heartland institute 363309812 2006 035b65cesearchable

7/23/2019 Heartland Institute 363309812 2006 035B65CESearchable

1/23

J

'

Form

99

,,

2 6

eturn of Organization Exempt From Income Tax

OMB No1545-0047

Undersection501(c), 527, or 4947(a)(1)of the Internal RevenueCode exceptblack ung

benefit rust or private oundation)

Departmentf heTreasury

Internalevenueervice Theorganizationmayhave o usea copyof this return o satisfystate eporting equirements

Openo Public

IIIWectio

A For he 2006 calendaryear, or tax year beginning and ending

B Check1

Please

C Nameof organization

D Employer dentificationnumber

applicable

use RS

DAddress

label r

THE

HEARTLAND INSTITUTE

36-3309812

hange

pnntor

oNarne type

Number nd street or P O box 11ma1l snot deliveredo streetaddress)

I,

Room/smte

ETelephonenumberhange

See

01n1t1al

Specific

9

SOUTH LA SALLE STREET

903 (312) 377-4000

eturn

DFinal

Ins true-

City or town, stateor country,andZIP+ 4

F fa:ounbngrethod: D Cash X] Acc

eturn

tJons

DAmended

return

::::HICAGO,

IL 60603

D Other

ts~1M

DAppllcat1on

Section501(c)(3)organizations nd 4947(a}(1)nonexempt haritable rusts

Hand I are not appllcab/e to section 527 organtzattonsending

must attach a completedScheduleA (Form990 or 990-EZ).

H(a) Is this a group return or aff1l1ates?

Dves 00N

G

Website:

~WWW.HEARTLAND. ORG

H{b} If 'Yes,' enternumberof aff1l1ates

N/A

J

Organizationype (checkonlyone)

[X]

501(c) (

3

)


2/23

Form ggo2006 THE HEARTLAND INSTITUTE

36-3309812

Pa e

Part II Statement of

Functional Expenses

All organizations ust complete olumn A) Columns 8), (C).and (D) are required or section501 c)(3)

and (4) organizations nd section4947(a)(1)nonexempt haritable rusts but optional or others

Do not include amounts reported on line

(A) Total

(B) Program

(C) Management

(0) Fundra1smg

6b Bb 9b 1Ob or 16 of Part I.

services

and general

22a Grants paid from donor advised funds

(attach schedule)

(cash

0

noncash

o.

II

thisamountncludesoreignrants,heck ere

~o

22a

22b Other grants and allocations (attach schedule

STATEMENT

(cash

1 175 000. noncash$

o.

If hisamountncludesoreignrants,heck ere

D

22b

1,175,000.

1,175,000.

23

Specific assistance to 1nd1v1dualsattach

schedule) 23

24

Benefits paid to or for members (attach

schedule) . 24

25a Compensation f currentofficers,directors.key

employees, tc listedm PartVA STMT 1

25a

100,833.

75.625.

15.125.

10,083.

b Compensation f former officers,directors,key

employees, tc listed n PartV-8

25b

o. o. 0.

0

c Compensation nd other d1stribut1ons,ot ncluded

above, o d1squal1fiedersons as definedunder

section4958(f)(1 ) and personsdescribedn

section4958(c)(3)(B) 25c

26

Salaries and wages of employees not

included on lines 25a, b, and c 26

779,235.

596,282.

82.835.

100,118.

27

Pension plan contributions not included on

lines 25a, b, and c 27

28

Employee benefits not included on lines

25a27

28

29 Payroll taxes 29

30

Professional fundrais1ng ees 30

31 Accounting fees

31

32 Legal fees

32

33

Supplies

..

33

38,451.

12.847. 23,386.

2,218.

34 Telephone 34

7,328. 6,159. 508. 661

35

Postage and sh1pp1ng 35

439,365.

422,792. 1,305. 15,268.

36

Occupancy 36

99,678.

76,752.

9,968.

12,958.

37 Equipment rental and maintenance

37

38

Pnnt1ngand publications 38

759.128.

738,330. 794.

20,004.

39 Travel

39

370,537. 276,827. 4,129.

89,581.

40

Conferences, conventions, and meetings

40

41

Interest

41

2,133. 2.133.

42

Deprec1at1on, epletion, etc. (attachschedule)

42

8,277.

8,277.

43 Other expenses not covered above {Itemize):

a OTHER

EXPENSES

43a

14,642.

14.084. 558

bSUBCONTRACTORt

43b

cWRITERSt

EDITORS

43c

603.393.

527.251. 27,604.

48,538.

d

43d

e

43e

f

431

g

430

44 Total functional expenses.Add Imes22a hrough

43g.(Organizationsompleting olumns B)(D),

carry hese otals o Imes13-15)

44

4,398.000.

3,921.949.

176,064. 299,987.

Joint Costs. Check

D

If you are following SOP 982.

Are any omt costs rom a combinededucational ampaign nd undra1smgollc1tatmneportedm (B) Program ervices? D Yes [X] No

If Yes; enter I) the aggregate mountof theseJointcosts$ NIA ;

(ii)

the amountallocated o Program ervices$ NIA

__ ..:..,..__ _

(Ill) the amountallocated o Management ndgeneral$ NIA

I

and (Iv) the amountallocated o Fundra1smg NIA

623011

01-23.01 Form990 (20


3/23

J

Form'990 oos THE HEARTLAND INSTITUTE 36-3309812

Pa e

Part Hf Statement of Program Service Accomplishments See the mstructtons.)

Form 990 1savailable for public 1nspect1onand, for some people, serves as the pnmary 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

return 1scomplete and accurate and fully describes, 1nPart Ill, the organization's programs and accomplishments.

What 1s he organization's primary exempt purpose? ....

RESEARCH & WRITING ON PUBLIC POLICY

ISSUES

All organ1zat1onsmust descnbe their exempt purpose achievements 1na clear and concise manner. State the number of

clients served, publ1cat1ons ssued, etc. Discuss achievements that are not measurable. (Section 501(c)(3) and (4)

organizations and 4947(a)(1) nonexempt charitable trusts must also enter the amount of grants and allocations to others.)

a PUBLICATIONS - RESEARCH & WRITING ON PUBLIC POLICY

ISSUES.

HEARTLAND PRODUCED FOUR NEWSLETTERS,

FOUR MONTHLY NEWSPAPERS

TWO BOOKS AND ONE BOOKLET

IN 2006.

Grants and allocations l If this amount includes fore1an arants check here

....

D

b INTERNET PROJECTS

-

HEARTLAND OPERATED A FREE WEB-BASED

RESEARCH SERVICE IN 2006 AND HAD AN EXTENSIVE INTERNET

PRESENCE.

(Grants and allocations

l If this amount includes fore1an arants check here

....

D

c

MEMBER SERVICES

-

SEMINARS AND EVENTS FOR HEARTLAND MEMBERS

AND THE PUBLIC,

A MONTHLY MEMBERSHIP NEWSLETTER AND

SIMILAR

ACTIVITIES.

Grants and allocations

l

If this amount includes fore1an a rants check here

....

d SPEAKERS BUREAU - HEARTLAND OFFERS

ITS SENIOR FELLOWS AND

STAFF MEMBERS AS SPEAKERS FOR EVENTS HOSTED BY OTHER

ORGANIZATIONS. THE SPEAKERS BUREAU PRODUCED 80 SPEAKING

ENGAGEMENTS

IN 2006.


l If this amount includes foreian arants check here

e Other program services (attach schedule)

SEE STATEMENT 3


1 , 15 0 , 0 0 0 ) If this amount includes fore1an arants check here

f Total of Program Service Expenses (should equal line 44, column (B), Program services)

623021

01-18-07

....

....

LJ

D

D

Program

Service

Expenses

(Required or 501

c)(3

and (4) orgs. and

4947(a)(1) rusts, bu

optional or others )

2,070,797

284,288

295,872.

95,992

25,000.

2,771,949.

Form990 (200


4/23

Form990120061 .

THE

HEARTLAND INSTITUTE

I Part lV

I Balance Sheets See the instructions.)

Note:

Where reqUJred, attached schedules and amounts within the description column

should be for end-of-year amounts only.

45 Cash nonmterestbeanng

46

Savings and temporary cash investments

47 a Accounts receivable 47a

8.468.

b Less: allowance for doubtful accounts 47b

48 a

Pledges receivable

48a

b

Less: allowance for doubtful accounts

48b

49

Grants receivable

50 a Receivables from current and former officers, directors, trustees, and

key employees

b Receivables from other d1squahfied persons (as defined under section

Ill

4958(f)(1)) and persons descnbed in section 4958(c)(3

(B)

.

..

QI

51 a Other notes and loans receivable

I

51 a

ll

Ill

C(

b

Less allowance or doubtful accounts

51b

52

Inventories for sale or use

53

Prepaid expenses and deferred charges

54 a Investments pubhclytraded secunt1es D Cost DFMV

b Investments other secunt1es

D Cost DFMV

55 a

Investments land, bu1ld1ngs,and

equipment: basis 55a

b

Less: accumulated deprec1at1on

55b

56

Investments other

..

57 a

Land, bu1ld1ngs,and equipment: basis

I 57a I

159,730.

b Less: accumulated depreciation

57b

125,071.

58

Other assets, mcludmg program-related nvestments

(describe~

SECURITY DEPOSIT

)

59

Total assets (must eaual line 74). Add hnes 45 throuah 58

60

Accounts payable and accrued expenses

61 Grants payable

62

Deferred revenue

Ill

QI

63

Loans from officers, directors, trustees, and key employees

i

64 a Tax-exempt bond hab1ht1es

:a

..

I ll

b Mortgages and other notes payable

:::i

65

Other 1abil1t1esdescribe

)

66

Total liabilities. Add hnes 60 throuah 65

Organizations that follow SFAS 117, check here

00

and complete Imes

Ill

67 through 69 and hnes 73 and 74.

QI

67

Unrestncted

CJ

c

68 Temporanly restricted

ll

ca

m

69 Permanently restricted

O

Organizations that do not follow SFAS 117, check here Dand

:,

u.

...

0

70

Ill

..

I

71

ll

72

-

I

73

z

74

623031

01-20-07

complete lines 70 through 74 .

Capital stock, trust pnnc1pal, or current funds

Paid1n or capital surplus, or land, building, and equipment fund

Retained earnings, endowment, accumulated income, or other funds

Total net assets or fund balances. Add Imes67 through 69 or Imes70 through 72

(Column (A) must equal me 19 and column (B) must equal me 21)

Total liabilities and net assets/fund balances. Add Imes66 and 73

36-3309812

Paae

(A)

(B)

Beginning of year

End of year

1.050,147.

45

500,352.

46

121. 791.

47c

8,468.

48c

49

50a

50b

51c

52

27.103.

53

18,222.

980,390.

54a

54b

55c

56

41,243.

57c

34,659.

6.000.

58

6,000.

2.226.674.

59

567,701.

40,889.

60

32,588.

61

62

63

64a

64b

65

40.889.

66

32,588.

185,785.

67

535,113.

2,000,000.

68

0

69

70

71

72

2,185.785.

73

535,113.

2.226.674.

74

567,701.

Form

990

(20


5/23

Form

1

990 2006 THE HEARTLAND INSTITUTE 36-3309812 Pa e

Pait IV-A Reconciliation of Revenue per Audited Financial Statements With Revenue per Return

(See

the

1nstruct1ons.

a Total revenue, gains, and other support per audited financial statements

a

2,747,328.

b Amounts included on line a but not on Part I, line 12:

1 Net unrealized gains on investments

b1

2

Donated services and use of fac11it1es

b2

3 Recoveries of prior year grants

...

b3

4

Other (specify):

b4

Add lines

b1

through b4

b

0

c

Subtract line b from line a

c

2,747,328.

d Amounts included on Part I, line 12, but not on line a:

1

Investment expenses not included on Part I, line 6b

I

1

I

2

Other (specify):

d2

Add lines d1 and d2

d

o

e Total revenue IPart I line 12\. Add lines c and d

....

e

2,747,328

I

Part1v ..

s1

Reconciliation of Expenses per Audited Financial Statements With Expenses per Return

a Total expenses and losses per audited f1nanc1al tatements

a

4,398,000.

b Amounts included on line e but not on Part I, line 17:

1

Donated services and use of fac11it1es

b1

2

Prior year adjustments reported on Part I, line 20

b2

3 Losses reported on Part I, line 20 b3

4

Other (specify):

b4

Add lines

b1

through b4

b

o

c

Subtract line b from line a c

4,398,000.

d Amounts included on Part I, line 17, but not on line a:

1

Investment expenses not Included on Part I, line 6b

I

1

I

2 Other (specify):

d2

Add lines d1 and d2

d

o

e

Totel expenses (Part I line 17) Add lines c and d

....

e

4,398,000.

I

Part V-Al

Current Officers, Directors, Trustees, and Key Employees

(List each person who was an officer, director, trustee,

or key employee at any time during the year even 1f hey were not compensated.) (See the 1nstruct1ons.

(B) Title and averagehours (C) Compensation (D)contnbut,ons to

A)

Nameand address per week~evoted o (II not paid, enter ~7 ln

~t~:,:~

pos1t1on -0-.1 compensat,on plans

(E) Expen

accountan

other allowa

SEE STATEMENT 4

100.803.

0. 0

Form

990

(20

623041 01-18-07


6/23

Form 90 (2006)

.

THE HEARTLAND INSTITUTE

36 3309812

Paae

I

Part VAl

Current Officers, Directors, Trustees, and Key Employees

continued)

Yes

N

75 a Enter the total number of officers, directors, and trustees permitted to vote on organization business at board

meetings

0

b

Are any officers, directors, trustees, or key employees listed 1n Form 990, Part VA, or highest compensated employees

listed 1nSchedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A,

Part llA or llB, related to each other through family or business relat1onsh1ps? If 'Yes,' attach a statement that 1dent1fies

the 1ndiv1dualsand explains the relat1onsh1p(s)

75b

x

c

Do any officers, directors, trustees, or key employees listed in Form

990,

Part VA, or highest compensated employees

listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A,

Part llA or llB, receive compensation from any other organ1zat1ons, whether tax exempt or taxable, that are related to the

organization? See the 1nstruct1ons for the defin1t1onof 'related organization.'

75c

x

If 'Yes,' attach a statement that includes the information described in the instructions.

d Does the oraanizat1on have a written conflict of interest oolicv?

75d

x

I

Part

V-BJ

Former Officers, Directors, Trustees, and Key Employees That Received Compensation or Other

Benefits (If any former officer, d irector, trustee, or key employee received compensation or other benefits (described below) dunng

the year, list that person below and enter the amount of compensation or other benefits In the appropnate column. See he instructions

(C) Compensation

(D)Contnbut,ons to

(E) Expense

(A) Nameand address (B) Loans and Advances

(1fnot paid,

employee benefit

account and

plans & deferred

NONE

enter -0-)

compensation plans

other allowanc

---------------------------------

---------------------------------

---------------------------------

---------------------------------

---------------------------------

---------------------------------

---------------------------------

---------------------------------

---------------------------------

---------------------------------

------------------------------------------------------------------

---------------------------------

---------------------------------

---------------------------------

---------------------------------

IPart VI I

Other Information See

the instructions.)

Yes

N

76

Did the organization make a change 1n ts activities or methods of conducting act1v1t1es? f 'Yes,' attach a detailed

statement of each change

76

x

77 Were any changes made in the organizing or governing documents but not reported to the IRS?

77

x

If 'Yes,' attach a conformed copy of the changes.

78 a

Did the organization have unrelated business gross income of

1,000

or more during the year covered by this return?

78a

x

b

If 'Yes,' has it filed a tax return on Form 990-T for this year?

78b

x

79

Was there a liqu1dat1on, d1ssolut1on, term1nat1on, or substantial contraction during the year? If 'Yes,' attach a statement

79

x

80 a

Is the organ1zat1on related (other than by assoc1at1onwith a statewide or nat1onw1de organization) through common

membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?

8Da

x

b If 'Yes,' enter the name of the organization~

N/A

and check whether 1t 1s

D

exempt or

D nonexempt

81 a

Enter direct or 1nd1rect political expenditures. (See line

81

instructions.)

I 81a I

0.

b

Did the oraanizat1on file Form 1120-POL for this vear?

B1b

x

Form

990

(20

623161/01-18-07

------


7/23

Form 990 2006l THE HEARTLAND INSTITUTE

36-3309 812 Paae

I Part

VI1 Other Information continued)

82 a Did the organization receive donated services or the use of matenals, equipment, or facilities at no charge or at substantially

less than fair rental value?

b If 'Yes,' you may 1nd1cate he value of these Items here. Do not include this

amount as revenue in Part I or as an expense In Part 11.

(See instructions in Part Ill.) I 82b I

83 a Did the organization comply with the public 1nspect1on equirements for returns and exemption appl1cat1ons?

b Did the organ1zat1on omply with the disclosure requirements relating to quid pro quo contributions?

84

a Did the organ1zat1on olicit any contnbut1ons or gifts that were not tax deductible?

N/A

b If 'Yes,' d1d he organization include with every sollc1tat1onan express statement that such contnbut1ons or gifts were not

tax deductible? N / A

85

501 c) 4), 5), or 6) organ1zat1ons.

a Were substantially all dues nondeductible by members?

b Did the organization make only mhouse lobbying expenditures of $2,000 or less?

N/A

N/A

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.

c Dues, assessments, and similar amounts from members

d Section 162(e) lobbying and polrt1calexpenditures

e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices

I

Taxable amount of lobbying and political expenditures Vine 85d less 85e)

g

Does the organization elect to pay the section 6033(e) tax on the amount on line 85f7

85c

85d

85e

851

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 estimate of dues allocable to nondeductible lobbying and political expenditures for the

following tax year? ..

86

501 c) 7) organ1zat1ons.

Enter:

a

lnit1at1onees and capital contnbut1ons included on

line 12

b Gross receipts, included on line 12, for public use of club fac1l1t1es

87

501 c) 12) organ1zat1ons.

Enter: a Gross income from members or shareholders

b Gross income from other sources. (Do not net amounts due or paid to other sources

against amounts due or received from them.)

86a

86b

87a

87b

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

88 a At any time dunng the year, d1d he 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 301.77012 and 301.770137

If 'Yes,' complete Part IX

Yes N

82a

x

83a X

83b

X

84a

X

84b

85a

85b

85q

85h

88a

x

b At any time dunng the year, did the organ1zat1on,directly or 1nd1rectly, own a controlled entity w1th1n he meaning of

section 512(b)(13)7 If 'Yes,' complete Part XI

88b

x

89 a

501 c) 3) organizations.

Enter: Amount of tax imposed on the organization dunng the year under:

o.

ection 4911 0 ;section 4912 0 . section 4955

----------

b

501 c) 3) and 501 c) 4) organ1zat1ons.

Did the organization engage in any section 4958 excess benefit

transaction during the year or did rt become aware of an excess benefit transaction from a pnor 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 ________

o_.

d

Enter: Amount of tax on line 89c, above, reimbursed by the organ1zat1on . . . _________

0_._

e A

organizations.

At any time dunng the tax year, was the organ1zat1on party to a prohibited tax shelter transaction?

I

A organizations.

Did the organization acquire a direct or indirect interest 1nany applicable insurance contract?

g

For supporting organizations and sponsonng organ1zat1onsmaintaining donor advised funds.

Did the supporting organ1zat1on,

or a fund maintained by a sponsoring organization, have excess business holdings at any time dunng the year?

89b

x

89e

x

891

x

89a

x

90 a List the states with which a copy of this return is filed IL

b Number of employees employed 1n he pay period that 1n-c-lu_d_e_s_M_a_r-ch_1_2_,_0_0_6----------.1 -9-0b-r

---------::1,-4.,..

91 a Thebooksareincareol THE HEARTLAND INSTITUTE Telephone o~ ( 312) 377-4000

Locatedat~ 19 SOUTH LA SALLE STREET, 903, CHICAGO, IL ZIP+4 60603

b

At any time dunng the calendar year, did the organ1zat1onhave an interest 1nor a signature or other authonty over

Yes

N

a financial account in a foreign country (such as a bank account, secunt1es account, or other financial account)?

91b

x

If 'Yes,' enter the name of the foreign country

N/A

See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank

and Financial Accounts.

Form990 (20

623162 / 01-18-07


8/23

Form990 2006 THE HEARTLAND INSTITUTE

36-3309812 Pa e

Part VI Other Information (contmued)

Yes N

c At any time dunng the calendar year, did the organization maintain an office outside of the United States?

91c X

If 'Yes,' enter the name of the foreign country 1111-___ N_..;../_A_________________ _

92

Section 4947(8)(1) nonexempt charitable trusts filmg Form 990 m lteu of Form

1041-

Check here

1111-D

and enter the amount of taxexemot interest received or accrued dunno the tax vear

1111-

92

I

N/A

I

Part VII

I

Analysis of Income-Producing Activities

(See the mstructions.)

Note: Enter gross amounts unless otherwise

Unrelated usiness ncome

Excluded by secbon 512, 513, or 514

(E)

md1cated

A)

(B)

C)

D)

Related r exempt

Business

Amount

Exclu-

Amount

93 Program service revenue: code

s1on

function ncome

code

a

PUBLICATIONS/RESEARCH

1511110

61,260.

126,007.

b

POLICY BOT/INTERNET

c

PUBLICATIONS/RESEARCH

d

SPEAKERS BUREAU

e

f Medicare/Med1ca1dpayments

g Fees and contracts from government agencies

94

Membership dues and assessments

25,279.

95

Intereston savingsand emporarycash nvestments

42,973.

96 01v1dendsand interest from securities

97

Net rental income or (loss) from real estate:

a debt-financed property

b not debt-financed property

98 Net rental income or (loss) from personal property

99

Other investment income

100 Gain or (loss) from sales of assets

other than inventory

101

Net income or (loss) from special events

102 Gross profit or (loss) from sales of inventory

103 Other revenue:

a

b

c

d

e

104 Subtotal (add columns (8), (0), and

E))

61,260.

o.

194,259.

105 Total (add line 104, columns (8), (0), and E))

1111-__ 2_5_5__.__1

Note: Line 105 plus /me 1e, Part/, should equal the amount on /me 12, Part I.

I

Part VIII Relationship of Activities to the Accomplishment of Exempt Purposes (See the mstruct1ons)

Line No. Explainhow eachact1v1tyor which ncome 1s eportedm column (E) of PartVII contributed mportantly o the accomplishment f the organization's

exemptpurposes other han by providing unds for such purposes)

93A ANNUAL

FUNDRAISER

&

OTHER PUBLIC EVENTS EDUCATES

ATTENDEES AS WELL AS

93B HEARTLAND

DISSEMINATES

ITS

RESEARCH THRU PUBLICATIONS

&

PUBLIC EVENTS

94 MEMBER DUES QUALIFY MEMBERS FOR FREE PUBLICATIONS

&

EVENT DISCOUNTS.

95 INTEREST

IS EARNED INCIDENTAL TO

FUNDRAISING

&

PROGRAM ACTIVITIES.

IPart 1X I Information Regarding Taxable Subsidiaries and Disregarded Entities (See the mstruct1ons.)

A)

\DJ

C)

(UJ (tJ

Name,address,and EINof corporation,

Percentage f

Natureof act1vrt1es Total ncome

End-of-( ear

oartnersh10, r disregarded ntrty ownership nterest

asses

%

N/A

%

%

%

PartX I

Information Regarding Transfers Associated with Personal Benefit Contracts

(See the mstruct1ons.)

(a) Did he organization, unng the year, receiveany unds, directlyor indirectly, o pay premiumson a personalbenefitcontract?

(b) Did he organization, uring the year, pay premiums,directly or indirectly,on a personalbenefitcontract?

Note: If Yes to (b), file Form 8870 and Form 4720 (see mstructions).

623163

01-18-07

Dves

Dves

00No

00No

Form990

(20


9/23

'Form'990 2006 THE HEARTLAND INSTITUTE 36-3309812 Pa e

Part XI Information Regarding Transfers To and From Controlled Entities.

Complete only If the organization is a

controlling organization as defined m section 512(b){13). N / A

Yes

N

106 Did the reporting organization make any transfers to a controlled entity as defined 1n section 512(b)(13) of the Code? If 'Yes,'

complete the schedule below for each controlled entitv.

(A)

(B)

(C)

(0)

Name, address, of each

Employer

Description of

Amount of

controlled entity

ldent1fication

transfer

transfer

Number

---------------------------------

a

---------------------------------

---------------------------------

b

---------------------------------

---------------------------------

c

---------------------------------

Totals

Yes N

107

Did the reporting organization receive any transfers from a controlled entity as defined in section 512(b)(13) of the Code? If 'Yes,'

comolete the schedule below for each controlled ent1tv.

(A) (B)

(C)

(0)

Name, address, of each

Employer

Description of

Amount of

controlled entity

ldent1fication

transfer

transfer

Number

---------------------------------

a

---------------------------------

---------------------------------

b

---------------------------------

---------------------------------

c

---------------------------------

Totals

Yes

N

108 Did the organ1zat1on have a binding wntten contract in effect on August 17, 2006, covering the interest, rents, royalties, and

annuities described in auest1on 107 above?

Under enalbes f perjury, declarehat have xaminedhis retum, ncluding ccompanyingchedules ndstatements, nd o the bestof my knowledge nd belief, t1s rue,correc

andcompleteDeciRPebonf preparerotherhanofficer)s based n all mtormat1onf whichpreparer asanyknowledge

Please

..,_.)~_

lt /~7j

~/

y

Sign

Sign

/~cer

.Pr/


10/23

'SCPIEDULE A

(Form 990 or 990-EZ)

Organization Exempt Under Section 501 (c)(3)

OMB No

1545-0047

Department of the Treasury

Internal Revenue Service

(ExceptPrivateFoundation) nd Section501 e), 501 I), 501 k),

501(n),or 4947(a)(1)Nonexempt haritableTrust

Supplementary lnformation-(See separate instructions.)

MUST e completedby he aboveorganizations nd attached o their Form990 or 990-EZ

2 6

Name f the organization


Employer dentification umbe

36 3309812

Part

I

Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees

(Seepage2 of the nstructionsListeachone If therearenone,enter None')

(a) Name nd address f eachemployee aid

(b) Titleandaverage ours

{d) ContnbuUons to

(e) Expen

per weekdevoted o (c) Compensation

employee benefit

account ndo

more han $50.000

plans

&

deferred

pos1t1on

compensation

allowanc

JOSEPH

L.

BAST

PRESIDENT

900-EAST WILMETTE RD 124-PALATINE-If

40.00 100,833.

DIANE C. BAST

WICE PRESIDEN

900 EAST WILMETTE RD 124 PALATINE-II

40.00

80,833.

LATREECE VANKINSCOTT

iPUBLISHER

5127 W GLADYS FLOOR 2 CHICAGO, IL ---

40.00 66,579.

SEAN D. PARNELL

~P-EXTERNAL

FF AIRS

1621 WHITEHALL CT. WHEELING IL------

40.00

82,051.

RALPH

w.

CONNER

PUBLISHER

313-N 5TH MAYWOOD L 60153----------

40.00 65,000.

Totalnumberof otheremployees aid

over$50,000

0

IPartUAl

Compensation of the Five Highest Paid Independent Contractors for Professional Services

(Seepage2 of the nstructions List eachone whethernd1v1dualsr firms) If thereare none enter None')

(a) Name ndaddress f each ndependentontractor aidmore han$50,000 (b) Typeof service

NONE ----------- ------------ ---

--------------------------------------------

--------------------------------------------

--------------------------------------------

--------------------------------------------

Totalnumberof others eceiving ver

~I

50,000 or professional ervices

0

PartUBl

Compensation of the Five Highest Paid Independent Contractors for Other Services

(List eachcontractorwho performed ervices ther hanprofessionalervices, hether nd1v1dualsr

firms If thereare none,enter None.'Seepage2 of the nstructions

(a) Name nd address f each ndependentontractor aidmore han$50,000

NONE ------ -- -

Totalnumberof othercontractors eceiving ver

$50,000 or otherservices

~I

0

(b) Typeof service

(c) Compensa

(c) Compensa

523101ro1-1a-01

LHA

For PaperworkReductionAct Notice,see he Instructionsor Form990 and Form990-EZ.

ScheduleA (Form990 or 990-EZ) 0


11/23

3 6 3 3 0 9 812 Pag

I

Part

Ill

j

Statements About Activities (Seepage2 of the mstruct1ons

1 Dunng he year,has he organizationttemptedo influence ational, tate,or local eg1slat1on,cludmg nyattempt o influence

publicopinionon a legislativematteror referendum?f Yes,' nter he otal expenses aidor incurred n connectionwith he

lobbyingactivities .... $ $ (Mustequalamountson me38, PartVI-A,or

lme of PartVI-B )

Organizationshat madean election ndersection501 h) by filmg Form5768must completePartVI-A Otherorganizations

checking Yes'must completePartVI-BAND ttacha statement ivinga detailed escnpt1onf the obbying ctiv1t1es

2 During he year,has he organization,itherdirectlyor md1rect1y,ngagedn any of the ollowingactswith anysubstantial ontributors,

trustees, irectors,officers, reators, eyemployees, r members f their am1l1es,r with any axable rganization ith whichanysuch

person s aff1l1ateds an officer, irector, rustee,ma1onty wner,or principal eneficiary?If the answer to any question is Yes,

attach

a

detailed statement explaining the transactions.)

a Sale,exchange, r leasing f property? ..

b Lendmg of moneyor otherextension f credit?

c Furnishmg of goods,services, r fac1l1t1es?

d Payment f compensationor payment r reimbursementf expenses fmore han $1,000)?

e Transfer f any part of its mcome r assets?

3 a Did he organizationmakegrants or scholarships,ellowships, tudent oans,etc? (If Yes,'attachan explanation f how

the organization etermineshat rec1p1entsualify o receive ayments

b Dd he organization avea section403(b)annuityplan or its employees?

c Did he organizationeceive r holdan easementor conservation urposes,mcludmg asementso preserve penspace,

the environment, istoric andareasor historicstructures?f Yes,'attacha detailed tatement

d Did he organization rovide reditcounseling, ebtmanagement,redit epair,or debt negot1at1onervices?

4 a Did he organizationmamtam nydonoradvisedunds? f Yes,' ompletemes4b hrough4g If No,' completemes4f

and 4g

b Did he organizationmakeany axable 1stribut1onsndersection4966?

c Did he organizationmakea d1stribut1ono a donor,donoradvisor, r related erson?

d Enter he otal numberof donoradvisedunds owned t he end of the axyear

e Enter he aggregate alueof assets eldmall donoradvisedunds owned t the end of the ax year

I Enter he otal numberof separateunds or accounts wned t he endof the year excluding onoradvisedunds ncluded n

lme4d) wheredonorshave he right o provide dvice n he d1stribut1onr investment f amountsm such unds or accounts

g Enter he aggregate alueof assetsmall funds or accountsncluded n me4f at he end of the ax year

....

....

....

....

Yes N

x

2a

x

2b

x

2c

x

2d

x

2e

x

3a

x

3b

x

3c

x

3d

x

4a

x

4b

x

4c

x

o

o

o

ScheduleA (Form990 or 990-EZ)

623111

01 18 07


12/23

3 6 3 3 0 9 812 Pag

IPart IV

j

Reason for Non-Private Foundation Status

(Seepages through7 of the nstructions

I certify hat he organization snot a private oundation ecauset 1s: Please heckonly ONE pplicable ox)

5 D A church,convention f churches, r association f churchesSection 70(b)(1(A)(1).

6

D

A school.Section170(b)(1(A)(il) (AlsocompletePartv)

7

D

A hospitalor a cooperative ospital erviceorganizationSection170(b)(1(A)(111)

8

D

A federal, tate,or localgovernment r governmental nrt.Section 70(b)(1)(A)(v)

9

D

A medical esearch rganization peratedn conjunctionwith a hospitalSection 70(b)(1)(A)(i11)nter he hospital'sname,city,

andstate ....

1O D An organization peratedor the benefitof a collegeor university wned r operated y a governmental nit Section170(b)(1(A)(1v)

(Alsocompletehe SupportSchedule n Part VA)

11a D An organizationhat normally eceives substantial art of its support rom a governmental nit or from the general ublic.

Section 70(b)(1(A)(v1) Alsocompletehe SupportSchedule n Part VA)

11b D A communityrust. Section170(b)(1(A)(v1).Alsocompletehe SupportSchedule n Part VA)

12 00 An organizationhat normally eceives 1) more han 331/3 of its support rom contributions,membershipees,andgross

receiptsrom activ1t1eselatedo its charitable, tc , functions subJecto certain xceptions, nd 2) no more han 331/3 of

its support rom gross nvestmentncomeand unrelated usinessaxablencome lesssection511 ax) rom businesses cquired

by he organization fterJune30, 1975. Seesection509(a)(2). Alsocompletehe SupportSchedule n Part VA)

13

D

An organizationhat 1s ot controlled y any d1squal1fiedersons other han oundationmanagers) nd otherwisemeets he requirements f section

509(a)(3) Checkhe box hat describeshe ype of supporting rgamzat1on:

D

Type

D

Type I

D

Type ll-Functionallyntegrated

D

Type ll-Other

Provide he following nformationabout he supported rganizations. Seepage7 of the nstructions)

(a) (b)

(c) (d) (e)

Name(s) f supportedorganization(s) Employer Typeof organization Is he supported

Amountof

identification (described n lines organizationisted n support

number EIN)

5 through12 above

the supporting

or IRC ection) organization's

governingdocuments?

Yes

No

Total

....

14 D An organization rganized ndoperatedo test or publicsafety Section 09(a)(4) (Seepage7 of the nstructions


623121

01 18 07


13/23

'~che~uleA(Form990or990-EZ)2006THE HEARTLAND INSTITUTE 36-3309812 Pa

I

Pait IV.;A

Support Schedule (Complete only

rf

you checked a box on line 10, 11, or 12.) Use cash method of accounting.

N

Yi

te: ou mav use the worksheet m the instructions for convertin~ from the accrual to the cash method of accountmo

Calendar ear (or fiscal year

....

eginning n)

(a) 2005

(b) 2004

(c) 2003

(d) 2002

(e) Total

15

Gifts,grants,andcontnbut1ons

received Do not ncludeunusual

2,242,948.

1,753,416.

1,546,170.

1,254,137. 6,796,671.rants.See me28)

16

Membersh10ees eceived

29,943.

33,196.

28,945.

28,516.

120,600.

17

Gross eceiptsrom adm1ss1ons,

merchandiseold or services

performed, r furn1shmgf

fac1ht1esanyact1v1tyhat s

relatedo the organization's

charitable, tc.,purpose

246,591.

211,980.

316,026.

329,152. 1,103,749.

18

Gross ncome rom nterest,

d1v1dends,mounts eceivedrom

payments n secunt1esoans sec-

tion 512(a)(5)), ents, oyalties, nd

unrelated usinessaxablencome

(lesssection511 axes) rom

businesses cquired y he

1,401.

2,819.

1,700.

177.

6,097.

rganization fterJune30, 1975

19 Net ncome rom unrelated usiness

act1v1t1esot ncludedn line 18


14/23

3ch~~ule (Form990 or 990-EZ) 006 THE HEARTLAND INSTITUTE

3 6 3 3 0 9 812 Pag

Part V

j

Private School Questionnaire (Seepage9 of the nstructions)

N/A

To be completed ONLY by schools that checked the box on line 6 in Part IV)

29 Does he organization avea raciallynondiscriminatoryolicy owardstudents y statementn its charter,bylaws,othergoverning

Yes

N

instrument, r in a resolution f rtsgoverning ody?

29

30

Does he organizationnclude statement f its racially ond1scnminatoryolicy owardstudents n all ts brochures, atalogues,

and otherwnttencommunications ith he publicdealingwith studentadm1ss1ons,rograms, ndscholarships?

30

31

Has he

organization ubl1c1zedts racially ondiscriminatoryolicy hroughnewspaper r broadcastmedia uring he penodof

solic1tat1onor students, r during he reg1strat1onenod1f1thasno sol1citat1onrogram,n a way hat makes he policyknown

to all partsof the general ommunity t erves?

31

If "Yes,'please escnbe; f No,' please xplain If you needmorespace, ttach separate tatement)

32 Does he organization aintainhe ollowing

a

Recordsndicatinghe racial omposition f the studentbody, aculty,andadministrativetaff?

32a

b

Records ocumentinghat scholarships nd other inancial ssistance reawarded n a racially ond1scnminatoryasis?

32b

c

Copies f all catalogues, rochures, nnouncements,nd otherwrittencommunicationso the publicdealingwith student

adm1ss1ons,rograms, nd scholarships?

32c

d

Copies f all material sedby he organization r on ts behalf o sol1c1tontnbut1ons?

32d

If you answeredNo' to any of he above,please xplain. If you needmorespace. ttacha separate tatement)

33

Does he organization1scnminatey race n anywaywith respecto

a

Students'nghtsor pnv1leges?

33a

b

Adm1ss1onsol1c1es?

33b

c

Employment f facultyor adm1nistrat1vetaff?

33c

d

Scholarships r other inancial ssistance?

33d

e

Educational olicies?

33e

I

Useof fac111t1es?

331

g

Athleticprograms?

..

33n

h

Otherextracurricularctiv1t1es?

33h

If you answeredYes' o any of the above,please xplain (If you needmorespace, ttacha separate tatement)

34 a

Does he organizationeceive ny inancial id or assistancerom a governmentalgency?

34a

b

Has he organization's ght o suchaid everbeen evoked r suspended?

34b

If you answeredYes' o either34aorb, please xplain singan attached tatement

35

Does he organizationertify hat 1thascompliedwith he applicableequirementsf sections 01 through4 05 of Rev Proc 75-50,

1975-2CB 587,covering acialnond1scnminat1on?f No,' attachan explanation

35

Schedule (Form990 or 990-EZ)

623141

01-18-07


15/23

' ~chebule (Form990 or 990-EZ) 006


3 6 3 3 0 9 812 Pa

Part VlA Lobbying Expenditures by Electing Public Charities (Seepage10 of the mstruct1ons)

(To be completedONLY y an eligibleorganizationhat iled Form5768)

N/A

Check

a 1f he oraanizat1onelonas o an affiliated rouo. Check b 1f ou checked a and J1m1tedontrol'arov1s1onsoolv.

Limits on Lobbying Expenditures

(a)

Aff1l1atedroup

(The erm expenditures'means mounts aidor incurred

totals

N/A

36

Total obbyingexpenditureso influence ublicopinion grassrootsobbying) 36

37 Total obbyingexpenditureso influence egislative ody direct obbying) 37

38

Total obbying xpendituresadd mes36 and 37)

38

39

Otherexempt urposeexpenditures

39

40 Totalexempt urposeexpendituresadd mes38 and 39)

..

40

41 Lobbying ontaxable mount Enter he amount rom he ollowing able

If the amountan line 40 Is -

The obbyingnontaxable mount s -

Not over $500,000

20% of the amount on line 40

}

ver $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

41

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

42 Grassroots ontaxable mount enter25% of line41)

42

43 Subtractme42 from lme36 Enter 0- 1f me42 1smore han ine 36 43

44 Subtractme41 from lme38 Enter

0-

1f me41 1smore han me38 44

Caution:

If there Is an amount on either /me 43 or /me 44, you must file Form 4720.

4-Year Averaging Period Under Section 501(h)

(Someorganizationshat madea section501(h)election o not have o complete ll of the ive columns

below See he mstruc Jonsor Imes 5 hrough50 on page13 of the mstruct1ons)

LobbyingExpenditures uring4-YearAveragingPeriod

Calendar ear (or (a) (b) (c) (d)

fiscal year beginning n) 2006 2005 2004

2003

45 Lobbying ontaxable

amount

46 Lobbying eilingamount

1150% f lme45{e)).

47 Total obbying

exoend1tures

48 Grassroots ontaxable

amount

49 Grassroots eilingamount

150%of line481

))

50

Grassrootsobbying

exoend1tures

IPart VlB I Lobbying Activity by Nonelecting Public Charities

(For eportingonly by organizationshat did not completePartVI-A) Seepage13 of the mstruct1ons

During he year,did the organization ttempt o influence ational, tateor local eg1slat1on,ncludingany attempt o

influence ublicopm1on n a Jeg1sla Jveatteror referendum,hrough he useof Yes No

a Volunteers

b

Paidstaff or managementInclude ompensationm expenseseported n Imes throughh.)

c Mediaadvertisements

d Ma1lmgso members,egislators, r the public

e Publ1cat1ons,r published r broadcast tatements

..

f Grantso otherorganizationsor lobbyingpurposes

g

Direct ontactwith egislators,heir staffs,government fficials, r a eg1slat1veody

h

Rallies, emonstration '>,eminars, onventions, peeches,ectures. r anyothermeans

I

Total obbying xpendituresAdd mesc throughh.)

If Yes' o any of the above, lsoattacha statement ivinga detailed escription f the obbyingact1v1ties

(b)

To be completedor al

electing rganization

N/A

(e)

Total

0

0

o

o

o

0

N/A

Amount

o

623151

01-18-07

Schedule (Form990 or 990-EZ) 0


16/23

SbheduleA(form99CJ.or990-EZ)2006HE HEARTLAND INSTITUTE 36-3309812

Part VII I nformation Regarding Transfers To and Transactions and Relationships With Noncharitable

Exempt Organizations (Seepage13 of the nstructions

51 Did he reporting rganization irectlyor indirectly ngagen any of the ollowingwith any otherorganization escribedn section

501 c) of the Code other han section 01 c)(3) organizations)r in section 27, relatingo pollt1cal rganizations?

a Transfersrom he reporting rganizationo a noncharitablexemptorganization f.

(I) Cash

(ii) Otherassets

b Other ransactions

(I) Salesor exchanges f assetswith a noncharitablexemptorganization

(ii)

Purchases f assets rom a noncharitablexempt rganization

(iii) Rental f fac1l1t1es,quipment, r otherassets

(iv) Reimbursementrrangements

(v) Loansor loanguarantees

(vi) Performancef services r membership r fund aising ol1c1tat1ons

c Sharingof ac1l11ies,quipment,mailing ists.otherassets, r paidemployees

d If the answero any of the above1sYes, completehe ollowingscheduleColumn b) shouldalways how he air market alueof the

goods,otherassets, r services ivenby he reporting rganization f the organizationeceivedess han air market alue n any

51a(I)

a(ii)

b(i)

b(ii)

b(iii)

b(iv)

b(v)

b(vl)

c

Yes

Pa

N

x

x

x

x

x

x

x

x

x

transaction r sharingarrangement,how n column d) the valueof the goods.otherassets. r services eceived

N / A

(a)

(b) (c) (d)

Lineno Amount nvolved

Name f noncharitablexempt rganization Description f ransfers,ransactions, ndsharingarrangeme

52 a is the organizationirectlyor indirectly ffiliatedwith, or relatedo, oneor more ax-exempt rganizations escribedn section501 c) of the

Code other hansection501 c)(3)) or in section527? D Yes 00 N

b If Yes, completehe ollowingschedule

N A

623152

01-18-07

(a)

Name f organization

(b)

(c)

Typeof organization

Description f relat1onsh1p



17/23

.

OFFICER COMPENSATION ALLOCATION

PART II, LINE 25A

OF OFFICER, ETC.

PROGRAM SERVICES

AND GENERAL

PROGRAM SERVICES

AND GENERAL

EMPLOYEE

COMPENSATION BEN. PLANS

100,803.

75,603.

15,120.

10,080.

EXPENSE

ACCOUNTS

OFFICER, ETC., COMPENSATION INCLUDED ON PART II, LINE 25A

36-3309812

STATEMENT

TOTALS

100,803.

75,603.

15,120.

10,080.

75,603.

15,120.

10,080.

100,803.

STATEMENT S)


18/23

. .

CASH GRANTS AND ALLOCATIONS

TO OTHERS

NAME AND ADDRESS

EDUCATION INSTITUTE

BRIARBUSH LANE

& CLIMATE

PICTURE INSTITUTE

54TH STREET, 15G

YORK, NY 10019

PENNSYLVANIA AVE., NW 7A

D.C. 20037

NORTH SHERIDAN ROAD

IL 60085

PUBLIC POLICY FOUNDATION

CONGRESS AVE., SUITE 400

TX 78701

& TAX REFORM

N FREEDOM FOUNDATION

BOX 552

WASHINGTON 98507

& TAX REFORM

FOR PROSPERITY FOUNDATION

& TAX REFORM

BOX 13894

& TAX REFORM

BOX 7829

36-3309812

STATEMENT

AMOUNT

25,000.

250,000.

25,000.

500,000.

100,000.

50,000.

50,000.

50,000.

50,000.

STATEMENT(S)


19/23

TAX REFORM

POLICY INSTITUTE

CE PARK DRIVE, SUITE 300

TAX REFORM

CAROLINA POLICY COUNCIL

PENDLETON STREET

TAX REFORM

INCLUDED ON FORM 990, PART II, LINE 22B

36-3309812

40,000.

10,000.

25,000.

1,175,000.

OTHER PROGRAM SERVICES STATEMENT

OF OTHER PROGRAM SERVICES

GRANTS TO OTHER 501C(3) WITH

IN LINE WITH HEARTLAND

TO FORM 990, PART III, LINE E

GRANTS AND

ALLOCATIONS

1,150,000.

1,150,000.

EXPENSES

25,000.

25,000.

STATEMENT(S) 2,


20/23

Ill

PART V-A - LIST OF CURRENT OFFICERS, DIRECTORS,

TRUSTEES AND KEY EMPLOYEES

TITLE AND

COMPEN-

AND ADDRESS AVRG HRS/WK

SAT ON

BAST PRESIDENT

EAST WILMETTE ROAD 124 40.00

100,803.

IL 60074

BUFORD DIRECTOR

KINGSBURY

AVENUE

301 0.00 o.

IL 60622

FISHER HEAD OF REAL

ESTATE

WEST WACKER DRIVE, SUITE 4400 0.00

o.

IL 60601

FITZGERALD MANAGING DIRECTOR

COLONIAL PARKWAY

0.00 0.

IL 60067

ATTORNEY

OAK STREET,

SUITE 102

0.00

o.

IL 60093

DIRECTOR

NORTH LAKE SHORE

DRIVE llB 0.00

0.

IL 60611

DIRECTOR

CHESTNUT AVENUE 0.00

o.

DIRECTOR

EAST 46TH STREET,

SUITE 4J 0.00

o.

YORK, NY 10017

DIRECTOR

WEST MONROE, SUITE

706

0.00

o.

DIRECTOR

EAST DELAWAREPLACE

0.00

0.

DIRECTOR

GUY STREET

0.00

0.

CA 92103-1539

36-3309812

STATEMENT

EMPLOYEE

BEN PLAN

EXPENSE

CONTRIB

ACCOUN

o.

0

o.

0

o.

0

o.

0

o.

o

o.

0

0.

o

o.

o

o.

o

o. 0

0.

o

STATEMENT(S)


21/23

EAST PEARSON STREET, SUITE

WEST MICHIGAN

RENAISSANCE CENTER, MC

MI 48265-3000

GEORGE KULATHAKAL

EAST OHIO, 603

CHAIRMAN

0.00

DIRECTOR

0.00

DIRECTOR

0.00

DIRECTOR

0.00

ON FORM 990, PART V-A

36-3309812

o.

o.

o

o. 0.

o

o.

o.

o

o. o.

o

100,803. 0.

o

OTHER INCOME STATEMENT

TO SCHEDULE A, LINE 22

2005

AMOUNT

0.

o.

2004

AMOUNT

15,000.

15,000.

2003

AMOUNT

o.

o.

2002

AMOUNT

0

o

STATEMENT(S) 4,


22/23

Fonn 88 8

(Rev December 2006)

Department of the Treasury

Internal RevenueSeMce

,r-

pplication for Extension of Time To File an

Exempt Organization Return

.,.. File a separate application for each return.

OMB No. 1545-1709

If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box . . . . ..,.Ji['

If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part

II

(on page 2 of this form).

Do not

com /ete

Part II unless

ou have alread been ranted an automatic 3-month extension on a rev1ousl filed Form 8868.

Automatic 3-Month Extension of Time. Only submit original (no copies needed).

Section 501 (c)(3) corporations required to file Form 990-T and requesting an automatic 6-month extension-check this box

and complete Part I only . . . . . . . . . . ..,. O

All other corporations (including 1120-C filers), partnerships, REM/Cs, and trusts must use Form 7004 to request an extension of

time to file income

tax

returns.

Electronic Filing (e-fi/e). Generally, you can electronically file Form 8868 if you want a 3-month automatic extension of time to file

one of the returns noted below (6 months for section 501 c)(3) corporations required to file Form 990-T). However, you cannot file

Form 8868 electronically if (1) you want the additional (not automatic) 3-month extension or (2) you file Forms 990-BL, 6069, or 8870,

group returns, or a composite or consolidated Form 990-T. Instead, you must submit the fully completed and signed page 2 (Part II)

of Form 8868. For more details on the electronic filing of this form, visit

www.irs.gov/efile

and click

one-file for Charities & Nonprofits.

Type or

print

Name of Exempt Organization

cl

File

by

the

due date for

lihng

your

return. See

1nstruct1ons.

City, town or post office, state, and ZIP code. For a foreign address, see instructions.

Check type of return to be file

Form 990

O

Form 990-BL

O Form 990-EZ

O Form 990-PF

IL-

(file a separate application for each return):

O Form 990-T (corporation)

O Form 990-T (sec. 401(a) or 408(a) trust)

O

Form 990-T (trust other than above)

O

Form 1041-A

Employer identification number

O Form 4720

O Form 5227

O Form 6069

O Form 8870

The books are in the care of..,.

___

-}_eo._r-:+.{~.JlQS-h'_tD~.-/-OlaDfa._ ,.:;c.__________

Telephone No .... (~/.~.) ____

.7..7.:::..oc.x:L_

FAX No .... 3/~_L.3.27.::-$.~Q_Q __

If the organization does not have an office or place of business in the United States, check this box

....... 0

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 . . . . . . ..,.

0 .

If 1t 1s or part of the group, check this box . . . . . . ..,.

O

and attach

a list with the names and EINs of all members the extension will cover.

1 I request an automatic 3-month (6 months for a section 501(c)(3) corporation required to file Form 990-T) extension of time

until

___

./..c:=-._/S-::... - , 20( .]., to file the exempt organization return for the organization named above. The extension is

for the organization's return for:

..,.8 calendar year 20 ~-W.or

..,. O tax year beginning -------------------------- , 20 --, and ending -------------------- , 20 -.

2 If this tax year is for less than 12 months, check reason:

0

Initial return

O

Final return

O

Change in accounting penod

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. 3a

$ '. on

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. 3b

$

l )_on

c Balance Due. Subtract line 3b from line 3a. Include your payment with this form, or, if required,

deposit with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment

-

ystem). See instructions.

3c

$

0-00

Caution. If you are going to make an electronic fund withdrawal with this Form 8868, see Form 8453-EO and Form 8879-EO

for payment instructions.

For Privacy Act and Paperwork Reduction Act Notice, see Instructions. Cat No. 279160

Fonn

8868

(Rev 12-2006)


23/23

.

Form 8868 (Rev 12-2006)

If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box

Note. Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868.

If you are filing for an Automatic 3-Month Extension, complete only Part I (on page 1).

Additional not automatic 3-Month Extension of Time. You must file ori inal and one co

Page

2

Type or

print

Name of Exempt Organization

Employer identification number

File by the

extended

due date for

fihng the

return See

instructions.

Number, street, and room or surte no. If a P.O.box, see instructions.

For IRS use only

City, own or postoffice,state,and ZIP code Fora foreign ddress, ee nstructions.

Check type of return to be filed (File a separate application for each return):

O Form 990 0 Form 990-PF

O Form 990-BL O Form 990-T (sec. 401 (a) or 408(a) trust)

O Form 990-EZ O Form 990-T (trust other than above)

O

Form 1041-A

O Form 4720

O Form 5227

O

Form 6069

O

Form 8870

STOP Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868.

The books are in the care of~--------------------------------------------------------------------------------------------

Telephone No. (__________)______________________________AX No. (. ________)_______________________________

If the organization does not have an office or place of business in the United States, check this box . . .

0

If this 1s or a Group Return, enter the organization's four digit Group Exemption Number (GEN) ----- . If this is

for the whole group, check this box . . . . . . O . If it is for part of the group, check this box. . . . . . 0 and attach a

list with the names and EINs of all members the extension is for.

4 I request an additional 3-month extension of time until -------------------------------------------- , 20 _____

5 For calendar year _______or other tax year beginning __________________________20 _____and ending--------------------------, 20 _____

6 If this tax year 1s or less than 12 months, check reason: 0 Initial return O Final return O Change in accounting period

7 State in detail why you need the extension --------------------------------------------------------------------------------------------------

8a

If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax,

less an nonrefundable credits. See instructions.

b If this application 1s or 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 aid reviousl with Form 8868. Sb

c Balance Due. Subtract hne Sb from line Sa. Include your payment with this form, or, 1f equired, deposit

wrthFTO ou on or, if r uired, b usm EFTPS ElectronicFederalTax Pa ment S stem . See 1nstruct1ons. Be

Signature and Verification

Under penalties of periury,

I

declare that

I

have examined this form, including accompanying schedules and statements, and to the best of my knowledge and behef,

rt 1s rue, correct, and complete, and that I am author12ed to prepare this form

S1gnatu~~t G ...v:f)

Tille .,.. Fx.-e

yfj

>Je

fd~

fr::c

Date .,.. ,3 - S-0

7

Notice to Applicant. (To Be Completed by the IRS)

O We have approved this application. Pleaseattach this form to the organization's eturn.

O We have not approved his application. However,we have granted a 10-day grace penod from the later of the date shown below or the due

date of the organization's eturn 0ncludingany pnor extensions).This grace penod is considered o be a valid extension of time for elecbons

otherwise required o be made on a timely return. Pleaseattach this form to the organization's eturn.

O We have not approved his applicabon.After cons1dennghe reasonsstated 1n tem7, we cannot grant your request or an extensionof time

to file. We are not granting a 10-day grace penod.

O

We cannot consider this application because 1twas filed after the extended due date of the return for which an extensionwas requested.

O Other ------------------------------------------------------------------------------------------------------------------------------------------------

By:~---------------~

Director Date

Alternate Mailing Address. Enter the address if you want the copy of this application for an additional 3-month extension

returned to an address different than the one entered above.

Type or

print

Name

Number and street Onclude suite, room, or apt. no.) or a

P.O.

box number

City or town, province or state, and country Oncluding postal or ZIP code)

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