Return of Organization Exempt From Income Tax 2009 - Fairfax … · 2012. 11. 3. · FAIRFAX, VA...

Form 990

Department of the Treasury Internal Revenue Service

Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(aX1) of the Internal Revenue Code

(except black lung benefit trust or private foundation)

The organization may have to use a copy of this return to satisfy state reporting requirements.

OMB No. 1545-0047

2009 Open to Public Inspection

For the 2009 calendar year, or tax year beginning 7 / 0 1 , 2009, and ending 6 /30 2010 Check if applicable:

Address change

Name change

Initial return

Termination

Amended return

Application pending

Please use IRS label or print or type.

See specific Instructions,

THE FAIRFAX COUNTY PARK FOUNDATION, INC. 12055 GOVERNMENT CENTER PARKWAY FAIRFAX, VA 22035

F Name and address of principal officer:

I Tax-exempt status |XI 501(c) ( 3 )•* (insert no.) 4947(a)(1) or 527

Website: • WWW. FXPARKS . ORG

D Employer Identification Number

54-2019179 Telephone number

(703) 324-8581

G Gross receipts $

H(a) Is this a group return for affiliates?

H(b) Are ail affiliates included? If 'No,' attach a list (see instructions)

H(c) Group exemption number

3 3 3 , 5 9 3 . Yes X No

Yes No

K Form of organization: X Corporation Trust Association Other * L Year of Formation: 2001 M State of legal domicile: VA

Parti Summary 1 Briefly describe the organization's mission or most significant activit ies: J?0_RAISE_ PRIVATE, DOIPLTI(MS_ANP_TO_

CREATE _IJNNOVATI VE_ PARTNERSHIPS _B_ETWEEN _QRGAN_IZ ATI0NS_, _ IND I VI_DUALS_ AND_ COJIPQRATE JNELGHBQRS_ U L fJEDEB_TD_ S-UPPQPJL PARKS. J\ND_ i)PE_N_ 5PJ^C£_IJLEAJ£EAX_QQIJ1JIY^

Check this box Q if the organization discontinued its operations or disposed of more than 25% of its assets Number of vot ing members of the governing body (Part VI , line l a ) . Number of independent vot ing members of the governing body (Part V I , line l b ) .

Total number of employees (Part V, line 2a) Total number of volunteers (estimate if necessary)

7 a Total gross unrelated business revenue from Part VI I I , column (C), line 12

b Net unrelated business taxable income from Form 990-T, line 34

7 a

7b 0 . 0 .

8 Contributions and grants (Part VII I , line l h )

9 Program service revenue (Part VII I , line 2g)

10 Investment income (Part VI I I , column (A), lines 3, 4 , and 7d)

11 Other revenue (Part VII I , column (A), lines 5, 6d, 8c, 9c, 10c, and l i e )

12 Total revenue - add lines 8 through 11 (must equal Part VII I , column (A), line 12).

Prior Year Current Year

2 1 4 , 8 8 4 . 3 3 0 , 8 6 9 .

2 , 7 2 9 . 2 , 7 2 4 .

2 1 7 , 6 1 3 . 3 3 3 , 5 9 3 . 13 Grants and similar amounts paid (Part IX, column (A), lines 1-3)

14 Benefits paid to or for members (Part IX, column (A), line 4)

15 Salaries, other compensat ion, employee benefits (Part IX, column (A), lines 5 - 1 0 ) . . . .

16a Professional fundraising fees (Part IX, column (A), line l i e )

b Total fundraising expenses (Part IX, column (D), line 25) *• 9 , 8 4 2 .

3 4 5 , 4 8 6 , 3 2 7 , 1 1 9 .

17 Other expenses (Part IX, column (A), lines 1 la -1 I d , 11f-24f)

18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25).

19 Revenue less expenses. Subtract line 18 from line 12

2 4 , 9 8 9 . 5 7 , 5 7 8 . 370 ,475 . 3 8 4 , 6 9 7 .

-152 ,862 . - 5 1 , 1 0 4 ,

>

Beginning of Year End of Year

20 Total assets (Part X, line 16)

21 Total liabilities (Part X, line 26)

22 Net assets or fund balances. Subtract line 21 from line 20.

2 5 5 , 2 8 3 , 0,

2 0 4 , 1 7 9 . 0.

255 ,283 , 2 0 4 , 1 7 9 . Part II Signature Block

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it i true, correct, and complete. Declaration of preparer father than officer) is based on all information of which preparer has any knowledge.

Sign Here

:r than offi

///d/lo i o Signature of officer

CRAIG R. STEVENS

Date

CHAIR Type or print name and tilJe.

P a i d

P r e p a r e r ' s

U s e Only

Preparer's signature

• MARK J. RHODES, CPA

Date Check if self-employed

Firm's name (or yours if self-employed), address, and ZIP + 4

G O V E R N M E N T & N O N - P R O F I T A U D I T G R O U P , P L C

PQ B O X 220111, C H A N T I L L Y , V A 20153

Preparer's identifying number (see instructions)

EIN

Phone no. *- (703)631-1376

May the I R S d i s c u s s this return with the preparer shown a b o v e ? (see instructions) | | Y e s Q No

For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. (HTA)

Form 9 90 (2009)

Form 990 (2009) THE FAIRFAX COUNTY PARK FOUNDATION, IMC. 54-2019179 Page 2

Part III | Statement of Program Service Accomplishments 1 Briefly describe the organization's mission:

_TO_RAISE_ PRIVATE,DONATIONS AND TO _CREATE JNNOVApjE_PARraERSJIPS_ BETWEEN JpRGANIZATIONSu JNDIVIDUALS AND CORPORATE JEIGHBORS_ IN_ ORDER JO_SJJPPORT _PARKS_ AND_ OPEN _SPACE_IN_ FAIRFAX, COrjNTY_.

2 Did the organization undertake any significant program services during the year which were not listed on the prior

Form 990 or 990-EZ?. Q Y e s [x] No

If 'Yes,' describe these new services on Schedule O.

3 Did the organization cease conducting, or make significant changes in how it conducts, any program serv ices?. . . . . . • Y e s [X] No

If 'Yes,' describe these changes on Schedule O.

4 Describe the exempt purpose achievements for each of the organization's three largest program services by expenses. Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4 a (Code: ) (Expenses $ 360, 220 . including grants of $ 327,119 . ) (Revenue $ )

-SUPPORTING AUTHORITY.

-SUPPORTING _THE JPROGRAMSj _ACTIVJTp_S_MD_FACILITIE_S_OF_ THE_ FAIRFAX_C0JJNTY_ PARK_

4b (Code: . (Expenses $ including grants of $ ) (Revenue $ )

4 c (Code: ) (Expenses $ including grants of $ ) (Revenue $ )

4d Other program services. (Describe in Schedule O.)

(Expenses $ including grants of $ ) (Revenue $

4 e Total program service expenses • 360, 220 .

BAA TEEA0102L 07/20/09 Form 990 (2009)

Form 990 (2009) THE FAIRFAX COUNTY PARK FOUNDATION, INC. 54-2019179 Page 3

Part IV | Checklist of Required Schedules Y e s

Is the organization described in section 501 (c)(3) or 4947(a)(1) (other than a private foundation)? If 'Yes,' complete Schedule A

Is the organization required to complete Schedule B, Schedule of Contributors?

Did the organization engage in direct or indirect political campaign activities on behalf of or in opposit ion to candidates for public office? If 'Yes,' complete Schedule C, Part I

Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If 'Yes,' complete Schedule C, Part II

Section 501(c)(4), 501(cX5), and 501(cX6) organizations. Is the organization subject to the section 6033(e) notice and reporting requirement and proxy tax? If 'Yes,' complete Schedule C, Part III.

6 Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If 'Yes,' complete Schedule D, Part I

7 Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas or historic structures? If 'Yes,' complete Schedule D, Part II

8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If 'Yes,' complete Schedule D, Part III

9 Did the organization report an amount in Part X, line 2 1 ; serve as a custodian for amounts not listed in Part X; or provide credit counsel ing, debt management, credit repair, or debt negotiation services? If 'Yes,' complete Schedule D, Part IV.

10 Did the organization, directly or through a related organization, hold assets in term, permanent, or quasi-endowments? //| 'Yes,' complete Schedule D, Part V.

11 Is the organization's answer to any of the following questions 'Yes'? If so, complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable

• Did the organization report an amount for land, buildings and equipment in Part X, line 10? If 'Yes,' complete Schedule D, Part VI

• Did the organization report an amount for i nves tmen ts - other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If 'Yes,' complete Schedule D, Part VII.

• Did the organization report an amount for i nves tmen ts - program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If 'Yes,' complete Schedule D, Part VIII

• Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported inl Part X, line 16? If 'Yes,' complete Schedule D, Part IX

• Did the organization report an amount for other liabilities in Part X, line 25? If 'Yes,' complete Schedule D, Part X. —

• Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organizaiton's liability for uncertain tax positions under FIN 48? If 'Yes,' complete Schedule D, Part X.

12 Did the organization obtain separate, independent audited financial statement for the tax year? If 'Yes,' complete Schedule D, Parts XI, XII, and XIII

12AWas the organization included in consolidated, independent audited f inancial statement for the tax

year? If 'Yes,' completing Schedule D, Parts XI, XII, and XIII is optional.

13 Is the organization a school described in section 170(b)(1)(A)(ii)? \f 'Yes,' complete Schedule E....

14a Did the organization maintain an office, employees, or agents outside of the United States?

12 A

Y e s No

X

b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If 'Yes,' complete Schedule F, Part I.

15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If 'Yes,' complete Schedule F, Part II.

16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If 'Yes,' complete Schedule F, Part III

17 Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11 e? If 'Yes,' complete Schedule G, Part I.

18 Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VII I , lines 1c and 8a? If 'Yes,' complete Schedule G, Part II

19 Did the organization report more than $15,000 of gross income from gaming activities on Part VI I I , line 9a? If 'Yes,' complete Schedule G, Part III

20 Did the organization operate one or more hospitals? If 'Yes,' complete Schedule H

9

10

11

12

13

14a

14b

15

16

17

18

19

20

X

No

X

_x_

_x_

X

_x_ X

X

_x_ x

_x_

_x_

_x_

_x_

X

X X

B A A TEEA0103L 02/12/10 Form 990 (2009)


Part IV Checklist of Required Schedules (continued)

21 Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If 'Yes,' complete Schedule 1, Parts 1 and II

22 Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If 'Yes,' complete Schedule 1, Parts 1 and III.

23 Did the organization answer 'Yes' to Part VI I , Section A, line 3, 4, or 5 about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If 'Yes,' complete Schedule J.

21

Y e s

X

No



23 Did the organization answer 'Yes' to Part VI I , Section A, line 3, 4, or 5 about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If 'Yes,' complete Schedule J.

22 X



23 Did the organization answer 'Yes' to Part VI I , Section A, line 3, 4, or 5 about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If 'Yes,' complete Schedule J. 23 X

2 4 a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, and that was issued after December 3 1 , 2002? If 'Yes,' answer lines 24b through 24d and complete Schedule K. If 'No, 'go to line 25 24a X

b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? 24b

c Did the organization mainta in an escrow account other than a refunding escrow at any t ime during the year to defease 24c

d Did the organization act as an 'on behalf o f issuer for bonds outstanding at any t ime during the year? 24d

2 5 a Section 501(cX3) and 501(cX4) organizations. Did the organization engage in an excess benefit transaction with a disqualif ied person dur inq the year? If 'Yes,' complete Schedule L, Part I 25a X

b Is the organization aware that it engaged in an excess benefit transaction wi th a disqualif ied person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If 'Yes,' complete Schedule L, Part 1 25b X

26 Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualif ied person outstanding as of the end of the organization's tax year? If 'Yes,' complete Schedule L, Part II

27 Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant select ion comittee member, or to a person related to such an individual? If 'Yes,' complete Schedule L, Part III

26 X 26 Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or

disqualif ied person outstanding as of the end of the organization's tax year? If 'Yes,' complete Schedule L, Part II

27 Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant select ion comittee member, or to a person related to such an individual? If 'Yes,' complete Schedule L, Part III 27 X

28 Was the organization a party to a business transation with one of the fol lowing parties (see Schedule L, Part IV instructions for appl icable fi l ing thresholds, condit ions, and exceptions):

a A current or former off icer, director, trustee, or key employee? If 'Yes,' complete Schedule L, Part IV. 28a X

b A family member of a current or former officer, director, trustee, or key employee? If 'Yes,' complete Schedule L, Part IV 28b X

c An entity of which a current or former officer, director, trustee, or key employee of the organization (or a family member) was an officer, director, trustee, or direct or indirect owner? If 'Yes,' complete Schedule L, Part IV.

29 Did the organization receive more than $25,000 in non-cash contributions? If 'Yes,' complete Schedule M

28c X c An entity of which a current or former officer, director, trustee, or key employee of the organization (or a family member)

was an officer, director, trustee, or direct or indirect owner? If 'Yes,' complete Schedule L, Part IV.

29 Did the organization receive more than $25,000 in non-cash contributions? If 'Yes,' complete Schedule M 29 X

30 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualif ied conservation contributions? If 'Yes,' complete Schedule M 30 X

31 Did the organization l iquidate, terminate, or dissolve and cease operations? If 'Yes,' complete Schedule N, Part 1.

32 Did the organization sel l , exchange, dispose of, or transfer more than 25% of its net assets? If 'Yes,' complete Schedule N, Part II

31 X 31 Did the organization l iquidate, terminate, or dissolve and cease operations? If 'Yes,' complete Schedule N, Part 1.

32 Did the organization sel l , exchange, dispose of, or transfer more than 25% of its net assets? If 'Yes,' complete Schedule N, Part II 32 X

33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701 -2 and 301.7701 -3? If 'Yes,' complete Schedule R, Part 1 33 X

34 Was the organization related to any tax-exempt or taxable entity? If 'Yes,' complete Schedule R, Parts II, III, IV, and V, 34 X

35 Is any related organizat ion a controlled entity within the meaning of section 512(b)(13)? If 'Yes,' complete Schedule R, Part V, line 2. 35 X

36 Section 501(cX3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If 'Yes,' complete Schedule R, Part V, line 2 36 X

37 Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If 'Yes,' complete Schedule R, Part VI

38 Did the organization complete Schedule O and provide explanations in Schedule O for Part VI , lines 11 and 19? Note. All Form 990 f i lers are required to complete Schedule O.

37 X 37 Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is

treated as a partnership for federal income tax purposes? If 'Yes,' complete Schedule R, Part VI

38 Did the organization complete Schedule O and provide explanations in Schedule O for Part VI , lines 11 and 19? Note. All Form 990 f i lers are required to complete Schedule O. 38 X

B A A Form 990 (2009)

TEEA0104L 02/12/10


Part V | Statements Regarding Other IRS Filings and Tax Compliance

l a 1 a Enter the number reported in Box 3 of form 1096, Annual Summary and Transmittal of U.S.

Information Returns. Enter -0- if not applicable

b Enter the number of Forms W-2G included in line l a . Enter -0- if not applicable

c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?

l b

2 a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return 2 a

2b If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines l a and 2a is greater than 250, you may be required to e-file this return, (see instructions)

3 a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return?

b If 'Yes' has it fi led a Form 990-T for this year? If 'No,' provide an explanation in Schedule O.

4 a At any t ime during the calendar year, did the organization have an interest in, or a signature or other authority over, a f inancial account in a foreign country (such as a bank account, securities account, or other f inancial account)?

b If 'Yes, ' enter the name of the foreign country: »•

See the instructions for exceptions and fil ing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.

5 a Was the organization a party to a prohibited tax shelter transaction at any t ime during the tax year?

b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter t ransac t ion? . . . .

c If 'Yes, ' to line 5a or 5b, did the organization file Form 8886-T, Disclosure by Tax-Exempt Entity Regarding Prohibited Tax Shelter Transaction?

6 a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?

b If 'Yes, ' did the organizat ion include with every solicitation an express statement that such contributions or gifts were notj deductible?

7 Organizations that may receive deductible contributions under section 170(c).

a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?

b If 'Yes, ' did the organizat ion notify the donor of the value of the goods or services provided?

c Did the organization sell , exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?

d If 'Yes, ' indicate the number of Forms 8282 filed during the year | 7d | e Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal

benefit contract?

f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?

g For all contributions of qualif ied intellectual property, did the organization file Form 8899 as required?

h For contributions of cars, boats, airplanes, and other vehicles, did the organization file a Form 1098-C as r e q u i r e d ? —

8 Sponsoring organizations maintaining donor advised funds and section 509(aX3) supporting organizations. Did the support ing organizat ion, or a donor advised fund maintained by a sponsoring organizat ion, have excess business holdings at any t ime during the year?

9 Sponsoring organizations maintaining donor advised funds.

a Did the organization make any taxable distributions under section 4966?

b Did the organization make any distribution to a donor, donor advisor, or related person?

10 Section 501(cX7) organizations. Enter:

a Initiation fees and capital contributions included on Part VII I , line 12

b Gross Receipts, included on Form 990, Part VII I , line 12, for public use of club facilit ies,

11 Section 501(cX12) organizations. Enter:

a Gross income from other members or shareholders

10a

10b

b Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.)

11a

11b

12a Section 4947(aX1) non-exempt charitable trusts. Is the organization fil ing Form 990 in lieu of Form 1041? .

b If 'Yes, ' enter the amount of tax-exempt interest received or accrued during the year. | 12b|

Y e s No

1 c

2b

3 a X 3b

4 a X

5 a X 5b X

5 c

6 a X

6b

7a X 7b

7 c X

7e X 7f X

7g 7h

8

9 a

9b

12a

BAA Form 990 (2009)

TEEA0105L 02/12/10


Part VI I Governance, Management and Disclosure For each 'Yes' response to lines 2 through 7b below, and for a 'No' response to line 8a, 8b, or I Ob below, describe the circumstances, processes, or changes in Schedule O. See instructions.

Section A. Governing Body and Management

1 a Enter the number of voting members of the governing body,

b Enter the number of voting members that are independent . .

2

3

4

l a

l b

Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee or key employee?

Did the organization delegate control over management duties customarily performed by or under the direct supervision of off icers, directors or trustees, or key employees to a management company or other person?

Did the organization make any significant changes to its organizational documents

since the prior Form 990 was filed?

5 Did the organization become aware during the year of a material diversion of the organization's assets?

6 Does the organization have members or stockholders?

7 a Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body?

b Are any decisions of the governing body subject to approval by members, stockholders, or other persons?

8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the fol lowing:

a The governing body?

b Each committee with authority to act on behalf of the governing body?

9 Is there any officer, director or trustee, or key employee listed in Part VI I , Section A, who cannot be reached at the organization's mail ing address? If 'Yes,' provide the names and addresses in Schedule O

7 a

7b

8 a

8b

Y e s No

_X_

X X

_x_ X

_x_ X

X Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) ^

10a Does the organization have local chapters, branches, or affil iates?.

b If 'Yes,' does the organization have writ ten policies and procedures governing the activities of such chapters, affi l iates, and branches to ensure their operations are consistent with those of the organization?

11 Has the organization provided a copy of this Form 990 to all members of its governing body before fil ing the form?

11 ADescr ibe in Schedule O the process, if any, used by the organization to review this Form 990. SEE SCHEDULE 0

12a Does the organization have a writ ten conflict of interest policy? If 'No,' go to line 13

b Are off icers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts?

c Does the organization regularly and consistently monitor and enforce compliance with the policy? If 'Yes,' describe in Schedule O how this is done

13

14

15

Does the organization have a writ ten whistleblower policy?

Does the organization have a writ ten document retention and destruction policy?

Did the process for determining compensat ion of the following persons include a review and approval by independent persons, comparabil i ty data, and contemporaneous substantiation of the deliberation and decision?

a The organization's CEO, Executive Director, or top management off ic ial . . SEE. .SCHEDULE . Q

b o t h e r officers of key employees of the organization

If 'Yes' to line 15a or 15b, describe the process in Schedule O. (See instructions.)

16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year?

b If 'Yes,' has the organization adopted a writ ten policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization's exempt status with respect to such arrangements?

Y e s No

10a X

10b

11 X

12a X

12b X

12c X 13 X 14 X

15a X 15b X

16a X

16b

Section C. Disclosures 17 List the states with which a copy of this Form 990 is required to be fi led *• JTONE

18 Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.

[X] Own website [X] Another's website [X] Upon request

19 Describe in Schedule O whether (and if so how) the organization makes its governing documents, conflict of interest policy, and financial statements available to the public. SEE SCHEDULE 0

20 State the name, physical address, and telephone number of the person who possesses the books and records of the organization:

•THE ORGANIZATION _

BAA Form 990 (2009)

TEEA0106L 02/05/10


Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

1 a Complete this table for all persons required to be listed. Report compensat ion for the calendar year ending with or within the organizations's tax year. Use Schedule J-2 if addit ional space is needed.

• List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensat ion. Enter -0- in columns (D), (E), and (F) if no compensat ion was paid.

• List all of the organization's current key employees. See instructions for definit ion of 'key employees. '

• List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensat ion (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations.

• List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensat ion f rom the organization and any related organizations.

• List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensat ion from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; off icers; key employees; highest compensated employees; and former such persons.

[X] Check this box if the organizat ion did not compensate any current officer, director, or trustee.

(A)

Name and Title

(B) Average

hours per week

(c) Position (check all that apply)

5 I

(D)

Reportable compensation from

the organization (W-2/1099-MISC)


related organizations (W-2/1099-M1SC)

Estimated amount of other compensation

from the organization and related

organizations

j:RAI_G_R._ STEVENS_ CHAIR X X 0.

J^THRYN _L^ _WARD VICE CHAIR 0.

_J0HN R^JAKI_N_ TREASURER X

_BRUC_E_ D._ MCLEOD DIRECTOR

RICHARD _B. _D_RESS_NER DIRECTOR

_ JEN .STERLING DIRECTOR X

.STEPHEN SECRETARY

THORMAHLEN X

_GERALp _G_0RTJ0_N_

DIRECTOR X WILLIAM _G_. DIRECTOR

BOUIE

EDWARD R. BATTEN, SR. DIRECTOR X JOHN W. DARGLE, JR. DIRECTOR 0.

JENNIFER D. AUMENT DIRECTOR X 0.

_PAUL_ L._ J3ALDINO EXECUTIVE DIREC 40 X

B A A TEEA0107L 11/10/09 Form 990 (2009)


Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Emp oyees (cont.)

(A)

Name and Title

(B) Average

hours per week

(c) Position (check all that apply)

3 f l

(D)


the organization (W-2/1099-MISC)

(E)


related organizations (W-2/1099-MISC)

(F)

Estimated amount of other compensation

from the organization and related

organizations

1 b Total . 0. 0 . 0. 2 Total number of individuals (including but not l imited to those listed above) who received more than $100,000 in reportable compensat ion

from the organization *~ 0

3 Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1 a? If 'Yes,' complete Schedule J for such individual.

4 For any individual l isted on line 1a, is the sum of reportable compensation and other compensat ion from the organization and related organizations greater than $150,000? If 'Yes' complete Schedule J for such individual

5 Did any person listed on line l a receive or accrue compensation from any unrelated organization for services rendered to the organization? If 'Yes,' complete Schedule J for such person.

Y e s No

X

X

Section B. Independent Contractors 1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of

(A) Name and business address

(B) Description of Services

(C) Compensation

2 Total number of independent contractors (including but not l imited to those listed above) who received more than

$100,000 in compensat ion from the organization *• 0

B A A TEEA0108L oi/30/io Form 990 (2009)


Part VIII Statement of Revenue

(A) Total revenue

(B) Related or

exempt function revenue

(C) Unrelated business revenue

Revenue excluded f rom tax

under sections 512, 513, or 514

AN

TS

JNTS

l a Federated campaigns l a 9 , 8 4 9 .

AN

TS

JNTS

b Membership dues l b t a g

c Fundraising events 1 c

S, G

IFTS

M

ILA

RA

d Related organizations I d

S, G

IFTS

M

ILA

RA

e Government grants (contributions) I e

IBU

TIO

N

iTH

ER S

I

f All other contributions, gifts, grants, and similar amounts not included above.... I f 3 2 1 , 0 2 0 .

CC O * §

g Noncash contribns included in Ins 1 a-1 f:. .. $ °< h Total. Add lines l a - l f . 3 3 0 , 8 6 9 .

u Z>

Business Code z u > 2 a CC b

SERV

ICE

c

SERV

ICE

d £ < e CC o f All other program service revenue . . . o CC 0.

g Total. Add lines 2a-2f

3 Investment income (including dividends, other similar amounts)

interest and 2 , 7 2 4 . 2 , 7 2 4 .

4 Income f rom investment of tax-exempt bond proceeds *~

5 Royalties (i) Real (ii) Personal

6 a Gross Rents

b Less: rental expenses.

c Rental income or ( loss) . . . .

d Net rental income or (loss)

7 a Gross amount from sales of assets other than inventory..

(i) Securities (ii) Other 7 a Gross amount from sales of

assets other than inventory..

b Less: cost or other basis and sales expenses

c Gain or (loss)

d Net gain or (loss)

UJ 8 a Gross income from fundraising events (not including. $

i of contributions reported on line 1c). CC See Part IV, line 18 a u X b Less: direct expenses b o

c Net income or (loss) f rom fundraising events

9 a Gross income from gaming activities. See Part IV, line 19 a

b Less: direct expenses b

c Net income or (loss) f rom gaming activities *"

10a Gross sales of inventory, less returns and allowances a

b Less: cost of goods sold. b

c Net income or (loss) f rom sales of inventory

Miscellaneous Revenue Business Code

11a

b

c

d All other revenue

e Total. Add lines l l a - l l d

12 Total revenue. See instructions. 3 3 3 , 5 9 3 . 0 . 0 . 2 , 7 2 4 .

BAA TEEA0109L 02/12/10 Form 990 (2009)


Part IX 1 Statement of Functional Expenses Section 501(cX3) and 501(cX4) organizations must complete all columns.

All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 70b of Part VIII.

1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21

2 Grants and other assistance to individuals in the U.S. See Part IV, line 22

3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16

4 Benefits paid to or for members 5 Compensation of current officers, directors,

trustees, and key employees

6 Compensation not included above, to disqualif ied persons (as defined under section 4958(f)(1) and persons described in section 4958(c)(3)(B)

7 Other salaries and wages

8 Pension plan contributions (include section 401 (k) and section 403(b) employer contributions)

9 Other employee benefits.

10 Payroll taxes

11 Fees for services (non-employees)

a Management

b Legal

c Accounting

d Lobbying

e Prof fundraising svcs. See Part IV, In 1 7 . . . .

f Investment management fees

g Other

12 Advertising and promotion

13 Office expenses

14 Information technology

15 Royalties

16 Occupancy

17 Travel 18 Payments of travel or entertainment

expenses for any federal, state, or local public officials

19 Conferences, conventions, and meetings . . .

20 Interest

21 Payments to affiliates

22 Depreciation, depletion, and amor t iza t ion . . .

23 Insurance 24 Other expenses. Itemize expenses not

covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)

a PROJECT b JPOSTAGE AND SHIPPING c WEBSITE d .PROFESSIONAL. FEES e

f All other expenses

25 Total functional expenses. Add lines 1 through 24f...

26 Joint cos ts . Check here - Q if following SOP 98-2. Complete this line only if the organization reported in column (B) joint costs f rom a combined educational campaign and fundraising solicitation

BAA

(A) Total expenses

(B) Program service

expenses

(C) Management and general expenses

(D) Fundraising

expenses

3 2 7 ,1 1 9 . 327 ,119 .

4 , 900 4 ,900 ,

6 , 2 2 2 . 6,222 1,327 1,327

2 ,000 2 , 000

33 ,101 3 3 , 1 0 1 9,842 9 ,842 ,

186 186

3 8 4 , 6 9 7 . 360,220 14,635 9 ,842 .

Form 990 (2009)

TEEA0110L 02/05/10

Form990 (2009) THE FAIRFAX COUNTY PARK FOUNDATION, INC, 54-2019179 Page 11

Part X Balance Sheet (A)

Beginning of year (B)

End of year

8

9

10a

11

12

13

14

15

16

Cash — non-interest-bearing

Savings and temporary cash investments

Pledges and grants receivable, net

Accounts receivable, net

Receivables from current and former off icers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L

Receivables from other disqualif ied persons (as defined under section 4958(f)(1))

and persons described in section 4958(c)(3)(B). Complete Part II of Schedule L . .

Notes and loans receivable, net

Inventories for sale or use

Prepaid expenses and deferred charges

1 4 7 , 3 8 2 , 1 0 2 , 0 6 8 ,

Land, buildings, and equipment: cost or other basis.

Complete Part VI of Schedule D

Less: accumulated depreciation

Investments - publicly-traded securit ies

Investments - other securities. See Part IV, line 11.

Investments - program-related. See Part IV, line 11

Intangible assets

Other assets. See Part IV, line 11

10a

10b 10c

11

12

13

5 , 8 3 3 . 14

15

Total assets . Add lines 1 through 15 (must equal line 3 4 ) . 2 5 5 , 2 8 3 , 16

9 5 , 5 6 8 . 104 , 778 .

3 , 8 3 3 .

2 0 4 , 1 7 9 . 17

18

19

20

21

22

23

24

25

26

Accounts payable and accrued expenses

Grants payable

Deferred revenue

Tax-exempt bond liabilities

Escrow or custodial account liability. Complete Part IV of Schedule D.

Payables to current and former off icers, directors, trustees, key employees, highest compensated employees, and disqualif ied persons. Complete Part II

of Schedule L

Secured mortgages and notes payable to unrelated third parties

Unsecured notes and loans payable to unrelated third parties

Other liabilities. Complete Part X of Schedule D

Total liabilities. Add lines 17 through 25.

17

18

19

20

21

22

23

24

25

0. 26

Organizations that follow S F A S 117, check here *~ |X| and complete lines

27 through 29 and l ines 33 and 34.

Unrestricted net assets

Temporari ly restricted net assets

Permanent ly restricted net assets

Organizations that do not follow S F A S 117, check here [~J and complete

lines 30 through 34.

Capital stock or trust principal, or current funds

Paid-in or capital surplus, or land, bui lding, and equipment fund

Retained earnings, endowment, accumulated income, or other funds

Total net assets or fund balances

Total liabilities and net assets/fund balances

0.

27

28

29

30

31

32

33

34

118 ,967 27

3 6 , 3 1 6 . 28

100 ,000 29

30

31

32

2 5 5 , 2 8 3 . 33

2 5 5 , 2 8 3 . 34

4 5 , 9 2 6 . 5 8 , 2 5 3 .

1 0 0 , 0 0 0 .

2 0 4 , 1 7 9 . 2 0 4 , 1 7 9 .

B A A Form 990 (2009)

TEEA0111L 01/30/10

Form990 (2009) THE FAIRFAX COUNTY PARK FOUNDATION, INC. 54-2019179 Page 12

Part XI 1 Financial Statements and Reporting

1 Accounting method used to prepare the Form 990: Q Cash [x] Accrual Q Other

If the organization changed its method of accounting from a prior year or checked 'Other,' explain in Schedule 0 .

2 a Were the organization's financial statements compiled or reviewed by an independent accountant?

bWere the organization's financial statements audited by an independent accountant?

c If 'Yes' to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilat ion of its financial statements and selection of an independent accountant?

If the organization changed either its oversight process or selection process during the tax year, explain in Schedule 0 .

d If 'Yes' to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a consolidated basis, separate basis, or both:

| | Separate basis Q Consolidated basis Both consolidated and separate basis

3 a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?.

b If 'Yes,' did the organizat ion undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule Q and describe any steps taken to undergo such audits

2 a

2b

2 c

3 a

3b

Y e s No

BAA Form 990 (2009)

TEEA0112L 02/05/10

SCHEDULE A (Form 990 or 990-EZ)


Public Charity Status and Public Support Complete if the organization is a section 501(cX3) organization or a section 4947(aX1)

nonexempt charitable trust.

*• Attach to Form 990 or Form 990-EZ. See separate instructions.

OMB No. 1545-0047

2009 Open to Public

Inspection

Name of the organization

THE FAIRFAX COUNTY PARK FOUNDATION, I N C

Employer identification number

54-2019179

Part I | Reason for Public Charity Status (All organizations must complete this part.) See instructions The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

1 A church, convention of churches or association of churches described in section 170(bX1XAXi)-

2 ~ A school described in section 170(bX1XAXii)- (Attach Schedule E.)

3 A hospital or cooperative hospital service organization described in section 170(bX1XAXi'i)-

4 A medical research organization operated in conjunction with a hospital described in section 170(bX1XAXi») Enter the hospital's

name, city, and state: 5 I I An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section

l—1170(bX1XAXiv). (Complete Part II.)

6 A federal, state, or local government or governmental unit described in section 170(bX1XAXv). 7 — An organization that normally receives a substantial part of its support f rom a governmental unit or f rom the general public described

— 1 in section 170(bX1XAXvi). (Complete Part II.)

8 EH A community trust described in section 170(bX1 XAXvi). (Complete Part II.) 9 I I An organization that normally receives: (1) more than 33-1/3 % of its support from contributions, membership fees, and gross receipts

— from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33-1/3 % of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(aX2). (Complete Part III.)

10 An organization organized and operated exclusively to test for public safety. See section 509(aX4). 11 X" An organization organized and operated exclusively for the benefit of, to perform the functions of, or carry out the purposes of one or

more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(aX3). Check the box that describes the type of supporting organization and complete lines l i e through 11 h.

a [x]Type I b Q T y p e II c Q T y p e III - Functionally integrated d [ J Type I I I - Other

e l I By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualif ied persons other — than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section

509(a)(2).

f If the organization received a written determination from the IRS that is a Type I, Type II or Type III support ing organization, r i check this box '—'

g Since August 17, 2006, has the organization accepted any gift or contribution from any of the fol lowing persons?

0)

(ii) (iii)

a person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii) below, the governing body of the supported organization?

a family member of a person described in (i) above?

a 35% control led entity of a person described in (i) or (ii) above?.

Y e s No

i i g ( i ) X

l l g ( i i ) X

T i g (iii) X

(i) Name of Supported Organization

(ii) EIN (iii) Type of organization (described on lines 1-9

above or IRC section (see instructions))

(iv) Is the organization in col.

(i) listed in your governing

document?

(v) Did you notify the organization in

col. (i) of your support?

(vi) Is the organization in col. (i) organized in the

U.S.?

(vii) Amount of Support (i) Name of Supported Organization

(ii) EIN (iii) Type of organization (described on lines 1-9

above or IRC section (see instructions))

Y e s No Y e s No Y e s No

(vii) Amount of Support

FAIRFAX COUNTY PAi K AUTHORITY

54-0787833 6 X 3 2 7 , 1 1 9 .

Total 3 2 7 , 1 1 9 .

BAA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule A (Form 990 or 990-EZ) 2009

TEEA0401L 02/05/10

Schedule A (Form 990 or 990-EZ) 2009 THE FAIRFAX COUNTY PARK FOUNDATION, INC. 54-2019179 Page 2

Part II iSupport Schedule for Organizations Described in Sections 170(bX1XAXiv) and 170(bX1XAXvi) (Complete only if you checked the box on line 5, 7, or 8 of Part I.)

Section A. Public Support

Calendar year (or fiscal year beginning in) *•

1 Gifts, grants, contributions and membership fees received. (Do not include 'unusual g ran ts . ' ) . . .

2 Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf.

(a) 2005 (b) 2006 (c) 2007 (d) 2008 (e) 2009 (f) Total Calendar year (or fiscal year beginning in) *•






3 The value of services or facilit ies furnished to the organization by a governmental unit without charge. Do not include the value of services or facilit ies generally furnished to the public without charge

4 Total. Add lines 1 -through 3 . . . .

5 The port ion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, co lumn ( f ) . . .

6 Public support. Subtract line 5 from line 4







Section B. Total Support


7 Amounts f rom line 4

(a) 2005 (b) 2006 (c) 2007 (d) 2008 (e) 2009 (f) Total Calendar year (or fiscal year beginning in) *•


8 Gross income from interest, dividends, payments received on securit ies loans, rents, royalties and income form similar sources

9 Net income from unrelated business activit ies, whether or not the business is regularly carried on

10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)

11 Total support. Add lines 7 through 10

12 Gross receipts from related activit ies, etc. (see instructions). 12

13 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501 (c)(3) organizat ion, check this box and stop here n

Section C Computation of Public Support Percentage 14 Public support percentage for 2009 (line 6, column (f) divided by line 11, column ( f ) .

15 Public support percentage from 2008 Schedule A, Part II, line 14

14

15

16a 33-1/3 support test - 2009. If the organization did not check the box on line 13, and the line 14 is 33-1/3 % or more, check this box and stop here. The organizat ion qualifies as a publicly supported organization ** | |

b 33-1/3 support test - 2008. If the organization did not check a box on line 13, or 16a, and line 15 is 33-1/3% or more, check this box . _ , and stop here. The organizat ion qualifies as a publicly supported organization | |

17a 10%-facts-and-circumstances test - 2009 If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organizat ion meets the ' facts-and-circumstances' test, check this box and stop here. Explain in Part IV how ,—. the organization meets the ' facts-and-circumstances' test. The organization qualifies as a publicly supported organization [_]

b 10%-facts-and-circumstances test - 2008. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organizat ion meets the ' facts-and-circumstances' test, check this box and stop here. Explain in Part IV how the organizat ion meets the ' facts-and-circumstances' test. The organization qualif ies as a publicly supported organization

18 Private foundation. If the organization did not check a box on line, 13, 16a, 16b, 17a, or 17b, check this box and see instruct ions. . 1

BAA Schedule A (Form 990 or 990-EZ) 2009

TEEA0402L 10/08/09

Schedule A (Form 990 or 990-EZ) 2009 THE FAIRFAX COUNTY PARK FOUNDATION, INC. 54-2019179 Part 111 ] Support Schedule for Organizations Described in Section 509(aX2)

(Complete only if you checked the box on line 9 of Part I.)

Page 3

l—l .

Calendar year (or fiscal yr beginning in) *-


2 Gross receipts f rom admissions, merchandise sold or services performed, or facilities furnished in a activity that is related to the organization's tax-exempt purpose

(a) 2005 (b) 2006 (c) 2007 (d) 2008 (e) 2009 (f) Total l—l .




l—l .




3 Gross receipts from activities that are not an unrelated trade or business under section 513

4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.

5 The value of services or facilities furnished by a governmental unit to the organizat ion without c h a r g e . . . .

6 Total. Add lines 1 through 5

7 a Amounts included on lines 1, 2, 3 received from disqualif ied







b Amounts included on lines 2 and 3 received from other than disqualif ied persons that exceed the greater of 1 % of the amount on line 13 for the year

c Add lines 7a and 7b

8 Public support (Subtract line

7c from line 6.)

8 Public support (Subtract line

7c from line 6.)

Section B. Total SuDDort Calendar year (or fiscal yr beginning in)


(a) 2005 (b) 2006 (c) 2007 (d) 2008 (e) 2009 (0 Total Calendar year (or fiscal yr beginning in)


10a Gross income from interest, dividends, payments received on securit ies loans, rents, royalties and income form similar sources

b Unrelated business taxable income (less section 511 taxes) f rom businesses acquired after June 30, 1975 . . .








11 Net income from unrelated business activities not included inline 10b, whether or not the business is regularly carried on

12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)

13 Total support, (add Ins 9,10c, 11, and 12.)

14 First five y e a r s . If the Form 990 organizat ion, check this box and

is for the organization's first, second, third, fourth, stop here

or f i f th tax year as a section 501 (c)(3)

Section C Computation of Public Support Percentage 15

16

Public support percentage for 2009 (line 8, column (f) divided by line 13, column (f)).

Public support percentage from 2008 Schedule A, Part III, line 15

15

16

Section D. Computation of Investment Income Percentage 17 Investment income percentage for 2009 (line 10c, column (f) divided by line 13, column (f))

18 Investment income percentage from 2008 Schedule A, Part III, line 17

19a 33-1/3 support tests - 2009. If the organization did not check the box on line 14 vand line 15 ismorejhan 3J^/3%_, and line J7 is not

17

18

%

more than 33-1/3% - zuus. IT tne organization aia not cnecK ine uux un mie i t , diiu m ie iu is MMcuian J J - U J » , auu nuc i / io ,—, check this box and stop here. The organization qualifies as a publicly supported organization |_J

b 33-1/3 support tests - 2008. If the organization did not check a box on line 14 or 19a, and line 16 is more than 33-1/3%, and line 18 ,—, is not more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization

20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instruct ions.

BAA TEEA0403L 02/15/10 Schedule A (Form 990 or 990-EZ) 2009

Schedule A (Form 990 or 990-EZ) 2009 THE FAIRFAX COUNTY PARK FOUNDATION, INC. 54-2019179 Page 4

Part IV |Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Provide any other additional information. See instructions.

B A A TEEA0404L 02/05/10 Schedule A (Form 990 or 990-EZ) 2009

Schedule B (Form 990, 990-EZ, or 990-PF)


Schedule of Contributors - Attach to Form 990, 990-EZ, or 990-PF

OMB No. 1545-0047 Schedule B (Form 990, 990-EZ, or 990-PF)


Schedule of Contributors - Attach to Form 990, 990-EZ, or 990-PF

2009 Name of the organization

THE FAIRFAX COUNTY PARK FOUNDATION, INC.


54-2019179

Organization type (check one):

Filers of:

Form 990 or 990-EZ

Section:

X 501 (c)( 3 ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF 501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501 (c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.

Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule —

[ x l F o r an organization fi l ing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or property) f rom any one —con t r i bu to r . (Complete Parts I and II.)

Special Rules -

PI For a section 501(c)(3) organization fil ing Form 990 or 990-EZ, that met the 33-1/3% support test of the regulations under sections 509(a)(1)/170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the greater of 0) $5,000 or (2) 2% of the amount on (i) Form 990, Part VII I , line Ih or (ii) Form 990-EZ, line 1. Complete Parts I and II.

f l F o r a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ, that received from any one contributor, during the year, — aggregate contributions of more than $1,000 for use exclusively for religious, charitable, scientific, literary, or educational purposes, or the

prevention of cruelty to children or animals. Complete Parts I, II, and III.

F l F o r a section 501(c)(7), (8), or (10) organization fil ing Form 990 or 990-EZ, that received from any one contributor, during the year, — contributions for use exclusively for religious, charitable, etc, purposes, but these contributions did not aggregate to more than $1,000.

this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc, purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively

religious, charitable, etc, contributions of $5,000 or more during the year *~ $

If

Caution: An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990, 990-EZ, or 990-PF) but it must answer 'No' on Part IV, line 2 of their Form 990, or check the box on line H of its Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the fi l ing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).

BAA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990, 990EZ, or 990-PF.

Schedule B (Form 990, 990-EZ, or 990-PF) (2009)

TEEA0701L 01/30/10

Schedule B (Form 990, 990-EZ, or 990-PF) (2009) Page 1 of 2 of Part I

Name of organization



54-2019179

Part I 1 Contributors (see instructions.)

(a) Number

(b) Name, address, and ZIP + 4

(c) Aggregate

contributions

(d) Type of contribution

RUSKIN-ZAFREN FOUNDATION

100 CAMPUS DR, 3RD FLR EAST

FLORHAM PARK, NJ 079_32_

$ 1 0 , 0 0 0 ,

Person

Payroll

Noncash

(Complete Part II if there is a noncash contribution.)

(a) Number


(c) Aggregate

contributions


PNC FOUNDATION

800 CONNECTICUT AVE _NW_

WASHINGTON, DC 20006___

$ 10 , 000_

Person

Payroll

Noncash


(a) Number


(c) Aggregate

contributions


HILLTOP SAND & GRAVEL COMPANY, INC,

79 5 0_ TELEGRAPH _ROAD _

ALEXANDRIA, VA 22315

$ 7,50_CL

Person

Payroll

Noncash


(a) Number


(c) Aggregate

contributions


CLAUDE MOORE CHARITABLE FOUNDATION

1135_0_RANpOM_ HILLS_RD, _S_TE_5_20_

FAIRFAX, VA 22030

10 ,000

Person

Payroll

Noncash

X


(a) Number


(c) Aggregate

contributions


MCLEAN COMMUNITY FOUNDATION

Pp_BpX_75

MCLEAN , VA 22101_

6 ,000

Person

Payroll

Noncash


(a) Number


(c) Aggregate

contributions


MICROSOFT MATCHING GIFT PROGRAM

PP_BOX_7_405

PRINCETON, NJ 08543

$ 5 ,202

Person

Payroll

Noncash


B A A TEEA0702L 06/23/09 Schedule B (Form 990, 990-EZ, or 990-PF) (2009)





54-2019179

Parti 1 Contributors (see instructions.)

(a) Number


(c) Aggregate

contributions


MCLEAN GREAT FALLS BABE RUTH LEAGUE

1712 ESQUIRE LANE_

MCLEAN^ VA_2_2101_

8 , 5 0 0 .

Person

Payroll

Noncash


(a) Number


(c) Aggregate

contributions


ROBERT HAFT FOUNDATION

12 5 5_ 2 2ND_ STREET_ NW _

WASHINGTON, DC 20037

5 ,000

Person

Payroll

Noncash


(a) Number


(c) Aggregate

contributions


TRANSURBAN

1J21_ PRINCE JSTREET,_ _STE _2 00


8 ,500

Person

Payroll

Noncash


(a) Number


(c) Aggregate

contributions


10 CFC NATIONAL CAPITAL AREA

_66 _CANAL_ CENTER _PLAZ_A_ STE_ 31_0_


$ 6 , 5 1 1

Person

Payroll

Noncash

X


(a) Number


(c) Aggregate

contributions


Person

Payroll

Noncash


(a) Number


(c) Aggregate

contributions


Person

Payroll

Noncash


BAA TEEA0702L 06/23/09 Schedule B (Form 990, 990-EZ, or 990-PF) (2009)

Schedule B (Form 990, 990-EZ, or 990-PF) (2009) Page 1 of 1 of Part II

Name of organization Employer identification number

54-2019179

Part II Noncash Property (see instructions.)

(a) No. from

Part i

(b) Description of noncash property given

(c) FMV (or estimate) (see instructions)

(d) Date received

N/A

(a) No. from

Part i


(c) FWIV (or estimate) (see instructions)

(d) Date received

$ $ $ $

(a) No. from

Part i



(d) Date received

$ $ $ $

(a) No. from

Part i



(d) Date received

$ $ $ $

(a) No. from

Part i



(d) Date received

$ $ $ $

(a) No. from

Part i



(d) Date received

$ $ $ $

BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2009)

TEEA0703L 06/23/09





54-2019179 Par t i Exclusively religious, charitable, etc, individual contributions to section 501(cX7), (8), or (10)

organizations aggregating more than $1,000 for the year .(Complete cols (a) through (e) and the following line entry.)

For organizations complet ing Part III, enter total of exclusively religious, charitable, etc, contributions of $1,000 or less for the year. (Enter this information once - see instructions.) *• $ N/A

(a) No. from

Parti

(b)

Purpose of gift

(c)

Use of gift

(d)

Description of how gift is held

N/A

(e) Transfer of gift

Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee

(a) No. from

Parti

(b)

Purpose of gift

(c)

Use of gift

<d)




(a) No. from

Parti

(b)

Purpose of gift

(c)

Use of gift

(d)




(a) No. from

Parti

(b)

Purpose of gift

(c)

Use of gift

(d)




BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2009) TEEA0704L 06/23/09

SCHEDULE D (Form 990)


Supplemental Financial Statements Complete if the organization answered 'Yes, ' to Form 990,

Part IV, lines 6, 7, 8, 9 ,10 ,11 , or 12. Attach to Form 990. *• See separate instructions

OMB No. 1545-0047 SCHEDULE D (Form 990)




2009 SCHEDULE D (Form 990)




Open to Public Inspection



Employer Idcnlifk alion number

54-2019179

Part 1 | Orqanizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts Complete if

1 Total number at end of year

(a) Donor advised funds (b) Funds and other accounts

1 Total number at end of year

2 Aggregate contributions to (during year)

3 Aggregate grants f rom (during year)

2 Aggregate contributions to (during year)

3 Aggregate grants f rom (during year)

4 Aggregate value at end of year

Did the organization inform all donors and donor advisors in writ ing that the assets held in donor advised funds are the organization's property, subject to the organization's exclusive legal control?

Did the organization inform all grantees, donors, and donor advisors in wri t ing that grant funds may be used only for charitable purposes and not for the benefit of the donor or donor advisor or for any other purpose conferring impermissible private benefit??

• Y e s

• Y e s

• No

• NO Part II | Conservation Easements Complete if the organization answered 'Yes' to Form 990, Part IV, line 7.

1 Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of an historically important land area

Preservation of certif ied historic structure

Preservation of land for public use (e.g., recreation or pleasure)

Protection of natural habitat

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.

a Total number of conservation easements

b Total acreage restricted by conservation easements

c Number of conservation easements on a certif ied historic structure included in (a),

d Number of conservation easements included in (c) acquired after 8/17/06

2 a

2 b

2 c

2 d

Held at the End of the Year

3 Number of conservation easements modif ied, transferred, released, ext inguished, or terminated by the organization during the tax

year

Number of states where property subject to conservation easement is located

Does the organization have a written policy regarding the periodic monitor ing, inspection, handling of violations, and enforcement of the conservation easement it holds? Staff and volunteer hours devoted to monitor ing, inspecting, and enforcing conservation easements during the year *• Amount of expenses incurred in monitor ing, inspecting, and enforcing conservation easements during the year *• $

• Y e s • No

No Does each conservation easement reported on line 2(d) above satisfy the requirements of section ,—. .—. 170(h)(4)(B)(i) and 170(h)(4)(B)(i i)? U Y e s U

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and balance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describes the organization's accounting for conservation easements.

Part Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets Complete if the organization answered 'Yes' to Form 990, Part IV, line 8.

1 a If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibit ion, education, or research in furtherance of public service, provide, in Part XIV, the text of the footnote to its f inancial statements that describes these i tems.

b If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibit ion, education, or research in furtherance of public service, provide the fol lowing amounts relating to these items:

(i) Revenues included in Form 990, Part VII I , line 1 *"$

(ii) Assets included in Form 990, Part X

If the organization received or held works of art, historical treasures, or other similar assets for f inancial gain, provide the following amounts required to be reported under SFAS 116 relating to these items:

a Revenues included in Form 990, Part VII I , line 1 **$

b Assets included in Form 990, Part X " $

BAA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

TEEA3301L 02/02/10

Schedule D (Form 990) 2009

Schedule D (Form 990) 2009 THE FAIRFAX COUNTY PARK FOUNDATION, INC. 54-2019179 Page 2

Part III 1 Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

3 Using the organization's acquisition accession and other records, check any of the fol lowing that are a signif icant use of its collection items (check all that apply):

Loan or exchange programs

Other

a Publ ic exhibition d

b Scholarly research e

c Preservation for future generations

4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIV.

5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization's collection? P I Y e s P I No

PartIV I Escrow and Custodial Arrangements Complete if organization answered 'Yes' to Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 2 1 .

1 a Is the organization an agent, trustee, custodian, or other intermediary for contributions or other assets not included on Form 990, Part X?

b If 'Yes, ' explain the arrangement in Part XIV and complete the following table:

[ ] Yes • No

c Beginning balance

d Addit ions during the yea r . . . .

e Distributions during the year,

f Ending balance.

1 c

I d

I e

I f

Amount

2 a Did the organization include an amount on Form 990, Part X, line 217 [~J Y e s QNO

b If 'Yes, ' explain the arrangement in Part XIV.

PartV | Endowment Funds Complete if organization answered 'Yes' to Form 990, Part IV, line 10

1 a Beginning of year balance,

b Contributions

c Net Investment earnings, gains, and losses

(a) Current year (b) Prior year (c) . ••• 1 (d) Three years back (e) Four years back

d Grants or scholarships

e Other expenditures for facil i t ies and programs

f Administrat ive expenses

g End of year balance

2 Provide the estimated percentage of the year end balance held as:

a Board designated or quasi-endowment %

b Permanent endowment *- %

c Term endowment *• %

3 a Are there endowment funds not in the possession of the organization that are held and administered for the organization by:

(i) unrelated organizations

(i i) . related organizations

b If 'Yes' to 3a(ii), are the related organizations listed as required on Schedule R?

Mil 3a(ii)

3b

Yes No

Part VI 1 Investments-Land, Buildings, and Equipment. See Form 990, Part X, line 10. Description of investment (a) Cost or other basis

( investment) (b) Cost or other

basis (other) (c) Accumulated

Depreciation (d) Book Value

c Leasehold improvements

e Other

Total. Add lines 1a through 1e (Column (d) must equal Form 990, Part X, column (B), line 10(c).) 0.

B A A Schedule D (Form 990) 2009

TEEA3302L 02/02/10


Part VII Investments-Other Securities See Form 990, Part X, line 12. N/A (a) Description of security or category

(including name of security) (b) Book value (c) Method of valuation

Cost or end-of-year market value

Financial d

Closely-hel

Other

srivatives Financial d

Closely-hel

Other

i equity interests

Financial d

Closely-hel

Other

Total. (Column (b) must equal Form 990 Part X, col. (B) line 12.) *•

Part VIII Investments-Program Related (See Form 990, Part X, line 13) N/A (a) Description of investment type (b) Book value (c) Method of valuation

Cost or end-of-year market value

Total. (Column (b) must eoual Form 990. PartX, Col. (B) line 13.) -

Part IX Other Assets (See Form 990, Part X, ine 15) N/A (a) Description (b) Book value

Total. (Column (b) must eaual Form 990. Part X, col.(B), line 15). -

PartX Other Liabilities (See Form 990, Part X, ine 25) (a) Description of Liability (b) Amount

Federal Income Taxes

Total. (Column (b) must equal Form 990, PartX, col. (B) line 25) -

2. FIN 48 Footnote. In Part XIV, provide the text of the footnote to the organization's f inancial statements that reports the organization's liability for uncertain tax positions under FIN 48. ^

B A A TEEA3303L 02/02/10 Schedule D (Form 990) 2009


Part XI 1 Reconciliation of Change in Net Assets from Form 990 to Financial Statements i 2

3

4

5

6

7

8

9

10

Total revenue (Form 990, Part VIII,column (A), line 12)

Total expenses (Form 990, Part IX, column (A), line 25)

Excess or (deficit) for the year. Subtract line 2 from line 1

Net unrealized gains (losses) on investments

Donated services and use of facilit ies

Investment expenses

Prior period adjustments

Other (Describe in Part XIV)

Total adjustments (net). Add lines 4 through 8

Excess or (deficit) for the year per audited financial statements. Combine lines 3 and 9.

3 3 3 , 5 9 3 . 384 ,697 , - 5 1 , 1 0 4 ,

- 5 1 , 1 0 4 . Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return

1 Total revenue, gains, and other support per audited financial statements.

2 Amounts included on line 1 but not on Form 990, Part VII I , line 12:

2 a

2b 2 3 7 , 1 0 1 . 2 c

2d

e Add lines 2a through 2d

3 Subtract l ine 2e f rom line 1

4 Amounts included on Form 990, Part VII I , line 12, but not on line 1:

a Investments expenses not included on Form 990, Part VII I , line 7h ..

b Other (Describe in Part XIV)

c Add lines 4 a and 4b

5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part

4 a

4b

line 12.).

2e

4 c

5 7 0 , 6 9 4 .

2 3 7 , 1 0 1 . 333 ,593 .

3 3 3 , 5 9 3 .

Reconciliation of Expenses per Audited Financial Statements With Expenses per Return 1 Total expenses and losses per audited financial statements

2 Amounts included on line 1 but not on Form 990, Part IX, line 25:

a Donated services and use of facilities

b Prior year adjustments

c Other losses

d Other (Describe in Part XIV)

e Add lines 2a through 2d

3 Subtract l ine 2e f rom line 1

4 Amounts included on Form 990, Part IX, line 25, but not on line 1:

a Investments expenses not included on Form 990, Part VII I , line 7h

b Other (Describe in Part XIV)


5 Total expenses. Add lines 3 and 4c (This must equal Form 990, Part I, line 18.),

2 a 2 3 7 , 1 0 1 . 2b

2 c

2d

4 a

4b

2 c

4 c

621 ,798 .

2 3 7 , 1 0 1 . 3 8 4 , 6 9 7 ,

3 8 4 , 6 9 7 .

Part XIV 1 Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, l ines 1a and 4; Part IV, lines 1b and 2b; Part V, jine 4 ; Part X, l ine 2; Part X I , line 8; Part XI I , lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

BAA TEEA3304L 02/02/10 Schedule D (Form 990) 2009


Part XIV I Supplemental Information (continued)

B A A TEEA3305L 07/10/09 Schedule D (Form 990) 2009

S C H E D U L E 1 (Form 990)


Grants and Other Assistance to Organizations, Governments and Individuals in the United States

Complete if the organization answered 'Yes, ' to Form 990, Part IV, lines 21 or 22. *• Attatch to Form 990.

OMB No. 1545-0047 S C H E D U L E 1 (Form 990)




2009 S C H E D U L E 1 (Form 990)




Open to Public Inspection




54-2019179

Part 1 General Information on Grants and Assistance

1 Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? [Xj Y e s | | No

2 Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States. SEE PART I V

Part II | Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered 'Yes' to Form

990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use

Part IV and Schedule 1-1 (Form 990) if additional space is needed »- [~~|

1 (a) Name and address of organization or government

(b) EIN (c) IRC section if applicable

(d) Amount of cash grant (e) Amount of non-cash assistance

(f) Method of valuation (book, FMV, appraisal,

other)

(g) Description of non-cash assistance

(h) Purpose of grant or assistance

TO SUPPORT

VARIOUS

PROJECTS

JAIRFAX COTNTY j>ARK JIUTHOJITY

_12055_ GOVERNMENTJ^EOTER_PARKWAY_

FAIRFAX, VA 22035 54-0787833 327,119.

MAINTAINED BY

THE PARK

AUTHORITY

2 Enter total number of section 501(c)(3) and government organizat ions.

3 Enter total number of other organizations 0

BAA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. TEEA3901L 02/10/10 Schedule I (Form 990) 2009

Schedule I (Form 990) 2009 THE FAIRFAX COUNTY PARK FOUNDATION, INC. 54-2019179 Page 2

Part III I Grants and Other Assistance to Individuals in the United States. Complete if the organization answered 'Yes' to Form 990, Part IV, line 22. Use Part IV and Schedule 1-1 (Form 990) if additional space is needed.

(a) Type of grant or assistance (b) Number of recipients

(c) Amount of cash grant

(d) Amount of non-cash assistance

(e) Method of valuation (book, FMV, appraisal, other)

(f) Description of non-cash assistance

PartIV [Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

j^Ajm,j - iNj:_2_-GRA^^

WHEN GRANT FUNDS ARE PAID TO THE FAIRFAX COUNTY PARK AUTHORITY, THE FAIRFAX COUNTY

PARK FOUNDATIONS REQUIRES THE_ PARK AUTHORITY _TO_S_IGN _A_ STJ\TEMENT _THAT_ THE_ FUNDS

RECEIVED WILL BE SPENT ON THE PROJECTS IDENTIFIED I N THE SIGNED STATEMENT. THE

STATEMENTS LISTS EACH PROJECT AND THE AMOUNT ASSOCIATED WITH EACH PROJECT.

BAA

TEEA3902L 02/10/10

Schedule I (Form 990) 2009

S C H E D U L E R (Form 990)


Related Organizations and Unrelated Partnerships *• Complete if the organization answered 'Yes ' to Form 990, Part IV, lines 33, 34, 35,36, or 37.

*- Attach to Form 990. *• See separate instructions.

OMB No. 1545-0047

S C H E D U L E R (Form 990)



*- Attach to Form 990. *• See separate instructions.

2009 S C H E D U L E R (Form 990)



*- Attach to Form 990. *• See separate instructions. Open to Public

Inspection




54-2019179

Part I | Identification of Disregarded Entities (Complete if the organization answered 'Yes' to Form 990, Part IV, line 33.)

(A) Name, address, and EIN of disregarded entity

(B) Primary activity

(C) Legal domicile (state

or foreign country)

(D) Total income

(E) End-of-year assets

(F) Direct controll ing

entity

p a r t || Identification of Related Tax-Exempt Organizations (Complete if the organization answered 'Yes' to Form 990, Part IV, line 34 because it had 1 'one or more related tax-exempt organizations during the tax year.)

(A) Name, address, and EIN of related organization


(C) Legal domici le (state

or foreign country)

(D) Exempt Code section

(E) Public charity status (if section 501 (c)(3))

(F) Direct controll ing

entity

FAIRFAX COUNTY PARK AUTHORITY

MANAGE PARKS AND 12055 GOVERNMENT CENTER PARKWAY MANAGE PARKS AND

FAIRFAX, VA 22035 OPEN SPACE I N

FAIRFAX COUNTY VA N/A 54-0787833

OPEN SPACE I N

FAIRFAX COUNTY VA N/A

BAA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. TEEA5001L 02/05/10 Schedule R (Form 990) (2009)

Schedule R (Form 990) 2009 THE FAIRFAX COUNTY PARK FOUNDATION, INC. 54-2019179 Page 2

Part III Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered 'Yes' to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(A) Name, address, and EIN of

related organization

(B) Primary Activity

(C) Legal

domici le (state or foreign

country)

(D) Direct

controll ing entity!

(E) Predominant

income (related, unrelated, excluded

f rom tax under sections 512-514)

(F) Share of total income

(G) Share of end-of-year

assets

(H) Dispropor

t ionate allocations?

Y e s No

(I) Code V-UBI

amount in box 20 of Schedule

K-1 (Form 1065)

(J) General or managing partner?

Y e s No

Part IV Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered 'Yes' to Form 990, Part IV,

(A) Name, address, and EIN of related organization

(B) Primary Activity

(C) Legal domici le

(state or foreign country)

(D) Direct

controll ing entity

(E) Type of entity

(C corp, S corp, or trust)

(F) Share of total income

(G) Share of end-of-year

assets

(H) Percentage ownership

BAA TEEA5002L 02/05/10 Schedule R (Form 990) (2009)


Part V | Transactions With Related Organizations (Complete if the organization answered 'Yes' to Form 990, Part IV, line 34, 35, or 36.)

Y e s No

l a X 1 b X 1 c X I d X I e X

I f X

i g X I n X I i X

I j X I k X 11 X 1m X I n X

l o X

"»P X

i q X 1r X

1

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

During the tax year did the organization engage in any of the fol lowing transactions with one or more related organizations listed in Parts l l-IV:

a Receipt of (i) interest (ii) annuit ies (iii) royalties (iv) rent f rom a controlled entity

b Gift, grant, or capital contribution to other organization(s)

c Gift, grant, or capital contribution f rom other organization(s)

d Loans or loan guarantees to or for other organization(s)

e Loans or loan guarantees by other organization(s)

f Sale of assets to other organization(s).

g Purchase of assets f rom other organization(s)

h Exchange of assets

i Lease of facil i t ies, equipment, or other assets to other organization(s).

j Lease of facil i t ies, equipment, or other assets f rom other organization(s)

k Performance of services or membership or fundraising solicitations for other organizat ion(s).

I Performance of services or membership or fundraising solicitations by other organizat ion(s) .

m Sharing of facil i t ies, equipment, mail ing lists, or other assets

n Sharing of paid employees

o Reimbursement paid to other organization for expenses,

p Reimbursement paid by other organization for expenses.

q Other transfer of cash or property to other o rgan iza t ion(s ) . . .

r Other transfer of cash or property f rom other organization(s).

(A) Name of other organization

(B) Transaction

type (a-r)

(C) Amount involved

(1) FAIRFAX COUNTY PARK AUTHORITY A 9,914.

(2) FAIRFAX COUNTY PARK AUTHORITY L 221,336.

(3) FAIRFAX COUNTY PARK AUTHORITY P 5,851.

(4)

(5)

(6)



Part VI [Unrelated Organizations Taxable as a Partnership (Complete if the organization answered 'Yes' to Form 990, Part IV, line 37.)

Provide the fol lowing information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total asset or gross revenue) that was not a related organization. See Instructions regarding exclusion for certain investment partnerships.

(A) Name, address, and EIN of entity


(C) Legal domicile


(D) Are all partners

section 501(c)(3)

organizations?

(E) Share of end-of-year

assets

(F) Dispropor

tionate allocations?

(G) Code V-UBI amount

in box 20 of Schedule K-1 Form (1065)

(H) General or managing partner?

(A) Name, address, and EIN of entity


(C) Legal domicile


Y e s No

(E) Share of end-of-year

assets

Y e s No

(G) Code V-UBI amount

in box 20 of Schedule K-1 Form (1065)

Y e s No


S C H E D U L E 0 (Form 990)


Supplemental Information to Form 990

Complete to provide information for responses to specific questions on Form 990 or to provide any additional information.

• Attach to Form 990.

OMB No. 1545-0047 S C H E D U L E 0 (Form 990)




• Attach to Form 990.

2009 S C H E D U L E 0 (Form 990)




• Attach to Form 990. Open to Public

Inspection




54-2019179

FORjyi_990,_PARI Y L LINE 11_-JLO_RJyl99Q REVIEW P R O C E S S .

A DRAFT OF THE FORM 990 WAS GIVEN TO THE EX&CUTIVE__DIRECTORJVNDJ^LJffiMBERS_OF_THE.

BOARD. OF DIRECTORS^_ MDITigNS_MTO_CPi^CTIOj^_Piffi_MADE AS JffiCESSARY.

fORM_99Qi PART_Vj,_LIN_EJ5A l Q Q M P E N S A T I O ^ ^ ^ APP_RpVAL P R O C E S S F O R C E O , E X E C . DIR., O R J O P M G T

™ ? JXECUTIVE_ P I RE C T 0R_ AND_ F J ^ ND AT 10N_ EMPLOYEES _ARE _F_AIRFAX _COUNTY_ GOVERNMENT

EMPLOYEES^ _ _THEIR_ COMPENSATIONAND_OTHER _TERMS_OF_ EMPJLOYJ1ENT ARE DETERMINED _BY_THE_

FAIRFM_COUNTY_MERIT _SYSTEM J3RDINANCE_ AND_ PER_SONNEL _REGULATIONS._ _ THE_ ORDINANCE _AND

REGULATIONS _ARE ADMINISTERED JND_EPENDENTLY_BY_ THE_ FAIRFAX_ COUNTY HUMAN_RESOURCES

DEPARTMEj!TT_WH_ICH _SETS_ COMPENSATION_F^NGES_ BASED _ON_COMPARABILITY _STUD_IES AND

REGULATES_ AND_ OVERSEEJ5_ALL_COMPEN^^ .

FORM 990 , P A R T _ V J , _ U N _ E J 9 1 O T H _ E R _ O R G A V A I L A B L E

™? J ^ M F J ^ J 3 ^ ™ ^ - ™ * JOUN^DAII0-?!^. J9^L 2*9- Is- i ™ J ^ L E _ q N _ ITS_ WEB_SITE_ AND_ ON THE

GUIDE_STAR_ WEB_SITE_._ _THE _GOVERNING_ DOCUMENTS _AND JJNA)NCIAL_ STATEMENTS ARE AVAILABLE

UPON REQUEST.

BAA For Privacy Act and paperwork Reduction Act Notice, see the instructions for Form 990. TEEA4901L 07/17/09 Schedule O (Form 990) 2009

Schedule O (Form 990) 2009 Page 2

Name of the organization Employer identification number

THE FAIRFAX COUNTY PARK FOUNDATION, INC. 54-2019179

BAA TEEA4902L 07/17/09

Schedule O (Form 990) 2009

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