUS 8 , 632 .de104 Subtotal (add columns (8), (D), and (Q) 19 5 . 04 9 . 45,405 . i 350,766 .105 Total (add line 104, columns (B), (D), and (E)) 1 591 ,2 20 .Note . Line 105 plus fine 1d, Part l, should equal the amount on line 12, Part IPart VIII Relationship of Activities to the Accomplishment of Exempt Purposes (See page 34 of the instructions .)Line NoExplain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment of the organization'sexempt purposes (other than by providing funds for such purposes) .-PURPOpage 34 of the instructions .Name, address, a6d'EIN of of I Nature of activities I Total income I E~ Part X I Information Regarding Transfers Associated with Personal Benefit Contracts (See page 34 of the instructions .)(a) Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contracts 0 Yes [j] No(b) Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contracts [] Yes [R] NoNote : !f "Yes" to ( b) , file Form 8870 and Form 0 ee instructions)Under pe alt _2111 erk ha e ed is return, including accompanying schedules and statements, and to the best of my knowledge and belief, it Is truePl ease correct, a ompete ~cl ation~ f ar r r tha fficer) is based on all inl matt n of which preparer has any knowledgeSign 7" 7" q/;U6"L r, wi, IA-Here SVtkrGf off Iter I Da AeType or print name and title .I Check if Pr parer's SSN or PTINPreparer'sDate/Paidself-- employed looPreparer'sFirm's name (orAN, ROSENBERG FREEDMIum EiN to. 52-1392008Use Only y--self-employed),4550 MONTGOMERY AVE ., SUITE 650 NORTH31 223 - 16 address, Zip ~ 4 and17-03 1BETHESDA, MARYLAND 20814 -2930 Phone no . 11, ( 3 0 1 ) 951-9090Form 990 (2003)612210914 745960 24116 2003 .06020 NATIONAL PEACE CORPS ASSOCI 24116 1