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2010SCANNED DEC 0 E
Form Return of Private Foundation OMB No 15450052* o Se t"on 4947 a 1 Nonexem tCharitabIeT t- r C I Treated gg 5 Private Fgundation msDepartment of the Treasurylfllemal Revenue SGWICG Note- The foundation may be able to use a copy of this return to satisfy state reporting requirements
For calendar year 2009, or tax year beginning , 2009, and endingG Check all that apply Initial return lj Initial Return of a former public charity lj Final return
" Amended return VIAddress change D Name changeUse theIRS iabei. First Amendment Coalition of Arizona IncOtherwise c/o Dan Barr Perkins Coe/ofgflle 2901 North centrak Ave., suite 2000
Se,.s,,f.,*,,",,C Phoenix, Az 85012-2788Instructions.
A Employer identification number
86-0431126B Telephone number (see the instructions)
602-810-8964
H Check type of organization Section 501 (c)(3 exempt private foundationE Section 4947(a)(l) nonexempt charitable trust Other taxable rivate foundation
I Fair market value of all assets at end of year J Accounting method Q(-Igash I-IAccrual(from Part ll, column (c), line I6) lj other (speclfy)
* S 15 , 444 . Part l, column (d) must be on cash basis )
C If exemption application is pending, check here *D 1 Foreign organizations, check here *
2 Foreign organizations meeting the 85% test, checkhere and attach computation * lj
E If private foundation status was terminatedunder section 507(b)(1)(A), check here * EI
- F If the foundation is in a 60-month terminationunder section 507(b)(l)(B), check here * U
Part I Analysis of Revenue and (a) Revenue and (b) Net investment(The total Of amounts /fl expenses per books Incomecolumns (b), (c), and (d) may not necessarily equal the amounts in column (a)(see the instructions) )
(c) Adiusted net (d) Disbursementsincome for charitablepurposes
(cash basis only)
1 Contributions, gifts, grants. etc. received (att sch) 35,0002 Ck * EI if the foundn is not req to att Sch B3 Interest on savings and temporary
cash investments 93 93 . 93.4 Dividends and interest from securities5a Gross rents
b Net rental incomeor (loss)
IU
63 Net gainl(Ioss) from sale of assets not on line I0
(F1
b Gross sales price for allassets on line 6aCapital gain net income (from Part IV, line 2)
ZITI
NNI
e
i
C
LO
I come - cific
F1
-AQDI
rl*V055 e-$51.( S22Lie T f
b,.gs.I.ziiii0v 2 2010c Qro"ss.profit/(loss) (att sch) I
11 ?ther,in$pim?:*(attiai:a1-sci1?d.ule)""12 Total. Add lines 1 through ll " 93. 93. I13 Compensation of officers, directors, trustees. etc
35,093.0
14 Other employee salaries and wages
15 Pension plans, employee benefits16a Legal fees (attach schedule) See St 1
If
33,000.
EU
bAccounting fees (attach sch) See St 233, 000
533 533.c Other prof fees (attach sch)
1 7 Interest18 taiemiiaui suieiuiexsee rnsir) See SUD 3
m-V0
4m-z
7 7
-tbl*-IPI)
19 Depreciation (attachsch) and depletion
20 Occupancy21 Travel, conferences, and meetings
D2
H1(
801 801.
U2)XI11
22 Printing and publications23 Other expenses (attach schedule)
See Statement 4
ZH11
344 344.
UlI"l1(D
24 Total operating and administrativeexpenses. Add lines I3 through 23 34, 685 7 . 34,678.
25 Contributions, gifts, grants paid
26 Total expenses and disbursements.Add lines 24 and 25 34, 685 7 . 0. 34,678.
27 Subtract line 26 from line I2: g U *and disbursements
a Excess of revenue over expenses 7**408
I
I
I
b Net investment income (if negative. enter -0-) 86- lC Adjusted net income (if negative. enter 0 ) 93. I
BAA For Privacy Act and Paperwork Reduction Act Notice, see the instructions. TEEAo5o4L o2io2ii0 Form 990-PF (2009)
Form 990-PF (2009) First Amendment Coalition of Arizona Inc 86-0431126 Page 2
Attached schedules and amounts in the description Beginning Of yea( End Of yeaf
ii 1 Cash-non-interest-bearing 14 944Balance Sheets fgellenl2s1l1t?@Lll?Jnbse)for end of-year amounts only (a) Book Value (b) Book Value (c) Fair Market Value14 , 14,944
2 Savings and temporary cash investments 15,022 500. 5003 Accounts receivable *
Less allowance for doubtful accounts *-- M, 11-1,. ,-.,-,-,l
4 Pledges receivable *Less allowance for doubtful accounts *
I
i
i
5 Grants receivable - - - - * - - -- 6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see the instructions)
7 Other notes and loans receivable (attach sch) **Less allowance for doubtful accounts *
U7)
,J
8 Inventories for sale or use - - - - - - - -- 9 Prepaid expenses and deferred charges
10a Investments - U S and state governmentobligations (attach schedule)
b Investments - corporate stock (attach schedule)
c Investments - corporate bonds (attach schedule)
11 Investments - land, buildings, andequipment basis *
(D-(FIU)
x
I
I
Less accumulated depreciation(attach schedule) *12 Investments - mortgage loans13 Investments - other (attach schedule)14 Land, buildings, and equipment basis *
Less accumulated depreciation(attach schedule) * - - - - - - - --
I
ii
15 Other assets (describe * - - - - - - - - - - - - - - -- - )16 Total assets (to be completed by all filers
see instructions Also, see page 1, item I) 15,036 15,444 15,444
I
17 Accounts payable and accrued expenses
(Dfl1-l-I""-m)
18 Grants payable19 Deferred revenue20 Loans from officers, directors, trustees, 8- other disqualified persons
21 Mortgages and other notes payable (attach schedule)
22 Other liabilities (describe * - - - - - - - - - - - - - -- - )
23 Total liabilities (add lines 17 through 22) 0 0
Foundations that follow SFAS 117, check here * ILand complete lines 24 through 26 and lines 30 and 31 .
24 Unrestricted
2T1
15,036 15,444
-H11
UZC
25 Temporarily restricted26 Permanently restricted
-IITIUH/1)PFPU
Foundations that do not follow SFAS 117, check here * Iand complete lines 27 through 31.
27 Capital stock, trust principal, or current funds
IUC Ut(DMOZ
28 Paid-in or capital surplus, or land, building, and equipment fund
29 Retained earnings, accumulated income, endowment, or other funds
30 Total net assets or fund balances (see the instructions) 15,036 15,44431 Total liabilities and net assetslfund balances
(see the instructions) 15,036. 15,444lPart III lAnaIysis of Changes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of year - Part II, column (a), line 30 (must agree withend-of-year figure reported on prior year"s return)Enter amount from Part I, line 27a
Other increases not included in line 2 (itemize) * - - - - - - - - - *- Add lines l, 2, and 3
Decreases not included in line Z (itemize) * - - - - - - - - - --
U5U1hwN
Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b), line 30
UTU1-DCAIIN)-*
15,036408
15,444
15,444BAA TEEAo3o2i. ovioc/09 Form 990-PF (2009)
Form 990-PF(2009) First Amendment Coalition of Arizona Inc 86-0431126 Page3I Part,IV ICapitaI Gains and Losses for Tax on Investment Income
, (a) List and describe the kind(s) of propert sold (e g , real estate, (b) HOW acquired (C) Date acquired (d)Da1e Sold2-story brick warehouse, or common stock, 2yO0 shares MLC Company) Q- lgufchfse (momhf "Yi YW) (""*""*f da* Year)* Ona I0n
1a-N/Ab
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I
(h) Gain or (loss)(e) plus (f) minus (g)
(e) Gross sales price (f) Depreciation allowed (g) Cost or other basis(or allowable) plus expense of sale
QQOUN
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69(i) Fair Market Value (j) Adjusted basis (k) Excess of column (i)as of 12/31/69 as of 12/31/69 over column (j), if any
(I) Gains (Column (h)gain minus column (k), but not less
than -0-) or Losses (from column (h))
QQOUN
lf (loss) enter -0- i 23 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6)"2 Capital gain net income or (net capital loss) AE" gain* also enter I2 Egg II* mg 5 E
If gzain, also enter in Part I, line 8, column (c) (see the instructions) lf (loss), enter -0- ilin art I, line 8 3IPart V lQuaIification Under Section 4940(g) for Reduced Tax on Net Investment Income(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income )
If section 494O(d)(2) applies, leave this part blank
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e) Do not complete this part N/A1 Enter the appropriate amount in each column for each year: see the instructions before making any entries
U Yes lj No(2) (b) (C) (d)Base period years Adjusted qualifying distributions Net value of Distribution ratioCalefldaf Yeaf (Of fax Year noncharitable-use assets (column (b) divided by column (c))beginning in)
20082007200620052004
2 Total of line l, column (d) 23 Average distribution ratio for the 5-year base period - divide the total on line 2 by 5, or by the
number of years the foundation has been in existence if less than 5 years 3
4 Enter the net value of noncharitable-use assets for 2009 from Part X, line 5 4
5 Multiply line 4 by line 3 56 Enter 1% of net investment income (l% of Part l, line 27b) 67 Add lines 5 and 6 78 Enter qualifying distributions from Part Xll, line 4 8
lf line 8 is equal to or greater than line 7, check the box in Part VI, line lb, and complete that part using a 1% tax rate See thePart Vl instructionsBAA Form 990-PF (2009)
TEEA0303L 07/06/09
Form 990-PF(2009) First Amendment Coalition of Arizona Inc 86-0431126 Page4Part VI . I Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948 - see the instructions)
1 a Exempt operating foundations described in section 4940(d)(2), check here * LI and enter "N/A" on line l
-Date of ruling or determination letter - - - - -- - (attach copy of letter if necessary - see instr.)b Domestic foundations that meet the section 4940(e) requirements in Part V
check here * Ijand enter 1% of Part l, line 27bc All other domestic foundations enter 2% of line 27b Exempt foreign organizations enter 4% of Part I, line 12, column (b)
2 Tax under section 51 1 (domestic section 4947(a)(1) trusts and taxablefoundations only Others enter -0-)Add lines 1 and 2
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-)
50-I
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, 1 2- ,il
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Tax based on investment income. Subtract line 4 from line 3 lf zero or less, enter -OCreditslPayments
a 2009 estimated tax pmts and 2008 overpayment credited to 2009
b Exempt foreign organizations - tax withheld at sourcec Tax paid with application for extension of time to file (Form 8868)
UiN
d Backup withholding erroneously withheldTotal credits and payments Add lines 6a through 6dEnter any penalty for underpayment of estimated tax Check here D if Form 2220 is attachedTax due lf the total of lines 5 and 8 is more than line 7, enter amount owed
7
8
9
V
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1
0."
2.10
YV-lxl-io
Overpayment If line 7 is more than the total of lines 5 and 8, enter the amount overpaidEnter the amount of line 10 to be Credited to 2010 estimated tax * Refunded11 I
Part VII-A IStatements Regarding Activities1a During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it -- Yesparticipate or intervene in any political campaign? 1a
b Did it spend more than $100 during the year (either directly or indirectly) for political purposes(see the instructions for definition) 1 blf the answer is "Yes" to 7a or 7b, attach a detailed description of the activities and copies of any materials publishedor distributed by the foundation in connection with the activities 1 - g - g
c Did the foundation file Form 1120-POL for this year?d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year(1) On the foundation * $ 0 . (2) On foundation managers * $ 0 .
e Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed onfoundation managers * $ 0 .Has the foundation engaged in any activities that have not previously been reported to the IRS?lf "Yes," attach a detailed description of the activities
2
3 Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articlesof incorporation, or bylaws, or other similar instruments? lf "Yes," attach a conformed copy of the changes
4a Did the foundation have unrelated business gross income of $1,000 or more during the year?b If "Yes,* has it filed a tax return on Form 990-T for this year?
5 Was there a liquidation, termination, dissolution, or substantial contraction during the year?
lf "Yes," attach the statement required by Genera/ Instruction TAre the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either0 By language in the governing instrument, or
6
0 By state legislation that effectively amends the governing instrument so that no mandatory directions that conflictwith the state law remain in the governing instrument?
7 Did the foundation have at least $5,000 in assets at any time during the year? lf "Yes/complete Part ll, column (c), and PartXV
8a Enter the states to which the foundation reports or with which it is registered (see the instructions) *AZ
b If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney General - - -4(or designate) of each state as required by General lnstn/ction G? If "No, " attach explanation
9 ls the foundation claiming status as a private operating foundation within the meaning of section 4942(i)(3) or 49420)(for calendar year 2009 or the taxable year beginning in 2009 (see instructions for Part XlV)? lf "Yes," complete Part XI
Q55
9
10 Did any persons become substantial contributors during the tax year? lf "Yes," attach a schedule listing their namesand addresses. 10
-6?7 XT"-l
No
-X.
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1c X
2 X1
1
i3 X4a X4b N/A5 X
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lill.XBAA Form 990-PF
TEEA0304i. 07/06/09
(2009)
Form 990-PF (2009) First Amendment Coalition of Arizona Inc 86-0431126 Page5l IPart VII-A IStatements Regarding Activities Continued
11 At any time during the year, did the foundation, directly or indirectly, own a controlled entity*within the meaning of section 512(b)(13)? If "Yes", attach schedule (see instructions)
12 Did the foundation acquire a direct or indirect interest in any applicable insurance contract beforeAugust 17, 2008?
Located at e 3625- gas-t-lie-l-iev-ieig -Piac-e- ill-136 - Ego-ttsd-ale -A2, ZIP + 4 e -8525-L
11 X5- X
13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application? EWebsite address *-http-: jivrwli.-a-r-i go-nago-i-. go-mf - - - - - - - - - - - - --
14 The beeke ere In eefe ef * .MQEJL Q-. .SEQIP ................. - - Telephone "0 * -69Z".8l Q19? Q4. - -
15 seeirerr 4947(a)(i) neriexempi charitable irueie filing Form 990-PF in ireu ef Perm 1041 - cheek here - -lil/if *f lj- and enter the amount of tax-exempt interest received or accrued during the year *I 15 I N/A
IPart VII-B IStatements Regarding Activities for Which Form 4720 May Be RequiredFile Form 4720 if any item is checked in the "Yes" column, unless an exception applies. Yes No
1 a During the year did the foundation (either directly or indirectly)
(1) Engage in the sale or exchange, or leasing of property with a disqualified person? EYes X No(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a disqualified person? Yes X No(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? Yes X No(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? Yes X No(5) Transfer any income or assets to a disqualified person (or make any of either available .for the benefit or use of a disqualified person)? I:IYes X No(6) Agree to pay money or property to a government official? (Exception. Check "No" if the
foundation agreed to make a grant to or to employ the official for a period after termination ..of government service, if terminating within 90 days) I:lYes -)SNo
b If any answer is "Yes" to la(1)-(6), did any of the acts fail to qualify under the exceptions described inRegulations section 53 4941 (d)-3 or in a current notice regarding disaster assistance (see the instructions)?Organizations relying on a current notice regarding disaster assistance check here *
c Did the foundation engage in a prior year in an of the acts described in la, other than excepted acts, ---- -e - X1 cthat were not corrected before the first day of the tax year beginning in 2009?
2 Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was aprivate operating foundation defined in section 4942(1)(3) or 4942(i)(5))
a At the end of tax year 2009, did the foundation have any undistributed income (lines 6dand 6e, Part Xlll) for tax year(s) beginning before 2009 I:IYes NoIf "Yes," list the years * 20- - , 20- - , 20- - , 20-
b Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year"s undistributed income? (If applying section 4942(a)(2) to W* 4--4?-as2b N, Aall years listed, answer "No" and attach statement - see the instructions)c If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here
* 20-- ,20-- ,20-- ,20-3a Did the foundation hold more than a 2% direct or indirect interest in any businessenterprise at any time during the year? D Yes No
b lf "Yes," did it have excess business holdings in 2009 as a result of (1) any purchase by the foundationor disqualified persons after May 26, 1969, (2) the lapse of the 5-year period (or longer period approved
bg the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest, or( )the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, fo 3b N /Adefermine if the foundation had excess business holdings in 2009.)
4a Did the foundation invest during the year any amount in a manner that would ieopardize itscharitable purposes?
b Did the foundation make any investment in a prior year (but after December 31, 1969) that could
ieopardize its charitable purpose that had not been removed from jeopardy before the first day of --B *-4the tax year beginning in 2009?
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,flBAA Form 990-PF
TEEA0305L 07/06/09
(2009)
n
Form 990-PF (2009) First Amendment Coalition of Arizona Inc 86-0431126 PagesIPart VII-B I Statements Regarding Activities for Which Form 4720 May Be Required (continued)
5a During the year did the foundation pay or incur any amount to
.(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? U Yes No
NoNo
(2)
No(3)
(4)
Nob lf any answer is "Yes" to 5a(l)-(5), did any of the transactions fail to qualify under the exceptions
described in Regulations section 53 4945 or in a current notice regarding disaster assistance -- - 4-# P(see instructions)? 5b N,/AOrganizations relying on a current notice regarding disaster assistance check here * E
Influence the outcome of any specific public election (see section 4955), or to carry
on, directly or indirectly, any voter registration drive? H YesProvide a grant to an individual for travel, study, or other similar purposes? YesProvide a grant to an organization other than a charitable, etc, organization describedin section 509(a)(l), (2), or (3), or section 4940(d)(2)? (see instructions) U Yes
(5) Provide for any purpose other than religious, charitable, scientific, literary, oreducational purposes, or for the prevention of cruelty to children or animals? U Yes
c lf the answer is Yes" to question 5a(4), does the foundation claim exemption from thetax because it maintained expenditure responsibility for the grant? N/A E Yes III Nolf "Yes," attach the statement required by Regulations section 53 4945-5(d)
6a Did the foundation, during the ear, receive any funds, directly or indirectly, to pay premiumson a personal benefit contracty EYes Nob Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? U Eb 1--A-N P?
i
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if "Yes" io eb, file Form 8870 l7a At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? EIYes No t
b If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? 7b N /A,-Tart"VlI1 l information /-Tbout"Ufticers, Directors, Trustees, Foundation Managers, Flighly Paid"Employees, C
and Contractors1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
(b) Title and average f(c) Comgensation) (d) Contributions to (e) Expense account,hours per week (I not pai , enter - -) employee benefit other allowances(3) Name and address devoted to position plans and deferredcompensation
See. Staitefif-1112 .5 ............ - 0. 0. 0.
2 Compensation of five highest-paid employees (other than those included on line 1- see instructions). If none, enter "NONE."(a) Name and address of each employee (b) Title and average (c) Compensation (d) Contributions to (e) Expense account,paid more than $50,000 hours per week employee benefit other allowancesdevoted to position plans and deferred
compensation.N929 . . . . . . . . . . . . . . . . . . . .- .
Total number of other employees paid over $50,000 * 0BAA TEE/toaosi 07/os/09 F0fm 990-PF (2009)
Form 990-PF (2009) First Amendment Coalition of Arizona Inc 86-0431126 Page7Part Vlll- llnformation About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors (continued)
3 . Five hirghest-paid independent contractors for professional services - (see instructions). If none,enter" ONE.(a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
.N9 Ile . . . . . . . . . . . . - - . . . . . . . . . . . . . . . . . . .-
Total number of others receiving over $50,000 for professional services * OPart IX-A Summary of Direct Charitable Activities
List the foundation"s four largest direct charitable activities during the tax year Include relevant statistical information such as the number of EX ensesorganizations and other beneficiaries sen/ed, conferences convened, research papers produced, etc p1 5@i5Q&e@[email protected] ......................................... -
"""""""""""""""""""""""""""""""""""""""""""""""""""" -- 59,614.2 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --
3 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --
4 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --
Part IX-B Summary of Program-Related Investments (see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines l and 2 Amount1 N/ A
2 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --
All other program-related investments See instructions3
Total. Add lines l through 3 * 0 .BAA Form 990-PF (2009)
TEEA0307L 07/06/09
Form 990-PF (2009) First Amendment Coalition of Arizona Inc 86-0431126 PagesPart X -lMinimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
see instructions.)
1 .Fair market value of assets not used (or held for use) directly in carrying out charitable, etc, purposes.a Average monthly fair market value of securitiesb Average of monthly cash balancesc Fair market value of all other assets (see instructions)d Total (add lines Ia, b, and c)e Reduction claimed for blockage or other factors reported on lines Ia and lc(attach detailed explanation) 1 e 0 . 2 02 Acquisition indebtedness applicable to line I assets
3 Subtract line 2 from line ld
4 Cash deemed held for charitable activities Enter 1-I/2% of line 3(for greater amount, see instructions)
5 Net value of noncharitable-use assets. Subtract line 4 from line 3 Enter here and on Part V, line 4Minimum investment return. Enter 5% of line 5
...Alia
15
15
15
15
2401b ,1c
2401d ,2403 I
4 2290115 ,7516 6
IPart XI lDistributabIe Amount (see instructions) (SGCUOH 4942(1)(3) and (j)(5) private operating foundationsand certain foreign organizations check here * Band do not complete this part.)1 Minimum investment return from Part X, line 6 1 751
2a Tax on investment income for 2009 from Part VI, line 5 2a 2 .b Income tax for 2009 (This does not include the tax from Part VI ) E Wc Add lines 2a and 2b 2c
NIUtU1h0)
Distributable amount before adiustments Subtract line 2c from line IRecoveries of amounts treated as qualifying distributionsAdd lines 3 and 4Deduction from distributable amount (see instructions)Distributable amount as adjusted Subtract line 6 from line 5 Enter here and on Part XIII, line I
Nldithbw
-E2749
749
749
Part XII Qualifying Distributions (see instructions)
1 Amounts paid (including administrative expenses) to accomplish charitable, etc, purposesa Expenses, contributions, gifts, etc - total from Part I, column (d), line 26b Program-related investments - total from Part IX-B
2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc, purposes
3 Amounts set aside for sgnecific charitable projects that satisfy thea Suitability test (prior IR approval required)b Cash distribution test (attach the required schedule)
4 Qualifying distributions Add lines Ia through 3b Enter here and on Part V, line 8, and Part XIII, line 4
5 Foundations that qualify under section 494O(e) for the reduced rate of tax on net investment incomeEnter 1% of Part I, line 27b (see instructions)
6 Adjusted qualifying distributions. Subtract line 5 from line 4
34
Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundationqualifies for the section 494O(e) reduction of tax in those years
1a 34,6781b43a3b
6784 ,546 34,678
BAA Form 990-PF (2009)
TEEA0308L 07/06/09
Form 990-PF (2009) First Amendment Coalition of Arizona Inc 86-0431126 Page9Part Xlli Undistributed lncome (see instructions)
1 Distributable amount for 2009 from Part Xl,line 7
2 Undistributed income, if any, as of the end of 2009
a Enter amount for 2008 onlyb Total for prior years 20 ,Z0 ,Z0 0.
(2) (b) (C) (d)Corpus Years prior to 2008 2008 2009
749.
5-"4"7""5"""55 of
3 Excess distributions carryover, if any, to 2009
25,450.50,397.25,420.25,935.
a From 2004b From 2005c From 2006d From 2007e From 2008 15,922. ----- -Mm *yy*-y* Rf Total of lines 3a through e 143, 124 .
4 Qualifying distributions for 2009 from PartXll,line4 * $ 34,678.
a Applied to 2008, but not more than line 2a
b All-pplied to undistributed income of prior years( lection required - see instructions)
c Treated as distributions out of corpus(Election required - see instructions)
d Applied to 2009 distributable amounte Remaining amount distributed out of corpus 33, 929 . I5 Excess distributions carryover applied to 2009
(lf an amount appears in column (d), thesame amount must be shown in column (a) )
6 Enter the net total of each column asindicated below: mm* W Ma Corpus Add lines 3f, dc, and 4e Subtract line 5
b Prior ears" undistributed income Subtractline 45 from line 2b
c Enter the amount of prior years" undistributed income for which a notice of deficiencyhas been issued, or on which the section4942(a) tax has been previously assessed
d Subtract line 6c from line 6b Taxableamount - see instructions
e Undistributed income for 2008 Subtract line 4a fromline Za Taxable amount - see instructions
f Undistributed income for 2009 Subtract lines4d and 5 from line l This amount must bedistributed in 2010
7 Amounts treated as distributions out of
corpus to satisfy requirements imposedby section 170( )(l)(F) or 4942(g)(3)(see instructions)
8 Excess distributions carryover from 2004 noapplied on line 5 or line (see instructions)
9 Excess distributions carryover to 2010.Subtract lines 7 and 8 from line 6a
10 Analysis of line 9.a Excess from 2005b Excess from 2006c Excess from 2007d Excess from 2008e Excess from 2009
50,39725,42025,93515,92233,929
t
5 "N" "of :0.
0.749.0. 0.
177fo53l
0.
0.
0.
0.
0.
0.25,450. i151, 603.
l
BAA Form 990-PF (2009)
TEE/-io3o9L 07/os/09
lForm 990-PF(2009) First Amendment Coalition of Arizona Inc 86-0431126 Pageio, /Part XIV*I Private Operating Foundations (see instructions and Part VII-A question 9) N A1a If the foundation has received a ruling or determination letter that it is a private operating foundation, and the ruling- is effective for 2009, enter the date of the ruling *
b Check box to indicate whether the foundation is a private operating foundation described in section I-I 4942(i)(3) or -I 4942(i)(5)2a Enter the lesser of the adjusted net Tax year Prior 3 years
income from Part I or the minimuminvesimeni return from Pan x for (2) 2009 (b) 2008 (C) 2007 (d) 2006 (e) Totaleach year listed
b 85% of line 2a
c Qualifying distributions from Part XII,line 4 for each year listed
d Amounts included in line Zc not used directlyfor active conduct of exempt activities
9 Qualifying distributions made directlyfor active conduct of exempt activitiesSubtract line 2d from line 2c
3 Complete 3a, b, or c for thealternative test relied upon
a "Assets" alternative test - enter
(1) Value of all assets(2) Value of assets qualifying under
section 4942(i)(3)(B)(i)b "Endowment" alternative test - enter 2/3 of
minimum investment return shown in Part X,line 6 for each year listed
c "Support" alternative test - enter(1) Total support other than gross
investment income (interest,dividends, rents, paymentson securities loans (section5l2(a)(5)), or royalties)
(2) Support from general public and 5 ormore exempt organizations as providedin section 4942(i)(3)(B)(iii)
Largest amount of support froman exempt organization
(4) Gross investment income
Part XV Supplementary Information (Complete this part only if the organization had $5,000 or more inassets at any time during the year - see instructions.)
1 Information Regarding Foundation Managers:a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation before the
close of any tax year (but only if they have contributed more than $5,000) (See section 507(d)(2) )None
(3)
b List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the ownership ofa partnership or other entity) of which the foundation has a 10% or greater interestNone
2 Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc, Programs:
Check here * if the foundation only makes contributions to preselected charitable organizations and does not accept unsolicitedrequests for funds If the foundation makes gifts, grants, etc, (see instructions) to individuals or organizations under other conditions,complete items 2a, b, c, and d
a The name, address, and telephone number of the person to whom applications should be addressed
b The form in which applications should be submitted and information and materials they should include.
c Any submission deadlines"
d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other factors:
BAA 1EEA03ioi. 07/oo/oe Form 990-PF (2009)
IForm 990-PF (2009) First Amendment Coalition of Arizona Inc 86-0431126 Page11Part XV ISuQplementary Information (continued)3 Grants and Contributions Paid During the Year or Approved for Future Payment N/Ar R t If recipient is an individual, FoundationGCIDIBU show any relationship to P r 059 of rant or
any foundation manager or Status of U aoninbugtlion AmountName and address (home or business) SUbSt6f1UHl C0nffIbUi0f recipient
a Paid during the year
Total * 3ab Approved for future payment
Total * 3bBAA TEEAo5oii. 07/as/09 Form 990-PF (2009)
Form990-PF(2009) First Amendment Coalition of Arizona Inc 86-0431126 Page12Part XVI*-A Analysis of Income-Producing ActivitiesEnter gross amounts unless otherwise indicated Unrelated business income Excluded by section 512, 513, or 514* (8) (b)Business Amount
code1 Program service revenue
(C)Exclusioncode
(d) (6)Amount Related or exempt
function income(see the instructions)
*GROU
g Fees and contracts from government agenciesMembership dues and assessmentsInterest on savings and temporary cash investments
WN
14 93.
U15
Dividends and interest from securities
Net rental income or (loss) from real estatea Debt-financed propertyb Not debt-financed property
Net rental income or (loss) from personal property
Other investment income
Gain or (loss) from sales of assets other than inventory
Net income or (loss) from special eventsGross profit or (loss) from sales of inventoryOther revenue"
-A-A-*Q4-D@NlU"lfDD.OU"N
12 Subtotal Add columns (b), (d), and (e) 93.13 Total. Add line 12, columns (b), (d), and (e)
(See worksheet in the instructions for line 13 to verify calculations )
13 93Part XVI-B Relationship of Activities to the Accomplishment of Exempt Purposes
Line No. Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to theV accomplishment of the foundation"s exempt purposes (other than by providing funds for such purposes) (See the instructions )
3 Interest earned on time deposit reserved for contingent legal expenses.
BAA TEEAo5o2i. 07/os/oe Form 990-PF (2009)
Form 990-PF (2009) First Amendment Coalition of Arizona Inc 86-0431126 Page-13IPart XVII Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations. Yes No1 Did the 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 50l(c)(3) or anizations or in section 527,relating to political organizations? Q )a Transfers from the reporting foundation to a noncharitable exempt organization of. *M-md 0 -W Wm(1) Cash 1a (1) X(2) Other assets 1a (2) Lb Other transactions M 1 g g A g Ph* L(1) Sales of assets to a noncharitable exempt organization 1b (1)(2) Purchases of assets from a noncharitable exempt organization 1 b (2)(3) Rental of facilities, equipment, or other assets 1 b (3)(4) Reimbursement arrangements 1b (4)(5) Loans or loan guarantees 1 b (5)(6) Performance of services or membership or fundraising solicitations 1 b (6)
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees
DCXXDCXDCDC
ll..-.d lf 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 foundation If the foundation received less than fair market value inany transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received
(a) Line no (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangementsN/A
2a ls the foundation directlfy or indirectly affiliated with, or related to, one or more tax-exempt organizationsdescribed in section 50 (c) of the Code (other than section 501(c)(3)) or in section 527? EIYes Nob If "Yes," complete the following schedule
(a) Name of organization I (b) Type of organization (c) Description of relationshipN/A
Under penalties of periu , I declare that I have examin thi return, including accompanying schedules and statements, and to the best of my knowledge and belief. it is true, correct. andcomplete Declaratio r arer (other th taxpay r iary is based on all information of which preparer has any knowledge
v V If/11/1*/Ziovi/-Tr3*6Z-IS(-1f*@f"Signature of officer or trustee - Date Title
Date Ch k 1 lEgepa$rer"s lglentifyitrpig nuntibeiI Preparefs ) / Z i ee igna rein eins rs,Eff S"-*"a*"fe 1/JI/1/*//7 QM" "Ml * U *U /0 Zilpioyea - x Poo5a2665PBafefvs Firm"s?arTfe(or R. LeOl"lafd, EIN59 yoursi se
only 333-xsysaghd * 3502 Cast PasadenaziPcode Ph0@UlX, AZ 85018 Phorieria * (602) 955-2807
I"1"1Zl"11I ZQ-U1
BAA Form 990-PF (2009)TEEA0503L 07/06/09
Schedule B OMB No 1545-0047550532:-ivgi-95" 990422" Schedule of Contributors 20 09Department of the Treasury * Aft3Ch t0 FOYII1 990, 990-EZ, Of 990-PFInternal Revenue Service
Name ofthe organization First Amendment Coalition of Arizona Inc Employeridentmcation numberc/o Dan Barr/Perkins Coe 86-0431126Organization type (check one)Filers of: Section:Form 990 or 990-EZ 501(c)(-.*) (enter number) organization
4947(a)(l) nonexempt charitable trust not treated as a private foundation527 political organization
Form 990-PF 501(c)(3) exempt private foundationI 4947(a)(1) nonexempt charitable trust treated as a private foundationI 501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special RuleNote: Only a section 50l(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule See instructions
General Rule
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or property) from any onecontributor (Complete Parts I and II )
Special Rules
For a section 501 (c)(3) organization filing Form 990 or 990-EZ, that met the 33-1/3% support test of the regulations under sections509(a)(1)/170(b)(1)(A)(vl) and received from any one contributor, during the year, a contribution of the greater of (1) $5,000 or (2) 2% of theamount on (i) Form 990, Part VIII, line 1h or (ii) Form 990-EZ, line 1 Complete Parts I and Il
l:lFor a section 50l(c)(7), (8), or (10) or anization fillng Form 990 or 990-EZ, that received from any one contributor, during the year,aggregate contributions of more than 31,000 for use exclusiveliv for religious, charitable, scientific, literary, or educational purposes, or theprevention of cruelty to children or animals Complete Parts I, I, and II
mFor a section 50l(c)(7), (8), or (10) organization fillng Form 990 or 990-EZ, that received from any one contributor, during the year,contributions for use exclusively for religious, charitable, etc, purposes, but these contributions did not aggregate to more than $1,000 Ifthis box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc,purpose Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusivelyreligious, charitable, etc, contributions of $5,000 or more during the year * $
Caution: An organization that is not covered by the General Rule andlor the Special Rules does not file Schedule B (Form 990, 990-EZ, or990-PF) but it must answer "No" on Part IV, line 2 of their Form 990, or check the box on line H of its Form 990-EZ, or on line 2 of its Form990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF)
BAA For Privacaf Act and Paperwork Reduction Act Notice, see the Instructions Schedule B (Form 990, 990-EZ, or 990-PF) (2009)for Fom1 990, 99 EZ, or 990-PF.
TEEA070lL 01/30/10
Schedule B (Form 990, 990-EZ, or 990-PF) (2009) Page l of 1 of Part IName ol organization
First Amendment Coalition of Arizona IncEmployer identification number
86-0431126
lpailiii COl1fI*ibUtOI*S (see instructions)
(2)Number
@)Name, address, and ZIP + 4
(C)Aggregate
contributions
M)Type of contribution
l.. -Arigpga-Negspaper-Assggiation - - - - - - - - - - - - - --
Phoenix, AZ 85004
.19 Q1. N -, .Csritrei .Aye/. Ste. 510 ............... - - S .... - .15iQ09
PersonPayroll lNoncash N(Complete Part II if there
is a noncash contribution )
G)Number
@)Name, address, and ZIP + 4
(QAggregate
contributions
M)Type of contribution
EL. Arizona Broadcasters Association
Phoenix, AZ 85008
jggjg-Qbgqgeg-QQQQQ) - - - - - - - - - - - - - - - - ---S - - - --jj-QQ
PersonPayroll INoncash I(Complete Part ll if there
is a noncash contribution )
G)Number
(WName, address, and ZIP + 4
(0Aggregate
contributions
M)Type ot contribution
................................... --$-Person
PayrollNoncash
(Complete Part ll if thereis a noncash contribution )
Q)Number
(MName, address, and ZIP + 4
(QAggregate
contributions
N)Type of contribution
.................................... --$-Person
PayrollNoncash
(Complete Part ll if thereis a noncash contribution )
Q)Number
(MName, address, and ZIP + 4
(0Aggregatecontributions
M)Type of contribution
.................................. --$-Person
PayrollNoncash
(Complete Part II if thereis a noncash contribution )
G)Number
(MName, address, and ZIP + 4
(0Aggregate
contributions
M)Type of contribution
.................................... --$-Person
PayrollNoncash
(Complete Part ll if thereis a noncash contribution )
BAA TEEAo7o2i. oe/23/09 Schedule B (Form 990, 990-EZ, or 990-PF) (2009)
Schedule B (Form 990, 990-EZ, or 990-PF) (2009) Page 1 of 1 of PartllName of organization
First Amendment Coalition of Arizona IncEmployer identilication number
86-0431126
IPBYI ll N0l1CaSh Property (see instructions)
(2)No. from
Part I
(b)Description of noncash property given
(C)FMV (or estimate)(see instructions)
(d) ,Date received
N/A
(a)No. from
Part I
(b)Description of noncash property given
(C) ,FMV (or estimate)(see instructions)
(d) ,Date received
(a)No. from
Part I
(b)Description of noncash property given
(C) ,FMV (or estimate)(see instructions)
(d) lDate received
(2)No. from
Part I
(b)Description of noncash property given
(C) ,F MV (or estimate)(see instructions)
(d) ,Date received
(a)No. from
Part I
(b)Description of noncash property given
(C) ,FMV (or estimate)(see instructions)
(d) ,Date received
(2)No. from
Part I
(b)Description of noncash property given
(C) ,FMV (or estimate)(see instructions)
(d) ,Date received
BAA
TEEA0703L 06/23/09
Schedule B (Form 990, 990-EZ, or 990-PF) (2009)
Schedule B (Form 990, 990-EZ, or 990-PF) (2009) Page l of 1 of Part IIIName of organization Employer identification numberFirst Amendment Coalition of Arizona Inc 86-0431126
lPaf"l Ill Exclusively religious, charitable, etc, individual contributions to section 501 (c)(7), (8), or (10)0l*garliZatiOI1S aggregating m0re than $1,000 fOr the y6ar.(CompIete cols (a) through (e) and the following line entry)
For organizations completing Part Ill, enter total of exclusively religious, charitable, etc,contributions of $1,000 or less for the year (Enter this information once - see instructions) * $ N/A(8) (b) (C
Ng- f:t0Im Purpose of gift Use of gift Description of how gift is helda
N/A
(6)Transfer of gift
Transferee"s name, address, and ZIP + 4 Relationship of transferor to transferee
(2) (b) (C) (d)Ng frqfllm Purpose of gift Use of gift Description of how gift is helda
(e)Transfer of gift
Transferee"s name, address, and ZIP + 4 Relationship of transferor to transferee
(8) (b) (C) (d)Ng- frI%0Im Purpose of gift Use of gift Description of how gift is helda
(e)Transfer of gift
Transferee"s name, address, and ZIP + 4 Relationship of transferor to transferee
(2) (b) (C) (d)Ng- fgblm Purpose of gift Use of gift Description of how gift is helda
(2)Transfer of gift
Transferee"s name, address, and ZIP + 4 Relationship of transferor to transferee
BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2009)TEaAo7o4i. 06/23/09
2009* Federal StatementsFirst Amendment Coalition of Arizona Inc
clo Dan Barr/Perkins Coe
Page 1as-0431126
Statement 1Fonn99&PF,PadIJJne16aLegaIFees
Perkins, Coie, Brown, &
Statement 2Fonn99&PF,PanIJJne16bAccounHngFees
Camelwest Tax Service
Statement 3Fonn99&PF,PadI,Une18Taxes
IRS
Statement 4Form 990-PF, Part I, Line 230therExpenses
Bank ChargesDuesMiscellaneousOffice SuppliesPostage
(a) (b) NetExpenses Investment Adjusted CharitablePer Books Income Net Income Purposes
(C) (d)Bain, P,A. S 33,000. S 33,000.
Total S 33,000. S 0. S 0. S 33,000.
-per Books Income Net Income Purposes(a) (b) Net (c) (d)
Expenses Investment Adjusted Charitable
TotalS 533 S 533S 533. S 0. S 0. S 533.
-per Books Income Net Income Purposes(a) (b) Net (C) (d)
Expenses Investment Adjusted Charitable
TotalS 7 S 7S 7. S 7. S 0. S 0.
(a) (b) Net (c) (d)Expenses Investment Adjusted Charitableper Books Income Net Income Purposes$ 50. S 50.250. 250.21. 21.12. 12.11. ll.
Total S 344. $ 0. S 0. $ 344.
2009* Federal Statements Page 2First Amendment Coalition of Arizona Incclo Dan BarrlPerkins Coe 86-0431126
Smmmem5Form 990-PF, Part VIII, Line 1List of Officers, Directors, Trustees, and Key Employees
Name and Address
Title andAverage Hours CompenPer Week Devoted sation
Contri- Expensebution to Account/EBP & DC Other
Richard RobertsonPO Box 825Gilbert, AZ 85299
Morgan LoewKPHO, 4016 North Black CanyonPhoenix, AZ 85017
Rebecca Allen6218 West Beverly LaneGlendale, AZ 85306
Susan Bitter SmithACTA, 3610 N 44th Street, #240Phoenix, AZ 85018
Janet DelTufoWickenburgSun 180 N WashingtonWickenburg, AZ 85390
Art BrooksABA, 426 N 44th Street, #130Phoenix, AZ 85008
Jill Jorden SpitzAZ Daily Star, PO Box 26807Tucson, AZ 85741
Mario AlonzoNew Times, PO Box 2510Phoenix, AZ 85002
Matt Burk1835 West AdamsPhoenix, AZ 85007
David Bodney201 East Washington 16th FloorPhoenix, AZ 85004
Peri Collins1001 North Central, #610Phoenix, AZ 85004
Paula Casey1001 North Central Avenue #610Phoenix, AZ 85004
Director $0
Vice President1.00
DirectorO
Director0
Secretary1.00
Director0
Director0
Director0
Director0
Director0
Director0
Director0
. S 0O
0
0
O
0
O
0
0
0
O
0
. $ 0
First Amendment Coalition of Arizona Incc/o Dan BarrlPerkins Coe 86-04311262009. Federal Statements Page 3
Statement 5 (continued)Form 990-PF, Part VIII, Line 1List of Officers, Directors, Trustees, and Key Employees
Name and Address
Title andAverage Hours CompenPer Week Devoted sation
Contri- Expensebution to Account/EBP & DC Other
Steve Szalay7434 East Stetson Drive #255Scottsdale, AZ 85251
Brad RemingtonKTVK-TV, 5555 N 7th AvenuePhoenix, AZ 85012
Pamela HughesKTAR-FM, 7740 N 16th St, #200Phoenix, AZ 85020
John D"Anna200 East Van BurenPhoenix, AZ 85004
Mark CaseyKPNX, 1101 North Central AvePhoenix, AZ 85004
Steve Elliott555 North Central AvenuePhoenix, AZ 85004
Mark EvansPO Box 26767Tucson, AZ 85726
Philip JiminizCable One, 1314 N. 3rd StreetPhoenix, AZ 85004
Amanda KeimTribune, 120 West lst AvenueMesa, AZ 85210
Robert Leger8800 East Raintree #250Scottsdale, AZ 85260
David CuillierSchool of Journalism, U of ATucson, AZ 85721
Mary Jo PitzlAZ Republic, 200 E Van BurenPhoenix, AZ 85004
Director S0
Director0
Director0
Director0
Director0
Director0
Director0
Director0
Director0
President1.00
Director0
President0
. $ 00
0
0
0
0
0
0
O
O
0
0
I 0A
2009. Federal StatementsFirst Amendment Coalition of Arizona Inc
Page 4- clo Dan Barr/Perkins Coe 86-0431126Statement 5 (continued)Form 990-PF, Part VIII, Line 1List of Officers, Directors, Trustees, and Key Employees
Title andAverage Hours CompenPer Week Devoted sationName and Address EBP & DC
Contri- Expensebution to Account/OtherMark J. Scarp Treasurer S 0. S 0555 North Central Ave Ste 302 1.00
Phoenix, AZ 85004
Alan Silverman Director 0. 0Cable One, 1314 N 3rd Street 0Phoenix, AZ 85004
Lee Templar Director 0. OGoldwater Inst, 500 E Cornado OPhoenix, AZ 85007Enric Volante Director 0. 0AZ Daily Star, 4850 S Park Ave 0Tucson, AZ 85726
. $ 0
Total S 0. S 0
Statement 6Form 990-PF, Part IX-A, Line 1Summary of Direct Charitable Activities
Direct Charitable Activities ExpensesThe First Amendment Coalition of Arizona, Inc, exists to provide $legal advice and services at no cost to journalists in any mediaworking in Arizona. It maintains a "media hotline" staff by contractattorneys proficient in matters concerning the protection of accessto government news sources, in particular public and media rightsunder state and federal open meeting lwas, public records under theFreedo of Information Act and the Arizoan Purlic Records law. TheCoalition documents court cases, addresses public groups and resolvesmedia conflits.
59,614
Form 8868 (Rev 4-2009) Page 20 If you are filing for an Additional (Not Automatic) 3-Month Extension, complete only Part II and check this box * I-)$I
Note. Only complete Part ll if you have already been granted an automatic 3-month extension on a previously filed Form 88680 If you are filing for an Automatic 3-Month Extension, complete only Partl (on page I)
lPart Il Additional (Not Automatic) 3-Month Extension of Time. Only file the original no copies needed).
print C/o Dan Barr/Perkins Coe 86-0431126Number, street, and room or suite number Ita P O box, see instructions For IRS use only
File by the I Iextended William R. Leonard, CPAdue date for II
iiiiiigiiie 3502 East PasadenaISQTISCIEUEZ City, town or post ottice. state, and ZIP code For a foreign address, see instructionsPhoenix, Az 85018 ICheck type of return to be filed (File a separate application for each return)Form 990 Form 990-PF Form io4i -A Form 6069
Form 990-BL I Form 990-T (section 401 (a) or 408(a) trust) Form 4720 Form 8870Form 990-EZ Form 990-T (trust other than above)
STOPI Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868.0 The books are in care of *-N@ILlC- LIL -SQQI-p - - - - - - - - - - - - - - - - - - - - - - - --
Telephone No *-692-810-8-QQ4 - - - - -- - FAX No * - - - - - - - - - - - - - - -- n0 If the organization does not have an office or place of business in the United States, check this box * lj0 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 * lj If it is for part of the group, check this box * lj and attach a list with the names and EINs of allmembers the extension is for
4 I request an additional 3-month extension of time until -ll.L1*5- * - - - , 20 -195 For calendar year -2QQ9- , or other tax year beginning - - - - - -- * , 20 - , and ending- - - - -- - , 20 -
If this tax year is for less than I2 months, check reason lj Initial return ljFinaI return UChange in accounting periodState in detail why you need the extension * -Taxp-ayeg respegt-fyil-L re-qlles-ts -a*dgi-t-igria-1-tittie-t-o - - - -- .99 211.95 -i.nf Qflni 21.09 .HPS 95.3921 EQ .f.i le. 9 -C.0HtQl.@EQ .399 .39 QUE? E9. Eflx. lf9t.u51l -. - -
Name of Exempt Organization Employer identification numberType or First Amendment Coalition of Arizona Inc
Form 5227
N165
8a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less anynonrefundable credits See instructions 8a $ 2 .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 year overpayment allowed as a credit and any amount paid previouslywith Form 8868 8b $ 0 .c Balance Due. Subtract line 8b from line 8a Include your payment with this form, or, if required, deposit
with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System) See instrs 8c $ 2 .Signature and Verification
Under penalties of perlury, I declare that I have examined this form including 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 formSignature * Title * Date ,BAA FiFzo5o2L 03/ii/09 Form 8868 (Rev 4-2009)