rom 990 - Return of Organization Exempt From Income Tax Under section 501(c), §27, of 4947(a(1) ofthe Internal Revenue Code (except black lung benefit wust or private foundation) D> The organization may have to use a copy of this return to satsty stato reporting requirements. 2009 ‘Open to Publ inspection ‘A For the 2008 calendar year, or tax year beginning ‘and ending 8 cts, emu [© Name of rganzaton Employer identification number Celta | ee AUTISN SocTETY OF AMERICA GROUP (ase | | Dong Business As. 58-2248889 Fath |_ on, |” Number and stot (or P.O, bo nal va dered sretadsess)[Roonfute |E Telphone aumber (Cisse itive sco exsr-wesr mer sre 350 50. 101)657-0882 Wars > Cay orton, stator county, and ZP +4 Ceca sa (Co |_enisson ao _2on14-ce HG) i ths a rouprotur *2 FE Name and abcess of procpaloffeer bse GROSSHAR focattiaes? ——C]ves [1No sai ag ¢ 150% Ho) az atites ncudeerLl¥es [INo [LTacoromgt status: [x] 501113) nse no) LJ abe7iaiijor LJ ITN attach a iat. (600 mstnetors) tee, AUILEW-SOCIETE ORG Hic) Group exompton number Pe 2487 i Form of aganzaton: Lx] Coposuon []Tust_[—]Assonaton [ [one Ti vearol tomar 1565 ~1M Sia of eal drei [Part I] Summary 1) Brot desonbe the erganzator’s mason or mes sgndcan ates 10 EROMOTE EDUCATION & FURIZG co | aaeNess ov avriny aww orSsmHINATE INFORMATION TO ACCOMPLISH THIS SE] 2 Checktnebox Pe L_hittheorganzaton dscontnuid ts opratons or disposed of more than 25% of tenet asset BS §| 5. numero voy ramber ofthe govenng body Pat Vine a) 3 Pry 62 § | 4 Number ofndependent voting members ofthe governng body Part Vi ne 1) 4 24 © 3) 5 Total numbsr cf employees art V, ne 2) a er) {2 E| 6 Totatnmber of votnteors estate necessary) 6 ° SB B| 70 Totalgross Lemitedbuenmss eerie ton Pl eR ETTED) | 7a 0, © | 7S Netunveated bunness taxable nome Yom Fl 990RRIRKOE VED me 1 o a Prior Year ‘arent Year Z | © conmoutons and gants Par Vt ne 1) 2.422, 200) 2.628.965 & |] 2 Pesmsmcrone pisvininy |B 1062-482, 1.228.578 {| 10 tvestmen ncome Part Vil, column A nes 8. 40,98 51.361 11. Otherrevenue Pat Vil column (nes 5, 6 336.231 324.131 12 Totalrevenue-add bes 8 through 11 (must equal Pat Vl columa ne 12) 72-487, aa 18. Grants and sla amounts pad Part IX, columa 9, nes 13) 532.785 641.144 14 Benetts pad to orfor members Part column (tne 4 15. Salanes, oer compensation, employee bene (Part, cok (kes 5:10) 383.972 5408 8] Total tincrassng exposes Pat colin (ine 25) 445.018 1) 7 chor expenses Part x, cok (A ins ta TH, 111240) 2.401.302 27a 36 18. Tota expenses Adaines 1817 (must equal Part IX, column (A), ne 28) seis 42 aor as 19_Rovenve ess expenses. Subtract ine 18 rom ine 12 _ 504-055 46.495 a Begining laren Year| Endot Year 83] 20. Tota assets Par x ine 16) 4.640.231 4.480 038 £3] 21 Total tabines Par. 26) 78.576 46.170 35 | 22 Not assets oc tung balances, Subtract ine 21 rom in 20 we 5 aan ace Part Il [Signature Block Sh pe ta sap Sar SSP SS TO TT TOT Sign - L al sho ie Senate ooo Ta cRossnan._paEsIDENT ‘pee pe name fi Tae Teac = Preparers 2 EE Ceatatows me PLA WE ACS ity gall a ‘RSM MCOLADREY, NC. EN EeEeees povar masunncrewzan aio. 1600 Ei GAITHERSBURG 4p 20878-7340 Pron (303) 296-3600 (May the IRS discuss thes return with the preparer shown above? (see instructions) Tx] yes No can eee LHA Fr Privacy Act and Paperwork Reduction Act Notice, ee the separate instruction Form 990 2000 SEE SCHEDULE © FOR ORGANT2ATTON MISSION STATEMENT CONTINUATION AIL 21 ypForm 990 2009) r Page 2 Part ill Statement of Program Service Accomplishment 11 Bhnofly descnbe the organaton’s mason: 170 PROMOTE EDUCATION & PUBLIC AWARENESS ON AUTISM AND DISSEMINATE INFORMATION 0 ACCOMPLISH THIS GOAL, ‘2 _Didthe organzation undertake any signficant program services dunng the year which were not sted on ‘the pnor Form 980 or 990-€27 ves Geno "Yes," describe these new services on Schedule O. 3 Did the organization cease conducting, or make significant changes in how it conducts, any program services? ves CeIno Yes," describe these changes on Schedule ©. 4 Descnbe the exempt purpose achievements for each ofthe organzation’s three largest program services by expenses. ‘Section 501(6(8) and 501(¢K4) organizations and section 4847(a\}) trusts are requred to roport the amount of grants and allocations to other, the total expenses, and revenue, ary, foreach program seruce reported. “4a (Code Expenses § 2,396, 019, weluding grants of $ )(Revenue $ 1,226,578.) (CHAPTER SUPPORT/PARENT SERVICES — 187 LOCAL, ASA CHAPTERS IN 48 STATES PROVIDE SUPPORT GROUPS, GATHERINGS, PARENT EDUCATION TALKS 0 CONNECT PARENTS OF INDIVIDUALS W/ AUTISM, THESE PROGRAMS REACHED APPROX 15,000 PEOPLE. ‘4 Code: ) Expenses $ 62,286, mcuding grants of § ) Revenue $ ) NEWSLETTERS, BROCHURES ON AUSISM, DIRECTORIES OF PROGRAMS ¢ SERVICES, — ‘OVER 50,000 PIECES OP LITERATURE WERE DISTRIBUTED, 46 (Goda ViSwensesS ——_—_—G4i 144, molding grants of Gai, 144, Revenue § ) ‘WARDS/SCHOLARSHIPS/ORANTS- CHAPTERS OFFER HUNDREDS OF SHALL AKARDS. ‘wirCH_ OFFER THESE AWARDS CAN RANGE FROM $25 TO SEVERAL PARENTS & PROFESSIONALS, APPROX 19,000 INDIVIDUALS ATTENDED THESE. SESSIONS, “4d_ Other program services (Desenbe in Schedule 0) ©oenses $ 97,271, eluding grants ofS Revenue § “4e_ Total program service expenses -$ 3187 0 Form 980 (2008) 2 13481025 703287 7638187 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872Form 990 (2009) WUELSM SOCIETY OF AMERICA GROUP se-2240869 Page 3 [Part IV [ Checklist of Required Schedules Yes | No 1) Inthe organizaton descbed in section 501(oX) or 4947(a)) (other than a prvate foundation)? Yes," complete Schedule A atx 2 ethe organization requred to complate Schedule 8, Schedule of Contnbutors? atx 3d the organzation engage in drect or ndwrect politcal campaign actwtes on bohal of orm oppostton to candidates for pubic office” If "Yes," complete Schedule C, Part 3 x 4 Section 601(¢)(8) organizations. Did the organzaton engage n lobbying actwites? If "Yes," complete Schedule ©, Part! [4 x 5 Section 601(c)(4), 501(eXS), and 601(¢)(6) organizations. is the organization subject to the secton 60336) notice and reporting requrement and proxy tax? If "Yes," complete Schedule C, Part 5 {6 Did the organcation maintain any donor advsed funds or any smiar funds or accounts where donors have tho nght to provide advice on the dstrbuton or investment of amounts mn such funds or accounts? I "Yes," complete Schedule D, Part | |_6 x 7 Did the organcationrecewe or hld a conservation easement, cluding easements to preserve open space, the envronment,hstonc land areas, or histone structures? If "Yes," complete Schedule D, Parti! z x |8 Did the organczaton mantan colectons of works of at histoncal treasures, or other simar assets? If "Yes, complote ‘Sehodule O, Part 8 x 9 Did the organzation report an amount m Part X, ine 21, serve asa custodian for amounts not listed in Part X: or provide rect counseling, debt management, credit repar, or debt negotiation serwces? If "Yes," complete Schedule D, Part IV 2 x 10 Did the organzation, directly or trough a related organization, hold assets n term, permanent, or uastondowments? "Yes," complete Schedule D, Part V 10 x 111s the organzation's answer to any ofthe folowng questions "Yes"? Ifso, complete Schedule D, Parts V, Vl, Vl IX, OFX ‘as eppiicsble atx ‘Di the organzation report an amount for land, bukings, and equipment n Pat X, ine 10? "Yes," complete Schedule D, Part Vi '© Dd the organization report an amount for investments other socuntis in Part X ine 12 that 6 59% or more oft total assets reported m Pat X, le 167 I "Yes," complate Schedule D, Part VI * Dad the organtzation report an amount for vestments - program related n Part X, ine 13 that 6 5% or more of ts total ‘assets reported in Part X, ine 16? I “Yes,” complete Schedule D, Part Vl ‘© id the organzation report an amount fr other assets Part X, Ine 15 that 1s 5% or more of is total assets reported in Part x, ime 16? I "Yes," complete Schedule D, Part X ‘© id the organization report an amount for other kabities im Part X, ne 252 If "Yes," complete Schedule D, Part X ‘© Did the oxganaation’s separate or consolidated financial statements forthe tax year nclude a footnote that addresses ‘the organuzaton’s habit for uncertam tax posttons under FIN 487 if "Yes," complete Schedule D, Part X 412 Did the organaation obtain separate, ndependent aucted financial statements forthe tax year? I "Yes," complete ‘Schedule D, Parts XI, Xl, and XI 12 x 412A Was the organzation included in consohdated, independent audited financial statements for the tax year? ‘Yes | No 49 "Yes," completing Schedule D, Parts XI, Xi, and lls optional [ea x 43. Is the organzation a school descnbed in section 170(6)1}(AN\)? If "Yes," complete Schedule E 13 x ‘44a Did the organization mantan an office, employees, or agents outside of the Unted States? 14a x 'b Did the organtzation have aggregate revenues or expenses of more than $10,000 from grantmakmng, fundrasing, business, and program service activites outside the United States? If "Yes," complete Schedule F, Part ! 140 x 15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organzation ‘or entty located outside the Unted States? If *Yes," complete Schedule F, Part 15 16 Did the organizaton report on Part IX, column (A), ne 3, more than $5,000 of aggregate grants or assistance to indwiduals located outside the Unted States? if "Yes," complete Schedule F, Part il 16 re 417d the organzaton report a total of more than $15,000 of expenses for professional fundratsing servces on Part IX, ‘column (A), ines 6 and 110? If "es," complete Schedule G, Part | 7 x 18 Did the organeaton report more than $16,000 total of fundraising event gross income and contributions on Part Vil, ines. ‘cand 8a? If "Yes," complete Schedule G, Part I te | x 19 Dd the organization report more than $15,000 of gross income from gaming actvties on Part Vill, ine 9a? If "Yes," ‘complete Schedule G, Parti! 10 x 20 _Did the organization operate one oF more hospitals? If "Yes," complete Schedule H 20 x Form 990 (2009) 3 13481025 703287 7638187 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872Form 990 (2008) zeny 248 Part IV [Checklist of Req 1d Schedules (continued) a 2 (Od the organization report more than $5,000 of grants and other assistance to governments and organzations in the Untied States on Part IX, column (A), ne 1? If "Yes," complete Schedule |, Parts andi! (Dd the organvzaton report more than $5,000 of grants and other assistance to individuals nthe United States on Part IX, column (A, ine 27 1 es," complete Schedule |, Parts / and I! (Dd the organization answer "Yes" to Part Vl, Secton A, ine 3,4, or§ about compensation ofthe organization's current and former officers, directors, trustees, key employees, and highest compensated employees? ifYes," complete Schedule J 1d the organization have a tax-exempt bond issu with an outstanding pnneipal amount of more than $100,000 as of tho last day ofthe year, that was issued after December 31, 20027 If "Yes," answer nes 24b trough 24 and complete Schedule K If "No", go to ine 25 'b Did the organtzation invest any proceeds of tax-exempt bonds beyond a temporary pened exception? © Did the organization mamntain an escrow account other than a refunding escrow at any tme during the year to defease any taxexempt bonds? Di the organization act as an “on behalf of ssuer for bonds outstanding at any me dung the year? ‘Section 501(¢X) and 01(¢}4) organizations. Did the organtzation engage in an excess beneft transaction with a ‘squalited person dunng the year? I “Yes," complete Schedule L, Part | Is the organization aware that t engaged m an excess beneft transaction wh a disquaMied person in apr year, and ‘that the transaction has not been reported on any ofthe organization's pnor Forms $80 or 980-£27 I "Yes," complete Schedule L, Part ‘Was a loan to or by a current or former ofcer, drectr, trustee, key employee, highly compensated employee, oF disqualified ‘person outstanding as of the end ofthe organcation's tax year? If *Yes," complete Schedule L, Part I (id the organation prowdé a grantor éther assistance to an officer, director, tusteekey employee, substantial — — Ccontributr, ora grant selection commettee member, o to a person related to such an mdidual? I “Yes,” complete ‘Schedule L, Part il Was the erganzation a party to a business transaction with one of the folowng partes, (08 Schodule L, Part IV instructions for applicable fling thresholds, conditions, and exception). ‘Acurtont or formar officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part V bb Atamiy member of a current or former officer, director, trustee, or key employee? i's,” complete Schedule L, Part IV © Anentty of which a current or former officer, rector, trustee, oF key employee ofthe organization (or family member) was ar an officer, director, trustee, or drect or ndrect owner? If"Yes," complete Schedule L, Part V i the organation recerve more than $25,000 in non-cash contnbutions? I "Yes," complete Schedule M id the organization recerve contributions of at histoncal treasures, or other similar assets, or qualified conservation ‘contributions? If *Yes," complete Schedule M i the organization iquidate, terminate, or dissolve and cease operations? 1 "¥es,* complete Schedule N, Part Dd the organzation sel, exchange, dispose of, or transfer more than 25% of ts net assets?" ‘Schedule N, Pat Di the organzation own 100% of an entity disregarded as separate from the organcation under Regulations ‘sections 201 7701-2 and 301.7701.97 If "Yas," complete Schedule R, Part | \Was the erganzaton related to any tax-exempt or taxable entty? I "¥es,* complete Schedule R, Parts, II, and V, ne 1 's any elated organzaton a controled entty wthn the meaning of section 512(0)19)? 1 "¥es,* complete Schedule R, Part V, ine 2 ‘Section 501(¢),3) organizations. Did the organation make any transfers to an exempt non-chartable related organization? I "¥es,* complete Schedule R, Part V, ine 2 Dis the organzation conduct more than 5% of ts actvties through an entty that snot a related organcation and that is treated as a partnership fr federal income tax purposes? If "Yes,* complete Schedule R, Part VI ithe arganzation compte Schedule O and provide explanations in Schedule © for Part VI, ines 11 and 197 Note, Al Form 990 fers are requred to complete Schedule O complete Yes | No fertx | als za x 2a x ‘2b 2c asa[ | 25 x sSepeke Bp is 13481025 703287 7638187 4 Form 990 (2008) 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872Form 990 (2008) r : 25 Part V|_ Statements Regarding Other IRS Filings and Tax Compliance Yes | No ‘4a Enter the number reported m Box 3 of Form 1096, Annual Summary and Transmittal of US. Information Retums. Enter 0 nat appicable 12 bb Enter the number of Forms W.2G included i ine 1a. Enter 0- not applicable 1%» «¢ Did the organzation comply with backup withholding rules fr reportable payments to vendors and reportable garnng {gambing) winnings to prze winners? te 2a Enter the numberof employees reported on Form WS, Transmittal of Wage and Tax Statements, fled forthe calendar year ending vat or wth the year covered by this return 2a bf atleast one is reported on ine 2a, did the organization fe all equred federal employment tax returns? Es Note. ithe sum of ines ta and 2a1s greater than 250, you may be required t o-fie ths retum (see mstructons) '3a_Did the rganzation have unrelated business gross income of $1,000 or more dung the year covered by ths return? 3a x 'b If¥es,* has fled a Form 990° for this year? If ‘No, provide an explanation m Schedule O 2b 44a. Atany tm dunng th calondar year, did the organization have an terest n, or signature or other authonty over, {inancal account m a forlgn county (euch asa bank account, secunties account, or other nancial account)? 4a x bb If-¥es.* enter the name ofthe foregn country ‘See tho instructions for exceptions and fing requrements for Form TO F 8022.1, Report of Foren Bank and Finanesal Accounts, ‘52 Was the organzation a party to a prohibited tax shoter transaction at any time dunng the tax year? sa x 'b Did any taxable party notify the organczaton that t was ors a party toa prohibited tax shelter transaction? cs x €If¥es," to ine 68 or 5b, di the organzabon fle Form 8886-7, Disclosure by Tax-Exempt Entity Regarding Prohibited “Tax Shottor Transaction? 50 6a. Does the organization have anaual gross receipts that are normally greater than $100,000, and did the erganation sokct any contnbutions that were not tax deductible? 7 {ea x bb 11-5," di the organzation include with every sobstation an express statement that such contnbutons or gts were not tax deductbie? o> 7. Organizations that may recelve deductible contributions under section 170(c). ‘Did the organtzation recewe a payment in excess of $75 made partly asa contributon and partly for goods and soracos. provided tothe payor? Ja x bb Ife," dd the organzation noty the doncr of the valu ofthe goods or services provided? To Did the organzation sel, exchange, or otherwise dispose of tangible personal property for which was required to fie Form 82827 ze x 4. Ife," indicate the numberof Forms 8262 fied during the year 7 Od the organization, durng the year, recewe any funds, directly or ndrectly, to pay premwums on a personal boneft contract? te x {1 Did the organzation, dung the year, pay promums, droctly or indectl, ona personal boneft contract? 7 x 9 Foral contributions of qualified mtelectual property, did the organization le Form 8899 as requred? 7a hi For contnbutions of cars, boats, axplanes, and other vehicles, di the organzaton lea Form 1098-© as required? Th. 8 Sponsoring organizations maintaining donor advised funds and section £08(aX.9) supporting organizations. Dd the ‘supporting organzaton, ora donor advised fund mantaned by a sponsonng organzation, have excess business hokings at anytime dunng the year? 8 © Sponsoring organizations maintaining donor advised funds. ‘Did the organzation make any taxable distnbubons under section 49887 9a 'b Did the organzation make a dstrbuton to a donor, donor adsor, oF related person? os 10 Section 601(c)7) organizations. Ent ‘9. Initaton fees and capital contributions cluded on Pat Vl 108 bb Gross receipts, mcluded on Forrn 990, Part Vil, ine 12, for pube use of cub faciibas 100 11 Section 601(¢} 12) organizations. Enter. ‘2 Gross income from members or shareholders ta 'b_ Gross income from other sources (Do not net amounts due or paid to other sources agamnst amounts due or recewed trom them) ery 12a Section 4947(3)(1) non-exempt charitable trusts Is the organcation fing Form 990. he of Form 10817 12a bb If," enter the amount of tax exempt terest recewed or accrued dunng the year | sap | Form 990 (2009) 5 13481025 703287 7638187 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872Form 990 2008) WULSH SOCIETY OF AMERICA GROUE se-224eee0 Page 6 Part VI | Governance, Management, and Disclosure For each "Yas" response to ines 2 through Tb Below, and for @ -No* response ‘tone 8a, 8b, or 10b below, descnbe the crcumstances, processes, or changes in Schedule O. See mstruchons. ‘Section A. Governing Body and Management Yes | No 418. Entor the numberof voting members of the governing body 10 au Enter the numberof voting members that are mdependent tb 24 2 Did any officer, director, trustee, or Koy employee have a famly relationship ora business rlationshyp with any other officer, director, trustee, or key employae? 2 x 8. Did the ciganzation delegate contro! over management dues customanly performed by or under the direct supervsion of officers, directors of tustees, or kay employees to a management company or other person? 3 x 4D the organization make any eignicant changes tts organizational documents since the prior Form 990 was fled? 4 x ‘5 Dd the organization become aware duning the yoar ofa matenal version of the organtzaton's assets? 5 x {6 Does the organation have members or stockholders? 8 x “7a Does the organization have members, stockholders or other persons who may elect one or more members ofthe ‘governng body? Ta x bb Are any decisions ofthe governing body subject to approval by members, stockholders, or other persons? Po x 18 Dai the organzation contemporaneausly document the meetings held or wren actions undertaken dunng the year by the folowing ‘a The governng body? val x 'b Each committee with authonty to act on behalf ofthe governing body? ob | x 19 Is there any officer, crctor, trustee, or koy employee sted in Part Vil, Section A, who cannot be reached atthe corganzaton's mating address? If "Ye," provde the names and addresses in Schedule O 8 x ‘Section B. Policies (Ts Secon 8 requests nformaton about polcies not requrred by the intemal Revenue Code) Yes] No, ‘10a Does the organization have local chapters, branches, or tfiktes? 10a x bb ifYee," does the organzation have writen polcwes and procedures governing the acttes of such chapters, atfiates, ‘and branches to ensure thew operations are consistent with those ofthe organzaton? 100 11 Has the organzaton provided a copy ofthis Form 990 to all members of ts governing body before fing the form? 4 x 1A Descnbe m Schedule 0 the process, any, used by the organization to revew ths Form 960. ‘2a Does the organzation have a wntten confic of interest policy? "No," go tone 13 sa x bb Are officers, directors or trustees, and key employees requred to disclose annwaly interests that could gve nse to.conficts? 1 {© Does the organczation regulary and consistently montor and enforce compiance wih the polcy? if "Yes," descnbe In Schedule O how this 1s done 20 19 Does the organczation have a watten whistleblower polcy/? 3 x 14 Does the organzation have a wntten document retention and destruction policy? 4 x 16 Did the process for determining compensation of the folowng persons include a review and approval by independent persons, comparabity data, and contemporaneous substantiation ofthe deliberation and decision? 18 The organzation’s CEO, Execute Director, or top management official 15a x bb Other ofcers or key employees ofthe organczation 150 x "Yes" to lne 15a or 18b, describe the process n Schedule 0 (See instructions) 16a. xd the organization invest in, contnbute asses to, or paricpate na jot venture or semlararrangomont wath a taxable ontty dunng the year? 16a x bb If-Yes," nas the organzation adopted a wntten policy or procedure requinng the organtzation to evaluate ts participation ‘n pint venture arrangements under applicable federal tax law, and taken stops to safeguard the orgarwzation's oxompt status wth respect to such arrangements? ‘Section C. Disclosure 47 List the states vath which a copy of this Form 990 1s required to be fled D>. NONE 48 Section 6104 requres an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (601(c)(3}s only) avallable for pubic inspection Indicate how you make these avaiable. Check all that apply Tlownwebste — [J another's webste—G] Upon request 19 _Desenbe in Schedule © whether (and i $0, how), the organization makes its governing documents, confict of interest policy, and financial statements available to the pubbe 20 State the name, physical address, and telephone numberof the person who possesses the books and records of the organuaaton De CHAPTER DIRECTORS - N/A SEE ATTACHED [,1S7 OP CHAPTER DIRECTORS N/A Form 990 (2008) 6 13481025 703287 7638187 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872Form 990 200 : Part Vil] Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors ‘Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees ‘1a Complete ths table forall persons requrred to be listed. Report compensation forthe calendar year ending with or wth the organizations tax year. Use Schedule J2 # addtional space is needed © List ll ofthe organzation’s eurrent officers, directors, trustees (whether indwiduals or organzations), regardless of amount of compensation Entorin columns (0), (6, and () no compensation was pad * List ll ofthe organzation's current key employees. See structions for defniton of "key employee «List he organzaton’s ve current highest compensated employees (ther than an oer, deta, ste, o key employe) who receved reportable compensaon (80x 5 of Form W-2 alo: Box 7 of Form 1099-MISC) at more than $100,00 rom the organwaton and ay elated oxganzatons * List ll ofthe organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organtzation and any related organizations. * List ll ofthe organization's former directors or trustees that receved, i the capacty asa former director or trustee ofthe organization, ‘more than $10,000 of reportable compensation from the orjanzation and any related organizations. (Stpenra elongate nach utes retour tae ee ay nen ha cng np Ft {71 check this box the organzation did not compensate any current officer, director, or trustee 0 ® o 5 5 6 a snmae | easter | rapotn | goto | eat hours | (check all that apply) | compensation compensation amount of =i ee poet aoe, ee we | cgmenee | compre cuminen | wSheonaco | “ons Seats sana I mre oo TBE — |. | esc fe wala! be aa . ‘ ma osole| be 2 . . im satle| fe 2 2 2 Sone ioe cole! Le ‘ 2 . son inaoian stat ls! |e . 2 2 ‘ane oom mere NES Se soola| tn : : : ao soln! In ‘ ‘ . a soln Ie : ‘ . Sonn se ca ro Site one een cae oa ou sol | ad 2 2 ene TaD 7 13481025 703287 7638187 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872Form 990 2008) UTISM SOCIETY OF AMERICA GROUP 582248889 Page 8 Part Vil] section’A. Officers, Directors, T sated Employees (continued) “ © © a Namo and tle Poston Reportable Reportable | Estmated hours | (eheckat that app¥y | compensation | compensation | amount of per ‘rom ‘rom related other ook tho crganatons | compansaton al | 8 cxganaaton | wa2ri0g@Misc) | "fromthe E] | IE | | wertosomsoy erganizaton a (Ele and related alglili organizations DIRECTOR 40,00|x 0,000 0 0 DIRECTOR 3,00 |x 0 A °, DIRECTOR 3,00 |x A 0 °. DIRECTOR 3.00 |x A a ° prrectoR 3,00 |x a a o DIRECTOR 3,00 |x a a 0 ~ “punicron — Sete odes eae ne [a Bb ene olen on var RYAN DIRECTOR 3,00|x a ° 0 ARK HOFFA EREcTOR 3,00|x 0 °. 0 STEVE ANDERSON ERECTOR __ a,o0]x ° of Total > 327,908 °. 2. ota numberof ndinduns (reusing But not med to those led! above) who recewed more than $100,000 reportable compensation rom te organization D> _0 Yes] No 3 Dedtheorganzation ist any former offer, rector or tuseo, key employee, orhghest compensated employee on toa 192 If "Yes complete Schedule Jor such mca! a x 4 Forany inéidal sted on ne 1a, the sum of reportable compensation and other compensation fromthe organization land related organizations greater than $160,000" I°Yes," complete Schedule for such inal ‘ x 5 Did any person istd on ine 1a recewe of accrve compensation from any unrelated organization for sences rendered to the organzaton? I "Vs," complete Schedule Jor such perzon re Section 6. Independent Contactors 1 Complete ths able for your fv highest compensated independent contractor tha recawed more than $100,000 of compensation from thecorganzaton. HONE « @ © ame and business adcress Descnption of servces Compensation 2 Total numberof dependent contractors (nckuding but not med to those leted above) who recewed more than $100,000 n compensation from the organzation D> a SEE SCHEDULE J-2 FOR PART VIE, SECTION A CONTINUATION Form 980 (00) 8 13481025 703287 7638187 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872Form 990) so-2248689 Page Part Vill | Statement of Revenu attesor | united |g diene exempt tuneton | busmness | eam revenue revenue | sections 12, ‘siarorsia Bal 1a Federated canpanns ra 293168 Bg» Membersnn des sb FE] © Fundrang events te Sa) 4 atte cgancatons a #8] © Covermentgranteconoutons) [te 393,250, By] 1 Atane conrovns ots, gan rs Bf) emramennsronontetnow [| __a.s4n.se, £5] 9: nenashcoontutennadnirs te 8 e111 | 85) Total Add ines 12tt P| 2 «20 96 [Busness Godel | 20 proc mcome 3000} -1.190,738,| 1,190,738 if > mexensize DUES 000 37.840 37,840 zy a { Aother program serve revenue a Total Add ines 2621 ba ae sr 3 _ Investment ncome (ncluang ddonds, eres, and S| > eter simian amount he ~18:009;|_-- . = 10,099, 4 Income fom investment of taxexempt bond proceeds De 5 Royaties > Deal tw Personal 6 Gross Rents 15,050 bb Less rental expenses © Rentalincome or (oss) 15,850 4. Netrental income or foss) > 15.050, 15.050 7 a Gross amount rom sales of [9 Secuntes_| (Other assets other than ventory 210,028, Loss: cost or other basis and sales expenses 295489, © Gam or foss) =75 460, 4. Net gan or oss) > 15.460 -75 460, 4g] ® @ Gross income rom funcraring events (not Z| metudng s of 3 | _contnboutons reported on ine Te). See San ve 18 a|__s36 310 BE] b tess: drect expenses [—a1137038. "Net ncome or oss fom undrasing events > 23.27. 3.200 8 2 Gross income trom gaming actuites. 5 Part W, tne 19 a b Less: dract expenses ® {Net come or oss rom gaming actives, > 410 a Gross sales of ventory, less retums and allowances a|__ 97.546 Less: cost of goods sold ol 20-265] Net ncome or oss om sales of ventory > 28 2.281. Mascelaneous Revenue [Business Code] 11 OTHER INCOME 800099 17,723 17.723 » 4 Aber revenue Total. Add ines 112-116 > 3773 42 _ Total revenue, See nstuctons. b> [eae sia | a a0 5708 ol 266.770) =e Form 990 (2008) 9 13481025 703287 7638187 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872orm 990 (2008) AUTISM SOCIETY OP AMERICA GROUP se-224sns9 Pago 10 Part IX | Statement of Functional Expenses ‘Section 601(¢X) and 601(¢X@) organizations must complete all columns. ‘All other organizations must complete column (A) but are not required to complete columns (8), (C), and (0). Dpnatindie amounts repernsontnest&, | roa ones | rogalllewee rnBlens Stroman gence | sematmtant | tunkaes 8. Grants and other assistance to governments, ‘organeations, and inchviduals outedo the US. ‘S00 Part V, ln 15 and 16 4 Bonotits paid 1 ofr mombors ‘5 Componsation of curront officers, doctors, tmustoos, and key employees 387,908, 163 see 39,198, 134,826, {6 Compensation not included above, to isquaied etsns (as defined under section 4858(()) and persons described n section 4958(¢K,3)8) 7 Other salanes and wages 235 987, 99700) 34264, 82.023, ‘8 Pension plan coninbutions (che section 401(K) and section 409() employer contnbubors) 9 Otheromployee benefits 19831 9.658 5.180,|— 4.952. 10_Payrolltaxes 50902 25.492 13.902 41 Fees for services (non-employess) “y [~ 2 Management b Lega 408 2,623 1542, © Accounting 73.843 128s 5.949 4 Lobbyng Professional fundrasing services. S28 Part W, ine 17 {Investment management fo0s 9 Other 110,365, a2 941 30.886 42 Advertising and promotion [ana 00 64446 32.436 17.900 49 Otice expenses 072.656 768.764. 49.30, 54.512 14 Information technology 38528 23.178 #324 2025. 15 Royates 16 Occupancy 111s 606, 30,350 30.073 17 Teavol 39.877 21800 107989 7,088, 18 Paymonts of travel or entotanmont expenses, foray federal, stato, or local pub ofcals 19 Conferences, conventions, and meetings 343, 65 296.997, marae 30,535 20. Interest «370 2.548 3.385; 637 21 Payments to affiates 22 Depreciation, depletion, and amortzaton 13,742 5,770, 5.710. 2.262, 23° Insurance 36.720. 32.862. 31.320 321938 24 Ober expenses, tsmae exgenss not covered above. (Expenses grouped togeler ana abled imscetneaus may not eczea Sr fa txpenses shown an ine 28 om). 2 PROGRAM EXPENSES Tae 22 34720, 15,726 e370, bb cAMP AND RECREATION 321,760, 121,760) ae (© MEMBERSHIP DUES 30486 16.513 4725 rae, 4 SUBSCRIPTIONS AND PUBLE 19.940 9466 5.017 5.457 1 Klother expenses 25 Total functional expenses. Add ines 1 trough 241 4077, 38 3,187,720, aaa_280) anne 28 Joint costs. Check here B [J ittoliowing ‘SOP 96-2. Complete hs ne ony the organization reported column (8) jt casts om a combined educational campargn and fundatsng sotabon feaore 020030 Farm 990 2008), 10 13481025 703287 7638187 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872Form 980 2009) AUTISM socrETY OF AMERICA GROUP s-224n09 Page 11 Part X [Balance Sheet ® @ Beginning of ear End year 7) Gash nonintrestbeanng 04.63] 4 548,198 2 Sawnge and temporary cash vestments 3.003.006 2 3.475.483. {3 Pledges and grants ecowablo, nt 3 4 Accounts eceabl, nat sam] 4 728.2 §5 Recenabes rom curent ad former oficers,drectors, uses, kay employees, and highest compensated employees, Complete Parti ot Schad 5 66 Reconabas rom other disqualified persons (as dened under section 49501) and porsons desenbed n ection 4958(¢K3)8). Compete Part of Schedule 6 g | 7 Notes and ans reconable, nt z | 2 veto rsa crue 8 8 Propad expenses and deterred charges ° 102 Land, buldngs, and equpment: cost or other bas. Complete Part Vi ot Schedule D 100 198,609 b Less: acumuated depreciation 0b 25.06 97.891, 106 103,546 11) lovestments- publicly taded secunties s74sa | 44 7140 12. nvestmnts-othersecuntes, Seo Pa 1, be 11 2 12. Investments programaated See Par W, ne 1 2 14 angi assets 14 ‘15 Other assets See Part IV, hme 11 OO | 111,263, 15. 49,904 16 Total assets, Addins 1 trough 15 (mst equal ine 34 aco a | 18 a0 028 “7 Accounts payable and accrued expenses 15.620. 17 17834 10 Grants payabio 18 19. Deford rvenve 1 20. Taxexompt bond abies 20 g. | 21. Escrow or custodial account habity Complete Pat V of Schedule D 21 E | 22 Payabas to curt and former oficers, arectors, tastes, key employees, 4.| _nahest compensated employees, and dsquatied persons Complete Pati | orscneouie 2 23 Secured mortgages and oles payable to unelated hed pares 2 24 Unsecured notes and loans payable to uncelated thre pares 24 25. Other tabities Complete Pat Xof Schedule D ao. se2 | 28 38,336 28 Total abilities, Add ies 17 though 25 «7576 | 28 seu ‘Organizations that follow SFAS 117, check here P> (land complete s 27 through 29, andines 33 and 24. 2 | 27 Unrestncted net assets 27 | 20 Temporal restrted net asets 20 $ | 29. Permanentyesrcted net assets 2 & | organizations that donot follow SFAS 117, check here be (cl and | complete tines 20 trough 4 $ | 90. Capa stock or st perp or cument finds 4.163 655 90 4.403.860, & | a1 Pacnorcapta suri, of and, bulking, oF equpment fund of 94 0. § | 92 Retaned earns, endowment, accuruisted ncome, ol 22 aa = | 33 Total net assets or fund balances 4,163 ,655,| 33 4.433, 666, 34 Tota habits and nt assotefund batancs sao a3] 94 4480-038, Form 990 (2009) 1 13481025 703287 7638187 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872Form 990 2008) Part XI] Financi 1 Statements and Reporting yo 12 4 Accounting method used to prepare the Form 990. [cash Lx] Accrual [_] other Ifthe organization changed tts method of accounting rom a por year or checkod "Other," explain in Schedule O. ‘Were the organization's financial statements compiled or revewed by an independent accountant? ‘Were the organization's financial statoments audited by an mdependent accountant? €If-Yes" to ine 2a or 2b, does the organgation have a commitoe that assumes responsibity for oversight of the audi, review, or complabon ofits nance statements and selection of an independent accountant? "the organization changed ether its oversight process or selection process dunng the tax year, explain n Schedule O 4. If "Yes" to ine 2a or 2, check a box below to indicate whether the fnancal statements forthe year wor Consolidated basis, separate bass, or both separate basis [_] Consolidated basis [_] Both consobdated and separate basis 9a As aresult of a federal award, was the organization requrred to undergo an aust or audits as set forthin the Single Aud ‘Act and OMB Cucular 1337 bf "Yes," dd the organcation undergo the requred audit or audits? If the organizaton didnot undergo the requred aut ‘or austs,explan why nm Schedule O and describe any stops taken to undergo such audts, ued on a a 12 For 990 (2008) 13481025 703287 7638187 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872SCHEDULE A con wen psiipeceer an Charity Status and Public Support “9009 — Complete tthe organization ea section 502K) organization or a section pat tn any 4947/91] nonexempt charitable ust pen to Pubic ‘ntal Revenue Gerace > Attach to Form 990 or Form 990-EZ. D> See separate instructions. Inspection Tome of ie oreaizaion Employer entation number [_se-2zasese [FariT [Reason for Public Charity Status (at egansatens in conpite hs pat) Ses maison ‘The organdation i nota private foundation Because "(For ines 1 through 17, check only one box) 1+ CJ Acturch, convention of churches, or association of churches descnbed in seetion 170(b)(1MAN). 2 LL) Aschool desenbed im section 170{b\ 1A) (Attach Schedule E) 3) Ahospttal or a cooperative hospital service organization described n section 170(0\ TWAIN). 4 (7) Amedical research organzation operated in conjunction with a hospital described in section 170(b)( 1AM). Enter the hospita’s name, cay, and stat, 5 (1) Ancrganczatios operated forthe benefit ofa college oF university owned or operated by a governmental unt desenbed 0 ‘section 170(b\1HAXiv). (Complete Part!) 6 (] A federal, state, or local government or governmental unt described in section 170(b\(1NAXV)- 7 (2) Ancrganzaton that normally recewes a substantial part of ts support from a governmental unt or from the general public described in section 170(b) 1AXvi). (Complete Part IL) 8 [1] Acommunity trust descnbed mn section 170(b\ 11AXWi). (Complete Part I) 2 Ce) An organzaton that normally recewes: (1) more than 33 1/3% of ts support from contnbutions, membership fees, and gross receipts from acts related tot exemot uncton - subject to crtanexceptone and 2 no more than 822% te suppor tom Grose mvestent ‘ome and unrated bueneestxable core ess secon S1 tx rom bueessessoqured bythe orpanaion afer June 20, 1875 See section 800()2) (Complete Par) ~10 [2] Anorganzaton orpanced and operated excusnely tots for pubic salty. See section SOMAKS). — ae 1+ J Anowpaneatoncanaed and operated exenay forthe bent operon te hnctons orto cay out the purposes one or more pubiely supported organizations desorbed n ston 80) or secon SO) See section S0RGK9). Check he box tat Gesexbes the ype of upporing orpanzaton and complet nes 11 trough 17h, aL] ype! el} ypet ‘cL Type It Functonaty mograted CI 1990 -onee «1 Bycneckeng tne box, orty thatthe organzaton not controled decor dec by one or more dqualted persone other than teundaton manager an che than one or more publ supported organaatone desenbed n secton SO) or setion SOBA + rtonuncaton eaves writen deematonfomtheiRSat Type, Type. opel ‘supporting organcation, check this box ao 18 Shou August 7200, ashe epanzatonaceped any ft or conrbuton tom ayo te flowng persons? Ih Apo woo recy rare convo ote aoe or tgeer wh paora nsted and G8 DM, Ya Ne tre govern Bayt he uppees onneata rm (nAamiy mene oa prson described abowe? sai Ui) 3% contol ony ofa prson ascbed or abo? rat Pros he clowns fomaton aout he upped orneatnt) (i) Name of supported (i) EIN Gil) Type of iv Is the organzation|(¥) Oxd you notty the | __ (vi) the eects ~~ a (cca, fen te nya} rgancaon met [RRreRe es] Ne eset anes +9 ran document (ety sppar? |S (see instructions) ‘Yes No. Yes No Yes | No Teta —_ Schedule A Form 000 of 000EE) 208 Fer 8500 60052. 13 13481025 703287 7638187 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872‘chedule A Form 990 oF 990.7) 2009_ Page Part il] Support Schedule for Organizations Described in Sections 170()(iNA)Gw) and T7OBN ANAND (Complete only you checked the box on line 5, 7, or8 of Part!) ‘Section A. Public Support ‘Calendar year (0: sal year beginning nD] __(a) 2005 (02006. (6) 2007 (22008 (2008 (oot 1 Gifts, grants, contnbutions, and membership fees recowed. (Do not Include any "unusual grants”) 2 Tax revenues loved forthe organ: lzaton's benefit and ether paid to or expended on ts behalf 3. The valve of sonees or facts furmished by a govemmental unt to the organzation without charge 4 Total, Add ines 1 through 3 ‘5. The portion of total contnbutions by each person (other than ‘govermental unt or pubicly supported organization) ncluded on ine 1 that exceeds 2% of the ‘amount shown on tne 11 column) 6 Public support. sara ine stom cet Section B. Total Support Calendar year (rtscal year beginning ni|__(a)2005 | w2006 [= (ey2007- | (ay2008- [2008 — | (n-Total__ 77 Amounis from ino 4 {8 Gross ncome trom interest, dividends, payments recewed on secunties leans, rents, royalties land income from smiar sources ‘9 Not income from unrelated business ‘actotes, whether or nat the ‘business is regulary carried on 10 Other income, Do nat include gain Corfe from the sale of capt assots(Expian n Part IV) 11 Total support. Add ines 7 through 10 — 12 Gross recep trom related activites, ote (s00 structions) 2 13. First five years. Ifthe Form $90 1s for the organization’ frst, second, thrd, fourth, oF ith tax year as a section 501(eK3) ell Section C. Computation of Public Support Percentage “14. Pubic suppor percentage for 2008 fine 6, column () dwided by Ine 17, clam () 4 % 45. Publ suppor percentage from 2008 Schedule A, Part I ine 14 16 % 1162.33 1/9% support test - 2000. the organzaton didnot check the box on Ine 13, and ine 141s 33 1/8% or more, check this Box and ‘stop here. The organization qualifies as a publicly supported oxganzation oO 1033 1/9% support test - 2008." the o;ganzation didnot check a box on ine 13 or 16a, and ne 15 18 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization -O ‘7a 10% -facts-and-circumstances test - 2008. the organzation did nt check a box online 13, 16a, or 160, and ine 148 10% or more, ‘and the organization meets the “Tacts and cxcumstances" test, check this box and stop here. Explain in Part IVhow the organaation ‘meets the “Tacts-and-creumstances" test Tho organization qualifies a a pubely supported organation -O 10% -facts-and-ciroumstances test - 2008. the organation dd not check a box on lino 13, 16, 166, oF 17a, and ine 15 8 10% or ‘more, and ithe organization meets the “Tacts-and-crcumstances" test, check this Box and stop here, Explan Part Vow the ‘organaation meets the “facts-and circumstances” test. The organization quaifies as a publicly supported organization > 48_Private foundation, Ifthe organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions. pC) ‘Schedule A (Form 990 or 990-EZ) 2009 14 13481025 703287 7638187 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872edule A (Form 990 or 99067) 2008 Part lil | Support Schedule for Orgé scribed in Section S00{A)(2) compat ony yout he 3x on ne 9 of Pat) Section A. Public Support Calendar year (or sca year beginning >| (2) 2005 0)2006 (e)2007 (2008 (e008 (QTotal 1 Gifts, grants, contributions, and membership fees recerved. (Do not ‘clude any “unusual grants.") 1.663, 640, 3.453.770 2.072.276 2.628965 20,213,624. 2 Gross recepts from admissions, smerchandiso sold or services per formed, 0” faciives tumahed ‘any acta that elated tothe ‘organzaton’staxexempt purpose 266.410, 3.204.222, 1,460,762,| 1.208.204. 5,347,507 8. Gross recepts from actvtes that are not an unvelated trade or bus ‘ess under section 513 4 Taxrovenues levied for tho organ lzaton’s ent and ether pad to ‘or expended on ts behait 15 The value of services or facies furished by a governmental unt 10 ‘the organzation without charge Total, Add ines 1 tough 5 2,430,058, 2.081618. 3,276,498, 3,955,717, 3,917,249, ‘Ta Amounts included on nes 1, 2, and ‘3 recewed trom disqualtied persons 5.664441 (Add ines 7a and 76 1566. <8 Public support sens Section B. Total Support Calender year (or scal year beginning P| 19) 2005 (2006 1e)2007 (2008 (e)2008 (nTotal ‘8 Amounts from ine 6 2,430,058) 2,001,619 3,276,498] —3,955.717,| 3,917,749) 25,662,240 40a Gross income from intrest, (dans, rents, royatbes, ‘and income from simiar soureos 41.541, 51,555, 53,744. 36.265, 33.989, 217,054, b Unrelated business taxable mcome (ess section 51 axes) rom businesses acqure ater June 30, 1975, © Add tines 10a and 106 50. 51.555, 53,748, 36,265, 33,948, 217,054 111 Net mcoma from unrelated business ‘actives not ncluded in ine 10D, whether or not the business 5 regulary camed on 42. Other ncome Do not include gain ‘ores from the sale of capt assets (Explan in Part 1) 181.806, 323.032 237388 184 408 a7723 954438 1 Total suport asia, 36 19,2812) 2.663405; 2.456206 35676 4176470 3 968-921. 26.832. 633 14 First five years If the Form 990 5 forthe _chock this box and stop here organzator rst, 62cond, thd, fourth, or fh tax year as a sector ‘Section C. Computation of Public Support Percentage 7 5018) ergantzation, >) 45. Pubic suppor percentage for 2008 (ne 8, column (f] dwided by ine 13, cluma () 18 Par il, ine 15. 416. Pubic support percantage from 2008 Schedule. 93,00 % 16 91.36% ‘Section D. Computation of investment Income Percentage 177 Investment income percentage for 2008 (ine 10s, column () divided by ine 13, column (9) az 48 Investment ncome percentage from 2008 Schedule A. Part Il hne 17, 198.33 1/9% support tests - 2008. If the organization didnot check the bex online 14, and ine 15 8 more than 33 1/396, and ine 17 w not more than 38 1/96, check ths box andsstop here. The organization qualifies as a publcly supported organcation 1b33.1/3% eupport teats - 2008, Ifthe organzaton did not check a box on line 14 or ine 19a, and ino 16 8 mare than 33 1/986, and line 18 snot more than 33 1/8%, check this box andstop here. The organization qualfes as a pubicly Supported organization ‘20_ Private foundation. I the organtation did not check a box on ine 14, 19a, of 19b, check this box and see structions ‘Schedule A (Form 990 or 990-EZ) 2000 13481025 703287 7638187 Le % 18 15 146% aes >o pt 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872Schedule D ‘Supplemental Financial Statements S009 — (Form 960), D Complete i the organization answered "Yes," to Form 990, . Part IV, line 6, 7, 8,8, 10,11, oF 12. ‘Open to Pubic pete > Attach to Form 900. b See separate instructions. Inspection Name ofthe organization ‘Employer identification number AUTISM SOCTETY OF AMERICA GROUP 582248889 Part] Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete «the organization answered "Yes" to Form 990, Pat IV ine 6. {a Donor advsed fonds Te) Funds and other accounts 4) Total umber at end of year 2 Agaregate contnbutions to (dung year) 3 Agaregate grants from (dunng year) 4 Aagregate value at end of year 5 Dd the organzation inform all donors and donor adwsors in wring that the assets held in donor advised funds {are the organization's property, subject to the organization's exclusive legal control? Coves [no {6 Did the organzaton inform all grantees, donors, and donor advisors n writng that grant funds can be used only for chantable purposes and not forthe beneft ofthe donor or donor advisor, oF for any other purpose confernng impermissible prvate benefit? Foyer [wo Part [Conservation Easements. Conpiot # the orancaton answared "Yor" to Form 300, Pa Wine? 1 Purpose(s of conservation exsemens held by theorgaiation check al hat pp). Preservation ond forpubhc use (eeereaton or pleasure) [_] Presonaton of an hstoncaly mporan land ares FJerotecton ot natural habitat (Te reservaton ofa certod histone srscture [presario of pen apace 2 Compete ines 2 trough 2 the rganzaton held a quaifed conservation conrtonm the fom of conservation easement on he ast ~ ay ote tax ya. eld atthe End ofthe Tax Year ‘2 Total number of conservation easements 'b Total acreage restncted by conservation easements ‘© Number of conservation easements on a certified histone structure cluded in (a) ‘d_ Number of consorvation easements included in (c) acquired after 8/17/08 ‘3 Number of conservation easements modified, transferred, released, extinguished, or terminated by the organcation dunng the tax year 4 Numer of states whore property subject to conservation easement is located Be 5 Does the organzation have a written policy regarding the penodic monstonng, isspecton, handling of ‘wolations, and enforcement ofthe conservation easemonts it holds? Cove Clno {6 Staff and volunteer hours devoted to monitonng, mspecting, and enforcing conservation easements dunng the year > Amount of expenses incurred in monitonng, inspecting, and enforcing conservation easements dunng the year $ ‘8 Does each conservation easement reported on ine 2(d) above satisty the requirements of section 170¢h\4NEN and section 170(h)4)B}0? Cone 9 InPart XIV, desenbs how the organcation reports conservation easements ints revenue and expense statement, and balance sheet, and \nclude, i applicable, the text ofthe footnote to the organrzation's financial statements that descnbes the organization's accounting for conservation easements. Part iit | Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. ‘Complete ithe organization answered "Yes" to Form 990, Part IV, line 8. EEEP ‘a tthe organwation slcted, as permtted under SFAS 116, not to report m ts revenue statement and balance sheet works of af, histoncal ‘treasures, or other sumlar assets held for pubic: exhibtion, education, or research furtherance of pubic service, provide, in Part XIV, the text of ‘the footnote to ts fnancial statements that descnbes these tems. Ifthe organzation elected, as permtted under SFAS 116, to report ins avenue statement and balance sheet works of art, hstoncal treasures, ‘or other simiarassots held for public exhibtion, education, of research in furtherance of puble serve, provide the following amounts relating to these teme (_ Revorues included i Form 990, Part Vl, ine 1 ps {i Assets included n Form 990, Part X Ss 2 Ifthe organzationrecewed or held works of a, hstoncal treasures, of other simdar assets fr financial gain, provide the folowng amounts requred tobe reported under SFAS 116 olatng to these toms. ‘a Revenues included n Form 990, Pat Vil, ine 1 ms 'b Assets included in Form 990, Part X ms LLHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 900, ‘Schedule D (Form 980) 2009, 22 13481025 703287 7638187 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872Schedule 0 Form 90,2009 __aunism socieny oF AMERICA cHoUP se-zzunasy Pago? Part il] Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (aninved) 3 Usng the organzaten's acquisition, aceession, and othe ecards, chock ry of tho folowing thal ae a ogiricant use of ts colacton stems (check al nat appt) 2 Jpubie exnbicn & tear or exchange programs tb [J] schoiatty esearch e CJother, © [_] Preservation for future generations 4 Prone a desanpton ofthe organzaton's collections and expan how they futher tho oxganwzaton's exempt purpose Part XV. {5 Dunng the year, de the organization sobctor rece donation of at, hastoncal easures, or ther sma assets ‘to be sold to raise funds rather than to be mamntaned as part of the organization's collection? [yes [no Part IV] Escrow and Custodial Arrangements. Complete organzaton answored "Vee to Form 880, Pat, ne 8, or teported an amount on Form $60, Part X, ne 21 “a ls the organaaton an agent, rustee, custodian or other ntermediary for contrbutons or other assets not moluded ‘on Form 990, Part X? Coves [Ino ‘oxplan the arrangement in Part XIV and complete the folowing table, ‘amour © Beganng balance € Addons ung the yor f° Datnbutens dunng the year {Ending balance 2d theorganzaton clude an amount on Form 880, Pat X, ine 217 Tove. Cine _if-Ve5 expla the arangoment im Patt XV [Part V_ | Endowment Funds. Complete ifthe organtzaon answered “Yes" to Form 990, Part IV, ine 10. {ol Guront year | —(o\Poor year | (e)Twoearstack [aT 12° Begnning of year bane Contrbvtons {© Not ivestment earings, gans, and losses Grants or scholarships © Other expenditures fr facies {and programs ‘Admstratie expenses End of yoar balance Provide the estmated percentage of tho year ond balance hold as. Board designated or quasrendowment D> % Permanent endowment Be ‘Term endowment De * ‘Ace there endowment funds not the possession of the organization that are held and administered forthe organcation by Yes | No (unrelated oeganzations sam) (i) related erganzatons lesan bb If¥es" to Sali, ae the related organaatons listed as required on Schedule A? Es 4_Descnbe n Part XIV the intended uses ofthe organation's endowment funds Part VI | Investments - Land, Buildings, and Equipment. See Form 990, PartX, ine 10. years back | (Four yars bac Boon ex Desenption of rvestment (@) Costoratner | (B)Costorother | (@) Accumulated | (@) Book vate basis (nvestment) | basis (other) depreciation a Land b Buldings © Leasehold improvements 4 Equpment fe Otner 108,609 25,065, 103,544, Total. Ado tnes Ta trough Te (Column () must equal Form 990, Part, column (8), ine TO(e)) > 03 544. ‘Schedule D (Form 990) 2008 23 13481025 703287 7638187 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872Schedule DfFom900)2009__auria sociemy of maRICA cROuP Part Vill Investments - Other Securities, See Form 900, Pat Xin Page 3 2249009 (a) Deserpton of secunty oF category (cluding name of secunty) eee (@) Method of vakation’ Cost or ndotyear market value Frnancal denvatwos Closelyheld equity mterests Othe ust equal For $90, Part, col (8) ine 12) (Galt Part Vill Investments - Program Related. See Form 900, Part X, i (2) Descnpton of nvestment type (8) Book valve {(@) Method of valuation: Cost or end-of year market value “ota, (Gol b) must equal Form 990, Par X, ol (8) ie 18) [Part IX] Other Assets. Sov Form 960, Par X, ino 15. (Book valve “ota (Column mst equal arn 990, Part X col) ie 15) > [PartX | Other 8. Soo Frm 90, Part X. ine 25 1 (a) Descrpion of tabity Amount federal come ates Lon PAYABLE S28 ‘OnmER_LIARTLITZES 721548 ‘Total. (Column fb) must equal Form 990, Part X, col) ine 25) > 28336, 2. FIN 48 Footnote. n Part XV, provide the text of the feotnoto tothe arganzation’s financial statements that reports the organzabon’s labilty for \uncertan tax postions under FIN 48, 13481025 703287 7638187 24 ‘Schedule D (Form 980) 2008, 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872Sched D (Form 980) 2009, 4 Part XI_|Reconciliation of Change in Net Assets from Form 990 to Audited Financial Statements. Total revenue (Form 980, Part Vil, column (A, ine 12) 4 Total expenses (Form 990, Part IX column (A, ne 25) Excess or (dict) forthe year Subtract ine 2 from ine 1 ‘Not unrealized gas (osses) on investments Donated services and use of facies investment expenses nor penod adjustments ‘Other (Desende in Part XIV) “otal adjustments (net). Add ines 4 through 8 Excess oF (defi forthe year per audited financial statements. Combine ines 3 and 9 10 [Part Xil | Reconciliation of Revenue per Audited Financial Statements With Revenue per Return “1 Totalrevenve, gas. and othe support per audited financial statements 1 2 Amounts inchided on ine 1 but nat on Form 990, Pat Vl ine 12. Nt unreaized gains on investments Donated servces and use of facies Recovenes of por year grants Other (Dasenbein Pat XV) Add ines 2a through 24 3 Subtract ine 26 om ine + 4 Amounts included on Form 990, Pan Vil ine 12, but nat on ine + 2 Invostmont expanses nat neuded on Form 990, Part Vil, ine 7b b Other (Dasenbe m Part XV) © ins 4a ai Ab 5 Tota revenue, Add ines 3 and 4e, (This must equel Form 280, Pat | ine 12) 5 [Part Xill Reconciliation of Expenses per Audited Financial Statements With Expenses per Retum 1 Total expenses and losses per audited financial statements 4 2 Amounts included on tne 1 but not on Form 990, Part, bne 25: ‘a Donated services and use of facies bb Pror year adjustments © Otherlosses 4 lo |e ee ise (ther (Desenbe m Part XIV} ‘Add tnes 2a through 2d 20 8 Subtract ine 2e from tne 4 3 4 Amounts eluded on Form 990, Part IX ine 25, but nat on hne +: 2 Investment expenses not ncluded on Form 990, Part Vill ine 7b b Other (Describe n Part XIV) © Add ines 4a and 4b 15 Total expenses Add ines 3 and de, Thus must equal Form 990, Parti, Ine Part XIV| Supplemental Information Complete this part to provide the descnptions required for Part Il ines 3,5, and 9; Part nes 1 X, ne 2; Part Xl, Ine 8; Part I, ines 24 and 4b, and Part XI ines 2d and 4b Also complete ths part to proude any addtional formation i |e ‘Schedule D (Form 990) 2008 25 13481025 703287 7638187 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872SCHEDULE G Supplemental Information Regarding vane wane Ferm 90 00-2 Fundraising or Gaming Activities 2009 Complete the organization answered eet Form S60 Part Nines 17, 18,0 psiesctmaraney | Ong ogrtetin araresmare man iaasoonrom o-e= inca,” | OpenTo Publ a0 ravecton tiated ‘Attach to Form 990 or Form 990-E, Employer Identification number Namo of he organizabon AUTISM SOCIETY OF AMERICA GROUP 50-2240889 vities. Compote 1 tho organcation answered "Yes" to Form 990, Part V, ine 17. Form 990-2 tiers are not 10 complete this pat Indicate whether the organcation raed funds through any of the folowing actives. Check all that apply a LJ Mat sobcitations: ¢ L_] sotictaton of non government grants b (J intemet and email solicitations 1 [2] sotictation of government grants ¢ _] Phone sobertations: a] special fundraising events d (J inperson sokctations 2.a Dd the organcation have a wntten or oral agreement wth any individual (ncluding officers, directors, trustees oF Doves [Ino key employees sted in Form 990, Part Vi) or enttyn connection with professional fundraising services? b 1f°Yes," Ist the ten highest pax dividuals or entities (undraisers) pursuant to agreements under which the fundraisers to be compensate at east $5,000 by the erganzaton (wamount 2a | ey amount pad {0)Name of neal (9 Gross recopts | for retamed by) | (4 Amount or enty (undrase (i Actty ae seseianed | 1S for rotaned bY) he Jesse] "Tey | setedimeot @ | oganastion Yes | No. Total > '2Lstal states n which the organation i egitored or iceneed to solic funds or has boon noted ts exempt fom regatvaion or hsonsing HA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 900-EZ. Schedule G (Form $90 or 890-£2) 2008 : 26 13481025 703287 7638187 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872Schedule G (For 990 or 9907) 2009 _AVTZSM SOCIETY OF AMERICA GROUP _____s8.2248889 __Page2_ Fe Cire eae is Pa W mo erento ea TSS “tnTom S00 nut en gos eet gu an 8.00 na peeraees vor | glean is. col (ey 3 (event type) (event type) (total number), @ 2 aw Chaat cota 4 campus 4 | vercwn ome Bo uate cose 5 My 10 Owect expense summary. Add lines 4 through 9 m column (d) —_ m4 se ge an Commence r Part I Gaming. Complete re cgancaton answered "Yes" fo Fm 060 Pa Wine 9, opaod mvs an $15,000 on Fo 9902, ine 6a (@) Pub absinsiant (2) Total gaming (ead 2 (a)8ing0 | vnacibrosessne bingo | (PANT BTING fcr (a) through cole) é 1. Gross revenue 2} 2 Cash pnaes 2 8) a Noncash praes & pl B| 4 Renvtacity cost : ty 5 Other direct expenses dyes 9% (LT ves. (ves 6 Volunteer labor (No mn ne. 17 Dect expense summary. Add ines 2 through 5 n column (@) > {2_Net gamng income summary, Combine ine 1, colin (Sand ine 7 Yer] No. ‘9. Enter the state(s) which the organization operates gaming acts 2 Is the organzaton licensed to operate gaming actwrtiesn each ofthese stats? 90 bit °No,* expla: 10a Were any ofthe organization's gaming icenses revoked, suspended or terminated dunng the tax year? 103 bit "Yes," explain 114. Does the organzation operate gaming actwtes with nonmembers? u 42 Is the organization a grantor, beneficiary or trustee ofa trust or a member ofa partnership or other entity formed to admmusterchamtable gamng? 2 tesa eso ‘Schedule G (Form 990 or 990-2) 2008 27 13481025 703287 7638187 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872‘Schedule G (orm 990 or 990-67) 2009 _aurisy socrETY oF awERicA GROUP 58-2240009 Pages . Yes] No 18. Indicaté the percentage of gaming actu operated in ‘9 The organeation’sfacity bb An outside facty “4 Enter the name and address of the person who prepares the organzaton's gamng/speccale Name be ‘Address D> 182 Does the organzation have a contract vith a thud party fram whom the organcationrecewes gaming revenue? 15a bb I*Yes." enter tho amount of gaming revenue recowed by the organzation Pe $ and the amount of gamng revenue rtaned by the thd party D> $ "Yes," enter name and address ofthe thd party: Namo De Addross D> 16 Gaming manager nformaton: Namo Pe Gaming manager compensation D> $ Desenption of serces provided De Cl owectoriotticer TC empioyee [independent contractor 17 Mandatory dstnbutions 2 Is the organzaton required understate law to make chartabledistrbutions from the gaming proceeds to retan the state gaming hoonse? qa b Enter the amount of dstnbutions required undar state law tobe distnbuted to other exempt oxganzatione or spent in the ‘organization's own exempt activiues dunng the tax year D> $ ‘Schedule G (Form 990 or 990-EZ) 2008 28 13481025 703287 7638187 2009.04050 AUTISM SOCIETY OF AMERICA G 763818726z uso voitee 5002 (066 W104) | ompouaS “096 wo 30} suonanasul aun 296 '2an0N JOY UoRaNpEY oMIeded PUe Oy OPAL JOS VHT 7 < T a L 7 TOOT 7 STE TEVOTTOG —OPSRTST=ET 7 aTTTRORE aTITARWER so8t ROTEWHOROD HOOMIAWA 7 DONT TENOTIDG —OHTERET-TE YTR0C OR WORSE AVHHOTH 48H OVE OVER 40 KLAT9OS RSTLOW 0 DOT T TOSBOBE=ET FeCOF IR FTTARTORGT ‘coomurvs o9¥e L 0 700" a ROLERTSWA = | ‘ont ‘woravonaa | | % TET courses wes8 uses | aigeordde y u9u19408 10 bo (@ | sownoury ip) | _vonses out fo) Na (@ | _oneauetso jo ssorppe pue OWeN (€) £ TSE OA OCH NTT BUSBY PTEN SPSUO DOU UBT DU FONE A SEOST og “Ses PewUN aA UY suOREZTUEIO PuE swOUALIeNOD oh souRistssy J8UNO PUE SUED [TEA | BERS AVY Beh USN WT FBT aH BOTT BUTAT HEU oaTRTG—z fs pieme ox posn euow10 vowezuedio sin seca b seeyv0b ou) ‘eousree Jo ue 2430 wNoUsE Oyo ‘oueisIsey pus sues uo voReUAOHN jer9u9 | 1Ped NOUS VOTWSRY JO XISTSOS ROTI Lone2Ue6L0 ot Jo BUEN 065 unog or woe Tong oomnuimoma ‘ajar 04 usd “20 12 9UN ‘AL Ved ‘066 U0, Uo 489A, pasemsuE UonezUeB. 21 1 B2I4WOD seroma a8 6002 (066 wes) 1ainaaHos:(9002 (066 Ww reinpeug of zo amie RYT AOES SHE AY GROTON WN WWD SSL SHE a GHGTAONT SHOE WOTEWAYOINE ROUT THRE ST BATE FOES LTV HTSSTT VOT GAL A-CHO SY SHOTINOT TERY AO RST TREN GALORE AY TRAS WV GURTEVES SHY SEND ISO AT" SUOLIRNTT 2S CON SATEOUISAN WGA AW TSS VIBRATE WOCTATONY WO CHSWE SAYHSWVTONOS OY SERVI VAY ZO SCENGNGN SATO SORTED WoW TE SDT “DET wan aE TOBE SHE BE BOTT WERT PATAGRT TOTELIGTT OU OPONT OT VR SH BTSTEINCT "WORELO HH TTBTBIIONS | ATES] v 130 cr ETESTVIOSS ‘Gewo Tearidde nvia Yo0q) | eouRsISe ysED eovesisse yseouou jo voxduosea W) | ““'uousyen 0 pousi(@) — |-uou so 1unoUy (6) souisise 1010818 Jo odf (@) Pepeau s aoeds euOWpRe # (986 ued) 1 eINBELBS puE AI veg oBN : z.eu1'n wea (066 ued 01.504, palOnsue LonEZURB. Guy sIeIelUOD “seLeIS PUN ex UI SIENPIAUI o} souRIsIESY JeInO PuE SUED [Hed AOU WOTESAY 20 ALETIOS WSTEAW BODE TOBE HOST BPBTES6002 (066 Ue) 4-1 MPaYOS Te “296 uo, 20} suoponsasuy aun 298 ‘2onoN 1oy YoRONpEY YoMLadeY PU YOY KoENLAd 04 VHT vee VISFESTAE TOOT TENTSVTOG —TSERELT-PT 4s aRENON $e SSDIANES NVRNE ELIE 950 OT DOT TESTO —LoSECHO=EE DIOS EV (STTO4 —TOSBOSE=BE DET DOT Te OE TEVTOVTOGLOSWOEEAE FEOF TA FORS Tee auras ‘ante siurx 04s ‘ONE "WRIONLEH ONTSNOH ALINNAHOD }1atnaaHos:ze rte sree (0002 (066 40) 1 IMpeOS “088 ww04 20) suonanasuy 21n 996 wononpey somseded pue roy Aoenud 203 VHT 7 Ors TENTOTTD |8yT xOR 0d TORRY AR NOUSORTE AW ANWETE TL 7 DOO TT TENTOVTOG LESH 7 00ST TENTOITOG —CeSSREO-TE FILS ROSIN ‘aa ant xuaNNOD “N Z0OT | RSILOY YOu SORVETIY NOSOAE 0 i 200'sF ot TOSEOE=EE LOE IR WO TROE ‘vou waavaa ora usam 199T unin09 GKVTIVO 40 O8Y RL 0 300° TENSITOG SSSR CS TOO0E 3 ROTORTHETR ot ‘anaaw RISHODSTM Toz SHOTAWAS "RROD §,KHOD “aS + TOOT THESRLT-FT ESOT AR SIO ROTTEN wd S000 002 sa00a WALSaHOLSAA ON/FUNLAE 7% TO TENSITOS —LOSSUSET CaF IR“ WALEAEDOR ‘arm xa1mva aoey smwvono 7 TOT TESTS HOLSET > sara ot - SaTIKS BOTA AaWESHL AATLUNIAWTY ONTHaRO soueissse 10 souesisse yseo.uou| uei6 jo esoding (a) youonduoseg (6) | yo pouen G) wuesB uses | ajqeondde 9 ousure906 10 uoqeDUeBI0 sornoury(e) | uonses ou (2) Nata yo seosppe pue owen (e) THES TOGS WOT | ar PONRST SOTEIS POTN BW BUOTTEUEETO PUR BUSURUBHOD OT BOUETTESY TNO PUT SIUEID FO WOHENUAUED [THRE TORT WOT HSRY HO ATTICS FTI TOOTS sequin voneayuep) exodus Uoezve6i0 a4 40 WEN wonsedauy “in wed 20 wed (066 70) | RPeKOS ‘anand 8 ued 40} uoyeus0}4eUORIPHE I 0 066 UOJ OF OER (066 we) 1 eInpeuos 2053004 uonenUNUOD‘SCHEDULE J-2 Seren a (Form 900) Continuation Sheet for Form 990 2009 cmurertetraramn, | PrAtachY0 orm 990 o ist addtional information for Form 200, Part I Section A, tine ta. | pen to Pubic Pigment Soo the Instructions for Form 950. ‘inspection Name ofthe Organaton Employer lentfeaton nurber AUEISM SOCIETY OP AMERICA GROUE 58-2248809 [Parti | Continuation of Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees “ ® © Cy © © Name and we Average Postion Reportable Reportable | Estimated hours | [checkalthat app} compensation | compensation | amount of per ‘tom from related otter wook the cvganzatens | compansavon crganzation | (w2/08eNIs0) | ~ fromthe wenose miso) cxganaton and related organestons i ane STLvERON prrecroR - 1.00 |x 0 o. ° DIRECTOR _ 1,00 x 0 o. o. DIRECTOR cole o 9. 9, DIRECTOR oe} a a a pinsctor 1,00] ° o ° rnsoror 2,00|x as ° 2 ° vas. SALLY weTies| DingcToR 20,00|x a ° Mas, a PATROWIE DIRECTOR 1.00 |x ° ° 0 ras TAMA PIEXTHON PXRRCTOR 2,00 |x ° a 0 scan ALFARO DIRECTOR 4.00 [x °. a 0 [BROMEN ESTEPHAN DIRECTOR 4.00 [x 9, 0 0 DIRECTOR 4.00 °. n 0 DIRECTOR 400/x a 9 n o pirsotor 4,00|x ® 0 0 prrsctor 4,00 |x ® o a prrsctoR 4,00 |x ® o 0 DIRECTOR 4.00 |x °. 0 9. DIRECTOR 4,00 |x °. 0 o. a sn0is DIRECTOR 4,00 |x ® 0 o MAROTE SOLLIVAN puancron soolx ° nl ° LHA For Privacy Act and Paperwork Reduction Act Notice, se the Instructions fr Form 990. 13481025 703287 7638187 33 ‘Schedule J-2 (Form 990) 2009 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872concen Continuation Sheet for Form 990 2009 2 > Attach to Form 890 to list additional information for Form 990, Part Vil Section A, tine 13. | Open to Public — ie Serves Instructions for For Inspection. Nao ote Oranzaton Epler eaten nana Avvisn socreny_of susticn oxour seazatees [Part Continuation of Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees “9 © © © © o ae an verge | Poston rerorabe | reponse | Estmaed Se lt = es - uk : re crsrrcavons_ | componeaton ET | cxganeaun | cwarososascy | “tom te E] | osthosonso i warwate i croanatone alt suman 2.00 ‘ ‘ ° ‘ater Sica piaacroe 2.00|x ‘. ‘ ‘ maacron ool | ‘. ‘. ‘. Smmrren BLT panscron— 1 — ol ea wrLaon mmcran ool ‘ 0 ‘ 00a MELEESE Bun meson iso 0 2 ‘ banree eTocrion prnzoron ss.00|x ‘ : emt R, DAVIS, SR, soton as.00|x ‘ a A paaecnon 10.00 ‘ ‘ ‘. sancton 15.00 ‘ ‘ brazenon sso ‘ 2 \aoREnn BARGER GAREY ansenon aor ‘. a IBECch BROIGDW ansenen -onto|x ‘ 2 ‘ tow DIvECeaTO DIRECTOR fan ‘ 2 ‘ ney FoRRSTET pintron oak ‘ a ‘ tn FoRATGHBLLA bansenen ae o a ‘ wre eRVGEBWGRT puntcron ae ‘ ‘ ‘. nu sats bunecnen _ _ ‘ ‘ enace SiGuPoGH pinsonon 1.00 A ‘ una sola A ‘ Cit For ivaay Acad Paperwak eaicion Ac Notes test ation or Fam 00 Sohedte 2 Frm 000 209 0 34 13481025 703287 7638187 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872SCHEDULE J-2 (Form 990) Continuation Sheet for Form 990 D> Attach to Form 980 to list additional information for Form 990, Part Vil, Section A, tine t=. | Open to Public nym tira ingpection Name ofthe Organzaton| Enplayerlentfeation number AUEISH SOCIETY OF AMERICA GROUP 502248889 [Parti | Continuation of Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees « @ © © © © Name and te ‘Average Postion Reportable Reportable | Estmated hours | heckallthat app | compensation | compersavon | amountof Per ‘tom ‘tom relates thar wook i the ‘oxgancatons | compensaton erganizaton | qwZ/ogeeaisc) | fromthe #| | cv2nosomiscy cxganzation i i ‘nd lated el lee erganzations ilale eave Pow IngcToR s,00|x a 0 a DIRzcToR 1,00 |x 0 o| ERECTOR _ 2,00 |x 0 0 0 prrecron_~ —— aoolx | [=I — a °. DIRECTOR 1,00 |x 8 iy °. DIRECTOR 2.00 |x 0 °. 0 DIRECTOR a,00|x ° o o JANINE COLLINS DIRECTOR 2,00 . n o 2A GRAHAM DIRECTOR a,00|x . 9, a IM HOWPHREY ERECTOR 3,00 |x o A 0 MIKE LAWOREAD pinscron 2,00 |x A A a DIRECTOR a.00|x 0 a 0 aap aazzoua DIRECTOR 2.00 |x 0 A ° JOSEPH STONE ERECTOR 1.00 |x 0 a ° BETH MHTTEHOUSE ERECTOR, 1,00 |x 0 a 0 ELISA. DUMONT ERECTOR 0,00] 2 0 A JENNIFER THACTHOANN-RETL PIRECTOR 1.00 |x 0 0 A Dow SHIPLEY DIRECTOR 20,00 |x 0 0 0 SCOmT CANPBELL prREcTOR_ 10,00|x 0 ° o DAVID BRUINS XRECHOR ool o LA. For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. “Schedule J-2 (Form 990) 2008 35 13481025 703287 7638187 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872‘SCHEDULE J-2 Form 960) Continuation Sheet for Form 990 2009 cmninetatsorenn | PrAltach to Form 980 o list addtional information fr Form 980, Part VI, Section Aine ts. | ~Open to Punlc Seurendbace > See the Instructions for Form 20. Tnepection Namo ofthe Organization Employer Kenifcaton number AUTISM SOCIETY OF AMERICA GROUP s0-7248889 Part! [ Continuation of Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees “ © © © © © Name and to ‘Average Postion Reportabla Reportable | Estmated hous | (eneckat that app¥ | compensation | compensaton | amount of per ‘rom ‘rom elated er wook g the ‘xganzatons | compensaton t erganzaton | qwariose.isc) | ~ tm the 2] | wenosemise cxganzaton i ‘and related ergartzabons aif fay weLSon prnscror s,00|x a o 0 SUG AGRA DIRECTOR 3.00 ° ® °. PAVED CORDELL DIRECTOR s,00|x ° ® o PAP DIBARE birecror — — 2 0 MICHELLE HURST ugecTor 5,00 |x in 0 ° JENNIFER MEINEL pinecton s.00 [x °. 0 0 DIRECTOR s.o0|x a 0 0 DIRECTOR 1,00 |x a 0 0 DIRECTOR 1,00 |x 0 0 o Drnscron 1,00|x o ° 0 ANGELIQUE BULLOCK DIRECTOR 5,00 0 0 °. EMILY TLAND DIRECTOR 10,00 |x 0 °. a {eILLTAM. HARRI prnzcron 5.00 0 °. 0 YATHLERN JERNTOR DIRECTOR s,00|x ° °. 0 DEAN ¥ILSOR DIRECTOR s,00 |x ° a a ARS PERNER DIRECTOR s,00|x . 0 a SUSAN LEY DIRECTOR 5,001 ® 0 a DANIEL, DELEADTLLO DIRECTOR s,00|x ® 0 a LISA DELADILLO DIRECTOR 5,00 |x ° 0 ° PART ERICKSON DIRECTOR ool 0 0 ° LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 900. 13481025 703287 7638187 36 ‘Schedule J-2 Form 990) 2009 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872‘SCHEDULE J-2 (Form 990) | Continuation Sheet for Form 990 D> Attach to Form 990 to list additional information for Form 960, Part VI, Section A, ta. | Open to Public Seoiazens ‘See the Instructions. inspection Name of the Organzaton Employer ldonteaton number AUTISM SOCIEEY OF AMERICA GROUP 38-2248889 [Part | Gontinuation of Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees a ® © © © # Name and ite average Postion Reportable oportatio | Estimated nour | (neckalthat app) | compensation | compersaton | _amountof por ‘rom ‘tom related ther week | : the corganatons | compensation i i cganzaton | qwarioseMisc) | tomine : 4) | er2nosemisey organization : i ‘and ated : HE oranzators| zlfle pInscTon 5,001 0 ° 0 PATRICK LOWS pimsoror 3,00] 7 ° o o TRA FIRGLES pinsctor 5,00 |x ® o ® ARBN KOSAGE RESIN —— = =| : = or “0 ARK STORGH DIRECTOR ro,00|x ° of ° ELEN comEA DXRBCTOR 20.00 [x ° 0 o ORME FERRER DIRECTOR 10,00 |x 9, 0 0 DIRECTOR 2.001% 0 0 0 punscron ssoolx| | ° 0 o DIRECTOR 10,00 |x 0 ° o piRECTOR 2,001 ° ° ° DARREL THIDODEADH DIRECTOR 2,001 ° ° 9 DAVID CHAGHERE DIRECTOR 2,001 ° ° 0 DENISE LEBLANC DIRECTOR 5,00] A 0 0 ORK ANDRUS DIRECTOR 20,00 0 0 o ESTER DOURDTER DIRECTOR 2,00] 0 0 0 ATHY. BOUDREADE ERECTOR 2,00|x | 0 o ° MICHELE SERIE DIRECTOR 2,001 0 o ° acute waren inscToR 5,00] 0 ° ° DIRECTOR 2.00lx 0 ° 0 LA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 ‘Schedule J-2 Form 990) 2009 37 13481025 703287 7638187 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872Continuation Sheet for Form 990 D> Attach to Form 990 to list addtional information for Form 990, Part VI, Section A, tine a. | Open to Public ‘SCHEDULE J-2 (Form 960) epaman te Tesey Fa hrm Se > Seo the Instructions for Form 990, Inspection Name ofthe Organization Employer Identfeaton number AUEISH SOCIETY OF AMERICA GROUP s0-2248880 [Part | Continuation of Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees “ © © oy © # ‘Name and te vorage Poston Reportable Reportable | Estimated hours | {check al that appiv) | compensation | compensation | amount of er ‘rom ‘tom rola ther wok z the crganzators | componsation i cxganzaton | w2/i099MS0) | from the 2) | owerooonscy cxgantzation i and related i ‘organizations Ele: 2 [2/8 ERECTOR a,00|x o. 0, 9. ERECTOR _2,00|x . 0 o. DIRECTOR s.oolx| | ° 0 in ‘ERECTOR — sop - aC z pIRECTOR 2,00|x A a A DR, ADH BHOGAL ERECTOR a.00]x 0 fl A DANIELLE BRESEE DIRECTOR 1,00] a. 0 a, THOMAS BROW DIRECTOR 1,00] 0. o, 0 DR. VENA DODDARASHE ERECTOR 1,00 |x 0, a 0 DIRECTOR 1.00|x o a 0 DIRECTOR a.00|x a ° a RIKKI LERES pIRECTOR a,00|x | o ° a 2a HORA DIRECTOR a,00|x 0 ° a. Sor RICE DIRECTOR a,00|x 0 0 oe [DEAE RUSSELL DIRECTOR a.00|x 0 ® 9, iRECTOR s.00]x 0 ° o. DIRECTOR aoolx 0 ° in NEC ASSISTANT? 30,00] a ° °. EAECUELVE_ ASSISTANT | ___ 0,00] 9.079 ° 0 OL,_EAST_ PRESIDENT 3.00 o LHA. For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form $90. ‘Schedule J-2 Form 990) 2008 38 13481025 703287 7638187 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872SCHEDULE J-2 (Form 960), Continuation Sheet for Form 990 vycenaan, | P°AtGch to Form 26010 atonal infrmation or Form 80, ar Section Ane t. | penta Punic eee acon Name of te rgncaien Zplje Wnieten nab [Part | Continuation of Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (Ay (8) «ce () fo ) Name and te ‘verge Postion Reporiable Reportable | Eotmated hours | (check ath app) | compensation tevount of per ‘rom ther week i the ergancations | compensation i arganaation | wWartoaeMisc) | fromthe i (W2/1099.MISC) organcation i and reated aE corganvzations g/e\2 Duronta aRLNGTON INPORKATION SPECIALIST 5.001 nat A ° ram ALcEo oom 10,00 |x ° o ° — 1.00 ° 0 . EL anf} x z 3: — 1.00] ° ° 0 vase 1.00] ° ° 0 ‘Vinoxnta BASTERE vewsen 10,00 | 0 ° 0 STEVE SwiGART vowsen 1.00|x 0 _s ° con, GxTiNo past Par aoolz| |x ° ® ° XTA RUBEN ast_PRESIDRNT aoolx| Ix o ° ° nents. som PRESIDENT 2s.o0|x|_|x 10,000 A . PRESIDENT asoolx| |x ° A o. raEST0EN2 osols| Ix ° ° °. PaESTOENT ss.o0lx| |» ° 0 A pazsr0E87 coolx| |e . 0 A Pass10E82 sso0lx| |x A 0 0 PAESIDEET 15,00 |x 8. ° 0 PRESIDENT _ a.oolx| |e ° ° a IM PARLEY PAESTOENT sicolx| |e ° _s o Jom Troms PRESIDENT sola} Ie ® ° ° LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990, 13481025 703287 7638187 39 2009.04050 AUTISM SOCIETY OF ‘Schedule J-2 Form 890) 2008 AMERICA G 76381872SCHEDULE J-2 . | oven usar fone Continuation Sheet for Form 990 2009 creneasataan, | PrAth to Form 990% tons ionnaton fr Form G0, Par Wl, Sacton tne a | Open to Pte eee Sco the Insruction for Form 20. rapes Name ofthe Organaaton Eile Wenkiaton number - AUTISM SOCIETY OP AMERICA GROUP —__ 224000 Part | Continuation of Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees “ ® © o © © Name and te ‘erage Postion Aeportabe oportable | Estimated hous | (checkat hat app¥ | componsaton | compensaton | amountof per ‘tom ‘tom related other wook g the cxganzations | compensation i erganzaton | (w.271096¢IS0) | tome 3) | wenooessc) ‘exganzation 4 andelted HE organaators Elg a|2 PRESIDEN? ao,0o/x| |x 0 o PRESIDENT aoolx| |x 0 0 SHERI MITENBERGER PRESIDEN as.oolx| |x °. 0 RAMONA POGEE aoolx| |x °. a aoolx| |x ° 0 sioolx| Ix ° ® SECRETARY ocolx| |x 0 °. SECRETARY s.oolx| |e o °. SECRETARY aoolx| |e a 0 SECRETARY aoolx| |x a 0 cami HrOGENS SECRETARY aoolx| |x 0 0 SECRETARY 2oolx| |x a a SECRETARY asoolx| |x 0. 0 SECRETARY 2oolx| |x 0. 0 CAROL BAKER WILLEY SECRETARY a,oolx|_|x °. 0 SECRETARY aoolx| |x °. °. SECRETARY aoolx| |x °. °. ‘TREASURER asolx| |x . °. ‘mmeAsuRER rooolx| |x 0 °. LHA For Privacy Act and Paperwork Reduction Act Notice, se the Instructions for Form 990. 13481025 703287 7638187 40 ‘Schedule J-2 (Form 990) 2008 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872SCHEDULE J-2 (Form 990) Continuation Sheet for Form 990 deavuosy | P°Attach to Form 990 to list aditonal information for Form 980, Part Vl Section A, tine 12. | Open to Public for eran Sue D> See the Instructions for Form 990. inspection [Name of the Organzaton Employer Identification number AUEISM SOCTETY OP AMERICA GROUP se-2246889 [Part | Continuation of Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees “ © © © © © Name and title Average Postion Reportable Reportable stated houre | (check althat appiy) | compensation | compensaton | amount of or ‘tom ‘om related other week £ the organizations | compensation 2 corganzation | qwariogemisc) | fromthe 4 | ewenovomisey exganzation i and related organizations & YALA ROT? ‘TREASURER 2oolx| |x _ © © ‘JOUATHAN STEIN ‘TREASURER 2oolx| |x 9, © ‘TREASURER s.oolx| |x| 9 a. TREASURER, a a. ‘TREASURER s,oolx| |x. 0 ARNE MARIE ENOLE ‘TREASURER asoolx| |x a ° MR, KEN EARNONSKE ‘TREASURER s.oolx| |x o ° JUDY CHABANIK, [TREASURER s.oolx| |x o 9, [TREASURER s.oo|x| |x © a [TREASURER aoolx| |x 9 0 ‘TREASURER soolx| [x] | 0. o xn serNBo1D ‘TREASURER 1,00]x 0 2 BRUCE PUTTERMAK VICE PRESIDENT s.oolx| |x 0 2 YRS, LINDA BROWN VICE PRESIDENT 2oolx| |x ® © (GINGER MCALLISTER VICE PRESIDENT aoolx| |x ° 9, RON BOWLING VICE PRESTDENT 2.oolx| |x © a ‘JENNTPER SHUWARD vice PRESTDENT 2s,o0|x| |x 9, 0 LISA POLTON VICE PRESIDENT aoolx| |x 9 0 vice pREsrDeNe s.oolx| |x 9 o GARY /aM SCHORNTHALER Ice PRESIDENT 1.00 0 2 LWA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. 13481025 703287 7638187 41 ‘Schedule J-2 Form 990) 2008 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872SCHEDULE J-2 (ormeo0) Continuation Sheet for Form 990 2009 ctvatrasry | Attach to Form $90 to list additional information for Form 990, Part VI, Section A, fine 13. | Open to Public biana Rowan Save ‘Seo the Instructions for Inspection Name of the Organization Employer Identricaton number AUTISM SOCIETY OF AMERICA GROUP. 58-2248889 (Part! | Continuation of Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. “ e © © © ) Namo and titlo ‘Average Position Reportable Reportable Estimated hours | (check allthat appiy) | compensation compensation | amount of per ‘rom ‘rom related other week z the ‘organzations | compensation 2 ‘organization (warosemisc) | fromthe i (w2N1098MisC) ‘organization and related 5 ‘organizations DANA RENAY ‘EXECUTIVE DIRECTOR 15,00 x 68,620. ° o ‘CAROLINA 8, WILSON Bo. 40,00 al 38.333 ° o [YMBERLY DELOATCHE EXECUTIVE DIRECTOR 40,00 x 36,000 0 ° ‘KRIS_STEINMETZ EXECUTIVE DIRECTOR“ — 40,001 x. | =a9.472;|_ = =o} — 0, ‘SANINE KRUISWISK [EXECUTIVE DIRECTOR 40,00 x 41.235, 9, 9, ‘OBORGANN ALBIN EXECUTIVE DIRECTOR 40,00 x 6.240, 0, ° EXECUTIVE DIRECTOR 40,00 x 1,920, ° ° HA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. 13481025 703287 7638187 42 ‘Schedule J-2 (Form 990) 2008 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872SCHEDULE 0 Supplemental Information to Form 990 | 2ygne sesso from ooo) + Compt tron tertn for reapanen a ape queen on 2009 Fear 090 toproide any atatena information, Open te Puke ioareeeee” BeAtach Ferm 90. inapecion Name of te erganaaton Employer etfiaton nab ee Se 2248889 ous 990, PA8D I. LIME 1. DESCRIETION Of ORGAVIAATION MISSION: FORM 990, PART IIT, LINE 4D. OTHER PROGRAM SERVICES, [REGIONAL £ LOCAL CONFERENCES. ONE-DAY WORKSHOPS 6 TRAINING SESSIONS POR PARENTS & PROFESSIONALS. APPROX 19,000 INDIVIDUALS ATTENDED THESE EXPENSES § 87271, INCLUDING GRANTS OF ¢ 0, REVENUE ¢ 0. ORM 990, PART VE, SECTION B. LINE 11; THE FORM 990 18 REVIEWED pY THE SENIOR WAKAGEMEWT OP THE SOCIETY, THE FORM 990 IS ALSO REVIEWED BY THEIR OUTSIDE ACCOUNTING CONTRACTORS, FORM 990, PART VI, SECTION C._LINE 19: THE ORGANIZATION" S GOVERNING DOCUMENTS, CONPLICT OF INTEREST POLICY AND PINANCIAL STATEMENTS ARE MADE AVAILABLE _urow_azguEs®, ‘LAA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990, ‘Schedule 0 (Form 990) 2008 43 13481025 703287 7638187 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872rom 8868 Application for Extension of Time To File an (Rev. Apri 2008). Exempt Organization Return (OMB No. 145-1709 Depart ae Tears ‘ama evar care D> Fue a soparate application foreach retun ‘© If you are fing for an Automatic 3-Month Extension, complete only Part land check this box >GI ‘tt you are fing for an Additional (Not Automatic) 3-Month Extension, complete only Part I (on page 2 of this form) Do not complete Part Il unless you have already been granted an automate month extension on a premously fled Form 8868 Parti] Automatic 3-Month Extension of Time. only submit onginal (no copies needed). ‘corporation requred to fle Form 990-T and requesting an automatic 6 month extension - check this box and complete Part Loni -O Al other comporations (including 1120-C fers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of time te file mcome tax returns Electronic Filing (ele). Generaly, you can electronically fle Form 8868 f you want 2 month automatic extension of time to fie one ofthe returns noted below (6 months fora cocporaton required t fle Form 990-1) However, you cannot fle Ferm 8868 elactromcaly (1) you want the addtional (Pot automatic) 3-month extension or 2} you fie Forms 990.BL, 6059, or 8870, group retums, oF a compost of consolidated Form 980. Instead, you must submt the fully completed and signed page 2 (Part Ii of Form 8868, For more datas onthe electronic fing ofthis form, vik teww.rs.govietle and clek on e-fie for Chantes & Nonprofi Type or | Name of Exempt Organzation [Employer identification number Print AUTISM SoctETY OF AWERECA oRouP sae 2uinte| Number, street, and room or sute no if a P.O, box, see mstructons eaves | 4340 gAsn-wust yy. ste 350, Ko, 350 ‘Sores | Gay, town or post offee state, and ZIP code Fora foreign addres, see nstuctons BETHESDA. yD 20814. 58-2240089 ‘Check type of return tobe filet a separate application foreach return): Ce] Fom 90 Fox 200" (orporaton) Cram 4720 Crom 9908 Term 800 (ee 011} 0406 trust) (rem 5227 = Form 3602 (erm 8807 tnt cher than above} rom e003 Irom 990 F Jom 1081.0 irom sero CHAPTER DIRECTORS '© The books aren the care of Pb SEE ATTACHED LIST OP CHAPTER DIRECTORS — N/A —__ Telephone No.P> M/A. FAX No. Be © Ifthe organization does not have an office or place of business n the United States, check this box: [a © Ith 1s fora Group Return, enter the organization's four digt Group Exemption Number (GEN) 2497 If this forthe whole group, check this box > Lx]. tritis for part of the group, check this box > [__] and attach a ist with the names and EINS of all members the extension will cover. 1 request an automate 3:month 6 months for a corporation requred to fie Form 990-7) extension of me unt Avousn 15, 2010, +10 file the exempt organzation retum forthe organzation named above. The extension ‘Sor the organation'sretum for > Le] calendar year__2009 or > (J tax year beginning «and ending 2 If this tax year for jess than 12 months, check reason: [_] inal return Co Finat retum (1 change in accounting pentod ‘8a_ifthis appicaton s for Form 980.BL, 990 PF, 990-7, 4720, or 6069, enter the tentative tax, lose any ‘onrefundable credits. See nstction. gals bb Ifthis application s for Form 890 PF or 890°, enter any refundable credits and estimated {ax paymonts made. Include any pnor year overpayment allowed as a cred pls © Balance Due. Subtract ine 3b rom ine 32 Include your payment with the form, or required, {deposit with FTD coupon or, requred, by using EFTPS (Elactronic Foderal Tax Payment System) See nstructons cls NA Caution. i you are gomg to make an electronic fund withdrawal wth ths Form 8868, see Form 8453-E0 and Form 86790 for payment instructions, HA” For Privacy Act and Paperwork Reduction Act Notice, see Instructions. Form ae (Rev. 42008) 44 14011025 703287 7638187 2009.04050 AUTISM SOCIETY OF AMERICA G 76381872Form 8868 (Rev. 4.2009) Page 2 * you aio fling for an Additional (Not Automatic) 2-Month Extension, complete only Part il and check this box ...... > OX On cole Pt i youhae aedy brn nid a aaa Son een on proves ea Fom 51 af fing for an Automate 3-Mont Extension, complete only Part on page). “Adaltional (Not Automatic) 3-Month Extension of Tirie- Orie a oral fi apie neaded Name of Exempt Organization Employer identification number \UTISM SOCIETY OF AMERICA GROUP 58-2248889 ‘Seentac’ | Number, strest, and room or suite no, if @P.0. box, see instructions. For IRS use only gaat 4340 EAST-WEST HWY, STE 350, NO. 350 eum See | City, town or post office, state, and ZIP code, For a forelgn address, soe instructions. ETHESDA, MD 20814-4411 ‘Check type of return to be fled (File a separate application for each retury): Cc Fomoso — [_} Form og0ez —[_] Farm 900-7 feee. 401) or 408(0) trust) [I Form 108-8 Cl Fomszz7 [1 Fonmae70 Col Fonmeso8. [_]Fom escrr [_] Form se0-T trustother tan above) = [__] Forma720— [] Form e060 ‘STOPI Do not complete Part If you were not already granted an automatic 3-menth extension on a previously filed Form 8868, CHAPTER DIRECTORS: '* The books areinthecareof > SEE ATTACHED LIST OF CHAPTER DIRECTORS - N/A Telophone No.D N/A FAXNo.De '© {the organization does not have an office or place of business ithe United States, chook this box... >O © Iftis fora Group Retum, ener the organization's ow eg Group Exemption Number (GEN) _ 2457 tis torte whcl grou, check is ox > [7 ].t itt torpart oft group, check his box P(X] and attach alist vith the names and ENS of al mambers hi r 4 lecist anasto Sort ocenscnot tne NOVEMBER 15,_ 201 15 Forcalendar year 20.09 , or other tax yor Bogining sanding - this tax yearis forts than 12 months, checkreason: [Tintalnum [Tal Clearer acount 7 State in deta why you need th extension INFORMATION REQUIRED TO FILE A COMPLETE AND ACCURATE RETURN WILL NOT BE AVAILABLE UNTIL AFTER THE FIRST EXTENDED DUE DATE. ‘8a If this apptcaion I tor Form 89081, 890-PF, 980-7, 4720, or 6069, enter tho tentative tx oss any nonrefundable credits. See instructions, 'b _Ithis apptication is for Form 950-PF, 9907, 6720, er 6068, ener any refundable credits and estimated tax payments made. ncide any prior year overpayment alowed asa credit and any amount pa previously with Form 8868, © Balance Due Subtract ie 8 fo ne Bnd Your ayrnt wh his fom, reed, epost with FTD coupon ey, lf requred, by using EFTPS (Eiectronic Federal Tax Payment System). Seeinsinucons.| ge | $ N/A ‘Signature and Verification Ung y jd torn rere tmp nde as ou fy at, eee ies Tu ACCOUNTANT ose 11 2019 ER by 50 22290811 703287 7638187 2009.04000 AUTISM SOCIETY OF AMERICA G 76381872