990 Return of Organization Exempt From Income Tax JOB No 1545-0047 2 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private 20 1 5 Department ofthe foundations) > Do not enter social security numbers on this farm as it may be made public ‘Open to Public cca poreecrn) > Information about Form 990 and its instructions 1s at yvw JRS gov/Form990 For the 2015 calendar year, or tax year beginning 01-01-2015 _, and ending 12-31-2015, B Check apphcable J © Nome of otsnaton Employer identification number ARAB AMERICAN ASSOCIATION OF NY INC Tacaross change ft 11-3604756 Teme enone Pa [tal return fal Telephone number ceetehramates | NGRDSTan avec (or PO box ra not celvaed Wo Breet aI] * Timended reum 714 TH (718) 745-3523 [ropteaton pending CBy or mn, Sat or prove, counby, and ZP or foragn pow cde een ize 6 Gross cats § 569,047 F Name and address of principal oficer LINDA SARSOUR (a) Is this a group return for ‘subordinates? Pov ¥ No : f(b) Are all subordinates ‘ves [No 1 Taxcexemptstas FF 504(03(3) [7 sone) ( ) insert no) [7 4947tan(s) or [7527 included? Pos IF "No," attach alist (see instructions) 3 Website: > H(c)_Group exemption number ® KK Form of organzaten_[¥ Comerstion [Trust [Associaton [other [Lvear of frmauon 2003] M ESSE Summary of egal domicie NY {Onctly describe the oandatons masion of mast gniicant activities OURNTSSION [570 SUPPORT AND ae (coe ) (expenses $ inelcing grants of § 7 (Revenues y ‘4d Other program services (Describe in Schedule O ) (Expenses § Including grants of $ d (Revenue $ ) ‘4e__Total program service expenses > 459,903 Form 990 (2015)Form 990 (2015) 10 a > 15 16 v 18 1 20a » Page 3 FAME Checklist of Required Schedules Yes | No 1s the organzatondggcrbedn section 504(6)(3) oF 4947(aX1) ther than a private foundation)? 11 “es, Yes complete ScheauleA J. a . . oe . 2 Is the organization required to complete schedule ‘Schedule of Contributors 3 instructions)? y.. 2 | ves, id the organization engage in direct or indirect political campaign activities on behalf of or m opposition to No candidates for public ofice? If "es,"complete Schedule Part. + ee ww we ee 3 Section 501(c)(3) organizations. Did the organization engage in lobbying actwities, or have a section 501(h) election in effect during the tax year? Tf "es," complete Schedule, Part». + wv 4 No Is the organization a section 501 (c)(4), 504 (c)(5), oF 503(¢)(6) organization that receives membership dues, assessments, or similar amaunts as defined in Revenue Procedure 98-19? Tf "¥es," complete Schedule Parti ss ee ee ee 5 ne Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in Such funds or accounts? N If "Yes," complete Schedule D, Pat J... 2 ee ee 6 o Did the organization receive or hold a conservation easement, including easements to preserve open space, N the environment, histone land areas, or historic structures? If "Yes," complete Schedule D, Part ir J... 2 o Did the organization maintain collections of works of art, historical treasures, or other similar assets? 7 If "Yes," complete Schedule D, PartIII 9)... - - ew ee we 8 eo Did the organization report an amount in Part X, line 21 for escrow or custodial account liabilty, serve as a custodian for amounts nat listed n Part X, or provide creditcounseling, debt management, credit repair, of debt hegotlation services? "Yes, "complete Scheduled PartV'e es en en we ee | 8 6 Did the organization, directly or through a related organization, hold assets in temporgnly restricted endowments,| 10 No permanent endowments, or quasi-endowments? If *Yes," complete Schedule D, Pat 3... . 4 If the organization's answer to any of the folowing questions Is "Yes," then complete Schedule D, Parts VI, VII, VIIL, 1X, oF X as applicable Did the organzaton report an amount gr and bugs, and equipment m Par X, tne 107 y If "Yes," complete Schedule D, Part vi) . toe oe : hone noe ata | Yes Did the organization report an amount for investments —other securities in Part X, line 12 that is 5% oF more of| its total assets reported in Part X, line 16? If "Yes," complete Schedule 0, Pare vil. oe ii ° Did the organization report an amount for investments —program related in Part X, line 13 that s 5% oF more of Its total assets reported in Part X, line 16? IF "Yes," complete Schedule D, Part iT 9... . ss [Ate ° Did the organization report an amount for other assets in Part X, line 15 that is 5% or more ofits total assets ves reported in Part X, ine 167 IF "Yes," complete Schedule D, Part IX)... . 1 se we + [aad 1d the organization report an amount for other habilties in Part X, line 25? If *¥es,"complete Schedule D, Pat x | 43 No Did the organization's separate or consolidated financial statements for the tax year include a footnote that ar addresses the organrzation’s liability for uncertain tax positions under FIN 48 (ASC 740)? © If "Yes," complete Schedule D, Part x %) Did the organization obtain separate, independgnt audited financial statements forthe tax year? If "Yes," complete Schedule D, Parts XI and XIE. 6 ee ee ee ee ee ee ee [BR] Ves Was the organization included in consolidated, independent audited fancial statements forthe tax year? 1b No If "Yes," and if the organizatian answered "No" to line 12a, then completing Schedule D, Parts XI and XII 1s optional “| 1 the organization a school described in section 170(b){1)(A){u)? If "Yes," complete Schedule E 3 No Did the organization maintain an office, employees, or agents outside of the United States? . . . . . [aga No Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, mvestment, end program service activities outside the United States, or aggregate fren vestments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV. oe 4b No Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organvzation? 1f "Yes," complete Schedule, Ports tf and iV... + 15 No id the organization report on Part 1X, column (A), line 3, more than $5,000 of aggregate arants or other assistance to of for foreign individuals? If "Yes," complete Schedule F, Parts III and IV» 16 No Did the organization report a total of more than $1 5,000 of expenses for professional fundraising serwices on Part] 4y No 1X, column (A), nes 6 and 11¢7 If "Yes," complete Schedule G, Part I (See instructions) . «+ « Did the organization report more than $15,000 total of fundraising event gross income and contributions, gh Part VIIL, lines 1¢ and 8a7 if "Yes," complete ScheduleG, Part IT ss + ee vw we ee as | ves Dud the organization report ore than $15,000 of ross nome from gaming actwies on Part VII 4mg 8a? If |g "ves," complete Schedule G, Part ve we we . y ° bid the organization operate one or more hospital facilites? If "Yes,"complete Schedule... 20a Ne If "Yes" to line 26a, did the organization attach a copy ofits audited financial statements to this return 2p Form 990(2015)Form 990 (2015) Page 4 [AMEN Checklist of Required Schedules (continued) 21_ Did the arganvzation report more than $5,000 of grants or ather assistance Yo any domestic organization or | aa No domestic government on Part 1X, column (A), line 1? If "¥es,"complete Schedule, Pats {and 11.» 22, Did the organization eeport more than 45,000 of grants or other assistance to o for domestic mdividuae on art | a 1X, column (A}, line 27 If "Yes," complete Schedule I, Parts fand 111... ss 1 we No 23 Didthe organization answer "Yes" to Part VII, Section A, line 3,4, oF § about compensation ofthe organization’ current and former offcers, directors, trustees, key employees, and highest compensated employees? If Yes," | 23, No completeSchedule) sv yt et et tt et tet wt ete ens 24a Did the organization have a tax-exempt bond issue mth an outstanding principal emount of more than $100,000 as ofthe last day of the year, that was issued after December 31,2002? 17 *Yes,=answer lines 240 though 24d and complete Schedule K Tf," gototmne 250. + + + et ee tt ee 240 No b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? 9 9 a porary pe z oe € Did the organization maintain an escrow account other than a refunding escrow at any time during the year todefease any taxcexempt bonds? sve se ey ste te te 24 4 Did the organization act as an “on behalf of issuer for bonds outstanding at any time dunng the year? . . « [aaa 25a Section 501(c)(3), 501(¢)(4), and 501(c)(29) organizations. Did the organization engage in an excess benef transaction mth a disqualified person éunng the year? 1f “Yes,” | ag. No complete Schedule, PatT ss ve ee ee b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior Yeor and hat te ansacton has ot been repeted on any afte orgenzaton’ pcr Forms 880 0r99g E27 | 28h No 14 °¥es," complete Schedule, Pt ve vet ee et 26 Did the organization report any amount on Part X, line 5,6, of 22 for ceceivables from or payables to any current ortormer afters, crectrstustes, Ke employees, highest compensatedemployes, or agaatied persons? | 26 | vey 115," complete Schedule Pat vee ee 27 Dud the organization provide a grantor other assistance to an officer, directo, trustee, key employee, substantial contributor or employee thereof, grant selection committee member, orto a 359% controlied entity or family. | 27 No member of any of these persons? 1f "Yes," complete Schedule, Pat IIT vs eee we ws 28 Was the organization a party to a business transaction with one ofthe following parties (see Schedule L, Part IV instructions for applicable fling thresholds, conditions, and exeeptions) a A current or former officer, director, wustee, or key employee? If "Yes," complete Schedule L, MR et ey na b A family member of a current or former officer director, trustee, or key employee? Jf "Yes," complete Schedule t, Pt ene 2b No € Anentity of which a current or former officer director, trustee, or key employee (ora family member thergor) was, " an officer, director, trustee, or direct or indicect owner? If "Yes," complete Schedule L, fart IV. 20 e 29 Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule . . | a9 No 30° budthe organization receive contabutons ofa hatocal Ueasues or ther similar aselsor qualifies conservation contributions? If "Yes,*complete Schedule ves es 2 ee ek et 30 No 31 Did the organization iquidate terminate or dissolve and cease operations? If Yes," complete Schedule, Part» 7 3 e 32 Did the organization sell, exchange, dispose of, or transfer more than 25% of ts net assets? N 1 "Yes," complete ScheduieN, arti vv we te ew 32 e 33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations 7 sections 301 7701-2 and 301 7701-37 If "Yes," complete Schedule R, Put Tse vs vs +s 33 g 34a the oganzation related to any tax-exemr of taxable ent? "es," compete sehedleR Pat 111,014, | 4g 7 and Par Vnel : : ee a o 352 Did the organization have a controlled entty within the meaning of section 51 2(b\13)? 358 No b IF Yes'to line 35a, did the organtzation receive any payment from or engage inany transaction with a controlled | 35, entity within the meaning of section 512(b)(13)? IF "Yes," complete Schedule R, Pare V, ine?» 36 Section 502(c)(3) organizations. O14 the organization make any transfers to an exemot non-chantable related organization? 1f "Yas," complete Schedule R Pat V, ine 2.» me a 36 No 37° Didthe organzatian conduct more than 596 ofits activities through an entity that nota related orgamzation and that is treated as a partnership for federal income tax purposes? If "Yee," complete Schedule , Part VI 37 No 38 Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 197 y, Note. All Form 990 filers ae required to complete Schedule Os ss se ee ve 30 | ves Form 990 (2015)Form 990 (2015) Page 5 Statements Regarding Other IRS Filings and Tax Compliance ‘Check if Schedule O contains a response or note to any line inthis PartV . . . 2 2 ves [No 4a Enter the number reported in Box 3 of Form 1096 Enter-0- not applicable. | ta 3 b Enter the number of Forms W-2G included inline La Enter-0- ifrot applicable [3B € Dude organization comply wth backup wtholdng rules for reportable payments to vendors and repartable gaming (gambling) winnings to prize winners? . + aes eee ete 2a Enter the numberof employees reported on Form W-2, Transmittal of Wage and Tax Statements, fled for the calendar year ending with or within the year covered bythis return ee ee LB x9] b fat least one 1s reported on line 2a, dic the organtzation fle all required federal employment tax returns? 2b | ves Note.ifthe sum oflines ia and 2a 1s greater than 250, you may be required to e-file (see instructions) 3a_Did the organization have unrelated business gross income of $1,000 or more during the year?» 3a No b 1f°¥es,"has it fled a Form 990-T for this year?If 'No" to ine 3, provide an explanation 1n Schedule... | 3b 44a At any time during the calendar year, did the organization have an interest in, ora signature or other authority over, a financial account ina foreign country (such as a bank account, securities account, or other financial account)? . aa No > reves," enter the name of the foreign country. See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts ear) 5a_Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? 3a No Did any taxable party notify the organization that it was ors a party to@ prohibited tax shelter transaction? — | gy No © 11°Ye5," tone 5a or $b, did the organization fle Form B8B6-T7 . . . 5c 62 Does the organization have annual gross receipts that are normally afeater than $100,000, and did the 6a No organization solicit any contributions that were not tax deductible as charitable contributions? « b 11"Ves/ id the owganzaton clude wth every Soitation an express statement that such contributions or ats were not tax deductible? oa : : oo 7. Organizations that may receive deductible contributions under secton 170(c) 4 Dud he organization receve a payment n excess of $75 made party as a contribution and pry for goods and | 7a | ves services provided tothe payor? vs ee tee a b 1F"Yes dd the organtzstion natty the donor ofthe value ofthe goods orservices providee? .. . . . [yw | ves id the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to fileForm82827 vv eee tt te 5 5 7 No 4 1F"¥es," indicate the number of Forms 8282 filed during the year... «| 7d © Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benehit contract? Te No £ Did the organization, during the year, pay premums, directly or indirectly, on @ personal benefit contract? .. [7 No 9. Ifthe organization received a contribution of qualified intellectual property, did the organization file Form 8899 as react ee a a a ce ae 75 No hh Ir the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-0? ve et ee te ee ee ee LAR No 8 Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time dunngthe yea? ee e 92 Did the sponsoring organization make any taxable distributions under section 49667... 3a bb Did the sponsoring organization make a distribution ta a donor, donor advisor, or related person? - 3 10 Section 501(¢)(7) organizations. Enter Initiation fees and capital contributions included on Part itt, tine 12... | 10a b Gross receipts, included on Form 990, Part VIII, line 12, for public use of club [0b facies 41 Section 504(c)(12) organizations. Enter a Gross income from members or shareholders... - ss [tt bb Gross income from other sources (Do not net amounts due or paid to other sources against amounts due orreceived trom them) e+ + ee we ee LAMB 12a, Section 4947(a)(1) non-exempt charitable trustss the organization filing Form 990 im lieu of Form 10417 aa b if"¥es," enter the amount of tax-exempt interest received or accrued during the year 125 43. Section 504(c)(28) qualified nonprofit health insurance issuers. 15 the organization licensed to issue qualified health plans in more than one state?Note. See the instructions for additional information the organrzation must report on Schedule 0 133 b Enter the amount of reserves the organization s required to maintain by the states in which the organvzation is icensed to issue qualified health plans... «| 330 © Enterthe amount ofreserves onhand - ss se ee ee es [ate 4a. id the organvzation receive any payments for indoor tanning services during the tax year? . ~~ | 44a No b_1F*Yes," has itfiled a Form 720 to report these payments?/¢ ‘No,"provide an explanation m Schedule. «| tab Form 990(2015)Form 990 (2015) Page 6 GEERT Governance, Management, and Disclosure For each "Yes" response to lines 2 through 76 below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions. Check sfSchedule O contains a response or note to any line mnths PartVI. ss — We Section A. Governing Body and Management Yes | No a Enter the number of voting members of the governing body atthe end ofthe tax | 4, 7 year Ifthere are material differences in voting rights among members of the governing body, or f the governing body delegatec broad authority to an executive committee| or similar committee, explain in Schedule 0 b Enter the number of voting members included in ine La, above, who are independent. 4b 3 2 bid any oficer, director, trustee, of Key employee have a family relationship oa business relationship with any other officer, director, trustee, orkeyemployee? ee ee te ee ee LR No. 3 Did the orgamzation delegate cantrol over management duties customanly performed by or under the direct 3 N supervision of officers, directors or trustees, or key employees to a management company or other person? 2 4 Didthe organization make any significant changes tots governing documents since the prior Form 990 was AO ee 4 No. 5. Did the organrzation become aware during the year ofa significant diversion of the organization's assets? 5 No. 6 Did the organization have members orstackholders? . . . ew ee ee ee ee LO No. 7a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members ofthe governing body? vs ee et te et ee te ee ee Le No. b Are any governance decisions ofthe organization reserved to or subject to approval by) members, stockholders, | 7b No or persons other than the governing body?» . s Loe a — 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following a The governing body? - 6 ee ee ga | ves b Each committee with authority to act on behalf ofthe governing body?» ss. es ee ss | ab | Yes 9 Is there any officer, director, trustee, or key employee listed in Part VIL, Section A, who cannot be reached at the! organization's mailing address? If "Yes," provide the names and addresses in Schedule.» ~- |s No. Section B, Policies (This Section 6 requests information about policies not required by te Internal Revenue Code.) Yes | No 40a. Did the organization have local chapters, branches, oraffliates? . . se ee vw ee 0a No. b_If*Yes," did the organization have wntten policies and procedures governing the activities of such chapters, affilates, and branches ta ensure their operations are consistent with the organization's exempt purposes? 10b 44a Has the organcatin provided a compete copy ofthis Form 990 to al members ofits governing body before Hing the form? ss area reer ne arie hoes [Ata] Yes bb Describe in Schedule O the process, any, used by the organization ta revnewths Form 990. ss + « 12a Did the organization have 2 wntten conflict of interest policy? If "No," gotoline 13. Pact 2a | Yes Were oficers, directors, or trustees, and key employees required to disclose annually interests that could we nsetoconficts? . ee ee a rr 2 ee [tab] ves bid the organization regulary and consistently monitor and enforce compliance wth the policy? If “Yes,"desenbe Im Schedule Ohow this Was done sss te kt a2 No. 13° Did the organization have a wntten whistleblower policy? see ee ee ee ee ee ee a8 No. 14 Did the organization have a wntten document retention and destruction policy? . 2 eee 14 No. 15 Did the process for determining compensation ofthe following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? a The organization's CEO, Executive Director, or top management official... ee 15a No. b Other officers ar key employees of the organization. 6 6 ee ee ee ee ee a No. IF "Yes" to line 15a or 15b, descnbe the process in Schedule O (see instructions) 46a_Did the organization invest in, contribute assets to, or participate in a yomnt venture or similar arrangement with 2 taxable entity during the year? ee ee ee | 1a, No. b If"Yes," did the organization follow a wntten policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements? se ee ee es ee | Geb Section €. Disclosure 47 List the States with which a copy of this Form 990 18 required to be fleam 1B Section 6104 requires an organization to make its Form 1023 (or 1024 stapplicable), 990, and 990-T (S01(c) @)s only) available for public ispection Indicate how you made these available Check all that apply Townwebsite [~ Another's website [¥ Upon request _[~ Other (explain in Schedule 0) 49 Describe in Schedule O whether (and ifso, how) the organization made its governing documents, conflict of Interest policy, and financial statements available to the public during the tax year 20 State the name, address, and telephone number of the person who possesses the organization's books and records PLINDA SARSOUR 7111 STH AVENUE BROOKLYN, NY 11209 (718) 745-3523 Form 990 (2015)Form 990 (2015) Page? [EIEXUH compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors Check if Schedule O contains a response or nate to any line in this Part VIL pee Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees Ta Complete this table for al persons required tobe listed Report compensation far the calendar year ending with or within the arganvation® tax year ‘# List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation Enter -0- in columns (D}, (E), and (F) ifno compensation was paid 5, Hany See instructions for definition of "key employee List all of the organization's current key employ List the organization's five current highest compensated employees (other than an officer, director, trustee or key employ who received reportable compensation (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, or highest compensated employees who received more than $100,000 of reportable compensation from 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 ar trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations Ist persons in the following order individual trustees or directors, institutional trustees, officers, key employees, highest compensated employees, and former such persons I Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee (A) (8) tc) (o) (e) (F) Name and Title Avera Position (donot check | Reportable | Reportable | Estimated hours per | more than one box, unless | compensation | compensation | amount of week (ist |"personis bothan officer | tomthe | fromretated | other any hours | ‘anda directorftrustee) | organization | organizations | compensation forrelated ESTP QTE EET a] (w2/099- | owe 2/1099- | trom the organizations |2 3.) = | 3 1F Fy) misc) MISC) organization below 22/318 le PE |3 and related dotted tine) |RE |S |” [3 e organizations é 8 E a (2) OR AAD 2A8ER 7000 (2) was 70uDeH 7000 ee = |x x 4| q a (2) PASTOR KHADER EL-ATEEN 1000 IRINA TONG HW 170 BiRECTOR (5) S808 AC HKAKT Ta oe |x 4| q a x 4| q a (7) mason was {oy oR CEA Fava 1 BiRECTOR {@) una sansouR ad x 54,000 q a Form 990 (2015)Page 8 Form 990 (2015) EETIRUM Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (contued) (A) (8) () (D) (=) (F) Name and Title Avera Position (Go not check Reportable | Reportable estimated hoursper [more thanone box,uniess | compensation | compensation | amount of other wieek (ist | “person is bath an of fromthe tromelated. | ‘compensation any hours | anda dvectorrrustee) | organization (w- [organizations (W-| fromthe forvelsted [=] — TS TE TEE Ta] 2/099-MISC) |°2/1099-M1SC) | organzation and organizations |2 3] 3 [2 [F z related 32 |3 izle 2 ‘organizations ge |2)* (8 E 5 #8 |) & elz| |e wb subtotals € Total from continuation sheets to Part VIE, Section A. > 4_Total (add tines 4b and ic) » En who received more than 2 Total number of individuals (including but not limited to those listed abo $100,000 of reportable compensation from the organization Yes | No 3° Did the organization list any former officer, director or trustee, key employee, or highest compensated employee online La? If "Yes," complete Schedule Jfor such individual» + + + + + +e et ee ee |g na 4 Forany individual listed on line 1, 1s the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule } for such Indwidual see ee ee 4 No. 5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule ] for such person area ele i ‘Section B, Independent Contractors Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization Report compensation for the calendar year ending with or within the organization's tax year ® 8) Name and business address Desenpton of services 2 Total number of dependent contractors (including but not limited to those listed a $100,000 of compensation fram the organization P © Compensation Form 990 (2015)Form 990 (2015) [ZERGI statement of Revenue Page 9 Check if Schedule O contains a response or note to any line in this Part VIII Cc a) @ @) rotalrevenue | Related or Revenue exempt’ | business | excluded from $12-514 ia Federated campaigns ~~ ee EE] b mMembersnpeues . . . . ab G Bc tundrassing events te oa gt we | 4 Related organizations... ad 5 & SE |e covenant rant comnbtins) te 199,495 é! Bs | ' Snarasoune socrduaed toe 2 2= once ns included in lines =z° 9 ies s otal. Acd lines 1a-1F « sat. EE| nm totat.scdiines ta-it : : Tusmness Code 2 2a gfe 5 ae & e | ¢ Alvother program service revenue é @ Total, Add lines 2a-2f . > 3 Investment income (including dividends, terest and other similar amounts ) 75) 7) 5 Royalties > Weal TW Personal 62 Gross rents sao be tess ental on 4 Wet rental income or loss) « 7s 25255 25255 (W) Secunties {u) Other, Ia Sess amount {han inventory b tase castor tier bee and ‘tle espances e. Gamoross 4 Net gain or (loss) > a Gross income from fundraising $ events (not including 5 ; 3095 3 af contrbutions reported on line 1) & See Part iV. line 18 cS b Less direct expenses b| 36,367 6 © Het income or {loss} from fundraising events ye 2526] 98 Gross income from gaming activities See Part iV, line 19 b Less direct expenses o| € Net income or (loss) from gaming activihes > 40a. Gross sales ofiaventory, less returns and allowences & Less cost of goods sold > € Wet income or {loss} from sales of mventory 7 Miscellaneous Revenue Business Code dia OTHER REVENUE 2,876| 2,876) ® a Niather revenue © Total. Add lines 114-116 > a. 42 Total revenue. See Instructions > was sal Form 990 (2015)Form 990 (2015) Page 10 [EseY Statement of Functional Expenses Section 50i(c)(3) and S01(c}(4) organizations must complete al ‘blumns Allather organizations must complete column (A) Check if Schedule 0 contains a response or note to any line in this Part 1X es Do nat include amounts reported on lines b, © [rove temce | vanes torane | rn an 7h, 8b, 90, and obo Part VI rout Manes | Poyam eves | Maragereneand | Funtne 2 Grants and ether anvistance to domeate organiaabons and domestic governments. See Part iv, ine 21 2 Grants and other assistance to domestic inavidunls See bart Vine 22 3. Grants and other assistance to orrgnorganvzatons, foreign governments, and fren individuals Seu Part lv, see 12 nae ee 4 Benetts pad to orfor members... 8 Compensation ofcurretoficers, rectors, trustees, and key employees : 000 13500 s.0 35.00 6 Compensation not included above, to disqualiied persons {as deed under section 4938(h{1) and persons deserbeatn section 4958(e 310) Penaion plan accruals and contributions (melude section 402(4) tna #03(0) employer contrbutons) 9 other employee benefits ia Zan re] om 10° Payroll taxes 11 Fees forsenices (non-employees) 2 Management b Legal € Accounting ras roms @ Lobbying Professional fndrawing services. See Part IV, Ine 47 {Investmest management feet 9. Other (ile 119 amount exceeds 10% of ne 25, column (A) amount ist ine 11g expenses on Schedule 0} 1995 a a 12° Advertsing and promotion 13. once expenses ia om 3a ae 14 Information technology 15. Royales 18 occupancy 38 Taare aa ae 17 Travel eee, 87 587 18 Payments of travel or entertainment expenses for any federal, State, ola! puble afta ey 19 conferences, conventions, and meetings 76 7a 20° interest . 21 Payments toatates . 22 Depreciation, depletion, and amortization aes ae 23 insurance st6 aie 2A other expenses Itemuze expenses not covered above (List Inscellaneous expenses nine 24e Ifine 24e amount exceeds Tov of ne 25, column (A) amount, st ne 24e expenses on Beneduteo ) 2 mIsceLLANeous mas aaa aa b COPIER LEASE e207 2995 187 nas € EDUCATIONAL SUPPLIES 1088 4.085, 4. REPATRS & MAINTENANCE 368 2088 a 7a ‘Allather expenses 1689 298 ass 25 Total functional expenses Add ines 1 rough 2 e655 maw om 28 Joint costs.Complete ths ine ony the organzaton teported in column (8) Joint costs from 9 combined ‘ducettonal campetgn 2nd findrassng sc ration Cheek here P [-ifollaning SOP 98-2 (ASC 958-720) Form 990 (2015)Form 990 (2015) Page 11 TEES Balance sheet Check if Schedule O contains a response or ote to anyline inthis PartX see ew ee ee ay ® Begianing of year End of year 1 Cash-nominterestbeanng» ss 07.957] 4 113,082 2 Savings and temporary cash investments... ss 2 3 Pledges and grants recewable,net . - ee 3 4 Accounts recewable,net eee 725602) a 35,058 5 Loans and other receivables from current and former officers, directors, trustees key employees, and highest compensated employees Complete Part 11 of SchedleLoe wee ee ee ee 5 6 Loans and other receivables from other disqualified persons (as defined under section 4958("(1)), persons described in section 4958(c)(3)(6), and contributing ‘employers and sponsoring organizations of section 504 (c}(9) voluntary 7 employees! beneficiary organations (See instructors) Complete Par 1 of 3s 6 B |r woes andioans recewadlenet oe 7 8 Inventories forsaleoruse . - ee 3s 9 Prepaid expenses and deferred charges... . 1 we ee 3 40a Land, butldings, and equipment cost or other basis Complete Part VI af Schedule 10a ates b Less accumulated depreciation... . 0b 28602 18,708] 10¢ 3042 41 tnvestments—publicly traded securities... sw u 42 Investments—other secunties See PartIV linet. 2. 2 13° Investiments—program-related See Part IV, linet... Fy 44 tntangible assets © 6. ee ry 45 Otherassets SeePartIVjinett . 2. 2 ee ee 72,000) 45 72,000 16 Total assets ines 1 though 15 (must equaline34) vs + + + 265.357) 46 24.077 47 Accounts payable and accrued expenses... ss e+ wear) 47 a7 418 Grantspayable © 6 ee ee 18 49 Deferrecreverue ee 19 701000 20 Tax-exemptbondiiabilties 6. ee 20 24 Escrowor custodial account lability Complete Part IV of Schedule D 2 22 Loans and other payables to current and former officers, cirectors, trustees, key employees, highest compensates employees, and disqualified persons Complete Part If ofScheduleL . . ee ee saat7]|_ a2 23 Secured mortgages and nates payable to unrelated thud parties. 23 24 Unsecured notes and loans payable to unrelated third parties. + 24 25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24) Complete Part ofscredule D 26 Total labiitlesAdd ines 17 through25 v= = = = : s0204] 26 e208 ‘Organtzatlons that follow SFAS 117 (ASC 958), check here P[g and complete $ lines 27 through 29, and lines 33 and 34, B [28 temporanly resinctednet assets... 28 E fas permanentiyresinetednet assets sv vr ev toe rs 29 é ‘Oranizatlons that donot follow SFAS 117 (ASC 956), check here ® [~ and 5 ‘complete lines 30 through 34. £ |30 capital stock ortrust principal, or current funds... we ee 30 % |34 paid-in or capital surplus, or land, building or equipment fund. « Bt & [52 retained earnings, endowment, accumulated income, or other funds 32 B [ss totarnetassets orfundbalances . . . we Tara] 38 Tres 34 Total liabilities andnetassets/fund balances». + + + zesa07] 34) 234.07 Form 990(2015)Form 990 (2015) Page 12 [ETECI Reconcilliation of Net Assets Check if Schedule O contains a response or note to any line inthis PartxXT we oe 1 Total revenue (must equal Part VIII, column(A),line12) 6 6 ss 6 ee ee ee 1 523,535 2 Total expenses (must equal Part Ix, column (A),line 25) 2 2 2 6 ee ee 2 586,855 3. Revenue less expenses Subtractline 2fromlineh ss ee ee ee 3 63,320 4 Net assets or fund balances at beginning of year (must equal Part X, ine 33, column (Aj). 4 235,103, 5 Net unrealized gains (losses) on investments 2 2 2 ee ee 5 6 Donated services anduse of facilities... a a a 6 7 Investmentexpenses - 6 6 ee ee ee z 4B Priorperiodadustments - 2 6 2 2 ee ee 8 9 Other changes in net assets or fund balances (explain in Schedule} = - . + = = ° 40 Net assets or fund balances at end of year Combine lines 3 through $ (must equal Part x, line 33, column (B)) 10 171,783 [ESI Financial Statements and Reporting Check ifSchedule © contains a response ornote to anyline inthis PartXI] 2 2. porno Yes | No 4 Accounting method used to prepare the Form 990 cash Maccruat [other Ifthe organization changed its method of accounting from a prior year or checked “Other,” explain ih Schedule 0 2a Were the organization's financial statements compiled or reviewed by an independent accountant? 2a No 1f'¥es,/check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both [Separate basis TF consohdated basis [Both consolidated and separate basis b Were the organization's financial statements audited by an independent accountant? ab | ves If'¥es,’check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both Fy Separate basis Tconsondated basis TF Both consolidated and separate basis € If "es," to line 2a or 2b, does the organization have a committee that assumes responsibility for aversight of the audit, review, or compilation ofits financial statements and selection of an independent accountant? 2c | ves Ifthe organization changed either its oversight process or selection process during the tax year, explain in Schedule 0 3a As a result of a federal award, was the organization required to undergo an aucit or audits as set forth in the Single Audit Act and OMB Circular A-1337 32 No. b If*Yes," did the organization undergo the required audit or audits? Ifthe organization did not undergo the required audit ar audits, explain why in Schedule O and describe any steps taken to undergo such aucits 2b Form 990 (2015)[efile GRAPHIC print - DO NOT PROCESS. DLN: 93493320110536) [OMB No 1545-0047 SCHEDULE A Public Charity Status and Public Support (Form 990 or Complete if the organization is a section 501(c)(3) organization ora section 990Ez) '4947(a)(2) nonexempt charitable trust. Attach to Form 990 or Form 990-7 > Information about Schedule A (Form 990 or 990-£2) and its instructions is at Pear ot www.irs.aov/formss0. Intemal Revenue Serve Name of the organization rr en Employer identification number 11-3604756 Reason for Public Charity Status (All organizations must complete this part.) See instructions. The organization 1s nota private foundation because itis (i lines 1 through 11, check only one box ) 1 [A .church, convention af churches, or association of churches described in section 170(b)(4)(A)(i) 2 [A school described in section 170(b)(1)(A)(H)Attach Schedule E (Form 990 oF 990-EZ)) 3 [— A hospital ora cooperative hospital service organization described in section 470(b)(1)(A)(H}). 4 [7 A medical research organization operated in conjunction with @ hospital described in section 470(b)(4)(A KIN). Enter the hospital's name, city, and state 5 [~_Anorganization operated for the Benefit of = college oF university owned or operated by @ governmental unit described in section £70(b)(4)(A){iv). (Complete Part 11) 6 [A federal, state, oF local government or governmental unit descnbed in section 470(b)(1)(A)(). 7 fF Anorganization that normally receives a substantial part of ts support fom a governmental unit or from the general public described in section 470(b)(2)(A (vi). (Complete Part 11) 8 Accommunity trust described in section 470(6)(2){A)(Wi) (Complete Part 11) 9 Anorganzation that normaly receives (1) more than 331/38 of ts support from contributions, membership fees, and gross receipts fom activities related to its exempt functions ~subject to certain exceptions, and (2) no mare than 331/33 of ts support from gross investment income and unrelated business taxable income (less section 511 tax) fom businesses acquired by the organization after June 30,1975. Seeseetion 509(a)(2). (Complete Part 11] } 10 [_ Anorganization organized and operated exclusively to test for public safety See section 509(a)(4). 11 [—_Anorganization organized and operated exclusively for the benefit of, to perform the functions af, arta carry out the purposes of one or more publicly supported organzations described in section $09{a)(1) ar section 509(a)(2) See seetlon 509(a)(3)- check the box in ines 11 through 114 that descnbes the type of supporting arganization and complete lines 1 1e, 11f,and 119 2 Type. supporting organization operated, supervised, or controlled by its supparted organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a major ofthe directors or trustees of the supporting organization You must complete Part IV, Sections A and 8. [Type TE. supporting organization supervised or controlled in connection with its supported organtzation(s), by having control or management of the supporting ofganization vestea in the same persons that control or menage the supportes organization(s) You trust complete Part TV, Sections A and C © [7 Type TI functionally integrated. A supporting organization operated in connectian with, and functionally integrated with ts supported organization(s) (see instructions) You must complete Part IV, Sections A, D, and E. 4 [Type TIE non-functionally integrated. 4 supporting organization operated in connection with its supported organvzation(s) thet rs not functionally integrated The organization generally ‘rust satisfy a distribution requirement and an attentiveness requirement (see instructions) You must complete Part IV, Sections A and D, and Part V. © [Check this box ifthe organization received a wnitten determination from the IRS that itis a Type I, Type II, Type LIL functionally Integrated, or Type ITI non-functionally integrated supporting organization f Enter the number of supported organizations a Provide the following information about the supported organization(s) o (EN cy (wy oy ow Name of supported organization Type of Is the organization Amount of Amount of other organization | listed in your governing | _manetary support | support (see (described on lines document? (see instructions) | instructions) 1-9 above (see Instructions) Yes No. Total For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ. (cat No 11285 Schedule A (Form 990 or 990-£Z) 2015.Schedule A (Form 990 of 990-EZ) 2015 Page 2 [EEIEEIE support Schedule for Organizations Described in Sections 170(b)(4)(A)(iv) and 170(b)(4)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to quality under Part IIL, Ifthe organization fails to qualify under the tests isted below, please complete Part II] Section A. Public Support ‘Calendar year (or Fiscal year begining in) butions, and not incluce any unusual arants ) 2. Tax revenues levied forthe organzatton’s benefit and either paid to or expended on its behalf 3. The valve ofservices or faciites uirmshed by a governmental unit to the organization without charge 4 Total, Add lines 1 through 3 aa sas ay al Ear AGES 5 The portion of total contnbutions by each person (other than Governmental unit or publicly Supported organrzation) included rast online 1 that exceeds 2% of the mount shown on tine 11 colurnn o 6 Public support. Subtract ine 5 from line 4 Section 6. Total Support Calendar year (or Fiscal year beginning in) 3 Gross income from inter dividends, payments received on os as a a 0 secunties loans, rents, royalties 9 Netincome from unrelated business activities, whether o not the business 1s regulary, 10. Otherincome De not include gain or loss ‘rom the sale of , capital assets (Explain in Part 2.874 ad vt) 11 Total support. Add ines 7 through 10 12. Gross receipts from rela 3 ate (eee structions) 2 37351 13. First five years.ifthe Form 990 1s forthe organization's fist, second, third, fourth, orth tax year as a section SOT (e)a) organization, check this box and stop here... >t Section C. Computation of Public Support Percentage Ta Public support percentage for 2015 (ine 6, column ( divided by hne 11, column (Hy 4 93.540 % (aot (b)2012 (2013 (aars (2035 (nTotal (ayant (ey2012 (2013, (ay2014 (e201 (Total 275,10 activ 45 Public support percentage for 2014 Schedule A, Part If, line 14 15 39 870% 16a. 33 1/3% support test—2015.f the organization did not check the box on line 13, and line 14 15 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization iad b 33.1/3% support test—2014.1F the organization did not check a box on line 13 of 16a, and line 15 1s 23 4/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization rT 17a 10%-facts-and-circumstances test—2015.if the organization dic not check a box on line 13, 16a, or 26, and line 14 1s 10% or more, and ifthe organization meets the facts-and-circumstances test, check this box and stop here, Explain In Part Vi how the organization meets the "facts-and-circumstances" test The organization qualifies as a publicly supported organization rT 1b 10%facts-and-circumstances test—2014.1 the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 1s 10% or more, and ithe organization meets the "facts-and-circumstances” test, check this box and stop here. Explain in Part VI how the organization me: ‘and-circumstances” test The organization qualifies as a publicly supported organization mr 18 Private foundation.if the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see Instructions rT “Schedule A (Form 990 or 990-EZ) 2015.Schedule A (Form 990 of 990-EZ) 2015 Page 3 MEZIISITME Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II, If the organization fails to qualify under the tests listed below, please complete Part Il Section A, Public Support Calendar year 7 3 @oois oa eS (011 doz | co2013 | (@no1a | cerzot (yrot 1 Grits, grants, contnbutions, and membership fees received (0 not include any “unusual grants ") 2 Gross receipts fram admissions, merchandise sold or services Derformed, or facilities furnished tn any activity that is related to the organization's tax-exernpt purpose 3 Gross receipts from activities that are not an unrelated trade or business under section 513 4 Tax revenues levie for the organization's benefit and either paid to or expended on ts behalf 5 Thevalue of services or facites furnished by a governmental unt to the organization without charge 6 Total. Ads lines 1 through § Ya Amounts included on lines 1, 2, ana 3 received trom disqualived persons bb Amounts included on tines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year € Add tines 7a and 7 8 Public support. (Subtract line 7c from ine 6 Section 8. Total Support Calendar year a : a i as sce een q2o11 | por2 | @a2013 | a0 (2015 | enyrotal ‘9 Amounts from line 6 40a Gross income from interest dividends, payments received on secunties loans, rents, royalties and income from similar sources b Unrelated business taxable income (less section 511 taxes) from businesses acquired ater June 30, 1975 € Add tines 1a and 10b 11. Net income fom unrelated business activities nat included inline 106, whether or not the business 15 regularly carried on 12, Other ncome Do not include gain or loss from the sale of Capital assets (Explain in Part vay 13, Total suppor. (Add tines 9, 10¢, 11,and.12) 14 First five yearsf the Form 990 1s forthe organization's WSt, Second, TVG, fourth, oF hh fax year as a section SOT(EN3] ovaanizaton, check this box and stop here > Section C, Computation of Public Support Percentage TS Publie support percentage for 2015 (ine 8, column (divided by hne F3, column) Fa 16 _Public support percentage from 2014 Schedule A, Part tt, ne 25 16 Section D. Computation of Investment Income Percentage 17 Tavestment mcome percentage for 2025 (Ine 70¢, column (divided by Tne 23, column TO) v7 18 Investment income percentage from 2044 Schedule A, Part IH, tine 17 19a 33 1/3% support tests—2015.1f the organization did not check the box on line 14, and line 15.48 more than 33 1/996, andline 17 = not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization > b_33.1/3% support tests—2014. the organization did not check a box on line 14 or line 19a, and line 16 1s more than 33 1/3% and line 18 1s not mare than 33 1/2%, check this box and stop here. The organization qualifies as a publicly supported organization r 20 private foundation.f the organization did not check 2 box on line 14, 19a, or 19b, check this box and see instructions a ‘Schedule A (Form 990 or 990-EZ) 2015Schedule A (Farm 990 of 990-EZ) 2015 Page 4 Supporting Organizations (Complete only if you checked a box on line 11 of Part If you checked 11a of Part I, complete Sections A and B If you checked 1 Lb of Part L, complete Sections A and C If you checked 11¢ of Part L, complete Sections A, D, and E If you checked 1 1d of Part 1 complete Sections A and , and complete Part V ) Section A. All Supporting Organizations Yes 1 Areall of the organtzation’s supported organizations listed by name in the organization's governing documents? 11 "No," describein Part VE how the supported organizations are designated If designated by class or purpose, describe the designation If steric and continuing ‘elatienship, explain 2. Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) oF (2)? If "Yes," explain in Part VE how the o.ganization determined that the supported organization was described in section '509(a)(1) oF (2) 3a Did the organization have a supported organization described in section 504 (c){4), (5), oF (6)? 11 "Yes," answer (b) and (c) below bb Did the organization confirm that each supported organization qualified under section 501 (c}(4), (5), oF (6) and satisfied the public support tests under section 509(a)(2)? 7 "Yes," describe im Part VI when and how the organization made the determination 3b Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(8) purposes? 11 "Yes," explain in Part VE what controls the ergantzation put in place to ensure such use ‘4a Was any supported organization not organized in the United States ("foreign supported organization")? 11 "Yes" and if you checked 11a or 11b in Part I, answer (b) and (c) below bb Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? 11 "Yes," describe m Part VI how the organization had such control and discretion despite being contiolied or supervised| by or sm connection with ts supported organizations € Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(2)(1) or (2)? IF "Yes, "explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)'8) purposes 5a Did the organization add, substitute, or remove any supported organizations during the tax year? 11 "Yes," answer (b) and (¢) below (if applicable) Also, provide detail in Part VI, including (1) the names and EIN humbers of the supported organizations added, substituted, or removed, (u1) the reasons far each such action, (11) the ‘authority under the organization's organizing document authorizing such actian, and (Wv) how the action was ‘accomplished (such a5 by amendment to the organizing document) \b Type I or Type It only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document? Sb € Substitutions only. Was the substitution the result of an event beyond the organization's control? 6 Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone ather than (a) its supported organizations, (b) individuals that are part of the charitable class benefited by ‘one or more of its supported organizations, or (c) other supporting organizations that also support or benefit ane or more ofthe filing organtzation’s supported organizations? If "Yes, "provide detail in Part VE- 7 Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defines in IRC 4958(c)(3)(C)}, @ family member of a substantial contributor, or a 35-percent controlled entity vith regard to @ substantial contnbutor? If "Yes," complete Part I of Schedule L (Form 990) 8 Did the organization make a loan to @ disqualified person (as defined in section 4958) not described in line 7? IF Yes,” complete Part IT of Schedule L (Form 990) 9a Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509 (@)(1) or (2))? IF "¥es,” provide detail in Part VI. bb Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the Supporting arganization had an interest? If "Yes," provide detail m Part VI. 9b € Dida disqualified person (as defined inline 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? if "Yes," provide detat! in Part VI. 0a. Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type TIT non-functionally integrated supporting organizations)? If "ves, “answer b below bb Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings) 14 Has the organization accepted a gift or contribution from any of the following persons? @ A person wio directly or indirectly controls, either alone or together with persons descrived in (b) and (c) below, the governing body of a supported organization? ata A family member of a person described in (2) above? erry € A. 35% controlled entity of a person described in (a) oF (b) above?If "Yes toa, b, oF ¢, provide deta! im Part VI ite Schedule A (Form 990 or 990-EZ) 2015Suppor edule A (Form 990 of 990-EZ) 2015, Page 5 ig Organizations (continued) Section B. Type I Supporting Organizations Yes | No 4 Did the directors, trustees, or membership of one or more supported organizations have the power to requlariy appoint of elect at least a majority of the organization's directors or trustees at all times during the tax year? IF "No," describe in Part VI how the supported organization(s} effectively opetated, supervised, ar cantralied the organizations activities If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year 1 2. Did the organization operate for the benefit of any supported organization other than the supported organization(s} that operated, supervised, or controlled the supporting organization? IF "Ves," explain in Part VE how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization 2 Section C. Type 1 Supporting Organizations Yes | No 4 Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization's supported organization(s)? IF "No," describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s) 1 ‘Section D. All Type IIT Supporting Organizations Yes | No 4. Did the organization provide to each of ts supported organizations, by the last day af the fith month of the organization's tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization's governing documents in effect on the date of notification, ta the extent not previously provided?|_4 2 Were any of the organization's officers, directors, or trustees either (1) appointed or elected by the supported organization(s) or (1) serving on the governing body of a supported organization? 11 "No," explain in Part VF how the organization maintained a close and continuous working relations ip with the A supported organization(s) 3. By reason ofthe relationship described in (2), did the organization's supported organizations have a significant voice in the organization's investment policies and in directing the use of the organization's income or assets at all times during the tax year? 11 "es," describe in Part VI the role the organization's supported organizations played in this regard 3 ‘Section E. Type III Functionally-Integrated Supporting Organizations 4 Check the box next ta the method that the organization used to satisfy the Integral Part Test during the year (see Instructions) a [The organization satisfied the Activities Test Complete line 2 below bb [The organization is the parent of each of ts supported organizations Complete line 3 below © [The organization supported 2 governmental entity Describe in Part VI how you supported a government entity (see instruc tions) 2 Activities Test Answer (a) and (b) below. Yes | No 2 Did substantially all of the organization's actwities during the tax year directly further the exempt purposes of the| supported organization(s) to which the organieation was responsive? If "Yes," then in Part VI Identify those supported organizations and explain how these activities directly furthered their exempt purposes, hiow the organization was responsive fo these s upported organizations, and how the organization determimed that these activities constituted substantially all ofits activities 2a b Did the actwities described in (a) constitute activities that, but for the organization's involvement, one or more off the organization's supported organization(s) would have been engaged in? 11 "¥es," explain in Part VI the reasons for the ergamrzation's position that its supported erganrzation(s) would have engaged im these activities but for the organization's involvement 2b 3. Parent of Supported Organizations _ Answer (a) and (b) below. a Did the organization have the power to regularly appoint or elect a majonty of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI 3a bb Did the organization exercise a substantial degree of direction over the policies, pregrams and activities of each of its supported organizations? If "Yes," describe n Part VI the role played by the organization in this regard 3b “Schedule A (Form 990 or 990-EZ) 2015.Schedule A (Form 990 or 990-EZ) 2015 KEEERID Type 111 Non-Functionally Integrated 509(a)(3) Supporting Organizations Page 6 1 Check here fhe organcation sausted the Tnegral Pan Testes 8 qualiving Wust on Nov 20, 1970 See Instructions, AN other Type III non-funetionally integrated supporting organizations must complete Sections A through E c Section A - Adjusted Net Income (a Prox Year pemenie 1 Net short-term capital gain z 2 Recovenes of pnor-year distributions 2 3 Other gross income (see instructions) 3 4 Add ines 1 through 3 4 5 Depreciation and depletion 5 Portion of operating expenses paid or mcurred for production or collection of 6 gross income or for management, conservatin, or maintenance of propery held for production of income (see instructions} 6 Other expenses (see instructions) Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) @ Curent Year Section B - Minimum Asset Amount (WP Year a t_ Adaregate fair market value ofall non-exempt-use assets (see instructions for short tex year or assets held for pat of year) 1 a Average monthly value of secures ia b Average monthly cash balances ib € Fair market value of other non-exempt-use assets ie Total (add lines 1a, 1b, and 1¢) ra fe Discount claimed for blockage or other factors (explain in detail in PareVI) Acquisition indebtedness applicable to non-exemot use assets 2 Subtract line 2 from line 44 3 dg Cash deemed held for exempt use Enter 1-1/2% of ime 3 (or greater amount, see instructions) 4 5 Net value ofon-exempt-use assets (subtract line 4 from lie 3) 5 6 Multiply tine 5 by 035 6 7 Recoveries of prior-year distributions 7 8 Minimum Asset Amount (add line 7 to ine 6) 3 Section C - Distributable Amount Canerk Year 1 Adusted net income for prior year (from Section A, line 8, Column A) z 2 Enter 85% of ne 1 2 3. Minimum asset amount fr prior year (ftom Section 8 tine 8, Columna) — [3 4 Enter greater of ine 2 or line 2 4 5 Income tax imposed m prior year 5 6 Distributable Amount. Subtract line S from line 4, unless subject to emergency temporary reduction (eee structions} 6 7 Check here ithe current year isthe organveatio’s fist as a non-functionally-integrated Type TIT supporting argancaton (eee instructions) [— Schedule A (Form 990 or 950-EZ) 2015,Schedule A (Form 990 or 990-EZ) 2015 KEERI. type 111 Non-Func ‘Section D - Distributions Amounts paid to supported organizations to accomplish exempt purposes 2 Amounts paid to perform actwity that directly furthers exempt purposes of supported organizations, in excess of income from activity 3_Administrative expenses paid to accomplish exempt purposes of supported organizations 4 Amounts pard to acquire exempt-use assets 5 Qualified set-aside amounts (prior IRS approval required) 6 Other distnbutions (desenbe in Part VI) See instructions 7_ Total annual distributions. Add lines 1 through 6 8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part V1) See instructions 9 Distributable amount for 2015 from Section C, line 6 10_Line @ amount divided by Line 9 amount Page 7 nally Integrated 509(a)(3) Supporting Organizations (continued) Current Year i + Distributi i i Gi) Gi Section € Distribution allocations (see | | undrtinion biaretabe pees amon for 365 a 2 Underdistributions, ifany, for years prior to 2015, (reasonable cause required--see instructions) {cess distributions carryover, any, to 2015 3 b d_ From 2013, fe From 2014 f Total of lines 3a through © 9 Applied to underdistnbutions of pnor years fh Applied to 2015 distributable amount T Carryover from 2010 not apalied (see instructions) J Remainder Subtract ines 39, 3h, and 31 from 3f Distributions for 2015 from Section D, line 7 $ aA ied to underdistributions of prior years b Applied to 2015 distributable amount © Remainder Subtract lines 4a and 4b from 4 5 Remaining underdistributions for years pror to 2015, ifany Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) © Remaining underdistributions for 2015 subtract ines 3h and 4b from line 1 (if amount greater than zero, see instructions) 7 Excess distributions carryover to 2026. Add lines 3yand 4c Breakdown of i b Excess from 2013, @ from 2014, e From 2015. ‘Schedule A (Form 990 or 990-2) (2015)Schedule A (Farm 990 or 990-EZ) 2015 PageS. EENSU9 Suppiemental Informa a Provide the explanations required by Part II, line 10; Part Il, line 17a or 17; Part II, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 40, 4c, 5a, 6, 9a, 9b, 9C, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Secuon €, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line ie; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions} Facts And Circumstances Test Return Reference Explanation PAR LINE 10 loTHER INCOME 2,876 “Schedule A (Form 990 or 900-EZ) 2015[efile GRAPHIC p SCHEDULE D (Form 990) it - DO NOT PROCESS Supplemental Financial Statements 20 1 5 > Complete if the organization answered "Yes," on Form 990, Coo Part 1V, line 6, 7,8, 9, 40, 11a, 14b, 14¢, 144, 146, 14F, 12a, or 42b, '» Attach to Form 990. Department of the Teeny Information about Schedule D (Form 990) and its instructions is at www-irs.gov /forms90. porary ‘Name of the organization Employer identification number ‘ARAB AMERICAN ASSOCIATION OF NY INC 11-3606756 KEENE Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6. (a) Donor advised funds (b)Funds and other accounts, 1 Total number at end of year 2 Aggregate value of contnbutions to (during year) 3 Aggregate value of grants from (during year) 4 Aguregate value at end of year Did the organization inform all donors and donor advisers in writing that the assets held in donor advised funds are the organization's property, subject to the organization's exclusive legal control? Dyes [No 6 Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring mpermissible private benefit? [yes no [EEEEGE conservation Easements. Complete i he organzation answered "Yes" on Form 590, ParIV, Ine 7 1 Purpose(s) of conservation easements held by the organization (check all that apply) T Preservation of land for public use (e g , recreation or education) I Preservation of an historically important land area I Protection of natural habitat I Preservation of a certiied histone str TT Preservation of open space 2 Complete lines 2a through 2¢ ifthe organization held a qualified conservation contribution 1n the form of a conservation easement on the last day of the tax yea: Held at the End of the Year a Total number of conservation easements 2a b Total acreage restricted by conservation easements 2b Number of conservation easements on a certified historic structure included in (a) 2e d__ Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in che National Register 24 3 Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year. 4 Number of states where property subject to conservation easement is located P. Does the organization have a written policy regarding the periodic monitoring, inspect Jn, handling of violations, and enforcement of the conservation easements it holds? Fes [No 6 Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year ». 2 Amount of expenses mcured im montonng, mspecting, handling of violations, and enforcing conservation easements dung the year ms 8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4) (ye) and section 170(N} 60)? Tes he 9 InPart x111, desenbe how te organization reports conservation easements nits revenue and expense statement, and balence sheet, and clades tfppueeble, the text of te fcttote tothe orgenrzatons financial statements thet describes che organization's accounting far conservation easements [EIEGY Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets, Complete if the organization answered Yes" on Form 390, Part IV, ine 6 da ithe organization elected, as permitted under SFAS 116 (ASC 958), not to report n ts revenue statement and balance sheet works ofart historical treesures, of oer smile assets hela for pubic exhbiton, education, or research in furerance of public Sotwce, provide, in Pare XIE, the text ofthe footnote tos nancial statements that deserves these les b_ Ifthe organization elected, as permitted under SFAS 116 (ASC 958), to report ints revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these rtems (D Revenue included on Form 990, Part VIII, line 1 hs (i) Assets included in Form 990, Part x bs 2. Ifthe organization received oF held works of art, historteal treasures, or other similar assets for financial gain, provide the following amounts required to be reported under SFAS 116 (ASC 958) relating t 2 Revenue sded on Form 990, Part VITT, line 1 bs b Assets included in Form 990, Part x bs For Paperwork Reduction Act Notice, see the Instructions for Form 980. Tat No 52283D Schedule D (Form 990) 2015Schedule 0 (Farm 990) 2015 Page 2 EETIEEE! 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 following that are a significant use ofits collection items (check all that apply) 2 Public exhibition 4 TF Loan or exchange programs [7 Scholarly research *« fo © 7 Preservation for future generations 4 Provide a description ofthe organization’ collections and explain how they further the organization's exempt purpose in Pare XIT 5 Dung 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’ collection? [ves [No Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21, 1a Is the organization an agent, trustee, custodian or other intermediary for contnbutions or other assets not Included on Form 990, Part x? ves [No b _If"Yes," explain the arrangement in Part XILT and complete the following table Amount © Beginning balance ae 4 Additions during the year ad © Distnbutions during the year te £ ending balance af 2a Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account lability? [yes [No b_1F+¥e5,* explain the arrangement in Part XII] Check here ifthe explanation has been provided nPartxit! ........ O EXERA Endowment Funds, Complete if the organization answered "Yes" to Form 990, Part IV, line 10 Ceicurrert you (oppor year [b (ePTwo yours back] (Three years back | (j)Four years back 4a Beginning of year balance b Contnbutians © Net investment earnings, gains, and 4. Grants or scholarships 2 Other expenditures for facilities and programs f Administrative expenses 9 End of year balance 2 Provide the estimated percentage of the current year end balance (line 19, column (a}) held as. 2 Board designated ar quast-endowment ® b- Permanent endowment ® © Temporarily restr > ‘The percentages on lines 2a, 2b, and 2c should equal 100% ted endowment 3a Are there endowment funds not in the possession of the organization that are held and administered for the organization by Yes | No (i) unrelated organizations ee EO) i) related organizations. : 3atil) ted organizations listed as required on Schedule R? .: -[3e funds b_ IF"Yes" on 3a(u), are the rel 4 Describe in Part XIII the intended uses of the organization's endowmel Land, Buildings, and Equipment. Compete if the organization answered ‘Yes! to Form 990, Part IV, lie 11a,See Form 990, Part x, ine 10 Description of property Com or other bass] (b) ‘ecumulated | (d)B00K value a) tinvestment) [cost or other bas (other ta Land b Buildings © Leasehold improvements 22,300) 11628 10.67 4 Equipment 19.424 17.054 2.370 e other Total, Add lines ia through 1e (Column (a) must equal Form 990, Part X, column (B), ime 10%e) ) > Bowe “Schedule D (Form 990) 2015