Document 6570875
Transcription
Document 6570875
010897759 03/25/2009 9 15 AM Form 990 - EZ Short Form Return of Organization Exempt From Income Tax OMB No 1545-1150 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code 2^^7 (except black lung benefit trust or private foundation) ^ Sponsoring organizations and controlling organizations as defined in section 512(b)(13) must file Form 990 All other organizations with gross receipts less than $100.000 and total assets less than $250 000 at the end of the year may use this form 10- The organization may have to use a copy of this return to satisfy state reporting requirements Department of the Treasury Internal Revenue Service A For the 2007 calendar ear or tax year beg innin g B Check if applicable Address change X X Please C Open to Public Inspeefi on and endin g Name of organization D Employer identification number E Telephone number F Group Exemption use IRS Name change label or print or Initial return type Termination See Specific Amended return Instruc- Application pending tions PROJECT LADYBUG, INC. 01-0897759 Number and street (or P O box if mail is not delivered to street address) Rorrvsuite o 705 EWING AVENUE 973-304-0026 City or town, state or country, and ZIP + 4 F FRANKLIN LAKES NJ 07417 Number • Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach G a com p leted Schedule A ( Form 990 or 990-EZ ) . Accounting method Other (specify) ^ X Cash Accrual ^ X if the organization Check ^ is not regwre fo attach Schedule B Form 990 , 990-EZ or 990-PF I Website- J Or anization K Check ^ if the organization is not a section 509(a)(3) supporting orgamzatland its gross receipts are normallpot more than $25,000 A return is not required, but if the organization chooses to file a return, be sure to file a complete return Add lines 5b, 6b, and 7b, to line 9 to determine gross receipts, if $100,000 or more, file Form 990 instead of Form 990-EZ ^ $ 39, 373 L ^ X 501 ( c )( 3 1 Insertno 4947 a 1 or 527 Revenue , Expenses, and Chan ges in Net Assets or Fund Balances ( See pag e 55 of the instructions. ) pant I 1 Contributions, gifts, grants, and similar amounts received 1 2 Program service revenue including government fees and contracts Membership dues and assessments 2 Investment income Gross amount from sale of assets other than inventory 5a 5b Less cost or other basis and sales expenses Gain or (loss) from sale of assets other than inventory Subtract line 5b from line 5a (attach schedule) 4 3 4 5a b c 6 a 5c 8 9 Total revenue Add lines 1, 2, 3, 4, 5c, 6c, 7c, and 8 ^ 12,455 ) ^ See Statement 1 7c 8 9 2 6 , 918 10 20, 200 Grants and similar amounts paid (attach schedule) 11 Benefits paid to or for members 11 12 Salaries, other compensation, and employee benefits 12 = 13 Professional fees and other payments to independent contractors 13 Q. 14 Occupancy, rent, utilities, and maintenance W W Z 15 Printing, publications, postage, and shipping 16 Other expenses (describe ^ Q (,) a im CD 17 18 19 Total ex penses Add lines 10 throu g h 16 Excess or (deficit) for the year Subtract line 17 from line 9 Net assets or fund balances at beginning of year (from line 27, column (A)) (must ag Other changes in net assets or fund balances (attach explanation) 20 Z 21 Pan 11 4 RE CEIVED o 2 r- FL A with er - 0) An 15 41 ) 16 348 ^ 17 18 19 20 20, 589 ' fI SrWreI^ior year eturn) 6, 329 21 ^ Net assets or fund balances at end of year Combine lines 18 throu g h 20 Form 990 of Form 990-EZ are $250,000 or more, file instead Total assets on line 25, column (B) Balance Sheets-If (See page 60 of the instructions ) (A ) Beginning of year B 22 22 Cash , savings , and investments 23 Land and buildings 24 Other assets (describe ^ 26 Total liabilities (describe ^ 24 25 26 27 Net assets or fund balances ( line 27 of column ( B )m ust a g ree with line 21 ) 0 27 For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions 6 , 329 End of year 6,329 23 0 0 25 Total assets DAA -12,455 6c 10 See Statement 39,373 3 Special events and activities (attach schedule) If any amount is frcpemmg, check here 3 9 , 3 7 3 of contributions Gross revenue (not including $ 6a reported on line 1) 6b Less direct expenses other than fundraising expenses Net income or (loss) from special events and activities Subtract line 6b from line 6a 7a Gross sales of inventory, less returns and allowances 7b Less cost of goods sold Gross profit or (loss) from sales of inventory Subtract line 7b from line 7a Other revenue (describe ^ b c 7a b c O C%r- l H (check only one)- 6,329 0 6 , 3 29 Form 990-EZ (2007) 010897759 03/252009 9 15 AM Form 990-EZ (2007) PROJECT LADYBUG, INC. 01-0897759 l att of Statement of Program Service Accomplishments (See page 60 of the instruction What is the organization's primary exempt purpose? Expenses (Required for 501(c)(3) See'Statement 3 and (4) organizations Describe what was achieved in carrying out the organization's exempt purposes In a clear and concise manner, describe the services provided, the number of persons benefited, or other relevant information for each program title and 4947(ax1) trusts, optional for others ) 28 ( Grants If this amount includes ^ 1 1128a If ^ 1 1 1 29a 29 Grants 30 ( Grants $ If this amount includes forei g n g rants, check here 31 Other program services (attach schedule) See Statement 4 2 0, 2 0 0 ( Grants $ ^ If this amount includes forei g n g rants, check here ^ 32 Total p ro g ram service ex pe nses . Add lines 28a throu g h 31a Paft hours per week devoted to position CLAUDINE MANZO FRANKLIN LAKES 705 EWING AVENUE NJ DOLORBS CATANIA NORTH HALEDON 1 NJ CASSON LANE 07417 07508 CAROLINE MBNZO FRANKLIN LAKES 709 NJ SABER DRIVE 07417 ASHLEE LILIBRASI NORTH HALED ON 71 NJ 33 34 35 a b 36 37a b 38a b 39 a b I ^ 311a 20,200 32 2 0 , 200 List of Officers. Directors . Trustees . and Kev Emolovees (List each one even if not compensated See nape 61 of the instructions ) (B) Title and average (C) Compensation (D) Contributions to (E) Dpense (A) Name and address SUNCREST AVENUE Pact V 30a 07508 employee benefit pans & deterred compensation (if not paid , enter -0-. ) account and other allowances 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other Information ( Note the statement req uirement in General Instruction V. ) 0 Yes Did the organization make a change in its activities or methods of conducting activities? If "Yes," attach a detailed statement of each change Were any changes made to the organizing or governing documents but not reported to the IRS? If "Yes," attach a conformed copy of the changes If the organization had income from business activities, such as those reported on lines 2, 6, and 7 (among others), but not reported on Form 990-T, attach a statement explaining your reason for not reporting the income on Form 990-T Did the organization have unrelated business gross income of $1,000 or more or 6033(e) notice, reporting, and No 33 X 34 X proxy tax requirements? 35a X If "Yes," has it filed a tax return o6orm 990-T for this year? Was there a liquidation, dissolution, termination, or substantial contraction during the year? If "Yes," attach a statement Enter amount of political expenditures, direct or indirect, as described in the instr ^ 37a Did the organization fild:orm 1120-POL for this year? Did the organization borrow from, or make any loans to, any officer, director, trustee, or key emplmrceere any such loans made in a prior year and still unpaid at the start of the period covered by this retum' 35b X If "Yes," attach the schedule specified in the line 38 instructions and enter the amount involved 501(cX7)organizations Enter Initiation fees and capital contributions included on line 9 Gross recei pts , included on line 9 , for p ublic use of club facilities _ 36 X 37b X 38a X 0 38b 39a 39b Form 990-EZ (2007) DAA 010897759 03/25/2009 9 15 AM SCHEDULE A Organization Exempt Under Section 501(c)(3) (Form 990 or990 - EZ) (Except Private Foundation ) and Section 501(e ), 501(f), 501(k), 501(n), or 4947 (a)(1) Nonexempt Charitable Trust OMB No ^007 Supplementary Information -( See separate instructions.) IDepartment T rea su ry RevenueeSerrviice L ^ MUST be completed by the above organizations and attached to their Form 990 or 990-EZ Name of the organization Employer identification number PROJECT LADYBUG , Rtt I 1545-0047 01-0897759 INC. Compensation of the Five Highest Paid Employees Other Than Officers , Directors , and Trustees (Sae nave 1 of the instructions list each one. If there are none . e nter "None ") (b) Title and average hours per week devoted to position (a) Name and address of each employee paid more than $ 50 000 (c) Compensation (d) Contributions to empl benefit plans & deferred com p (e) bpense account and other allowances NONE Total number of other em p loyees paid over $50,000 Past ilA ^ 0 Compensation of the Five Highest Paid Independent Contractors for Professional Services ( See pag e 2 of the instructions. List each one (whether individuals or firms If there are none , enter "None " (b) Type of service (a) Name and address of each independent contractor paid more than $50,000 (c) Compensation NONE Total number of others receiving over $50,000 for rofessional services Part 1B ^ 1 0 Compensation of the Five Highest Paid Independent Contractors for Other Services (List each contractor who performed services other than professional services, whether individuals or firms. If there are none , enter "None " See pag e 2 of the instructions. ) (a) Name and address of each independent contractor paid more than $50,000 (b) Type of service (c) Compensation NONE Total number of other contractors receiving over 0 $50 , 000 for other services ^ For Paperwork Reduction Act Notice, see the Instructions for Form 990 and Form 990-EZ. DAA Schedule A (Form 990 or 990-EZ) 2007 010897759 03/25/2009 9 15 AM Schedule A (Form 990 or 990-EZ) 2007 PROJECT LADYBUG, NVI Ill 1 INC. 01-0897759 Statements About Activities (See page 2 of the instructions.) Yes Dunng 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 ^ $ (Must equal amounts on line 38, Part VI-A, or lines of Part VI-B) No 1 X 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's (If the answer to any question is "Yes," attach a detailed statement explaining the transactions ) a Sale, exchange, or leasing of property'? 2a X b Lending of money or other extension of credit? 2b X c Furnishing of goods, services, or facilities? 2c X d Payment of compensation (or payment or reimbursement of expenses if more than $1,000) 2d X a Transfer of any part of its income or assets? 2e X Did the organization make grants for scholarships, fellowships, student loans, etc '? (if 'Yes," attach an explanation of how the organization determines that recipients qualify to receive payments) 3a X b Did the organization have a section 403(b) annuity plan for its employees? 3b X c Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures? If 'Yes,' attach a detailed statement 3c X Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services? 3d X 4a 4b X b Did the organization maintain any donor advised funds' If 'Yes,' complete lines 4b through 4g If "No," complete lines 4f and 4g Did the organization make any taxable distributions under section 4966 c Did the organization make a distribution to a donor, donor advisor, or related person? 4c d Enter the total number of donor advised funds owned at the end of the tax year ^ e Enter the aggregate value of assets held in all donor advised funds owned at the end of the tax year ^ f Enter the total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included on line 4d) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts ^ Enter the aggregate value of assets held in all funds or accounts included on line 4f at the end of the tax year ^ 3a d 4a g 0 0 Schedule A (Form 990 or 990 -EZ) 2007 DAA 010897759 03252009 9 15 AM Schedule A(Form 990or990-EZ)2007 Past IV PROJECT LADYBUG, INC. 01-0897759 Page 3 Reason for Non- Private Foundation Status (See pages 4 through 8 of the instructions.) I certify that the organization is not a private foundation because it is (Please check dlK applicable box.) 5 A church, convention of churches, or association of churches Section 170(b)(1 )(A)(1) 6 F] A school Section 170(b)(1)(A)(li) (Also complete Part V ) 7 F1 A hospital or a cooperative hospital service organization Section 170(b)(1)(A)(Iil) 8 A federal, state , or local government or governmental unit Section 170(b)(1)(A)(v) 9 A medical research organization operated in conjunction with a hospital Section 170(b)(1 XA)(Er) ter the hospital's name, city, and state ^ 10 An organization operated for the benefit of a college or university owned or operated by a governmental unit Section 170(b)(1)(A)(Iv) (Also complete theSupport Schedule in Part IV-A.) 11a An organization that normally receives a substantial part of its support from a governmental unit or from the general public Section 170(b)(1)(AXvi) ( Also complete th(;upport Schedule in Part IV-A ) 11 b A community trust Section 170(bx1)(AXvi) (Also complete thbupport Schedule in Part IV-A ) 12 It An organization that normally receive ¢1) more than 33 `113 % of its support from contributions , membership fees, and gross receipts from activities related to its charitable , etc , functions- subject to certain exceptions , a" 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 tBapport Schedule in Part IV-A ) 13 n An organization that is not controlled by any disqualified persons (other than foundation managers ) and otherwise meets the requirements of section 509(a )(3) Check the box that describes the type of supporting organization 11 Type I 11 Type II 11 Type III-Functionally Integrated 11 Type III-Other Prnvida tho fnllnwinn infnrmatinn ahnut tha sumnnrtwd nrnani,atinns (SPp nano 8 of the instninfinns 1 (a) Name (s) of supported organization (s) (b) Employer identification number (EIN) (c) Type of organization (described in lines 5 through 12 above or IRC section) Yes No Total 14 ^ I (e) Amount of support (d) Is the supported organization listed in the supporting organization's governing documents? 1 I An organization organized and operated to test for public safety Section 509 (aX4) (See page 8 of the instructions ) Schedule A (Form 990 or 990 -EZ) 2007 DAA SchedueA(Form990or990-EZ)2007 PROJECT LADYBUG, 01 - 0897759 INC. Paqe4 P40 IV-A Support Schedule (Complete only if you checked a box on line 10, 11, or 1 aloe cash method of accounting. Note You may use the worksheet in the instructions for converting from the accrual to the cash method of accounting Calendar year or fiscal year beg innin g in ) 15 (a) 2006 ( d ) 2003 ( c ) 2004 ( b ) 2005 a Total Gifts, grants, and contributions received (Do not include unusual grants See line 28) 0 16 Membership fees received 0 17 Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's chartable etc , purpose 18 0 Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties income from similar sources and unrelated _ business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30 1975 0 19 Net income from unrelated business 20 Tax revenues levied for the organization's activities not included in line 18 0 benefit and either paid to it or expended on its behalf 0 The value of services or facilities furnished to the organization by a governmental unit without charge Do not include the value of 21 services or facilities generally furnished to the p ublic without cha rg e 0 22 Other income Attach a schedule Do not include gain or (loss) from sale of capital assets 0 23 Total of lines 15 through 22 0 24 Line 23 minus line 17 0 25 Enter 1% of line 23 Organizations described on lines 10 or 11: 26 a Enter 2% of amount in column (e), line 24 b 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 2003 through 2006 exceeded the amount shown in line 26aDo not file this list with your return. Enter the total of all these excess amounts c Total support for section 509(aXl) test Enter line 24, column (e) 19 18 d Add Amounts from column (e) for lines 26b 22 e Public support (line 26c minus line 26d total) f 111- 26a 1 26b 26c ^ 111- 26d 26e 26f Public support _percentag e ( line 26e ( numerator ) d ivided b y line 26c ( denominator )) 0 % a For amounts included in lines 15, 16, and 17 that were received from a "disqualified Organizations described on line 12: records to show the name of, and total amounts received in each year from, each "disqualified person prepare a list for your person,' return. Enter the sum of such amounts for each year this list with your Do not file 27 (2006) b 0 (2005) 0 0 (2004) 0 (2003) 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 tbeaer of (1) the amount on line 25 for the year c(¢) $5,000 (Include in the list organizations described in lines 5 through 11b, as well as indiwdua®o not file this list with your return After computing the difference between the amount received and the larger amount descnbec(1 or (2), enter the sum of these differences (the excess amounts) for each year (2003) 0 (2004) 0 0 (2005) (2006) 16 column (e) for 15 lines c Add Amounts from IN- 27c 21 17 20 and line 27b total d Add Line 27a total e Public support (line 27c total minus line 27d total) f Total support for section 509(aX2) test Enter amount from line 23, column (e) 10, 27d 27e 101 27 % 27h % 27f g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) In Investment income p ercenta g e ( line 18, column a ( numerator ) divided b y line 27f ( denominator )) 28 0 Unusual Grants: For an organization described in line 10, 11, or 12 that received any unusual grants during 2003 through 2006, 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 oranDo not file this list with your return. Do not include these grants in line 15 Schedule A (Form 990 or 990-EZ) 2007 DAA 0 1 0 99 77 59 03/2512009 9 15 AM Schedule A (Form 990 or 990-EZ) 2007 PROJECT LADYBUG, INC. Platt V Private School Questionnaire (See page 9 of the instructions.) 01-0897759 To be com p leted ONLY by schools that checked the box on line 6 in Part IV) Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, by laws, 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 29 30 31 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 ) 32 N/A Yes No 29 30 31 c 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 d with student admissions, programs, and scholarships' Copies of all material used by the organization or on its behalf to solicit contributions? a b Page 5 32a 32b 32c 32d If you answered "No' to any of the above , please explain (If you need more space , attach a separate statement ) 33 Does the organization discriminate by race in any way with respect to a Students' rights or privileges? b Admissions policies' c Employment of faculty or administrative staff? d Scholarships or other financial assistance? e Educational policies? f Use of facilities? g Athletic programs' h Other extracurricular activities' 133a If you answered 'Yes' to any of the above , please explain (If you need more space, attach a separate statement ) 34a b 35 Does the organization receive any financial aid or assistance from a governmental agency Has the organization ' s right to such aid ever been revoked or suspended' If you answered "Yes" to either 34a or b , please explain using an attached statement Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4 05 of Rev Proc 75-50, 1975-2 C B 587, covenng ra cial nondiscrimin atio n? If 'No," attach an explanation 34b 35 Schedule A (Form 990 or 990-EZ) 2007 DAA 010897759 03/25/2009 9 15 AM Schedule A (Form 990 or 990-EZ) 2007 PROJECT LADYBUG, INC. 01-0897759 Part VI-A Lobbying Expenditures by Electing Public Charities (See page 11 of the instructions ) ( To be comp leted ONLY by an eli g ible org anization that filed Form 5768 ) Chec k 0 a I if the organization belongs to an affiliated group Check ^ b N/A if you checked" a" and "limited control" provisions apply Limits on Lobbying Expenditures co) To be completed for all electing Affiliatedd group totals 36 37 38 39 40 41 (The term "ex pe nditures" means amounts paid or incurred 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 isThe lobbying nontaxable amount isNot over $500,000 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 $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000 Over $17,000,000 $1,000,000 Page 6 organizations 36 37 38 39 40 10, 41 42 Grassroots nontaxable amount (enter 25% of line 41) 43 Subtract line 42 from line 36 Enter -0- if line 42 is more than line 36 42 43 44 Subtract line 41 from line 38 Enter -0- if line 41 is more than line 38 44 Caution: If there is an amount on either line 43 or line 44, you must file Form 4720 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 pace 13 of the instructions ) Lobbying Expenditures During 4-Year Averaging Period Calendar year (or fiscal y ear be g innin g in ) ^ (a) (b) ( c) (d) (e) 2007 2006 2005 2004 Total 45 Lobbyin g nontaxable amount 46 Lobbying ceiling amount (150% of line 45( e )) 47 Total lobbyin g ex pe nditures 48 Grassroots nontaxable amount 49 Grassroots ceiling amount (150% of line 48e 50 Grassroots lobbyin g ex pe nditures Part Vt-B Lobbying Activity by Nonelecting Public Charities (For reporting only by organizations that did not complete Part VI-A) (See Daae 14 of the instructions ' During the year, did the organization attempt to influence national, state or local legislation, including any 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 lirrthrough h.) c Media advertisements d Mailings to members, legislators, or the public e Publications, or published or broadcast statements Grants to other organizations for lobbying purposes f g Direct contact with legislators, their staffs, government officials, or a legislative body h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means Total lobbying expenditures (Add lines through h.) i If 'Yes" to any of the above, also attach a statement giving a detailed description of the lobbwna activities Yes No N/A Amount Schedule A (Form 990 or 990-EZ) 2007 DAA . 010897759 03/25/2009 9 15 AM Schedule A (Form 990 or 990-EZ) 2007 PROJECT Part VII 51 LADYBUG, INC. 01-0897759 Pagel , Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations (See page 14 of the instructions.) 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 in section 527, relating to political organizations? a Transfers from the reporting organization to a nonchantable exempt organization of Yes (I) (ii) to c d Cash 51a i Other assets a ii Other transactions (1) Sales or exchanges of assets with a nonchantable exempt organization b(l) (Ii) Purchases of assets from a nonchantable exempt organization b ( II ) (iii) Rental of facilities, equipment, or other assets b (ill ) (iv) Reimbursement arrangements b (iv) (v) Loans or loan guarantees b (v) (vi) Performance of services or membership or fundraising solicitations b (vi ) Sharing of facilities, equipment, mailing lists, other assets, or paid employees c 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 shanna arrangement. show in column (d) the value of the goods. other assets. or services received (a) (b) (c) (d) Line no Amount involved Name of nonchardable exempt organization Description of transfers, transactions, and sharing arrangements No X X X X X X X X X N/A 52a to 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? If 'Yes," com p lete the followin g schedule (a) Name of organization (b) Type of organization ^ 11 Yes ❑ No (c) Description of relationship N/A Schedule A (Form 990 or 990 -EZ) 2007 DAA 010897759 PROJECT LADYBUG, INC. 01-0897759 FYE: 12/31/2007 3/25/2009 9:15 AM Federal Statements Statement 1 - Form 990- EZ. Part I . Line 10 - Grants and Similar Amounts Paid Name Address Date of Gift ST. JOSEPH'S 703 MAIN STREET Relationship Class of to Org Activity Description of Property Book Value BV Explan FMV Explan HOSPITAL $ PATERSON NJ NonCash Contrib Cash Contrib 20,200 $ $ 07503 Total 1 3/25/2009 9:15 AM 010897759 PROJECT LADYBUG, INC. Federal Statements 01-0897759 FYE: 12%31 /2007 Statement 2 - Form 990-EZ, Part 1, Line 16 - Other Expenses Description Amount Expenses 348 Total $ 348 010897759 PROJECT LADYBUG, INC. Federal 01-0897759 FYE: 12/31/2007 3/25/2009 9:15 AM Statements Statement 3 - Form 990-EZ, Part III - Organization 's Primary Exempt Purpose Description TO BENEFIT CHILDREN WITH DISABILITIES AT ST. HOSPITAL IN PATERSON NJ JOSEPH'S Statement 4 - Form 990-EZ, Part 111, Line 31 - Statement of Program Service Accomplishments Description TO BENEFIT HANDICAPPED CHILDREN IN CONJUNCTION WITH ST JOSEPHS HOSPITAL. 3-4