Professional Documents
Culture Documents
a SEE STATEMENT 6
66 .
b
and allocations
22m,
o+ zz-ro
3
15250813 757957 30125A 2002 .06010 CITIZENS FOR COMMUNITY VALU 30125A1
990 2002 CITIZENS FOR COMMU S 31-1075684
rt IV-d Reconciliation of Revenue per Audited Reconciliation of Expenses per Audited
Financial Statements with Revenue per Financial Statements with Expenses per
a Total revenue, gains and other support a Total expenses and losses per
per audited financial statements audited financial statements 91 .
D Amounts included on line a but not on
6 Amounts included an line a but not on line 17, Forth 990
line 12, Form 990 (1) Donated services
(1) Net unrealized gains and use of facilities $ 18,173 .
on investments S (2) Prior year adjustments
(2) Donated services reported an line 20,
and use of lacilities 18,173 . Forth 990 $
(3) Recoveries of pnor (3) Losses reported on
year grants S line 20, Forth 990 $
(4) Other (specify) (4) Other (specify)
Add amounts on lines it) through (4) " D 18,173 Add amounts an lines it) through (4) 10.
e Line aminus line G " c 849,879 e Line a minus line b
D Amounts included an line 12, Form 0 Amounts included on line 17, Forth
990 but not on line a 990 Gut not on line a
(1) Investment expanses (1) Investment expenses
not included on not included on
line 6b, Form 990 S line 6D, Form 990 $
(2) Other(specdy) (2) Other (specify)
STMT 11 s 2,946 . STMT 12 $ 2,946 .
Add amounts on lines (1) and (2) " D 2 , 946 Ado amounts on lines (1) and (2) 2,946 .
e Total revenue per line 12, Form 990 e Total expenses per line 17, Form 990
735,664 .
3loyees (List each one even A not
Title and average fours (C) Compe ~~~o (E~Expense
(A) Name and address per week devoted to Ilf not oal~ °"' account and
,~ OlherallOwanCe<,
- - - - - -- - - - - - - - - - - - - - - - - - - - - - -- - - -
SEE STATEMENT13 49 0. 0.
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75 Did any officer, director, trustee, or key employee receive aggregate compensation of mare than 5100 000 from your organization and all related
organizations, of which mo re than 210,000 was provided by the related organizations? If 'Yes ; attach schedule No. 0 Yes 0 No Form 990 (2002)
22=11 01 22 013
4
15250813 757957 30125A 2002 .06010 CITIZENS FOR COMMUNITY VALU 30125A1
Farrh990(2002) CITIZENS FOR 31-1075684 Page 5
No
76 Did the organization engage in any activity not previously reported to the IRS If Yes ; attach a detailed description of each activity X
77 Were any changes made in the organizing or governing documents but not reported to the IRS X
It 'Ves' attach a conformed copy of the changes
78 a Did the organization have unrelated business gross income of $1,000 or more dunng the year covered by this relum7 X
b If'Ves,' has it filed a tax return on Form 990-T for this years N/A
79 Was there a liquidation, dissolution, termination, or substantial contraction during the years
It 'Yes' attach a statement
80 a Is the organization related (other than by association with a statewide or nationwide organization) through common membership,
governing bodies trustees, officers etc , to any other exempt or nonexempt organization
D If 'Yes,' enter the name of the organization 1111.
and check whether it is D exempt or EJ nonexempt
81 a Enter direct or indirect political expenditures See line 87 instructions ~ 81a ~ 0
D Did the organization file Form 1120-POL for this year X
82 a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or al substantially less than
fair rental value
b If'Ves' you may indicate the value of these items here Do not include this amount as revenue in Part I or as an
expense in Part II (See instructions in Part III ) I 82G ~ N/A
83 a Did the organization comply with the public inspection requirements for returns and exemption applications
6 Did the organization comply with the disclosure requirements relating to quid pro quo contributions?
84 a Did the organization solicit any contnbu6ons or gifts that were not tax deductible? X
b If Yes,' did the organization include with every solicitation an express statement that such contributions or gifts were not
tax aeductibie9 N/A
85 501(c)(4), (5), or (6) organizations a Were substantially all dues nondeductible by members? N/A
6 Did the organization make any in-house lobbying expenditures of $2,000 or less N/A
Ii'Yes' was answered to either BSa 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 BSe NBA
d Section 162(e) lobbying and political expenditures 85d N/A
e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices 85e NBA
f Taxable amount of lobbying and political expenditures (line 85d less BSe) ~ BSf ~ N/A
q Does the organization elect to pay the section 6033(e) tax on the amount on line 85f? N/A
A II section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line BSf to its reasonable estimate of dues
allocable to nondeductible lobbying and political expenditures for the following tax years N/A
86 501(c)(7) organizations Enter a Initiation tees and capital contributions included on line 12 B6a NBA
D Gross receipts, included on line 12 for public use of club facilities B6b N/A
87 501(c)(12) organizations Enter a Gross income from members or shareholders 87a N/A
h
Gross income from other sources (Do not net amounts due or paid to other sources
against amounts due or received from them ) 87h N/A
88 At any time during the year did the organization own a 50°h or greater interest in a taxable corporation or partnership,
or an entity disregarded as separate from the organization under Regulations sections 301 7701-2 and 3017701-37
It Yes' complete Part 1% X
89 a 501(c)(3) organizations Enter Amount of tax imposed on the organization during the year under
section 4911 . 0 . , section 4912 . 0 . , section 4955 . 0.
h 501(c)(3) end 501(c)(4) organizations Did the organization engage in any section 4958 excess benefit
transaction during the year or did it become aware of an excess benefit transaction from a poor yeah
I1 Yes ; attach a statement explaining each transaction
a Enter Amount of tax imposed on the organization managers or disqualified persons dunnq the year under
sections 4972, 4955, and 4958 . 0.
d Enter Amount of fax on line 89c, above, reimbursed by the organization 11110. 0.
90 a List the states with which a copy of tots return is filed 1111I OHIO
b Number of employees employed in the pay period that includes March 12, 2002 L90hT4
91 ihebooksareincare ot 10- CHRIS KERBER Teiephoneno " 513-733-5775
Located at " 11175 READING RD, SUITE 103 CINCINNATI, OHIO ZIPaa " 45241
92 Section 4947(a)(i) nonexempt chantabla trusts Ning Form 990 in lieu of Form 1041 " Check here 1~ 0
and enter the amount of tax-exempt interest receives or accrued during the tax veer " 1 92 1 N/A
;z°oz~ Form 990 (2002)
S
15250813 757957 30125A 2002 .06010 CITIZENS FOR COMMUNITY VALU 30125A1
Form990(2002) CITIZENS FOR COMMUNITY VALUES 31-1075684 Page 6
part y11 Analysis of Income-Producing Actlvltles (See page 31 of the instructions)
Note Enter gross amounts unless otherwise Unrelated business income E~r.a .ae .anon 512513,or sia (E)
(A) (g) (C) (p)
indicated Related or exempt
Business Amount ~_~~
,m~ Amount
93 Program service revenue code cocl, function income
a
b
c
a
8
t Medicare/Medicaid payments
p Fees and contracts from government agencies
94 Membership dues and assessments
95 Interest on savings and temporary cash investments 14 1 7 34 .
96 Dividends and interest from securities
97 Net rental income or (loss) tram real estate
a debt-financed property
bnotdebt-financeeproperty 16 2 , 136 .
98 Net rental income or (loss) tram personal property
99 Other investment income
100 Gain or (loss) tram sales of assets
other than inventory 18 < 2 50 .>
101 Net income or (loss) from special events 01 26 , 547 .
102 Gross profit or (lass) from sales of inventory
103 Other revenue
a OTHER REVENUE - RELATED 848 .
h
t
a
e
104 Subtotal (add columns (B), (D) and (E)) 0 .1 30,167 . 848 .
105 Total (add line 104, columns (B), (0), and (E)) " 31,015 .
Nape Line 105 lus line 1d, Part/, should equal the amount online 12, Part /
part y~~I Relationship of Activities to the Accomplishment of Exempt Purposes (see page 32 of the instructions)
Line No Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment of the organization's
exempt purposes (other than 6y providing funds for such purposes)
103 VENTS WHICH EDUCATE THE PUBLIC TO THE DESTRUCTIVE IMPACT OF
O BSCENITY , PORNOGRAPHY 6 INDECENCY .
Part IX Information Regarding Taxable Subsidiaries and Disregarded Entities (see papa 32 of the instructions)
(A) (8) (C) (D) (E1
Name, address, and EIN of corporation, Percentage of Nature of activities Total income End-o(year
partnership, or disre arAedenti .-hi interest
own assets
I
N/A %J
(a) did tie organization, during the year, receive any funds, directly or indirectly,
(h) Did the organization, dunnq the year, pay premiums, directly or indirectly, on
Note If 'Yes' to ( b ) , /de Form 8870 an o 4720 see inshuctions)
I Oe`I~+//,~ pi .Mn reNm InduClnp ecs'~qq
Under pw~duo .1 20 vy,
v h e~urv
Please mrract,enacom~llQDeyer~~ol a ~oNr oMCer~bboedonINIJ~~y
Sign
Here 1 Signature of officer Dam
Preparer's '
Paid
signaNre
Preparers Fin 0,S (e,
GREAR & COMPANY, CPA'
Use Only Y.U'~''o
'5552 CHEVIOT ROAD
~3i~m LP .mCs ena CINCINNATI, OHIO 45247
(Form 990 or 990-EZ) (Except Private Foundation) and Section 501(e), 501(1), 501(k),
oepsrora,tofua7~uy
int~d rw"ue swims
501(n), or Section <947(a)(1) Nonexempt Charitable Trust
Supplementary Information-(See separate instructions .)
lo~ MUST he completed 6y the above organizations and attached to their Form 990 or 990-EZ
2002
CITIZENS FOR COMMUNITY VALUES 1 31 1075684
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees
(See page 1 of the instructions Lisp each one If there are none, enter 'None')
(D) Title and average hours 1al~coi^~MeUomfi~ (e
(a) Name and address of each employee pale
per week= to (c) Compensation P~ 6 d~ acco~
more than E 50,000 position wmprnaeuon 2~
NONE
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(a) Name and address of each independent contractor paid more than $50,000 (h) type of service I (a) Compensation
PHIL HEIMLICH
6680 LYCEUM DR C
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- - - - - - - - - - - - - - - -- - - - - - - - - - -- - - - - - - - - -- - - - - - -
- - - - - - - - - - - - - - - --- - - -- - - - - - - - - -- - - - - - - - - - - - -
d Payment of compensation (or payment or reimbursement of expenses R more than a1,000)? SEE PART V, FORM 990
3 Does the organization make grants far scholarships fellowships, student loans, etc 9 (See Note below ) 3 X
4 Do you have a section 403(D) annuity plan for your employees 4 X
Note Attach e statement to explain how the organization determines that individuals or organrzahons receiving grants or loans
from it in furtherance of its charitable programs "qualify' to receive payments
P~Wjy ~ Reason for Non-Private Foundation Status (See gapes 3 trough 5 of the instructions )
The organization is not a private foundation because it is (Please check only ONE applicable box )
5 0 Achurch,convention afchurchas,orassociation otchurches Section 170(b)(1)(A)(I)
6 ~ A school section 170(b)(1)(A)(u) (Also complete Part V )
7 0 A hospital or a cooperative hospital service organization Section 170(b)(1)(A)(ni)
B 0 A Federal, state, or local government or governmental unit Section 170(b)(1)(A)(v)
9 0 A medical research organization operated in conjunction with a hospital Section 170(b)(1)(A)(w) Enter the hospital's name, city,
and state 10,
10 ~ An organization operated for the benefit of a college or university owned or operated by a governmental and Section 170(b)(1)(A)(rv)
(Also complete the Support Schedule in Part IV-A )
11a ~ An organization that normally receives a substantial part of its support from a governmental unit or from the general public
Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A )
11b ~ AcommunitytrusiSection170(b)(1)(A)(vi)(AlsocompleletheSupparlSchedulainPaRIV-A)
12 E] An organization that normally receives (1 ) more than 331/x% of its support from contributions, membership fees, and gross
receipts from activities related to its charRable etc , functions - subject to certain exceptions, and (2) no more than 331/d% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) tram businesses acquired
by the organization attar June 30, 1975 See section 509(a)(2) (Also complete the Support Schedule in Part IV-A )
13 Ej An organization that is not controlled by any disqualified persons (other khan foundation managers) and supports organizations described in
111 tines 5 through 12 above, or (2) section 501 (c)(4) . (S) or (6), d they meet the test of section 509(a)(2) (See section 509(a)(3) 1
Provide the following information about the supported organizations (See papa 5 of the instructions )
to 0 An organization organized and operated to test for public safety Section 509(a)(4) (See page 5 of the instructions
223111
01 22 OJ
15250813 757957 30125A 2002 .06010 CITIZENS FOR COMMUNITY VALU 30125A1
Schedule A (Form 990 or 990-EZ) 2002 ZENS FOR COMMUNITY VALUES 31-1075684 Page 3
g!jjV_A Support Schedule d you checked a box online 10, 11, or 12 ) Use of accounting
Note You mayuss v the instructions for converting from the accmE rofhod o! eccountmo
Calendar year (or fiscal year
2001 1 161 2000 1 10 7999 1 101 7998 1 lel Total
15 Gills, grants, and contributions
received (DO not include unusual
830,196 .1 506,313 .1 590,269 .1 444,394 .1 2,371,172 .
15250813 757957 30125A 2002 .06010 CITIZENS FOR COMMUNITY VALU 30125A1
Schedule A (Forth 990 or S 2002 CITIZENS FOR COMMUNITY VALUES 31-1075684 Page a
ppdy Pnvate (See page 7 of the instructions )
(To be i Y on line 6 in Part
No
29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws, other governing
instrument, or in a resolution of its governing body7
30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures, catalogues,
and other written communications with the public dealing with student admissions, programs, and scholarships
31 Has the organization publicized ids racially nondiscriminatory policy through newspaper or broadcast media during the period of
solicitation for students, or dunng the registration period if it has no solicitation program, in a way that makes the poly known
to all pads of the general community it serves
If Yes ; please describe, if 'No,' please explain (If you need more space, attach a separate statement
34 a Does the organization receive any financial aid or assistance tram a governmental agency?
b Has the organization's right to such aid ever been revoked or suspended?
If you answered 'Yes' to either 34a or b, please explain using an attached statement
35 Does the organization certify that it has complied with the applicable requirements of sections 4 01 through 4 OS at Rev Proc 75-50,
1975-2 C B 587, covennp regal nondiscrimination? If'NO' attach an explanation
Schedule A (Form 990 or 990-EZ) 2002
223131
Ot 22 W
10
15250813 757957 30125A 2002 .06010 CITIZENS FOR COMMUNITY VALU 30125A1
Schedule n(Form990or990-EZ)2002 CITIZENS FOR COMMUNITY VALUES 31-1075684 Page 5
Part YI-A Lobbying Expenditures by Electing Public Charities (sae page s of the instructions)
(To he completed ONLY by an eligible oroanixation that filed Form 57681
lal lol
Limits on Lobbying Expenditures Affiliated group To be completed for ALL
term 'expenditures* means amounts paid or incurred totals electing organizations
Caution 11 there is en amount on eitherlme 43 or line 44, You must file Form 4720
52 a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described in section 501(c) of the
Code (other than section 501(c)(3)) or in section 5279 Yes No
h II'Yes .'comoletethefallowinoschedule NBA
(a) (6) W
Name of organization Type of organization Description of relationship
Dale Unadjusted Bus 5'o ReGucUOn In Basis Far Accumulated Current Amount Of
n'o" Oescn Pion Acquired Method Lite No Cost Or Basis Excl Basis Depreciation Depreciation Sec 179 Depreciation
228102
,aze oz (D) -Asset disposed " ITC, Section 179, Salvage, HR 3090, Commercial Revitalization Deduction
15
CITIZENS FOR COMMUNITY VALUES 31-1075684
ACTIVITY GROSS
KIND AND LOCATION OF PROPERTY NUMBER RENTAL INCOME
16 STATEMENT S) 1
15250813 757957 30125A 2002 .06010 CITIZENS FOR COMMUNITY VALU 30125A1
CITIZENS FOR COMMUNITY VALUES 31-1075684
17 STATEMENT S) 2, 3, 4
15250813 757957 30125A 2002 .06010 CITIZENS FOR COMMUNITY VALU 30125A1
CITIZENS FOR COMMUNITY VALUES 31-1075684
EXPLANATION
GRANTS EXPENSES
18 STATEMENT S) 5, 6
15250813 757957 30125A 2002 .06010 CITIZENS FOR COMMUNITY VALU 30125A1
CITIZENS FOR COMMUNITY VALUES 31-1075684
GRANTS EXPENSES
DONEE'S
CLASSIFICATION DONEE'S NAME DONEE'S ADDRESS RELATIONSHIP AMOUNT
19 STATEMENT S) 7, 8
15250813 757957 30125A 2002 .06010 CITIZENS FOR COMMUNITY VALU 30125A1
CITIZENS FOR COMMUNITY VALUES 31-1075684
OTHER
PUBLICLY TOTAL
CORPORATE CORPORATE TRADED OTHER NON-GOV'T
SECURITY DESCRIPTION STOCKS BONDS SECURITIES SECURITIES SECURITIES
COST OR ACCUMULATED
DESCRIPTION OTHER BASIS DEPRECIATION BOOK VALUE
20 STATEMENT S) 8, 9, 10
15250813 757957 30125A 2002 .06010 CITIZENS FOR COMMUNITY VALU 30125A1
CITIZENS FOR COMMUNITY VALUES 31-1075684
DESCRIPTION AMOUNT
DESCRIPTION AMOUNT
EMPLOYEE
TITLE AND COMPEN- BEN PLAN EXPENSE
NAME AND ADDRESS AVRG HRS/WK SATION CONTRIB ACCOUNT
22 STATEMENT S) 13, 14
15250813 757957 30125A 2002 .06010 CITIZENS FOR COMMUNITY VALU 30125A1
r
0 If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box " OX
Note Only complete Part II if you have already been granted en automatic 3-month extension on a previously filed Form 8868
0 If you are filing for an Automatic 3-Month Extension, complete only Part I (on page 1)
Part 11 Additional not automatic 3-Month Extension of Time - Must file Original and One Co
Name of Exempt Organization Employer identification number
Typa or
Ip nnt ITIZENS FOR COMMUNITY VALUES 31-1075684
File by the
WW
Number, street, and room or suite no II a P O box, see instructions For IRS use only
a~.a.uro. 11175 READING ROAD, NO . 103
RlInpNe
e.n+m s .. City, town or post office, state, and ZIP code For a foreign address, see instructions
Instrucbom -~ ~ - s m r n.. w r n w i
Cheek type of return to be filed (File a separate application for each return)
~X Form 990 ~ Form 990 EZ 0 Form 990 T (sec 401(a) or 408(a) trust) 0 Form 1041-A ~ Form 5227 ~ Form 8870
Form 990 BL o Form 990 PF 0 Form 990 T (trust other then above) ~ Form 4720 ~ Form 6069
STOP Do not complete Part II if you were not already granted an automatic 3-month extension on a previously filed Forth 8868
" it the organization does not have an office or place o1 business in the Untied States, check this box " 0
" If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEM If this is for the whole group check this
box " 0 If it is for part of the group, check this box " = and attach a list with the names end EINs of all members the extension is for
b If this application is for Form 990 PF. 990~T, 4720, or 6069, enter any refundable credits and estimated
tax payments made Include any prior year overpayment allowed as a credit end any amount paid
previously win Forth 8868 $
e Balance Due Subtract line Bb from line 8a Include your payment with this forth, or, d required, deposit with FTD
coupon or, d required, by using EFfPS (Electronic Federal Tax Payment System) See instructions $ N/A
By
Director Date
Alternate Mailing Address - Enter the address A you want the copy of this application for en additional 3 month extension returned to an address
different than the one entered above
Name
I GREAR S COMPANY, CPA'S
Type I Number and street Include suite, room, or apt no ) Or e P O box number
orprlnt 5552 CHEVIOT ROAD
City or town, prownce or state, and country (including postal or ZIP code)
22% (CINCINNATI, OHIO 45247
~
Form 8888 (12.2000)
09290812 757957 30125A 2002 .06010 CITIZENS FOR COMMUNITY VALU 30125A1
Form 8868 Application for Extension of Time To File an
(December 2000) Exempt Organization Return OMB No 1545 1709
Department of the irea5ury
MISnL Revarwe Score for each return
0 If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box
II you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II (on page 2 of this form)
Note Do not complete Part II unless you have already been granted an automatic 3-month extension on a previously fled Form 8868
Part I Automatic 3-Month Extension of Time - Only submit original (no copes needed)
Note Form 990-T corporations requesting en automatic 6-month extension - check this box and complete Part I only
All other corporations (including Form 990-C filers) must use Form 7004 to request an extension of time to file income tax
returns Partnerships, REMICs and trusts must use Form 8736 to request an extension o/ time to ale Form 1065, 1066, or 1041
Type or Name of Exempt Organization Employer identification number
print
File by ui
ew an. far Number, street, and room or suite no If a P O box see instructions
Nnpyar
r Man Ses
vhaevctim. City, town or post office, state, and ZIP code For a foreign address, see instructions
Check type of return to be filed (file a separate application for each return)
" If the organization does not have an office or place of business m the United States, check this box 1 0
" I1 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 1 0 If it is (or part of the group, check this box 1 EJ and attach a list with the names and EINs of all members the extension will cover
1 I request an automatic 3 month (6 month, for 990-T corporation) extension of time until AUGUST 15, 2003
to file the exempt organization return for the organization named above The extension is for the organization's return for
1M calendar year 2002 or
10 tax year beginning , and ending
2 If this tax year is for less than 12 months, check reason 0 Initial return 0 Final return El Change m accounting period
b H this application is for Forth 99PPF or 9907, enter any refundable credits and estimated
tax payments made Include any pnor year overpayment allowed as a credit
c Balance Due. Subtract line 3b from line 3a Include your payment with this forth, or, A required, deposit with FrD
coupon or, d required, by using EFfPS (Electronic Federal Tax Payment System) See instructions $ NBA
Under penalties of perjury, I declare that I have era ed this form, including accompanying schedules and statements, and to the best of my knowledge and belief,
h s true, corre te , and that I am a oraed to prepare this form
(('' ~y~ y/pJ
Sipnatura 1 Z07 ~ ~ 7 Title " ~ Date 00,
LH Paperwork Reduction Act Notice, s Instruction Form 8868 (72-2000)
223531
os-0ioz
t
Form
a SEE STATEMENT 5
59 Total assets add lines 45 throw h 58 must e q ual line 74 438 , 082 . 59 421 , 895 .
60 Accounts payable and accrued expenses 14,221 . 60 27,132 .
61 Grants payable 61
62 Deferred revenue 62
N
d 63 Loans from officers, directors, trustees, and key employees 63
a 64 a Tax-exempt bond liabilities 64a
20 b Mortgages and other notes payable 64b
65 Other liabilities (describe 1 ) ~ 65
14,221 .1 66 1 27,132 .
Organizations that follow SFAS 117, check here 0- LXJ and complete fines 67 through
69 and lines 73 and 74
7 unrestricted 233,070 . 67 297,684 .
'`0 68 Temporarily restricted 190,791 . 68 97,079 .
m 69 Permanently restricted 69
3 Organizations that do not follow SFAS 117, check here " 0 and complete lines
ILL 70 through 74
,°~ 70 Capital stock, trust principal, or current funds 70
r
y 71 Paid-in or capital surplus, or land, building, and equipment fund 71
72 Retained earnings, endowment, accumulated income, or other funds 72
Z 73 Total net assets or fund balances (add lines 67 through 69 or lines 70 through 72,
column (A) must equal line 19, column (8) must equal line 21) 423 , 861 . 73 394 , 763 .
74 Total liabilities and net assets / fund balances (add lines 66 and 73) ~ 4 3 8 , 0 8 2 . 74 421,895 .
Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a particular organization . How the public
perceives an organization in such cases may be determined by the information presented on its return Therefore, please make sure the return is complete and accurate
and fully describes, m Part III, the organization's programs and accomplishments
323021
12-17-03
3
12120717 757957 30125A 2003 .05050 CITIZENS FOR COMMUNITY VALU 30125A1
i 1 r
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75 Did any officer, director, trustee, or key employee receive aggregate compensation of more than $100,000 from your organization and all related
organizations, of which more than $10,000 was provided by the related organizations? If "Yes ; attach schedule " E-] Yes OX No
323031 12-17-03 Form 990 (2003)
4
12120717 757957 30125A 2003 .05050 CITIZENS FOR COMMUNITY VALU 30125A1
Form 990(2003) CITIZEN FOR COMMUNITY VALUES 31-1075684 Pages
104j'14 1 Other Information Yes No
76 Did the organization engage in any activity not previously reported to the IRS If "Yes," attach a detailed description of each activity 76
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 returns 78a X
b If "Yes ;' has it filed a tax return on Form 990-T for this years N/A 78b
79 Was there a liquidation, dissolution, termination, or substantial contraction during the years 79 X
If "Yes ;" attach a statement
80 a Is the organization related (other than by association with a statewide or nationwide organization) through common membership,
governing bodes, trustees, officers, etc ., to any other exempt or nonexempt organizations SOa
6 If "Yes ; enter the name of the organization
and check whether it is F-D exempt or = nonexempt
81 a Enter direct or indirect political expenditures See line 81 instructions 811a 0 .
b Did the organization file Form 1120-POL for this years 81b X
82 a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at substantially less than
fair rental values 82a X
b If "Yes," you may indicate the value of these items here Do not include this,amount as revenue m Part I or as an
expense in Part II (See instructions in Part III ) 82b 15,981 .
83 a Did the organization comply with the public inspection requirements for returns and exemption applications _ 83a X
h Did the organization comply with the disclosure requirements relating to quid pro quo contributions'? 83b X
84 a Did the organization solicit any contributions or gifts that were not tax deductibles 84a X
b If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not
tax deductible N/A 8ab
85 501(c)(4), (5), or (6) organizations . a Were substantially all dues nondeductible by members N/A 85a
b Did the organization make only in-house lobbying expenditures of $2,000 or less N/A 85b
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 85c N/A
d Section 162(e) lobbying and political expenditures 85d N/A
e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices 85e NBA
f Taxable amount of lobbying and political expenditures (line 85d less 85e) 85f N/A
g Does the organization elect to pay the section 6033(e) tax on the amount on line 85V N/A 85
h If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line 85f to its reasonable estimate of dues
allocable to nondeductible lobbying and political expenditures for the following tax years N/A 85h
86 501(c)(7) organizations. Enter a Initiation fees and capital contributions included on line 12 86a N/A
h Gross receipts, included on line 12, for public use of club facilities 86h N/A
87 501(c)(12) organizations. Enter a Gross income from members or shareholders 87a N/A
b Gross income from other sources (Do not net amounts due or paid to other sources
against amounts due or received from them ) 87b N/A
88 At any time during the year, did the organization own a 50% or greater interest m a taxable corporation or partnership,
or an entity disregarded as separate from the organization under Regulations sections 3017701-2 and 3017701-39
If "Yes," complete Part IX 88 X
89 a 501(c)(3) organizations. Enter Amount of tax imposed on the organization during the year under .
section 4911 10, 0 " , section 4912 . 0 . , section 4955 111,- 0 .
b 501(c)(3) and 501(c)(4) organizations . Did the organization engage m any section 4958 excess benefit
transaction during the year or did it become aware of an excess benefit transaction from a prior year?
If "Yes," attach a statement explaining each transaction 8911 X
c Enter Amount of tax imposed on the organization managers or disqualified persons during the year under
sections 4912, 4955, and 4958 . 0.
d Enter Amount of tax on line 89c, above, reimbursed by the organization " 0 .
90 a List the states with which a copy of this return is filed lo- OHIO -
b Number of employees employed m the pay period that includes March 12, 2003 _ ~ 90b 1 5
91 The books are in care of " CHRIS KERBER Telephone no 1 513-733-5775
Locatedat " 11175 READING RD, SUITE 103 CINCINNATI, OHIO ZIP+4 . 45241
92 Section 4947(x)(1) nonexempt charitable trusts filing Form 990 m lieu of Form 1041- Check here "0
and enter the amount of tax-exempt interest received or accrued during the tax year " ~ 92 ~ N/A
i2~°~a, Form 990 (2003)
5
12120717 757957 30125A 2003 .05050 CITIZENS FOR COMMUNITY VALU 30125A1
r
art IX Information Regarding Taxable Subsidiaries and Disregarded Entities (See page 34 of the instructions)
A) 9) C D E
Name, address, andEIN of corporation, Perc(ntge of Nature of~activities Total income End-op-year
N/A
(Form 990 or 990-EZ) (Except Private Foundation) and Section 501(e), 501(f), 501(k),
NONE
Compensation of the Five Highest Paid Independent Contractors for Professional Services
(See page 2 of the instructions List each one (whether individuals or firms) If there are none, enter "None ")
(a) Name and address of each independent contractor paid more than $50,000 (6) Type of service I (c) Compensation
KENNETH TAYLOR, JR
--------------------------------------------
--------------------------------------------
--------------------------------------------
--------------------------------------------
1 During the year, has the organization attempted to influence national, state, or local legislation, including any attempt to influence
public opinion on a legislative matter or referendums If "Yes ; enter the total expenses paid or incurred in connection with the
lobbying activities 1 $ $ 9 r 0 6 2 " (Must equal amounts on line 38, Part VI-A,
or line i of Part VI-B ) 1 X
Organizations that made an election under section 501(h) by fling Form 5768 must complete Part VI-A Other organizations checking
"Yes," must complete Part VI-B AND attach a statement giving a detailed description of the lobbying activities
2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any substantial contributors,
trustees, directors, officers, creators, key employs, or members of their families, or with any taxable organization with which any such
person is affiliated as an officer, director, trustee, majority owner, or principal beneficiary (If the answer to any question is "Yes,"
attach a detailed statement explaining the transactions)
a Sale, exchange, or leasing of property 2a
d Payment of compensation (or payment or reimbursement of expenses if more than $1,000) SEE PART V, FORM 990
3 a Do you make grants for scholarships, fellowships, student loans, etc ? (If "Yes," attach an explanation of how
3a X
you determine that recipients quality to receive payments )
b Do you have a section 403(b) annuity plan for your employees 3b X
4 Did you maintain any separate account for participating donors where donors have the right to provide advice
on the use or distribution of funds 4 X
PWt ~~~ Reaso n for Non-Private Foundation Status (See pages 3 through 6 of the instructions )
The organization is not a private foundation because it is (Please check only ONE applicable box )
5 D A church, convention of churches, or association of churches Section 170(b)(1)(A)(i)
6 D A school section 170(b)(1)(A)(u) (Also complete Part V )
7 0 A hospital or a cooperative hospital service organization Section 170(b)(1)(A)(m)
8 ~ A Federal, state, or local government or governmental unit Section 170(b)(1)(A)(v)
9 ~ A medical research organization operated m conjunction with a hospital Section 170(b)(1)(A)(ui) Enter the hospital's name, city,
and state
10 ~ An organization operated for the benefit of a college or university owned or operated by a governmental unit Section 170(b)(1)(A)(iv)
(Also complete the Support Schedule in Part IV-A )
11a ~ An organization that normally receives a substantial part of its support from a governmental unit or from the general public
Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A )
11b D A community trust Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A )
12 ~ An organization that normally receives (1) more than 331/3% of its support from contributions, membership fees, and gross
receipts from activities related to its charitable, etc , functions - subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired
by the organization after June 30, 1975 See section 509(a)(2) (Also complete the Support Schedule in Part IV-A )
13 D An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations described m
(1) lines 5 through 12 above, or (2) section 501(c)(4), (5), or (6), if they meet the test of section 509(a)(2) (See section 509(a)(3) )
Provide the following information about the supported organizations (See page 5 of the instructions )
(b) Line number
(a) Name(s) of supported organization(s) from above
14 -U An organization organized and operated to test for public safety . Section 509(a)(4) (See page 6 of the instructions
Schedule A (Form 990 or 990-EZ) 2003
323111
12-OS-03
8
12120717 757957 30125A 2003 .05050 CITIZENS FOR COMMUNITY VALU 30125A1
1 1
Schedule A (Form 990 or 990-EZ) 2003 C I T I Z FNS FOR COMMUNITY VALUES 31-1075684 Page 3
Ftt~'~~~ Support Schedule (Complete only if you checked a box on line 10, 11, or 12 .) Use cash method of accounting.
Note : You ma use the worksheet in the instructions for converttn from the accrual to the cash method of accounting .
Calendar year (or fiscal year
beg in nin in 1 (a) 2002 (b) 2001 (c) 2000 (d) 1999 (e Total
15 Gins, grants, and contributions
reantsseelioe28cludeunusual unusual
756,078 . 830,196 . 506,313 . 590,269 . 2,682,856 .
16 Membershi p fees received
17 Gross receipts from admissions,
merchandise sold or services
performed, or furnishing of
facilities m any activity that is
related to the organization's
charitable,etc,purpose 26,547 . 1,565 . <11,686 . > 37,209 . 53,635 .
18 Gross income from interest,
dividends, amounts received from
payments on securities loans (sec-
tion 512(a)(5)), rents, royalties, and
unrelated business taxable income
(less section 511 taxes) from
businesses acquired 6y the
organization after ,rune 30, 1975 3 , 870 . 3,784 . 7,221 . 7,750 . 22,625 .
19 Net income from unrelated business
activities not included in line 18
Zp Tax revenues levied for the
organization's benefit and either
paid to it or expended on its behalf
21 The value of services or facilities
furnished to the organization by a
governmental unit without charge
Do not include the value of services
or facilities generally furnished to
the public without charge
22 Other income Attach a schedule SEE 11
Do not include gain or (loss) from STATEMENT
sage of capita assets 848 . 6,457 . 741 . 5,729 . 13,775 .
23 Total of lines 15 through 22 787,343 . 842,002 . 502,589 . 640,957 . 2,772,891 .
24 Line 23minus line 17 760, 796 . 840,437 . 514, 275 . 603,74 -K. 2, 719, 256 .
25 Enter s% otline 23 7,873 . 8 , 420 . 5,026 . 1 6,410 .
26 Organizations described on lines 10 or 11 : a Enter 2% of amount in column (e), line 24 1 26a 54,385 .
b Prepare a list for your records to show the name of and amount contributed by each person (other than a governmental
unit or publicly supported organization) whose total gifts for 1999 through 2002 exceeded the amount shown m line 26a
Do not file this list with your return . Enter the total of all these excess amounts 1 26b 1,351,775 .
c Total support for section 509(a)(1) test Enter line 24, column (e) 1 26c 2 719 , 256 .
d Add Amounts from column (e) for lines 18 22,625 . 19
22 13,775 . 26b 1,351,775 . 11111- 26a 1 1 388,175 .
e Public support (line 26c minus line 26d total) 1 26e 1,331 , 081 .
f Public support percentage (line 26e (numerator) divided by line 26c (denominator)) 1 26f~ 48-9502 %
27 Organizations described on line 12 : a For amounts included m lines 15, 16, and 17 that were received from a "disqualified person ; prepare a list for your
records to show the name of, and total amounts received m each year from, each "disqualified person " Do not file this list with your return . Enter the sum of
such amounts for each year N/A
(2002) (2001) (2000) (1999)
b For any amount included in line 17 that was received from each person (other than "disqualified persons"), prepare a list for your records to show the name of,
and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000 (Include in the list organizations
described m lines 5 through 11, as well as individuals ) Do not file this list with your return . After computing the difference between the amount received and
the larger amount described in (1) or (2), enter the sum of these differences (the excess amounts) for each year N/A
(2002) (2001) (2000) (1999)
c Add Amounts from column (e) for lines 15 16
17 20 21 " 1 27c ~ N/A
d Add Line 27a total and line 27b total 1 27d N/A
e Public support (line 27c total minus line 27d total) 11111~ 27e N/A
f Total support for section 509(a)(2) test Enter amount on line 23, column (e) 1 2711 NBA
g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) 1 27 N/A
h Investment income p ercenta ge line 18 column e numerator divided b line 27f denominator 1 27h N/A
28 Unusual Grants: For an organization described m line 10, 11, or 12 that received any unusual grants during 1999 through 2002, prepare a list for your records
to show, for each year, the name of the contributor, the date and amount of the grant, and a brief description of the nature of the grant Do not file this list with
your return . Do not include these grants in line 15
323121 12-OS-03 NONE Schedule A (Form sso or 990-EZ) 2003
9
12120717 757957 30125A 2003 .05050 CITIZENS FOR COMMUNITY VALU 30125A1
Schedule A (Form 990 or 990-EZ) 2003 C I T I Z FNS FOR COMMUNITY VALUES 31-1075684 Page
j Private School Questionnaire (See page 7 of the instructions .) N/A
(To be completed ONLY by schools that checked the box on line 6 in Part 11)
Yes NO
29 Does the organization have a racially nondiscriminatory policy toward students by statement m its charter, bylaws, other governing
instrument, or m a resolution of its governing body 29
30 Does the organization include a statement of its racially nondiscriminatory policy toward students m all its brochures, catalogues,
and other written communications with the public dealing with student admissions, programs, and scholarships 90
31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during the period of
solicitation for students, or during the registration period if it has no solicitation program, m a way that makes the policy known
to all parts of the general community it serves 31
If "Yes ; please describe, if "No," please explain . (If you need more space, attach a separate statement.)
34 a Does the organization receive any financial aid or assistance from a governmental agency
b Has the organization's right to such aid ever been revoked or suspended
If you answered "Yes" to either 34a or b, please explain using an attached statement
35 Does the organization certify that it has complied with the applicable requirements of sections 4 01 through 4 05 of Rev Proc 75-50,
1975-2 C B 587, covering racial nondiscrimination? If "No ; attach an explanation
Schedule A (Form 990 or 990-EZ) 2003
323131
12-05-03
10
12120717 757957 30125A 2003 .05050 CITIZENS FOR COMMUNITY VALU 30125A1
Schedule A(Form990or990-FZ)2003 CITIZENS FOR COMMUNITY VALUES 31-1075684 Page 5
Lobbying Expenditures by Electing Public Charities (See page 9 of the instructions .)
(To be completed ONLY by an eligible organization that filed Form 5768)
Check " a = if the org anization belon g s to an affiliated g rou p Check " b D if ou checked "a" and "limited control" p rovisions a pp ly
(a) (b)
Limits on Lobbying Expenditures Affiliated group To be completed for ALL
(The term "expenditures" means amounts paid or incurred ) totals electing organizations
N/A
36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 36
37 Total lobbying expenditures to influence a legislative body (direct lobbying) 37 9,062 .
38 Total lobbying expenditures (add qnes 36 and 37) 38 9,062 .
39 Other exempt purpose expenditures 39 946,060 .
40 Total exempt purpose expenditures (add lines 38 and 39) 40 955,122 .
41 Lobbying nontaxable amount Enter the amount from the following table
If the amount on line 40 is - The lobbying nontaxable amount is -
Not over $500,000 20% of the amount on line 40
Over $500,000 but not over $1,000,000 $100,000 plus 15% of the excess over $500,000
Over $1,000,000 but not over $1,500,000 $175,000 plus 10% of the excess over $1,000,000 41 1 68 , 268 .
Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000
Caution: If there is an amount on either line 43 or line 44, you must file Form 4720.
Line no Amount involved Name of nonchantable exempt organization Description of transfers, transactions, and sharing arrangements
52a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described m section 501(c) of the
Code (other than section 501 (c)(3)) or in section 527 " 0 Yes ~X No
12
12120717 757957 30125A 2003 .05050 CITIZENS FOR COMMUNITY VALU 30125A1
2003 DEPRECIATION AND AMORTIZATION REPORT
FORM 990 PAGE 2 990
Asset gate Unadjusted Bus % Reduction in Basis For Accumulated Current Amount Of
No Description Acquired I Method I Life I No~ I Cost Or Basis I Excl I Basis Depreciation Depreciation Sec 179 Depreciation
328102
05-01-0
.3 (D) - Asst disposed " ITC, Section 179, Salvage, HR 3090, Commercial Revitalization Deduction
17
CITIZENS FOR COMMUNITY VALUES 31-1075684
ACTIVITY GROSS
KIND AND Lb..ATION OF PROPERTY NUMBER RENTAL INCOME
(C) (D)
PROGRAM MANAGEMENT
DESCRIPTION TOTAL SERVICES AND GENERAL FUNDRAISING
18 STATEMENT S) 1, 2, 3
12120717 757957 30125A 2003 .05050 CITIZENS FOR COMMUNITY VALU 30125A1
CITIZENS FOR COMMUNITY VALUES 31-1075684
EXPLANATION
GRANTS EXPENSES
19 STATEMENT S) 4, 5
12120717 757957 30125A 2003 .05050 CITIZENS FOR COMMUNITY VALU 30125A1
CITIZENS FOR COMMUNITY VALUES 31-1075684
GRANTS EXPENSES
DONEE'S
CLASSIFICATION DONEE'S NAME DONEE'S ADDRESS RELATIONSHIP AMOUNT
20 STATEMENT S) 6, 7
12120717 757957 30125A 2003 .05050 CITIZENS FOR COMMUNITY VALU 30125A1
CITIZENS FOR COMMUNITY VALUES 31-1075684
OTHER
PUBLICLY TOTAL
CORPORATE CORPORATE TRADED OTHER NON-GOV'T
SECURITY DESCRIPTION STOCKS BONDS SECURITIES SECURITIES SECURITIES
COST OR ACCUMULATED
DESCRIPTION OTHER BASIS DEPRECIATION BOOK VALUE
21 STATEMENT S) 7, 8, 9
12120717 757957 30125A 2003 .05050 CITIZENS FOR COMMUNITY VALU 30125A1
CITIZENS FOR COMMUNITY VALUES 31-1075684
EMPLOYEE
TITLE AND COMPEN- BEN PLAN EXPENSE
NAME AND ADDRESS AVRG HRS/WK SATION CONTRIB ACCOUNT
22 STATEMENT S) 10
12120717 757957 30125A 2003 .05050 CITIZENS FOR COMMUNITY VALU 30125A1
CITIZENS FOR COMMUNITY VALUES 31-1075684
23 STATEMENT S) 10, 11
12120717 757957 30125A 2003 .05050 CITIZENS FOR COMMUNITY VALU 30125A1
Form 8868 Application for Extension of Time To File an
(December 2000)
Exempt Organization Return OMB No . 1545 .1709
oepartment of me treasury
Internal Revenue Servioe 0, File a for each return .
" (f you are filing for an Automatic 3-Month Extension, complete only Part I and check this box
" If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II (on page 2 of this form) .
Note : Do not complete Part II unless you have already been granted an automatic 3-month extension on a previously filed Form 8868.
~~'t ~ ~~ Automatic 3-Month Extension of Time - only submit original (no copies needed)
Note: Form 990-T corporations requesting an automatic 6-month extension - check this box and complete Part 1 only
All other corporations (including Form 990-0 filers) must use Form 7004 to request an extension of time to file income tax
returns. Partnerships, REMICs and trusts must use Form 8736 to request an extension of time to file Form 1065, 1066, or 1041 .
Type or Name of Exempt Organization Employee identification number
print
CITIZENS FOR COMMUNITY VALUES 31-1075684
Fhe by me
due date for Number, street, and room or suite no . If a P.O. box, see instructions .
axe yon. 11175 READING ROAD, NO . 103
ream See
Instructions City, town or post office, state, and ZIP code. For a foreign address, see instructions .
CINCINNATI, OH 45241
Check type of return to be filed (file a separate application for each return) :
" If the organization does not have an office or place of business m the United States, check this box 10, =
" 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 " = . If it is for part of the group, check this box " = and attach a list with the names and EINs of all members the extension will cover.
1 LrequestaaautomaUc 3-month (6-month, for 990-T corporation) extension of time until AUGUST 16, 2004
to file the exempt organization return for the organization named above . The extension is for the organization's return for :
" D calendar year 2 0 0 3 or
tax year beginning , and ending
2 If this tax year is for less than 12 months, check reason : E] Initial return 0 Final return D Change in accounting period
3a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any
nonrefundable credits . See instructions
b If this application is for Form 990-PF or 990-T, enter any refundable credits and estimated
tax payments made . Include any prior year overpayment allowed as a credit _ _ $
c Balance Due. Subtract line 3b from line 3a. Include your payment with this form, or, if required, deposit with F7D
coupon or, if required, by using EFfPS (Electronic Federal Tax Payment System) . See instructions $ N/A
Under penalties of perjury, l declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief,
n is true, correct, and complete, and that I am author d to prepare this form
323831
05-M -W
Return of Organization Exempt From Income Tax umu 0 1^4 . V9/
Form 1990 Under section 501(c), 527 , or 4947 ( a)(1) of the Internal Revenue Code ( except black lung 2004
benefit trust or private foundation) ap e-a 10 FEE
De partment
rnal tee Treasury
Intemal Revenue SH^lce 1111P, The organization may have to use a copy of this return to satisfy state reporting requirements f3rrs 8 t6tr
A For the 2004 calendar year, or tax year beginning and ending
OAPpdmelon • Section 501 (c)(3) organizations and 4947(a)(1) nonexempt charitable trusts H and I are not applicable to section 527 organizations.
must attach a completed Schedule A (Form 990 or 990 -EZ). H(a ) Is this a group return for affiliates9 0 Yes No
-" G Website : ^ WWW • CCV . ORG H (b) If "Yes," enter number of affiliates ^
Organization type (cneckonlyone) ^ W 501( c) ( 3 ) -4 insert no ) = 4947(a)(1) or Q 527 H( c) Are all affiliates included '? N/A Yes No
J
A I sIf 'No , attach a list )
K Check here 1111,- 0 if the organization ' s gross receipts are normally not more than $25 ,000 The H(d) s this, a separate return filed by an or
organization need not file a return with the IRS , but it the organization received a Form 990 Package g anization covered by a g roup rulin g? Yes LX No
in the mail , it should file a return without financial data Some states require a complete return. I Grou p Exem ption Number 10,
M Check ^ = If the organization is not required to attach
L Gross receipts . Add lines 6b, 8b , 9b, and 10b to line 12 ^ 1,796 , 69 4. Sch B (Form 990, 990-EZ , or 990-PF)
IA%liftj Revenue , Expenses , and Changes in Net Assets or Fund Balances
D 1 Contributions , gifts, grants , and similar amounts received
a Direct public support 1a 1,714,599.
Z b Indirect public support 1b
c Government contributions ( grants) 1c
Total (add lines 1 a through 1c) (cash $ 1 , 4 6 8 , 9 5 7 . noncash $ 245,642. ) 1d 1,714,599.
d
2 Program service revenue including government fees and contracts (from Part VII, line 93) 2
rC. 3 Membership dues and assessments 3
4 2,032.
4 Interest on savings and temporary cash investments
5 Dividends and interest from securities 5
6 a Gross rents SEE STATEMENT 1 6a 2,788 .
b Less rental expenses 6b
6c 2,788 .
c Net rental income or (loss) (subtract line 6b from line 6a)
• 7 Other investment income (describe ^ 7
8 a Gross amount from sales of assets other ( A ) Securities ( B ) Other
C•
m than inventory 8a
b Less cost or other basis and sales expenses 8b
c Gain or (loss) ( attach schedule) Bc
d Netgain or (loss) (combine line 8c, columns ( A) and (B)) 8d
9 Special events and activities ( attach schedule ) If any amount is from gaming , check here ^
a Gross revenue ( not including $ 0 • of contributions
reported on line 1 a) 9a 73,200.
b Less direct expenses other than fundraising expenses 9b 52,2 52 .
line 9b from line 9a) SEE STATEMENT 2 9c 20,948.
c Net Income or (loss) from special events (subtract
10 a Gross sales of inventory, less returns and allowances 10a
b Less cost of goods sold 1 10b
c Gross profit of (loss) from sales of inventory (attach schedule) ( subtract line 10b from line 10a) 10c
11 4 075 .
11 Other revenue (from Part VII, line 103)
12 1 , 744 , 442 .
12 Total revenue ( add lines 1d , 2, 3, 4, 5, 6c, 7, Bid, 9c,1 Oc, and 11 )
13 Program services (from line 44, column (B)) 0 13 1, 290 , 851 .
U) 14 188, 027 .
14 Management and general (from line 44, column (C)) 00 0
C N^^ 2 1 207 15 170 , 361 .
15 Fundraising (from line 44, column (D))
W 16 Payments to affiliates (attach schedule) CK 16
17 Total exp enses add lines 16 and 44, column ( A )) 17 1, 649 , 239 .
18 Excess or (deficit) for the year ( subtract line 17 from line 12) 18 95 , 203 .
19 Net assets or fund balances at beginning of year (from line 73, column ( A)) 19 394 r 763 .
20 Other changes in net assets or fund balances ( attach explanation) 20 0
21 Net assets or fund balances at end of year (combine lines 18 , 19, and 20 ) 21 489 966 .
LHA For Privacy Act and Paperwork Reduction Act Notice , see the separate instructions . orm 990 (2004)
o?-1 aoa c,
1 vIe
10580703 757957 30125A 2004.09040 CITIZENS FOR COMMUNITY VALU 30125A 1
A CITIZENS FOR COMMUNITY VALUES 31-1075684 19
Statement of All organizations must complete column (A) Columns (B), (C), and (D) are required for section 501(c)(3) Page 2
Functional Expenses and (4 ) organizations and section 4947( a)(1) nonexempt charitable trusts but optional for others
Do not include amounts reported on line (A) Total (B) Program (C) Management ( D) Fundraising
6b, 8b, 9b, 10b or 16 of Part /. services and g eneral
22 Grants andballocahons ( attach schedule)
(cash $ 109,750. noncash s 22 109,750. 10 9, 7 5 0. 5 TAITRMENT 7
23 Specific assistance to individuals ( attach schedule) 23
24 Benefits paid to or for members (attach schedule) 24 . ..
a SEE STATEMENT 5
59 Total assets (add lines 45 throu g h 58 ) ( must e q ual line 74 ) 421,895. 5g 505 , 332.
60 Accounts payable and accrued expenses 27,132. 60 15,366.
61 Grants payable 61
62 Deferred revenue 62
N
2 63 Loans from officers, directors, trustees, and key employees 63
64 a Tax-exempt bond liabilities 64a
20 b Mortgages and other notes payable 64b
65 Otherliabihties (describe ^ ) 65
423021
01-13-05
3
10580703 757957 30125A 2004.09040 CITIZENS FOR COMMUNITY VALU 30125A 1
t t A III
F orrn9 90 ( 2004 ) CITIZENS FOR COMMUNITY VALU ES 31-1075684 ' Page4
PartIV- ^ Reconciliation of Revenue per Audited Part B Reconciliation of Expenses per Audited
Financial Statements with Revenue per Financial Statements with Expenses per
Return Return
a Total reverfue , gains, and other support a Total expenses and losses per
per audited financial statements ^ a 1,777,547 . audited financial statements ^ a 1, 6 8 2, 3 4 4
b Amounts included on line a but not on
b Amounts included on line a but not on line 17, Form 990
line 12, Form 990 (1) Donated services
(1) Net unrealized gains and use of facilities $ 35,898.
on investments $ (2) Prior year adjustments
(2) Donated services reported on line 20,
and use of facilities $ 35,898. Form 990 $
(3) Recoveries of prior (3) Losses reported on
year grants $ line 20 , Form 990 $
(4) Other (specify ) ( 4) Other ( specify)
E $
Add amounts on lines ( 1) through (4) ^ b 35 ,898. Add amounts on lines ( 1) through (4) ^ b 35,898.
c Line a minus line b ^ c 1, 741,6 49. c Line a minus line b ^ c 1, 646,446.
d Amounts included on line 12 , Form d Amounts included on line 17, Form
990 but not on line a: 990 but not on line a
(1) Investment expenses (1) Investment expenses
not included on not included on
line 6b , Form 990 $ line 6b , Form 990 $
(2) Other (specify) ( 2) Other (specify)
STMT 10 $ 2,793. STMT 11 $ 2,793.
Add amounts on lines ( 1) and (2) ^ d 2,793. Add amounts on lines ( 1) and (2) ^ d 2,793.
e Total revenue per line 12 , Form 990 a Total expenses per line 17 , Form 990
(line c plus lined) ^ e 1 7 4 4 4 4 2. (line c plus line d) ^ e 1 , 649 , 239.
I Fart V I List of Offiicers. Directors . Trustees. and Kev Emolovees (List each one even it not compensated )
(B) Title and average hours ( C) Compensation (D)Contnbuaons to (E) Expense
(A) Name and address per week devoted to (If not pai , enter P ansSedefen
ennefit
e
account and
p osition -0-. com ene ation other allowances
---------------------------------
------------- -f------------------
SEE STATEMENT 1 2 231 263. 8,846. 0.
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
75 Did any officer , director , trustee , or key employee receive aggregate compensation of more than $ 100,000 from your organization and all related
organizations , of which more than $10 ,000 was provided by the related organizations? If "Yes, attach schedule ^ Q Yes ^X No
423031 01-13-05 Form 990 (2004)
4
10580703 757957 30125A 2004.09040 CITIZENS FOR COMMUNITY VALU 30125A 1
i i A J
Locatedat ^ 11175 READING RD, SUITE 103, CINCINNATI , OH ZIP+4 0-4 524 1
92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of Form 1041 - Check here ^ El
and enter the amount of tax-exempt interest received or accrued dunng the tax year 0- 1 92 N/A
01-1305 Form 990 (2004)
5
10580703 757957 30125A 2004.09040 CITIZENS FOR COMMUNITY VALU 30125A 1
t R A.
Form 990 ( 2004 ) CITIZENS FOR COMMUNITY VALUES 31-1075684 Page6
pan VI[ Analysis of Income - Producing Activities ( See page 33 of the instructions)
Note: En t er gross amoun ts un less otherwise Unrelat ed business income Exclu ded by section 512, 513. or 514 (E)
part 1^I; Information Regard ing Taxable Subsidiaries and Disregarded Entities ( See page 34 of the instructions)
(A) 0 C (D) (E)
Name, address, and EIN of corporation , Percentage of Nature of )activities Total income End-of-year
partnershi p, or disre g arded enti ty ownershi p interest assets
N/A %
JERRY LYON
-------------------------------
11175 READING ROAD, CINCINNATI, OHIO
45241 0 2,480. ,457.
---------------------------------
---------------------------------
---------------------------------
NONE
--------------------------------------------
part IJI Statements About Activities (See page 2 of the instructions) Yes No
1 During the year, has the organization attempted to influence national, state, or local legislation, including any attempt to influence
public opinion on a legislative matter or referendum? If 'Yes' enter the total expenses paid or incurred in connection with the
lobbying activities ^ $ $ 228,452. (Must equal amounts on line 38, Part VI-A,
or line i of Part VI-B.) VI-A, LINE 38B 1 X
Organizations that made an election under section 501(h) by filing Form 5768 must complete Part VI-A Other organizations checking
"Yes," must complete Part VI-13 AND attach a statement giving a detailed description of the lobbying activities
2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any substantial contributors,
trustees, directors, officers, creators, key employees, or members of their families, or with any taxable organization with which any such
person is affiliated as an officer, director, trustee, majority owner, or principal beneficiary? (If the answer to any question is "Yes, "
attach a detailed statement explaining the transactions)
a Sale, exchange, or leasing of property? 2a X
d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)7 SEE PART V, FORM 990 2d X
3 a Do you make grants for scholarships, fellowships, student loans, etc 2 (If "Yes' attach an explanation of how
you determine that recipients qualify to receive payments ) 3a X
b Do you have a section 403(b) annuity plan for your employees _ 3b X
4 a Did you maintain any separate account for participating donors where donors have the right to provide advice
on the use or distribution of funds 4a K
b Do y ou p rovide credit counselin g, debt mana g ement , credit re p air, or debt ne g otiation services? 4b X
Pori lV Reason for Non - Private Foundation Status (See pages 3 through 6 of the instructions)
The organization is not a private foundation because it is- (Please check only ONE applicable box )
5 A church, convention of churches, or association of churches Section 170(b)(1)(A)(i)
6 A school. Section 170(b)(1)(A)(n) (Also complete Part V )
7 A hospital or a cooperative hospital service organization Section 170(b)(1)(A)(11i)
8 A Federal, state, or local government or governmental unit Section 170(b)(1 )(A)(v)
9 A medical research organization operated in conjunction with a hospital Section 170(b)(1)(A)(m) Enter the hospital 's name, city,
and state ^
10 An organization operated for the benefit of a college or university owned or operated by a governmental unit Section 170(b)(1)(A)(iv)
(Also complete the Support Schedule in Part IV-A )
11a EXI An organization that normally receives a substantial part of its support from a governmental unit or from the general public
Section 170(b)(1)(A)(w) (Also complete the Support Schedule in Part IV-A )
11b A community trust Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A )
12 An organization that normally receives ( 1) more than 33 1/3% of its support from contributions, membership fees, and gross
receipts from activities related to its charitable, etc , functions - subject to certain exceptions, and (2 ) no more than 33 1/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired
by the organization after June 30, 1975 See section 509(a)(2) (Also complete the Support Schedule in Part IV-A )
13 El An organization that is not controlled by any disqualified persons ( other than foundation managers ) and supports organizations described in
( 1) lines 5 through 12 above , or (2) section 501 (c)(4 ), (5), or (6 ), if they meet the test of section 509(a )( 2) (See section 509(a)(3)
Provide the following information about the supported organizations (See page 5 of the instructions )
Line n
(a) Name(s) of supported organization(s) I (b) from abover
14 0 An organization organized and operated to test for public safety Section 509(a)(4) (See page 5 of the instructions )
Schedule A (Form 990 or 990-EZ) 2004
8
10580703 757957 30125A 2004.09040 CITIZENS FOR COMMUNITY VALU 30125A 1
I I A. •
Schedule A ( Form 990 or 990-EZ ) 2004 CIT IZENS FOR COMMUNITY VALUES 31-10756 84 Page 3
Pad IV«A Support Schedule (Complete only if you checked a box on line 10, 11, or 12 .) Use cash method of accounting.
Note : You may use the worksheet in the instruction for converting from the accrual to the cash method of accnuntinn
Calendar year ( or fiscal year
beginning in) ^ (a) 2003 ( b) 2002 ( c) 2001 ( d) 2000 ( e) Total
15
re ed ( D o not include unusu al
rants
ceiv See line 28 950, 565. 756, 078. 830, 196. 506, 313. 3,043,152.
16 Membership fees received
17 Gross receipts from admissions,
merchandise sold or services
performed , or furnishing of
facilities in any activity that is
related to the organization's
charitable , etc., purpose 16,251. 26,547. 1,565. <11,686 . 32,677.
18 Gross income from interest,
dividends, amounts received from
payments on securities loans (sec-
tion 512 ( a)(5)), rents, royalties, and
unrelated business taxable income
(less section 511 taxes) from
businesses acquired by the
organization after June 30, 1975 3,426. 3,870. 3,784. 7,221. 18,301.
19 Net income from unrelated business
activities not included in line 18
20 Tax revenues levied for the
organization ' s benefit and either
paid to it or expended on its behalf
21 The value of services or facilities
furnished to the organization by a
governmental unit without charge
Do not include the value of services
or facilities generally furnished to
the public without charge
22 Other income Attach a schedule SEE STATEME T 13
Do not include gain or ( loss) from
sale of capital assets 1,724. 848. 6,457. 741 . 9,770.
23 Total of lines 15 through 22 971, 966. 787, 343. 842, 002. 502,589 . 3,103,900.
24 Line 23 minus line 17 955,715. 760,796. 840,437. 514,275. 3,071,223.
25 Enter 1 % of line 23 9 ,720. 7,873. 8,420. 5,026.
26 Organizations described on lines 10 or 11 : a Enter 2 % of amount in column ( e), line 24 ^ 26a 61,424.
b Prepare a list for your records to show the name of and amount contributed by each person ( other than a governmental
unit or publicly supported organization ) whose total gifts for 2000 through 2003 exceeded the amount shown in line 26a
Do not file this list with your return . Enter the total of all these excess amounts ^ 26b 1, 582,210.
c Total support for section 509 ( a)(1) test Enter line 24 , column ( e) ^ 26c 3 ,071,223.
d Add- Amounts from column (e) for lines 18 18,301. 19
22 9,770. 26b 1,582,210. ^ 26d 1,610,281.
e
Public support ( line 26c minus line 26d total ) ^ 26e 1, 460,942.
f
Public su pp ort p ercenta g e ( line 26e ( numerator ) divided b y line 26c ( denominator )) ^ 261 47.5687%
27 Organizations described on line 12: a For amounts included in lines 15, 16, and 17 that were received from a 'disqualified person, prepare a list for your
records to show the name of, and total amounts received in each year from, each "disqualified person " Do not file this list with your return . Enter the sum of
such amounts for each year N/A
(2003) (2002) (2001) (2000)
b For any amount included in line 17 that was received from each person (other than "disqualified persons"), prepare a list for your records to show the name of,
and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000 (Include in the list organizations
described in lines 5 through 11, as well as individuals ) Do not file this list with your return . After computing the difference between the amount received and
the larger amount described in (1) or (2), enter the sum of these differences (the excess amounts) for each year N/A
(2003) (2002) (2001) (2000)
c Add Amounts from column (e) for lines 15 16
17 20 21 N/A
d
Add Line 27a total and line 27b total ^ 27d N/A
Public support (line 27c total minus line 27d total)
e ^ 27e N/A
f
Total support for section 509(a)(2) test. Enter amount on line 23, column (e) ^ 27f N/A
g
Public support percentage (line 27e (numerator) divided by line 27f (denominator)) ^ 27 N/A %
h
Investment income percenta g e ( line 18, column (e) (numerato r) divided by line 27f (denominato r)) ^ 27h N/A %
28 Unusual Grants : For an organization described in line 10, 11, or 12 that received any unusual grants during 2000 through 2003, prepare a list for your records
to show, for each year, the name of the contributor, the date and amount of the grant, and a brief description of the nature of the grant Do not file this list with
your return . Do not include these grants in line 15.
423121 12-03-04 NONE schedule A (Form 990 or 990 -EZ) 2004
9
10580703 757957 30125A 2004.09040 CITIZENS FOR COMMUNITY VALU 30125A 1
1 1
Schedule A ( Form 990 or 990-EZ) 2004 CITIZENS FOR COMMUNITY VALUES 31-1075684 Page4
pa^j V Private School Questionnaire (See page 7 of the instructions) N/A
(To be completed ON LY by schools that checked the box on line 6 in Part IV)
Yes No
29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws, other governing
instrument, or in a resolution of its governing body? 29
30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures, catalogues,
and other written communications with the public dealing with student admissions, programs, and scholarships? 30
31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during the period of
solicitation for students, or during the registration period if it has no solicitation program, in a way that makes the policy known
to all parts of the general community it serves?
If'Yes ' please describe, if 'No," please explain (If you need more space, attach a separate statement )
34 a Does the organization receive any financial aid or assistance from a governmental agency?
b Has the organization ' s right to such aid ever been revoked or suspended?
If you answered 'Yes' to either 34a orb, please explain using an attached statement
35 Does the organization certify that it has complied with the applicable requirements of sections 4 01 through 4 05 of Rev Proc 75-50,
1975-2 C B 587, covering racial nondiscrimination? It 'No,' attach an explanation 1 35 1 1
Schedule A (Form 990 or 990-EZ) 2004
423131
11-24-04
10
10580703 757957 30125A 2004.09040 CITIZENS FOR COMMUNITY VALU 30125A 1
Schedule A (Form 990 or 990-EZ) 2004 CITIZENS FOR COMMUNITY VALUES 31-1075684 Page 5
P VI-A Lobbying Expenditures by Electing Public Charities ( See page 9 of the instructions)
(To be completed ONLY by an eligible organization that filed Form 5768)
Chark ^ a n if the organization belongs to an affiliated arouo Check ^ b if you checked °a ° and 'limited control' provisions apply
(a) (b)
Limits on Lobbying Expenditures Affiliated group To be completed for ALL
(The term 'expenditures" means amounts paid or incur red totals electing organizations
N/A
36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 36 7,111.
37 Total lobbying expenditures to influence a legislative body (direct lobbying) 37 22 1 ,341.
38 Total lobbying expenditures (add lines 36 and 37) 38 228 ,452.
39 Other exempt purpose expenditures 39 1 , 453,892.
40 Total exempt purpose expenditures (add lines 38 and 39) 40 1 , 682,344.
41 Lobbying nontaxable amount Enter the amount from the following table -
If the amount on line 40 is - The lobbying nontaxable amount is -
Not over $500,000 20% of the amount on line 40 _
Over $500,000 but not over $1,000,000 $100,000 plus 15% of the excess over $500,000
Over $1,000,000 but not over $1,500,000 $175,000 plus 10% of the excess over $1,000,000 41 234,117.
Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000
Caution: If there is an amount on either line 43 or line 44, you must file Form 4720.
52 a Is the organization directly or indirectly affiliated with , or related to , one or more tax-exempt organizations described in section 501 (c) of the
Code ( other than section 501 (c)(3 )) or in section 5279 _ ^ = Yes No
12
10580703 757957 30125A 2004.09040 CITIZENS FOR COMMUNITY VALU 30125A 1
2004 DEPRECIATION AND AMORTIZATION REPORT
FORM 990 PAGE 2 990
Asset Date Line Unadjusted Bus % Reduction In Basis For Accumulated Current Amount Of
No Description Acquired Method Life Na Cost Or Basis Excl Basis Depreciation Depreciation Sec 179 Depreciation
428102
10-08-04 (D) - Asset disposed ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction
16
CITIZENS FOR COMMUNITY VALUES 31-10' 5684'
ACTIVITY GROSS
KIND AND LOCATION OF PROPERTY NUMBER RENTAL INCOME
17 STATEMENT(S) 1, 2, 3
10580703 757957 30125A 2004.09040 CITIZENS FOR COMMUNITY VALU 30125A 1
I CITIZENS FOR COMMUNITY VALUES 31-1075684'
EXPLANA'T ION
GRANTS EXPENSES
18 STATEMENT(S) 4, 5
10580703 757957 30125A 2004.09040 CITIZENS FOR COMMUNITY VALU 30125A 1
'CITIZENS FOR COMMUNITY VALUES 31-10715684'
GRANTS EXPENSES
DONEE'S
CLASSIFICATION DONEE'S NAME DONEE'S ADDRESS RELATIONSHIP AMOUNT
19 STATEMENT(S) 6, 7
10580703 757957 30125A 2004.09040 CITIZENS FOR COMMUNITY VALU 30125A 1
'CITI'ZENS FOR COMMUNITY VALUES 31-107h684 '
FOOTNOTES
STATEMENT(S) 1
'CITIZENS FOR COMMUNITY VALUES 31-107'5684 '
OTHER
PUBLICLY TOTAL
CORPORATE CORPORATE TRADED NON-GOV'T
SECURITY DESCRIPTION COST/FMV STOCKS BONDS SECURITIES SECURITIES
INVESTMENTS FMV 0.
COST OR ACCUMULATED
DESCRIPTION OTHER BASIS DEPRECIATION BOOK VALUE
DESCRIPTION AMOUNT
DESCRIPTION AMOUNT
20 STATEMENT ( S) 8, 9, 10, 11
10580703 757957 30125A 2004.09040 CITIZENS FOR COMMUNITY VALU 30125A 1
'CITIZENS FOR COMMUNITY VALUES 31-107'5684 '
EMPLOYEE
TITLE AND COMPEN- BEN PLAN EXPENSE
NAME AND ADDRESS AVRG HRS/WK SATION CONTRIB ACCOUNT
21 STATEMENT(S) 12
10580703 757957 30125A 2004.09040 CITIZENS FOR COMMUNITY VALU 30125A 1
CITIZENS FOR COMMUNITY VALUES 31-1075684'
22 STATEMENT(S) 13
10580703 757957 30125A 2004.09040 CITIZENS FOR COMMUNITY VALU 30125A 1
Form 8868 Application for Extension of Time To File an
(Rev. December 2004) Exempt Organization Return OMB No. 1545-1709
Department of the Treasury
Internal Revenue Service ^ File a ication for each retu rn .
• If you are filing for an Automatic 3-Month Extension , complete only Part I and check this box ^ FX0
• If you are filing for an Additional (not automatic ) 3-Month Extension , complete only Part II (on page 2 of this form).
Do not complete Part II unless you have already been granted an automatic 3-month extension on a previously filed Form 8868.
Part t Automatic 3-Month Extension of Time - Only submit onginal (no copies needed)
Form 990 -T corporations requesting an automatic 6-month extension - check this box and complete Part I only ^ 0
All other corporations (Including Form 990-C filers) must use Form 7004 to request an extension of time to file income tax
returns. Partnerships, REMICs, and trusts must use Form 8736 to request an extension of time to file Form 1065, 1066, or 1041.
Electronic Filing (e -file). Form 8868 can be filed electronically if you want a 3-month automatic extension of time to file one of the returns noted
below (6 months for corporate Form 990-T filers). However, you cannot file it electronically if you want the additional (not automatic) 3-month
extension, instead you must submit the fully completed signed page 2 (Part II) of Form 8868. For more details on the electronic filing of this form,
visit www.irs.gov/efile.
Type or Name of Exempt Organization Employer identification number
print
CITIZENS FOR COMMUNITY VALUES 31-1075684
File by the
due date for Number , street , and room or suite no . If a P.O. box, see instructions.
filing your
return See
11175 READING ROAD, NO. 103
instructions City, town or post office, state , and ZIP code. For a foreign address, see instructions
CINCINNATI, OH 45241
Check type of return to be filed (file a separate application for each return):
1 I request an automatic 3-month (6-months for a Form 990 -T corporation ) extension of time until AUGUST 15, 2005
to file the exempt organization return for the organization named above . The extension is for the organization's return for,
^ OX calendar year 2 0 0 4 or
^ Q tax year beginning , and ending
2 If this tax year is for less than 12 months , check reason : 0 Initial return Final return Change in accounting period
3a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069 , enter the tentative tax , less any
nonrefundable credits. See instructions
b If this application is for Form 990-PF or 990-T, enter any refundable credits and estimated
tax payments made. Include any pnor year overpayment allowed as a credit
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 System). See Instructions N/A
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
LHA For Privacy Act and Paperwork Reduction Act Notice , see instructions . Form 8868 (Rev 12-2004)
423831
01-10-05
23
10580703 757957 30125A 2004.09040 CITIZENS FOR COMMUNITY VALU 30125A 1
1 ' '
)MB No 1t4G-0047 /
Return of Organization Exempt From Income Tax
'-Form 9 9 O
1
Department rtheTreasury
Under section 501(c ), 527, or 4947 (a)(1) of the Internal Revenue Code ( except black lung
benefit trust or private foundation)
2005 ('I
Internal Re'.- nee Service 10, The organ ization ma y have to use a co py of this return to satis fy state reportin g re q uirements
2°
0 A For the 2005 calendar year , or tax year be i inn and endi
D Employer identification number
4 ^"8 Chear if
iC r% applI&.ble
Please C Name of organization
use IRS
Address label or
R G O change pnntor ITIZENS FOR COMMUNITY VALUES 31-107568 4
"to
MV me
a =cange ry pe Number and street (or P 0 box if mad is not delivered to street address) Room/suite E Telephone number
SpeSee 103
erg r^retum
--- n cific 1117 5 READING ROAD 1513' 733-5775
r__, Instnir-
u;eii;m hon5 City or town, state or country, and ZIP + 4 F Pccountingmethod = Cash [] Accrual
523011
02-03-06
2
14240710 757957 30125A 2005. 09001 CITIZENS FOR COMMUNITY VALU 30125A 1
Form 990 2005) CITIZENS FOR COMMUNITY VALUES 31-1075684 Page3
Part ID Statement of Program Service Accomplishments (See the rnstructrons)
Form 990 is available for public inspection and, for some people, serves as the pnrnary or sole source of information about a particular organization.
How the public perceives an organization in such cases may be determined by the information presented on its return. Therefore, please make sure the
return is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments.
What is the organization 's primary exempt purpose? ^ SEE STATEMENT 7 Program Service
Expenses
(Required for 501(c)(3)
All organizations must describe their exempt purpose achievements in a clear and concise manner State the number of and (4) oras, and
clients served mihlicatinnc tecued etc. Di3cuss cc.h;a^a;,;i;;,ts iiiai are nor rneasuraoie . (Section 501 (c)(3) and (4) 4947 (a)(1) trusts, but
organizations and 4947 (a)(1) nonexempt chartable trusts must also enter the amount of grants and allocations to others .) optional for others )
(Grants and allocations $ If this amount includes forei g n g rants , check here ^ Q 410,767.
b PUBLIC EDUCATION - THROUGH CCV SPEAKERS BUREAU, PUBLICATIONS
AND MEDIA ADVISORIES, CCV ADDRESSES ISSUES OF PORNOGRAPHY,
SEXUALLY ORIENTED BUSINESSES, MATERIAL HARMFUL TO CHILDREN &
ABNORMAL SEXUAL BEHAVIOR. BENEFITS OVER 5 MILLION IN 2005.
(Grants and allocations $ If this amount includes forei gn g rants, check here ^ LI 503,821.
C
Grants and allocations $ If this amount includes forei gn rants , check here ^
d
Grants and allocations $ If this amount includes foreign rants, check here ^ Q
e Other program services (attach schedule)
Grants and allocations $ If this amount includes forei g n rants, check here ^
f Total of Program Service Expenses (should equal line 44, column (B), Program services) ^ 914,588.
Form 990 (2005)
523021
02-03-06
3
14240710 757957 30125A 2005.09001 CITIZENS FOR COMMUNITY VALU 30125A 1
'j I I
Form 990 2005 CITIZENS FOR COMMUNITY VALUES 31-1075684 ^Page 4
Part IV Balance Sheets (See the instructions.)
Note : Where required, attached schedules and amounts within the description column (A) (B)
should be for end-of-year amounts only Beginning of year End of year
59 Total assets (must eq ual line 74) . Add lines 45 throu g h 58 505,332. 59 448,659.
60 Accounts payable and accrued expenses 15,366. 60 79,206.
61 Grants payable 61
62 Deferred revenue 62
N
?' 63 Loans from officers, directors, trustees, and key employees 63
64 a Tax-exempt bond liabilities 64a
b Mortgages and other notes payable 64b
65 Other liabilities (describe ^ ) 65
523031
02-03-06
4
14240710 757957 30125A 2005.09001 CITIZENS FOR COMMUNITY VALU 30125A 1
Form 990 2005 CITIZENS FOR COMMUNITY VALUES 31-1075684 ^Page 5
Part IV-Al Reconciliation of Revenue per Audited Financial Statements With Revenue per Return (see the
instructions)
a Total revenue, gains, and other support per audited financial statements a 1,202,852.
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 facilities b2 24,611.
3 Recoveries of prior year grants b3
4 Other (specify): b4
Add lines bi through b4 24,611.
c Subtract line b from line a 78,241.
d Amounts included on Part I, line 12, but not on line a:
1 Investment expenses not included on Part I, line 6b d1
2 Other(specify): DONATED SERVICES FOR SPECIAL EVENTS d2 1,175.
Add lines d1 and d2 d 1,175.
^ e 1,179,416.
on of Expenses per per Return
a Total expenses and losses per audited financial statements a 1,323,365.
b Amounts included on line a but not on Part I, line 17.
1 Donated services and use of facilities bi 24,611.
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 24,611.
c Subtract line b from line a _ c 1,298, 754.
d Amounts included on Part I, line 17, but not on line a:
1 Investment expenses not included on Part I, line 6b d1
2 Other (specify): DONATED SERVICES FOR SPECIAL EVENTS d2 1,175. .
Add lines d1 and d2 _ d 1,175.
e Total ex p enses Part I line 17) . Add lines c and d ^ e 1,299,929.
Part V-A Current Officers, Directors, Trustees, and Key Employees (List each person who was an officer, director, trustee,
or kev emolovee at any time durlna the year even if they were not cornoensated.) (See the instructions.)
(B) Title and average hours ( C) Compensation ( D)Contnbut i ons to (E) Expense
(A) Name and address per week devoted to (It not paid , enter employee benefit
plans & deferred
account and
position
p - D- . compensation plans other allowances
---------------------------------
-------------------------------
SEE STATEMENT 9 218 213. 11,016. 0.
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
b Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees
listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A,
Part II-A or II-B, related to each other through family or business relationships? If 'Yes,' attach a statement that identifies
the individuals and explains the relationship(s) _ 75b X
c Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees
listed in Schedule A, Part I, or highest compensated professional and other Independent contractors listed in Sched, il= A,
Part ll-A or II-b, receive compensation from any other organizations, whether tax exempt or taxable, that are related to this
organization through common supervision or common control'? 75c X
Note . Related organizations include section 509(a)(3) supporting organizations.
If "Yes," attach a statement that identifies the individuals, explains the relationship between this organization and the other organization(s), and
describes the compensation arrangements, including amounts paid to each individual by each related organization
d Does the organization have a written conflict of interest policy? 75d X
Part V-b Former Officers . Directors. Trustees. and Kev Emolovees That Received Comoensation or Other
Benefits (If any former officer, director, trustee, or key employee received compensation or other benefits (described below) during
the year, list that person below and enter the amount of compensation or other benefits in the appropriate column. See the Instructions.)
(D) cont bueons to (E) Expense
(A) Name and address (B) Loans and Advances (C) Compensation employee benefit
plans & deferred
account and
NONE oom ensation p lans other allowances
---------------------------------
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---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
523162
02-03-06
7
14240710 757957 30125A 2005 . 09001 CITIZENS FOR COMMUNITY VALU 30125A 1
I
t t t,
Form 990 (2005) CITIZENS FOR COMMUNITY VALUES 31- 1075 684 Page8
part V[I Analysis of Income - Producing Activities (see the instructions)
Not e: Enter g ross amounts unless otherwise Unrela ted business income exclu ded by section 512 , 513, or 514
Part IX Information Regard ing Taxable Subsidiaries and Disregarded Entities (See the Instructions)
(A) (B) (C) (0) (E)
Name, address, and EIN of corporation , Percentage of Nature of activities Total income End-of-year
p artnershi p, or disreardedenti ownershi p interest assets
N/A %
(Form 990 or 990-EZ) (Except Private Foundation) and Section 501(e), 501(f), 501(k),
501(n), or 4947(a)(1 ) Nonexempt Charitable Trust
Department of We Treasury
Internal Revenue Service
Supplementary Information-(See separate instructions.)
^ MUST be completed by the above organizations a nd attached to their Form 990 or 990-EZ
2005
Name of the organization ification number
CITIZENS FOR COMMUNITY VALUES 31 1075684
E rdIL! t VVIIIpeti , i Ut I I L Int rive nliynest taro &IIIFAUyeeJ VLIIer I sari vrnocrs, vlrcvwrb, aIw Irus[ees
(See oaae 1 of the instructions List each one If there are none. enter "None')
(b) Title and average hours (d) contributions to (e) Expense
(a) Name and address of each employee paid
net
_ .teek d°,:c'^d , - p., ""
•", w ^^ycnaauuii "^^
plans°'8-deferted
; account and other
iiiurc ti-mr, yOu,uuU position V compensation allowances
KENNETH TAYLOR, JR.
----------------------------
11175 READING ROAD, CINCINNATI, OHIO 40.00 52,293. 4,545.
---------------------------------
---------------------------------
---------------------------------
---------------------------------
Total number of other employees paid
over $50,000 ^ 0
I Part 11-A I Compensation of the Five Highest Paid Independent Contractors for Professional Services
(See page 2 of the instructions List each one (whether individuals or firms) If there are none, enter'None ")
(a) Name and address of each independent contractor paid more than $50,000 (b) Type of service (c) Compensation
--------------------------------------------
NONE
(a) Name and address of each independent contractor paid more than $50,000 (b) Type of service (c) Compensation
--------------------------------------------
NONE
52 31 01/02-03-06 LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 and Form 990-EZ. Schedule A (Form 990 or 990 -EZ) 2005
9
14240710 757957 30125A 2005.09001 CITIZENS FOR COMMUNITY VALU 30125A 1
1 '
Schedule A ( Form 990 or 990-EZ ) 2005 CITIZENS FOR COMMUNITY VALUES 31-1075684' Paae2
d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)') SEE PART V-A, FORM 990 2d X
Part lY Reason for Non - Private Foundation Status (See pages 3 through 6 of the instructions )
The organization is not a private foundation because it is (Please check only ONE applicable box )
5 0 A church, convention of churches , or association of churches Section 170(b)(1)(A)(i)
6 A school section 170(b)(1)(A)(ii) (Also complete Part V )
7 A hospital or a cooperative hospital service organization Section 170(b)(1)(A)(iii)
8 A Federal, state, or local government or governmental unit Section 170(b)(1)(A)(v)
9 A medical research organization operated in conjunction with a hospital Section 170( b)(1)(A)(iii) Enter the hospital ' s name, city,
and state ^
10 An organization operated for the benefit of a college or university owned or operated by a governmental unit Section 170 (b)(1)(A)(iv)
(Also complete the Support Schedule in Part IV-A )
11a E An organization that normally receives a substantial part of its support from a governmental unit or from the general public
Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A )
11b 0 A community trust Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A )
12 An organization that normally receives ( 1) more than 33 1/3 % of its support from contributions , membership fees, and gross
receipts from activities related to its charitable , etc , functions - subject to certain exceptions , and (2 ) no more than 331/3% of
its support from gross investment income and unrelated business taxable income ( less section 511 tax) from businesses acquired
by the organization after June 30, 1975 See section 509(a )( 2) (Also complete the Support Schedule in Part IV-A )
13 0 An organization that is not controlled by any disqualified persons ( other than foundation managers) and supports organizations described in
(1) lines 5 through 12 above, or (2) sections 501(c)(4 ), (5), or (6 ), if they meet the test of section 509 ( a)(2) Check the box that describes
the type of supporting organization ^ 0 Type 1 0 Type 2 = Type 3
Provide the following information about the supported organizations ( See page 6 of the instructions
(b) Line naabover
(a) Name ( s) of supported organization ( s) from bove
14 0 An organization organized and operated to test for public safety Section 509 (a)(4) (See page 6 of the instructions
52 31 1
02-03' 06 Schedule A (Form 990 or 990 - Et) 2005
10
14240710 757957 30125A 2005.09001 CITIZENS FOR COMMUNITY VALU 30125A 1
Schedule A (Form 990 or 990-EZ) 2005 CITIZENS FOR COMMUNITY VALUES 31-1075684 Page 3
P W-A Support Schedule (Complete only if you checked a box on line 10, 11, or 12.) Use cash method of accounting.
Note : You may use the worksheet in the instructions for convertino from the accrual to the cash method of accounhno.
Calendar year ( or fiscal year
beginning in) ^ (a) 2004 ( b) 2003 ( c) 2002 ( d) 2001 ( e) Total
15 Gifts , grants , and contributions
lineo28include unusual
grants 1, 425, 841. 950, 565. 756, 078. 830, 196. 3,962,680.
Se
16 Membership fees received
17 Gross receipts from admissions,
merchandise sold or services
performed , or furnishing of
facilities in any activity that is
reiatea to the organization's
charitable , etc ,purpose 20,948. 16,251. 26,547. 1,565. 65,311.
18 Gross income from interest,
dividends , amounts received from
payments on securities loans (sec-
tion 512 ( a)(5)), rents , royalties, and
unrelated business taxable income
(less section 511 taxes) from
businesses acquired by the
organization after June 30 , 1975 4, 820. 3,426. 3,870. 3,784. 15,900.
19 Net income from unrelated business
activities not included in line 18
20 Tax revenues levied for the
organization ' s benefit and either
paid to it or expended on its behalf
21 The value of services or facilities
furnished to the organization by a
governmental unit without charge
Do not include the value of services
o r facilities generally furnished to
the public without charge
22 Other income Attach a schedule SEE STATEME T 10
Do not include gain or (loss) from
sale of capital assets 4,075. 1,724. 848. 6,457. 13,104.
23 Total of lines 15 through 22 1, 455, 684. 971, 966. 787, 343. 842,002 . 4,056,995.
24 Line 23 minus line 17 1, 434, 736. 955,715. 760, 796. 840, 437. 3, 991, 684.
25 Enter 1 % of line 23 14,557. 9,720. 7,873. 8,420.
26 Organizations described on lines 10 or 11 : a Enter 2% of amount in column ( e), line 24 ^ 26a 79,834.
b Prepare a list for your records to show the name of and amount contributed by each person ( other than a governmental
unit or publicly supported organization ) whose total gifts for 2001 through 2004 exceeded the amount shown in line 26a
Do not file this list with your return . Enter the total of all these excess amounts ^ 26b 2 ,089,292.
c Total support for section 509(a )( 1) test Enter line 24 , column ( e) ^ 26c 3 ,991,684.
d Add, Amounts from column (e) for lines 18 15,900. 19
22 13,104. 26b 2, 089, 292. ^ 26d 2 ,118,296.
e Public support ( line 26c minus line 26d total) ^ 26e 1 ,873,388.
f Public su pp ort p ercenta g e ( line 26e ( numerator ) divided by line 26c denominator ^ 26f 46.9323%
27 Organizations described on line 12 a For amounts included in lines 15, 16, and 17 that were received from a "disqualified person' prepare a list foryour
records to show the name of, and total amounts received in each year from, each "disqualified person ' Do not file this list with your return . Enter the sum of
such amounts for each year N/A
(2004) (2003) (2002) (2001)
b For any amount included in line 17 that was received from each person (other than "disqualified persons"), prepare a list for your records to show the name of,
and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000 (Include in the list organizations
described in lines 5 through 11 b, as well as individuals) Do not file this list with your return . After computing the difference between the amount received and
the larger amount descnbed in (1) or (2), enterthe sum of these differences (the excess amounts) for each year N/A
(2004) (2003) (2002) (2001)
c Add Amounts from column (e) for lines 15 16
17 20 21 N /A
d Add Line 27a total and line 27b total ^ 27d N/A
e Public support (line 27c total minus line 27d total) ^ 27e N/A
f Total support for section 509(a)(2) test Enter amount on line 23, column (e) ^ 27f N/A
g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) ^ 27 N/A %
h Investment income percentage (line 18 , column (e) (numerator) divided by line 27f (denominator)) ^ 27h N/A %
28 Unusual Grants : For an organization described in line 10,11, or 12 that received any unusual grants during 2001 through 2004, prepare a list for your records to
show, for each year, the name of the contributor, the date and amount of the grant, and a brief description of the nature of the grant Do not file this list with your
return . Do not include these grants in line 15
523121 02-03-06 Schedule A (Form 990 or 990-EZ) 2005
11
14240710 757957 30125A 2005.09001 CITIZENS FOR COMMUNITY VALU 30125A 1
A,
Schedule A (Form 990 or 990-EZ) 2005 CITIZENS FOR COMMUNITY VALUES 31-1075684 Page 4
Part y Private School Questionnaire ( See page 7 of the instructions) N/A
(To be completed ONLY by schools that checked the box on line 6 in Part IV)
Yes No
29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws, other governing
instrument, or in a resolution of its governing body ? . 29
30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures, catalogues,
and other written communications with the public dealing with student admissions, programs, and scholarships? 30
31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during the period of
solicitation for students, or during the registration period if it has no solicitation program in a way that makac the nn"cy 4m-ln
to au parts or the general community it serves? . . 31
If'Ves ' please describe, if No," please explain (If you need more space, attach a separate statement.)
34 a Does the organization receive any financial aid or assistance from a governmental agency? 34a
b Has the organization's right to such aid ever been revoked or suspended? 34b
If you answered "Yes' to either 34a or b, please explain using an attached statement
35 Does the organization certify that it has complied with the applicable requirements of sections 4 01 through 4 05 of Rev Proc 75-50,
1975-2 C B 587, covering racial nondiscrimination? If "No, attach an explanation 35
Schedule A (Form 990 or 990 -EZ) 2005
523131
02-03-06
12
14240710 757957 30125A 2005 . 09001 CITIZENS FOR COMMUNITY VALU 30125A 1
{ k '
Schedule A ( Form 990 or 990 -EZ) 2005 CITIZENS FOR COMMUNITY VALUES 31-1075684 Page 5
Part VIMA Lobbying Expenditures by Electing Public Charities (See page 9 of the instructions)
(To be completed ONLY by an eligible organization that filed Form 5768)
Check 10, a - 0 if the or amzatlon belon s to an affiliated n rou n Check b EE: if ou checked "a" and 'limited control ' p rovisions a If J-
(a) (b)
Limits on Lobbying Expenditures Affiliated group To be completed for ALL
(The term 'expenditures" means amounts paid or incurred totals electing organizations
N/A
36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 36 941.
37 Total lobbying expenditures to influence a legislative body (direct lobbying) 37 1,01 - R 5 4
3& Toiai iuuuyllty expenaltures (add lines 36 and 37) _ 38 102, 795.
39 Other exempt purpose expenditures 39 1 , 220, 570.
40 Total exempt purpose expenditures (add lines 38 and 39) 40 1 , 323, 365.
41 Lobbying nontaxable amount Enter the amount from the following table -
If the amount on line 40 is - The lobbying nontaxable amount is -
Not over $500,000 20% of the amount on line 40
Over $500,000 but not over $1,000,000 $100,000 plus 15% of the excess over $500,000
Over $1,000,000 but not over $1,500,000 $175,000 plus 10% of the excess over $1,000,000 41 207, 337.
Over$1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000
Caution : If there is an amount on either line 43 orlme 44, you must file Form 4720
52 a Is the organization directly or indirectly affiliated with , or related to , one or more tax-exempt organizations described in section 501 ( c) of the
Code ( other than section 501(c)(3 )) or in section 527 ^ E] Yes 0 No
14
14240710 757957 30125A 2005.09001 CITIZENS FOR COMMUNITY VALU 30125A 1
2005 DEPRECIATION AND AMORTIZATION REPORT
FORM 990 PAGE 2 990
Asset Date Lin e Unadjusted Bus % Reduction In Basis For Accumulated Current Amount Of
Description Acquired Method Life Cost Or Basis Excl Basis Depreciation Depreciation Sec 179 Depreciation
0i osos (D) - Asset disposed * ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone r
18
tITIZ'ENS FOR COMMUNITY VALUES 31-10715684
FOOTNOTES STATEMENT 1
19 STATEMENT(S) 1
14240710 757957 30125A 2005.09001 CITIZENS FOR COMMUNITY VALU 30125A 1
'CITIZENS FOR COMMUNITY VALUES 31-10^5684'
20 STATEMENT(S) 2, 3, 4
14240710 757957 30125A 2005.09001 CITIZENS FOR COMMUNITY VALU 30125A 1
"CITIGENS FOR COMMUNITY VALUES 31-10/5684'
EMPLOYEE EXPENSE
NAME OF OFFICER, ETC. COMPENSATION BEN. PLANS ACCOUNTS TOTALS
EMPLOYEE EXPENSE
NAME OF OFFICER, ETC. COMPENSATION BEN. PLANS ACCOUNTS TOTALS
TOTAL OFFICER, ETC., COMPENSATION INCLUDED ON PARTS V-A AND V-B 229,229.
DONEE'S
CLASSIFICATION DONEE'S NAME DONEE'S ADDRESS RELATIONSHIP AMOUNT
21 STATEMENT(S) 5, 6
14240710 757957 30125A 2005.09001 CITIZENS FOR COMMUNITY VALU 30125A 1
tITIANS FOR COMMUNITY VALUES 31-107+5684'
EXPLANATION
COST OR ACCUMULATED
DESCRIPTION OTHER BASIS DEPRECIATION BOOK VALUE
22 STATEMENT(S) 6, 7, 8
14240710 757957 30125A 2005.09001 CITIZENS FOR COMMUNITY VALU 30125A 1
tITIZ'ENS FOR COMMUNITY VALUES 31-1015684'
EMPLOYEE
TITLE AND COMPEN- BEN PLAN EXPENSE
NAME AND ADDRESS AVRG HRS/WK SATION CONTRIB ACCOUNT
23 STATEMENT(S) 9
14240710 757957 30125A 2005.09001 CITIZENS FOR COMMUNITY VALU 30125A 1
CITIZENS FOR COMMUNITY VALUES 31-1015684`
24 STATEMENT(S) 10
14240710 757957 30125A 2005.09001 CITIZENS FOR COMMUNITY VALU 30125A 1
Form 8868 Application for Extension of Time To File an
(Rev. December2004) Exempt Organization Return OMB No. 1545-1709
Department of the Treasury
Internal Revenue Service ^ File a separate application for each return.
• If you are filing for an Automatic 3-Month Extension , complete only Part I and check this box ^ FR
• If you are filing for an Additional (not automatic ) 3-Month Extension, complete only Part II (on page 2 of this form).
Do not complete Part II unless you have already been granted an automatic 3-month extension on a previously filed Form 8868.
Pa l Automatic 3-Month Extension of Time - Only submit onginal (no copies needed)
Form 990 -T corporations requesting an automatic 6-month extension - check this box and complete Part I only ^ Q
All other corporations (including Form 990-C filers) must use Form 7004 to request an extension of time to file income tax
returns. Partnerships, REMICs, and trusts must use Form 8736 to request an extension of time to file Form 1065, 1066, or 1041
Electronic Filing (e -file). Form 8868 can be filed electronically if you want a 3-month automatic extension of time to file one of the returns noted
below (6 months for corporate Form 990-T filers). However, you cannot file it electronically if you want the additional (not automatic) 3-month
extension, instead you must submit the fully completed signed page 2 (Part II) of Form 8868. For more details on the electronic filing of this form,
visit www.Irs.gov/efile.
Type or Name of Exempt Organization Employer identification number
print
CITIZENS FOR COMMUNITY VALUES 31-1075684
File by the
due date for Number, street, and room or suite no. If a P.O. box, see instructions.
filing your 11175 READING ROAD, NO. 103
return See
instructions City, town or post office, state, and ZIP code For a foreign address, see instructions.
CINCINNATI, OH 45241
Check type of return to be filed (file a separate application for each return):
1 I request an automatic 3-month (6-months for a Form 990 - T corporation ) extension of time until AUGUST 15, 2006
to file the exempt organization return for the organization named above . The extension is for the organization 's return for:
^[ calendar year 2 0 0 5 or
^ O tax year beginning , and ending
2 If this tax year is for less than 12 months, check reason : El Initial return 0 Final return El Change in accounting period
3a If this application is for Form 990-BL, 990 - PF, 990 -T, 4720 , or 6069 , enter the tentative tax, less any
nonrefundable credits. See instructions
b If this application is for Form 990-PF or 990-T, enter any refundable credits and estimated
tax payments made. Include any prior year overpayment allowed as a credit
c Balance Due. Subtract line 3b from line 3a Include your payment with this form, or, if required, deposit with FTD
coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See Instructions $ N/A
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.
LHA For Privacy Act and Paperwork Reduction Act Notice , see instructions . Form 8868 (Rev 12-2004)
523831
05-01-05
25
14240710 757957 30125A 2005.09001 CITIZENS FOR COMMUNITY VALU 30125A 1
OMB No 1545-00,
Return of Organization Exempt From Income Tax I 2006
Form 990 Under section 501(c ), 527, or 4947( a)(1) of the Internal Revenue Code ( except black lung
benefit trust or private foundation )
Department of the Treasury Open In Public
In tern al Revenue Service ^ The o rganization may have to use a copy of this return to satisfy state reporting requirements ktspgct)on
p A For the 2006 calendar year , or tax year be and endin
N
g check it
Pl eas e
C Name of organization D Employer identification number
applicable
use IRS
Address
change
panto' C ITIZENS FOR COMMUNITY VALUES
label
31-1075684
pnnt r
=change Stype Number and street (or P 0 box if mail is not delivered to street address) Room/suite E Telephone number
almost ee 1117 5 READING ROAD 103
return specific (513)733-5775
Flnal Instruc -
O retum bons City or town, state or country, and ZIP + 4 F Accounting meMod " Cash I XJ Accrual
= Amended
return INCINNATI OH 45241
• Section 501 ( c)(3) organizations and 4947( a)(1) nonexempt charitable trusts H and I are not applicable to section 527 organizations
pending
must attach a completed Schedule A (Form 990 or 990-EZ).
H(a) Is this a group return for affiliates? 0 Yes 0 No
G Website: • CCV . ORG H(b) If 'Yes' enter number of affiliates 0, N/A
J Organization type (checkonlyone) ^ a 501(c) ( 3 ) I (insert no) 0 4947(a)(1) or 0 H(c) Are all affiliates included'? N/A 0 Yes =No
(if 'No,' attach a list )
K Check here ^ 0 if the organization is not a 509(a)(3) supporting organization and its gross H(d) Is this a separate return filed by an or-
receipts are normally not more than $25,000 A return is not required, but it the organization ganization covered by a group ruling? 0 Yes 0 No
chooses to file a return, be sure to file a complete return I Group Exerrotion Number 10, N/A
M Check ^ L if the organization is not required to attach
L Gross receipts Add lines 6b , 8b, 9b , and 10b to line 12 ^ 1 , 648 , 329. Sch B ( Form 990 , 990-EZ , or 990-PF)
Part 1 Revenue. Expenses . and Chanaes in Net Assets or Fund Balances
1 Contributions, gifts, grants, and similar amounts received
a Contributions to donor advised funds 1a
b Direct public support (not included on line 1a) 1b 1,576,049.
c Indirect public support (not included on line 1a) _ 1c
it Government contributions (grants) (not included on line 1a) 1d
e Total (add lines 1 a through 1d) (cash $ 9 6 4 , 2 9 5. noncash $ 611,754. ) le 1,576,049.
2 Program service revenue including government fees and contracts (from Part VII, line 93) 2 1,900.
3 Membership dues and assessments 3
4 Interest on savings and temporary cash investments 4 8,465.
5 Dividends and interest from securities 5 3,199.
6 a Gross rents 6a
b Less rental expenses 6b
• c Net rental income or (loss) Subtract line 6b from line 6a Sc
7 Other investment income (describe ^ 7
8 a Gross amount from sales of assets other (A ) Securities ( B ) Other
than inventory 8a
b Less cost or other basis and sales expenses 8b
c Gain or (loss) (attach schedule) 8c
d Net gain or (loss) Combine line 8c, columns (A) and (B) 8d
9 Special events and activities (attach schedule) If any amount is from gaming, check here ^
a Gross revenue (not inducting S 0 • of contnbubons reported on line 1b) 9a 40,750 .
b Less direct expenses other than fundraising expenses 9b 53,280.
(_ c Net income or (loss) from special events Subtract line 9b from line 9a SEE STATEMENT 1 gc < 12 , 5 3 0 .
CM
10 a Gross sales of inventory, less returns and allowances 10a
Cl%j
b Less cost of goods sold _ 10b
CQ c Gross profit or (loss) from sales of inventory (attach schedule) Subtract line 10b from line 10a 10c
11 Other revenue (from Part VII, line 103) 11 17 966 .
Ltj
cm
12 Total revenue. Add lines le , 2 3 4 5 6c , 7 , 8d , 9c , 10c and 11 RECEI VED 1 12 1,595, 049 .
13 Program services (from line 44, column (B)) V 13 1 , 021 , 105 .
0 y 14 Management and general (from line 44, column (C)) 14 195, 585 .
CL
15 Fundraising (from line 44, column (D)) NOV 21 2007 15 6 5, 25 6 .
z W 16 Payments to affiliates (attach schedule) q 16
17 Total ex p enses. Add lines 16 and 44 , column (A ) 17 1,281,946.
C)
18 Excess or (deficit) for the year Subtract line 17 f rom line 12 18 313, 103 .
y 19 Net assets or fund balances at beginning of year (from line 73, column (A)) 19 369, 453 .
Za 20 Other changes in net assets or fund balances (attach explanation) - 20 0 .
21 Net assets or fund balances at end of year Combine lines 18, 19, and 20 21 682 , 556
0i1807 LHA For Privacy Act and Paperwork Reduction Act Notice , see the separate instructions a 1 /orm 990 (2006)
1
16580821 757957 30125A 2006.05070 CITIZENS FOR COMMUNITY VALU 30125A 1 ^6'
Form 990 2006 CITIZENS FOR COMMUNITY VALUES 31-1075684 Page2
Pal'E 11 Statement of All organizations must complete column (A) Columns ( B), (C), and ( D) are required for section 501 (c)(3)
Functional Expenses and (4) organizations and section 4947 (a)(1) nonexempt charitable trusts but optional for others
Do not include amounts reported on line (A ) Total (B) Program ( C) Management ( D) Fundraising
6b, 8b, 9b, 1ob, or 16 of Part I. services and general
22a Grants paid from donor advised funds
(attach schedule)
(cas h $ 0 • noncash $ 0
If this amount includes foreign grants, check here 0 2a
What is the organization 's primary exempt purpose ? ^ SEE STATEMENT 4 Program Service
Expenses
(Required for 501 (c)(3)
All organizations must describe their exempt purpose achievements in a clear and concise manner. State the number of and (4 ) orgs , and
clients served , publications issued , etc. Discuss achievements that are not measurable . (Section 501 (c)(3) and (4) 4947 (a)(1) trusts, but
organizations and 4947(a)(1) nonexempt chantable trusts must also enter the amount of grants and allocations to others.) optional for others )
(Grants and allocations $ 51 , 000 . If this amount includes forei g n g rants , check here ^ 484,395.
b PUBLIC EDUCATION - THROUGH CCV SPEAKERS BUREAU, PUBLICATIONS
AND MEDIA ADVISORIES, CCV ADDRESSES ISSUES OF PORNOGRAPHY,
SEXUALLY ORIENTED BUSINESSES, MATERIAL HARMFUL TO CHILDREN &
ABNORMAL SEXUAL BEHAVIOR. BENEFITS OVER 5 MILLION IN 2006.
(Grants and allocations $ 23 , 000 . If this amount includes forei g n g rants , check here ^ 0 536,710.
C
(Grants and allocations $ If this amount includes forei g n g rants , check here ^
d
(Grants and allocations $ If this amount includes forei g n g rants , check here ^ Q
e Other program services (attach schedule)
(Grants and allocations $ If this amount includes forei g n g rants , check here ^ Q
f Total of Program Service Expenses (should equal line 44, column (B), Program services) ^ 1,021,105.
Form 990 (2006)
623021
01-18-07
3
16580821 757957 30125A 2006.05070 CITIZENS FOR COMMUNITY VALU 30125A 1
Form 990 2006 CITIZENS FOR COMMUNITY VALUES 31- 1075684 Page4
Part IV Balance Sheets (See the instructions)
Note : Where required, attached schedules and amounts within the description column (A) (B)
should be for end-of-year amounts only Beginning of year End of year
623031
01-20-07
4
16580821 757957 30125A 2006.05070 CITIZENS FOR COMMUNITY VALU 30125A 1
Form 990 2006 CITIZENS FOR COMMUNITY VALUES 31-1075684 Page5
Part 1V-A Reconciliation of Revenue per Audited Financial Statements With Revenue per Return (See the
instructions)
a Total revenue, gains, and other support per audited financial statements a 1,616,342.
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 facilities b2 21,293.
3 Recoveries of prior year grants b3
4 Other (specify): b4
Add lines bl through b4 b 21,293.
c Subtract line b from line a c 1,595,049.
d Amounts included on Part I, line 12, but not on line a:
1 Investment expenses not included on Part I, line 6b d1
2 Other (specify)* d2
Add lines d1 and d2 d 0 .
e Total revenue Part I line 12) . Add lines c and d 1 595 049 . ^ e
Path IV-B Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
a Total expenses and losses per audited financial statements a 1,303,239.
b Amounts included on line a but not on Part I, line 17:
1 Donated services and use of facilities b1 21,293.
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 21,293.
c Subtract line b from line a _ c 1,281,946.
d Amounts included on Part I, line 17, but not on line a:
1 Investment expenses not included on Part I, line 6b d1
2 Other (specify): d2
Add lines d1 and d2 d 0 .
e Total ex penses Part I line 17) . Add lines c and d ^ e 1 , 281 f 946.
Part V-A Current Officers, Directors , Trustees , and Key Employees (List each person who was an officer, director, trustee,
or key employee at any time dunna the year even if they were not compensated.) (See the Instructions)
(B) Title and average hours ( C) Compensation ( D)contnbuuons to (E) Expense
(A) Name and address per week devoted to (If not paid, enter ben efi account and
l8edefemedt
plans
position - 0- compensation plans other allowances
---------------------------------
--------------------------------
SEE STATEMENT 6 240 854. 20 , 201. 0.
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
---------------------------------
b Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees
listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A,
Part II-A or II-B, related to each other through family or business relationships? If 'Yes,' attach a statement that identifies
the individuals and explains the relationship(s) 75b X
c Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees
listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A,
Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the
organization? See the instructions for the definition of 'related organization .' 75c X
If Yes,' attach a statement that includes the information described in the instructions.
d Does the org anization have a written conflict of interest policy? 75d X
Part V-B Former Officers . Directors . Trustees. and Kev EmDlovees That Received Comaensation or Other
Benefits (If any former officer, director, trustee, or key employee received compensation or other benefits (described below) during
the year, list that person below and enter the amount of compensation or other benefits in the appropriate column. See the instructions
(C) Compensation ( D) Contributions to (E) Expense
employee benefit
(A) Name and address ( B) Loans and Advances (if not paid , plans & deferred
account and
NONE enter -0-) com p ensation p lans other allowances
---------------------------------
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623161 /01-18-07
Form 990 2006 CITIZENS FOR COMMUNITY VALUES 31-1075684 Pagel
pan VI Other Information (continued) Yes No
82 a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at substantially
less than fair rental value's 82a X
b If Yes,' you may indicate the value of these items here. Do not include this
amount as revenue in Part I or as an expense in Part II
(See instructions in Part III.) 82b 21,793.
83 a Did the organization comply with the public inspection requirements for returns and exemption applications" 83a X
b Did the organization comply with the disclosure requirements relating to quid pro quo contributions" 83b X
84 a Did the organization solicit any contributions or gifts that were not tax deductible? 84a X
b If Yes,' did the organization include with every solicitation an express statement that such contributions or gifts were not
taxdeductible'7 N/A 84b
85 501(c)(4), (5), or (6) organizations. a Were substantially all dues nondeductible by members? N/A 85a
b Did the organization make only in-house lobbying expenditures of $2,000 or less? N/A 85b
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 85c N/A
d Section 162(e) lobbying and political expenditures 85d N/A
e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices 85e N/A
f Taxable amount of lobbying and political expenditures (line 85d less 85e) 85f N/A
g Does the organization elect to pay the section 6033(e) tax on the amount on line 85f? N/A 85
h If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line 85f
to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the
following tax year" N/A 85h
86 501(c)(7) organizations. Enter: a Initiation fees and capital contributions included on
line 12 86a N/A
b Gross receipts, included on line 12, for public use of club facilities 86b N/A
87 501(c)(12) organizations Enter: a Gross income from members or shareholders 87a N/A
b Gross income from other sources. (Do not net amounts due or paid to other sources
against amounts due or received from them.) 87b N/A
88 a At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership,
or an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?
If Yes,' complete Part IX _ 88a X
b At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of
section 512(b)(13)? If 'Yes,' complete Part XI ^ 88b X
89 a 501(c)(3) organizations. Enter: Amount of tax imposed on the organization during the year under:
section 4911110, 8 9 . , section 4912 ^ 0 . , section 4955 ^ 0.
b 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefit
transaction during the year or did it become aware of an excess benefit transaction from a prior year"
If Yes,' attach a statement explaining each transaction 89b X
c Enter Amount of tax imposed on the organization managers or disqualified persons during the year under
sections 4912, 4955, and 4958 ^ 0
d Enter Amount of tax on line 89c, above, reimbursed by the organization ^ 0.
e All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction'? 89e X
f All organizations Did the organization acquire a direct or indirect interest in any applicable insurance contract9 89f X
g For supporting organizations and sponsoring organizations maintaining donor advised funds Did the supporting organization,
or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year? 89 X
90 a List the states with which a copy of this return is filed
b Number of employees employed in the pay period that includes March 12, 2006 90b 7
91 a The books are in care of ^ CHRIS KERBER Telephone no ^ 513-73 3-5 775
Locatedat ^ 11175 READING RD, SUITE 103, CINCINNATI, OH ZIP+4 ^ 4 524 1
b At any time during the calendar year, did the organization have an interest in or a signature or other authority over Yes No
a financial account in a foreign country (such as a bank account, securities 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.
Form 990 (2006)
623162 / 01-18-07
7
16580821 757957 30125A 2006.05070 CITIZENS FOR COMMUNITY VALU 30125A 1
Form 990 2006 CITIZENS FOR COMMUNITY VALUES 31-1075684 Page8
part Vt Other Information (continued) Yes No
c At any time during 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 ^ N/A
92 Section 4947(a)(1) nonexempt chartable trusts filing Form 990 in lieu of Form 1041 - Check here ^ 0
and enter the amount of tax-exem pt interest received or accrued durin g the tax y ear ^ 92 N/A
Part VII Analysis of Income - Producing Activities (see the Instructions)
Unrelat ed business income Exclu ded by section 512 , 513, or 514 (E)
N o t e: En t er gross amoun t s un l ess o th er wi se
indicated. (A) (B) (^) - (D) Related or exempt
B usine ss Amount ode Amount
93 Program service revenue: function income
a SEMINARS 1,900.
b
c
d
e
f Medicare/Medicaid payments
g Fees and contracts from government agencies
94 Membership dues and assessments
95 Interest on savings and temporary cash investments 14 8,465.
96 Dividends and interest from securities 14 3,199.
97 Net rental income or (loss) from real estate:
adebt -financed property
bnot 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 01 <12,530. >
102 Gross profit or (loss) from sales of inventory
103 Other revenue:
a MATERIALS REVENUE 2,650.
b STAFF OUTSOURCING 15,031.
C MISCELLANEOUS 285.
d
e
104 Subtotal (add columns (B), (D), and (E)) 0. <866. > 19 , 866.
105 Total (add line 104 , columns (B), (D), and (E)) ^ 19,000.
Note : Line 105 plus line le, Part 1, should equal the amount on line 1 2, Part 1.
Part Vi lt Relationship of Activities to the Accomplishment of Exempt Purposes (See the instructions.)
Line No. Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment of the organization's
exempt purposes ( other than by providing funds for such purposes)
103A SALE OF PRINTED MATERIALS PROMOTING CCV'S MISSION.
103B R EIMBURSEMENT FOR CCV STAFF PROVIDING SERVICE TO OTHER ORGANIZATIONS.
103C O THER INCOME.
Part IX Information Regarding Taxable Subsidiaries and Disregarded Entities (See the instructions.)
C (D) N
Name, address, and EIN of corporation, Percentage of Nat
partnership. or disregarded entity ownership interest
N/A
623163
01-16-07
---------------------------------
a
---------------------------------
---------------------------------
b
- --------------------------------
---------------------------------
c
---------------------------------
Totals
Yes No
107 Did the reporting organization receive any transfers from a controlled entity as defined in section 512(b)(13) of the Code? If 'Yes,'
com p lete the schedule below for each controlled entit y .
(A) (B) (C) (D)
Name, address , of each Employer Description of Amount of
Identification
controlled entity Number transfer transfer
---------------------------------
a
---------------------------------
---------------------------------
b
- --------------------------------
--------------------------------
c
---------------------------------
Totals
Yes No
108 Did the organization have a binding written contract in effect on August 17, 2006, covering the interest, rents, royalties, and
annuities described in q uestion 107 above?
Under penalties of perjury, I declare at I have a mad this return , including accompanying schedules and statements , and to the best of my knowledge and belief, it is true , correct,
and comp late Declaration of pie pa (oth cer) is based on all information of which preparer has any knowledge
Please
Sign ®
It CjQ
SI nature of o icer / ' / - Date
Here 6 a'(0 ( fl , f(e / 1 C S1 G^?.,,f
V ,
' T yp e or p rint name and title
Preparers Date Check if Preparers SSN or PTIN (See Gen Inst. )Q
Paid Self-
signature / RANDY WARWICK (4' 81`(1'0) employed ^
Prepare. s Firm's name (or
y oum If GREAR & COMPANY, CPA' S EIN ^
Use only s elf-employed), ' 5552 CHEVIOT ROAD
Zaddress, and
CINCINNATI , OHIO 45247 Phoneno ^ 513-245-1000
Form 990 (2006)
623164 /01-26-07
9
16580821 757957 30125A 2006.05070 CITIZENS FOR COMMUNITY VALU 30125A 1
OMB No 1545-0047
SCHEDULE A Organization Exempt Under Section 501(c)(3)
(Form 990 or 990-EZ) (Except Private Foundation ) and Section 501(e), 501(f), 501(k),
---------------------------------
NONE
---------------------------------
---------------------------------
---------------------------------
---------------------------------
Total number of other employees paid
over $50,000 ^ 0
Part fl-A Compensation of the Five Highest Paid Independent Contractors for Professional Services
(See oaoe 2 of the instructions List each one (whether individuals or firms) If there are none. enter None )
(a) Name and address of each independent contractor paid more than $50 ,000 (b ) Type of service (c) Compensation
--------------------------------------------
--------------------------------------------
--------------------------------------------
Total number of others receiving over
$50,000 for professional services ^ 0
Part fl-8 Compensation of the Five Highest Paid Independent Contractors for Other Services
(List each contractor who performed services other than professional services, whether individuals or
firms If there are none, enter "None' See page 2 of the instructions )
(a) Name and address of each independent contractor paid more than $50,000 (b) Type of service (c) Compensation
--------------------------------------------
NONE
623101/01-18-07 LHA For Paperwork Reduction Act Notice , see the Instructions for Form 990 and Form 990 - EZ. Schedule A (Form 990 or 990 - EZ) 2006
10
16580821 757957 30125A 2006.05070 CITIZENS FOR COMMUNITY VALU 30125A 1
Schedule A ( Form 990 or 990-EZ ) 2006 CITIZENS FOR COMMUNITY VALUES 31-1075684 Page2
part 111 Statements About Activities (See page 2 of the instructions) Yes I No
1 During the year, has the organization attempted to influence national, state, or local legislation, including any attempt to influence
public opinion on a legislative matter or referendum? It 'Yes,' enter the total expenses paid or incurred in connection with the
lobbying activities ^ $ $ 205,681 . (Must equal amounts on line 38, Part VI-A, or
line iofPartVl-B) VI-A, LINE 38B 1 X
Organizations that made an election under section 501(h) by filing Form 5768 must complete Part VI-A Other organizations
checking 'Yes' must complete Part VI-8 AND attach a statement giving a detailed description of the lobbying activities
2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any substantial contributors,
trustees, directors, officers, creators, key employees, or members of their families, or with any taxable organization with which any such
person is affiliated as an officer, director, trustee, majority owner, or principal beneficiary9 (If the answer to any question is "Yes,"
attach a detailed statement explaining the transactions)
a Sale, exchange, or leasing of property 2a X
b Lending of money or other extension of credit? 2b X
c Furnishing of goods, services, or facilities' SEE STATEMENT 7 2c X
d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)7 SEE PART V-A, FORM 990 2d X
e Transfer of any part of its income or assets? 2e X
3 a Did the organization make grants for scholarships, fellowships, student loans, etc 7 (If'Yes"attach an explanation of how
the organization determines that recipients qualify to receive payments ) 3a X
b Dd the organization have a section 403(b) annuity plan for its employees9 3b X
c Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space,
the environment, historic land areas or historic structures If "Yes, attach a detailed statement 3c X
d Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services? 3d X
4 a Did the organization maintain any donor advised funds' If'Yes, complete lines 4b through 4g If "No," complete lines 4f
and 4g 4a X
b Did the organization make any taxable distributions under section 4966? 4b X
c Did the organization make a distribution to a donor, donor advisor, or related person' 4c X
d Enter the total number of donor advised funds owned at the end of the tax year - 10. 0
e Enter the aggregate value of assets held in all donor advised funds owned at the end of the tax year 100 0.
f Enter the total number of separate funds or accounts owned at the end of the year (excluding donor advised funds included on
line 4d) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts lo, 0.
g Enter the aggregate value of assets in all funds or accounts included on line 4f at the end of the tax year 10, 0.
623111
01-18-07
11
16580821 757957 30125A 2006.05070 CITIZENS FOR COMMUNITY VALU 30125A 1
Schedule A (Form 990 or 990-EZ) 2006 CITIZENS FOR COMMUNITY VALUES 31-1075684 Page 3
Fart lv Reason for Non-Private Foundation Status (See pages 4 through 7 of the instructions)
I certify that the organization is not a private foundation because it is (Please check only ONE applicable box )
5 A church , convention of churches , or association of churches Section 170(b)(1 )(A)(1)
6 A school section 170 ( b)(1)(A)(n) (Also complete Part V )
7 0 A hospital or a cooperative hospital service organization Section 170(b)(1)(A)(ni)
8 A federal, state, or local government or governmental unit Section 170 (b)(1)(A)(v)
9 A medical research organization operated in conjunction with a hospital Section 170(b)(1)(A)( ui) Enter the hospital's name, city,
and state ^
10 O An organization operated for the benefit of a college or university owned or operated by a governmental unit Section 170(b)(1)(A)(iv)
(Also complete the Support Schedule in Part IV-A )
11a An organization that normally receives a substantial part of its support from a governmental unit or from the general public
Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A )
11b A community trust Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A )
12 An organization that normally receives- ( 1) more than 331 /3% of its support from contnbutions, membership fees, and gross
receipts from activities related to its charitable, etc , functions - subject to certain exceptions, and (2) no more than 33 1/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired
by the organization after June 30, 1975 See section 509(a)(2) (Also complete the Support Schedule in Part IV-A )
13 O An organization that is not controlled by any disqualified persons ( other than foundation managers ) and otherwise meets the requirements of section
509(a )( 3) Check the box that describes the type of supporting organization
0 Type I = Type II 0 Type III-Functionally Integrated Type III-Other
Provide the following information about the supported organizations . (See page 7 of the instructions )
(a) (b) (c) (d) (e)
Name(s) of supported organization(s) Employer Type of organization Is the supported Amount of
identification (described in lines organization listed in support
number (EIN) 5 through 12 above the supporting
or IRC section) organization's
governing documents?
Yes No
Total ^
14 = An organization organized and operated to test for public safety Section 509(a )(4) (See page 7 of the instructions )
Schedule A (Form 990 or 990-EZ) 2006
623121
01-18-07
12
16580821 757957 30125A 2006.05070 CITIZENS FOR COMMUNITY VALU 30125A 1
Schedule A (Form 990 or 990-EZ) 2006 CITIZENS FOR COMMUNITY VALUES 31-1075684 Page 4
iR JV4 Support Schedule (Complete only if you checked a box on line 10, 11, or 12.) Use cash method of accounting.
Note : You may use the worksheet in the instructions for converting from the accrual to the cash method of accounting
Calendar year ( or fiscal year
beginning in ) ^ ( a) 2005 ( b) 2004 ( c) 2003 (d) 2002 ( e) Total
15 and
r ceiv ed ( Do
e nclu
I d eunu sual
rants See line 28 1 , 216, 145. 1, 425, 841. 950, 565. 756, 078. 4, 348, 629.
16 Membership fees received
17 Gross receipts from admissions,
merchandise sold or services
performed , or furnishing of
facilities in any activity that is
related to the organization's
charitable, etc , purpose 9,721. 20,948. 16,251. 26,547. 73,467.
18 Gross income from interest,
dividends, amounts received from
payments on securities loans (sec-
tion 512 ( a)(5)), rents, royalties, and
unrelated business taxable income
(less section 511 taxes) from
businesses acquired by the
organization after June 30 , 1975 1, 398. 4,820. 3,426. 3,870. 13,514.
19 Net income from unrelated business
activities not included in line 18
20 Tax revenues levied for the
organization's benefit and either
paid to it or expended on its behalf
21 The value of services or facilities
furnished to the organization by a
governmental unit without charge
Do not include the value of services
or facilities generally furnished to
the public without charge
22 Other income Attach a schedule SEE STATEME T 8
Do not include gain or (loss) from
sale of capital assets 16,612. 4,075. 1,724. 848. 23,259.
23 Total of lines 15 through 22 1, 243, 876. 1, 455, 684. 971, 966. 787, 343. 4,458,869.
24 Line 23 minus line 17 1, 234, 155. 1, 434, 736. 955, 715. 760, 796. 4,385,402.
25 Enter 1 % of line 23 12,439. 14,557. 9,720. 7,873.
26 Organizations described on lines 10 or 11: a Enter 2% of amount in column (e), line 24 ^ 26a 87,708 .
b Prepare a list for your records to show the name of and amount contributed by each person ( other than a governmental
unit or publicly supported organization ) whose total gifts for 2002 through 2005 exceeded the amount shown in line 26a
Do not file this list with your return . Enter the total of all these excess amounts ^ 26b 2 ,265,005.
c Total support for section 509 ( a)(1) test Enter line 24 , column ( e) ^ 26c 4 ,385,402.
d Add Amounts from column ( e) for lines 18 13,514. 19
22 23,259. 26b 2, 265, 005 . ^ 26d 2 , 301, 778.
e Public support ( line 26c minus line 26d total ) ^ 26e 2 ,083,624.
I Public support percenta g e ( line 26e ( numerator ) divided b y line 26c ( denominator )) ^ 26f 47.5127%
27 Organizations described on line 12 : a For amounts included in lines 15, 16, and 17 that were received from a 'disqualified person; prepare a list for your
records to show the name of, and total amounts received in each year from, each 'disqualified person ' Do not file this list with your return . Enter the sum of
such amounts for each year N/A
(2005) (2004) (2003) (2002)
b For any amount included in line 17 that was received from each person (other than 'disqualified persons'), prepare a list for your records to show the name of,
and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000 (Include in the list organizations
described in lines 5 through 11b, as well as Individuals ) Do not file this list with your return . After computing the difference between the amount received and
the larger amount described in (1) or (2), enter the sum of these differences (the excess amounts) for each year N/A
(2005) (2004) (2003) (2002)
c Add Amounts from column (e) for lines 15 16
17 20 21 ^ 27c N/A
d Add Line 27a total and line 27b total ^ 27d N/A
e Public support (line 27c total minus line 27d total) _ ^ 27e N/A
I Total support for section 509(a)(2) test Enter amount on line 23, column (e) ^ 2711 N/A
g Public support percentage ( line 27e ( numerator) divided by line 27f (denominator )) _ ^ 27 N/A %
In Investment income percents a ( line 18 , column ( e) ( numerator) divided by line 27f ( denominator)) ^ 27h N/A %
28 Unusual Grants : For an organization descnbed in line 10, 11, or 12 that received any unusual grants during 2002 through 2005, prepare a list for your records to
show, for each year, the name of the contnbutor, the date and amount of the grant, and a brief description of the nature of the grant Do not file this list with your
return . Do not include these grants in line 15
623131 01-18- 07 Schedule A (Form 990 or 990-Eq 2006
13
16580821 757957 30125A 2006.05070 CITIZENS FOR COMMUNITY VALU 30125A 1
Schedule A (Form 990 or 990-EZ) 2006 CITIZENS FOR COMMUNITY VALUES 31-1075684 Page5
p^ V Private School Questionnaire ( See page 9 of the instructions) N/A
(To be completed ONLY by schools that checked the box on line 6 in Part IV)
Yes No
29 Does the organization have a racial) y nondiscriminatory policy toward students by statement in its charter, bylaws, other governing
instrument, or in a resolution of its governing body? 29
30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures, catalogues,
and other written communications with the public dealing with student admissions, programs, and scholarships? 30
31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during the period of
solicitation for students, or during the registration period if it has no solicitation program, in a way that makes the policy known
to all parts of the general community it serves? 31
If 'Yes; please describe, if 'No,' please explain (If you need more space, attach a separate statement
34 a Does the organization receive any financial aid or assistance from a governmental agency?
b Has the organization's right to such aid ever been revoked or suspended?
If you answered 'Yes' to either 34a orb, please explain using an attached statement
35 Does the organization certify that it has complied with the applicable requirements of sections 4 01 through 4 05 of Rev Proc 75-50,
1975-2 C B 587, covering rac ial nondiscrimination? If 'No,' attach an explanation
Schedule A (Form 990 or 990-EZ) 2006
623141
01-18-07
14
16580821 757957 30125A 2006.05070 CITIZENS FOR COMMUNITY VALU 30125A 1
Schedule A ( Form 990 or 990 -EZ) 2006 CITIZENS FOR COMMUNITY VALUES 31-1075684 Page 6
FP2 't VIA. Lobbying Expenditures by Electing Public Charities ( See page 10 of the instructions)
(To be completed ONLY by an eligible organization that filed Form 5768)
Check ^ a it the organization belongs to an affiliated group Check b if you checked "a " and 'limited control' provisions apply
(a) (b)
Limits on Lobbying Expenditures Affiliated group To be completed for all
(The term 'expenditures ' means amounts paid or incurred totals electing organizations
N/A
36 Total lobbying expenditures to influence public opinion ( grassroots lobbying ) 36 36,708.
37 Total lobbying expenditures to influence a legislative body (direct lobbying ) 37 168,973.
38 Total lobbying expenditures ( add lines 36 and 37) 38 205,681.
39 Other exempt purpose expenditures 39 1 , 097,558.
40 Total exempt purpose expenditures ( add lines 38 and 39) 40 1 , 303 ,239.
41 Lobbying nontaxable amount Enter the amount from the following table -
If the amount on line 40 is - The lobbying nontaxable amount is -
Not over $ 500,000 20 % of the amount on line 40
Over $ 500,000 but not over $ 1,000,000 $ 100,000 plus 15% of the excess over $ 500,000
Over $ 1,000,000 but not over $ 1,500,000 $ 175,000 plus 10% of the excess over $ 1,000,000 41 205, 324.
Over $ 1,500,000 but not over $ 17,000,000 $225,000 plus 5% of the excess over $ 1,500,000
Caution : If there Is an amount on eftherline 43 or line 44, you must file Form 4720
52 a Is the organization directly or indirectly affiliated with , or related to , one or more tax-exempt organizations described in section 501 ( c) of the
Code (other than section 501(c)(3 )) or in section 527' ^ MX Yes No
623152
01-16-07 Schedule A (Form 990 or 990-EZ) 2006
16
16580821 757957 30125A 2006.05070 CITIZENS FOR COMMUNITY VALU 30125A 1
2006 DEPRECIATION AND AMORTIZATION REPORT
FORM 990 PAGE 2 990
2 FFICE EQUIPMENT VA R I E
I S SL 5.00 16 67070. 67,070. 51,603. 6,240.
eiea
zo6 ( D) - Asset disposed ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone
21
GITIZ:ENS FOR COMMUNITY VALUES 31-1675684-
22 STATEMENT(S) 1, 2
16580821 757957 30125A 2006.05070 CITIZENS FOR COMMUNITY VALU 30125A 1
*GITIZENS FOR COMMUNITY VALUES 31-1675684'
23 STATEMENT(S) 3
16580821 757957 30125A 2006.05070 CITIZENS FOR COMMUNITY VALU 30125A 1
CITIZENS FOR COMMUNITY VALUES 31-1075684'
EXPLANATION
COST OR ACCUMULATED
DESCRIPTION OTHER BASIS DEPRECIATION BOOK VALUE
24 STATEMENT(S) 4, 5
16580821 757957 30125A 2006.05070 CITIZENS FOR COMMUNITY VALU 30125A 1
CITIZENS FOR COMMUNITY VALUES 31-1075684'
EMPLOYEE
TITLE AND COMPEN- BEN PLAN EXPENSE
NAME AND ADDRESS AVRG HRS/WK SATION CONTRIB ACCOUNT
25 STATEMENT(S) 6
16580821 757957 30125A 2006.05070 CITIZENS FOR COMMUNITY VALU 30125A 1
*CI^ItENS FOR COMMUNITY VALUES 31-1015684'
26 STATEMENT(S) 6
16580821 757957 30125A 2006.05070 CITIZENS FOR COMMUNITY VALU 30125A 1
CI'tiGENS FOR COMMUNITY VALUES 31-107'56'$4 '
27 STATEMENT(S) 7
16580821 757957 30125A 2006.05070 CITIZENS FOR COMMUNITY VALU 30125A 1
'OIT1 ENS FOR COMMUNITY VALUES 31-107'56$4'
28 STATEMENT(S) 8
16580821 757957 30125A 2006.05070 CITIZENS FOR COMMUNITY VALU 30125A 1
'Oft1 ENS FOR COMMUNITY VALUES 31-10756$4
CCV ACTION
CCV ACTION REIMBURSED CITIZENS FOR COMMUNITY VALUES FOR EXPNESES PAID ON
ITS BEHALF TO AN OUTSIDE CONSULTANT.
CCV ACTION
CITIZENS FOR COMMUNITY VALUES PROVIDED STAFF SUPPORT AND USE OF OFFICE
SPACE TO CCV ACTION. THE VALUE OF THIS SUPPORT WAS REIMBURSED TO CITIZENS
FOR COMMUNITY VALUES BY CCV ACTION.
29 STATEMENT(S) 9
16580821 757957 30125A 2006.05070 CITIZENS FOR COMMUNITY VALU 30125A 1
. ..
CCV ACTION
30 STATEMENT(S) 10
16580821 757957 30125A 2006.05070 CITIZENS FOR COMMUNITY VALU 30125A 1
Form 8868 (Rev 4-2007) Page 2
• If you are filing for an Additional (not automatic ) 3-Month Extension , complete only Part II and check this box ^ EX
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).
Part II Additional (not automatic) 3-Month Extension of Time. You must file original and one co py
Name of Exempt Organization Employer identification number
Type or
print
C ITIZENS FOR COMMUNITY VALUES 31-1075684
File by the
extended Number , street , and room or suite no . If a P.O. box, see instructions . For IRS use only
due datefor 11175 READING ROAD, NO. 103
filing the
retun, See City , town or post office , state , and ZIP code . For a foreign address , see instructions.
instructions
CINCINNATI, OH 45241
Check type of return to be filed (File a separate application for each return):
0 Form 990 [=1 Form 990-EZ Form 990-T (sec . 401(a) or 408 (a) trust) Form 1041-A Form 5227 Form 8870
= Form 990-BL 0 Form 990-PF 0 Form 990-T (trust other than above) Q Form 4720 = Form 6069
STOP! Do not complete Part 11 if you were not already granted an automatic 3-month extension on a previously filed Form 8868.
c Balance Due. Subtract line 8b from line 8a. Include your payment with this form, or, if required, deposit
with FTD coupon or N/A
Signature and Verification
Under penalties of perjury, I declare that I have examined this form , including accompanying schedules and statements , and to the best of my knowledge and belief,
it is true , correct , and complete , and that I am authorized to prepare this form
Signature ^ Title ^ Date ^
Notice to Applicant. (To Be Completed by the IRS)
D We have approved this application . Please attach this form to the organization 's return.
D We have not approved this application . However, we have granted a 10-day grace period from the later of the date shown below or the due
date of the organization 's return (including any prior extensions). This grace period is considered to be a valid extension of time for elections
otherwise required to be made on a timely return . Please attach this form to the organization 's return.
D We have not approved this application . After considering the reasons stated in item 7, we cannot grant your request for an extension of time to
file. We are not granting a 1 0-day grace period.
0 We cannot consider this application because it was filed after the extended due date of the return for which an extension was requested.
0 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.
Name
GREAR & COMPANY, CPA'S
Type or Number and street (include suite, room, or apt. no.) or a P .O. box number
print 55 52 CHEVIOT ROAD
City or town , province or state , and country ( including postal or ZIP code)
623
aa7 CINCINNATI , OHIO 45247
Form 8868 ( Rev 4-2007)
35
16580821 757957 30125A 2006.05070 CITIZENS FOR COMMUNITY VALU 30125A 1
OMB No 1545-00,
1, Return of Organization Exempt From Income Tax
Form 9 90 Under section 501(c ), 527, or 4947( a)(1) of the Internal Revenue Code (except black lung 2007
benefit trust or private foundation)
Department of the Treasury O p en to Public
Internal Revenu e Service ^ Th e o rganiz ation may have to use a copy of this retu rn to satisfy state reporting requirements tris)}eclion
A For the 2007 calendar year, or tax year beginning and endi
B Check if
Please
C Name of organization D Employer identification number
applicable
use IRS
Address pnntlabel or
Echange or ITIZENS FOR COMMUNITY VALUES 31-1075684
^chenge see Number and street (or P 0 box if mail is not delivered to street address) Room/suite E Telephone number
^Ieturn
retu Specific 1117 5 READING ROAD 1 103 ( 513 ) 733-5775
Termin- Instruc-
=ation lions City or town , state or country, and ZIP + 4 F Accountingrnethod' = Cash a Accrual
Amended
return INCINNATI OH 45241 0 s ec, ^
Olher fy)
Application • Section 501(c)( 3) organizations and 4947 ( a)(1) nonexempt charitable trusts
pending H and I are not applicable to section 527 organizations
must attach a completed Schedule A (Form 990 or 990 -EZ)
H(a) Is this a group return for affiliates? = Yes EXI No
G Website • CCV. ORG H(b) If "Yes' enter number of affiliates 0, N/A
J Organization type (checkonlyone) ^ OX 501(c) ( 3 ) -4 (insert no) 4947(a)(1) or 0 527 H(c) Are all affiliates included? N/A El Yes No
Is is , attach a list )
(if
K Check here ^ El if the organization is not a 509(a)(3) supporting organization and its gross H(d) s this a separate return filed by an or-
receipts are normally not more than $25,000 A return is not required, but if the organization g anization covered b y a g roup ruling? Yes MI No
chooses to file a return, be sure to file a complete return I Grou p Exem ption Number ^ N/A
M Check ^ 0 if the organization is not required to attach
I. Gross receipts Add lines 6b, 8b, 9b, and 10b to line 12 ^ 799 , 658. Sch B (Form 990, 990-EZ, or 990-PF)
Pat Revenue - Expenses - and Chances in Net Assets or Fund Bala nces
1 Contributions, gifts, grants, and similar amounts received
a Contributions to donor advised funds la
b Direct public support (not included on line 1a) lb 744,758.
c Indirect public support (not included on line 1a) 1c
d Government contributions (grants) (not included on line 1a) 1d
e Total (add lines la through 1d) (cash $ 742,848. noncash $ 1,910. ) le 744,758.
2 Program service revenue including government fees and contracts (from Part VII, lin e 93) 2
3 Membership dues and assessments 3
4 Interest on savings and temporary cash investments 4
5 Dividends and interest from securities 5 10,676.
6 a Gross rents 6a
b Less rental expenses 6b
c Net rental income or (loss) Subtract line 6b from line 6a 6c
e' 7 Other investment income (describe ^ 7
W
8 a Gross amount from sales of assets other ( A ) Securities B Other
cc cc than inventory 1,910. 8a
b Less cost or other basis and sales expenses 1,910. 8b
c Gain or loss) (attach schedule) 8c
d Net galrfRrFS Cp e 8c, c lumns (A) and (B ) STMT 1 STMT 2 8d
Lj 9 hedule) If any amount is from gaming , check here ^ El
L
GD a g$ 0 • olcontnbutions reported online tb) 9a 36,880.
b s s an raising expenses 9b 44,381.
c L
Ne me. pr s from specia is Subtract line 9b from line 9a S EE STATEMENT 3 9c <7,501.
10 a fry, I eturns and allowances 10a
b 10b
c Gross profit or (loss) from sales of inventory (attach schedul e) Subtract line 10b fro m line 10a 10c
11 Other revenue (from Part VII, line 103) 11 5 434 .
12 Total revenue Add lines l e , 2, 3, 4, 5 6c , 7 , 8d , 9c, 10c and 11 12 753 , 367 .
13 Program services (from line 44, column (B)) 13 81 8 , 215 .
y 14 Management and general (front line 44, column (C)) 14 220 , 691 .
15 Fundraising (from line 44, column (D)) 15 102 , 485 .
CL
W 16 Payments to affiliates (attach schedule) 16
17 Total ex p enses Add lines 16 and 44, column ( A ) 17 1, 141 , 391
18 Excess or (deficit) for the year Subtract line 17 from line 12 18 <388 , 024 .
19 Net assets or fund balances at beginning of year (from line 73, column (A)) 19 682 , 556
Zy 20 Other changes in net assets or fund balances (attach explanation) 20 0 .
21 Net assets or fund balances at end of year Combine lines 18, 19, and 20 21 294 532
12-z 67 LHA For Privacy Act and Paperwork Reduction Act Notice , see the separate instructions . Form 990 (2007)
1 5-1_
13451111 757957 30125A 2007 . 06050 CITIZENS FOR COMMUNITY VALU 30125A 1
Form 990 (2007) CITIZENS FOR COMMUNITY VALUES 31-1075684 Page2
fart UJ +t Statement of All organizations must complete column (A) Columns (B), (C), and ( D) are required for section 501 (c)(3)
Functional Expenses and (4) organizations and section 4947( a)(1) nonexempt charitable trusts but optional for others
Do not include amounts reported on line ( A) Total (B) Program ( C) Management ( D) Fundraising
6b, 8b, 9b, 10b, or 16 of Part 1 services and general
22a Grants paid from donor advised funds
(attach schedule)
(cash $ 0 • noncash $ 0
It this amount includes foreign grants, check here ^ [J 2a
What is the organization ' s primary exempt purpose, ^ SEE STATEMENT 6 Program Service
Expenses
(Required for 501 (c)(3)
All organizations must describe their exempt purpose achievements in a clear and concise manner. State the number of and (4) orgs , and
clients served , publications issued , etc. Discuss achievements that are not measurable. (Section 501 (c)(3) and (4) 4947( a)(1) trusts, but
organizations and 4947 (a)(1) nonexempt charitable trusts must also enter the amount of grants and allocations to others ) optional for others )
(Grants and allocations $ If this amount includes forei g n g rants , check here ^ El 450,640._
b PUBLIC EDUCATION - THROUGH CCV SPEAKERS BUREAU, PUBLICATIONS
AND MEDIA ADVISORIES, CCV ADDRESSES ISSUES OF PORNOGRAPHY,
SEXUALLY ORIENTED BUSINESSES, MATERIAL HARMFUL TO CHILDREN &
ABNORMAL SEXUAL BEHAVIOR. BENEFITS OVER 5 MILLION IN 2007.
(Grants and allocations $ If this amount includes forei g n g rants , check here ^ Q 367,575.
C
Grants and allocations $ If this amount includes forei g n g rants , check here ^
d
Grants and allocations $ If this amount includes forei g n rants check here ^ 0
e Other program services (attach schedule)
Grants and allocations $ If this amount includes forei g n g rants , check here ^ 0
f Total of Program Service Expenses (should equal line 44, column (B), Program services) ^ 818,215.
Form 990 (2007)
723021
12-27-07
3
13451111 757957 30125A 2007.06050 CITIZENS FOR COMMUNITY VALU 30125A 1
Form 990 2007 CITIZENS FOR COMMUNITY VALUES 31- 1075684 Page4
Part IV; Balance Sheets (See the instructions)
Note : Where required, attached schedules and amounts within the descnption column (A) (B)
should be for end- of-year amounts only. Beginning of year End of year
723031
12-27-07
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13451111 757957 30125A 2007.06050 CITIZENS FOR COMMUNITY VALU 30125A 1
' Form 990 (2007) CITIZENS FOR COMMUNITY VALUES 31-1075684 Page 5
Part IV*A Reconciliation of Revenue per Audited Financial Statements With Revenue per Return (See the
instructions)
a Total revenue, gains, and other support per audited financial statements a 757,518.
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 facilities b2 4 , 151.
3 Recoveries of prior year grants b3
4 Other (specify) b4
Add lines b1 through b4 b 4,151.
c Subtract line b from line a c 753,367.
d Amounts included on Part I, line 12, but not on line a:
1 Investment expenses not included on Part I, line 6b d1
2 Other (specify): d2
Add lines dl and d2 d 0.
e Total revenue ( Part I line 12) Add lines c and d ^ e 753 ,36-7.
part iV-B Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
a Total expenses and losses per audited financial statements a 1 , 145,542.
b Amounts included on line a but not on Part I, line 17:
1 Donated services and use of facilities bl 4,151.
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 4,151.
c Subtract line b from line a c 1,141,391.
d Amounts included on Part I, line 17, but not on line a:
1 Investment expenses not included on Part I, line 6b d1
2 Other (specify)- d2
Add lines d1 and d2 d 0.
e Total exp enses Part I line 17) Add lines c and d ^ e 1 141 , 391 .
Part V-A Current Officers , Directors , Trustees , and Key Employees (List each person who was an officer, director, trustee,
or key employee at any time durinci the year even if they were not compensated.) (See the instructions )
(B) Title and average hours ( C) Compensation (D)contnbutions to (E) Expense
(A) Name and address per week devoted to (If not paid , enter p arils & d et account and
t e nrredt
position -0 compensation plans other allowances
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
SEE STATEMENT 8 247 842. 24 , 882. 0.
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c Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees
listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A,
Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the
organization? See the instructions for the definition of "related organization." 75c X
If 'Yes,' attach a statement that includes the information described in the instructions
d Does the or g anization have a written conflict of interest policy ') 75d X
Part V- B Former Officers, Directors , Trustees , and Key Employees That Received Compensation or Other
Benefits (If any former officer, director, trustee, or key employee received compensation or other benefits (described below) during
the year, list that person below and enter the amount of compensation or other benefits in the anoroorlate column See the instructions_)
(C) Compensation ( D) contribut i ons to ( E) Expense
(A) Name and address ( B) Loans and Advances employee benefit
(if not paid , Plena s deferred
account and
NONE enter -0- ) com p ensation tans other allowances
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13451111 757957 30125A 2007.06050 CITIZENS FOR COMMUNITY VALU 30125A 1
Form 990 2007 CITIZENS FOR COMMUNITY VALUES 31-1075684 Page7
pad VI Other Information (continued) Yes No
82 a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at substantially
less than fair rental value? 82a X
b If "Yes," you may indicate the value of these items here. Do not include this
amount as revenue in Part I or as an expense in Part II
(See instructions in Part III.) 82b 4,151.
83 a Did the organization comply with the public inspection requirements for returns and exemption applications? 83a X
b Did the organization comply with the disclosure requirements relating to quid pro quo contributions" 83b X
84 a Did the organization solicit any contributions or gifts that were not tax deductible? 84a X
b If 'Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not
tax deductible? N/A 84b
85 a 501(c)(4), (5), or (6) Were substantially all dues nondeductible by members" N/A 85a
b Did the organization make only in-house lobbying expenditures of $2,000 or less? N/A 85b
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 85c N/A
d Section 162(e) lobbying and political expenditures 85d N/A
e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices 85e N/A
f Taxable amount of lobbying and political expenditures (line 85d less 85e) 85f N/A
g Does the organization elect to pay the section 6033(e) tax on the amount on line 85f? N/A 85
h If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line 85f
to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the
following tax year'? N/A 85h
86 501(c)(7) organizations Enter: a Initiation fees and capital contributions included on
line 12 86a N/A
b Gross receipts, included on line 12, for public use of club facilities 86b N/A
87 501(c)(12) organizations Enter: a Gross income from members or shareholders 87a N/A
b Gross income from other sources (Do not net amounts due or paid to other sources
against amounts due or received from them.) 87b N/A
88 a At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership,
or an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301 7701.3"
If "Yes," complete Part IX 88a X
b At any time during the year, did the organization, directly or indirectly, own a controlled entity within the 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 during the year under-
section 4911110- 0 . , section 4912 ^ 0 . section 4955 ^ 0
b 501(c)(3) and 501(c)(4) organizations Did the organization engage in any section 4958 excess benefit
transaction during the year or did it become aware of an excess benefit transaction from a prior year?
If "Yes,' attach a statement explaining each transaction 89b X
c Enter. Amount of tax imposed on the organization managers or disqualified persons during the year under
sections 4912, 4955, and 4958 ^ 0.
d Enter Amount of tax on line 89c, above, reimbursed by the organization ^ 0.
e All organizations At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? 89e X
f All organizations Did the organization acquire a direct or indirect interest in any applicable insurance contract? 89f X
g For supporting organizations and sponsoring organizations maintaining donor advised funds Did the supporting organization,
or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year? 89 X
90 a List the states with which a copy of this return is filed
b Number of employees employed in the pay period that includes March 12, 2007 90b 8
91 a The books are in care of ^ CHRIS KERBER Telephone no ^ 513-73 3-5 775
Locatedat ^ 11175 READING RD, SUITE 103, CINCINNATI, OH ZIP+4 ^ 4 524 1
b At any time during the calendar year, did the organization have an interest in or a signature or other authority over Yes No
a financial account in a foreign country (such as a bank account, securities 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
Form 990 (2007)
723162 / 12-27-07
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13451111 757957 30125A 2007 . 06050 CITIZENS FOR COMMUNITY VALU 30125A 1
Form 990 2007 CITIZENS FOR COMMUNITY VALUES 31- 1075684 Page 8
Part Vt"• Other Information (continued) Yes No
At any time during the calendar year , did the organization maintain an office outside of the United States ? I 91 c X
If 'Yes, ' enter the name of the foreign country ^ N/A
92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of Form 1041 - Check here ^
and enter the amount of tax- exempt interest received or accrued during the tax year ^ 92 N/A
part VII Analysis of Income - Producino Activities (see the instructions)
Not Enter g ross amounts unless otherwise Unrelat ed business income Exclu ded by section 512 , 513, or 514 (E)
Indic ated (B) (D)
(A)
Business E (C)_ Related or exempt
Amount si on Amount
93 I rogram service revenue code code function income
a
b
c
d
e
fl ,edicare/Medicaid payments
g1 :ees and contracts from government agencies
94 I Aembership dues and assessments
95 I nterest on savings and temporary cash investments
96 I )ividends and interest from securities 14 10,676.
97 I Jet rental income or (loss) from real estate:
a4 lebt-financed property
bi ot debt -financed property
98 I Jet rental income or (loss) from personal property
99 1 )ther investment income
100 1 aain or (loss) from sales of assets
o ther than inventory
101 N et income or (loss) from special events 01 <7,501.
102 G ross profit or (loss ) from sales of inventory
103 O ther revenue
a MATERIALS REVENUE 380.
b STAFF OUTSOURCING 4,154.
c MISCELLANEOUS 900.
d
e
104 S ubtotal (add columns ( B), (D), and (E)) 0. 1 3 , 175. 1 5,434.
105 Total (add line 104, columns (B), (D), and (E)) ^ 8,609.
Note : Line 105 plus line le, Part 1, should equal the amount on line 12, Part
Part Vi i Relationship of Activities to the Accomplishment of Exempt Purposes (See the instructions)
Line No . Explain how each activity for which income is reported in column ( E) of Part VII contributed importantly to the accomplishment of the organization's
exempt purposes (other than by providing funds for such purposes)
103A SALE OF PRINTED MATERIALS PROMOTING CCV'S MISSION.
103B R EIMBURSEMENT FOR CCV STAFF PROVIDING SERVICE TO OTHER ORGANIZATIONS.
103C OTHER INCOME.
Part IX Information Regard ing Taxable Subsidiaries and Dis regarded Entities (See the instructions)
(C)
Name , address, and EIN of corporation , Percentage of Nature of activities Total income End-of-year
partnership , or disregarded entity ownership interest assets
N/A %
Part X Information Regardi na Transfers Associated with Personal Benefit Contracts (see the instructions )
(a) Did the organization , during the year , receive any funds , directly or indirectly , to pay premiums on a personal benefit contract'? 0 Yes M No
(b) Did the organization , during the year , pay premiums , directly or indirectly , on a personal benefit contract? El Yes 0 No
Note : If "Yes" to (b), file Form 8870 and Form 4720 (see Instructions)
Form 990 (2007)
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13451111 757957 30125A 2007.06050 CITIZENS FOR COMMUNITY VALU 30125A 1
Form 990 2007 CITIZENS FOR COMMUNITY VALUES 31-1075684 Page9
part XI•• Information Regarding Transfers To and From Controlled Entities . Complete only 1f the organization is a
controllmna oroanfzation as defined in section 512(b)(13) N/A
Yes No
106 Did the reporting organization make any transfers to a controlled entity as defined in section 512(b)(13) of the Code'? If 'Yes,'
com p lete the schedule below for each controlled entity .
(A) (B) (C) (D)
Name, address , of each Employer Description of Amount of
Identification
controlled entity Number transfer transfer
---------------------------------
a
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b
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c
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Totals
Yes No
107 Did the reporting organization receive any transfers from a controlled entity as defined in section 512(b)(13) of the Code? If 'Yes,"
com p lete the schedule below for each controlled entity
(A) (B) (C) (D)
Name , address , of each Employer Description of Amount of
Identification
controlled entity Number transfer transfer
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a
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b
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c
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Totals
Yes No
108 Did the organization have a binding written contract in effect on August 17, 2006, covering the interest, rents, royalties, and
annuities described in q uestion 107 above"
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct,
and complete Dpe1Vtion of preparer (other thanifficer) is based on all information of which preparer has any knowledge
Please
'e8`
Sign ignature of officer Dtae
Here
' Type or print name and
Preparer's SSN or PTIN (See Gen Inst )Q
Preparer's
Paid
signature
Preparer's Firm's name (or
GREAR & C OMPA)dY , PA'S
Use Only yours if
self-employed) , ' 5552 CHEVIOT ROAD
address, and
ZIP . 4 CINCINNATI, OHIO 45247
723164/12-27-07
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NONE
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Total number of other employees paid
over $50,000 ^ 0
I Part !1-A I Compensation of the Five Highest Paid Independent Contractors for Professional Services
(See page 2 of the instructions List each one (whether individuals or firms) If there are none. enter "None')
(a) Name and address of each independent contractor paid more than $50,000 ( b) Type of service ( c) Compensation
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(a) Name and address of each independent contractor paid more than $50,000 (b) Type of service (c) Compensation
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NONE
723101/12-27-07 LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 and Form 990 - EZ Schedule A (Form 990 or 990-EZ) 2007
10
13451111 757957 30125A 2007.06050 CITIZENS FOR COMMUNITY VALU 30125A 1
.. Schedule A ( Form 990 or 990 - EZ) 2007 CITIZENS FOR COMMUNITY VALUES 31-1075684 Page2
Part !1I Statements About Activities (See page 2 of the instructions) Yes No
1 During the year, has the organization attempted to influence national, state, or local legislation, including any attempt to influence
public opinion on a legislative matter or referendum? If "Yes," enter the total expenses paid or incurred in connection with the
lobbying activities ^ $ $ 16 8 , 0 10 . (Must equal amounts on line 38, Part VI-A, or
line iofPart Vl-B) VI-A, LINE 38B 1 X
Organizations that made an election under section 501(h) by filing Form 5768 must complete Part VI-A Other organizations
checking "Yes" must complete Part VI-B AND attach a statement giving a detailed description of the lobbying activities
2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any substantial contributors,
trustees, directors, officers, creators, key employees, or members of their families, or with any taxable organization with which any such
person is affiliated as an officer, director, trustee, majority owner, or principal beneficiary'? (If the answer to any question is "Yes,"
attach a detailed statement explaining the transactions.)
a Sale, exchange, or leasing of property'? SEE STATEMENT 9 2a X
b Lending of money or other extension of credits 2b X
c Furnishing of goods, services, or facilities? 2c X
d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)? SEE PART V-A, FORM 990 2d X
e Transfer of any part of its income or assets' 2e X
3 a Did the organization make grants for scholarships, fellowships, student loans, etc 9 (If "Yes," attach an explanation of how
the organization determines that recipients qualify to receive payments ) 3a X
b Did the organization have a section 403(b) annuity plan for its employees? 3b X
c Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space,
the environment, historic land areas or historic structures If "Yes," attach a detailed statement 3c X
d Did the organization provide credit counseling, debt management, credit repair, or debt negotiation serwces7 3d X
4 a Did the organization maintain any donor advised funds? If "Yes,' complete lines 4b through 4g If "No," complete lines 4f
and 4g 4a X
b Did the organization make any taxable distributions under section 49667 N/A
c Did the organization make a distribution to a donor, donor advisor, or related person? N/A H4c
it Enter the total number of donor advised funds owned at the end of the tax year ^ N/ A
e Enter the aggregate value of assets held in all donor advised funds owned at the end of the tax year ^ N/ A
f Enter the total number of separate funds or accounts owned at the end of the year (excluding donor advised funds included on
line 4d) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts ^ 0.
g Enter the aggregate value of assets in all funds or accounts included on line 4f at the end of the tax year ^ 0.
723111
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13451111 757957 30125A 2007.06050 CITIZENS FOR COMMUNITY VALU 30125A 1
Schedule A (Form 990 or 990-EZ) 2007 CITIZENS FOR COMMUNITY VALUES 31-1075684 Page 3
Parj jV Reason for Non-Private Foundation Status (See pages 4 through 8 of the instructions
I certify that the organization is not a private foundation because it is (Please check only ONE applicable box
5 EJ A church, convention of churches, or association of churches Section 170(b)(1)(A)(i)
6 A school Section 170(b)(1)(A)(u) (Also complete Part V )
7 A hospital or a cooperative hospital service organization Section 170(b)(1)(A)(iii)
8 A federal, state, or local government or governmental unit Section 170(b)(1)(A)(v)
9 A medical research organization operated in conjunction with a hospital Section 170(b)(1)(A)(iii) Enter the hospital's name, city,
and state ^
10 An organization operated for the benefit of a college or university owned or operated by a governmental unit Section 170(b)(1)(A)(iv)
(Also complete the Support Schedule in Part IV-A )
11a 0 An organization that normally receives a substantial part of its support from a governmental unit or from the general public
Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A )
11b A community trust Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A )
12 An organization that normally receives ( 1) more than 33 1/3% of its support from contributions, membership fees, and gross
receipts from activities related to its charitable, etc , functions - subject to certain exceptions, and (2 ) no more than 33 1/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired
by the organization after June 30, 1975 See section 509(a)(2) (Also complete the Support Schedule in Part IV-A )
13 An organization that is not controlled by any disqualified persons ( other than foundation managers ) and otherwise meets the requirements of section
509(a )( 3) Check the box that describes the type of supporting organization
0 Type I = Type II = Type III-Functionally Integrated Type III-Other
Provide the following information about the supported organizations . (See page 8 of the instructions )
(a) (b) (c) (d) (e)
Name(s) of supported organization(s) Employer Type of organization Is the supported Amount of
identification (described in lines organization listed in support
number (EIN) 5 through 12 above the supporting
or IRC section) organization's
governing documents?
Yes No
Total ^
14 An organization organized and operated to test for public safety Section 509(a )( 4) (See page 8 of the instructions )
Schedule A (Form 990 or 990 - EZ) 2007
723121
12-27-07
12
13451111 757957 30125A 2007.06050 CITIZENS FOR COMMUNITY VALU 30125A 1
ScheduleA ( Form 990or990-EZ)2007 CITIZENS FOR COMMUNITY VALUES 31- 1075684 Page4
Part 1V. A Support Schedule (Complete only if you checked a box on line 10, 11, or 12.) Use cash method of accounting.
Note: You may lice the worksheet in the in .ctnjctmnn.c for cnnverhnn from the accmal to the cash method of accnunhnn
Calendar year ( or fiscal year
beginning in ) ^ ( a) 2006 ( b) 2005 ( c) 2004 ( d) 2003 (e) Total
15 G ifts , c ontri but i on s
received ( not ni clude unusual
rants SeeDoline 28 1, 643, 749. 1, 216, 145. 1, 425, 841. 950, 565. 5,236,300.
16 Membership fees received
17 Gross receipts from admissions,
merchandise sold or services
performed , or furnishing of
facilities in any activity that is
related to the organization's
charitable, etc , purpose 9,721. 20,948. 16,251. 46,920.
18 Gross income from interest , divid-
ends, amounts received from pay-
ments on securities loans ( section
512(a)(5 ) , rents, royalties , income
from simi l ar sources, and unrelated
business taxable income (less
section 511 taxes ) from businesses
acquired 75e organization after
June 301 11,664. 1,398. 4,820. 3,426. 21,308.
19 Net income9 from unrelated business
activities not included in line 18
20 Tax revenues levied for the
organization ' s benefit and either
paid to it or expended on its behalf
21 The value of services or facilities
furnished to the organization by a
governmental unit without charge
Do not include the value of services
or facilities generally furnished to
the public without charge
22 Other income Attach a schedule SEE STATEME T 10
Do not include gain or ( loss) from
sale of capital assets 17,966. 16,612. 4,075. 1,724. 40,377.
23 Total of lines 15 through 22 1, 673, 379. 1, 243, 876. 1, 455, 684. 971, 966. 5,344,905.
24 Line 23 minus line 17 1, 673, 379. 1, 234, 155. 1, 434, 736. 955, 715. 5,297,985.
25 Enter s%ofline 23 16,734. 12,439. 14,557. 9,720.
26 Organizations described on lines 10 or 11 a Enter 2% of amount in column ( e), line 24 ^ 26a 105,960.
b Prepare a list for your records to show the name of and amount contributed by each person ( other than a governmental
unit or publicly supported organization ) whose total gifts for 2003 through 2006 exceeded the amount shown in line 26a
Do not file this list with your return Enter the total of all these excess amounts ^ 26b 2, 635,460.
c Total support for section 509(a )( 1) test Enter line 24, column (e) ^ 26c 5, 297,985.
d Add Amounts from column ( e) for lines 18 21,308. 19
22 40,377. 26b 2, 635, 460. ^ 26d 2,697, 145.
e Public support ( line 26c minus line 26d total ) ^ 26e 2 , 600,840.
t Public su pp ort p ercenta g e ( line He ( numerator ) divided by line 26c ( denominator )) ^ 26f 49.0911 %-
27 Organizations described on line 12 a For amounts included in lines 15, 16, and 17 that were received from a "disqualified person," prepare a list for your
records to show the name of, and total amounts received in each year from, each "disqualified person " Do not file this list with your return Enter the sum of
such amounts for each year N/A
(2006) (2005) (2004) (2003)
b For any amount included in line 17 that was received from each person (other than "disqualified persons"), prepare a list for your records to show the name of,
and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000 (Include in the list organizations
described in lines 5 through 11 b, as well as individuals ) Do not file this list with your return After computing the difference between the amount received and
the larger amount described in (1) or (2), enter the sum of these differences (the excess amounts) for each year N/A
(2006) (2005) (2004) (2003)
Add Amounts from column (e) for lines
c 15 16
17 20 21 27c N/A
d Add Line 27a total and line 27b total ^ 27d N/A
e Public support (line 27c total minus line 27d total) ^ 27e N/A
f Total support for section 509(a)(2) test Enter amount on line 23, column (e) ^ 27f N/A
g Public support percentage ( fine 27e ( numerator ) divided by line 27f (denominator )) ^ 27 N/A %
h Investment income p ercenta g e ( line 18 , column ( e ) ( numerator ) divided b y line 27f ( denominator )) ^ 27h N/A %
28 Unusual Grants : For an organization described in line 10, 11, or 12 that received any unusual grants during 2003 through 2006, prepare a list for your records to
show, for each year, the name of the contributor, the date and amount of the grant, and a brief description of the nature of the grant Do not file this list with your
return Do not include these grants in line 15
723131 12-27-07 NONE Schedule A (Form 990 or 990-EZ) 2007
13
13451111 757957 30125A 2007.06050 CITIZENS FOR COMMUNITY VALU 30125A 1
Schedule A (Form 990 or 990-EZ) 2007 CITIZENS FOR COMMUNITY VALUES 31-1075684 Page 5
p • Private School Questionnaire ( See page 9 of the instructions) N/A
(To be completed ONLY by schools that checked the box on line 6 in Part IV)
Yesl No
29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws, other governing
instrument, or in a resolution of its governing body? 29
30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures, catalogues,
and other written communications with the public dealing with student admissions, programs, and scholarships' 30
31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during the period of
solicitation for students, or during the registration period if it has no solicitation program, in a way that makes the policy known
to all parts of the general community it serves?
If "Yes," please describe, if "No," please explain (If you need more space, attach a separate statement
34 a Does the organization receive any financial aid or assistance from a governmental agency? 34a
b Has the organization's right to such aid ever been revoked or suspended' 34b
If you answered "Yes" to either 34a or b, please explain using an attached statement
35 Does the organization certify that it has complied with the applicable requirements of sections 4 01 through 4 05 of Rev Proc 75-50,
1975-2 C B 587, covering racial nondiscrimination' If "No," attach an explanation
Schedule A (Form 990 or 990-EZ) 2007
723141
12-27-07
14
13451111 757957 30125A 2007.06050 CITIZENS FOR COMMUNITY VALU 30125A 1
Schedule A (Form 990 or 990-EZ ) 2007 CITIZENS FOR COMMUNITY VALUES 31-10756 84 Page 6
Part VI-A Lobbying Expenditures by Electing Public Charities ( See page 11 of the instructions )
(To be completed ONLY by an eligible organization that filed Form 5768)
Chark DO, a n if the nrnanrnaflnn halnnns to an affihatad nrnun (.hank ^ h n if vnii charkerl "a" arid l imited enntrnl ' nrnvicinnc annly
( a) (b)
Limits on Lobbying Expenditures Affiliated group To be completed for all
(The term 'expenditures" means amounts paid or incurred totals electing organizations
N/A
36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 36 1,320.
37 Total lobbying expenditures to influence a legislative body (direct lobbying) 37 166,690.
38 Total lobbying expenditures (add lines 36 and 37) 38 168,010.
39 Other exempt purpose expenditures 39 977,532.
40 Total exempt purpose expenditures (add lines 38 and 39) 40 1 , 145,542.
41 Lobbying nontaxable amount Enter the amount from the following table -
If the amount on line 40 Is - The lobbying nontaxable amount is -
Not over $500,000 20% of the amount on line 40
Over $500,000 but not over $1,000,000 $100,000 plus 15% of the excess over $500,000
Over $1,000,000 but not over $1,500,000 $175,000 plus 10% of the excess over $1,000,000 41 189 ,554.
Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000
Caution : If there is an amount on either line 43 or line 44, you must file Form 4720
52 a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described in section 501(c) of the
Code (other than section 501 (c)(3 )) or in section 5279 ^ OX Yes 0 No
16
13451111 757957 30125A 2007.06050 CITIZENS FOR COMMUNITY VALU 30125A 1
2007 DEPRECIATION AND AMORTIZATION REPORT
Asset Date Nine Unadjusted Bus Section 179 Reduction In Basis For Beginning Current Current Year Ending
No Description Acquired Method Life °
Cost Or Basis % Expense Basis Depreciation Accumulated Sec 179 Deduction Accumulated
° Excl Depreciation Expense Depreciation
1 FURNITURE AND FIXTURES VARIOUS SL 10.00 H1 1 6 6,643. 6,643. 4,059. 606. 4,665.
2 OFFICE EQUIPMENT VARIOUS 5I0 5.00 6 $1,567. 51,567. 42,940. 4,409. 46,748.
728111
08-23-07 (D) - Asset disposed * ITC, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone
20
CITIZENS FOR COMMUNITY VALUES 31-1075684
21 STATEMENT(S) 1
13451111 757957 30125A 2007.06050 CITIZENS FOR COMMUNITY VALU 30125A 1
CITIZENS FOR COMMUNITY VALUES 31-1075684
0. 15,502 . 0. 15,502. 0.
22 STATEMENT(S) 2, 3, 4
13451111 757957 30125A 2007.06050 CITIZENS FOR COMMUNITY VALU 30125A 1
CITIZENS FOR COMMUNITY VALUES 31-1075684
EXPLANATION
COST OR ACCUMULATED
DESCRIPTION OTHER BASIS DEPRECIATION BOOK VALUE
23 STATEMENT(S) 5, 6, 7
13451111 757957 30125A 2007.06050 CITIZENS FOR COMMUNITY VALU 30125A 1
l:l'1'1LtNb rux UUMMUNl'1'Y VALUt.b S1-lU /5b i4
EMPLOYEE
TITLE AND COMPEN- BEN PLAN EXPENSE
NAME AND ADDRESS AVRG HRS/WK SATION CONTRIB ACCOUNT
24 STATEMENT(S) 8
13451111 757957 30125A 2007.06050 CITIZENS FOR COMMUNITY VALU 30125A 1
CITIZENS FOR COMMUNITY VALUES 31-.1075684
25 STATEMENT ( S ) 8
13451111 757957 30125A 2007.06050 CITIZENS FOR COMMUNI TY VALU 30125A 1
CITIZENS F OR COMMUNITY VALUES 31-1075684
ROGER WEAVER IS PAID $400 PER MONTH FOR RENTAL OF COLUMBUS OFFICE.
26 STATEMENT(S) 9
13451111 757957 30125A 2007.06050 CITIZENS FOR COMMUNITY VALU 30125A 1
CITIZENS FOR COMMUNITY VALUES 31-1075684
27 STATEMENT(S) 10
13451111 757957 30125A 2007.06050 CITIZENS FOR COMMUNITY VALU 30125A 1
CITIZENS FOR COMMUNITY VALUES 31-.10.75684
CCV ACTION
CITIZENS FOR COMMUNITY VALUES PROVIDED STAFF SUPPORT AND USE OF OFFICE
SPACE TO CCV ACTION. THE VALUE OF THIS SUPPORT WAS REIMBURSED TO CITIZENS
FOR COMMUNITY VALUES BY CCV ACTION.
28 STATEMENT(S) 11
13451111 757957 30125A 2007.06050 CITIZENS FOR COMMUNITY VALU 30125A1
CITIZENS FOR COMMUNITY VALUES 31-10;?5$84
CCV ACTION
29 STATEMENT(S) 12
13451111 757957 30125A 2007.06050 CITIZENS FOR COMMUNITY VALU 30125A 1
Form 8$68 (Rev 4-2008) Page 2
• If you at'e filing for an Additional (Not Automatic) 3-Month Extension , complete only Part II and check this box ^ OX
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).
Part 11 Additional ( Not Automatic) 3-Month Extension of Time. You must file original and one copy.
Name of Exempt Organization Employer identification number
Type or
print
C ITIZENS FOR COMMUNITY VALUE S 31-1075684
File by the
extended Number, street, and room or suite no. If a P O. box, see instructions. For IRS use only
due date for 11175 READING ROAD, NO. 103
filing the
return see City, town or post office, state, and ZIP code. For a foreign address, see instructions.
instructions
INC INNAT I , OH 45241
Check type of return to be filed (File a separate application for each return)
^X Form 990 0 Form 990-EZ Form 990-T (sec 401(a) or 408(a) trust) El Form 1041-A El Form 5227 El Form 8870
Form 990-BL EDForm 990-PF = Form 990-T (trust other than above) 0 Form 4720 El Form 6069
STOP! Do not complete Part ll if you were not already granted an automatic 3-month extension on a previously filed Form 8868.
8a If this application is for Form 990-BL, 990 -PF, 990-T, 4720, or 6069 , enter the tentative tax, less any
b If this application is for Form 990-PF, 990 -T, 4720, or 6069, enter any refundable credits and estimated
tax payments made Include any prior year overpayment allowed as a credit and any amount paid
previously with Form 8868
c Balance Due. Subtract line 8b from line 8a Include your payment with this form, or, if required, deposit
with FTD coupon or, if require d, by using EFTPS (Electronic Federal Tax Payment System) See instructi N/A
Signature and Verification
Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct, and complete, and that I am authorized to prepare this form
Signature ^ Title ^ Date ^
Form 8868 ( Rev 4-2008)
723832
04-16-08
30
13451111 757957 30125A 2007.06050 CITIZENS FOR COMMUNITY VALU 30125A 1
Form 8868 (Rev 4-2008) Page 2
• 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 filino for an Automatic 3-Month Extension . complete only Part I (on pag e 1 ).
part II Additional (Not Automatic) 3-Month Extension of Time. You must fi le original and one copy.
Name of Exempt Organization Employer identification number
Type or
print 31-1075684
C ITIZENS FOR COMMUNITY VALUES
File by the
extended Number, street, and room or suite no. If a P.O. box, see instructions. For IRS use only
due date for 11175 READING ROAD, NO. 103
filing the
return see City, town or post office, state, and ZIP code. For a foreign address, see instructions.
Instructions C INCINNATI, OH 45241
Check type of return to be filed (File a separate application for each return):
OX Form 990 El Form 990-EZ El Form 990-T (sec. 401(a) or 408 (a) trust) 0 Form 1041 -A El Form 5227 Q Form 8870
El Form 990-BL El Form 990-PF 0 Form 990-T (trust other than above) 0 Form 4720 Form 6069
STOP! Do not co mplete Part II if you were not already granted an automatic 3-month extension on a previously filed Form 8868.
8a If this application is for Form 990-BL, 990-PF , 990-T, 4720, or 6069 , enter the tentative tax, less any
8a
b If this application is for Form 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimated
tax payments made. Include any prior year overpayment allowed as a credit and any amount paid
c Balance Due. Subtract line 8b from line 8a . Include your payment with this form, or, if required, deposit
with FTD coupon or, If required, by using EFTPS (Electronic Federal Tax Payment System). See instructions. 8c $ N/A
Signature and Verification
Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements , and to the best of my knowledge and belief,
it is true , correct d complet a tI}^t Ipy^ authorized to prepare this form
Sionature ^ ' E ^^ Title ^ (M" Date ^ i/id /O^
Form 8868 (Rev 4-2008)
723832
04-16-08