Professional Documents
Culture Documents
,",."990
Depdtment of the Treasury
Intsnal Revenue
o Tl [3K
Sflice
ctrect it
2009
Under section 5O1(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung
benefit trust or private foundation)
The organization may have to use a copy of this return to satisfy state reporting requirements
to Public
I lreturn
l---lTgmint-J ated
f-__lAmended
I rreturn
Telephone number
nApplrcaUIION
applicable:
f-----"1
Address
lchange
T---lName
L__l
77-
change
f-----llnitial
-07
Gross rrcoiDts $
pendrng
l-]Y."
l-xlruo
f_lYr" f_l
number
State ot
Summary
"*
Numberof
2
3
4
5
6
(,
7a
q,
o
c
o
c
G'
o
.!
.g
ilffi
votinsmembersof
thesoverninsbody(Partvl,linela) aFF,SEJVED
ls I
fg
::l;"il'"ffi :::il;:1',:"IJlT:::J:il',J.",13"-;,,i;;i;tenil"FE5i,y,:SkE
l:l]i:il:::Iilff::::,ffLl"l,""l";) DEc 06
Total gross unrelated business revenue from Part Vlll, column (C), line
12
95
2olo
. .......
0.
82L
o,
,L91.
2.
o
(,
74L
s42
o
o
o
o
o
x
788 452.
ul
.124.
.645.
44
4.
,229 286.
313 359.
xE5
2.520.394.
o:
4G
<;
Undtr penalties of psjury, I dslae that I have examined this relurn, including accompaying $hedules md statments, ad to the best of my knowledge and beliel, it is tru6, cqrect
ild @mplete. Ddaation of prepas (othtr than ottics) is ba*d on all infdmalion of which prepas has any knowledg.
Sign
Here
EXECUTIVE
or orint name and title
Prepils's identifying numbq
(s@ instructions)
Paid
Pleparel's
Use 0nly
Phoneno.
e32ool
> ( 831
instructions.
SEE SCHEDULE O FOR ORGAI{IZATTON MISSION STATEMENT CONTINUATION
02-04-10 LHA For Privacy Act and Paperwork Reduction Act Notice, see the separate
625-511L
Form
990 (2009)
2
3
4
77-0026957
4a
(Code:
4b
(Code:
) (Expenses $
including grants of $
) (Revenue $
4c
(Code:
) (Expenses $
including grants of $
4d
4e
Pase2
flyes lxl
ruo
l-_lY." [F}
ruo
(Revenue $
) {Revenue $
, 5L9 .
rorm 9901zoos1
932002
o2-04-10
L3541,1,L2 758226
7150000
2009.04040 pAcrFrc
REPERTORY
THEATER 71500001
Forn/990
Checklist of
Schedules
ls the organization described in section 5O1 (c)(3) or 4947(a)(1) (other than a private foundation)?
2
3
Section 5O1(cX3) organizations. Did the organization engage in lobbying activities? lf "Yes," complete Schedule C, Part ll
Section 5O1(cX4), 5Ol(c{5), and 5O1(c)(6) organizations. ls the organization subiect to the section 6033(e) notice and
. ...........
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for
...
reporting requirement and proxy tax? lf "Yes," complete Schedule C, Paft lll
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to
provide advice on the distribution or investment of amounts in such funds or accounts? lf "Yes," complete Schedu/e D, Part I
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedu/e D, ParT ll
Did the organization maintain collections of works of ad, historical treasures, or other similar assets? lf "Yes," complete
Schedule D, Parl lll
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide
x
x
x
x
credit counseling, debt management, credit repair, or debt negotiation services? lf "Yes," complete Schedule D, Part lV
Did the organization, directly or through a related organization, hold assets in term, permanent, or quasiendowments?
lf "Yes,' complete Schedule D, Paft V
ls the organization's answer to any of the following questions "Yes"? /f so, complete Schedule D, Parts Vl, Vll, Vlll, lX, or X
as applicable
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? lf "Yes," camplete Schedule D,
10
11
Part Vl.
Did the organization report an amount for investments - other securities in Part X, line 12 that is 5% or more of its total
assets reported in Part X, line 16? lf "Yes," complete Schedu/e D, PartVIl.
Did the organization repoft an amount for investments - program related in Part X, line 13 that is
12
12A.
13
14a
b
15
16
17
18
19
lf
ll
Did the organization report on Part lX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals
located outside the United States? lf "Yes," complete Schedule F, Paft lll
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part lX,
column (A), lines 6 and 1 1e? lf "Yes," complete Schedule G, Part I
Did the organization report more than $15,000 total of tundraising event gross income and contributions on Part Vlll, lines
1c and 8a? lf "Yes," complete Schedule G, Part ll
Did the organization report more than $15,OOO of gross income from gaming activities on Part Vlll, line 9a? tf "Yes,"
complete Schedule G, Pan lil
the oroanizati
rorm 9901zoos1
932003
02-04- 10
THEATER
715OOOO1
Form990
(continued)
No
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the
United States on Part lX, column (A), line 1? lf "Yes," complete Schedule l, Parts I and ll
2.
Did the organization report more than $5,000 of grants and other assistance
x
lX,
z3
AJ
31
32
Did the organization sell, exchange, dispose of, or transfer more than 25Yo of its net assets?
3ts
g
lf
x
x
X
"Yes," complete
Schedule N. Paft II
Did the organization own 1Otr/o ol an entity disregarded as separate from the organization under Regulations
sections 3O1 .7701-2 and 301 .7701-3? lf "Yes," complete Schedule R, Part I
lf
ls any related organization a controlled entity within the meaning of section 512(bX13)?
lf
37
38
Section 50f (cX3) organizations. Did the organization make any transfers to an exempt non-charitable related organizaiion?
It "Yes,"
Did the organization conduct more than 5% of its activities through an entity that is not a related organization
and that is treated as a partnership for federal income tax purposes? lf "Yes," complete Schedule R, Part Vl
Did the organization complete Schedule O and provide explanations in Schedule O for Part Vl, lines
1 and 19?
rorm 9901zoos;
932004
o2-04-10
THEATER
715OOOO1
77
Form990
1a
-0
Enter the number reported in Box 3 of Form 1096, Annual Summary and Transmittal of
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements,
filed for the calendar year ending with or within the year covered by this return
lf at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. lf the sum of lines 1a and 2a is greater than 250, you may be required to e-file this return. (see instructions)
3a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return?
b lf "Yes," has it filed a Form 990-T for this year? lf "No," provide an explanation in Schedule O
4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a
financial account in a foreign country (such as a bank account, securities account, or other financial account)?
lf "Yes," enter the name ot the foreign country: )
See the instructions for exceptions and filing requirements for Form fD F 90-22.1 , Report of Foreign Bank and
Financial Accounts.
5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?
b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?,.
c lf "Yes," to line 5a or 5b, did the organization file Form 8886-T, Disclosure by Tax-Exempt Entity Regarding Prohibited
Tax Shelter Transaction?
6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit
any contributions that were not tax deductible?
lf "Yes," did the organization include with every solicilation an express statement that such contributions or gifts
were not tax deductible?
7
a
b
c
lf "Yes," did the organization notify the donor of the value of the goods or services provided?
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required
d
e
lf "Yes," indicate the number of Forms 8282 filed during the year
Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal
benefit contract?
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
For all contributions of qualified intellectual property, did the organization file Form 8899 as required?
h For contributions of cars, boats, airplanes, and other vehicles, did the organization file a Form 1 098-C as required? .....
Sponsoring organizations maintaining donor advised lunds and section 509(a)t3) supporting organizations. Did the
supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings
at any time during the year?
Did the organizalion make any taxable distributions under section 4966?...................
b Did the organization make a distribution to a donor, donor advisor, or related person?
10
12a Section a9a7(aX1) non-exempt charitable trusts. ls the organization filing Form 990 in lieu of Form 1041 ?
the
Form
990
(2009)
s32005
o2-o4-10
r354!tL2 758226
7150000
THEATER
7].5OOOO1
to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See r'nstructions-
Section A.
and
Did the organization contemporaneously document the meetings held or written actions undertaken during the year
by the following:
Did the organization invest in, contribute assets to, or participate in a ioint venture or similar arrangement with a
taxable entity during the year?
b lf "Yes," has the organization adopted a written policy or procedure requiring the organization to evaluate its participation
in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization's
16a
ts?
Section G. Disclosure
17 List the states with which a copy of this Form 990 is required to be filed )CA
18
Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (501(cx3)s only) available for
public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial
statements available to the public.
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
l--l
O*n
website [--l
Another's
website
fXl
upon request
rorm
990 lzoos;
932006
02-04-10
2OO9. O4O4O
715OOOO1
form9so(?oog)
Vlll
77-0026957
pageT
lPatt
Section
A.
. List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of
reportable compensation from the organization and any related organizations.
r List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization,
more than $10,000 of reportable compensation from the organization and any related organizations.
List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest compensated employees;
and former such oersons.
current officer director or trustee
(A)
(B)
(c)
(D)
(E)
Average
nours
per
Position
(check all that apply)
Reportable
Reportable
compensation
from related
organizations
(w.2/1099-MrSC)
week
compensation
from
the
organization
(w-2l1099-MrSC)
tF)
Estimated
amount of
other
compensation
from the
organization
and related
organizations
TAMI qTIMMING
0.
SEAlil FLAVIN
0.
SAM LINDER
0.
ROBERT MULFORD
D
PHIL WOODWARD
0.
DIRECTOR
MERRILL TESLIE
0.
II{ANA MURRAY
0.
LEWTS LEADER
0.
KEN WHITE
0.
'JUDY FURIr{AN
0.
.fERRY LOOMIS
0.
JEAI$
HURD
0.
HARNET MITTELDORF
DIRECTOR
GIFFORD LEHI{AN
0.
GERRY VERGA
D
FLO SNYDER
D
DON HTLBURN
Form gSX) eoog)
932007 02-04-lO
THEATER
715OOOO1
Form990
Section A.
(A)
(B)
(D)
(E)
(F)
Average
Reportable
Reportable
Estimated
hours
compensation
from
the
compensatlon
from related
organizations
(w-2l1099-MrSC)
amount of
other
compensation
from the
organization
and related
organizations
per
week
organization
w-2/1099-MISC)
DIAIIE }{ALL
DIRECTOR
DIA}IA KITCHEN
DAVE NEE
CAROL ARMSTRONG
DIRECTOR
BETSY SHEA
DIRECTOR
BERNARD FURM,AN
BAIRD PITTIT.AN
DIRECTOR
STEPHEN MOORER
EXECUTIVE DIRECTOR
65.000.
lb
2
Total
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on
line 1a? lf "Yes," complete Schedule J for such individual
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization
and related organizations greater than $150,000? lt "Yes,' complete Schedule J for such individual
Did any person listed on line 1a receive or accrue compensation from any unrelated organization for services rendered to
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from
the
(c)
(A)
Name and business address
Compensation
Total number of independent contractors (including but not limited to those listed above) who received more than
100.000 in
2OO9. O4O4O
7]-5OOOO1
excluded from
tax under
sections 512.
513. or 514
o
o
oo
E
o
o
o
E
o
-c
92
932009
02-04-10
7354LtI2 758226
rorm
7L50000
.530.
990 lzoosi
71.5OOOO1
77-0025957
page 10
3
4
55.000.
58,270.
560.738.
4L0,232,
contributions) .......
523.
9
10
Payroll taxes
11
a Managemenl
b Legal
c Accounting
d Lobbying
e Professional lundraising services. See Part lV, line
s Other
97.082.
73.787
26.034.
L8 .497 .
537.
.436.
929.
rL .77 4.
4.
551.
't2
13
14
15
16
Occupancy
17
Travel
18
19
n
21
2.
23
24
UTILTTIES
23
&
SETS
PROPS
Add lines 1 thr
Total
26
24t
14.108.
t.229 .286.
6s.056.
18 2L0.
L77 150.
il following
rorm 99O
932010 02-04-10
THEATER
1zoo91
715OOOO1
REPER
THEATER
(B)
End of year
L4
.468.
504,993.
560.220.
L0.304.
1.153.980.
255
,452.
4.
rL .494.
o
.9
E
It
.g
225 .953 .
o
c,
o
g
-s
(!
o
t,tr
.247
o
o
o
o
o
zo
2.3t7 .73t.
rorm 9901zoos1
932011 02-04-10
1_354LLLZ
58226 7t50000
THEATER
71-5OOOO1
12
Form 990
932012 02-04-10
715OOOO1
SCI.'IEDULE A
(Form 99O or 99O-EZ)
Deptrtment ot the Treasury
lntqnal Revenue Sflice
2009
Open to Public
Inspection
Employer identification number
f
2
3
4
l-_l
f]
n
f-l
5E
6E
7E
8fl
eTxl
fl
10
11
activities related to its exempt functions - subiect 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 51 1 tax) from businesses acquired by the organization after June 30, 'l975.
See section 5O9(aX2). (Complete Part lll.)
An organization organized and operated exclusively to test for public safety. See section 5O9(aX4).
An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or
more publicly suppoded organizations described in section 509(aX1) or section 509(a)(2). See section sOg(aXg). Check the box that
describes the type of supporting organization and complete lines 1 1e through 1 t hrype t
| Type lll -Other
a
b [---l rype ll
c | | Type lll - Functionally integrated
d|
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than
foundation managers and other than one or more publicly supported organizations described in section 509(aX1) or section 509(aX2).
lf the organization received a written determination from the IRS that it is a Type l, Type ll, or Type lll
supporting organization, check this box
Since August 17 , 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii) below,
the governing body of the supported organization?
l--l
"f_l
I
s
(ii)
(iiD
(iii) Type of
organizalion
(described on li[es 'l-9
above or IRC section
{8ee instructions))
LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for
Form 99O or 99O-EZ.
932021 02-08-10
THEATER
715OOOO1
Section A. Public
Calendar year (or fiscal year beginning inp
I Gifts, grants, contributions, and
membership fees received. (Do not
include any "unusual grants.") ......
Tax revenues levied for the organization's benefit and either paid to
4
5
3 .... .
B. Total
Calendar year (or liscal year beginning
7
8
Amountsfrom line
in))
4 ............ .. . ..
14
15
Public support percentage for 2009 (line 6, column (f) divided by line 11, column (0)
Public support percentage from 2008 Schedule A, Part ll, line 14
Yo
16a &3 1/39/o support test - 20(D.lf the organization did not check the box on line 13, and line 14 is 33 1/3o/o or more, check this box and
3 1/37o support test - 2OO8,lf the organization did not check a box on line 1 3 or 1 6a, and line 15 is 33
1/3o/o
17a le/o -tacts-and-circumstances test - Zrcg.lf the organization did not check a box on line 13, 16a, or 16b, and line 14 is 1@/o ot morc,
and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part lV how the organization
meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
.
> f]
b l(P/o -facts-and-circumstances test - 20o8.lf the organization did not check a box on line 1 3, 16a, 1 6b, or 1 7a, and line 15 is 1 0% or
1E
more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part lV how the
organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
.. > L.l
Privatetoundation. lf theorqanizationdidnotcheckaboxonlinel3,'16a. 16b. l7a.or17b,checkthisboxandseeinstructions......... >f-_l
Schedule A (Form 99O or 99O-EZ) fi)9
s32022
o2-08-10
THEATER
715OOOO1
2009 P
s Described in
Section A. Public
Calendar year (or liscal year beginning inp
1 Gifts, grants, contributions, and
membership fees received. (Do not
include any "unusual grants.") ......
3
4
4t 256.
4t 256.
11
13
Section C.
15 Public support
11,
ad
12.)
lf the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
of Public
Percen
percentage for 2009 (line B, column (f) divided by line 13, column (f))
Section D.
of Investment Income Percen
17 lnvestment income percentage for 2(X)g (line 10c, column (D divided by line 13, column (0)
18 Investment income percentage from 20@ Schedule A, Part lll, line 17
8s.33
o/o
54
Yo
19a33 1/3f/o support tests - Z)O9. lf the organization did not check the box on line '14, and line 15 is more than 33 1/3%, and line 17 is not
more than 93 1/3% , check this box and stop here. The organization qualifies as a publicly supported organization
. .. .....
b 33 1l!/o support tests - 2O08. lf the organization did not check a box on line 14 or line 1 9a, and line 1 6 is more than 33 113%o , and
line 18 is not more than 33 1/3%, check this box andstop here. The organization qualifies as a publicly supported organization
2O Private foundation. lf the oroanization did not check a box on line 14. 19a, or 19b. check this box and see instructions ........................
> |X}
> f-l
) L-l
THEATER
715OOOO1.
Schedule D
(Form 99O)
Dep{tmenl ot the Treasury
2009
Open to Public
Inspection
Complete if the
2
3
4
Conservation Easements.
f--l
no
Purpose(s) of conservation easements held by the organization (check all that apply).
I Preservation of land for public use (e.9., recreation or
I Preservation ol an historically important land area
| Protection of natural habitat
I Preservation of a certified historic structure
I
|
|
if the
l-.l y."
pleasure) |
I
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the lasl
day of the tax year.
Held at the End of the Tax Year
4
5
6
7
8
9
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of
I-_l yes
l-*l ro
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 17o(hX4XBXD
In Part XlV, describe how the organization reports conservation easements in its revenue and expense statement, and balance sheet, and
include, if applicable, the te).t of the footnote to the organization's financial statements that describes the organization's accounting for
conservation easements.
Complete if the organization answered ''Yes" to Form 990, Part lV, line 8.
lf the organization elected, as permitted under SFAS 1 16, not to report in its revenue statement and balance sheet works of art, historical
treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XlV, the telt ol
the footnote to its financial statements that describes these items.
lf the organization elected, as permitted under SFAS '1 16, to report in its revenue statement and balance sheet works of art, historical treasures,
or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to
these items:
>$
>$
(i)
(ii)
2
a
b
>$
>$
LHA For Privacy Act and Paperwork Reduction Act Notice, see the lnstructions for Form
s32051
02-01- 10
g9O.
2OO9
71.5OOOO1
scneoureDFormeeo)2oos
77-0025957
Page2
f"onthr"d,
Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its collection items
l--l
l--l
l--l
d f]
l--l
"
s"nourry research
oth"t
XlV.
ls the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included
lf 'Yes,' explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance
d Additions during the year ..............
e Distributions during the
year
............
Ending balance
Prt
X, lne 21?
if the
1a
Administrative expenses
b Permanent endowment
c Term endowment
%o
Vo
3a fue there endowment funds not in the possession of the organization that are held and administered for the organization
by:
(i)
b
unrelatedorganizations
(ai) related organizations
lf 'Yes' to 3{iD, are the related organizations listed as required on Schedule R?
lnvestments - Land
and
Description of investment
1a Land
742.039.
742 039.
b Buildings
c Leasehold improvements
d Equipment
e Other
294,414.
292.2L0.
40 .304.
204.
t2t.
932052
o2-01-10
2OOg
Financial derivatives
Closely-held equity interests
Other
Form
Investments -
Related.
See Form
(c) Method of valuation:
Cost or end-of-year market value
15"
(a) Description
ITY
992.
BOND
20
CONSTRUCTTON IN PROGRESS
BENEFICIAL INTERE
TY FOT'NDATION
56.
43 7L6.
Other Liabilities.
1.
TED DEPRE
2.
FIN 48 Footnote. ln Part XlV, provide the text ot the footnote to the organization's financial statements
02-01-10
Schedule D
2009
2
3
4
5
6
7
8
9
Total revenue (Form 990, Part Vlll, column (A), line 12)
Total expenses (Form 990, Part lX, column (A), line 25)
Excess or (deficit) for the year. Subtract line 2 from line
Net unrealized gains (losses) on investments
Donated services and use of facilities
Investment expenses . ....
Prior period adjustments ..
542 64s.
229 286.
1
78
58.
L7.
Return
542 54s.
Total revenue, gains, and other support per audited financial statements
4s8.
Amounts included on line 1 but not on Form 990. Part Vlll. line 12:
a Net unrealized gains on investments
b Donated services and use of facilities
c Recoveries of prior year grants
Reconciliation of
542 64s.
Amounts included on line 1 but not on Form 990, Part lX, line 25:
a Donated services and use of facilities
b Prior year adjustments
c Other losses
0.
.
..............
23.
Information
Complete this part to provide the descriptions required for Part ll, lines 3, 5, and 9; Part lll, lines laand 4; Part lV, lines 1b and 2b; Part V, line 4; Part
X, line 2; Part Xl, line 8; Part Xll, lines 2d and 4b; and Part Xlll, lines 2d and 4b. Also complete this part to provide any additional information-
AD.TUSTMENTS:
PART
XIII,
LINE 48 -
OTHER ADiIUSTMENTS:
DEPRECIATION ADIJUSTMENT: 23 .
2OO9
932054
02-0 1-10
THEATER
715OOOO1-
SCHEDULE G
(Form 990 or 99O-EZ)
Department of the Treasury
Intsnal Revenue Sflice
Complete if the organization answered "Yes" to Form ggo, Part lV, lines 17, '18, or 19,
or if the organization entered more than $15,000 on Form 99O-EZ, line 6a,
Open To Public
Inspection
Y
Fundraising Activities.
09
THEA
Complete if the organization answered "Yes" to Form 990, Part lV, line 17. Form 990-EZ filers are nor
lndicate whether the organization raised funds through any of the following activities. Check all that apply.
[-_l f,,|"it solicitations
e | | Solicitation of non-government grants
b I I Internet and email solicitations
f I I Solicitation of government grants
c | | Phone solicitations
9 l--l Special fundraising events
d | | ln-person solicitations
2a Did the organization have a written or oral agreement with any individual (including officers, directors, trustees or
key employees listed in Form 990, Part Vll) or entity in connection with professional fundraising services?
f_-] Y""
b lf "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be
a
[--l
ruo
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 99O-EZ.
s32081 02-03-10
715OOOO1.
IFI
Complete if the organization answered "Yes" to Form 990, Part tV, line 18, or reported more than $15,000
lnan $5,000.
on Form 990-EZ, lrne ba, List events with gross receipts
(a) Event #1
(c) Other events
(b) Event #2
(d) Total events
(add col. {a) through
1
SPRING EVENI JTIMMER EVENT
cot. (c))
(event type)
(event type)
(total number)
o
f,
o
o
(r
o
(l,
o
o
x
Llj
.g
Gross receipts
Cash
I
9
lO
64.070.
54.070.
7L
.504.
.7 43.
L44.3t7
.7 43.
8,743
7]-.504.
35,574
prizes ............
Entertainment
24
11 Net income
Part lll I (
,9L4
730
8.400
43.044
43,044
in column (d)
>
c)
q)
(ro
o
(l)
o
c
o
uJ
C)
i5
CA
loa
Were any of the organization's gaming licenses revoked, suspended or terminated during the lax year?
b lf "Yes," explain:
11
12
932082 02-03-10
715OOOO].
Schedule G
13
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name
Address
15a Does the organization have a contract with a third party from whom the organization receives gaming revenue?
Name
Address
Name
l--l
tndependent contractor
Mandatorvdistributions:
a ls the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license?
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
932083 02-03-10
THEATER
715OOOO1
SCHEDULE O
(Form 99O)
2009
Open to Public
Inspection
Employer identification number
-0026957
FORM
990,
PART
T, LINE T,
PRESENTING
FORM
990,
PART
VI,
SECTION
A, LINE 2z FAMILY
SECTION
B, IINE LL: A
FORM
990,
PART
VI,
COPY OF FORM
990 IS
PROVIDED TO
FORM
990,
PART
VI,
SECTION
AND FINANCE
FORM
990,
PART
VI,
SECTION
FORM
990,
PART
VI,
C, LINE 18:
SUBSTATiITIATED.
SECTION
C, LINE L9:
LHA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form
932211
02-03-10
99O,
715OOOO1.
,__
4562
instructions.
990
2009
Attachment
No.67
Election To
Certain
Under Section 179 Note: lf vou have
Maximum amount. See the instructions for a higher limit for certain businesses
2 Total cost of section 179 property placed in service (see instructions)
Paft
ldentitying numbtr
before
Paft l.
250
limitation lor
800 000
-0.
td
(a)
Description of propqty
I
I
Total elected cost of section 179 property. Add amounts in column (c), lines 6 and
Tentative deduction. Enter the smaller of line 5 or line 8
Business income limitation. Enter the smaller of business income (not less than zero) or line 5
't2 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 1 1
11
use Paft
V.
Special depreciation allowance for qualified property (other than listed property) placed in service during
the tax year
168(D(1) election
instructions.)
Section A
17 MACRS deductions for assets placed in service in tax years beginning before 2009
18
lf you
de
electing to group
(a)
Cla$itition
of property
010
one or more
only -
se
(g)
instructions)
Deprsiation deduction
20.
25.
Residential rental property
27.295.
32L
the Alternative Depreciation System
Class life
instructions.)
21 Listed property. Enter amount from line 28
2.
Total, Add amounts from line 12, lines 14 through 1 7, lines 't 9 and 20 in column (g), and line 2'l .
Enter here and on the appropriate lines of your return. Partnerships and S corporations . see instr.
23 For assets shown above and placed in service during the current year, enter the
331
of
2009.04a40 PAcrFrc
Form,+O62 (2009)
REPERTORY
THEATER
715OOOO1
Ir
77_0026957
Note:. For any uehicle for which you are_using.the slandjr.q milegge.rate or
through (c) of Section A, atl of Section B, and Section C if
applicabte.
deducting
- tease expense, compteteonly 24a, 24b, cotumns
(a)
Type of property
(list vehicles first )
25
(b)
(c)
Date
Business/
investment
placed in
service
28
(d)
use percentage
Cost or
other basis
(e)
Basis for depreciation
(busine$Vinvestment
us
on'y)
(f)
(s)
(h)
Recovery
Melhod/
Convenlion
Depreciation
period
Special depreciation allowance for qualified listed property placed in service during the tax year and
used more than 507o in a qualified business use ..
used more than 507o in a
ousrness use:
pase2
certain other vehicles, cellular telephones, certain computers, and property used for entertainment,
Yes
(a)
(D
Elected
section 179
deduction
cosl
25
business use:
Add amounts in column (h), lines 25 through 27 . Enter here and on line 21 , page
amounts in column (il. line 26. Enter
on line 7, paqe 1
3'l
32
the
33
section c - Questions for Employers who Provide vehicles for use by Their Employees
Answer these questions to determine if you meet an exception to completing Section B tor vehicles used by employees who are not more than
owners or related
37
So/o
Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by your
38
Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your
employees? See the instructions for vehicles used by corporate officers, directors, ot 1o/o ot more owners
39 Do you treat all use of vehicles by employees as personal use?
Q Do you provide more than five vehicles to your employees, obtain information from your employees about
41
Amortization
(a)
Description ot costs
2009 tax
Form
2009.04040
PACTFTC REPERTORY
THEATER
es62 (2009)
71-5OOOO1