Balsam Mountain Trust - Form 990

8/14/2019 Balsam Mountain Trust - Form 990

1/17

V r

Return o f Organization Exempt From Income TaxForm 9 9 0 Under s e c t io n 5 0 1 (c ) , 5 2 7 , o r 4 94 7( a ) ( 1 ) of t h e I n t e r n a l Revenue Code ( e x c e p t b l a c k l u ng

b e n e f i t t r u s t o r p r iv a t e f o u n d a t i o n )

D e p a r t m e n t o f t h e T r e a s u r y

I n t e r n a l R e v e n u e S e r v i c e The o r g a n i z a t i o n may have t o use a copy o f t h is r e t u r n t o s a t is f y s t a t e r e p o r t i n g requirements.A F o r t h e 2005 c a l e n d a r y e a r , or t ax y e a r b e g i n n i n g a n d e nd

C Name o f o r g a n i z a t i o nCheck fPlease

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Address l a b e l orLjchangep r i n t o r B alsam Mountain Trust

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Number a n d s t r e e t ( o r P . O . b o x i f m a i l i s n ot d e l i v e r e d t o s t r e e t a d d r e s s )

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2005)pen t o Public

Insoection

D Employer i d e n t i f i c a t i o n number

56-2217688R o o m / s u i t e E T e l e p h o n e n u m b e r

828-631-1060F A c c o u n t i n g m e t h o da s h0c c r u a l

A e n d i n go n

S e c t i o n 5 0 1 ( c ) ( 3 ) o r g a n i z a t i o n s a n d 4947 ( a ) ( 1 ) none xempt c h a r i t a b l e t r u s t s H and I a r e not a p p l i c a b l e t o s e c t i o n 5 2 7 orga n iza t i on s

must a t t a c h a c o mp l e t ed S c h ed u l e A (Form 990 or 9 9 0 E Z )H ( a ) I s t h i s a g r o u p r e t u r n f o r a f f i l i a t e s ? 0es No

G W e b s i t e : joN/A H ( b ) I f " Y e s , " e n t e r number o f a f f i l i a t e s . N/AJ O r g a n i z a ti o n t y pe ( c h e c k o n l y o n e ) P o -0 1 ( c ) ( 3 ) 14 ( i n s e r t n o)09 4 7 ( a ) ( 1 ) or E:] 527 H ( c ) A r e a l l a f f i l i a t e s i n c l u d e d ? N/A =Yes =NoK Check h e r e 0 , -=f th e o r g a n i z a t i o n ' s g r o s s r e ce i pt s a r e n or m a l l y n ot more t h a n $ 2 5 , 0 00 . T h e ( I f " No, a tt a ch a l i s t . )

H ( d ) I s t h i s a s e p a r a t e r e t u r n f i l e d b y a n o r -

o r g a n i z a t i o n n e e d n o t f i l e a r et ur n w it h t he I R S ; b u t i f t h e o r g a n i z a t i o n c h o o s e s t o f i l e a r e t u r n , b eg a n i z a t i o n c ov e r e d b y a g r o u p r u l i n g ?Oes No

s u r e t o f i l e a c o m p l e t e r e t u r n . Some s t a t e s r e q u i r e a c o m p l e t e r e t u r n . I G r ou p E x e mp t i on Number j o N/AM C h e c k =f t h e o r g a n i z a t i o n i s not r e q u i r e d t o a t t a c h

L G r o s s r e c e i p t s : Add l i n e s 6 b, 8 b, 9b , a nd 1 0 b t o l i n e 1 2 383,178. S c h . B ( F o r m 9 9 0 , 9 9 0 - E Z , or 9 9 0 - P F ) .Part I Revenue - Expenses. and Chanaes i n N et A ss e ts or Fund Balances

3

l

)

1 C o n t r i b u t i o n s , g i f t s , g r a n t s , a n d s i m i l a r amounts r e c e i v e d :

a D i r e c t p u b l i c s u p p o r t 1 a 371,751.b I n d i r e c t p u b l i c suppo r t l b

c Government c o n t r i b u t i o n s ( g r a n t s ) 1 c

d T o t a l ( a d d l i n e s 1 a t h r o u g h 1 c ) ( c a s h $ 371,751. n o n c a s h $ ) 1 d 371,751.2 P r o g r a m s e r v i c e r e v e n u e i n c l u d i n g g o v e r n m e n t f e e s a n d c o n t r a c t s ( f r om P a r t V I I , l i n e 9 3 ) 2

3 Membership d u e s a n d a s s e ss m en t s 3

4 I n t e r e s t on s a v i n g s a n d t e r n p o l a l y c a s h i n v e s t me n t s 4 3,927.5 D i v i d e n d s a n d i n t e r e s t f r o m s e c u r i t i e s 5

6 a G r o s s r e n t s 6 a

b L e s s : r e n t a l e x p e n s e s 6 b

c N e t r e n t a l i n c o m e or ( l o s s ) ( s u b t r a c t l i n e 6 b f r o m l i n e 6 a ) 6 c

7 O t h e r i n v e st m e nt i n c o m e ( d e s c r i b e 78 a G r o s s amount f r o m s a l e s o f a s s e t s o t h e r (A ) S e c u r i t i e s ( B ) O t h e r

t h a n i n v e n t o r y 8 a 7,500 .M b L e s s : c o s t o r o t h e r b a s i s a n d s a l e s e x p e n s e s 8 b 30,350 .

c G a i n o r ( l os s ) ( a t t a c h s c h e d u l e ) 8 c


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F o r m 9 9 0 ( 2 0 0 5 Balsam Mountain Trust 56-2217688 P a g e 3Pa r t I I I Statement o f Program Se r v i c e Accomplishments ( s e e t h e i n s t r u c t i o n s )

Form 990 i s a v a i l a b l e f or p u b li c i n s p e ct i o n a n d , f o r some p e o p l e , serves as t h e p r i m a r y o r s o l e source o f i n f o r m a t i o n about a p a r t ic u l a r o r g a n i z a t i o n .

How t h e p u b l i c p e r c e i v e s an o r g a n i z a t i o n i n such cases may be determined by t h e i n f o r m a t i o n presented on i t s r e t u r n . T h e r e f o r e , please make s u re t her e t u r n i s complete and accurate and f u l l y d e s c r i b e s , i n P a r t I I I , t h e o r g a n i z a t i o n ' s programs and accomplishments.

What i s t h e o r g a n i z a t i o n ' s p r i m a r y exempt purpose? See Statement 3 Program Se r v i c eExpenses

A l lo r g a n i z a t i o n s must describe t h e i r exempt purpose achievements i n a c l e a r and concise manner S t at e t he number o f

c l i e n t s s e r v e d , p u b l i c a t i o n s i s s u e d , e t c . Discuss achievements t h a t a re n ot measurable. ( S e c t i o n 5 0 1 ( c ) ( 3 ) and ( 4 )

o r g a n i z a t i o n s and 4 9 4 7 ( a ) ( 1 ) nonexempt c h a r i t a b l e t r u s t s must a l s o e n te r t he amount o f g r a n t s and a l l oc a ti o ns t o o t h e r s . )

( R e q u i r e d f o r 5 0 1 ( c ) ( 3 )

a n d ( 4 ) o r g s . , a n d

4 9 4 7 ( a ) ( 1 ) t r u s t s ; b u t

o p t i o n a l f o r o th e r s . )

a Study, evaluation and recommendation regarding landmanagement, including scientific surveys and water gualitymonitoring of property donated as a conservation easement.

( G r a n t s and a l l o c a t i o n s $ I f t h i s amount i n c l u d e s f o r ei g n g r a nt s , check h e r e 91,077.b Providing of Educational Programs to public and privateelementary, middle and high schools in the western NorthCarolina region

( G r a n t s and a l l o c a t i o n s $ I f t h i s amount i n c l u d e s f o r ei g n g r an t s , check here 22,123.c Preparation of publications and a ers for dissemination

to the general public regarding studies in the BalsamMountain conservation easement land

( G r a n t s and a l l o c a t i o n s $ I f t h i s amount i n c l u d e s f o r e i g n g r a n t s , check here 0 16,145.d The Nature Center is utilized as a destination (on-site)multi-disciplinary education and research facility. TheCenter accomodates a broad range of user groups which includebut is not limited to E n v . Educ., Scientific res.etc.( G r a n t s and a l l o c a t i o n s $ I f t h i s amount i n c l u d e s f o r ei g n g r a nt s , check here 21,037.

e Other program s e r v i c e s ( a t t a c h s c h e d u l e ) See Statement 4( G r a n t s and a l l o c a t i o n s $ I f t h i s amount i n c l u d e s f o r e i g n g r a n t s , check here El 995.

f T o t a l o f Program Service Expenses ( s h o u l d equal l i n e 4 4 , column ( B ) , Program s e r v i c e s ) 151,377.Form 990 ( 2 0 0 5 )

523021

02-03-06

nn^1 nA 17AC A AIN 17 r1% -111 -7rnn 01 AAC Arnf r T_ -- CrIN 1% 1 17 r1


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F o r m 9 9 0 2 0 0 5 ) Balsam Mountain Trust 56-2217688 P a g e 4Part I V Balance Sheets ( S e e t h e i n s t r u c t i o n s )

Note : Where r e q u i r e d , attached schedules a nd amounts w i t h i n t h e d e sc r ip t i on column ( A ) ( B )

should be f o r end-of-year amounts o n l y . B e g i n n i n g o f y e a r End o f y e a r

4 5 Cash - n o n - i n t e r e s t - b e a r i n g 146,149. 45 376,574.4 6 Savings and temporary cash investments 4 6

4 7 a Accounts r e c e i v a b l e 47a

b L e s s * allowance f o r d o u b t f u l accounts 4 7 b 4 7 c

4 8 a Pledges r e c e i v a b l e 48a

b L e s s . allowance f o r d o u b t f u l accounts 48b 4 8 c

49 Grants r e c e i v a b l e 4 9

5 0 Receivables from o f fi ce rs , d i r ec t o rs , t r u s t e e s ,

and k ey emp loyees 5 0

5 1 a Other notes and l o a n s r e c e i v a b l e 5 1 aN, b L e s s : allowance f o r d o u b t f u l accounts 5 1 b 5 1 c5 2 I n v en t o ri e s f or s al e o r use 5 2

5 3 Prepaid expenses and d e f e r r e d charges 633. 5 3 633.

5 4 Investments - s e c u r i t i e s C o s t FM V 5 45 5

a Investments - l a n d , b u i l d i n g s , and

e q u i p m e n t b a s i s 5 5 a 11,956.b L e s s . accumulated d e p r e c i a t i o n 5 5 b 1,800. 1,87 7. 5 5 c 10,156.

5 6 I n v e s t m e n t s - o t h e r 5 6

5 7 a Land, b u i l d i n g s , and equipment: b a s i s 57 a

b Less accumulated d e p r e c i a t i o n 57 b 5 7 c

5 8 O t h e r a s se t s ( d e sc r ib e See Statement 5 ) 50,000. 5 8 0.5 9 T o t a l assets must equal l i n e 7 4 ) . A d d l i n e s 45 through 58 198,659. 5 9 387,363.6 0 Accounts payable and accrued expenses 11,748. 6 0 7,033.6 1 Grants payable 6 1

62 D e f e r r e d revenue 6 2

N63 Loans from o f f i c e r s , d i r e ct o r s , t r u s t e e s , and key employees 6 3

6 4 a Tax-exempt bond l i a b i l i t i e s 6 4 a

b Mortgages and o t h e r notes payable 64b

65 O t h e r l i a b i l i t i e s ( d e s c r i b e ) 6 56 6 T o t a l l i a b i l i t i e s . A d d l i n e s 60 through 65 ) 11,748. 6 6 7 ,033.

Organizat ions t h a t follow SFAS 1 1 7 , check here and complete l i n e s67 through 69 and l i n e s 73 and 74

67 U n r e s t r i c t e d 136,911. 6 7 380,330.68 Temporar ily r e s t r i c t e d - - 50,000. 6 8 0.m 6 9 Permanently r e s t r i c t e d 6 9VOrganizations t h a t d o not follow SFAS 1 1 7 , check here and

L L complete l i n e s 70 through 7 4 .

70 C a p i t a l s t oc k , t r u s t p r i n c i p a l , o r c u r r e n t funds 7 0

71 P ai d- in o r c ap it al s ur p l u s, o r l an d, b ui l d in g, and equipment fund 7 1

< 72 Retained e a r n i n g s , endowment, accumulated income, o r o t h e r funds 7 2Z 73 T o t a l n e t a s se t s o r f u n d b a l a n c e s ( a d d l i n e s 6 7 t h r o u g h 6 9 o r l i n e s 70 t h r o u g h 72 ;

c o l u m n ( A ) m u s t e q u a l l i n e 1 9 ; c o l u m n ( B ) m u s t e q u a l l i n e 2 1 ) 186,911. 7 3 380,330.7 4 T o t a l l i a b i l i t i e s a nd net assets / fund balances . Add l i n e s 6 6 a nd 7 3 198,659.t 7 4 387,363.

F o r m 990 ( 2 0 0 5 )

523031

02-03-08

4Ann'Inn 17nrAnn rrnIN1 nrnn nnr nrnnn --1--- 1f-_- - R1-_---L rrN n'1 17 1 - 1


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Form 99 0 2005 Balsam Mountain Trust 56-2217688 P a g e 5Par t I V -A Reconciliation of Revenue pe r Audited Financial StatementsWi n s t r u c t i o n s . )

i t h Revenue per Return ( S e e t h e

a T o t a l r e v e n u e , g a i n s , an d o t h e r support p er a ud i t ed f i n a n c i a l statements a N/Ab Amounts i n c l u d e d on l i n e a b u t n o t on P a r t I , l i n e 1 2 .

1 Net u n r e a l i z e d g a i n s on investments b 1

2 Donated s e r v i c e s and use o f f a c i l i t i e s b 2

3 R e c o v e r i e s o f p r i o r y e a r g r a n t s b 3

4 Other ( s p e c i f y ) : b 4

Ad d l i n e s b1 through b4 b

c Subtract l i n e b from l i n e a c

d Amounts i n c l u d e d on P a r t I , l i n e 1 2 , b u t n o t on l i n e a :

1 Investment expenses n o t i n c l u d e d on P a r t I , l i n e 6b

2 Other ( s p e c i f y ) - I

Add l i n e s d1 a nd d2

d 1

d 2

d

e T o t a l revenue ( P a r t I l i n e 1 2 ) Ad d l i n e s c and d N o . e

Pa r t I V - B Reconciliation o f Expe nses per Audited F i n a n c i a l Statements With Expenses per Return

a T o t a l expenses and l o s s e s p e r a ud i t e d f i n a n c i a l statements a N/Ab Amounts i n c l u d e d on l i n e a b ut no t on P a r t I , l i n e 17

1 Donated s e r v i c e s and use o f f a c i l i t i e s b 1

2 P r i o r y e a r adjustments r e p o r t e d on P a r t I , l i n e 20 b 2

3 Losses r e p o r t e d on P a r tI ,

l i n e 20b 3

4 Other ( s p e c i f y ) b 4

Ad d l i n e s bl through b4 b

c Subtract l i n e b from l i n e a c

d Amounts i n c l u d e d on P a r t I , l i n e 1 7 , b ut no t on l i n e a :

1 Investment expenses no t i n c l u d e d on P a r t I , l i n e 6b d l

2 O t h e r ( s p e c i f y ) : d2

Ad d l i n e s d1 a nd d2 d

e T o t a l expenses ( P a r t I l i n e 1 7 ) . Ad d l i n e s c and dPa r t V-A Current Officers , Directors , Trustees , and Key Employees ( L i s t e a c h p e r s o n who was a n o f f i c e r , d i r e c t o r , t r u s t e e ,o r kev emolovee a t any t i m e dunna t h e y e a r even i f they were no t compensated ) (See t h e i n s t r u c t i o n s )

( A ) Name a n d a d d r e s s

( B ) T i t l e a n d a v e r a g e h o u r s

p e r week d e v o t e d t o

p o s i t i o n

( C ) Compensation

I f no t a i d , enter( P

' O - .

(D ) C o n t r i b u t i o n s t o

a ployee b e n e f i t

plans & d e f e r r e d

compensation plans

( E ) E x p e n s e

a c c o un t a n d

o t h e r a l l o w a n c e s

------------------------------------------------------------------See Statement 6 52,423. 5,019. 1,997.------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Form 990 ( 2 0 0 5 )523041 02-03-08

57A Ann r i 1nn1ncnn IN nnr nIT I N IN n --If_..-L- ccnnlrrrq


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Fnrm 94n (9nn51 'R A I cam Mriin f - i i n Trrn c 11 - 5E -221 76RR Pace6Pa r t V- A Current O f f i c e r s , Directors , Trustees , a nd Key E mplo y ee s ( c o n t i n u e d ) Yes No

7 5 a E n t er t h e t ot a l number o f o f f i c e r s , d i r e c t o r s , and t r u s t e e s p e r m i t t e d t o v o t e on o r g a n i z a t i o n business a t board

m e e t i n gs 0b Are any o f f i c e r s , d ir ec to r s, t ru s te es , o r key employees l i s t e d i n Form 9 9 0, P a rt V - A , o r h i g h e s t compensated employees

l i s t e d i n Schedule A , P a r t I , o r h i g h es t compensated p r o f e s s i o n a l and o t h e r independent c o n t r a c t o r s l i s t e d i n Schedule A ,

P a r t I I - A o r I I - B , r el a t ed t o e a c h o t he r t h r o u g h f a m i l y o r b u s i n e s s r e l a t i o n s h i p s ' ? I f " Y e s , " a t t a c h a s t a t e m e n t t h a t i d e n t i f i e s

th e i n d i v id u a l s and e x pl a i ns t h e r e l a t i o n s h i p ( s ) 7 5 b Xc D o any o f f i c e r s , d i r e c t o r s , t r u s t e e s , o r key employees l i s t e d i n Form 9 90 , P ar t V -A , o r h i g h e s t compensated employees

l i s t e d i n Schedule A , P ar t I , o r h i gh e st compensated p r o f e s s i o n a l and o t h e r independent c o n t r a c t o r s l i s t e d i n Schedule A ,

P a r t I I - A o r I I - B , r e c e i v e compensatio n from any o t h e r o r g a n i z a t i o n s , whether t a x exempt o r t a x a bl e , t ha t a r e r el a te d t o t h i s

o r g a n i z a t i o n through common s u p e r v i s i o n o r common c o n t r o l ' ? 7 5 c XNote . R e l a te d o r g a ni z a ti o ns i n c l u d e s e c ti o n 5 09 ( a ) (3 ) supporting o r g a n i z a t i o n s .

I f ' Y e s , " a t t a c h a s t a t e m e n t t h a t i d e n t i f i e s t h e i n d i v i d u a l s , e x p l a i n s th e r e l a t i o n s h i p b e t w e e n t h i s o r gani zati on a n d t h e o ther o r g a n i z a t i o n ( s ) , a n d

de scri bes th e c o m p e n sa t i o n a r r a ng e me n ts , i n c l u d i n g amounts p ai d t o e a c h i n d i v i d u a l b y e a c h r e l a t e d o r g a n i z a t i o n .

d Does t h e o r g a ni z a ti o n h a v e a w r i t t e n c o n f l i c t o f i n t e r e s t p o l i c y ? 75d XPar t V- R Former Offi cers . Directors . Trustees . and Kev Emnlovees That Received Compensation or O t herBenefi ts ( I f any former o f f i c e r , d i re ct o r , t r u s te e , o r key employee r e c e i v e d compensatio n o r o t he r b en ef it s ( d e sc ri b ed below) d u r i n g

t h e y e a r , l i s t t h a t person below and e n te r t h e amount o f compensation o r o t h e r b e n e f i t s i n t h e a p p ro p ri a t e column. S e e t h e I n s tr u c ti o n s )

(D ) C o n t r i b u t i o n s to ( E ) E x p e n s e

( A ) Name a n d a d dr es s ( B ) L o a n s a n d Advances ( C) C o m p e n s a t i o nemployee ben efit

account andplans & d e f e r r edNone c ompens ati on p a n s o t he r a l l o w a n c e s

Part V I I Other Information ( S e e t h e i n s t r u c t i o n s . ) I Y e s l No7 6 D id t h e o r ga n iz a ti o n engage i n any activity n o t p r e v i o u s l y r e p o r t e d t o

d e s c r i p ti o n o f each a c t i v i t y

7 7 Were any changes made i n t h e o r g a ni z in g o r governing documents b i

I f " Y e s , " a t t a c h a confo rmed copy o f t h e changes

7 8 a D i d t h e o r g a n i z a t i o n have u n r e l a t e d business gross income o f $1,000

b I f " Y e s , " has i t f i l e d a t a x r et ur n on Form 990-T fo r this year?

7 9 Was t h e r e a l i q u i d a t i o n , d i ss o l ut io n , t e rm i na t i o n , o r s u b s t a n ti a l contra8 0 a I s t h e o r g a ni z a ti o n r el a te d ( o th er than by a s s o c i a t i o n w i t h a statewide

membershi p, governing b o d i e s , t r u s t e e s , o f f i c e r s , e t c . , to any o t h e r e t

b I f " Y es ," e nt er t h e name o f t h e organ i z a t i o n l o o - N/A8 1 a E n t e r d ir ec t o r indi rect p o l i t i c a l expenditures (See l i n e 8 1

523161/02-03-06

A n A -1 INA n n r A n', r r n n 1 n r n n n n n r ti c n n n


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F o r m 9 9 0 ( 2 0 0 5 Balsam Mountain Trust 56-2217688 a g e 7Pa r t V I Other Information ( c o n t i n u e d ) Ye s No

8 2 a D id t h e o r ga n iz a ti o n r e ce i ve donated s e r v i c e s o r t h e use o f m a t e r i a l s , equipment, o r f a c i l i t i e s a t no charge o r a t s u b s t a n t i a l l y

l e s s than f a i r r e n t a l v a l u e ' s 82a Xb I f " Y e s , " yo u may i n d i c a t e t he v a lu e o f these items here Do n o t i n c l u d e t h is

amount as r e ve n u e i n Part I or as an expense i n Part I I( S e e in s t r u ct io n s i n P a r t I I I . ) 8 2 b 6,000.

8 3 a D i d t h e o r g a ni z a ti o n comply w i t h t h e p u b l i c i n s p e c t i o n requirements f o r r e t u r n s and exemption a p p l i c a t i o n s ? 83a Xb D i d t h e o r g a n i z a t i o n comply w i t h t h e d i s c l o s u r e requirements r e l a t i n g t o q u i d pro q uo c o n t r i b u t i o n s ? N/A 83 b

8 4 a D i d t h e o r g a ni z a ti o n s o l i c i t any c o n t r i b u t i o n s o r g i f t s t h a t were n ot t ax deductible? N/A 8 4 ab I f " Y e s , " d i d t h e o r ga n iz a ti o n i nc l ud e w it h every s o l i c i t a t i o n an express statement t h a t such c o n t r i b u t i o n s o r g i f t s were n o t

t a x deductible? N/A 84 b8 5 5 0 1 ( c ) ( 4 ) , ( 5 ) , o r ( 6 ) o r g a n i z a t i o n s a Were s u b s t a n t i a l l y a l l dues nondeductible by m e m b e rs? N/A 85a

b D i d t he o r g a ni z a ti o n make o n ly i n -h o us e l o b by i ng expenditures o f $2,000 o r l e ss ? N/A 85 bI f "Yes" was answered t o e i t h e r 8 5a o r 8 5 b , do no t complete 85c through 85 h below unless t h e o r g a n i z a t i o n r e c e i v e d a

waiver f o r proxy t a x o w e d f o r t h e p r i o r y e a r

c Dues, assessments, an d s i m i l a r amounts from m e m b e r s 8 5 c N/Ad Section 1 6 2 ( e ) l o b b y i n g an d p o l it i c a l expenditures 8 5 d N/Ae Aggregate nondeductible amount o f s e c t i o n 6 0 3 3 ( e ) ( 1 ) ( A ) dues n o t i c e s 85 e N/Af Taxable amount o f l o b b y i n g an d p o l i t i c a l expenditures ( l i n e 85 d l e s s 8 5 e ) 8 5 f N/A9 Does t h e o r g a ni z a ti o n e l e c t t o pay t h e s ec ti on 6 0 33 (e ) t ax on t h e amount on l i n e 85f? N/A 8 5h I f s e c t i o n 6 0 3 3 ( e ) ( 1 ) ( A ) dues n o t i c e s were s e n t , does t h e o r g a ni z a ti o n agree t o ad d t h e am o un t o n l i n e 85 f

t o i t s reasonable estimate o f dues a l l oc a bl e t o nondeductible l o b b y i n g an d p o l i t i c a l expenditures f o r t h e

f o l l o w i n g t a x year? N/A 85 h8 6 5 0 1 (c ) ( 7) o r g a ni z a ti o n s. E n t e r a I n i t i a t i o n f e e s an d c a p i t a l c o n tr i b ut i on s i n c l u d e d on

l i n e 1 2 86 a N/Ab Gross r e c e i p t s , i n c l u d e d on l i n e 1 2, f or p u b l i c use o f c l u b f a c i l i t i e s 8 6 b N/A

8 7 5 0 1 ( c ) ( 1 2) o r g a ni z a ti o n s. E n t e r a Gross income from m e m b e r s o r shareholders 87a N/Ab Gross income from o t he r s o ur c e s. (Do n o t n e t amounts due o r p a i d t o o t h e r sources

a g a i n s t amo u n ts du e o r r e c e i v e d from t h e m . ) 87 b N A8 8 A t any t im e d ur in g t he y e a r, d i d t h e o r g a ni z a ti o n own a 50% o r g r e a t e r i n t e r e s t i n a t a xa b l e c o r po r a ti o n o r p a r t ne r s h ip ,

o r an e n t i t y disregarded as separate from t h e o r g a ni z a ti o n under Regulations s e c t i o n s 301.7701-2 an d 30 1 7701-3?

I f " Y e s , " complete P a r t I X 8 8 X8 9 a 5 0 1 ( c ) ( 3 ) o r g a n i z a t i o ns . E n t e r : A m o u n t o f t a x imposed on t h e o rg a ni za ti on d ur in g t he y e a r u nd e r:

s e c t i o n 4911 0 . ; s e c t i o n 4912 0 . ; s e c t i o n 4955 0.b 5 0 1 ( c ) ( 3 ) an d 5 0 1 ( c ) ( 4 ) o r g a n i z a t i o n s . D i d t h e o r g a ni z a ti o n engage i n any s e c t i o n 4 9 5 8 excess b e n e f i t

t r a n s a c t i o n d ur in g t he y e a r o r d id i t b e c o m e aware o f an excess b e n e f i t t r a n s a c t i o n from a p r i o r year?

I f " Y e s , " a t t a c h a statement e x p l a i n i n g each t r a n s a c t i o n 89b Xc E n t e r . A m o u n t o f t a x i m po se d o n t h e o r g a n i z a t i o n managers o r d i s q u a l i f i e d persons d u r i n g t h e y e a r under

s e c t i o n s 4912, 49 55, an d 4 9 5 8 0.d Enter A m o u n t o f t a x on l i n e 8 9 c , above, reimbursed by t h e o r g a n i z a t i o n 0.

9 0 a L i s t t he s ta t es w i t h which a copy o f t h is r e t u r n i s f i l e d NCb Nu m b e r o f employees employed i n t h e pay p e r i o d t h a t i n c l u d e s March 1 2 , 2005 90b 2

9 1 a T h e b oo k s a r e i n c a r e o f Christopher Crouch T e l e p h o n e n o . (828) 631-1041L o c a t e d a t 52 Sucrar Loaf Road, Sylva, NC Z I P + 4 2 8 7 7 9

b A t any t i m e d u ri n g t he calendar y e a r , d i d t h e o r g a ni z a ti o n have an i n t e r e s t i n o r a s i g n a t u r e o r o t h e r a u t h o r i t y

over a f i n a n c i a l account i n a f o r e i g n count ry (such as a bank account , secu r i t i e s account , o r o t h e r f i n a n c i a l Yes Noaccount)? 9 1 b XI f "Yes , " e n te r t he name o f t h e f o r e i g n count r y N/AS ee t h e i n s t r u c t i o n s f or exceptions an d f i l i n g requirements f o r Form TD F 90-22 . 1 , Report o f F o r e i g n Bankan d F i n a n c i a l Accounts

c A t any t i m e d u r i n g t h e calendar y e a r , d i d t h e o r g a n i z a t i o n m a i n t a i n an o f f i c e o u t s i d e o f t h e United S t a t e s ' 9 1 c XI f "Yes , " e n t e r t h e name o f t h e f o r e i g n count ry N/A

9 2 Section 4 9 4 7 ( a ) ( 1 ) nonexempt cha r i t a bl e t ru s ts f i l i n g Fo rm 9 9 0 i n l i e u o f Form 1041 - Check h e r e 0an d e n t e r t h e amount o f t a x - exempt i n t e r e s t r e c e i v e d o r accrued d u r i n g t h e t ax y e a r 9 2 N/A

Form 990 ( 2 0 0 5 )

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Part A intormation liegaramg i ransters Associated wrtn Personal benetrt Contracts (See the instructions)( a ) D id t h e o rg ani za t io n, d ur i ng t h e y e a r , r e c e i v e a n y f u n d s , d i r e c t l y or i n d i r e c t l y , t o p a y premiums o n a p e r s o n a l ben ef i t c o n t r a c t ? 0e s o( b ) D id t h e o r ga ni za t io n, d u r in g t h e y e a r , p a y p r e m i u m s , d i r e c t l y or i n d i r e c t l y , o n a p e r s o n a l ben ef i t c o nt r a c t ? Ye s NoNote : I f " Y e s " t o ( b ) , f i l e F o r m 8 870 an d F o r m 4 72 0 ( s e e i n st r u c t i on s )

Under p e n a l t i e s of p e r j u r y I d e c l a r e t h a t have examined t h i s r e t u r n i n c l u d i n g a c c o m a n y i n schedules and statements an d t o t h e b e st of my knowledge and b e l i e f , i t i s t r u e ,Please co rr ec t and complete Decl a r a t i o n of r e p a r e r ( o t h e r t o f f i c e r ) i s based on al l i n f o r anon which p r : p a r e r has any knowledge

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02-03-06 ZIP+4 Atlanta, Georgia 30326-1089 P h o n e n o . ( 4 0 4 ) 264-1700Form 990 ( 2 0 0 5 )8nA'fI1 A "ArAAn IT rIN '1I nrnn INnnr r1rAAA r-9--. C/119 '7 r9


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5 01 (n ), o r 4 9 4 7 ( a ) ( 1 ) Nonexempt C h a r i t a b l e T r u s tSupplementary Information-(See separate instructio ns.)MUST b e c o m o l e t e d b y t h e above o r g a n i z a t i o n s a n d a t t a c h e d t o t h e i r Form 990 o r 9 9 0 - E Z

OMB No 1545-0047

2005

o y e r i de n t i fic a t i on number2217688Pa r t I Compensation o f the F i v e Highest Paid Employees Other Than O f f i c e r s , Directors , and Trustees

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o v e r $ 5 0 , 0 0 0 0Par t I I - A Compensation of th e Five H i g he st Pai d Independent Contractors fo r Prof essional Ser v ices( See p a n e 2 o f t h e i n s t r u c t i o n s . L i s t e a ch o n e ( wh et he r i n d i v i d u a l s o r f i r m s ) . I f t h e r e a r e none, e n t e r " N o n e . " )

( a ) Name a n d a d d r e s s o f e a c h i n d e p e n d e n t c o n t r a c t o r p a i d more t h a n $ 5 0 , 0 0 0 1 ( b ) T y p e o f s e rv ice I ( c ) C o m p e n s a t i o n

T o t a l number o f o t h e r s re ce iv in g o v e r

$ 5 0 , 0 0 0 f o r p r o f e s s io n a l s e r vi c es 0Part I I - B Compensation of the F iv e Highest Paid Independent Contractors fo r Other Se r v ices

( L i s t e a c h c o n t r a c t o r who p e r f o r m e d s e r v i c e s o t h e r t h a n p r o f e s s i o n a l s e r v i c e s , w h e t h e r i n d i v i d u a l s o r

f i r m s . I f t he re a r e n o n e , e nt er " N o n e. " S e e p a n e 2 o f th e i n s t r u c t i o n s . )

( a ) Name a n d a d d r e s s o f e a c h i n de p e nd e nt c o nt r a ct o r p a id more t h a n $ 5 0 , 0 0 0 ( b ) T y p e o f s e rv ice I ( c ) C o m p e n s a t i o n

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5 2 3 1 0 1 / 0 2 - 0 3 - 0 6 LH A F o r Paperwo rk R e d u c t i o n A c t N o t ic e , s e e t h e I ns t r uc ti o ns f o r Form 990 a n d Form 9 9 0 - E Z .

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10/17

S c h e d u l e A ( F o r m 990 o r 9 9 0 - E Z ) 2005 Balsam Mountain Trust 56-2217688 P a g e tPart I I I Statements About A c t i v i t i e s ( S e e p a g e 2 o f t h e i n s t r u c t i o n s . ) Yes No

I D u ri n g t he y e a r , h a s t he o rg a n iz a t i on a t t e m p t e d t o i n f l u e n c e n a t i o n a l , s t a t e , o r l o c a l l e g i s l a t i o n , i n c l u d i n g a n y a t t e m p t t o i n f l u e n c e

p u b l i c o p i n i o n o n a l e g i s l a t i v e m a t t e r o r r e f e r e n d u m ? I f ' Y e s , " e n te r t h e t o t a l e x p e n s e s p a i d o r i n cu r re d i n c o n n e c t i o n w it h t he

l o b b y i n g a c t i v i t i e s $ $ ( M u s t e q u a l amounts o n l i n e 3 8 , P a r t V I - A , o rl i n e i o f P a r t V I - B . ) 1 XO r g a n i z a t i o n s t h a t made a n e l e c t i o n u n d e r s ec ti on 5 0 1( h ) b y f i l i n g Form 5768 must c o m p l e t e P a rt V I -A . O t h e r o r g a n i z a t i o n s

c h e c k i n g ' Y e s " must c o m p l e t e P a r t V I - 1 3 AN D a t t a c h a s t a t e m e n t g i v i n g a d e t a i l e d d e s c r i p t i o n o f t h e l o b b y i n g a c t i v i t i e s .

2 D u r i n g t h e y e ar , h a s t h e o r ga n i z a ti o n, e i t h e r d i r e c t l y o r i n d i r e c t l y , e n g a g e d i n a n y o f t he f o l l o w i n g a c t s w i t h a n y s u b s t a n t i a l c o n t r i b u t o r s ,

t ru s t e e s , d i r e c t o r s , o f f i c e r s , c r ea t o rs , k e y e m p l o y e e s , or members o f t h e i r f a m i l i e s , o r w it h a n y t a x a b l e o r g a n i z a t i o n w i t h w h i c h a n y s u c h

p e r s o n i s a f f i l i a t e d a s a n o f f i c e r , d i r e c t o r , t r u s t e e , m a j o r i t y o w n e r , or p r i n c i p a l b e n e f i c i a r y ( I f t h e answer t o any question i s " Y e s ,

a t t ach a d e t a i l e d statement e x p l a i n i n g t h e t r a n s a c t i o n s )

a S a l e , e x c h a n g e , o r l e a s i n g o f p r o p e rt y ? 2 a Xb L e n d i n g o f money o r o th er e x t e n s i o n o f c r e d i t ? 2 b Xc F u r n i s h i n g o f g o o d s , s er vi ce s, o r f a c i l i t i e s 9 2 c Xd Payment o f c o m p e n s a t i o n ( o r payment or r e i m b u r s e m e n t o f e x p e n s e s i f more t h a n $ 1 , 0 0 0 ) ? 2 d Xe T r a n s f e r o f a n y p a r t o f i t s i n c o m e o r a s s e t s 9 2 e X

3 a Do y o u make g r a n t s f o r s c h ol a r s h ip s , f e l lo w s hi p s, s t u d e n t l oa n s, e t c . ? ( I f " Y e s ; a t t a c h a n e xp la n a ti on o f how

y o u d e t e r m i n e t h a t re c i pi e n t s q u a l i f y t o r e c e i v e p a y m e n t s . ) 3 a Xb Do y o u h a v e a s e c t i o n 4 0 3 ( b ) a n n ui t y p la n f o r y o u r e m p l o y e e s ? 3 b Xc D u r i n g t h e y e ar , d i d t he o r g a n iz a t i o n r e ce i ve a c o n t r i b u t i o n o f q u a l i f i e d r e a l p r o p e r t y i n t e r e s t u n d e r s e c t i o n 1 7 0 ( h ) ? 3 c X

4 a D i d y o u m a i n t a i n a n y s e p a r a t e a c c o u n t f o r p a r t i c i p a t i n g d on o rs w h e re d o no rs h a v e t he r i g h t t o p r ov i de a d v ic e

o n t h e use o r d i s t r i b u t i o n o f f u n d s ? 4 a Xb D o y o u p r o v i d e c r e d i t c o u n s e l i n de b t m a n a g e m e n t , c r e d i t r e p a i r , o r de b t n e g o t i a t i o n s e r v i c e s ? 4 b XPart I V Reason f o r Non-Private Foundation Status ( S e e p a g e s 3 t h r o u g h 6 o f t h e i n s t r u c t i o n s . )

T h e o r g a n i z a t i o n i s n o t a p r i v a t e f o u n d a t i o n b e c a u s e i t i s : ( P l e a s e c h e c k o n l y ONE a p p l i c a b l e box)

5 0c h u r c h , c o n v e n t i o n o f c h u r c h e s , or a s s o c i a t i o n o f c h u r c h e s . S e c t i o n 1 7 0 (b ) ( 1 )( A )( i ).6 0s ch oo l . S e ct i o n 1 7 0 ( b ) ( 1 ) ( A ) ( n ) . ( Al so c o m p le t e P a r t V . )7 0h o s p i t a l o r a c o o p e r a t i v e h os p it a l s e rv i ce o r g a n iz a t i o n . S e c t i o n 17 0 (b ) (1) (A )(u i ) .8 0Fe d era l , s t a t e , or l o c a l government or g o v e r n m e n t a l u n i t . S e c t i o n 1 7 0 (b ) (1)(A )(v ) .9 0m e d i ca l r e s ea r c h o r g a n i z a t i o n o p e r a t e d i n c o n j un c t i on w i th a hos pi t a l . S e c t i o n 1 7 0 ( b ) ( 1 ) ( A ) ( u i ) . E n t er t h e h os pi ta l s name, c i t y ,

a n d s t a t e 1 0 An o r g a n i z a t i o n o p e r a t e d f o r t h e b e ne f it o f a c o ll e g e o r u n iv er si t y owned o r o p er a t e d b y a g o v e r n m e n t a l u ni t S ec t io n 1 7 0 ( b ) ( 1 ) ( A ) ( i v ) .

( A l s o c o m p l e t e t h e Suppo r t S c h e d u l e i n P a r t I V - A . )

1 1 a An o r g a n i z a t i o n t h a t n o rm a l ly r ec ei ve s a s u b s t a n t i a l p a r t o f i t s suppo r t f r o m a g o v e r n m e n t a l u n i t o r f r o m t he g e n e r a l p u b l i c .

S e c t i o n 1 7 0 ( b ) ( 1 ) ( A ) ( w ) . ( A l s o c o m p l e t e t he Suppo r t S c h e d u l e i n P a r t I V - A . )

l i bOcommunity t r u s t . S e ct i o n 1 7 0( b ) (1 ) (A ) ( w ). ( A l s o c o m p l e t e t he Suppo r t S c h e d u l e i n P a r t I V - A . )1 2 0n o r g a n i z a t i o n t h a t n o r m a l l y re c e i v e s : ( 1 ) more t h a n 3 3 1/3% o f i t s suppo r t f r o m c o n t r i b u t i o n s , membership f e e s , a n d g r o s s

r e c e i p t s f r o m a c t i v i t i e s r e l a t e d t o i t s c h a r i t a b l e , e t c . , f u n c t i o n s - s u b j e c t t o c e r t a i n e x c e p t i o n s , a n d ( 2 ) n o more t h a n 3 3 1/3% o f

i t s suppo r t f r o m g r o ss i n v e st m e n t i n c o m e a n d u n re la t e d b u s i n e s s t a x a b l e i n c o m e ( l e s s s e c t i o n 5 1 1 t a x ) f r o m b u s i n e s s e s a c q u i r e d

b y t he o r g a n i z a t i o n a f t e r J u n e 3 0 , 1 9 7 5 . S e e s e c t i o n 5 0 9 ( a ) ( 2 ) . ( A l s o c o m p l e t e t he Suppo r t S c h e d u l e i n P a r t I V - A . )

1 3 0n o r g a n i z a t i o n t h a t i s n o t c o n t ro l le d b y a n y d i s q u a l i f i e d p e r s o n s ( ot he r t h an f o un d a ti o n managers ) a n d suppo r t s o r g a n i z a t i o n s d e s c r i b e d i n :( 1 ) l i n e s 5 t h r o u g h 1 2 a b ov e; o r ( 2 ) s e c t i o n s 5 0 1 ( c ) ( 4 ) , ( 5 ) , o r ( 6 ) , i f t h e y m e e t t h e t e s t o f s e ct i o n 5 0 9 (a ) ( 2 ) . C h e c k t h e b o x t h a t d e s c r i b e st h e t y p e o f suppo r t i n g o r g a n i z a t i o n : El T y p e 1 El T y p e 2 El T y p e 3

P r o v i d e t he f o l lo w i ng i n f o r ma t i o n a b o u t t he suppo r t e d o r g a n i z a t i o ns . ( S ee p a g e 6 o f t he i n s t r u c t i o n s . )

( a ) N a m e ( s ) o f s u p p o r t e d o r g a n i z a t i o n ( s )

( b ) L i n e number

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1 4 Un o r g a n i z a t i o n o r g a n i z e d a n d o p e r a t e d t o t e s t f o r p u b l i c s a f e t y . S e c t i o n 5 0 9 ( a ) ( 4 ) . ( S e e p a g e 6 o f t he i n s t r u c t i o n s . )A nn7nn nnr A nn rrnnl "rnn

S c h e d u l e A ( F o r m 990 o r 9 9 0 - E Z ) 2005

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11/17

S ch ed u l e A ( F o r m 9 9 0 o r 9 90 - EZ ) 2 0 0 5 Balsam Mountain Trust 56-2217688 P a g e 3a r t IV-A Suppo r t Schedule ( C o m pl e t e o nl y i f y o u c h e c k e d a b o x o n l i n e 1 0 , 1 1 , o r 1 2 ) Us e cash method o f a c c o u n t i n g .

Note : You may use th e worksheet i n th e i n s t r u c t i o n s f o r c o n v e r t i n g from t he a c c r u al to t h e cash m e t h o d o f accountingC a le n d ar y e ar ( o r f i s c a l y e a r

b e g i n n i n g i n ) ( a ) 2 0 0 4 ( b ) 2 0 0 3 c ) 2 0 0 2 ( d ) 2 0 0 1 ( e ) T o t a l1 5

G i f t s , g r a n t s , a n d c o n t r i b u t i o n s

r e c e i v e d . ( D o n o t i nc l ud e u n u s u a l

g r a n t s . S e e l i n e 2 8 . 187 275. 159 051. 413 112. 0. 759 438.1 6 Membership f e e s r e c e i v e d 0. 0. 0. 0.1 7 G r o s s r e c e i p t s f r o m a d m is s io n s ,

m e r c h a n d i s e s ol d o r s er vi ce s

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r e l a t e d t o t h e o r g a n i z at io n ' s

c h a r i t a b l e , e t c . , p u r p o s e 0. 0. 0. 0.1 8 G ro ss i n c o me f r o m i n t e r e s t ,

d i v i d e n d s , amounts r e c e i v e d f r o m

payments o n s e c u r i t i e s l o a n s ( s e c -

t i o n 5 1 2 ( a ) ( 5 ) ) , r e n t s , r o y a l t i e s , a n d

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o r g a n i z a t i o n a f t e r J u n e 3 0 , 1 9 7 5 458. 592. 0. 0. 1,0 5 0.1 9 N e t i n c o m e f r o m u n r el a te d b u s in e s s

a c t i v i t i e s n o t i n c l u d e d i n l i n e 1 8 0. 0. 0. 0.

2 0 T a x r e v e n u e s l e v i e d f o r th e

o r g a n i z a t i o n ' s b e n e f i t a n d e i t h e r

p a i d t o i t o r e x p e n d e d o n i t s b e h a l f 0. 0. 0. 0.2 1 T h e v a l u e o f s e r v i c e s o r f a c i l i t i e s

f u r n i s h e d t o th e o r g a ni z a ti o n b y a

g o v e r n m e n t a l u n i t w i t h o u t c h a r g e .

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t he p u bl i c w i th o u t c h a r g e 0. 0. 0. 0.2 2

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2 3 T ot a l o f l i n e s 1 5 t h r o u g h 2 2 187,733 . 159,643. 413 112. 0. 760,488.2 4 L i n e 2 3 minus l i n e 1 7 187 733. 159 643. 413 112. 760 488.

2 5 E n t e r 1% o f l i n e 2 3 1,877. 1.596. 4,131.

2 6 O r g a n i z at i o n s d e s c r i b e d o n l i n e s 1 0 o r 1 1 : a E n t e r 2% o f amount i n column ( e ) , l i n e 2 4 2 6 a 15,210.b P r e p a r e a l i s t f o r y o u r r e c o r d s t o show th e name o f a n d amount c o n t r i b u te d b y e a c h p e r s o n ( ot h er t h a n a g o v e r n m e n t a l

u n i t o r p u b l i c l y s u p p o r t e d o r g a n i z a t i o n ) whose t o t a l g i f t s f o r 2 0 0 1 t h r o u g h 2004 e x c e e d e d th e amount shown i n l i n e 2 6 a .

Do n o t f i l e t h i s l i s t w i t h y o u r r e t u r n . E n te r th e t o t a l o f a l l t he s e e x c e s s amounts 2 6 b 356,417.c T o t a l s u p p o r t f o r s e c t i o n 5 0 9 ( a ) ( 1 ) t e s t : E n t e r l i n e 2 4 , c o l u m n ( e ) 2 6 c 760,488.d A d d : Amounts f r o m column ( e ) f o r l i n e s : 1 8 1,050. 1 9

2 2 2 6 b 356,417. 2 6 d 357 467.e P u b l i c s u p p o r t ( l i n e 2 6c m i n u s l i n e 2 6 d t o t a l ) 26e 403,021.f P u b l i c s u p po r t p e r c e n t a g e ( l i n e 2 6 e ( n u me r a to r ) d i v i d e d by l i n e 2 6 c ( d e n o m i n a t o r ) ) 2 6 f 52.9951%

2 7 O r g a n i z at i o n s d e s c r i b e d o n l i n e 1 2 : a F o r amounts i n c l u d e d i n l i n e s 1 5 , 1 6 , a n d 1 7 t h a t w e r e r e c e i v e d f r o m a " d i s q u a l i f i e d p e r s o n ; p r e p a r e a l i s t f o r y o u r

r e c o r d s t o show th e name o f , a n d t o t a l amounts r e c e i v e d i n e a c h y e a r f r om , e a c h " d i s q u a l i f i e d p e r s o n . " Do n o t f i l e t h i s l i s t w it h y o u r r e t u r n . E n te r th e su m o f

s u c h amounts f o r e a c h y e a r : N/A( 2 0 0 4 ) ( 2 0 0 3 ) ( 2 0 0 2 ) ( 2 0 0 1 )

b F o r a n y amount i n c l u d e d i n l i n e 1 7 t h a t wa s r e c e i v e d f r o m e a c h p e r s o n ( o t h e r t h a n " d i s q u a l i f i e d p er s on s ") , p r e p ar e a l i s t f o r y o u r r e c o r d s t o show th e name o f ,

a n d amount r e c e i v e d f o r e a c h y e a r , t h a t was more t ha n th e l a r g e r o f ( 1) th e amount o n l i n e 2 5 f o r th e y e ar o r ( 2) $ 5 , 0 0 0 . ( I n c l u d e i n th e l i s t o r g a n i z a t i o n s

d e s c r i b e d i n l i n e s 5 t h r o u g h 1 1b , a s w e l l a s i n d i v i d u a l s . ) Do n o t f i l e t h i s l i s t w i t h y o u r r e t u r n . A f t e r c o m p u t i n g th e d i f f e r e n c e b e t w e e n th e amount r e c e i v e d a n d

th e l a r g e r amount d e s c r i b e d i n ( 1) o r ( 2 ) , e n te r th e su m o f t h e s e d i f f e r e n c e s ( t h e e x c e s s a m o u n t s ) f o r e a c h y e a r : N/A( 2 0 0 4 ) ( 2 0 0 3 ) ( 2 0 0 2 ) ( 2 0 0 1 )

c A d d : Amounts f r o m column ( e ) f o r l i n e s : 1 5 1 6

1 7 2 0 2 1 2 7 c N/Ad A d d : L i n e 2 7 a t o t a l a n d l i n e 2 7 b t o t a l 2 7 d N/Ae P u b l i c s u p p o r t ( l i n e 2 7 c t o t a l m i n u s l i n e 2 7 d t o t a l ) 27e N/Af T o t a l s u p p o r t f o r s e c t i o n 5 0 9( a ) ( 2) t es t E n t e r amount o n l i n e 2 3 , column ( e ) 2 7 f N/Ag Public suppo r t percentage ( l i n e 27e ( numerator ) divided by l i n e 27f (denominator ) ) 2 7 N /A %h Investment i n c om e Dercentaae ( l i n e 18 . column ( e ) (numerator ) divided by l i n e 27f (denominator ) ) 27h N/A %

2 8 Unusual Grants : F o r a n o r ga ni za ti on d e s c r ib ed i n l i n e 1 0 , 1 1 , o r 1 2 t h a t r e c e i v e d a n y u n u s u a l g r an ts d u r i n g 2 0 0 1 t h r o u g h 2 0 0 4 , p r ep a r e a l i s t f o r y o u r r e c o r d s t o

s h o w , f o r e a c h y e a r , th e name o f th e c o n tr ib ut or , t he d a te a n d amount o f th e g r a n t , a n d a b r i e f d e s c r i p t i o n o f t he n a tu r e o f th e g r an t . Do n o t f i l e t h i s l i s t w i t h y o u r

r e t u r n Do n o t i nc lu d e t he s e g r a nt s i n l i n e 1 5 .

523121 02-03-06 None Schedule A (Form 990 or 990-EZ) 200511

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12/17

S c h e d u l e A ( F o r m 9 9 0 o r 9 9 0 - E Z ) 2 0 0 5 Balsam Mountain Trust 56-2217688 P a g e 4Part V Private School Questionnaire ( S e e p a g e 7 o f t h e i n s t r u c t i o n s . ) N/A

( T o be completed ONLY by schools that checked the b ox on l i n e 6 i n Pa r t I V )2 9 D o e s t h e o r ga n iz a t io n h a v e a r a c i a l l y n o n d i s c r i m i n a t o r y p o l i c y t o w a r d s t u d e n t s b y s t a t e m e n t i n i t s c h a r t e r , b yl a ws, o t he r g o v er n i n g

i n st r u me n t , o r i n a r e s o l u t i o n o f i t s g o v e r n i n g body?

3 0 D o e s t h e o r g a n i z a t i o n i n c l u d e a s t a t e m e n t o f i t s r a c i a l l y n o n d i s c r i m i n a t o r y p o l i c y t o w a r d s tu d en t s i n a l l i t s b r o c h u r e s , c a t a l o g u e s ,

a n d o t h e r w r i t t e n c o m m u n i c a t i o n s w i t h t h e p u b l i c d e a l i n g w i t h s t u d en t a d m i s si o n s , p r o g r am s , a n d s c h o l a r s h i p s ?

3 1 H a s t h e o r g a n i z a t i o n p u b l i c i z e d i t s r a c i a l l y n o n d i s c r i m i n a t o r y p o l i c y t h r o u g h n e w sp a p e r o r b r o a d c a s t m e d i a d u r i n g t h e p e r i o d o f

s o l i c i t a t i o n f o r s t u d e n t s , o r d u r i n g t h e r e g i s t r a t i o n p e r i o d i f i t h a s n o s o l i c i t a t i o n p r o g r a m , i n a way t h a t makes t h e p o l i cy known

t o a l l p a r t s o f t h e g e n e r a l community i t s e r v e s 2

I f ' Y e s , " p l e a s e d e s c r i b e ; i f ' N o , " p l e a s e e x p l a i n . ( I f y o u n e e d more s p a c e , a t t a c h a s e p a r a t e s t a t e m e n t . )

3 2 D o e s t h e o r g a ni z a t i o n m a i n t a i n t h e f o ll o wi n g:

a R e c o r d s i n d i c a t i n g t h e r a c i a l c o m p o s i t i o n o f t h e s t ud e n t b o d y, f a c u l t y , a n d a d m i n i s t r a t i v e s t a f f

b R e c o r d s d o c u m e n t i n g t h a t s c h o l a r s h i p s a n d o t h e r f i n a n c i a l a ss i st a n c e a r e awarded o n a r a c i a l l y n o n d i s c ri m i n a t o r y b a si s ?

c C o p i e s o f a l l c a t a l o g u e s , b r o c h u r e s , a n n o u n c e m e n t s , a n d o t h e r w r i t t e n c o m m u n i c a t i o n s t o t h e p u bl i c d e a l i n g w i t h s t u d e n t

a d mi ss io n s, p r o g ra m s, a n d s c h o l a r s h i p s ?

d C o p i e so f

a l l m a t e r i a lu se d b y

t h e o r g a n i z a t i o n o ro n i t s

b e h a l f t o s o l i c i t c o n t r i b u t i o n s ?

I f y o u a n sw e r e d ' N o " t o a n y o f t h e a b o ve , p l e as e e x p l a i n . ( I f y o u n e e d more s p a c e , a t t a c h a s e p a r a t e s t a t e m e n t . )

3 3 Does t h e o r g a ni z a t i o n d i s cr i m i n at e b y r a c e i n a n y way w i t h r e s p e c t t o :

a S t u d e n t s ' r i g h t s o r p r i v i l e g e s ?

b A d m i s s i o n s p o l i c i e s ?

c Employment o f f a c u l t y o r a d m i n i s t r a t i v e s t a f f ?

d S c h o l a r s h i p s o r o t h e r f i n a n c i a l a s s i st a n c e ?

e E du ca t io na l p o l i c i e s ?

f U s e o f f a c i l i t i e s 9

g A t h l e t i c p r o g r a m s ?

h O t h e r e x t r a c u r r i c u l a r a c t i v i t i e s ?

I f y o u a n s w e r e d ' Y e s ' t o a n y o f t h e a b o ve , p l e as e e x p l a i n . ( I f y o u n e e d more s p a c e , a t t a c h a s e p a r a t e s t a t e m e n t . )

3 4 a Does t h e o r g a n i z a t i o n r e c e i v e a n y f i n a n c i a l a i d o r a s s i s t a n c e f r o m a g o ve r n m e n t a l a g e n c y ?

b H a s t h e o r g a n i z a t i o n ' s r i g h t t o s u c h a i d e v e r b e e n r e v o k e d o r suspended?

I f y o u a n s w e r e d ' Y e s ' t o e i t h e r 3 4 a o r b , p l e a s e e x p l a i n u si ng a n a t t a c h e d s t a t e me n t .

3 5 D o e s t h e o r g a n i z a t i o n c e r t i f y t h a t i t h as c o m pl i e d w it h t h e a p p l i c a b l e r e q u i r e m e n t s o f s e c t i o n s 4 . 0 1 t h r o u g h 4 .0 5 o f R ev . P ro c . 7 5 -5 0 ,

1 9 7 5 - 2 C . B . 5 8 7, c o v er i n g r a c i a l n o n d i s c r i m i n a t i o n ? I f " N o , ' a t t a c h a n e x p l a n a t i o n

No

S c h e d u l e A ( F o r m 9 9 0 o r 9 9 0 - E Z ) 2 0 0 5

523131

02-03-08

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13/17

S c h e d u l e A ( F o r m 9 9 0 o r 9 9 0 - E Z ) 2 0 0 5 Balsam Mountain Trust 56-2217688 P a g e 5Pa r t VI -A Lobbying Expenditures by Electing Public Charities ( S e e p a g e 9 o f t h e i n s t r u c t i o n s . ) N/A

( To b e c o m p l e t e d ONLY b y a n e l i g i b l e o r g a n i z a t i o n t h a t f i l e d Form 5 7 6 8 )

!`hnnL i f the nrnSnnStinn heinnne in an a f f d i n t o r l nrniin f .h et k 1 1 1 1 1 1 0 h i f vn u rharkerl "e snd'limited control' nrovlslnns aooly_Limits on Lobbying Expenditures

( a )

A f f i l i a t e d g r o u p To b e c o m p l e t e d f o r ALL

( T h e t e r m " ex pe n di tu r es " means amounts p a i d o r i n c u r r e d . )t o t a l s e l e c t i n g o r g a n i z a t i o n s

N/A3 6 T o t a l l o b b y i n g e x p e n d i t u r e s t o i n f l u e n c e p u b l i c o p i n io n ( g r as s ro o t s l o b b y i n g ) 3 6

3 7 T o t a l l o b by i ng e x p e n d i tu r e s t o i n f l u e n c e a l e g i s l a t i v e b o d y ( d i r e c t l o b b y i n g ) 3 7

3 8 T o t a l l o bb yi n g e x p en d i tu r e s ( a dd l i n e s 3 6 a nd 37 ) 3 8

3 9 O t h e r exempt p u r p o s e e x p e n d i t u r e s 3 9

4 0 T o t a l exempt p u r p o s e e x p en d i tu r e s ( a d d l i n e s 3 8 a n d 39 ) 4 0

4 1 L o b b y i n g n o n t a x a b l e a m o u n t . E n t e r t h e amount f r o m t he f o ll o w in g t a b l e -

I f t h e amount o n l i n e 4 0 i s - The l o b by i ng n o n t a xa b l e amount i s -

Not o v e r $500 00 0 20% o f t h e amount on l i n e 40Over $500,000 b u t n ot o ve r $1 , 000,000 $100 000 p lu s 1 5% o f t h e excess o v e r $500,000

000,000 b u t n o t o v e r $1,500,000 $175, 000 p l u s 10% o f t h e excess o ve r $ 1,000,000Over $ 1 4 1

Over $ 1 , 5 0 0 , 000 b u t n o t o v e r $17,000,000 $225,000 p lu s 5% of th e excess o v e r $1,500,000Over $17,000,000 $ 1, 000,000

4 2 G r a s s r o o t s n o n t a x a b l e amount ( e n t e r 2 5% o f l i n e 41 ) 4 2

4 3S u b t r a c t l i n e

4 2 f ro ml i n e 3 6 . E n t e r - 0 -

i fl i n e 4 2 i s more t h a n l i n e 3 6 4 3

4 4 S u b t r a c t l i n e 4 1 f ro m l i n e 38 . E n t e r - 0 - i f l i n e 41 I s more t h a n l i n e 3 8 4 4

C a u t i o n : I f t h e r e i s an amount on e i t h e r l i n e 43 o r l i n e 44 , you must f i l e Form 4720.

4-Year Avera ging Period Under Section 5 0 1 ( h )

(Some o r g a n i z a t i o n s t h a t made a s ec ti o n 5 0 1 ( h ) e l e c t i o n d o n o t h a v e t o c o m p l e t e a l l o f t h e f i v e columns

b e l o w . S e e t h e i n s t r u c t i o n s f o r l i n e s 4 5 t h r o u g h 5 0 o n p a g e 1 1 o f t h e i n s t r u c t i o n s . )

L o b b y i n g E x p e n d i tu r e s D ur i ng 4 - Y ea r A ve r a g i ng P e r i o d N/ACalendaryear ( o r ( a ) ( b ) ( c ) ( d ) ( e )

f i s c a l y e ar b e g in n i ng i n ) 2 0 0 5 2 0 0 4 2 0 0 3 2 0 0 2 T o t a l45 L o b b y i n g n o n t a x a b l e

a m o u n t 0

4 6 L o b b y i n g c e i l i n g amount

150% o f l i n e 4 5 ( e ) ) 0

4 7 T o t a l l o b b y i n g

e x p e n d i t u r e s 0

4 8 G r a s s r o o t s n o n t a x a b l e

a m o u n t 0

4 9 G r a s s r o o t s c e i l i n g amount

( 1 5 0 % o f l i n e 4 8 ( e ) ) 0

50 G r a s s r o o t s l o b b y i n g

e x p e n d i t u r e s 0

Pa r t V I - B Lobbying A c t i v i t y by Nonelecting Public C h a r i t i e s

( F o r r e p or t i n g

o n l yb y

o r g a n i z a t i o n st ha t d i d n o t

c o m p l e t eP a r t V I- A) ( S e e

p a g e 1 1 o f t h e i n s t r u c t i o n s . ) N/AD u r i n g t h e y ea r , d i d t h e o r g a n i z a t i o n a t t e m p t t o i n f l u e n c e n a t i o n a l , s t a t e o r l o c a l l e g i s l a t i o n , i n c l u d i n g a n y a t t e m p t t o

Yes No Amount

i n f l u e n c e p u b l i c o p i n i o n o n a l e g i s l a t i v e m a t t e r o r r e f er e n d um , t h r o u g h t h e u s e o f :

a V o l u n t e e r s

b P a i d s t a f f o r management ( I n c l u d e c o m p e n s a t i o n i n e x p e n s e s r e p o r t e d o n l i n e s c t h r o u g h h . )

c M e d i a a d ve r t is e m e nt s

d M a i l i n g s t o members, l e g i s l a t o r s , o r t he p u b li c

e P u bl i c at i on s , o r p u b l i s h e d o r b r o a d c a s t s t a te m e n t s

f G r a n t s t o o t h er o r g a n iz a t i o ns f o r l o b b y i n g p u r p o s e s

g D i r e c t c o n ta c t w i th l e g i s l a t o r s , t h e i r s t a f f s , government o f f i c i a l s , o r a l e g i s l a t i v e b o d y

h R a l l i e s , d e m o n s t r a ti o n s , s e m i n ar s , c o n v e n t i o n s , s p e e c h e s , l e c t u r e s , o r a n y o t h e r means

i T o t a l l o b b yi n g e x p e n d i tu r e s ( A d d l i n e s c t h r o u g h h . ) 0

I f ' Y e s ' t o a n y o f t h e a b o v e , a l s o a t t a c h a s t a t e m e n t g i v i n g a d e t a i l e d d e s c r i p t i o n o f t h e l o b b y i n g a c t i v i t i e s .

0 2 - 0 a0eS c h e d u l e A ( F o r m 99 0 o r 9 9 0 - E Z ) 2005

13-Inn 17nrAnncinnlnnnn nnncnrnnnr1-1-- 1.--L- R---L crnnInrI


14/17

S c h e d u l e A ( F o r m 9 9 0 o r 9 9 0 - E Z ) 2 0 0 5 Balsam Mountain Trust 56-2217688 P a g e 6Pa r t V I I Information Regarding Transfers T o an d Transactions an d Relationships With Noncharitable

Exemp t Organizations ( S e e p a g e 1 2 o f t h e i n s t r u c t i o n s . )

5 1 D i d t h e r e p or t i ng o r g a ni z a t io n d i r e c t l y o r i n d i r e c t l y e n g a g e i n a n y o f t h e f o l l o w i n g w i t h a n y o t he r o rg a ni za t io n d e s cr i be d i n s e c t i o n

5 0 1 ( c ) o f t h e Code ( o t h e r t h a n s e ct i o n 5 0 1 ( c) ( 3) o r g a ni z a t io n s) o r i n s e ct i on 5 2 7, r e l a t i n g t o p o l i t i c a l o r g a n i z a t i o n s ?

a T r a n s f e r s f r o m t h e r e p or t i ng o r g an i z at i o n t o a n o n c h a n t a b l e exempt o r g a n i z a t i o n o f . Ye s No

( i ) C a s h 5 1 a ( i ) X( i i ) O t h e r a s se t s a ( i i ) X

b O t h e r t r a n s a c t i o n s :

( i ) S a l e s o r e x c h a n g e s o f a s s e t s w i t h a n o n c h a r i t a b l e exempt o r g a n i z a t i o n b ( i ) X( i i ) P u r c h a s e s o f a s s e t s f r o m a n o n c h a r i t a b l e exempt o r g a n i z a t i o n b ( i i ) X

( i i i ) R e n t a l o f f a c i l i t i e s , e q u i p m e n t , o r o t h e r a s s e t s b ( i i i ) X( i v ) Reimbursement a r r a n g e m e n t s b ( i v ) X( v ) L o a n s o r l o a n g u a r a n t e e s b ( v ) X

( v i ) P e r f o r m a n c e o f s e r v i c e s o r membership o r f u n d r a i s i n g s o l i c i t a t i o n s b ( v i ) Xc S h a r i n g o f f a c i l i t i e s , e q ui p m e n t , m ai li ng l i s t s , o t h e r a s s e t s , o r p a i d e m p l o y e e s c Xd I f t h e a n s w e r t o a n y o f t h e a b o v e i s ' Y e s , c o m p l e t e t h e f o l l o w i n g s c h e d u l e . Column ( b ) s h o ul d a l w a ys show t h e f a i r m a r k e t v a l u e o f t h e

g o o d s , o t h e r a s s e t s , o r s e rv i c es g i v e n b y t h e r e p o r t i n g o r g a n i z a t i o n . I f t h e o r g a ni z a ti o n r e c ei v e d l e s s t h a n f a i r m a r k e t v a l u e i n a n y

t r a n s a c t i o n o r s h a ri n g a r r a n g e m e n t , show i n column ( d ) t h e v a l u e o f t h e g o o d s , o t h e r a s se t s , o r s e r v i c e s r e c e i v e d : N/A( a )

L i n e n o .

( b )

Amount i n v o l v e d

( c )

Name o f n o n c h a r i t a b l e exempt o r g a n i z a t i o n

( d )

D e s c r i p t i o n o f t r a n s f e r s , t r a n s a c t i o n s , a n d s h a r i n g a r r a n g e m e n t s

5 2 a I s t h e o r g a n i z a t i o n d i r e c t l y o r i n d i r e c t l y a f f i l i a t e d w i t h , o r r e l a t e d t o , o n e o r more t a x - exempt o r g a n iz a t i o ns d e s c r i b e d i n s e c t i o n 5 0 1 ( c ) o f t h e

Code ( o t h er t h a n s ec ti on 5 0 1 ( c ) ( 3 ) ) o r i n s e c t i o n 527? 1 Ye s o

14nncAnn crnn1"rnn nnnr ncnnn,.1_. crnnIr 7 rI0 2 - 0 3 - 0 6 b c n e a u i e A ( c o r m a a u o r a a u - L L ) z u u o


15/17

Balsam Mountain Trust 56-2217688990 Gain (Loss) From Sale of Other Assets Statement 1

Datescription Acquiredof antique automobile 01/01/03

Gross Cost or Exof Buyer Sales Price Other Basis of

7,500. 30,000.

Date MethodSold Acquired07/11/ 05 PURCHASED

pense Net GainSale Deprec or (Loss)350. 0.

Fm 990, Part I, In 8 7,500. 30,000. 350. 0.

990 Other Changes in Net Assets or Fund Balances Statement 2

of prior period estimateto Form 990, Part I, line 20

Amount2,500.

2,500.

990 Statement of Organization's Primary Exempt Purpose Statement 3Part III

study, protect and manage the environment in the Western North Carolinaand educate the general public about the environment.990 Other Program Services Statement 4

to Form 990, Part III, line e

Grants andAllocations Expenses995.

995.

17 Statement(s) 1, 2, 3, 4A0 n n 1 % A nn r A A r r n n 1 n cn n n n c n r n n n -- --- f____ - - 1 - m---- - L r r n IN 'I r7 r I


16/17

Balsam Mountain Trust 56-2217688990 Other Assets Statement 5

scription Amounttique Automobile 0.Asset 0.

to Form 990, Part IV, line 58, Column B 0.

990 Part V - List of Officers, Directors, Statement 6Trustees and Key Employees

me and AddressEmployeeTitle and Compen- Ben Plan ExpenseAvrg Hrs/Wk sation Contrib Account

Lehman TrusteeSugar Loaf Road 0.00 0. 0. 0.NC 28779J. Chaffin, Jr. TrusteeMobley Oaks Lane 0.00 0. 0. 0.Island, SC 29910

M. Chaffin TrusteeMobley Oaks Lane 0.00 0. 0. 0.Island, SC 29910L. Bethea, Jr. TrusteeBelfair Village Drive 0.00 0. 0. 0.

SC 29910M. Crouch TrusteeSugar Loaf Road 0.00 0. 0. 0.NC 28779

L. Johnson TrusteeBox 1578 0.00 0. 0. 0.Ford, PA 19317

W. Michael Dennis Trustee0 W. Canton Avenue 0.00 0. 0. 0.

Park, FL 32789

P. Marsh, PhD TrusteeMobley Oaks Lane 0.00 0. 0. 0.Island, SC 29910

18 Statement(s) 5, 6rrnrAn I N rnnn17, nn nnnr nrnnn T- l rrn% 1.7,1


17/17

Balsam Mountain Trust. J. Daniel PittilloCarolina UniversityNC 28723chael SkinnerSugar Loaf RoadNC 28779. W. Tucker ClineBrassfield RoadNC 28614. Cherrie PitilloSugar Loaf RoadNC 28779

Included on Form 990, Part V

Trustee56-2217688

0.00 0. 0. 0.

Executive Director0.00 52,423. 5,019. 1,997.

Trustee0.00 0. 0. 0.

Past Executive Director0.00 0. 0. 0.

52,423. 5,019. 1,997.

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Balsam Mountain Trust - Form 990

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