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EXTE ~~S 10 ~1 A71 'I 'E D Return of Organization Exempt From Income Tax Form Under section 501(c), 527, or 4947(a)(1) 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 . Department of the treasury Internal Revernae Service 2 A For the 2003 calendar ear or tax ear be ginning 07 / 01 B Check aapplicable Please C Name of organization THE YOUNG MEN' S AND YOUNG naa~ use SRS WOMEN' S HEBREW ASSOCIATION change w'"° change IimBl rerun F~ml ream Amended atu rn AppIIestan rpendMg G Label or Number and street (or P.O . box if mail is not delivered to street address) print or type. see Specific 1395 LEXINGTON AVENUE dons. ~W YORK NY Check here 01 501(c) ( 3 ) -4 (insert no ) 4947(a)(1) or - XI Accrual H(a) Is this a group return for affiliates? F] Yes Ex-JNo H(b) If "Yes,' enter number of affiliates 1 527 Yes -EFNo H(c) Are all affiliates included? (If "No,' attach a list See instruclions- If the organization's gross receipts are normally not more than $25,000. The H(d) in the mail, it should file a return without financial data. Some states require a complete return . I Is this a separate return filed by an ~~ ereananHtm cewied by a aroue ruIInaT 1 I Y68 1~X I N0 Group Exem M Check 7 Gross receipts. Add lines lib, 8b, 9b, and 10b to line 12 1 I H and I are not applicable to section 527 organizations. organization need not file a return with the IRS; but if the organization received a Form 990 Package L I E Telephone number Cash 10128 ~ Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach a completed Schedule A (Form 990 or 990-EZ) . Organization type (check only one) jo-]{ K Room/suite City or town, state or country, and ZIP + 4 InstNc_ Website: " WWW .92NDSTY .ORG J D Employer identification number 1 ro Number 110- if the organization is not required to attach Sch. B Form 990, 99Q-EZ, or 990-PF). Revenue, Ex penses, and Chan ges in Net Assets or Fund Balances See page 18 of the instructions . 1 Contributions, gifts, grants, and similar amounts received: lmr CNj a Direct public support , , , , , , , , , , , , , , , , , , , , , , , , 1a b Indirect public support , , , , , , , , , , , , , , , , , . , , , , 1b M 31 c Government contributions (grants) 1c d Total (add lines la through 1c) (cash $ 0 2 14,428,357 . 3 Membership dues and assessments 4 Interest on savings and temporary cash investments 5 Dividends and interest from securities 1,325,512 . 3 Other investment income (describe 4 , , , , , , 5 3 , 194 , 419 . 6c 4 , 892 , 544 . 4', 892 544 . , , , , . , , , , , , , , , , , , , , , , , " (A) Securities than inventory , , , , , , , , , , , , , , c Gain or (lass) (attach schedule) 47 , 343 , 957 . 8a 3 , 597 , 534 . 46 , 543 , 321 . 8b 2 , 222 , 000 . 800 636 . 8c 3,179,268 . of STMT contributions reported on line 1a) , , , , , , , , , , , , $TW, 2 , b less: direct expenses other than fundraising expenses , , , , , , , , c Net income or (loss) from special events (subtract line 9b from line 9a) 10a Gross sales of inventory, less returns and allowances 1 Ob - ~ . . . . . . . . . . . . c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line 10a) 11 Other revenue (from Part VII, line 103) 12 Total revenue add lines 1d, 2, 3 4 5 6c 7, 8d, 9c10c " and 11 , 11 .R , , , , , , , , , , , -, 41 , 951 , 879 . 14 3 , 862 , 548 . 14 Management and general (from line 44, column (C)) , , , , , , , , . ~ 15 F un dra is in g (from line 44, column ( D)) W 16 Payments to affiliates (attach schedule) , . , , 17 Total expenses add lines 16 and 44, column j~)) : 18 Excess or (deficit) for the year (subtract line 17 from line 12) , , . . . . . . . . . . . . . . 18 Net assets or fund balances at beginning of year (from line 73, column (A)) _ , , , , , , , , , , , , , . 19 20 z ~ `- . ~Gb 4 ,ZOO9 Q ,~ 15 17 FTX4K9 L161 05/05/2005 13 :48 :50 V03-8 " 300955 ~ 21 544 522 . 866 , 677 . 16 Other changes in net assets or fund balances (attach explanation) , , , , , S~.'kiT,3, , , , , , , , , 20 Net assets or fund balances at end of ear combine lines 18 19 and 20 For Paperwork Reduction Act Notice, see the separate instructions . JSA 3E10102000 21 " m~1 , 1 . ~ 48 13 a 19 11 12 y , , , , , , ,I,~,Y 9c , , , , , 10c , , , , , , , . , , , , , , , 2 , 176 , 170 . 502 631 . . , , , , , , , , , , , , , . , , , , , , , , 8d 502 631 . 9b 0a . , " . El 9a , , , , , , , , 7 1 , 375 , 534 . Special events and activities (attach schedule). If any amount is from gaming, check here Program services (from line 44, column (B)) , , . (s) other d Net gam or (loss) (combine line 8c, columns (A) and (B)) . , . . . . . . . , . . . . . , . . a Gross revenue (not including $ w m Q 15 , 753 , 869, 22 , 527 , 520 . , , , , , , , , , , , , , , , , , , , , _ , , li b c Net rental income or (loss) (subtract line lib from line 6a) b Less: cost of goods sold 1d 2 , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . , , , b Less : cost or other basis and sales expenses . 13 ) , , , , , , , , , , , , _ , , , , , , , , , , , , , , , , , , , , 8 a Gross amount from sales of assets other 9 947 , 480 . norcasn 3 , , , , , , , , , , , , , , , , , , , , , , , _ , , , , .6a b Less : rental expenses 7 528 , 485 . Program service revenue including government fees and contracts (from Part VII, line 93) , , , , , , , 6 a Gross rents > m , , , , , , , . , , , , , , , , , 14 , 277 , 904 . 46 681 104 . 1 , 8 63 , 418 . 81 , 322 , 562 . 440 , 631a 83 626 611 . Form 990 (2003) n .1 `! \ FoSm 990 (243)t Statement of Functional Expenses Do riot include amounts reported on 22 Page 2 13-1624229 All organizations must complete column (A). Columns (B), (C), and (D) ate required for section 501(c)(3) and (4) organizations and section 4947(a)(1) nonexempt charitable trusts but optional for others. (See page 22 of the instructions.) (C) Management (B) Program (D) Fundraising (A) Total services and general Grants and allocations (attach schedule) ) 22 (cash $ nancash $ 23 Specific assistance toindividuals (attachschedule) 24 23 1 , 168 , 706 . Benefits paid to or for members (attach schedule) 24 28 Other salaries and wages , , , , , , , Pension plan contributions , , , , , , Other employee benefits , , , , , , , 26 27 28 19 , 827 , 103 . 607 793 . 1 , 880 , 207 . 32 33 34 35 36 37 Legal fees , . . Supplies Telephone , Postage and shipping , , , , , , , , , Occupancy , , , Equipment rental and maintenance . , 32 33 34 35 260 670 604 , 110 166 630 579 , 581 1 , 645 , 660 39 40 47 42 43 Travel Conferences, conventions, and meetings , Interest , , , . , , ~ , Depreciation, depletion, etc (attach s~4ie~dule,3 Other expenses nrncovered above (itemae)STbPl'_4 44 Total functional expenses (add lines n through 43). organizations completing columns (B)-JD), carry 25 Compensation of officers, directors, etc. 25 26 27 29 Payroll taxes , . 30 Professional fundraising fees , , , , , 31 Accounting fees 38 Printing and publications , , , , , , , b c d these totals tolines l3-15, , 29 30 31 38 37 38 39 40 41 42 43a 3b 3c 3d 608 , 392 . 1 , 851 , 972 . . . . . . 831 , 205 . 1 , 168 , 706 . 538 , 427 . 18 , 249 , 855 . 537 897 . 1 1 663 , 983 . 1 , 638 , 810 . 228 217 . 528 , 898 . 145 885 . 551 761 . 1 , 514 , 007 . "~.a ~ `' ~{s ~ :+~.~Iri 15 , 209 . 54 , 756 . 409 , 744 . 15 , 195 . 47 , 005 . 1 , 167 , 504 . 54 , 701 . 169 219 . 46 , 299 . 166 863 . 25 , 58 , 16 , 12 , 130 285 599 163 171 007 . . . . . 7 , 168 16 , 613 4 , 582 15 , 649 1 , 646 . . . . . 1 , 310 , 623 . 1 , 200 , 715 . 792 139 . 17 , 455 . 21 , 611 . 3 419 177 . 11 919 275 . 2 393 424 . 10 799 155 . 1 1 025 , 753 . 881 687 . 238 , 433 . 82 , 385 . 27 , 523 . 3e , 44 46 681 104 . 41 951 879 . 3 , 862 , 548 . 866 , 677 . Joint Costs. Check " if you are following SOP 98-2 . Are any joint costs from a combined educational campaign and fundraising solicitation reported m (B) Program services? , , , , , " a Yes X No ; (ii) the amount allocated to Program services $ If "Yes," enter (i) the aggregate amount of these joint costs $ (iii) the amount allocated to Management and general $ ; and (iv) the amount allocated to Fundraising $ Statement of Program Service Accomplishments See page 25 of the instructions . What is the organization's primary exempt purpose? " __________ SEE STATEMENTS 32-34 ____________ All organizations must describe their exempt purpose achievements in a clear and concise manner . State the number of clients served, publications issued, etc. Discuss achievements that are not measurable . (Section 501(cx3) and (4) organizations and 4947(a)(1) nonexempt charitable trusts must also enter the amount of 9 rants and allocations to others . ) a b Program Service Expenses (Required for 5o1(c)(3) aria (a) orgs ., and asa7(a)(7) ousts; but optional for others .) SEE_STATEMENTS_32-34_____________ ----------------------------------------------------------------------------------------------------------------------------------------------------1 168 706 . Grants and allocations $ 4 ----------------------------------------------------------------------------------------------------------------------------------------------------(Grants and allocations $ ) c --------------------------------------------------------------------------- --------------------------------------------------------------------------d e f (Grants and allocations $ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------(Grants and allocations $ ) (Grants and allocations.$ ) Other program services (attach schedule) . ." Total of Program Service Expenses (should equal line 44, column (B), Program services) . . JsA 3E1020 1 .000 FTX4K9 L161 05/05/2005 13 :48 :50 V03-8 300955 41,951,879 . Form 990 (2003) 13-1624229 Foam 990 (2003) Balance Sheets (See page 25 of the instructions.) Note : Where required, attached schedules and amounts within the description column should be for end-of-year amounts only. 45 46 (a) Beginning of year Cash - non-interest-bearing . . . . . . . . . . . . . . . . . . . . . . . . . . . Savings and temporary cash investments . . . , , , . , , , , . . . , , . . . . 47a Accounts receivable 47a b less : allowance for doubtful accounts . , , , , , , 47b f 48 969 .147c~ Pledges receivable , , , , , , , , , , , , _ , , , , 48a 8 , 906 , 136 less : allowance for doubtful accounts , , , , , , , 48b 773,946 Grants receivable Receivables from officers, directors, trustees, and key employees (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . zST!'?T . .3G . 51a Other notes and loans receivable (attach schedule) $Ti,-,T, gyp, 51a 93 , 832 b less : allowance for doubtful accounts , , , , , , 1 51b a 52 Inventories for sale or use , , , , , , , , , , , , , , , , , , , , , , , , , , , , 53 Prepaid expenses and deferred charges . . . . . . . . . . . . . . . 54 Investments - securities (attach schedule) ~~ ,5, " E] Cost . FL] FMV 55a Investments - land, buildings, and equipment: basis 55a b Less : accumulated depreciation (attach schedule) , , , , , , , , , , , , , , , , , , , , , , 55b 58 Investments - other (attach schedule) . . . . . , , . . , . , . . , . . . . . 57a Land, buildings, and equipment: basis , , , , , , , 57a 67 _, 771 , 489 b Less: accumulated depreciation (attach schedule) , , , , , , , , , , , , , , Other assets (describe " 57b 33 , 174 , 343 STMT 6 ) 59 60 61 62 63 Total assets (add fines 45 through 58 must equal fine 74) . . . . . . . Accounts payable and accrued expenses , , , , , , , , , , Grants payable , , , , , , , , . , , , , , , , , , , , , , , , , , , , , , , Deferred revenue . . . . . . . . . . . . . . . , . . . . . , . . . . . . . . Loans from officers, directors, trustees, and key employees (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . j 64a Tax-exempt bond liabilities (attach schedule) . . . , . . , . . , . . . . . b Mortgages and other notes payable (attach schedule) , , , , , , , , , , 65 Other liabilities (describe " STMT 66 Total liabilities (add lines 60 through 65 Organizations that follow SFAS 117, check here 67 through 69 and lines 73 and 74 . 67 Unrestricted . . . . . . . . . . . . . . . . . c 68 Temporarily restricted m 69 Permanently restricted . . . . . . . . . . . . " LJ and complete lines (B) End of year 2 , 112 , 373 . 45 7,847,152 . 46 ;T> . 48a b 49 50 58 Page . . . , , . . . . . . . . . , , , 7- ) 1 , 326 , 087 . 9,173,961 . 481 .384 . 49 97 478 .51c 52 91 , 109 . 53 5 744 795 . 54 93 , 832 . 190 998 . 40 168 030 . 55c 56 7 , 910 , 547 . 57c 196 323 . 58 34 597 146 . 119 , 532 . 2 , 935 , 257 . 59 4 , 216 , 701 . 60 61 7 , 246 , 595 . 62 94 283 158 . 3 , 512 , 440 . 6 , 937 , 555 . 63 64a 1 64b 612,695 .166 1 10,656 .547 . . . . . . . . . . . . . . . . . . . 75 .152 .1 67 . . . . . . . . . . . . . . . . 23 . 620 .342 .1 69 Organizations that do not follow SFAS 117, check here 0, Fland complete lines 70 through 74 . 0 70 Capital stock, trust principal, or current funds , , , , , , , , , , , , 71 Paid-in or capital surplus, or land, building, and equipment fund , , , , , , , , y 72 Retained earnings, endowment, accumulated income, or other funds , , , , , Q 73 Total net assets or fund balances (add lines 67 through 69 or lines 70 through 72 ; column (A) must equal line 19' column (B) must equal line 21) 74 Total liabilities and net assets I fund balances add lines 66 and 73 935,257 .1 74 9-~~ Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a particular organization. How the public perceives an organization in such cases may be determined by the information presented on its return . Therefore, please make sure the return is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments. JSA 3E1030 2 000 FTX4K9 L161 05/05/2005 13 :48 :50 V03-8 300955 13-1624229 Form 990 (2063) a b Reconci liation o Revenue per u ite Financial Statements with Revenue per Return See page 27 of the instructions . Total revenue, gains, and other support per audited financial statements , , " a 48,125 Amounts included on line a but not on line 12, Form 990 : (1) Net unrealized gains on investments , , ; (2) Donated services and use of facilities $ (3) Recoveries of prior year grants , . , , $ (4) Other (specify) : a b on line 17, Form 990 : (1) Donated services and use of facilities $ (2) Prior year adjustments reported on line 20, Form 990 , S (3) Losses reported on line 20, Form 990 $ 440 ,631 . 309 . 000 . Line a minus line b Amounts included on line 12, t c 47 375 816 . Form 990 but not on line a : (1) Investment expenses not Included on line 6b, Form 990 , , , $ (2) Other (specify): STMT 8 e S 309,000 . 1,168,706 . Add amounts on lines (1) through (4) . , Line a minus line b , , , , , , , , , Amounts included on line 17, Form 990 but not on line a : (1) Investment expenses not included on line 6b, Form 990 , , , $ (2) Other (specify): c d STMT 9 $ 1,168,706 . Add amounts on lines (1) and (2) . , " d Add amounts on lines (1) and (2) . , " d 1 , 168 , 706 . 1 , 168 , 706 . Total revenue per line 12, Form 990 e Total expenses per line 17, Form 990 line c plus line d " " " " " " ~ " line c p lus line d ~ ~ ~ ~ ~ ~ ~ ~ ~ " " e 46 , 681 , 104 . 41 , 544 , 522 . 1 List of Officers, Directors, Trustees, and Key Employees (List each one even if not compensated ; see page 27 of (B) Title and average I hours per week (A) Name and address 75 Page 4 (4) Other (specify): S Add amounts on lines (1) through (4) " L c d tteconcmation of txpenses per Auaiten Financial Statements with Expenses per Return Total expenses and losses per audited financial statements , , , , " a 45 , 82 1 Amounts included on line a but not dPVMed in nositknn (C) Compensation (If not paid, enter -0-.1 (D) Contributl= to 8 I employee benefit plans deferred cannensaGon Did any officer, director, trustee, or key employee receive aggregate compensation of more than $100,000 from your organization and all related organizations, of which more than $10,000 was provided by the related organizations? If "Yes," attach schedule - see page 28 of the instructions . " rise account and other allowances U Yes U No Fog 990 (2003) JSA 3E1040 2 .000 ETX4K9 L161 05/05/2005 13 :48 :50 V03-8 300955 yyu cuw i~ _ .L-0c ~ d. d. ~ ON, .... Information See p a ge 28 of the instructions . 76 Did the organization engage in any activity not previously reported to the IRS? If "Yes," attach a detailed description of each activity , , 77 Were any changes made in the organizing or governing documents but not reported to the IRS? , , , , , , , , , , , , , , , , , , , If "Yes," attach a conformed copy of the changes . 78 a Did the organization have unrelated business gross income of $1,000 a more during the year covered by this return? , , , , , , , , , b If "Yes," has it filed a tax return on Form 99U-T for this year? , , , , , , , , , , , , , , , , , , , , , , , , , , . . . . . , . , , , . 79 Was there a liquidation, dissolution, termination, or substantial contraction during the year? If "Yes," attach a statement , , , , , , , , 80 a Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc ., to any other exempt or nonexempt organization? . . , . . . , , . , . INC . b If "Yes," enter the name of the organizations THE PARTNERSHIP FOR JEWISH LIFE X exempt or and check whether it is nonexempt. NONE 81 a Enter direct and indirect political expenditures. See line 81 instructions, , , , , , , , , , , , , , , , 1 81a 76 77 78a 78b 79 N SOa X 81b b Did the organization file Form 1120-POL for this year? , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , _ 82 a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at substantially less than fair rental value? , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 82a b if "Yes," you may indicate the value of these items here . Do not include this amount 309 , 000 . as revenue in Part I or as an expense in Part 11 . (See instructions in Part III .) , , , , , , , . . . . . . , 82b 83 a Did the organization comply with the public inspection requirements for returns and exemption applications? , , , , , , , , , , , , , 83a 83b b Did the organization comply with the disclosure requirements relating to quid pro quo contributions? , , , , , , , , , , , , 84a 84a Did the organization solicit any contributions or gifts that were not tax deductible? , , , , , , , , , , , , , , , , , , , , , , b If "Yes ." did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? 84b 85a 85 501(c)(4), (5), or (6) organizations. a Were substantially all dues nondeductible by members? , , , , , , , , , , , , , , , , , , , , , 85b b Did the organization make only in-house lobbying expenditures of $2,000 or less? . . . . . . . . . . . . . , , . . , . . . . , , , , If "Yes" was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization received a waiver for proxy tax owed for the prior year. 85c c Dues, assessments, and similar amounts from members N /A d Section 162(e) lobbying and political expenditures , , , , , , , , , , , , , , , , , , , , , , , , , 85d N /A e Aggregate nondeductible amount of section 6033(e)(1 xA) dues notices , , , , , , , , , , , , , , , 85e N/A 85f f Taxable amount of lobbying and political expenditures (line 85d less 85e) , , , N /A g Does the organization elect to pay the section 6033(e) tax on the amount on line 85f? , , , , , , , , , , , , , , , , , , , , , , , , 85 h If section 6033(e)(1 )(A) dues notices were sent, does the organization agree to add the amount on line 85f to its reasonable . . , . . , , . . . . . 85h estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year? . . 86 501(c)(7) orgs. Enter: a Initiation fees and capital contributions included on line 12 , , , , , , 8Ba N/A b Gross receipts, included on line 12, for public use of club facilities , , , , , , . _ _ _ . , , , 86b N/A 87 501(c)(12) orgs. Enter : a Gross income from members or shareholders 87a N/A b Gross income from other sources . (Do not net amounts due or paid to other sources against amounts due or received from them .) , . . . . , , , , , , , , , , , , , , , , , , , 87b N/A 88 At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership, or an entity disregarded as separate from the organization under Regulations sections 88 301 .7701-2 and 301 .7701-3? If "Yes," complete Part IX . . . . , . . . . . . . . . , . . . . . , . . , . . . . . . . _ . . . , , , . 89 a 501(c)(3) organizations. Enter : Amount of tax imposed on the organization during the year under. section 4911 joNONE ; section 4912 " NONE ; section 4955 " NONE b 501(c)(3) and 501(c)(4) orgs . Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year? If "Yes," attach a statement explaining each transaction . . . , . , . . . . . . . . , . _ , . . . , . . , . . . c Enter: Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 . . . . . . . . . . . , . . . . . . . . d Enter: Amount of tax on line 89c, above, reimbursed by the organization . . . . . . , . . . . _ . , , . . 90 a List the states with which a copy of this return is filed ANEW YORK b Number of employees employed in the pay period that includes March 12, 2003 (See instructions) , , , , 91 The books are m care of 1 ADAM HAMNIERMAN Located at ilp. 1395 LEXINGTON AVE NY, NY 92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of Form 1041- Check here , . , , , and enter the amount of tax-exempt interest received or accrued during the tax year . . , . , , . , . _ . , , , , , , " " Yes ~No X X 89b X X X X X X X N N N N N X NONE NONE , , , , , , , , , , , , , , 1 90b 1958 Telephone no. " ( 212 ) 415-5497 ZJP + 4 IN10128 . , , , , , , , , , , , , , , 1u . " "192 "1 NONE Forth 990 (2003) JSA 3E1041 2 000 FTX4K9 L161 05/05/2005 13 :48 :50 V03-8 300955 13-1624229 Form 990 2003 } Analysis of Income-Producing Activities See page 33 of the instructions.) Excluded by section 512, 513, a 514 Unrelated business income Note- Enter gross amounts unless otherwise p C A B indicated. ~ 1 Amount Amount EzGusion code Business code 93 Program service revenue: a -PROGRAM SERVICE b - FEES c F Related or exempt function income 22 527 520 . d e f Medicare/Medicaid payments , , , , . , g Fees and contracts from government agencies , 94 Membership dues and assessments . . . 95 Interest on sarongs and temporary cash investments 96 97 Dividends and interest from securities . Net rental income or (loss) from real estate: a debt-financed property . . . . . . . . . b not debt-financed property 3 , 194 , 419 . 16 4 , 892 , 544 . 18 2 , 176 , 170 . Net rental income a (lass) from personal property 98 99 Other investment income . . . . . . . Gain or (pass) from saes a asses other than inventory " Net income or (loss) from special events . 100 101 Gross profit or (loss) from sales of inventory , , 102 703 . . . . . . 14 b c d e Other revenue: a 10,263,133 .1 ~ ~ 104 Subtotal (add columns (B), (D), and (E)) . . 105 Total (add line 104, columns (B), (D), and (E)) . . . . . . . . . . . . . . - . - . ~ ~ ~ ~ ~ ~ ~ " " " " ~ " Note : Line 705 plus line 1d, Part l, should equal the amount on line 72, Part l. Lines No. 22,527,520 . 32,790,653_ . Relationship of Activities to the Accomplishment of Exempt Purposes See page 34 of the instructions . Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment of the organization's exempt purposes (other than by providing funds for such purposes) . STMT 26 Information Re garding Taxable Subsidiaries and Disregarded Entities See pa ge 34 of the (B) (A) (C) ame, address, and eIN of corporation, Percentage of Nature of activities Total income Information Regarding Transfers Associated with Personal Benefit Contracts (See page 34 of the instructions .) (8) Did the organization, during the year, receive any (ands, directly a indirectly, to pay premiums on a personal benefit contract? . , , , , , (b) Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?~ Note : !f "Yes" to (b), file Form 8870 and Form 4 720 (see instructions JSA 3E7050 1 000 ETX4K9 L161 05/05/2005 13 :48 :50 V03-8 H Yes Yes ][ NO X No Organization Exempt Under Section 501(c)(3) SCHEDULEA (Form 990 or 990-EZ) " MUST be completed by the above organizations and attached to their Form 990 or 990-EZ Err THE YOUNG MEN' S AND YOUNG I 13-1624229 WOMEN'S HEBREW ASSOCIATION Internal Revenue Service Name of the organization Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (See page 1 of the instructions . List each one. If there are none, enter "None .") (b) Title and average hours per week devoted to position (a) Name and address of each employee paid more than $50,000 FRANCES_GIN3BURG-_------____ -_-- FULL-TIME ELEANOR_R__GOLDHAR----------------C/O THE YOUNG MEN'S & YOUNG (d) Contributions to employee benefit plans 8 deferred compensation I 160,443 .1 (e) Expense account and other allowances I 176 .7 I 129 .1 20 .312 .1 NONE 1 .1 NONE 7,698 .1 NONE PROGRAM DIRECTOR 1 WOMEN'S HEBREW ASSOCIATION HANNA A . (c) Compensation PROGRAM DIRECTOR WOMENHS HEBREW ASSOCIATION OG IFULL-TIME GAIFMAN PROGRAM DIRECTOR C/O THE YOUNG MEN'S & YOUNG 1 WOMEN'S HEBREW ASSOCIATION (FULL-TIME DAVID SCHMELTZER C/O THE YOUNG MEN'S & YOUNG rana"MIe X003 501(n), or Section 4947(a)(1) Nonexempt Charitable Trust Supplementary Information - (See separate instructions .) Department oftheTreasury EM . OMB No . 1545-0047 (Except Private Foundation) and Section 501(e), 501(fl, 501(k), 16,2 ] PROGRAM DIRECTOR urnvrrs neenf+rnmTnrr Wrrr .T ._mrV" CORNELIU3 CADIGAN PROGRAM DIRECTOR C/O THE YOUNG MEN'S & YOUNG WOMEN'S HEBREW ASSOCIATION Total number of other employees paid over $50,000 . FULL-TIME " 139 050 . 18 022 . 107 Compensation of the Five Highest Paid Independent Contractors for Professional Services (See page 2 of the instructions . List each one (whether individuals or firms) . If there are none, enter "None. (a) Name and address of each independent contractor paid more than $50,000 (b) Type of service I (c) Compensation GELLER 6 COMPANY TH NY KT -E INMAN ASSOCIATES 06880 1 MANT OF PROD SYSTEM 1 241,920 . LEGAL SERVICES I 212 PROSKAUER ROSE LLP 1585 BROADWAY . NY, NY 20036 APPLIED CONCEPTS 6 BRIGADE HILL RD, MORRISTOWN, NJ 07960 3 THE MONF?BELLO GROUP Total number of others receiving over $50,000 for professional services For Paperwork Reduction Act Notice, see the Instructions for Form 990 and Form 990-EZ. JSA 3E7210 2.000 FTX4K9 L161 05/05/2005 13 :48 :50 V03-8 300955 Schedule A (Form 990 or 990-EZ) 2003 Schedule A (Form 990 or 990-EZ) 2003 1 2 a 13-1624229 Statements About Activities (See page 2 of the instructions .) 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 " $ NONE (Must equal amounts on line 38, Part VI-A, or line i of Part VI-B .) , , , , . , , , , , , , , , 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 . 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.) Lending of money or other extension of credit? , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , $TjvPW , 27, c Furnishing of goods, services, or facilities? , , , , , , , , , . . . . . . . . . , , , , . . . . , . . . . . . , . , $T1Kw , 2 8, d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)? , .SAP, , RP.,RT, y ,0,E', 99Q , , b 4 Yes No Sale, exchange, or leasing of property? , , , , , , , , , , , , , , . , , , , , , , , , , , , , , , , , , , , , , , , , . , , . b e 3a Page 2 Transfer of any part of its income or assets? , . . . . , . . . . Do you make grants for scholarships, fellowships, student you determine that recipients qualify to receive payments .) , , , Do you have a section 403(b) annuity plan for your employees? , . , . , loans, , , , , , , , , . . , etc.? , , , , , , . . . . . (If "Yes," , , , , , , , , , , . , . , attach , , , , , , , , , , an , , , , . . . . . . explanation , , , , , , , , , , , , . . . . , . , of how , S,TNT, 2 9, , , , , , , , Did you maintain any separate account for participating donors where donors have the right to provide advice on the use or distribution of funds? . . . . . . Reason for Non-Private Foundation Status (See pages 3 through 6 of the instructions .) The or anizatfon is not a private foundation because it is : (Please check only ONE applicable box) 5 A church, convention of churches, or association of churches . Section 170(b)(1)(A)(i). 6 A school . Section 170(b)(1)(Axii). (Also complete Part V.) 7 A hospital or a cooperative hospital service organization . Section 170(b)(1)(A)(iii) . 8 A Federal, state, or local government or governmental unit. Section 170(b)(1)(Axv) . 9 U A medical research organization operated in conjunction with a hospital . Section 170(b)(1)(AxiiQ. Enter the hospital's name, city, and state "-----------------------------------------------------------------------------10 F-1 An organization operated for the benefit of a college or university owned or operated by a governmental unit. Section 170(bx1)(A)(iv). (Also complete the Support Schedule m 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)(w) . (Also complete the Support Schedule in Part IV-A.) 11 b 8 A community trust . Section 170(b)(1)(A)(vi) . (Also complete the Support Schedule in Part IV-A .) 12 An organization that normally receives : (1) more than 33 713% of its support from contributions, membership fees, and gross receipts from activities related to its charitable, etc ., functions - subject to certain exceptions, and (2) no more than 33 713% of its support from gross investment income and unrelated business tameable income (less section 511 tax) from businesses acquired F_] 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), if they meet the test of section 509(ax2) . (See section 509(a)(3)J 11 a X (b) Line number from above (a) Name(s) of supported organization(s) 14 r_I An organization organized and operated to test for public safety . Section 509(a)(4). (See page 6 of the instructions .) Schedule A (Form 990 or 990-EZ) 2003 3E 22o 2.000 FTX4K9 L161 05/05/2005 13 :48 :50 V03-8 300955 Schedule A Fo 9 Oor990-EZ 2003 13-1624229 IFAM's Support Schedule (Complete only if you checked a box on line 10, 11, or 12 .) Usecashmethod ofaccounting. Note : You ma use the worksheet in the instructions for converting from the accrual to the cash method of accounting, Calendar year (or fiscal year beginnin g in) . 15 Gifts, grants, and contributions received. (Do not include unusual grants . See line 28.) " " . " . 16 Membership fees received . . 17 Gross receipts from admissions, merchandise a 2002 b 2001 c 2000 d 1999 Pa e3 e 13 , 666 , 664 . I 1A .226 .383 . I 17 , 575 . 928 . I 16 , 650 , OOl .l Total 62 ,118 , 976 . sold or services performed, or furnishing of facilities in any activity that is related to the 18 19 20 21 22 Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired b the organization after June 30 1975 . Net income from unrelated business activities not included in fine 18 ~ ~ ~ " " " " " Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf The value of services or facilities furnished to the organization by a governmental unit 1 , 401 , 46 9 . 1 4 62 ~- without charge. Do not include the value of services or facilities generally furnished to the public without charge Other income . Attach a schedule. Do not include gain or (loss) from sale of capital assets 7 1 26 Organizations described on lines 10 or 11 : a Enter 2% of amount in column (e), line 24 , , , , , , , , , , , , , , , 10. 26a b Prepare a list for your records to show the name of and amount contributed by each governmental unit or publicly supported organization) whose total gifts for 1999 person (other than through 2002 exceeded the amount shown in line 26a. Do not file this list with your return. Enter the total of all these excess amounts " 26b c Total support for section 509(a)(1) test: Enter line 24, column (e) d Add: Amounts from column (e) for fines: 18 . . . . . . . . . . . . . . . . . . , . . . . . . . . . . 1 26c 9,033,299 . 22 27 1 , 423,046 . a 5 , 345 , 550 . 71152275 . 19 , , , , , 10- 26d 14378849 . e Public support (line 26c minus line 26d total) , , , , , , , , , , , , , , , , , , , , , _ _ _ , , , , , , , _ , , , , , , , " 26e 26b 5 , 345 , 550 . 56773426 . f Public suooort nercentaae (line 26e (numerator) divided by line 26c (denominator)) 7-9 . 7914 . . . . . . . . . . . . . . . . . . . " 26f 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: (2002) ---------------- (2001) ------------------- (2000) --- NOT APPLICABLE _ (1999) -------------b 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 : (2002) ---------------- (2001) ------------------- (2000) ------------------- (1999)--------------c Add : Amounts from column (e) for lines : 15 16 17 20 21 . . . . . . . . . . . . d Add : Line 27a total and line 27b total , , . . . . . . . . . . . . Public support (line 27c total minus line 27d total) ~ ~ ~ ~ ~ ~ ~ " ~ " ~ " ~ ~ ~ ~ ~ " " ~ " ~ - e Total support for section 509(a)(2) Enter amount from line 23, column (e) . . . . . . . . . . " I 27f f test: g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) . . . . . . . . . , . . . . . . . . 28 00. Unusual Grants : For an organization described in line 10, 11, or 12 that received any unusual grants during 1999 through 2002, 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 . Schedule A (Form 990 or 990-EZ) 2003 JSA 3E1221 2 000 FTX4K9 L161 05/05/2005 13 :48 :50 V03-8 300955 13-1624229 Schedule A (Form sao or 990-Ez) Zoos Private School Questionnaire (See page 7 of the instructions .) (To be completed ONLY by schools that checked the box on line 6 in Part IV) 29 page 4 NOT APPLICABLE Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws, other governing instrument, or in a resolution of its governing body? . . . . . , Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures, catalogues, and other written communications with the public dealing with student admissions, programs, and scholarships? . . . . . . . . . . . . , . . . . . . . . , Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during the period of solicitation for students, or during the registration period if it has no solicitation program, in a way that makes the policy known to all parts of the general community it serves? . . . . . . . . . . . . . . . . . . If "Yes," please describe ; if "No," please explain. (If you need more space, attach a separate statement.) 30 31 32 a b c d ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ ---------------------------------------------------------------------------------Does the organization maintain the following: Records indicating the racial composition of the student body, faculty, and administrative staff? Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory basis? Copies of all catalogues, brochures, announcements, and other, written communications to the public dealing with student admissions, programs, and scholarships? . . . . . . , . Copies of all material used by the organization or on its behalf to solicit contributions? . . . . . . . 29 Yes No 30 31 32a 32b 32c 32d If you answered "No" to any of the above, please explain. (If you need more space, attach a separate statement.) --------------------------------------------------------------------------------------------------------------------------------------------------------Does the organization discriminate by race in any way with respect to : 33 a Students' rights or privileges? . , . . . . . . . , . . , . . . . . . . . . . . . . . . . . . . , 33a b Admissions policies? 33b c Employment of faculty or administrative staff? , . . . . , . . . . . . . . . . . . . . . , . . . . . . . . . . , . . . . 33c d Scholarships or other financial assistance? 33d e Educational policies? 33 f Use of facilities? 33f g Athletic programs? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 h Other extracurricular activities? g If you answered "Yes" to any of the above, please explain. (If you need more space, attach a separate statement.) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------34a b 35 JSA Does the organization receive any financial aid or assistance from a governmental agency/? . . . . . . . . . . . . , 34a Has the organization's right to such aid ever been revoked or suspended? . . . . . . . . . . . . . . . . _ . . . . . you answers Yes n ei er , a or . n ease Am min using an attar. P s a PmP 34b Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05 I of Rev. Proc . 75-50, 1975-2 C.B . 587, coverinU racial nondiscrimination? If "No." attach an explanation . 35 Schedule "A"(Form 990 or 990-EZ) 2003 3E1230 2 000 FTX4K9 L161 05/05/2005 13 :48 :50 V03-8 300955 SdheduJe A Form 990 or 990-EZ 2003 13-1624229 Lobbying Expenditures by Electing Public Charities (See page 9 of the instructions .) Check " a 5 (To be completed ONLY by an eligible organization that filed Form 5768) NOT APPLICABLE if the organization belongs to an affiliated Qroua Check " b if you checked "a" and "limited control" provisions apply. Limits on Lobbying Expenditures ated group totals (The term "expenditures" means amounts paid or incurred .) 36 37 38 39 40 41 Pa Total lobbying expenditures to influence public opinion (grassroots lobbying) . . , Total lobbying expenditures to influence a legislative body (direct lobbying) Total lobbying expenditures (add lines 36 and 37) . , , , , . , . , , , , . , , , , , Other exempt purpose expenditures ~, , , , , , , , , , , , , , , , , , , , . . , , , Total exempt purpose expenditures (add lines 38 and 39) Lobbying nontaxable amount . Enter the amount from the following tableIf the amount on line 40 is The lobbying nontaxable amount is Not over $500,000 I To be completed for ALL electing organizations 36 37 38 39 40 20% of the amount on line 40 , , , , , , , , , , Over $500,000 but not over $1,000,000 , , , $100,000 plus 15% of the excess over $500,000 Over $1,000,000 but not over $1,500,000 . . $175,000 plus 10% of the excess over $1,000,000 Over $17,000.000 , , $1,000,000 41 Over $1,500,000 but not over $17,000,000 , , $225,000 plus 5% of the excess over $1,500,000 42 43 44 , , , , , , . , , , , , . . , , , , , Grassroots nontaxable amount ~(enter 25% of line 41) . . . , . . , , , . . . . , Subtract line 42 from line 36 . Enter -0- if line 42 is more than line 36 Subtract line 41 from line 38. Enter -0- if line 41 is more than line 38 . 4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 45 through 50 on page 11 of the instructions .) Lobbying Expenditures During 4-Year Averaging Period Calendar year (or fiscal ear be g innin g in " Lobbying nontaxable amount Lobbying ceiling amount (150% of line 45(e)1 . . (a) 2003 (b) 2002 I (c) 2001 I (d) 2000 I (e) Total Grassroots nontaxable Grassroots ceding amount M rllo1- of Ilnu dAlo\\ Grassroots lobbying Lobbying Activity by Nonelecting Public Charities For re p ortin g onl y b org anizations that did not com p lete Part VI-A ) See p a g e 12 of the During the year, did the organization attempt to influence national, state or local legislation, including any yes Ni attempt to influence public opinion on a legislative matter or referendum, through the use of : a Volunteers b Paid staff or management (Include compensation in expenses reported on lines c through h.) c Media advertisements d Mailings to members, legislators, or the public, , , , , , , _ , , , , , , , , , , , , , , , e Publications, or published or broadcast statements f Grants to other organizations for lobbying purposes , , , , , , , , , , , . . , , , , , , g Direct contact with legislators, their staffs, government officials, or a legislative body . . h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means i Total lobbying expenditures fines c through h . , , , , , , , , , , , . , , , , , , , , x x , , , 05/05/2005 13 :48 :50 V03-8 300955 , . , , , . , , , . , , x x X X X , . , , L I If "Yes" to any of the above, also attach a statement giving a detailed description of the lobbying activities . JSA Schedule A (Form 990 or 990-EZ) 2003 3E1240 2.000 FTX4K9 L161 , , . . , , , , Amount Schedule A Form 990 or 990-EZ 2003 13-1624229 " ~ Information Regarding Transfers To and Transactions and Relationships With Noncharitable Page 6 Exempt Organizations (See page 12 of the instructions.) 51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or m section 527, relating to political organizations? a Transfers from the reporting organization to a noncharitable exempt organization of: Yes No (i) Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (ii) Other assets . . . . . . . . . . . . . . a(H) X - - - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Other transactions : (i) Sales or exchanges of assets with a noncharitable exempt organization (ii) Purchases of assets from a noncharitable exempt organization (iii) Rental of facilities, equipment, or other assets , _ , , , _ , , , , . , , , , , , , , . , , , , , , , , , , , , , , JAR (iv) Reimbursement arrangements . . (v) Loans or loan guarantees , , , , , , , , , , , , , , . , , , , , , . , , , , , , , , , , , , , , , , , , , , , (vi) Performance of services or membership or fundraising solicitations , . , , , , , , , , , , , , , , , , , , , , b vi c Sharing of facilities, equipment, mailing lists, other assets, or paid employees . . . , , , , . , , , ~T d If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value of the goods, other assets, or services given by the reporting organization . If the organization received less than fair market value in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received : (a) Line no . I (b) Amount involved I (c) Name of noncharitable exempt organization I (d) Description of transfers, transactions, and sharing arrangements 52a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described in section 501 (c) of the Code (other than section 501(c)(3)) or in section 527 , , , , _ , , , , , (a) Name of organization aX No (c) Description of relationship Schedule A (Form 990 or 990-EZ) 2003 JSA 3E7250 2 000 ETX4K9 L161 " 0 Yes 05/05/2005 13 :48 :50 V03-8 300955 13-1624229 THE YOi7{iG MEN'S AND YOUNG FORM 990, PART I - EXCLUDED CONTRIBUTIONS DESCRIPTION AMOUNT CONTRIBUTIONS FROM SPECIAL EVENTS 3,179,268 . -----------3,179,268 . TOTAL STATEMENT FTX4K9 L161 05/05/2005 13 :48 :50 V03-8 300955 1 1 YOUNG MEN AND WOMEN'S HEBREW ASSOCIATION SCHEDULE OF INVESTMENTS TAX YEAR ENDING JUNE 30, 2004 EIN : #13-1624229 FORM 990, PART IV LINE 8a PROCEEDS PORTFOLIO OF INVESTMENTS SURPRISE LAKE CAMP LAND COST REALIZED GAIN 47,343,957 46,543,321 800,636 1,097,334 2,500,200 0 2,222,000 1,097,334 278,200 3,597,534 2,222,000 1,375,534 DETAILS AVAILABLE UPON REQUEST STATEMENT IA THE YOUNGIMEN'S AND YOUNG 13-1624229 r FORM 990,IPART I - SPECIAL FUNDRAISING EVENTS AND ACTIVITIES GROSS REVENUE DESCRIPTION ----------CONTRIBUTIONS FROM SPECIAL EVENTS 502,631 . -----------502,631 . TOTALS L161 05/05/2005 13 :48 :50 V03-8 300955 DIRECT EXPENSES 502,631 . -----------502,631 . STATEMENT 2 13-1624229 THE YOUNG MEN'S AND YOUNG FORM 990, PART I -- OTHER INCREASES IN FUND BALANCES DESCRIPTION AMOUNT UNREALIZED GAIN ON INVESTMENTS 440,631 . ------------ TOTAL 440,631 . STATEMENT FTX4R9 L161 05/05/2005 13 :48 :50 V03-8 300955 3 13-1624229 +JEN' S AND YOUNG THE FORM 990, PART II - OTHER EXPENSES TOTAL ----- DESCRIPTION ----------PROGRAM EXPENSES OTHER PROFESSIONAL FEES OFFICE EXPENSES CREDIT CARD CHARGES INSURANCE EXPENSE STAFF EX ENSES ADVERTISING PHOTOGRAPHY REPAIRS AND MAINTENANCE EQUIPMEN SUPPLIES BAD DEBT EXPENSE MISCELLANEOUS TOTALS FTX4K9 L161 05/05/2005 13 :48 :50 V03-8 PROGRAM SERVICES -------- MANAGEMENT AND GENERAL ----------- FUNDRAISING ----------30,842 . 142,954 . 4,219 . 1,483,156 . 5,198,327 . 162,277 . 464,452 . 937,970 . 224,794 . 1,073,931 . 52,459 . 1,110,147 . 634,365 . 40,687 . 536,710 . -------- 1,359,441 . 4,551,135 . 138,909 . 464,452 . 869,498 . 178,330 . 1,007,550 . 49,941 . 1,021,335 . 581,167 . 40,687 . 536,710 . -------- 92,873 . 504,238 . 19,149 . . . . . . . 938 . 6,293 . 37,339 . 1,416 . 1,110 . 13,322 . 11919275 . 10799155 . 881,687 . 238,433 . 300955 67,534 40,171 29,042 1,102 87,702 39,876 STATEMENT 4 13-1624229 THE YOUNG MEN'S AND YOUNG FORM 990, PART IV - INVESTMENTS - SECURITIES BEGINNING BOOK VALUE DESCRIPTION U .S . GOVERNMENT OBLIGATIONS CORPORATE & OTHER OBLIGATIONS COMMON STOCKS MUTUAL FUNDS TOTALS 15,540,358 . 3,058,829 . 14,066,657 . 3,078,951 . --------------35,744,795 . ENDING BOOR VALUE 11,699,765 . 6,928,198 . 15,938,593 . 5,601,474 . --------------40,168,030 . STATEMENT FTX4K9 L161 05/05/2005 13 :48 :50 V03-8 300955 5 13-1624229 THE YOUNG MEN'S AND YOUNG FORM 990, PART IV - OTHER ASSETS BEGINNING BOOK VALUE DESCRIPTION ACCRUED INTEREST RECEIVABLE TOTALS 196,323 . --------------196,323 . ENDING BOOR VALUE 119,532 . --------------119,532 . STATEMENT FTX4R9 L161 05/05/2005 13 :48 :50 V03-8 300955 6 13-1624229 THE YOtJLJG , MEN'S AND YOUNG FORM 990, PART IV - OTHER LIABILITIES BEGINNING BOOR VALUE DESCRIPTION SECURITY DEPOSIT TOTALS 149,399 . --------------149,399 . ENDING BOOK VALUE 206,552 . --------------206,552 . STATEMENT FTX4R9 L161 05/05/2005 13 :48 :50 V03-8 300955 7 THE YOiJNG, MEN' S AND YOUNG FORM 990, 13-1624229 PART IV-A - OTHER REVENUE ON RETURN BUT NOT ON BOOKS AMOUNT DESCRIPTION SCHOLARSHIP ACCOUNTED FOR IN THE FINANCIAL STATEMENTS AS A REDUCTION OE REVENUE AND IN THE TAX RETURN AS AN EXPENSE 1,168,706 . --------------1,168,706 . TOTAL STATEMENT FTX4R9 L161 05/05/2005 13 :48 :50 V03-8 300955 8 THE YOiJWG MEN'S AND YOUNG FORM 990, PART IV-B - OTHER EXPENSES 13-1624229 ON RETURN BUT NOT ON BOORS DESCRIPTION AMOUNT SCHOLARSHIP ACCOUNTED FOR IN THE FINANCIAL STATEMENTS AS A REDUCTION OF REVENUE AND IN THE TAX RETURN AS AN EXPENSE 1,168,706 . --------------1,168,706 . TOTAL STATEMENT FTX4K9 L161 05/05/2005 13 :48 :50 V03-8 300955 9 THE YOUNG MEN'S AND YOUNG FORM 990, 13-1624229 PART V - LIST OF OFFICERS, DIRECTORS, NAME AND DRESS ---------------- AND TRUSTEES TITLE AND TIME DEVOTED TO POSITION ------------------- COMPENSATION ------------ CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS ------------- EXPENSE ACCT AND OTHER' ALLOWANCES ---------- MICHAEL G LDSTEIN C/O THE YOUNG IAN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXI GTON AVENUE NEW YORK, NY 10128 PRESIDENT 2 HRS/WK NONE NONE NONE MATTHEW B ONFMAN C/O THE YOUNG IAN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 CHAIRMAN 2 HRS/WK NONE NONE NONE PATRICIA YNE, PHD C/O THE Y DUNG MEN'S AND YOUNG WOMEN'S H BREW ASSOCIATION 1395 LEXI GTON AVENUE NEW YORK, NY 10128 VICE PRESIDENT 2 HRS/WK NONE NONE NONE MARCIA EP LER COLVIN C/O THE YOUNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 VICE PRESIDENT 2 HRS/WK NONE NONE NONE LORI A. SOWITZ C/O THE YOUNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 VICE PRESIDENT 2 HRS/WR NONE NONE NONE F'REDRIC MACK VICE PRESIDENT 2 HRS/WK NONE NONE NONE :9 L161 05/05/2005 13 :48 :50 V03-8 300955 STATEMENT 10 THE YOUNG MEN'S AND YOUNG FORM 990, 13-1624229 PART V - LIST OF OFFICERS, DIRECTORS, NAME AND DRESS ---------------C/O THE YOUNG IAN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 AND TRUSTEES TITLE AND TIME DEVOTED TO POSITION ------------------- - COMPENSATION ------------ CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS ------------- EXPENSE ACeT AND OTHER, ALLOWANCES ---------- SALLY KLI GENSTEIN MARTELL C/O THE YOUNG IAN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 VICE PRESIDENT 2 HRS/WK NONE NONE NONE CURTIS SC ENKER C/O THE YOUNG MEN'S AND YOUNG WOMEN'S BREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 VICE PRESIDENT 2 HRS/WR NONE NONE NONE JOAN TISC C/O THE YOUNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 VICE PRESIDENT 2 HRS/MO NONE NONE NONE THOMAS BL CR C/O THE Y UNG MEN'S AND YOUNG WOMENS HE BREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 TREASURER 2 HRS/WK NONE NONE NONE ADDIE GUT AG C/O THE YOUNG MEN'S AND YOUNG WOMEN'S BREW ASSOCIATION SECRETARY 2 HRS/MO NONE NONE NONE lR9 L161 05/05/2005 13 :48 :50 V03-8 300955 STATEMENT ~11 THE YOUNG IAN'S AND YOUNG FORM 990, PART V - LIST OF OFFICERS, 13-1624229 DIRECTORS, AND TRUSTEES TITLE AND TIME CONTRIBUTIONS TO EMPLOYEE EXPENSE ACM AND OTHER' NAME AND DRESS ----------------1395 LEXINGTON AVENUE DEVOTED TO POSITION ------------------- ROBERT AP EL C/O THE YOUNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXI NGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/MO NONE NONE NONE JODY GOTT IED ARNHOLD C/O THE YOUNG NON'S AND YOUNG WOMEN'S BREW ASSOCIATION 1395 LEXI NGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/MO NONE NONE NONE DR . ARTHUR AUFSES C/O THE YOUNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/MO NONE NONE NONE GLENN R . DIRECTOR 2 HRS/WK NONE NONE NONE DIRECTOR 2 HRS/MO NONE NONE NONE NEW YORK, NY BENEFIT PLANS ------------- ALLOWANCES ---------- 10128 AUGUST C/O THE YOUNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY COMPENSATION ------------ 10128 CATHERINE H . BEHREND C/O THE YOUNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXI NGTON AVENUE NEW YORK, NY 10128 lK9 L161 05/05/2005 13 :48 :50 V03-8 300955 STATEMENT 12 THE YOUNG MEN'S AND YOUNG FORM 990, NAME AND PART V - LIST OF OFFICERS, DRESS ------- 13-1624229 DIRECTORS, AND TRUSTEES TITLE AND TIME DEVOTED TO POSITION ------------------- COMPENSATION ------------ CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS ------------- EXPENSE ACe'.C AND OTHER' ALLOWANCES ---------- CLAIRE B . BENENSON C/O THE YOUNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/WK NONE NONE NONE LEN BLAVA IR C/O THE YOUNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/MO NONE NONE NONE MRS . C NCE BUTTENWIESER C/O THE YOUNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/MO NONE NONE NONE JILL ANN UTTENWIESER C/O THE YOUNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/MO NONE NONE NONE LINDA CAH LL C/O THE YOUNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YOR, C: NY 10128 DIRECTOR 2 HRS/MO NONE NONE NONE CLIVE DIRECTOR 2 HRS/WK NONE NONE NONE T C9 L161 05/05/2005 13 :48 :50 V03-8 300955 STATEMENT 13 THE YOUNG MEN'S AND YOUNG . FORM 990, 13-1624229 PART V - LIST OF OFFICERS, DIRECTORS, NAME AND DRESS ---------------- C/O THE Y UNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 AND TRUSTEES TITLE AND TIME DEVOTED TO POSITION ------------------- COMPENSATION ------------ CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS ------------- EXPENSE ACCT AND OTHERALLOWANCES ---------- JEROME C ZEN C/O THE Y DUNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXI GTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/MO NONE NONE NONE ANDREW CR C/O THE Y WOMEN'S H 1395 LEXI NEW YORK, STAL UNG MEN'S AND YOUNG BREW ASSOCIATION GTON AVENUE NY 10128 DIRECTOR 2 HRS/WK NONE NONE NONE RICHARD CRYSTAL C/O THE YOUNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/WK NONE NONE NONE STANLEY E ELMAN, MD C/O THE Y DUNG MEN'S AND YOUNG WOMEN'S H E BREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/MO NONE NONE NONE STUART J . ELLMAN C/O THE YOUNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION DIRECTOR 2 HRS/WK NONE NONE NONE L161 05/05/2005 13 :48 :50 V03-8 300955 STATEMENT 14 THE YOUNG MEN'S AND YOUNG FORM 990, 13-1624229 PART V - LIST OF OFFICERS, DIRECTORS, NAME AND DRESS ---------------- 1395 LEXI GTON AVENUE NEW YORK, NY 10128 AND TRUSTEES TITLE AND TIME DEVOTED TO POSITION ------------------- COMPENSATION ------------ CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS ------------- EXPENSE ACCT AND OTHER" ALLOWANCES ---------- MICHAEL F LDSERG DIRECTOR 2 HRS/MO NONE NONE NONE CHRISTINE FERER DIRECTOR 2 HRS/MO NONE NONE NONE MRS . AVER FISHER C/O THE YOUNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/MO NONE NONE NONE ADAM P . GL ICK C/O THE YOUNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/MO NONE NONE NONE JEFFERY B . GOLDENBERG C/O THE YOUNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXINGTON AVENUE DIRECTOR 2 HRS/WK NONE NONE NONE C/O THE YOUNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 C/O THE YOUNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 NEW YORK, NY 10128 L161 05/05/2005 13 :48 :50 V03-8 300955 STATEMENT 15 THE YOUNG MEN'S AND YOUNG FORM 990, PART V - LIST OF OFFICERS, DIRECTORS, AND TRUSTEES TITLE AND TIME DEVOTED TO POSITION ------------------- NAME AND DRESS ----------------JANE H . G C/O THE Y WOMEN'S H 1395 LEXI NEW YORK, 13-1624229 COMPENSATION ------------ CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS ------------- EXPENSE ACCT AND OTHER ALLOWANCES ---------- LDMAN UNG MEN'S AND YOUNG BREW ASSOCIATION GTON AVENUE NY 10128 DIRECTOR 2 HRS/MO NONE NONE NONE MRS . CORI E P . GREENSERG C/O THE Y UNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/MO NONE NONE NONE JOHN GREE OOD C/O THE Y UNG MEN'S AND YOUNG WONEN'S H BREW ASSOCIATION 1395 LEXI NGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/WK NONE NONE NONE DANIEL R . KAPLAN C/O THE YOUNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/WK NONE NONE NONE DR . LEE C/O THE Y WOMEN'S H 1395 LEXI NEW YORK, DIRECTOR 2 HRS/WK NONE NONE NONE DIRECTOR 2 HRS/WK NONE NONE NONE JEFFERY P TZ UN G MEN'S AND YOUNG BREW ASSOCIATION GTON AVENUE NY 10128 KLEIN FTX4K9 L161 05/05/2005 13 :48 :50 V03-8 300955 STATEMENT 16 THE YOUNG MEN'S AND YOUNG FORM 990 PART V - LIST OF OFFICERS, DIRECTORS, NAME AND DRESS --------- ------ C/O THE Y WOMEN'S H 1395 LEXI NEW YORK, 13-1624229 UNG MEN'S AND YOUNG BREW ASSOCIATION GTON AVENUE NY 10128 AND TRUSTEES TITLE AND TIME DEVOTED TO POSITION ------------------- COMPENSATION ------------ CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS ------------- EXPENSE ACC"P AND OTHER' ALLOWANCES ---------- DIRECTOR 2 HRS/MO NONE NONE NONE DIRECTOR 2 HRS/WR NONE NONE NONE WILLIAM P LAUDER C/O THE YOUNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION 1395 LEXINGTON AVENUE DIRECTOR 2 HRS/WK NONE NONE NONE JOSEPH N . LEFF C/O THE YOUNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION 1395 LEXI NGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/WK NONE NONE NONE PAUL LEVY DIRECTOR 2 HRS/WR NONE NONE NONE HENRY KO C/O THE YOUNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY NANCY Z . 10128 E C/O THE YOUNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 NEW YORK, NY 10128 C/O THE YOUNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION L161 05/05/2005 13 :48 :50 V03-8 300955 STATEMENT 17 THE YOUNG MEN'S AND YOUNG FORM 99 0 . NAME AND PART V - LIST OF OFFICERS . DRESS 13-1624229 DIRECTORS, AND TRUSTEES TITLE AND TINS DEVOTED TO POSITION COMPENSATION CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS EXPENSE ACCT AND OTHER' ALLOWANCES 1395 LEXI GTON AVENUE NEW YORK, NY 10128 ARMAND LI ENBAUM C/O THE Y UNG MEN'S AND YOUNG WOMEN'S H BREW ASSOCIATION 1395 LEXI GTON AVENUE DIRECTOR 2 HRS/MO NONE NONE NONE NEW YORK, NY 10128 LINI LIP T C/O THE Y WOMEN'S H 1395 LEXI N UNG MEN'S AND YOUNG BREW ASSOCIATION GTON AVENUE DIRECTOR 2 HRS/WK NONE NONE NONE JONATHAN C/O THE Y WOMEN'S H 1395 LEXI NEW YORK, . MAY UNG MEN'S AND YOUNG BREW ASSOCIATION GTON AVENUE NY 10128 DIRECTOR 2 HRS/WK NONE NONE NONE IRWIN MIL C/O THE Y WOMEN'S H 1395 LEXI NEW YORK, ER UNG MEN'S AND YOUNG BREW ASSOCIATION GTON AVENUE NY 10128 DIRECTOR 2 HRS/WR NONE NONE NONE DIRECTOR 2 HRS/WK NONE NONE NONE NEW YORK, NY 10128 PHILIP L . MILSTEIN C/O THE Y WOMEN'S H 1395 LEXI NEW YORK, UNG MEN'S AND YOUNG BREW ASSOCIATION GTON AVENUE NY 10128 L161 05/05/2005 13 :48 :50 V03-8 300955 STATEMENT 18 13-1624229 THE YOUNG MEN'S AND YOUNG FORM 990, PART V - LIST OF OFFICERS, DIRECTORS, AND TITLE AND TIME DEVOTED TO POSITION ------------------- NAME AND DRESS ---------------- S COMPENSATION ------------ CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS ------------- EXPENSE ACCT AND OTHER ALLOWANCES ---------- JOHN R . O ?PENHEIMER C/O THE YOUNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/WK NONE NONE NONE MARTIN J . OPPENHEIMER C/O THE YOUNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/WK NONE NONE NONE FREDERIC . POSES C/O THE YOUNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/WK NONE NONE NONE MARTIN J . RABINOWITZ C/O THE YOUNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/WK NONE NONE NONE DAVID S . ROSE C/O THE YOUNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/MO NONE NONE NONE MA .2CELLA DIRECTOR 2 HRS/MO NONE NONE NONE OSEN FTX K9 L161 05/05/2005 13 :48 :50 V03-8 300955 STATEMENT 19 THE YvuN MEN'S AND YOUNG 13-1624229 FORM 990 PART V - LIST OF OFF IC ER S, D IRECTOR S, AND TRUSTEES TITLE AND TIME COMPENSATION ------------ CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS ------------- EXPENSE ACCT AND OTHER- NAME AND ADDRESS ---------------C/O THE Y UNG MEN'S AND YOUNG DEVOTED TO POSITION ------------------- JOHN STEI DIRECTOR 2 HRS/MO NONE NONE NONE GAIL MICHELE SALTZ, MD C/O THE YOUNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/WK NONE NONE NONE AMY R . SI VERMAN C/O THE YOUNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/MO NONE NONE NONE ANNE DIRECTOR 2 HRS/MO NONE NONE NONE DIRECTOR 2 HRS/WK NONE NONE NONE ALLOWANCES ---------- WOMEN'S HEBREW ASSOCIATION 1395 LEXI NGTON AVENUE NEW YORK, NY 10128 I3ARDT C/O THE YOUNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 SPITZER C/O THE YOUNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 OLIVER STANTON C/O THE Y~UNG MEN'S AND YOUNG WOMEN' S HIEBREW ASSOCIATION 4R9 L161 05/05/2005 13 :48 :50 V03-8 300955 STATEMENT 20 THE YOUNG MEN'S AND YOUNG FORM 990, PART V - LIST OF OFFICERS, NAME AND DRESS ---------------1395 LEXI NGTON AVENUE NEW YORK, NY 13-1624229 DIRECTORS, AND TRUSTEES TITLE AND TIME DEVOTED TO POSITION ------------------- COMPENSATION ------------ CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS ------------- EXPENSE ACCT AND OTHER.ALLOWANCES ---------- 10128 RONALD STEIN C/O THE Y UNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXI GTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/WR NONE NONE NONE MICHAEL H . DIRECTOR 2 HRS/MO NONE NONE NONE STUART SU HERMAN C/O THE Y UNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/MO NONE NONE NONE SERTFtAM T ICH C/O THE Y UNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/MO NONE NONE NONE EVA COLIN USDAN C/O THE Y DUNG NON'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/MO NONE NONE NONE STEINHARDT C/O THE Y DUNG MEN'S AND YOUNG 'WOMEN'S H EBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 .9 L161 05/05/2005 13 :48 :50 V03-8 300955 STATEMENT 21 THE YOUNG MEN'S AND YOUNG FORM 990, PART V - LIST OF OFFICERS, 13-1624229 DIRECTORS, AND TRUSTEES TITLE AND TIME DEVOTED TO POSITION ------------------- NAME AND DRESS ---------------- ' COMPENSATION ------------ CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS ------------- EXPENSE ACCT AND OTHER' ALLOWANCES ---------- KENNETH LACH C/O THE YOUNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 DIRECTOR 2 HRS/MO NONE NONE NONE MURIEL BI ER C/O THE Y UNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXI GTON AVENUE NEW YORK, NY 10128 HONORARY DIRECTOR 2 HRS/MO NONE NONE NONE MARTIN B TJMENTHAL C/O THE Y UNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXI 4GTON AVENUE NEW YORK, NY 10128 HONORARY DIRECTOR 2 HRS/MO NONE NONE ' NONE DIANE A . OGG C/O THE Y UNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXI GTON AVENUE NEW YORK, NY 10128 HONORARY DIRECTOR 2 HRS/MO NONE NONE NONE WILLIAM H . HEYMAN C/O THE YOUNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 HONORARY DIRECTOR 2 HRS/MO NONE NONE NONE MRS . HONORARY DIRECTOR 2 SRS/MO NONE NONE NONE JOAN L . JACOBSON FT 4K9 L161 05/05/2005 13 :48 :50 V03-8 300955 STATEMENT 22 THE YOUNG MEN'S AND YOUNG FORM 990, 13-1624229 PART V - LIST OF OFFICERS, DIRECTORS, AND TRUSTEES NAME AND DRESS --------- -----C/O THE Y WOMEN'S H 1395 LEXI NEW YORK, UNG NON'S AND YOUNG BREW ASSOCIATION GTON AVENUE NY 10128 TITLE AND TIME DEVOTED TO POSITION ------------------- COMPENSATION ------------ CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS ------------- EXPENSE ACCT AND OTHER" ALLOWANCES WILLIAM K . KRAMER C/O THE YOUNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXI GTON AVENUE HONORAEtY DIRECTOR 2 HRS/MO NONE NONE NONE PETER W . HONORARY DIRECTOR 2 HRS/MO NONE NONE NONE HONORARY DIRECTOR 2 HRS/MO NONE NONE NONE MADELINE . NOVECR C/O THE YOUNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION 1395 LEXINGTON AVENUE HONORARY DIRECTOR 2 HRS/MO NONE NONE NONE ELIHU ROSE HONORARY DIRECTOR 2 HRS/MO NONE NONE NONE NEW YORK, NY 10128 Y C/O THE YOUNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 MITCHELL . NELSON C/O THE YOUNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 NEW YORK, NY 10128 C/O THE YOUNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION K9 L161 05/05/2005 13 :48 :50 V03-8 300955 STATEMENT 23 THE YOUN NON'S AND YOUNG FORM 990, PART V - LIST OF OFFICERS, DIRECTORS AND TRUSTEES NAME AND ADDRESS -------- ------- 13-1624229 TITLE AND TIME DEVOTED TO POSITION ------------------- 1395 LEX NGTON AVENUE NEW YORK, NY 10128 COMPENSATION ------------ CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS ------------- EXPENSE ACCT AND OTHER' ALLOWANCES ---------- JUDITH O . RUBIN C/O THE YOUNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION 1395 LEXINGTON AVENUE HONORARY DIRECTOR 2 HRS/MO NONE NONE NONE RUTH ST C/O THE WOMEN'S 1395 LEX TON OUNG MEN'S AND YOUNG EBREW ASSOCIATION NGTON AVENUE HONORARY DIRECTOR 2 HRS/MO NONE NONE NONE ROGER L . STRONG C/O THE YOUNG MEN'S AND YOUNG WOMEN'S H EBREW ASSOCIATION 1395 LEXINGTON AVENUE HONORARY DIRECTOR 2 HRS/MO NONE NONE NONE HONORARY DIRECTOR 2 HRS/MO NONE NONE NONE HONORARY DIRECTOR 2 HRS/MO NONE NONE NONE NEW YORK, NY 10128 NEW YORK, NY 10128 NEW YORK, NY 10128 HARRIET INTRAUB C/O THE YOUNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 MYRNA Z . WEISS C/O THE 'YOUNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK,I NY 10128 ;4K9 L161 05/05/2005 13 :48 :50 V03-8 300955 STATEMENT 24 lriS YoUN MEN'S AND YOUNG FORM 990, PART V - LIST OF OFFICERS, NAME AND ADDRESS ---------------- 13-1624229 DIRECTORS, AND TRUSTEES TITLE AND TIME DEVOTED TO POSITION ------------------- COMPENSATION ------------ CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS ------------- EXPENSE ACCT AND OTHER' ALLOWANCES SOL ADLE C/O THE YOUNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION 1395 LEXINGTON AVENUE NEW YORK, NY 10128 EXECUTIVE DIRECTOR 40 HOURS 319,319 . 31,264 . NONE HELAINE C/O THE WOMEN 'S 1395 LEX ASOC . EXEC . DIRECTOR 40 HOURS 289,073 . 19,595 . NONE EISMAR-KATZ OUNG IAN'S AND YOUNG EBREW ASSOCIATION NGTON AVENUE NEW YORK, NY 10128 GRAND TOTALS L161 05/05/2005 13 :48 :50 V03-8 300955 -------------- -------------- -------------608,392 . 50,859 . NONE STATEMENT 25 13-1624229 THE YOL'NP MEN'S AND YOUNG FORM 990, PART VIII - ACCOMPLISHMENT OF EXEMPT PURPOSES LINE NO . --- EXPLANATION OF HOW EACH ACTIVITY FOR WHICH INCOME IS REPORTED IN COLUMN (E) OF PART VII CONTRIBUTED IMPORTANTLY TO THE ACCOMPLISHMENT OF EXEMPT PURPOSES ---------------------------------------------------- 93A & B PROGRAM FEES FOR ALL PROGRAM SERVICE WHICH ARE A PART OF THE 92ND ST . Y'S STATED PURPOSE OF BEING A CULTURAL AND EDUCATIONAL RESOURCE FOR THE NYC METRO AREA . EXAMPLES INCLUDE PERFORMING ARTS PROGRAMS, EDUCATIONAL CLASSES, EDUCATIONAL TRAVEL, PHYSICAL FITNESS, HUMANITIES, LECTURES AND MUSIC . STATEMENT FTX4R9 L161 05/05/2005 13 :48 :50 V03-8 300955 26 13-1624229 THP YOUNG MEN'S AND YOUNG SCHEDULE A, SEE PART PART III - EXPLANATION FOR LINE 2B IV OF 990 1q,-JlJ S`qT~s~'r ¬~T"' 2~S STATEMENT FTX4K9 L161 05/05/2005 13 :48 :50 V03-8 300955 27 THE YOUNG MEN'S AND YOUNG SCHEDULE A, 13-1624229 PART III - EXPLANATION FOR LINE 2C THE 92ND STREET Y INCURRED LEGAL EXPENSES FOR SERVICES RENDERED BY A LAW FIRM WHICH HAS A PARTNER WHO IS A MEMBER OF THE BOARD OF DIRECTORS . STATED~NT FTX4K9 L161 05/05/2005 13 :48 :50 V03-8 300955 28 THE WOiiNG MEN'S AND YOUNG SCHEDULE A, PART 13-1624229 III - EXPLANATION FOR LINE 3A SEE STATEMENT 31 STATEMENT FTX4K9 L161 05/05/2005 13 :48 :50 V03-8 300955 29 R> r , YOUNG MEN AND WOMEN'S HEBREW ASSOCIATION SCHEDULE OF FIRED ASSETS TAX YEAR ENDING JUNE 30, 2004 EIN: #13-1624229 FORM 990, PART IV LI NE 50 BEGINNING OF YEAR RECEIVABLE FROM OFFICERS AND DIRECTORS RECEIVBLE FROM EMPLOYEE 150,000 97,478 END OF YEAR NONE 93,832 STATEMENT 30 w Young Men's and Young Women's Hebrew Association Em # 13-1624229 FYE 6/30/04 SCHOLARSHIP REPORT The 92nd Street Y is committed to full community participation in its programs regardless of financial need. Scholarships are awarded throughout the agency based on financial need. Scholarship Services administers this process and works closely with the staff specific to the individual Y program center. Individuals requesting scholarship assistance must complete the appropriate application and return it to Scholarship Services. Applicants are required to include required financial documentation (as defined by Scholarship Services ) before a decision can be made. Previous scholarship history is considered as part of the decision making process. Recipients are responsible for a portion of the fee. All past balances must be paid before new awards are granted. Scholarship decisions are made jointly by the appropriate center or program director and the director of Scholarship Services. Every effort is made to facilitate the applicant's participation in the Y program chosen. The registration completion procedure is given to each recipient with their award. Each scholarship award represents only a portion of the program fee. The scholarship recipient is responsible for the balance of the fee. The exception to only giving partial awards is in the Educational Outreach program. This program is funded to provide full scholarships for the children participating in their program. On selected occasions, tickets to concerts performed at the Y, are also offered at scholarship rates to members of organizations which qualify for scholarship assistance. These include senior citizens and students, who must present the appropriate identification to receive the scholarship rate. Statement 31 "~. s . THE YOUNG MEN'S AND YOUNG WOMEN'S HEBREW ASSOCIATION m # 13-1624229 STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Eight Centers of Excellence The 92nd Street Y May Center for Health, Fitness & Sport provides adults and children with numerous opportunities for exercise, recreation, health education and participation is competitive sports . Its comprehensive fitness facilities include two air-conditioned gyms, a 75- foot swimming pool, state-of-the-art aerobic and strength conditioning studios, racquetball courts, an indoor jogging track and more than 80 exercise classes weekly. The Center also offers programs for special populations through its Coronary Detection 8t Intervention Center (CDIC); its nutrition, osteoporosis and women's health programs ; individual instruction and lectures by leading medical authorities . Scholarships = $ 520,280 Expenses = $7,805,883 Endowed in 1999 by two visionary trustees, board chairman Philip Milstein and longtime board member John Rosenthal, the 92°d Street Y Milstein/Rosenthal Center for Media & Technology is spearheading the Y's foray into the technology age. Working with the other centers, the new unit is developing and implementing technology-based-programs-long distance learning, Internet simulcasts, video conferencing, and similar new media tools-that will enable the Y to extend its reach beyond its four walls to communiteis and constituencies around the world. Scholarships = $ 0 Expenses = $393,406 The 92°° Street Y School of the Arts continues the Y's long history of offering outstanding instruction in music, dance and the visual arts . Under its auspices are the School ofMusic, founded in 1917, the Art Center, founded in 1930, and the Harkness Dance Center, which offered the modern dance movement its first home in America. in 1935 . Classes are available for all age groups, from preschool children to senior adults, and at all levels of training, from avocational beginners to established professional performers, teachers and choreographers . The School's Educational Outreach Program brings music, dance and art into the lives of 8,000 economically disadvantaged students in East and West Harlem public Scholarships = S 122,707 Expenses = $4,780,350 Statement 32 !. s The 92°d Street Y Bronfman Center for Jewish Life, generously endowed by the Samuel Bronfinan Foundation, offers a distinguished array of lectures, interviews, classes, workshops and holiday celebrations that explore Jewish ideas and themes. Known as a Jewish home to thousands of adults and children, the Center offers a wide range of programs to those beginning an exploration of Judaism, those continuing their studies and those seeking a better understanding of Jewish values, texts, history and rituals. Scholarships = $ 4,308 Expenses = $1,568,955 The 92nd Street Y Lillian & Sol Goldman Family Center for Youth & Family provides programs that promote the healthy development and growth of children of all ages. From classes for parents-to-be to extensive activities for teens, the Ceniter porvides a supportive, noncompetitive environment that encourages children and families to reach their maximum potential. Center programs included the award-winning Parenting Center, the Nursery School, the NoarA,fl~`erschool Center, 13 summer camps and activities for children with developmental disabilties. Scholarships = $ 422,201 Expenses = $9,829,052 The Makor/Steinhardt Center of the 92°d Street Y, housed in the Steinhardt Building at 35 West 67m Street, offers two programs . The first is Makor, which gives New Yorkers in their 20's and 30's opportunities for Jewish exploration an connection within an environment committed to Jewish pluralism, cultural innovation and intellectual excellence . Taking place in the evenings and on weekends-when young people are not at work. Makor presents a mix of sophisticated contemporary music performances, film screenings, art exhibits, theater presentations, literary readings, and classes and lectures, many devoted to Jewish topics. The second program taking place under the Center's rubric is Daytime the Steinhardt Building, designed for the growing population of baby boomers who began retiring or entering semi-retirement in 2001 . Daytime @the Steinhardt Building offers not only an eclectic mix of classes, workshops, films and other leisure and learning opportunities, but also a home-away-from-home, a place where boomers starting a new phase of life can find a community of like minded and "like-situated" others . Scholarships = $1,260 Expenses = $3,638,309 Statement 33 The 92°d Street Y Charles Simon Center for Adult Life & Learning offers a unique blend of social, educational and cultural programs for adults at every stage of their lives, from singles to seniors. Internationallylrnown as the presenter of the country's most prestigious lecture series, the Center frings the world's finest minds and most intriguing cultural figures to the Y's stage . Additionally, the Center offers diverse personal growth, career development and language classes, as well as local tours to places of historic, social, artistic and architectural importance. The acclaimed de Hirsch Residence and the Y's Buttenwieser Library also fall under the auspices of this Center. Scholarships = $18,534 Expenses = $8,304,344 Through its Music Program, the 92°d Street Y Tisch Center for the Arts , endowed through the generous support of the Tisch family, produces and presents world-class concerts of classical, world, folk and cabaret music, lyric theater and jazz. The Center's Unterberg Poehy Center, established in 1939, produces a renowned literary reading series that presents the most distinguished writers of our time, offers extensive educational programs for writers of all levels, sponsors and adult literacy project for non-English-speaking, lower-income, recent immigrants, and hosts a literary program that brings world-famous authors to high schools to teach writing workshops. Scholarships = $ 79,416 Total Scholarship Expenses = $1,168,706 Expenses = $4,462,874 Total Program Expenses = $40,783,173 Total Program Services = $41,951,879 Statement 34 YOUNG MEN AND WOMEN IS HEBREW ASSOCIATION SCHEDULE OF FIRED ASSETS TAX YEAR ENDING JUNE 30, 2004 EIN : #13-1624229 FORM 990, PART II LINE 4 2 AND PART IV LINE 57B LAND BUILDING AND IMPROVEMENTS FURNITURE AND EQUIPMENT CONSTRUCTION IN PROGRESS NET ENDING VALUE 6/30/44 2,524,881 47,699,701 16,850,788 696,119 67,771,489 ACCUMULATED DEPRECIATION- 7/1/2003 29,887,075 2004 WRITE-OFFS ACCUMULATED DEPRECIATION- 7/1/2004 33,174 ,343 2004 DEPRECIATION EXPENSE 3,419,177 (131,909) STATEMENT ~ 3.61, R 8868 Form (December 2000) Department of the Treasury Application for Extension of Time To File an Exempt Organization Return OMB No. " File a separate application for each return. Internal Revenue servkx If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II (on page 2 of this form). Note : De not complete Part 0 unless you have already bean granted an automatic 3-month extension on a previously filed Form 8868. 1545-1709 Automatic 3-Month Extension of Time - Only submit origins! (no copies needed) Note: Fomn 990-T corporations requesting an automatic 6-month extension - check this box and complete Part 1 only , , . , , All other corporations (Including Form 990-C filers) must use Form 7004 to request an extension of time to file Income tax returns. Partnerships, REMICs and frosts must use Form 8736 to request an extension of time to file Form 1065, 1066, or 1041 . Type of print File by the due data for flqng your velum. Sae Instructions . Name of Exempt Organization THE YOUNG 2dW ' S AND YOUNG WObW ' 3 street, and room a suite no. If a P .O . box, see City, town or post office, state, see Check type of return to be filed (81e a se mate application for each return): X Employee Identification number Form 990 Form 990-BL Form 990-EZ Form Form Form Forth U Farm 990-PF 990-T (corporation) 990-T(sec . 401(a) a 408(a) trust) 990-T (trust other than above) 1041-A Form Form Form Form 4720 5227 8089 8870 If the organization does not have an office or place of business in the United States, check this box . . . . . . . . . . . . . . Do, El If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN . If this is for the whole group, check this box " a . If it is for part of the group, check this box " ~ and attach a list with the names and EINs of all members the extension w81 cover. 1 I request an automatic 3-month (6-month, for 990-T corporation) extension of time until 02/15 . 2005 to file the exempt organization return for the organization named above. The extension is for the organization's return for. P. Ld calendar year or tax year beginning 07/01 . 2003 , and ending 06/30 . 2004 If this tax year is for less than 12 months, check reason: 0 Initial return [:] Final return 1:1 Change in accounting period 3a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any nonrefundable credits. See instructions . . , , , . . , . . . b If this application is for Form 990-PF or 990-T, enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit , , , , , , , , c Balance Due. Subtract line 3b from line 3a . Include your payment with this form, or, ~ff required, deposit with FM coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions . Signature and Verification $ $ $ Under penalties of perjury, I declare that I have examined this form, Including accompanying schedules and statements, and to the best of my knowledge and belief h Is true, correct, and complete, and that I am authorized to prepare this brm. Signature " OFFICE COPY For Paperwork Reduction Act Notice, see Instruction Title " CPA rsa 3F8054 1.000 L161 10/28/2004 09 :1621 v03-8 3oo9SR Date 10, Form 8868 (12-2000) Form ease (12-2000) * If you are filing for an Additional (not automatic) 3-Month Fxtensbn, complete only Part H and check this box . . "U Note : Only cornpAeft Part I ffyou hays already been graqW an arKorrraft 3-month exfenslon on a prevlousy filed Form 8868 you are fling for an Automatic 3-Month Extensbn, complete only Part 1 (on aaqe 1). Name of Exempt Organization THE YOUNG MEN' 3 AND YOUNG WOtZN'3 HEBREW ASSOCIATION 'Number, street, and room or suite no. If a P.O. boy. See irstrLictfans. Type a print Flis by the . 4uedee for ~wft3ee Instructions. fq Employer Idendficatim number 13-1624229 For IRS use.anly 1395 LEXINGTON AVENQE City, town or post office, state, and ZIP code. For a foreign address, see instructions. NEW YORK , NY. 10128 R Check type of rehu tp,bA"~Ied (Fde a separate appli~tion for each return) : Form 990 Form 990-BL STOP: Form 990-Q R Form 990-T (sec. 401(a) or 408(a) trust) Form 99aPF Form 990-T (trust other than above) ,.- Form'1041 A~Form 5227 ~ Form 8870 Form 472 Form 6069 Do not complete Part IF if you were-nat already granted an automatic 3-month extension on a previously filed Form 8868. " Kthe organization does not have an office or place of business in the United States, check this box, , , , , , , , , , , , 0 H this is fog a Group Return, enter the o anization's four digit Group Exemption Number (GEN . if U~,s is for the whole group, check this box " ~. If it is for part of the group, check this box " and attach a list with the names and EINs of all members the e~ensbn is for. 4 1 request an additional 3-month extension of time until 05/16/2005 5 For calendar year , or other tax year beginning 07 /01 /2003 and ending 06 /30 /2004 8 7 ff this tax year is for less than 12 morft, check season: Initial return Final return Change in accounting period State in detall why you need the extension iNFpRMATION NECESSARY TO PREPARE A CoblPLLTS AID ACCURATE RETURN I3 NOT YET AVAILABLE . 8a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less arty nonrefundable credits. See instructions b If this application is for Form 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimated tax payments made. Include any prior yeas overpayment allowed as a credit and any amount paid previously with Form 8888 , . c Balance Due. Subtract line 8b fromline 8a. Include ,yo, ur 'pa, ent with this form, or, if required, deposit with FM coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . ; Signature and Veriftcation Under peqatttes of perjury, 1 declare that 1 have examkied this form, Inducting accompanying schedules and statements . and to the best of my knowledge and belief, it Is true, correct, and complete, and that I am authorized to prepare this form . L-l1 Title 111- CPA I Notice to Applicant - To Be Completed by the IRS Date DO- - ~ '/ - - I We have approved this application . Please attach this form m the oron's return. We have not approved this application. However, we have wanted a 10-day grace period from the later of the date shown below a the due date of the organization's return (inducting any prior extensions). This grace period is considered to be a valid extension of time for elections otherwise required to be made on a timely return. Please attach this form to the organtmfion's return. We haw not approved this application . After considering the reasons stated in item 7, we cannot grant your request for an extension of time to ale . We are not granting a 10-daygraoe period. We cannot consider this application because K was filed after the due date of the return for which an eaQension was requested. Outer Director Date Alternate Malting Address - Enter the address if you ward the copy of this application for an additional 3-month extension returned to an address different than the one entered above. P~ a Number and street (Include suite, room, a apt. no.) Or a P.0 . boat number 750 THIRD AVENM . Cite a town, province a stabs, and country (inducting postal a DP code) rsA 31`8055 1 .000 FTXdK9 NEW YORK TAM NY 10017-2703 A7/AO/7An9% n"f .o-3 .2o Tsno_n -2nnnrr FEB 2 5 2005 , FIELD DIRECTOR, SUBMISSION PROCESSING, OGDEN, Form 8868 (12-2000)
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