40 1P OMB NO 15450047 Form 990 Return of Organization Exempt From Income Tax Under section 501(c), 527, or 0947(a)(1) of the Internal Revenue Code (except black lung 2001 benefit trust or private foundation) Open to Public Department v1 the Treasury e,iemei aeenue Samce " The organizabon may have to use a copy al this return to satisfy state reporting requirements Inspection A For the 2007 calendar y, or tax year beqmninq 7 /1 .2001 . and zo n2 B Checkilapplicebla G Name of organization D Employer Identll u.. IRS M DAddress change ianei or Fidelity Investments Charitable 11-0303001 prlnl or F-1 Name change Number and street (or PO box d mail is not delivered to si e ieiepnonanumoei F-lInNalretum Sea 82 Devonshire Street, R22C 800-682-443 N spe~ffl. City or [own state or country and ZIP + 4 OFinalretum inawc F Accounting method aAmended return aApplicahon pending * Section 507(c)(l) organizations and 4%7(a)(1) nonexempt charitable R trusts must attach a completed Schedule A (Form 990 or 990-EZ) H(a) Is this a group return for affiliates? Elves E]No c wen sire ll~ www charitableqift o H(b) If 'Yes,' enter number of afiliates 1 N /A H(c) Are all affiliates included? [:]Yes [:]No J Organization type (check only one) la, 507(c) ( j ) .4 (insert no ) [:] 49a7(a)(7) or 527 [K] (II'NO,' attach a list See inswcuone ) N /A Hid) Is this a separate return filed by an K CheckherelOiltheorganizationsgrossreceiplsarerormaltynotmorelhanS25000Theoigan¢abon or9am¢ahon covered by a arouo ruhnq7 F-1 Yes FYI No need not file a return with the IRS but if the organization received a Form 990 Package in the mail it should file a return without financial data Soma states require a complete return M Check fa~ ~ittheorqamuuonisnotrequiredt0attach L Gross receipts Add lines 6b Bb 9b and 70b to line 12 1 1 , 60 3, $ 0 fi, 18 9 Sch B (Form 990 990-EZ or 990.PF Part I Revenue, Expenses, and Changes in Net Assets or Fund Balances See S eufic Instructions on page 16 1 Contributions, gifts, grants, and similar amounts received a Direct public support 1a 655 221 194 b Indirect public support 1b 80 232 999 c Government contributions (grants) 1c d Total (add lines to through 1c) (cash $ 770 . X47 . 242 noncash $ 4 F5, t Fi , 9Ol ) Id 735 , 454 , 143 2 Program service revenue including government fees and contracts (from Part VII line 93) 2 3 Membership dues and assessments 3 4 Interest on savings and temporary cash investments 4 5 Dividends and interest from securities 5 52 , 740 , 760 6a Gross rents 6a b Less rental expenses 6b c Net rental income or (loss) (subtract line 6b from line 6a) tic 7 Other investment income (describe " 7 d Ba Gross amount from sales of assets JA) Securities (B) Othe 'w other than inventory St-at 1 815 ]I 11 8a b Less cost or other basis and sales expenses S 9 5 311 7 57 Bb N c Gain or (loss) (attach schedule) -3 0,0 00 , 476 8c d Net gam or (loss) (combine brie 8c, columns (A) and (B)) Bd -30 , 000 , 476 p 9 Special events and activities (attach schedule) a Gross revenue (not including $ of Lai contributions reported on line 1 a) 9a b Less direct expenses other than fundraising expenses 9b c Net income or (loss) from special events (subtract line 9b from line 9a) 9c 10a Gross sales of inventory, less returns and allowances 10a b Less cost of goods sold 10b - c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from brie 10a) 10c 11 Other revenue (from Part VII, brie 103) ` ,.~~+y~ 11 72 Total revenue (add lines 1d, 2, 3, 4, 5, tic, 7, 8d, .9c, 10c, n `~~+~ ~ faU - 12 758 199 427 73 Program services (from line 44, column (B)) ~ 13 756 , 690 , 139 14 Management and general (from brie 44, column (C)) N A a 14 3 , 023 , 542 m 15 Fundraising (from line 44, column (D)) ~~~ V 'G' ~Oa~ t!) 15 8 929 , 298 16 Payments to affiliates (attach schedule) 17 Total expenses add lines 16 and 44, column A OLDEN , UT ¢0 17, 768 , 642 , 979 18 Excess or (defeat) for the year (subtract brie 17 from brie 12) -~"'~ 18 - 1 0 , 448 , 552 19 Net assets or fund balances at beginning of year (from line 73, column (A)) 19 2 6 4 8 , 760 , 694 20 Other changes in net assets or fund balances (attach explanation) Stat 2 p -249,282,369 Z ~ 21 Net assets or fund balances at end of year (combine lines 18, 19, and 20) F2 1 r -2, 389, 029, 773 For Paperwork Reduction Act Notice, see the separate instructions Form 990 X2007) ISA /~ '~ STFFED1Y23F1 ' ' \- 0 Form 990 (2001) 0 Page 2 Part II Statement of All agaiiz:at~ mmcanpletemerm(a) copmns(e) (c) and (0) aerequired fasedim501(c)(3) and (4) orgarvAlorts arid Functional Expenses section 4947(a)(1) rmommplchaAableo-ussdnoptional fix others (See Speck Inshictions on page 21 Do not include amounts reported on line (a Total (B) Program (C) Management (D) Fundraising 66, 86, 96, 706, or 16 0l Part I serv,ces and general 22 Grants and allocations (attach schedule) (cash 1 7 50 .975 .802 nOnC25hS Stat 3 1 22 750 975 802 75() , 975 , 802 23 Specific assistance to individuals (attach schedule) 23 24 Benefits paid to or for members (attach schedule) 24 25 Compensation of officers, directors, etc 25 52 1,50 0 2 00 26 Other salaries and wages 26 77n 27 Pension plan contributions 27 28 Other employee benefits 28 q a 29 Payroll taxes 29 30 Professional fundraising fees 30 31 Accounting fees 31 32 legal fees 32 33 Supplies 33 34 Telephone 34 35 Postage and shipping 35 36 Occupancy 36 1, 0 37 Equipment rental and maintenance 37 38 Printing and publications 38 39 Travel 39 40 Conferences conventions and meetings 40 41 Interest 41 42 Deprecation, depletion, etc (attach schedule) 42 43 Other expenses notcovered above (demrze) a ~.~~a~a " =" ~o 43a 4 26 , 7 52 121 OS 06 b .. ~ 0 43b 865 125 71 939 500 393 292 , 793 c 43c d 43d e 43e 44 Total functional expenses (add lines 2211vagh 43) Organizations completing columns(8) " ID),farrythese totals tolines iJ " 15 44 768,642,979 756,690,139 3,023,542 8,929,298 Joint Costs Check tl~ E] if you are following SOP 98-2 Are any point costs from a combined educational campaign and fundraising solicitation reported in (B) Program services? " 0 Yes FK] No If 'Yes," enter (i) the aggregate amount of these point costs $ , (n) the amount allocated to Program services 8 , (n) the amount allocated to Management and general E , and (rv) the amount allocated to Fundraising $ on oaae 24 What is the organization's primary exempt purposes " seat 3a ~'aJ"m be^"ee AllorgaiaahonsmusldescnhetheirexernpipurposeactnevementsmadearandconusemannaStatethenumbelofdoMsserved,puhlicaUOns ExPertses Im 501(l)(3) (4) issued, etc Discuss achievements that are not measurable (Section 501(c)(3) and (4) arganiulions and 4947(a)(1) nonexompl chantable trusts myM0°`°° .,a4wrh "t9mm'" m must also enter the amount of grants and allocations to others 1 a~b w.+i a Stat 3a ------(Grants and allocations $ 750, 975, eoz )
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------(Grants and allocations S ) e Other program services (attach schedule) (Grants and allocations $ f Total of Program Service Expenses (should equal line 44, column (B), Program services) " 756,690 . 139 Form 990 (2001) SW FEDf 937E I
r 0 0 Form 990 (2001) Page 3 Part IV Balance Sheets (See Specific Instructions on page 24 )
Note Where requued attached schedules and amounts within the descnplion (A) (B) column should be for end-of-year amounts only Beginning of year End of year 45 Cash-non-interest-bearing 5 534 340 45 3 526 281 46 Savings and temporary cash investments 46
47a Accounts receivable 47a 1, 398, 495 b Less allowance for doubtful accounts 47b 29 , 062 , 677 47c 1 , 348 , 445
48a Pledges receivable 48a b Less allowance for doubtful accounts 48b 48c 49 Grants receivable 49 50 Recervables from officers, directors, trustees and key employees (attach schedule) 50 51a Other notes and loans receivable (attach y schedule) 51a d b Less allowance for doubtful accounts 51b 51c m Q" 52 Inventories for sale or use 52 53 Prepaid expenses and deferred charges 53 54 Investments-securities (attach schedule) " E] Cost F&] FMV 2 , 598 , 032 , 773 54 2 , 359 , 096 , 385 scat a 55a Investments - land, bwldings,and equipment basis 55a b Less accumulated depreciation (attach schedule) 55b SSc 56 Investments - other (attach schedule) 56 57a Land, buildings and equipment basis 57a b Less accumulated deprecation (attach schedule) 57b 57c 58 Other assets (described Stat 5 ) 48 , 265 , 223 58 32 030 147
59 Total assets (add lines 45 through 58) (must equal line 74) 2 , 680 , 915 , 013 59 2 396 , 001 , 258 60 Accounts payable and accrued expenses 32 154 319 60 6 971 985 61 Grants payable 61 62 Deferred revenue 62 m 63 Loans from officers, directors, trustees, and key employees (attach - schedule) 63 q 64a Tax-exempt bond liabilities (attach schedule) 64a b Mortgages and other notes payable (attach schedule) 64b 65 Other liabilities (describe ji~ ) 65
66 Total liabilities (add lines 60 through 65) 32 159 319 66 6 971 485 Organizations that follow SFAS 117, check here ji~ Eland complete lines 67 through 69 and lines 73 and 74 u 67 Unrestricted 2 , 600 , 677 , 412 67 2 357 230 699 m 68 Temporarily restricted 48 , 083 , 282 68 31 799 074 m 69 Permanently restricted 69 Organizations that do not follow SFAS 777, check here " E] and complete lines 70 through 74 0 70 Capital stock, trust principal, or current funds 70 9 71 Paid-in or capital surplus, or land, building, and equipment fund 77 N N 72 Retained earnings, endowment, accumulated income, or other funds 72 a 73 Total net assets or fund balances (add lines 67 through 69 OR lines 70 through 72, column (A) must equal line 19, column (B) must equal line 2l) 2 648 760 699 73 2 , 389 , 029 , 773 74 Total liabilities and net assetslfund balances (add lines 66 and 73) 2, 680, 915, 013 ~ 74~ 2, 396, 001, 258 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, in Part III, the organizations programs and accomplishments SW FED7713F 3 Form 990(200 Page 4 Part IV-A Reconciliation of Revenue per Audited Part IV-B Reconciliation of Expenses per Audited Financial Statements with Revenue per Financial Statements with Expenses per Return a Total revenue, gams, and other support per a Total expenses and losses per audited finanaal statements audited financial statements b Amounts included on line a bud not on b Amounts included on line a but not on line 12, Form 990 line 17, Form 990 (1) Net unrealized gains (1) Donated services on investments S-230,341,907 and use of facilities $ (2) Donated services and (2) Prior year adjustments use of facilities S reported on line 20, (3) Recoveries of prior Form 990 S year grants S (3) Losses reported on (4) Other (specify) line 20, Form 990 S DECPEASE IN FTP/ OF (4) Other (specify)
aE('EiJ u .F FROM ?IF $ -18 .940,462 Add amounts on lines (1) through (4) ji~ S Add amounts on lines (1 ) through (4) ~ b c Line a minus line b c Line a minus line lo Iii, C d Amounts included on line 12, d Amounts included on line 17, Form 990 but not on line a Form 990 but not on line a (1) Investment expenses (1) Investment expenses not included on line not included on line 6b, Form 990 S 6b, Form 990 $ (2) Other (specify) (2) Other (specify)
5 5 Add amounts on lines (7) and (2) d Add amounts on lines (7) and (2) ll~ d e Total revenue per line 12, Form 990 e Total expenses per line 17, Form 990 (line c plus line d) "1- e use isa an (line c plus line d) " e 1sa saz Us Part V List of Officers, Directors, Trustees, and Key Employees (List each one even if not compensated, see Specific Instructions on page 26 ) (C) Compensation (D)CoimmEWOm b (E) Expense (B) Tlle (A) Name and address and average hours per not paid nfqbyee0erefl gars 8 account and other week Oewted to 1i} position enter-0-1 CNertddormer sahon allowances 5T.a45______
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75 Did any officer, director, trustee, or key employee receive aggregate comperua6on of more than $100,000 from your organization and all related organizations, of which more than $10,000 was provided by the related organizations? Yes 0 No If 'Yes,' attach schedule-see Specific Instructions on page 27
Form 990 (2001) S7F FEDi927F 4 Form 990 (2001) 0 0 Page 5 Part VI Other Information See Specific Instructions on page 27 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 X 77 Were any changes made in the organizing or governing documents but riot reported to the IRS 77 K Ii "Yes," attach a conformed copy of the changes 78a Did the organization have unrelated business gross income of $1000 or more during the year covered by this return? 78a X b If "Yes " has it filed a tax return on Form 990-T for this year? 78b N A 79 Was there a liquidation dissolution, termination, or substantial contraction during the year? I( "Yes,' attach a statement 79 X 80a Is the organization relayed (other than by association with a statewide or nationwide organization) through common membership, governing bodies trustees, officers etc , to any other exempt or nonexempt organizations 80a X b If "Yes," enter the name of the organization 1~ Stat 7 and check whether it is El exempt OR [_] nonexempt 81a Enter direct or indirect political expenditures See line 81 instructions 81a None b Did the organization file Form 1120-POL for this year? 81b X 82a Did the organization receive donated services or the use of materials, equipment, or facilities al no charge or at substantially less than fair rental values 82a X b I( "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 N/A 83a 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 84a Did the organization solicit any contributions or gifts that were not tax deductible? 84a N -A b If "Yes' did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductibles 84b N A 85 501(c)(4), (5), or (6) organizations a Were substantially all dues nondeductible by members BSa N A b Did the organization make only in-house lobbying expenditures of $2,000 or less 85b N A If "Yes" was answered to either 85a or 85b, do not complete 85c through SSh 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 SSd 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) SSf N/A _ g Does the organization elect to pay the section 6033(e) tax on the amount on line 85f? 85 N A h If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line 85( to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax years BSh N A 86 501(c)(7) orgs Enter a Initiation fees and capital contributions included on line 12 86a N/A b Gross receipts included on line 12 far public use of club facilities 86b N /A 87 501(c)(12) orgs 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 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 88 X 89a 501(c)(3) organizations Enter Amount of tax imposed on the organization during the year under section 4911 0~ NONE , section 4912 J~ NONE , section 4955~ NONE -' b 501(c)(3) and 501(c)(4) orgs 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 ~ NONE d Enter Amount of tax on line 89c, above, reimbursed by the organization 90a List the stales with which a copy of this return is filed li~ Stat 8 b Number of employees employed in the pay period that includes March 12, 2001 (See instructions ) I 90bl 82 91 The books are in care ofd Cynthia Eaan Telephone no li 800-682-9438 Locatedatp~ 82 Devonshire Street . R22C, Boston, MA ZIP+4j~ 02109-3614 92 Section 4947(a)(1) nonexempt charitable trusts riling Form 990 m lieu of Form 1041 - Check here t and enter the amount of tax-exempt interest received or accrued during the tax year . " 1 92 1 N/A Foam 990 (2001) STF FEp1927F 5 Form 990 s 'art VII I Analysis of Income-Producin Note Enter gross amounts unless otherwise Unrelated business income E=IUEeG by senion 577 513 a 514 Related or indicated IAI Isl Icl "o1 exempt funcEOn Business code Amount Lion code Amount 93 Program service revenue a 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 96 Dividends and interest from securities 97 Net rental income or (loss) from real estate a debt-financed property b not debt-financed property 98 Net rental income or (loss) from personal property 99 Other investment income 100 Gain or (loss) from sales of assets other than inventory 101 Net income or (loss) from special events 102 Gross profit or (loss) from sales of inventory 103 Other revenue a b c d
104 e Subtotal (add columns (B), (D), and (E)) 105 Total (add line 104, columns (B), (D), and (E)) 27 74n .294 Note Line 105 plus line 1d, Part l, should equal the amount on line 12, Part I Part VIII Relationship of Activities to the Accomplishment of E) mpt Purposes (See Specific Instructions on page 32 ) Line No Explain how each activity for which income is reported in column (E of Part Vll contributed importantly to the accomplishment of the organization s exempt purposes (other than by providing fi ids for such ouroosesl
Name, address, and~EIN of corporation I Percentage of Nature partnership or disre4arded entity ownership interest
~ Part X I Information Regarding Transfers Associated with (a) Did the organization, during the year, receive any funds, directly or indirectly, (b) Did the organization, during the year, pay premiums, directly Note II "Yes" to (b), rile Foam 8870 and Form 4 720 (see instrucho Under pen ~ of penury I declare that I e%--etammed this return mclud belief i de corre a d complete a ion of preparer (other than o Please Sign 'S9nat/ of officer Here
Paid I Preparers '_1_. -' - Firms name far yours' X50 Ofl~y R self-employed) address and ZIP+4
SW FEp192]F 6 SCHEDULE A OrMization Exempt Under Section301(c)(3) OMB No 1545-0047 (Forth 990 or 990-EZ) (Except Private Foundation) and Section SOta), 501/fl, 501(k), 501(n), or Section 4947(a)(1) Nonexempt Chantable Trust e r.,a, ry Supplementary Information-See separate instructions of me 2001 internal Rm~eriue sm.a " MUST be completed by the above organizations and attached to their Farm 990 or 990-EZ Name of the organization Hcation number Fidelity Investments Charit e Gift 001 Part I Compensation of the Five Hi cers, (See page 1 of the instructions each one If there are la) Gmmdn~a,s io (e) E~ense (a) Name and address of each employee paid more and (b) Tile average hours (c) Compensation em0~oyee benetii pans 8 aCtounl and other than $50 000 per week dewted to position deferred comperifiation allowances
Virqinia_Ward Fundraising Exe utive 82 Devonshire Street, R22C Boston, MA 02109 90 183,050 10,728 None
Diane Garfield Fundraising Exe utive 82 Devonshire Street, R22C Boston, MA 02109 90 ~ 180 .250 24 .2851 None
John DanahY______Fundraising Ere utive 82 Devonshire Street, R22C Boston, MA 02109 ~ 90 ~ 178,375 11,571 None
Diedre D . Nectow Fundraising Exe utive 82 Devonshire Street, R22C Boston . MA 02109 ~ 90 ~ 156 .663 9 .731 None
Eric Cole Fundraising Exe utive 82 Devonshire Street, R22C Boston, MA 02109 40 95,500 6,976 Non Total number of other employees paid over $50,000 t 11 Part II 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 seance (c) Compensation
_---__---____-]ADMINIST1uaTZVE,nnRKETI NATIONAL CHARITABLE SERVICES BOSTON, MA FINANCE, FUNDRAISING S 16 .67
NEUWIRTH RESEARCH, INC NEW YORK, NY ------FUNDRAISING S
SIMPSON THACHER & BARTLETT NEW YORK, NY ------
PRICEWATERHOUSECOOPERSL_LLP BOSTON, MA AUDIT
SKADDEN ARPS SLATE MEAGHER b FLOM LLP WASHINGTON, DC LEGAL SERVICES 86,576 Total number of others receiving over $50,000 for professional services 0. 1 2 For Paperwork Reduction Act Notice, see the Instructions; for Form 990 and Form 990-EZ Schedule A (Form 990 or 99o-EZ) 7007 GA SW FEO7955F 1 schedule A (Form 990 or 990-EZ) 2001 " - Page 2
Part III Statements About Activities (See page 2 of the instructions ) 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 referendums If 'Yes .' enter the total expenses paid or incurred in connection with the lobbying activities " $ None (Must equal amounts on line 38, Part VI-A, or line i of Part VI-B ) 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 m 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
b Lending of money or other extension of credits I 2b I I 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) S to t 9 pd X
e Transfer of any part of its income or assets
3 Does the organization make grants for scholarships, fellowships, student loans, etc ? (See Note below )scat 1 3 X 4 Do you have a section 403(b) annuity plan for your employees 4 Note Attach a statement to explain how the organization determines that individuals or organizations receiving grants or loans from it m furtherance of its charitable programs 'qualify" to receive payments
Part IV 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 E] A church, convention of churches, or association of churches Section 170(b)(1)(A)(i) 6 Fj 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)(ui) 8 F~ A Federal, state, or local government or governmental unit Section 170(b)(1)(A)(v) 9 F-1 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 ~ 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)(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 72 0 An organization that normally receives (1) more than 33'/x% of its support from contributions, membership fees, and gross receipts from activities related to its chantable, etc , functions -su6jed to certain exceptions, and (2) no more than 33'l2% of its support from gross investment income and unrelated business taxable income (less section 511 lax) 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 (t) 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 followin g information about the su pported organizations See page 5 of the instructions (a) Name(s) of supported organization(s) (b) Line number from above
14 0 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-E) 2001 57F FE07955F 2 Schedule A (Form 990 or 990-EZ) 2007 " " Page 3 Part 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 m the instructions for converting from the accrual to the cash method of accounting Calendar year (or fiscal year beginning in) ~ (a) 2000 (b) 1999 (c) 1998 (d) 1997 (e) Total 15 Gifts, grants, and contributions received (Do not include unusual grants See line 28 ) 16 Membership fees received 17 Gross receipts from admissions merchandise sold or services performed, or furnishing of facilities m any activity that is related to the
18 Gross income from interest dividends, amounts received from payments on securities loans (section 512(a)(5)) rents, royalties and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30 1975 79 Net income from unrelated business activities
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
22 Other income Attach a schedule Do not include gain or (loss) from sale of capital 23 Total of lines 15 through 22 17 25 Enter 1% of line 23 26 Organizations described on lines 10 or 11 a Enter 2% of amount in column (e), line 24 . 26a 75, 025,536 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 1997 through 2000 exceeded the amount shown in tine 26a Do not file this list with your return Enter the total of all these excess amounts " 26b c Total support for section 509(a)(1) test Enter line 24, column (e) " 26c 3 , 751 , 426 , 822 d Add Amounts from column (e) for lines 18 472,674 , 730 19 --- 22 26b " 26d 472 , 614 , 730 e Public support (line 26c minus tine 26d total) 26e 3 zae 752 osz f Public support percentage (line 26e (numerator) divided by line 26c (denominator) 1~0. 26f 87 do 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 far each year N / A (2000) (1999) (1998) (1997) b For any amount included in line 17 that was received from each person (other than `disqualified person"), 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 (7) or (2), enter the sum of these differences (the excess amounts) for each year (2000) (1999) (1998) (1997)
c Add Amounts from column (e) for lines 15 16 17 20 21 . 27c d Add Line 27a total and line 27b total " 27d e Public support (line 27c total minus line 27d foul) ji~ 27e f Total support for section 509(a)(2) test Enter amount from tine 23, column (e) 1. 27f g Public support percentage (tine 27e (numerator) divided by tine 27f (denominator)) " 27 h Investment income percentage (line 18, column (e) (numerator) divided by line 27f (denommator)) " 27h 28 Unusual Grants For an organization described in line 10, 11, or 12 that received any unusual grants during 1997 through 2000, 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 Schedule A (Forth 990 or 990-EZ) 7001 STF FED19i5F 3 0 Schedule A (Form 990 or 990-EZ) 2001 " Page 4 Part V Pnvate 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)
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 ids 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 )
32 Does the organization maintain the following a Records indicating the racial composition of the student body, faculty, and administrative staffs 32a b Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory basis 32h c Copies of all catalogues, brochures announcements, and other written communications to the public dealing with student admissions programs, and scholarships 32c d Copies of all material used by the organization or on its behalf to solicit contributions 32d
If you answered "No" to any of the above, please explain (I( you need more space, attach a separate statement )
33 Does the organization discriminate by race in any way with respect to
a Students' rights or privileges? 33a
b Admissions policies
c Employment of faculty or administrative staff
d Scholarships or other financial assistance
e Educational policies
f Use of facilities?
g Athletic programs
h Other extracurricular activities?
If you answered 'Yes'to any of the above, please explain (If you need more space, attach a separate statement )
34a Does the organization receive any financial aid or assistance from a governmental agency
b Has the organizations 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, 19752 C B 587, covering racial nondiscrimination If 'No,' attach an explanation I -S5 Schedule A (Form 990 or 990.Q) 2007
57F FED1955F 4 Schedule A (Form 990 w 990.EZ) 2001 " " Page s Part 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) N/A Check " a lI tithe to an affiliated group Check " b I I d wu checked "a" and 'limited control' (a) (b) Limits on Lobbying Expenditures Affiliated group To be completed totals for ALL electing term `expenditures" means amounts paid or incurred 36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 37 Total lobbying expenditures to influence a legislative body (direct lobbying) 38 Total lobbying expenditures (add lines 36 and 37) 39 Other exempt purpose expenditures 40 Total exempt purpose expenditures (add lines 38 and 39) 47 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 $7,000 000 8700,000 plus 15% of the excess over $500,000 Over 87,000,000 but not over 81,500,000 E775,000 plus 10°b of the excess over $1000,000 Over $1,500,000 but not over 517 000,000 $225,000 plus 5°b of the e¢ess over $1,500,000 Over $17,000,000 $7,000,000 42 Grassroots nontaxable amount (enter 25% of line 47) 43 Subtract line 42 from line 36 Enter -0- if line 42 is more than line 36 44 Subtract line 41 from line 38 Enter -0- if line 41 is more than line 38
Caution I( there is an amount on either line 43 or line 44, you must ale Form 4720 4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below See the instructions for lines 45 through 50 on page 11 of the instructions )
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or (a) (b) I (c) I (d) I (e) fiscal Year beuinr 2001 2000 1999 1998 Total
45 Lobbvinq nontaxable amount
46 Lobbying ceiling amount (150% of line
47 Total
48 Grassroots nontaxable amount
49 Grassroots ceiling amount (150% of line
50 Grassroots :trvity by Nonelecting Public Charities (For ~ only by organizations that did not complete Part VI-A) (See page 12 of the instructions
During the year, did the organization attempt to influence national, stale or local legislation, including any yes No Amount attempt to influence public opinion on a legislative matter or referendum, through the use of a Volunteers b Paid staff or management (Include compensation in expenses reported on lines c through h ) X ' c Media advertisements X NONE d Mailings to members, legislators, or the public X NONE e Publications, or published or broadcast statements X NONE f Grants to other organizations for lobbying purposes X NONE g Direct contact with legislators, their staffs, government officials, or a legislative body x NONE h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means X NONE i Total lobbying expenditures (Add lines c through h.) ~ ~ 0 If 'Yes' to any of the above, also attach a statement giving a detailed description of the lobbying activities Schedule A (Form 990 or 990-EZ) 2007 57FFED19iSF 5 Schedule A (Form 990 or 990 EZ) 2001 " " Page 6 Part VII Information Regarding Transfers To and Transactions and Relationships With Nonchantable Exempt Organizations (See page 12 of the instructions ) 51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described m section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations a Transfers from the reporting organization to a noncharitable exempt organization of Yes No (i) Cash (ii) Other assets Other transactions (i) Sales or exchanges of assets with a noncharitable exempt organization b(i) X (ii) Purchases of assets from a noncharitable exempt organization b(ii) X (iii) Rental of facilities, equipment or other assets (iv) Reimbursement arrangements b(iv) X (v) Loans or loan guarantees b(v) X (vi) Performance of services or membership or fundraising solicitations b(vi) X Sharing of facilities, equipment, mailing lists other assets, or paid employees If the answer to any of the above is 'Yes,' complete the following schedule Column (b) should always show the fair market value of the goods, other assets, or services given by the reporting organization If the organization received less than fair market value in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received
52a 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 o E) Yes M No
Schedule A (Form 990 or 990-EZ) 3007 STF FED79S5F 6 FIDELITY INVESTMENTS CHARITABLE GIFT FUND EIN# 11-0303001 6130/02
STATEMENTI
FORM 990, PART I, LINE 8A
Description Amount Proceeds 815, 311,281
Cost 845,311,757
Mutual Fund Gain (30,000,476) FIDELITY INVESTMENTS CHARITABLE GIFT FUND EIN# 11-0303001 6130102
STATEMENT2
FORM 990. PART I - OTHER DECREASES IN FUND BALANCES
DESCRIPTION
UNREALIZED DEPRECIATION ON INVESTMENTS (230,341,907) DECREASE IN FAIR MARKET VALUE OF RECEIVABLE FROM POOLED INCOME FUND (18,940,462)
TOTAL (249,282,369) FIDELITY INVESTMENTS CHARITABLE GIFT FUND EIN# 11-0303001 6/30102 Statement 3
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For A 817er EmvonmlN Comarearmly Connection 01 Nominated George Inc Coninau, Foundered Ceremonies, in SNOaI DUlaf Inc Cortnunq Consolidarled School District III CoNmEUS Hwv Canmrvves in Srnoa of otwmwa ~no cor .timm Coined .. Council Jewfn fMirauan CannuMm In SdodftHpufmn IM Cmnurvty Cwml Fn The Normal N Friandsheip Pill CdunOUS JawN Home For The Aged-HentaW House firtmlick", In Schemes On Bdusurriall Country Community Cwnse4q Savr Lm, Cannnus lnmq faumf Comrurvpea N Social Of GNNVi NaJJenary Irc Cemendusurt, Common church Cdunas MedcL Amavaum Fwmavan commnut. in semi acaidnas, irc comm.wn Con,mard Church LalumNa Museum pM eamunieea in sa,en. alateaoa WA Community Common Church Calumous Philharmonic Guild Inc Commoners N SC1100b 01 Leunqlpn Int Community Crisis Center Inc Columbus P. M.. lic, Communities In Someass Of San Fomenter Valley Inc Community Day Car . Center no Cdurtbs RAIL Sdeclf C7rtnuYCef N" i San Mbl Irc Camnwty Educational Cancer OI Tie NeM EM ME Fin Bmtm Inc Columbia ReDOnil H.1.1 Fourneall too CdmYrvOn in Trims I~aYE Community, EaxauvW iolmvon Columbus Regional Medical FaunN4pn Inc L.Oea PQiniIOE to IIIpM IJIa Community E^inarsnmenW Lei Deforde Fund Columbus Regional Shelter For Victims; Of Domestic %rolanica Communities Without Bordem Community Famly Ufa Samoa. Inc GdwnWa Sc1hool For Gifts Commonly Comnunu7 Famu OuvenrA Inrurpern~E Columbus sub uns.anoM caunmwn me eomiurvM Academic Frank Scrom Cornmeal Fellicansup eoe..w. Simearka, Orchestra 1. CmnuM/ Academy OI PlWiOelyua A Pwvrykyus CharM SCml Cumrv7 FeYwVUY Coined, CahnW a imln Sdml comrdunc; ,m.. To m. Ns; 1 . 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Jaw Inc Gortrtun7 Nfeaabn Fn Fmmm4m4on Inc Community GeutNabn For SauOieubm Mluyn Control low. Lia, Cmrturvly "IlenOOn Community Faudalen For SaiOires~ WaiMqlm Cracker Al Mossamus. ComeuNly 9yAa1 Ch. Community Fourriatear For The Nationals Coastal Ireland Cminvuu FwnNUm Commonalty B+p4n Gura Community FvmEipm File The Valln Hymn IT Come. Crte\ Farm FdnCaYOn Inc con-monfln eawn cnHm find Community Foundation Of Aslark. Comfort Hour . Simiukes no Community Bide Church Community Foundation Of Bradard! Cc Inc Comfort.. Of Cayuga Count, In. commuNn eJIe reno nio Lordimunity Foundation Of Bmakarms Inc Coming Home NeMak Ntemauami C.My bbl MinnF~m Lwmun7 Foundation Of Calse Cod Carran0 Together FaoWal d Darv'e 8 Music Community &w Swdy comi Foundation Of Cralkir County COmam imsN Ca Ur . Angeles cmn.wn 111a, S" Lnummeacknod! incorporated Corral FaWaem a Gnmr Mn Coned For pqniM 6 Fame33 For TN Homelier. HwfnO Oewlopertrnl Iz Common, Blood Canter Of Greater Kansas Ce, Community Formulated Of Greaur Greenf0om Inc Commerce Unded Methodist Church Community Baaunp Center InC Community Foundation of Greater GrecirrIls Inc Commercial Alan Camrvrv7 BactYrp t oo Cwmurvry Foundation Of Greater Lms Loamy Camsrval Club Foundurecan CVmwly Bn.fl HisIT Rqw Community Fournam.Of Greater Markets. W. Cmmfm of U,pr Ovt4n LwnNp Lumwly C F C Community Foundation Of Henderson County led Camiavm For Jai EduraCm Of The Palm Beau Irc Coal Cardidencep Cosence! 1. Communal Fwndaom Of Hickman Add Cricketer Codes.1 . Comanswumn To E., Nelson 1. Community Care Fellownship Community Foundation pJadson Goun7 ire communed Ue .n .m For cons me Community Cancer Center Community F.undark.Of Jackson Hot. Cammnee For Amncy In Middle East 0.eponung In 'menu inc Community Candic Scrocal Community Foundation Of Madxn MO Jellenon County In[ Cmniiiee Far Emrmuc Development C.ror, Carrier And Users, Asocromican Lwmmrvq FwnyWn Of Middle Is ...... 1 . Commit ., For EiuWro N EB/uVn Commoves, Career Orcon. ... I. Cartnnty FwMavm Of Mum.ME OeW+ri County Iric Commodore For This Human Rights Of Chaddran Inc Ceidermers, Cancer Inic Cmmmty, favWem q Nwr Jon, Criminal For TM Seenuhc InwaYyuan Of Gauv Of PvananW Community Cenders Of headdresses, in. CamwM FauWmn ON Recondite Cony, Lamed.For Tiflis Want March C ..V Centers 01 Indamforce . I .. c.rvM Foundation 0 Sao Bmilf, Claims, Commerce Far TF . Suva Of Tie Nnenon Elenomu Community Camara Of Indianapolis Inc Community Foundation Of Santa Clam County Committee Of 100 For Southern Aaen4ai Unnen,ty Co ." Camel Of Inciferrupicka . Ind C.rvq Foundation Of Santa Grva County CpmiWe Of 7001rc Comerearst, Canons Of Id'sadalsolds Ink, Camurv7 Foumn n OI Soma County IrIc Commodore q 1070 Criminal" Candens Of traddempoks like emn.nn v~ m sivnepm- m.na CmmCee 017W FeuWmn Cradersomery Cardeary 01 commodes . I ., Command, Fanfmm 0f Sam vlaod cants Inc Consent. Of Cucamee Saeneiu Irc C ., Camara Of lao Community FwndaYOn q Sauriha+aum Lommuacn Ino oam.ue . pin, moans ca. The vna a swnisn Col Am in eat Community Cencen, Of Indianapolis Inc Canmuni7 Fwnda4an Of Southeastern sea, Ind Cornell On Church Cooperation Cenumviary Camara 1 . Community FounOa4m Of Souniumn Wisconsin Inc Committee On ReYpwal 1Awsmes N Tie MeC Carl AL Promom I= Commodity Charge Ice CamurvM Foundation Of St Joseph . Hell Of Masahiko! Inc Connector On Tereprock, Shelter Commodity, Chatesel 0, The Sam fanmund, FaNiYm OI LM Euiem Shmar Into Commercial b ILaffh Spun Human, Irc Comenderem, Cos . Ana, Cruelest Of C. 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Cam ComnvulY Semn4+ Me Co .. CNSIe Yndaniup Fund Communi Has,. Four ... Inc GoircrvniM `+caubna For CNmen Perot., Most Indirect corm Chances, Orcold. In- led ComniMy Hofqce Inc Commonly, Soup IGethm Irc GorimN Claus Inc Community Hoaqm qTens Cemmarvly Soup I'W~h q Mam . Inc ConmN CoaLlnn Cnpuapo, Community Horpilal Aswaa4on Cinnamon, St . Pat Inc ConrumEduraumLFUM Inc Community HOfptalCancer Research Foundabon Inc Community Support Sent Inc Concord FnenW OI Tea Aging Cory Community, Hospital Foundation Community Sloagespo. CancnN High School Community Hossial Foundation Inc cwnNnM Sr^a9one" Can,., ConmN Hill Scrod Community NafpW Getup In . Cortnuhory Synapque of Movie, Concord Hopral Inc Lamnuni7 Hospital InOepenoeni Endvamem Fund Gomnin7TaffomadealDeliverance GOmnurv7Church alGaa Inc CO . . 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Center Of Shuslarm Mornams F .Basseadip Zyzd,nsi 1 . 0 0 FIDELITY INVESTMENTS CHARITABLE GIFT FUND EIN# 11-0303001 6/30/02 Statement 3a The Fidelity Investments Charitable Gift Fund seeks to faciliate support and increase charitable activities in the following areas health and human services, children, youth and families, social welfare, education, scientific research, culture arts and humanities, religion, civic and community affairs, environment, wildlife and animals, testing for public safety and consumer affairs, and other charities that support causes that represent the philanthropy wishes and geographic regions of donors to the Fidelity Investments Charitable Gift Fund The Gift Fund's goal is to increase the dollars to non-profit organizations through fundraising and Outreach 0 0 FIDELITY INVESTMENTS CHARITABLE GIFT FUND EIN# 11-0303001 6/30102 STATEMENT4 FORM 990 - PART IV - INVESTMENTS - SECURITIES DESCRIPTION CORPORATE STOCK MUTUAL FUNDS AT VALUE 1,528,602,241 U S TREASURY MUTUAL FUNDS AT VALUE 248,212,580 MONEY MARKET MUTUAL FUNDS AT VALUE 581,862,257 OTHER SECURITIES 419,307 2,359,096,385 0 0 FIDELITY INVESTMENTS CHARITABLE GIFT FUND EIN# 11-0303001 6130102 STATEMENT5 FORM 990, PART IV - OTHER ASSETS ENDING BOOK VALUE PIF remainder interest receivable 30,991,383 Gift Fund's interest in net assets of the Charitable Gift Fund Foundation, Inc 807,691 Contributions receivable from the Charitable Gift Fund Foundation, Inc 231,073 Contributions made, not yet received 0 32 .030,147 Fidelity Investments Charitable Gift Fund EIN# 11-0303001 6130/02 Statement 6 FORM 990. PART V - LIST OF OFFICERS. DIRECTORS AND TRUSTEES CONTRIBUTIONS EXPENSE ACCT TITLE AND TIME TO EMPLOYEE AND OTHER NAME AND ADDRESS DEVOTED TO POSITION COMPENSATION BENEFIT PLANS ALLOWANCE Cynthia Egan President/ Secretary 294,250 16,747 None C/O Fidelity Investments Charitable 37 5 Hours Gift Fund 82 Devonshire St R22C 0 Boston, MA 02109 Scott Schreibstein Treasurer 200,000 12,226 None C/O Fidelity Investments Charitable 37 5 Hours Gift Fund 82 Devonshire St R22C Boston MA 02109 Rudman .l Ham Chairman/ Trustee 7.750 None None C/O Fidelity Investments Charitable 1 Ind week Grft Fund 82 Devonshire St R22C Boston, MA 02109 Anne Marie Soulliere Trustee None None None C/O Fidelity Investments Charitable 1 hrl week Gift Fund 0 82 Devonshire St R22C Boston, MA 02109 Scott Bergeson Trustee 6,500 None None C/O Fidelity Investments Charitable I hr/ week Gift Fund 82 Devonshire St R22C Boston, MA 02109 Fidelity Investments Charitable Gift Fund EINO 11-0303001 6130102 Statement 6 FORM 990, PART V - LIST OF OFFICERS, DIRECTORS AND TRUSTEES CONTRlBUTIONS EXPENSE ACCT TITLE AND TIME TO EMPLOYEE AND OTHER NAME AND ADDRESS DEVOTED TO POSITION COMPENSATION BENEFIT PLANS ALLOWANCE E Bradley Jones Trustee 6500 None None C/O Fidelity Investments Charitable I hrl week Gift Fund 82 Devonshire St R22C 0 Boston, MA 02109 Thomas R Powers Trustee 6,500 None None C/O Fidelity Investments Charitable 1 hr/ week Gift Fund 82 Devonshire St R22C Boston, MA 021 09 Grand Total 521500 28973 None 0 0 1* Fidelity Investments Charitable Gift Fund EIN# 11-0303001 6/30/02 Statement 7 FORM 990, PART VI - NAMES OF RELATED ORGANIZATIONS FIDELITY INVESTMENTS CHARITABLE GIFT FUND FOUNDATION, INC - EXEMPT FIDELITY INVESTMENTS POOLED INCOME FUND - NON -EXEMPT NATIONAL CHARITABLE DONOR ADVISED FUND - EXEMPT Fidelity Investments Charitable Gift Fund EIN# 11-0303001 Statement 8 FORM 990, PART VI - LINE 90a ALABAMA NEWJERSEY ALASKA NEW MEXICO ARIZONA NEW YORK ARKANSAS NORTH CAROLINA CALIFORNIA NORTH DAKOTA CONNECTICUT OHIO FLORIDA OKLAHOMA GEORGIA OREGON ILLINOIS PENNSYLVANIA KANSAS RHODE ISLAND KENTUCKY SOUTH CAROLINA MAINE TENNESSEE MARYLAND UTAH MASSACHUSETTS VIRGINIA MICHIGAN WASHINGTON MINNESOTA WESTVIRGINIA MISSISSIPPI WISCONSIN NEW HAMPSHIRE 0 0 Fidelity Investments Charitable Gift Fund EIN# 11-0303001 Statement 9 Schedule A, Part III - Explanation for Line 2D See Form 990, Part V 6 0 Fidelity Investments Charitable Gift Fund EIN# 11-0303001 Statement 10 Schedule A. Part III - Explanation for Line 3 The Fidelity Investments Charitable Gift Fund as a 501( c ) ( 3 ) organization will make distributions to eligible charitable organizations Among these potential grant recipients are institutions that will make funds available in the form of scholarships, fellowships, and student loans Form8868 Applid9ion for Extension of Time To*e an (December 2000) Exempt Organization Return OMB No IS45-1709 D~ii,,! W thii Triiasu,y ".I R~ S.. 1~ File a separate application for each return e If 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 11 (on page 2 of this form) Note Do not complete Part /I unless you have already been granted an automatic 3-month extension on a previously filed Form 8868 LP~ 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 / only I- 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 Type or Name of Exempt t:mployer identification number print Fidelitv Investments Charitable Gift Fi File by the ber street and room or suite no If a P 0 box, see instructions due (late for riling your return See City town or post office state, and ZIP code For a foreign address, see instructions instructions Check type of return to be filed (file a separate application for each return) FK] Form 990 F] Form 990-T (corporation) Form 4720 n Form 990-BL EJ Form 990-T (sec 401 (a) or 408(a) trust) Form 5227 n Form 990-EZ F~ Form 990-T (trust other than above) Form 6069 n Form 990-PF n Form 1041-A Form 8870 " If the organization does not have an office or place of business in the United States check this box 0- EJ " 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 Iii. E] if it is for part of the group, check this box ll Fland attach a list with the names and EINs of all members the extension will cover 1 1 request an automatic 3-month (6-month, for 990-T corporation) extension of time until 2/1 9 - 20 0-1 to file the exempt organization return for the organization named above The extension is for the organization's return for Ill r-1 calendar year 20 - or li- R1 tax year beginning 7/1 20 01 , and ending 6/30 20 02 2 If this tax year is for less than 12 months, check reason E] 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 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 Signature and Verification Under perialbes of perjury I declare that I haw e:i,ammed this form including accompanying schedules and statements and to the best Of My knOWedge and belief it is true correcL and complete and that I am authorized to prepare this form Signature Ill K L flo Az tzLj Title 1. C i0A Datill 11/14/2002 For Paperwork Reduction Act Notice, see Instruction Form 8868 (12 2000) ISA STF FED9056F I