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~99apF' Return of Private Foundation or 4947W) No em . ChantaW Tinust Treated as a Prirate Faueidabon oe~.~ a ~ r~nry ~ r~mi~sr.~x I Note: Me agmatim no For calendar mar 2DD7, or me lea OeShvmg September 1 , 2007, and adult Ow No 15454M August 37 . 20 02 Address Urge Ej Name donge A raqPCPIr .1 nmbr 23 7083912 B THePfoM ~ l~ paw HI A UM rRnCUns) 704 ) 3659757 c a~pamepploomspemg.ct~nee 1 D o i r .,p Vww~ vet nae . ~ O LFam~mgcasuNeanJde~96i8 ded I1ae and ~ cmpY~ _ e e pie mi .vew" sacs .ms oe~miard u~ ~n SO7~IMN . Cyst has _ F " ae (uibmu~ s n e 60a'avh trnmsm WXW mom, S07menuBa a~ hoe . . E] qdlOm~ [I Seclvn 4947{x)(1) navianWt dwimhle tryst (I Other Wade pttaue faMabmi I Fair rtaket value of all assets at ad J AaamOing rtfe7ho~ 0 ('ash [I Amuel ~ /Garn Part U, me (4 . 0 Ou~er (~mf» --- - ------------- -- Pat ( dim OR rtast be m mdi 8oms.1 Males of Revenue ad EOnses (ne hodd pp re.a .,e ..a mmv~ n mYmaes AV. k1 a~FO+~Y ~ ~'+4~ ejpe6 ve or artnm bmtNM tdew nW 1nafar .lourmyJ boats Od Net m~vnm p M§~~d na far die iomc ~cn,i wnn~s MXoyee *-danes and wages isooo 15000 15000 barveft Iw Bpi fees lam, . . . . . . »aa »4o ttao ~ U+ b Aocoiamng tees (attach . > Comer pofessare! fees Mach v+w+*ie)- _ 41760 47760 47760 78 Tax es {aRachsdieAM (seepage l4ofthevnsauctiors) 27895 27895 21895 = 19 Depreciation (attach sdodaa ) and depleOm y 20 Oaxq)ancq' ' ' ' - ' . . _ Q r Travel, oordagkoes. and meetings . 22 Wormy arid piAbficatimns 10596D 105960 105960 11 23 Other expenses (altach sdte&dW a 24 Total opva6rg ad administrative espases ~g~55 186355 786355 Add fees 13 CIIO~h 23 156925 156925 O 26 Total espenses ad 6stiorsenwts Add fog 24 ad 15 3432801'=10863955 786355 756923 n smug nre 2s from rne i~ a Easssdmi~wQeqeEmadRS 353092 b pet mat i~om~e Of rcgauve, ¢r ma -0-) . 505100 e Adjusted yet oworre (d , enter -0-). . 505700 few Papssart Reduction Aa MotkP . see die' ~strntio~ cw . ft 1tmmc Fom 99D-PF poi! W J 200 1 G Qedt aL Cmt audr n hdOal reUm n Fvel ~eUan [I Artended reGrn use the WS No- a! uWffftgbn P 8 8 Foundation Iq.1113c And sbee W PA OQ nmEe l and s not A4vaed m sum dead ImmJSde or Pirm* 2004 Valencia Terrace See Specific fiy o may ease, ad BP cme 6osbucUVS- Charlotte, NC 28226 H oiedc type d orgarrrahorc ki Secnm 501(c)M ma, private (OLIffulation N 1 cof/IbrQLS gftgamm .IBRIY~ (~Iad15~/C~ 4977 clack " D TIhE~6OdbaMKhSdLB y~"' ~'i/ j~y{y/r Z UsLIbIlUQ15 TIORI SpGI-0iterC4 VISLS . . . 3 hmg~mswAngs and ,cash ffftestri'm / 777 117 177 4 pnydHMs arid MgeSt Lvm securities _ _ . 765891 76589 7fi589 Sa Cyoss mas . . 6 q" rental vrarte Or 001--) 1 Gs Net gain a ODs) from sale of asses m fm 10 m bGross salts price farad a~N% mlmete 7 Capital gam not mcorte Mm Part 11C fine 21- 8 Met slwt-team Capital gam 9 trrnme modificabonrs - - PY %6Rx!s ~ ariods sold . . 1 ~o crosslincitit [~0~~_~11auadi slmara . ~t ~ ( cl 7 G P4°~+~ scheEw .
Transcript
  • ~99apF' Return of Private Foundation or 4947W) No em. ChantaW Tinust Treated as a Prirate Faueidabon

    oe~.~ a ~ r~nry ~ r~mi~sr.~x I Note: Me agmatim no

    For calendar mar 2DD7, or me lea OeShvmg September 1 , 2007, and adult

    Ow No 15454M

    August 37 . 20 02

    Address Urge Ej Name donge A raqPCPIr

    .1 nmbr

    23 7083912 B THePfoM ~ l~ paw HI A UM rRnCUns)

    704 ) 3659757

    c a~pamepploomspemg.ct~nee 1 D

    o i r.,p Vww~ vet nae . ~ O LFam~mgcasuNeanJde~96i8 ded I1ae and ~ cmpY~ _

    e e pie mi.vew" sacs .ms oe~miard u~ ~n SO7~IMN. Cyst has _

    F " ae (uibmu~ s n e 60a'avh trnmsm WXW mom, S07menuBa a~ hoe . . E] qdlOm~

    [I Seclvn 4947{x)(1) navianWt dwimhle tryst (I Other Wade pttaue faMabmi

    I Fair rtaket value of all assets at ad J AaamOing rtfe7ho~ 0 ('ash [I Amuel ~ /Garn Part U, me (4. 0 Ou~er (~mf» --- - ------------- --

    Pat ( dim OR rtast be m mdi 8oms.1 Males of Revenue ad EOnses (ne hodd pp re.a .,e ..a mmv~ n mYmaes AV. k1 a~FO+~Y ~ ~'+4~ ejpe6 ve or artnm bmtNM tdew nW 1nafar .lourmyJ boats

    Od Net m~vnm p M§~~d na far die iomc ~cn,i wnn~s

    MXoyee *-danes and wages isooo 15000 15000

    barveft Iw Bpi fees lam, . . . . . . »aa »4o ttao ~

    U+ b Aocoiamng tees (attach . > Comer pofessare! fees Mach v+w+*ie)-

    _ 41760 47760 47760

    78 Taxes {aRachsdieAM (seepage l4ofthevnsauctiors) 27895 27895 21895 = 19 Depreciation (attach sdodaa) and depleOm y 20 Oaxq)ancq' ' ' ' - ' . . _ Q r Travel, oordagkoes. and meetings .

    22 Wormy arid piAbficatimns 10596D 105960 105960

    11 23 Other expenses (altach sdte&dW a 24 Total opva6rg ad administrative espases ~g~55 186355 786355 Add fees 13 CIIO~h 23

    156925 156925 O 26 Total espenses ad 6stiorsenwts Add fog 24 ad 15 3432801'=10863955 786355 756923 n smug nre 2s from rne i~ a Easssdmi~wQeqeEmadRS 353092 b pet mat i~om~e Of rcgauve, ¢r ma -0-) . 505100 e Adjusted yet oworre (d , enter -0-). . 505700

    few Papssart Reduction Aa MotkP. see die' ~strntio~ cw . ft 1tmmc Fom 99D-PF poi! W

    J

    200 1

    G Qedt aL Cmt audr n hdOal reUm n Fvel ~eUan [I Artended reGrn

    use the WS No- a! uWffftgbn P 8 8 Foundation Iq.1113c And sbee W PA OQ nmEe l and s not A4vaed m sum dead ImmJSde

    or Pirm* 2004 Valencia Terrace See Specific fiy o may ease, ad BP cme 6osbucUVS- Charlotte, NC 28226 H oiedc type d orgarrrahorc ki Secnm 501(c)M ma, private (OLIffulation

    N

    1 cof/IbrQLS gftgamm.IBRIY~ (~Iad15~/C~ 4977

    clack " D TIhE~6OdbaMKhSdLB y~"' ~'i/ j~y{y/r Z UsLIbIlUQ15 TIORI SpGI-0iterC4 VISLS . . . 3 hmg~mswAngs and ,cash ffftestri'm / 777 117 177

    4 pnydHMs arid MgeSt Lvm securities _ _ . 765891 76589 7fi589

    Sa Cyoss mas . . 6 q" rental vrarte Or 001--) 1 Gs Net gain a ODs) from sale of asses m¢ m fm 10

    m bGross salts price farad a~N% mlmete 7 Capital gam not mcorte Mm Part 11C fine 21- 8 Met slwt-team Capital gam 9 trrnme modificabonrs - -

    PY %6Rx!s ~ ariods sold . . 1 ~o

    crosslincitit [~0~~_~11auadi slmara.

    ~t ~ ( cl 7 G P4°~+~ scheEw .

  • 2

    W Boot View + (~ 9°ft Vet°- 1 W Few NYtn Whe se3154 s236

    .ro 52367(

    77 Amaads Mahle and amuai espases 78 Grants Rayah7e .

    e 19 Defined revenue . . . . MD lars Gan dfims, clams, mated and oOe wed pamrs 21 Mortgages and aiba roles payable (attach sdw&del

    J 22 OII1Pl EabilidCS (describe 110~ --------- --------------------------

    I Sam net assets v firm hat beyrc" of year-Pan 4 cahmn (a). fine 30 Unst acyee with m" year figure reported an Pry yews retarrd- ' ' ' - . .

    2 Emer amav4 hcn Part 1. line 27a . - - - - - - - - - - 7 Other sioeases rot mrlided n fns 2 (mertnme) ~ . . . -°----------° --- -- - '-----°- - -- ---- 4 Add (eyes 1 . 2. and 3 . . . . . - - - - t g Decreases ,ot included in fine p Oternize) po-Non deductible stock loss ---'° --°" -' --'----'- ' ' ' " 5

    w., , 99aPF mm)

    wmssuvf ~1

    Amdra tdotim aid ammm ammsits m~rm l B~fOC sheets muA1 he hr emdIv

    1 ca9f-ncmri4maest-ne~ - 2 Savrgs and tmpQamy cash investinents

    Accounts receivable t--"---- '-'-"'------'------'-- . . . . . Less allotivance fu dadn5l atoam6 t'--' " '-""------ PWdges receivable t' "' " '------°""--- -- "' °"'---- 1~ allowance for dadHfil accounts " -------"----"-'---

    5 Grants remvade . . .

    6 laecava6les due foam dficas. deecnrs. msme% and other disquaffied PergoK (attach schedul) (sue page 15 d the wsuumons~ . - - - - - - ' -

    7 QIB notes ad bars rmardlie (Mach sdeW ~ --------- '-'-;: lEM allimam far duL15r amines "'--'-"-----"-'-"-------e 8 Inventories far sale or use _ . . ' - ' - ' a 9 Prepaid eases mid deferred dmges

    ma unem,ents-ls ad shoe 9(h sdmdk) 6 57ndc (attad~ sdedL" c bonds (attach sdreKW .

    71 hnesunats-Asi46dlNfgi, adeq.~pnad.basis 1_ . . . . ._ . ._ . ." les avmtaled dpedallon (aMKh sieW lo----- - ---'----

    tt 9ivesOtenM-mortgage Warts 73 trnestrrenLS--a1ha (attach sdiedule) 74 led.h11ildi195.arid e*4ffIBCbasis t"" " ------- " ""

    Less mOlfa/mEA (E ~B' i /1 (atIach YIIBAule) li~ . . . . ------------

    15 OCrerasse~ldesaihe "---- --------- ------------------ ___.) 16 Total assess (no he cmVieted by a0 files-see page 16 of

    the msbechors. Also. see Dam 1 . itan 0

    b ibta! babies (add firms 77 through 22) _ _ 955325 3212621

    pqaintzatliarts drat faio~r SFAS 117, d~edt twee m and omQlrM firs 24 Ihimo 26 and 6g 30 and 31.

    c 2" lhnestrrMad . . . - - ;o ?5 TerrQa-mdy ̀ coed . . m 26 Parrariadly resnxted _ . . . _

    Qpa~tio~that domtinOovWAS117.d~lee " aid cmQlr~e 0 27 through 31 .

    `p 27 Capital stack. bust pIfIdPal, of cl~fi,~a ,Ky a ,K fiends . ~ p Paid-in or O~ 4fp16, Q Wd. ..~. . arid CqllpfIGII Mild 29 WatnPdearti195.ancilO~fCUIp.Q1AUpi19q.QQiIfiGIf45 30 Tad net asets a Gad batses (see page 77 of the

    m , _ _ _ , _ , _ , , _ _ , , _ 23087019 72827430

    z 31 TOW 6a6ies mid owit assetsfud h#a+cg (see (age 77 of

    Anal d Changes zn Net Assets or Fad Balawes

  • w~ 990-PF aprtal GaQS aiq lOssm eQ lax an UrreSLn

    W LW Wid ~De tle bd37 of platy Sam kg~ ~ esr~ 2-mj tip ~ o oumv~ ~ni. X10 sM WC fa7

    W om aapscd I Fp Oi~ sop Vim. M FJ 1~ day. FJ

    z capital gain net vmre « Own cawia++ossl . ; rc9~~4 aim enter in Pat f. rme 7

    ~ If (Ioss) . g6er -0- m Part I . one 7 3 Net short-term copal gain or pass) as defined m sections 1222(5) and (b}

    If garl, ako aft n Part I, fme 8, ooherm (c) (see pages 13 and 17 d the uiistructmrr;~

    0

    8 Err qieifyag 6stridmons fiom Part b1, line 4 _ . . . . . . . . . . . . . I s 1 x fens a s equad m v geata than trre 7 . deck the box m Part w. core l b. ad cmplete mat part us6rJ a 1% tape rate See the Part N csUvicbas m pale 18

    wm 89aPF pnoi)

    00 G~ sOm pi~ 45 Oep~ a0mea I y C~ a ate b~ I �Gen Q poll a ~~+a wa~~~~ 0+w5 m~a

    ;mpke ah for asms showy gain in cridwrtri " aria o.~a by the ra.,aam, m ,213,J69 W

    QF1LY ad71/?1,6J 0s~~17/J7/~ ~~ d Q

    (+a6 1~d- M 9~ ~~ m ft W mt les Ow, -0-~ v

    IL 9 a7 l~ dam mlfiy

    3

    (Far optional use by dareoc pmraie fowKWmars sibfr1Y Lo the semen 4940 tan m net ene4ment nmrte

    If serbvt 49900 ePP6es, leave On part blank

    Was nee am lade roe eye sew asaz tax on the Qemibuade arna.a of my year in me eases pem? O Yes O rm U -1h~- the agaeation dots not quality ivMa section 494d(G Do rot carplete the part.

    1 Enter the appopiane arrourt in each cahmn for each year; see page 78 of the risnuctvis before mating any ermies FA a

    Caod. valor ~ ammo N MFG ~~9 d4~ms Nn Tae a1 ~ yes 1m eYorsufi~ ~ e

    .nbo oe~ 4n

    7999

    2 Total of fine l . tnham (Q . , . . . . . . . . . 3 Average dstrbBion ratio For the 5 -year base period-divide the total m Um 2 by S. or by

    the rnarma of teas the foundatm has bear n mua""",e d less than 5 gears .

    1 Ear the net vahm of rvidw~hkifse assets for 2W7 from Pan X Em 5 .

    5 Nhdbply km 1 by Ime 3 . . . . . . . . . - ' -

    6 Enter 7% of net rirvestrme smrtm (l% of Part 1. firms 27b)

    7 Add fvms 5 arid 6 . . . . . . . . . . . . . .

  • 4

    b If the answer is 'Yes" to Ime 7. has the arguizaban furnesled a copy d Farm 990-PF to the Amorrey General (or desgate) of each staff as raqimed hp General 6struc6m G7 If 'N4' attadr evCVmon

    9 Is to artp&MLan clam" status as a private opa-a0vg fardafion Yrdfm the inearang of section 4942(DP) o. asazM fix calendar year zaoi Q me raumble year negu.. y m 2ooi (seeirsm.mars ra Pwc )(Fv m page 251? B'Yes 'mrt~leOP Part X!V . . - - - . . . . . . .

    10 oedaqpffsorseem~esn~~ommb~sm~yn,e~~rrr-r~~~ud,e~krsvyag~~uaa~s~ n ooa ae a~emn m+~py .ih o,e p~YC rispec6Onrewaiaic rv itsa..al rmrma,d an�pum apptcetm7

    is secum asa7Wl nmmmrax charitable maw sins Foam ssarF m raw or Fog 1041-Check here - - . - - iv, D and enter the ire or tax-exempt irtmest received or accrued eun,s the ~- - W I 19 I

    ~� 990-PF omit

    rm sso-vF

    7a Emip[ qa~g foirda6as described n smam 491, deck the " D and mLpr 'ti/A' m fire 1 Owe at ruling letter -'-----'- copy of nie9l~r~ 7 nace!ssary'sm~tr~oo1

    b DvresOk aganioinas the MOM the section 49CM reqManaIS in Part V. cl here 10- 0 and ate 1% of Part l firs 27b

    e an me amemc ~pov~o~s air ns d Ge nn E~ row uqvmtns ear 4% or Pat ~ roe ,2 ad (b) 2 Tax under lemon 511 (dmmtic section 1947(aXl) hats ad axle boundaoas orgy. Odes enter -(-) 2 10102

    3 Add fines 1 aid 2 . . . . _ . . . . . . . . . . . . . . . . . . _ . 3 4 5u8MIe A (~'iomnej tax (darr~c lemon 4947M) Vus~ and fmta6k fmda6us ". Others ear -0-) 4 5 T~ based m ewestarlR Subtract Ivne 4 Gun line 3. R s~o or less, a~ -0- , . 5 70702

    6 C~Parma~ a 2001 es&ma0ed lax payrtrlts aid 2000 ovvpayniert aeciited to 20D1 fill 73500

    b Exempt foreign organuz6ons-Ox withheld a[ source . c Tax pad with for extension applicabon of ane to fide (Fam 8868) . ~ d Backup wdMriUng mormnsfy emhlleld . . . . . . . . . 6d 7 Tamil credits and psyrte¢z Add fines 6a Ut" fid _ . . . . . . . . . . . ~ 13500

    8 Enter any pauRT for underpayment of eaanated mm Check the 0 d Forth 2720 is attadied 8 140

    9 Ts ~ H the total d lines 5 and 8 s mom than lv~e T . enter amt owed . . . . . . t 9 10 Orapaymet N Nre 7 s more Um the total of fines 5 and Q enter the sham overpaid . 1 10 3258 77 Enter the amount of fee 10 to be Credited to 1m2 ~ " Pidunded 1~ 17 3258

    la During the tax year, did the agantration ancrt~pt m influence any nanael . mate. a local leKPSIaum a 6d Rs it parmpate Q mrervene m any political cmnPaW?~ - - ~ - ~ - - - - - - - - - - - - to r

    b Did d spend rtfae than $100 during the year (ether directly Q KKkmcdY1 lor political purposes (see Page 19 of the astructa~s for ddvo6nrd7 . . . . . . . . . . . . 6 the asxe6 'Yes"m la Q fkatluch a dMieddearnpdm d the xtinoes and mimes d:aq rromrials pub5sled o deWbrmd 6y die vganumm m connection amh the amnaa. Lc

    c Did the ugmizanon file Fom 112D4POL far this )et- - - - - - d Enter the artnunt (f any) d talc m political expenditures (section 4955) unposed during the year

    (1) a, nc organization, 11~ $ as o, aya:zatoa, mmagas 11m, s e EruglheranGvsernaRCfanf1Vad by the mjmm=on during the year for Pdtical OPMUMMMIC anposed

    /O/ O Gl. m organization mamagas " $ 2 Has the agaiaaLan engaged m any acbnfies that hays not pnvady bin reported m the MS? . . . 2 V

    Y "Yes." attach a deta7ad daaQbm d Me actin 3 Has the agmvaLm made ay danges~ not Ply reported to the IfS. m its govereg mistrurnent. articles

    of rraipotaLOq Q bylaws, Q other sciddar vR+unals? !l'Ye5" aaach a mAUmed copy d the d~r1a . . 3 4a Oil the orgarQabon have unrelated hvsmess gross uimm of 11 .000 Q more during the )ear? - - . ~ r b R '1(e%" has a fled a tax m4an m Form 990.7 for this year? . . . 5 Was there a 6qudanv6 teJmmuum dissolution, or substantial contraction dung the year? . . . . 5 r

    K'Yes"attach the statereva refined by General hsmsom T 6 Are the requranen6 of sabon SOB(e) (rdalag to lemons 4911 through 4945) satisfied eaha-

    " By language in the governing AnsbUFTEM Or " By state lexjrsia6on that dfecmely arrends die governing instrument so that no rtwd" duecUo~ mac mdliu wim am std haw remain in use governing esmmem? . - - - - - - 6 r

    7 Qdfieagarimmnfine mba4KM in aselsatagrtmedang0eyaeRaYes'm+PIeOePlat dmlft NO PetXY. 7 r 8a Ernv die slates m wlvdi the (aad3bDn reports a with wlud~ it is regI aed (see page 19 of the

    asuuctiorr4 W -""'----'------'°"'-----'-' ' "----- ' "" ""'-' -'°"" - "'---"'- '- ------"' "-

    YYeb site address 1 . -------- . . . . . . . . . . . . . . . ---------- ----- . . . . . . ---------------------- . . ._ . . ._ . . . . . . . . . - --12 The books are m care of 1 C_ ~Ibur Peters---- ----.--°-- - ------------ - ---° ~ephone m 1 . _ T4436S9757

    Located at 11~ 2004 Valenaa Terrace,-Charlotte, HC __ ~p+4 ~ _____ _ _ 28226____

  • 4

    .~ . ~, l9 . I C m

    b d 1 A " ~ a r 8 'nom a a t a s a s El g a g~& : 1 o Do 0 0 ~ . a o ~ py ~,E y g,

    7g sQ ~, ~y}p{,~'~ yf ~~g 6 ~J 6

    y~ (y }}~~ s y6 ~ ~' ~G a ]y]~ [7 ~ ,~a,~~, 1~S$ ~ s 4 sy ,`~`~~+C yF~

    O1gem ~ O 7 ~ ~ j

    S~ ~ ~ D ~~ ~/y~ b~ ~ tp pp~ ef ~pp; ,~ ///{{{yp] Ci~ yy g s ~yy ~/7 q~{y( ~(' ~ ~'~' pp

    ~ IA

    6 s p y ~' 5 ~+ tit,~ 1 21 w

    ~ si ~ ~t ;!°~ a~ ~ s ~

    a u N A a u ~ o ~ a ~ a u ~ a 11

    m SUN U >° : : >

    O coo Q

    Ail

    'O Q ~ ~ C

    CC .G ~b .e,

    ;~ b 9 f

    ES Lee

  • smmwy of oraa CharRable Activities LM Rye fmNlvfs far fsgc4 Eat chartAye eclwi~ Mg de Im yer YcioOe ~dost 9aBal MamWOn ach a the 'uMM d u¢~ End ad- bmnfti~ m ~eQ mrt~ om+vM aegamd . papas pWeQ e0c

    Z ------------ - --------------- ------- --- --------- -- - --------- -------------------- ---- ----- -- ----------------------------- ---------- ------------------- ---------------- ----------- --- ------------------ ----------

    3

    I

    ram 99aPF Rrotl

    Fua 99o-WT UM). Page 6 Momalion AbolII 06oas, Ocectps, 7nateesr Foundamm Maizagas, 16901 Pad Fr+ploleM .1.1

    MM~arid eeum --nn,spawwt it mpid~ mWQLnno pws ee~meC m posun L-J aid ~le,ea ompasam

    C wlbur Peters President 0 0 D 2004 Valencia Terrace Charlotte, NC 28226

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

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

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

    2 CmrnNnSaDm d 5ve fi91 rst4sd mipb~e~s (cUw than lhme alluded m Gm twee pale 21 ad Use isnucdorrs~. Q none ata TtONE'

    0$ The and W Nsm mC edb~ d mCi ~Pd1m Pad a~ e am f540mtons pQ r~ Ib cmffp~ pymad d7meO ~ i~4a~dra i~4 o P~ ~P~^

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

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

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

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

    TOio nufDPl al OIIIPI anployees pew over SS4Uuu _

    3 Fne Wmest-Paid idwamr oamraeeors for Pfd sees-lsee Pap 21 d the usuu=Mwt* R iomC arm 1i0liE.'

    00 K~ ad edme- ct ma p~ pad mae u~ SWAM Oi TJR m m~ p ~4d~~+

    NONE

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

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

  • F~ 99D.W PM)

    Dew" a* ~ --- --- ------------- -------------- -----

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

    z --------------------------------------------- ------------ ------------------------ -- -- ------------------------------------------- --------------------------------- -------------- ------------------------------------- --------- ---------

    AY alv pogmrirlWed Ytmmm Sc page E d Ce x6mrbas 3 --------------------------------------------------------------- ------------------------------------------- ------

    see page 22 d the rtistructlus

    7 Far maket value d a~ m¢ used (m held far usW directly m carrying as dimaade. etc-. PLUAD5m

    a Amage rror910y fair 110 kit Value of seaaRbes - - - - - - - ' . . . - - - - - 1a 5893502

    b Average a rnonlWy rash - - ' ' ' ' ' ' ' ' ' - ' ' ' ' ' ' - - 1b 279302 e Far rraiiel value of all ofiB assets (see page 22 0! the vrstructions) . . . . . . . . . 7c 20038430

    d Tafa! (add few la, b, and c) . . . . , . . . . . , _ . , . . _ _ _ , , , Id 25951234

    e IdeduCUm dmrmd for blockage v Wva (a Wrs repnvrd an lines 1 a and lc (a1Wdi delmled . . . . . . . . . . . . . 7e

    2 Ac*sifion mle6hdress appimh6e to Ime t awls . . . . . . _ . . . . 2 3272627 3 22738613 3 Subau fine 2 Trvn fine Id . . . . . . . . . . . .

    4 ('ash cleared held far danta61e acOvmes . Enter 7'h% d hoe 3 ((or greater anu+R see page 23 d the astrumorrs) . . . . . . . . - - - - - - - . . . . . . . . _ 4 341079

    5 Net raLc of nm-use assem Subtract 4e 4 horn be 3 Enter hem mid m Pan V, ire 4 5 22397534 i% Of fse 5 . . _ _ . 6 119877 page 23 of the iratructions) (Semen e942j(3) aid QM p~vaoe opera" i cirgardwDons dmrJc hem " 0 and do rot cmnWPjetB tls

    vavmLReule Atnou¢ (5e fasdabws arid mtm tore

    7 Mamrun mestmerrt retm ham Part X fne 6 , _ . _ , , . _ _ _ , 1 7119877 ~ Tax on muestrr~t eKmme for 2001 firm Part VI . Ime 5 . . . . . - ~ - 10102 b tirartie ~t 6v 2001 Was does not include the tan from Part VI) . . m c Add fires 2a and ~ . . . - - - - - - - - - - . . . . . . . . _ . . _ 7e 10102 3 Usaid ~hle armrt hales adpatrrw~ Subtra~lme 7s (mm Iv~e 1- ' - - - - 1 1709775 4a RecwaRS d mnoun~ trw~d as g dsmhmms . b trCmie ~~ar5 hen seclrm 4947(aK2J teats . - ' ' ' ~ '// c: Add rnes aaanean--- . - . ------------------- r`

    Moans S Add 4nes 3 and 9c . . . . . _ . . . . . . . - - - - ' - . ' ' - - 5 1109775 6 Deducnon fmm dsmhuta6le amoieti (sue page 23 d the instructions) 7 Dishiblahfc amour as adjstBd Sibtrad Ive 6 fiom firm 5 Err here and on Pmt 70R

    fmel _ _ 7 1709775

    QuaW7in9 (see page 23 d the ins6vtxws)

    Noon me an«cu m Am s wri be teen do wart v, cd .mr ft in wtmaquerr )ears when mevraany whedw the foundation qualifies lar de section 444q'ty redLic6m d far in flbse yeas

    Fam 990-PF Qoott

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

    1 arnauas pad [mctdm9 atme orpenses) m aow^R" c'-"+""b'°. etr_, purposes: a E:passes, omdiNmaC+. g1Ls, ew---0otal horn Part L cahurm (d), fire 26 . . . . . . . 7a 156925 b Pnlgan4elamd vneslrrerts-Total fivn Part IX-B ' ' ' - - ' ' ' - ' ' 7b 2 Mmurts maid to acqtue assas used (u hdd far use) directly in cmTyrg art rimnrtah*P_ etQ . WPB - - - ' - - . . . . . . . . . . . . . . . . .

    3 Amounts set ride for specific datpede proms the saLSfy dim a Sultatfiity test (pnor IRS ap, aml MCOmeM ' - ' ' ' ' ' ' ' - ' ' - ' - - ' 3e b ('.ash dstribmm test WtCadh the reWmd sdwdlW . . . . 4 qualffjmg ebsiribibus Add fires is deough 3b . Emer hem and m Pmt V, fine 8, and Pmt 7a9, fee 4 , _ ~ 156925 5 Ors that q~~(y under ~ 4940(e) (or the reduced rate of tax m not m~RStrriaR

    acme. Erg 1% d Part i . line 27b (see page 24 d the en~ar~. 6 Adya~d qteSTyu~g lbws Safia~ (me S horn fens 4 6 156925

  • Undstribured h~came (see page 24 of the irirsaucbars)

    re mo, ea 2000 I oisaftnable a*mLge ftr 20M from Part )a,

    Gee d - - - - - - - - - - - 2 Ikniftbimad mmtC F mgr. as d the gd d 2000: a Erma arriartt iv 2000 only . 6 iaU far for years 79-.19_.19-s ~ clisUftmons ff ar,y, m zom a From 7996 b from 7997 . . . . 72300

    e From 7%0 . _ . . 861078

    d From 199'9 55929

    e From 2000 f Total of fines 3a Uaaugh e .

    4 quaff*g dtsm"bimm far 2007 From Part Xq fm 4- t f 756925

    a Applied to 2000, but mat room than Ere 2a_ b ApyCdd m uridstbumd umnine of prior yews

    Meuon'eryred--xe pale 21 d the vmtslnrs) e Treated as desm3mws aII of corpus; 03ecum

    reQard-mar page 24 d the rtemucms) d Applied to 2001 drsmUrtahie snmunt e erg artnart clistributed ma of corpus S Eraes dSnGmus mwyaiar Mpfira m 20D7

    (7 an amdna apneas in m5am (cQ. Cue sane amaert m+6t be sh~In ca6mn

    W6 Ear the not total of colaiminiini as i~doDad 6doi

    a Caps Add fees 3t, 4c. and 1e. SLCmaci Ere 5 b Prim years' urmsm"limed mare Subtract

    4m 4b From tree 2b

    e Ever the am= of prior yin`s' mimed rmne for which a mlioe of defrxrry trams 6eensssd, v m aAad the s~.tim 496ZIal to has been previously amh

    d Subtract fine 6c `run fm 6b Taxable artouQ-fees page 25 of the asMCbors .

    e lfndzsntuted rtrmie for 200D. Subtract fim as (inn !me 2a. Taxable arnsrt-see pap 25 d the nenrt.vtc ' " ' ' ' . .

    f lLndduftaBd ncortie for 2m1. Suboaa fares 4d and 5 fiam fcw 1 . This antount "am 6e drstriltmed "vi 2002 .

    7 Mnuds treated as 6strLmas art of cap6 to sabsfy reqmareas mpv'ed by semen 170MJ(Ea Q 4942M) (tee page ?5 d the eisunrbors) .

    8 Ewes dismbimv6 carryover from 1996 not appied m fine 5 Q Gm 7 (see page 25 of the orts4 .

    9 Ears distribu6ots yr}over m LIOL SLdWact lines 7 arid 8 Gm (ne 6a

    10 Arm" of hm 9: a E~ss ban 1997 . . 0 b Eaess hum 1998 . . 0 c Ewes ham 1999 . . 35457 d Emeit flan x)00 . . 0 e Excess from 2D07 _ . 0

    0

    0

    ram 990-PF =l

    w,o sears am"

    N ad Capua reasprvmz=

    989307

    0

    0

    8

    0

  • Ig ~a

    a

    R

    b ~ 1~

    b

    AH

    E

    6

    b

    ~ " ~mpII

    n

    8

    lea j al~ aA a u a v ~ a a u

    d ~0

    a

    a

    U d Z N A S

    E 8 a

  • Fmw *04-F io

    1 Rcp!!Y 6 al n0ieR01, ~

    Religious

    Religious

    Religious

    Charitable

    Religious

    Religious

    b Approved for fidure Payment

    ra 990-PF Raml

    Recipient

    Name and address Omme or busffxsN

    Baptist Mid Mission, Cleveland OH

    Pillsbury Bible College, Owattna, MN

    Northside Baptist Church, Charlotte. NC

    Luthern Academy, Rockford, IL

    Fourth Baptist Church, Plymouth, MN

    Miss . Donation

    35000

    110000

    18900

    2925

    90000

    100

  • 5HI !q '~ R~amd a ~qi

    II fvclQ+ omve

    f U~e~W

    Enter goes anoaus unless odbamse rnclicaled.

    w i ea I a I "

    I Prowarn service revenue. a b e d e 1 g Fees aid oueraUS from governivient agencies

    2 Mwnha9ap dues and assemrerds 3 interest mmvigs advaiporapcash rresfiiants 1 Ovde1M5 and interest 8om se5db^'s 3 Net .attal vnmrre or 0oss) from real e57a0~ a DebUfimanoed property . . - b Not debt-firnancEd prapaty

    6 tip royal nmme or Poss) fiorn Pergonal PV'ertY 7 OUrer "shestrrrlR mmrte . 8 Gain aQmS)5ansales da~elSaQellmmua6tp 9 Net eUmne Q 0USS) from spedaf evarts .

    70 Cross paF¢ v Qos) Gam sees of inventory 11 ocher mivas, a

    b c d e

    12 SuheotaL Add whams (b). {tQ, and (e) is ram Add lim I z odum.s 0* (a aid (e) r~ rcrl~d~a~ in am 13 eistruchors on nape 26 to ve1dY

    --- . ------ ~13 76706

    ReLvionship of Activities to the Of Exempt Purposes

    u! xn E'om below row rxh actwny for wr.ai income s mporteci n odium (O of Pan xW-a combused miportminy m

    the amompE9vrere of #w ortprnzamm's occrrwt purposes (ahg Ow by pondvy rods fm Such PLoposES) Sw page 27 a7 the ae-07cLas )

    Fvm 7JIFrT Rmtl

    nmve

    11

  • n n ~ !!~ e s

    ~g V&7l ~~'Y ~A~ .'u~f Hr ~ ̀ S Bq 16 iB q

    01 YL Ih ~ ~i 7 ~ ~

    R

    qq N' ~ 9, ~ ,~

    ~ f' $ 0~ ~

    J �,~7

    qr ' S

    9

    `~ " . . . .

    U . . . . . , .

    R~~ \

    ~

  • lhKWrpayment of Estunated Tax by Corporations 11~ See - kvstnwb~

    D. Auach to the ovporaitionft Lm rmm

    23 ;7083912

    v..* 2220 var Nme Serx

    Imm

    P b B Foundation

    s Enter ft ~.~d &W sar.,e7 If the Poratkm nw5t sP One 7. enter the MMUM mm, fine s e 10102

    W a~ ki 1~ s rWAftma as ass Enter an ca~ al vow k9 +M

    15M day d the ft (fvm 990-!F 60 . lie Sh mDnL W 911L and 77Th unrHs of the cuporata 's lei pear Es~loe Enter Qmna 1. 7007 . u~nd d Sqmnma 15 . 2001 . ~ 8 7-15-02 2-15-02 05-IS-02 OB-1 S02

    10 Reed ust~m~ Y the 6u~ m Re 1 andlv fine 2 a1~oYe s checked. enter de a~t5 hmi S++dbsP A fse 40 R 11e 6m m (re 3 OA not 1 v a s d~e4 s~ ~uans (vl~e am~r~ to atrr. f nve d arse hm~ "vui ae dedad, ~ 25% a( free a a6oYe h eat mlmn 70 2528 2526 2525 2525

    11 Faked fax pad Q vediEai for each Pewd (Sm ostruauslL fvmYmm (4 only erma9m mnmt 6amloe 17 m Fe 15 . . . . _ . . . . . . . , 11 3500 3000 0 0

    Carplde i6 f2 Mwo'gh In M or ocean 6dae gvg CD em mor cdmii

    tt Enter amut if my, Gmi !me 78 d Ow precedrg cmnn tt 974 74-08 0

    13 Add rocs ti and 12 . . . . . . _ _ _ , . » 3974 1448 0

    H Add mimrls m fig 7 s and 77 d the RcrzGCg rnYann . 11 0 0 0

    15 Sbvaa ire 74 tmn be 13 n mo Q less. edem -0- , _ is 0 3974 1408 0

    16 Q the amount m fre 15 Ls ma, 9lbtract Ow 13 fim line 11 WeiwM enYdr ~4 _ . . . . . . . . . 18

    77 lideip"Meot Eke 15 s1eaCwQe[puedpp1m tp, y&Md fce 75 Imm ke 1Q then go b fine 12 of the nod ad~ OUavme go b fine 18 . . . . _ , , , , , 17 1077 2525

    's bum s~nrn!1w'oo km lz due next mnnm_tre to I '8 I

    974 I 1448 canwilift Pa 0 m pays : m rg.e eye A.,ar~. s e.ee.e m ams m mm 17, no Persally is owed

    For Papvwvt Redsfmn Act Not"ee see sepsra~ wisitrsJiors C~ No 11746L rev, 2220 Rmil

    Mom m mua ram the mpv21nn ms not rya ro W Fan ZaD Am Pat 1 bebav 1Q ouptnaJ Me MS w9 !gre ay Air wm ~+d r~ me o~pv~ 9 eye ovyvmm ams m[ need m rie Fmn z7d7. a ney m7 ~ ~ to rgre me peady £rta the anovK ban !sr 36 m Ure ~rr~d ~ pesRr 6rP d (he mpor~m's ucvlr ~ r~rn dt d~ mt mtad~ Farm 222D.

    ~~ Iteasais for Fang--Check the boxes bebw that apply m the oorpQanon_ IF any boxes are checked, the corporation anise file Form WO, even d a does not owe the penalty u the box on Mme 1 or fine z applies. the corporation may be able to lower or elirmaee the penalty.

    I O me capQ&Dn's ,Mg the acanEma :mr~ amdkWrQ melrm 2 C1 the oQporatm's uwg 17e acprsted seasonal vmaftnat melod 3 ~ TM ampvalwn's a lam capuNm' fijeig is first required rmLatnal bead m the prior years to

    tio1G ~~ ovparI on aso maf 6k Fam 2220 i d l~ a sr~a~d ~rdi nad'f aNored fir Cr nnat tsar (sue Me rsL'urbors (a or & is in aid" affected Maya lie csbuLaral.

    F!4wkq the WndmParnaR

    t Taa1 ltn1mewsm+-tusl 1,! 1 10102

    sa vasonm1 hold g company tax (schedule Pi form 11201 . Vne 26J included an line 4 . b look-back'vme4 n~drb m 6~ ~ uda s~cbm Ifi0~lr4 (v mnp~~d 1v9'+am mrOa~ Q secYm 167 for dqreciaton under the imme fae~st method

    e Credit for Federal tax pad m f~ lqx arYndns) . . . _

    d TaUL Add GB Sa ftuugh Sc . . . . . . . . . . . . . . . . . . . . . . . . fd

    8 $I/IR3CI (~C Sd GQII SIC 4- 1f the result 6 lC~ dHII tSM dD rot OOffl~ Q He 116 lOfiR T1! ORpumpIi AOPS not UiC the Perofty

    7 ETCH U! fu sOIYfI d71 the OoWf70m'5 20100 f100f11C tEt fetifL CJmt see 1mtrUcllOf6lIL'(lI¢ cw71pietr1g f/6Al . . . _ _ . . . 7

    13874

  • r,om 2220 R70U

    Wm?m Met) - page

    . ~ Fouin9 the Pmft

    ri Enter the dam d parnati a the 15th day of go 3rd ...M after the A~ d the bn year, vAiU~ s saner (see atstructnsL &vm 990.PF and Fine 990.T ins Use 5th myth eve ad d 3rd rtmN _ . . . . . . . . 19 326-03 012603

    1D ISmba d dys from due dam d rISL4nart m tre 9 to the 314 223 Cam 9mN+i m tree 79 _ . . . . . . . . . . m

    r Number d days m Toro a) after 1/15/Ml and before 7/1TL0(I7

    II W6appmegmfue 17 x MmW-ddMm 5ne Zl x gq(,_ . a f S $ $ 355

    zs wnee of a"s m Fine ao after srmraom and beta iivzaI2 23

    24 thviorpaynst on bw nx m~~~a x 79c . b $ s s $

    8 l6nba d ors m Fine 20 after 77111/m01 aid before 4nf2= 25

    S S S S Xs UrAepapMm fve 7 7 x fLnBa R dais mi 6ne IS X 696 26 355

    27 IYnfiv d days m line 20 after YlUL002 and 6dae 7/112002 V 46

    L IJndaRapal rn Ire 17 Y lhn6a d dais m fre Z7 x '96 . . m S S 8.74 $

    365

    29 tlim6a d drp m frc 20 after fir"!o ab before ldt~l002 23 92 47

    30 Urdefmmratmtre77x W-ber of ~a^~~ z 96 _ _ m S f f 7629 : 79.57

    31 Iim6a of trays m ins 20 a!ber aW2M and before 1/112MUM 92 92

    32 U0aparrmm ie n x Mmtr d dais m ie 37 z % . . 32 $ S f 16.29 s 38.79

    365

    a NnBa d Ads m Ec 31 aft 12411421102 aid trlue 7llfirlON 33 84 84

    34 Ikdepeyme m Ye 17 K NLm9H d d3s m fre Si x 34 $ f $ 12 39 f 29.05

    355

    SS f f f 51.11 s 86.75 35 Add firs 22. 21 26. 28. 30 32 ad 34 _

    36 Penalty. Ado mh~ W Ilragh Idl d line 35 Enter the tmi Me and m Fam 1120. fns 33: Form 7120.0. Ge e I m I S 140 2?vMe mrpaaHe ins (or wa imnas recus .

    -FQ umpopneres pad aftes r+mcn 31 . mot For lines za 30, u. and s+ . use me any urterest rate for eadi cakndar wmh me it vA aeba,n.me dig u,e first month m me pr~ yuaroer nose rates am published quarterly in an it

    flew: Release and m a revenue n6ng en nee 6imnat Remm BLdfmL To obtaci, tfas cdunmlim m the When t auxs5 the IRS Web Sme at mmuLksj^m You can also call 1-80U-8211090 m get uV¢rest race cifarn3tim i

  • Part 1 Line 13 Investments Aero 295900 Christian credit 5169 Provident Development 7635777 Simmi Builders 354851 Southern Equity 8999 Metro Land 34539 Pharmhouse 144 Memll Lynch 4719768 Private Equity 752183

    13807330

    Part 11 Line 21 Notes Payable CTF Inc 473568

    Part 11 Line 22 Other Liabilities First Union 2683053

    Pan 1 Line 1 Contributions Valencia Enterprises 4917

    Part 1 Line 11 Other Income Interest on Notes Receivable 614749

    Part 1 Line 18 Taxes Fire 1186 IRS 13883 Foreign 6828

    21895

    Part 1 Line 23 Other Expenses Contract labor 1443 Office Expense 182 Bank Charges 317 Investment Expenses 104017

    105959 Part 11 Line 7 Notes Receivable

    Dream on Products 225307 Dehntt Braud 105000 Fabron 1101000 Bunker Lake 29747 Liberty University 855317 Sweet 32640 Switzer 14041 Old Time Gospel Hour 5590000 American Book Co 2000000 Northide Baptist 52928 Pinskton 43901 International Baptist 1807057 Olrvers 39613

    11698551

  • b If this application is for Form 990-PF 990-T, 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 . , , $

    c Balance Due . Subtract line Bb from line 3a Include your payment with this form, or, d required, deposit with FTD coupon or, d required, by using EFTPS (Electronic Federal Tax Payment System) See instructions

    Signature and Verification Under penalties d pmJuy 1 declare the 1 have examined Lift form, mchdrcg accompanying srhedWS end statements, and to the best d my knwAedga and belief, a rs true correct and tanipbte, end that I em eWulzed la Prepare this lam

    5~ Me " ~r " YINa'~ ~ Title QC-11 n GNT Date w 1 11-3/0-3 to Applicant-To Be Completed by the IRS

    L`~ We Mva approved flits application Please attach this form to the organization s return We he" not approved this application However we have granted a 10-day grace period horn the later of the date shown below a the due date of the organization's return (Including any prior extensions) This grace period is considered to be a valid extensor of time for elections otherwise required to be made on a timely return Please attach this forth [o 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 Ume to fife We are not granting a 10-day grace penod We carrot consider this application because it was filed after the due date of the return la which en extension was requested 0 other ----- -- --- -----~--------------------

    BY Director Date Alternate Mailing Address - Enter the address if you wan[ the copy of this application for an additional 3-month extension returned to an address different than the one entered above

    Name

    Type w Number and street (Include suite . roan, a apt no ) Or a P 0. box number print

    City a town, poultice a state, end country (including postal w ZIP code)

    Form 8868 b12-200ol

    Form Bq69

    0 If you are filing to an Additional (not automatic) 3-Month Extension, complete only Part 11 and check this box _ 10~ 0 Note Only complete Part II d you have already been granted an automatic 3-morrth extension on a previously filed Form 8868. 0 If u are fih for an Automatic 3-Month Extension, complete on Part I (on e 1)

    Additional not automatic) 3-Month Extension of Time-Must Fle Ori final and One Co Type or Name of Exempt Organization ~+'-"',~ Em pbper MsnW'raUon mmiber wpm P rt ~3 v u ,v ~,~ E~ r i o N Pr I q0 S 3 ~l I ~- F ~~e py u,a Number, street, and room v wile no if a P O box. see vistruchorrs s ~ For IRS use only Ckre dale for ;ZooN V A L6 NGI p `reN212f}c e , .r ff'^9 ths Cly. town a past office . slate, end ZIP code For a laegrr address. see usInKUOns. s~ ~ n ~¢~~ rermucbdn. C ~ N Vi LU`r~'i N~ 2g 2zb rT,~~'_a .X`a~S_ Ix d f~


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