ECDC 2005 Add-On
ECDC 2005 Add-On
ECDC 2005 Add-On
18
06
05:05p
Angie
Johnson
252-527-5488
P,5
CO,
INC
56-2044953
Pace 2
Part 111
r0
Yes
No
During the year, has the organization attempted to influence national, state, or local legislation, including any attempt to influence public opinion on a legislative matter or referendum? If "Yes,' enter the total expenses paid or incurred in connection with the lobbying activities Part VI-A, or line t of Part VI-B) (Must equal amounts on line 38, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Organizations that made an election under section 501(h) by filing Form 5768 must complete Part VI-A Other
organizations checking "Yes" must complete Part VI-B AND attach a statement giving a detailed description of the lobbying activities 2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any substantial contributors, trustees, directors, officers, creators, key employees, or members of their families, or with any taxable organization with which any such person is affiliated as an officer, director, trustee, majority owner, or principal beneficiary' (If the answer to any question is 'Yes," attach a detailed statement explaining the
transactions ) a b
c d e 3a
2a 2b
2c 2d 2e
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Do you make gants for scholarships, fellowships, student loans, etc " (If 'Yes," attach an explanation of how you determine that recipients qualify to receive payments) 3a 3b . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b Do you have a section 4o3(b) annuity plan for your employees? 4 a b on the use or distribution of funds . .
Did you maintain any separate account for participating donors where donors have the right to provide advice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4a 4b Do you provide credit counseling, debt management, credit repair, or debt negotiation services?
,Pad V Reason for Non -Private Foundation Status (See pages 3 through 6 of the instructions.)
The organization is not a private foundation because it is (Please check only ONE applicable box ) 5 6 7 8 9 10 11a u A church, convention of churches, or association of churches Section 170(b)(1)(A)() u A school Section 170(b)(1)(A)(u) (Also complete Part V) u A hospital or a cooperative hospital service organization Section 170(b)(1)(A)(ui) u A Federal, state, or local government or governmental unit Section 170(b)(1)(A)(v). u u A medical research organization operated in conjunction with a hospital Section 170(b)(1)(A)(w). Enter the hospital's name, city, and state ^ An organization operated for the benefit of a college or university ovmed or operated by a governmental unit. Section 170(b)(1)(A)(w) (Also complete the Support Schedule in Part IV-A ) An organization that normally receives a substantial part of its support from a governmental unit or from the general public Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A )
11b
12
u A community trust Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A)
u 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 chantable, etc , 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(a)(2). (Also complete the Support Schedule in Part IV-A )
13
An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations described in (1) lines 5 through 12 above, or (2) section 501(c)(4), (5), or (6), it they meet the test of section 509(a)(2) (See section 509(a)(3)) Provide the following information about the supported organizations (See page 5 of the instructions.) (a) Name(s) of supported organization(s) I (b) Line number from above
14
u An organization organized and operated to test for public safety. Section 509(a)(4) (See page 5 of the instructions-)
EEA Scheddc A (Fon n 990 or 990-E7-) 2004
Dec
18
06
05:O6p
Angie
Johnson
252-527-5488
p-6
INC
56-2044953
Page 3
Part IV - AT Support Schedule ( Complete only if you checked a box on line 10, 11, or 12) Use cash method of accounting. -Note. Ynr, may use the worksheet in the instructions for convertrna from the accrual to the cash method of accounting Calendar year (or fiscal year beginning in) 15 . ^ (a) 2003 ( b) 2002 ( c) 2001 ( d) 2000 ( e) Total
99,900
9 9, 9 0 0
199, 800
sold or services performed , or furnishing of facilities in any activity that is related to the org anization ' s charitable etc p ur pose
18 Gross income from interest, dividends, amounts received from payments on securities loans ( section 512 ( a)(5)), rents, royalties, and unrelated bus i ness taxable income (less section 511 taxes ) from businesses acquired by the organization after June 30, 1975 Net income from unrelated business
272,932
212 , 4 9 7
241, 023
241, 023
9 6 7, 475
6,082
5, 9 0 9
3 0, 4 9 8
39,55S
82,044
19 20
The value of services or facilities furnished to the organization by a governmental unit without charge Do not include the value of services or facilit es generally furnished to the public without charge . Other income Attach a schedule Do not include gain or ((ass ) from sale of capital assets Total of lines 15 through 22
22 23
279,014
24
25 26 b
6, 082 2,790
600 300 280, 878 1,249, 919 39, 855 282, 444 2,809
^ 26a .5, 6 4 9
. . . . . . . . . .
Prepare a list for your records to show the name of and amount contributed by each person ( other than a governmental unit or publicly supported organization ) whose total gifts for 2000 through 2003 exceeded the amount shown in hne 25a Do not file this list with your return . Enter the total of all these excess amounts . . 26b 26c 1 . . . . . . . . . . . . . . . ' ^ 26d 26e 2 6f . . . . ^
c d e f 27
Total support for section 509 ( a))1) test Enter line 24, column ( e) Add Amounts from column ( e) for lines Public support ( line 26c minus line 26d total) 18 22 82, 044 600
. . . . . . . . . . 19 26b
. . . . . . . . . . . .
444
, 82, 644 199, 800 70. 74%
. . . . . . . . . . . . . . . . . . . . . . .
Public support percentage (line 26e ( numerator ) divided by line 26c ( denominator ))
Organizations described on line 12 : a For amounts included in lines 15, 16, and 17 that were received from a "disqualified person," prepare a list for your records to show the name of, and total amounts received in each year from, each 'disqualified person ' Do not file this list with your return . Enter the sum of such amounts for each year (2003) b (2002) (2001) (2000)
For any amount included in line 17 that was received from each person (other than 'disqualified persons"), prepare a list for your records to show the name of and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000 (Include in the list organizations described in lines 5 through 11, as well as individuals ) Do not file this list with your return . After computing the difference between the amount received and the larger amount described in (1) or (2). enter the sum of these differences (the excess amounts) for each year (2003) (2002) (2001) 16 21 and line 27b total . . . . . . .. . .. . . .. . . . . . . . . . . . . ^ . . . . . . . . . . . . . . . . . . . . ^ ^ 27c 27d 27e
(2000)
c d e If g h 28
Add Amounts from column (e) for lines 17 Add Line 27a total . .
15 20
. . . . . . . . . ^ 27f
Total support for section 509(a)(2) test Enter amount from tine 23, column (e)
Public support percentage ( line 27e ( numerator ) divided by line 27f ( denominator )) . . . . . . . . . . . . ^ Investment income percentage (line 18 , column ( e) (numerator) divided by line 27f ( denominator )) . ^
27g 27h
% %
Unusual Grants: For an organization described In line 10, 11, or 12 that received any unusual grants during 2000 through 2003, prepare a list for your records to show, for each year, the name of the contributor, the date and amount of the grant, and a brief description of the nature of the grant Do not file this list with your return . Do not include these grants in line 15
EEA Sehedtlu A (Form 9r O Or 990 - 14 2004