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OG D EN T UT ~fiz Form 990 Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung 2002 benefit trust or pmate foundation) Open to Pul The organization may have b use a copy of Nia realm to ss~sty state reporting requirements ~f19pBCt101 A For the 2002 calendar or tax ear be loom and ending B Check d applicable Plea! C Name of organization D Employer ID number use IF '2A _1ZQnQlQ Address change label Name charge print E Telephone number Instal return typo Number and street (or P O box d mail is not delivered to street address) RooMSUde 330-535-8116 Final return See F Accounting method N Cash Specil Amended velum City or town state or country and ZIP " 4 Puluai InsW 11 0 Other specify) Application pendin, thin fliSectlon 501(c)(3) orpanlraUOns and 4B47(a)(1) nonexempt charitable H and I are not applicable to section 527 organizations trusts muss attach a completed Schedule A (Form 990 or 990F2) H(a) Is this a group return for affilutesl O Yes ~ No G Wabsrte t orianahOU52 . CO[TI H(b) If 'Yes' enter no of affiliates J Organization type H(C) Are all affiliates inclwed? a Yes ~ No check on one 1 501 c 3 s insert no 4947 (,)( 1 ) or 527 (If'NO' an a list See msir ) K Check here 1 u if the organization's gross receipts are normally not more than H(d) Is this a separate return fled by an $25,000 The organization need not file a return with the IRS, but if the organization Yes I I No received a Form 990 Package in we mail, it should file a return without financial dale I 41 dGEN M E2"Check 1 U d the organizatIon is not required to attach Sch B (Form 990 990-EZ or 990-PF) Part l Revenue, Expenses, and Changes in Net Assets or Fund Balance Contributions, gifts grants, and similar amounts received a Direct public support 1a b Indirect public support 1b c Government contributions (grants) 7c d Total (add lines to 1c) $ , , noncash $ w through (cash 9 81 3 151 2 Program service revenue including government fees and contracts (from Part VII, line 93) 3 Membership dues and assessments 4 Interest on savings and temporary cash investments 5 Dividends and interest horn securities 6a Gross rents 6a -11 , 517 b Less rental expenses 522 Stmt 1 6b -11 517 mn c Net rental income or (loss) (subtract line 6b horn line 6a) 6c ~R 7 Other investment income (describe 111. 7 e v Ba Gross amount horn sales of assets other (A) Securities Other Le than inventory 8a Cn b Less cost or other basis and sales expenses Bb Oe c Gain or (loss) (attach schedule) Bc CD d Net gain or (loss) (combine line 8c, columns (A) and (B )T , Bd N 0 9 Special events and activities (attach schedule) w a Gross revenue (not including $f i Gf 90 Miles MAY J L contributions reported online 1E@2WM PATE 9a b Less direct expenses other than fundraising expenses 9b c Net income or (loss) from special events (subtract ine 9b from line 9a) 9e 10a Gross sales of inventory less returns and allowances -' + C- 1 - c b Less cost of goods sold RE\r~C 5'~-0a c Gross profit or (loss) from sales of inventory pan svh ) (subtract in 10b Yomy I-,~ ine 10c 11 Other revenue (from Part VJI line 103) c- ' of ^- . ^- -_l , ~ Mp 1 ~ ~ 11 M3 12 26 , 895, 750 E 13 Program services (from line 44, column (B)) 13 25 , 397 , 008 Px 14 Management and general (horn line 44, column (C)) ]OG D EN t UT 14 ne 15 Fundraising (horn line 44, column (D)) 15 5 16 Payments to affiliates (attach schedule) e 76 s 17 Total ex pe nses add lines 16 and 44 column A A 18 Excess or (deficit) for the year (subtract line 17 horn line 12) N 5 19 Net assets or fund balances at beginning of year (ham line 73, column (A)) j t° 20 Other changes in net assets or fund balances (attach explanation) g 27 Net assess or fund balances at end of ear combine lines 18 19 and 20 For Paperwork Reduction Act Notice, see the separate instructions Form 990 (2002) DAA Sc02 Fom,sso(zoo2) Oriana House . Inc . 39-1334919 Page 2 Part I I Statement of All organizations must complete column (A) Columns (B) (C) and (D) are required for Section 507(cx3) arid (4) organi7atlons Functional EXDBnSBS and section a9a7(a)(11 ronPxemot charitable trusts but oomrul for others (Sea oaae 27 0l the nnwuioro 1 Do not include amounts reported on (B) Program (C) Management (A) Total I (D) FuMraisuq 22 Grants and allocations (attach schedule) non- (cash S lash 5 23 Specific assistance to individuals 24 Benefits paid to or for members 25 Compensation of officers. directors, etc 26 Other salanes and wages 27 Pension plan contributions 28 Other employee benefits 29 Payroll taxes 30 Professional fundraising fees 31 Accountng fees 32 Legal fees 77 33 Supplies 34 Telephone 35 Postage and shipping 36 Occupancy 37 Equipment rental and maintenance 38 PnnUng and publications 39 Travel 40 Conferences, conventions and meetings 41 Interest 42 Depreciation, depletion etc (attach schedule) 43 Other expenses not covered above (itemize) a b See Statement 2 c d e 44 Total functional expenses (add lines 22-43) Organutabons Joint Costs Check 1 U if you are following SOP 9&2 Are any point costs from a combined educational campaign and lund2ising soliGlauon reported in (B) Program services " ~ Yes 2 No If 'Yes' enter (i) Ire aggregate amount of these point costs $ , (II) the amount allocated to Program services $ (nl) the amount allocated b Management and general $ and (IV) the amount allocated to Fundraising 5 Part III Statement of Prog ram Service Accomplish ments See page 24 of the instructions What is the organization's pnmary exempt purposes Program Service Expenses Rehabilitation (Required for 507(c)(3) 8 All organizations must describe (heir exampt purpose achievements in a clear and concise manner Slate the number (a) orgs 8 asa7(a)(i) of clients served, publications issued etc Discuss achievements that are not measurable (Section 501(c)(3) and (4) vusAs stir optional for a Rehabilitation of DUI convictees, work release for minor felony, drug counseling, electronic home incarceration, convict supervision b c d 0 5002 Formsso(zooz) Oriana House, Inc . 39-1339919 Page a Part IV Balance Sheets (See page 24 of the instructions ) Note Where required, attached schedules and amounts within the description (A) (a column should be for end-of-year amounts on Be loom of Ye ar End of , 45 Cash - non-interest-bearing - 2 2 7 45 -1 46 Savings and temporary cash investments ~ 11H' : 2 12 ~ 46 '. 47a Accounts receivable b Less allowance for doubtful accounts 48a Pledges receivable 48a b Less allowance for doubtful accounts 4Bb 48c 49 Grants receivable 50 Recervables from officers, directors, trustees, and key employees A (attach schedule) 50 5 51a Other notes and loans receivable (attach s schedule) See Worksheet sta 3 000 77( e b Less allowance for doubtful accounts ~ 51b t 52 Inventories for sale or use s 53 Prepaid expenses and deferred charges % Investments-secumies See Strtlt 3 1 ~ Cost a FMV 7 55a Investments-land, buildings, and equipment basis SSa b Less accumulated depreciation (attach schedule) 55b 56 Investments-other (attach schedule) 57a Land, buildings, and equipment basis 57a 3 618 76E b Less accumulated depreciation (attach schedule) See Stmt 4 see 1 831 , 211 58 Other assets (describe 1 See Strtlt $ 1 60 Accounts payable and accrued expenses L 61 Grants payable a 62 Deferred revenue b 63 Loans from officers directors, trustees, and key employees (attach I I schedule) I 6da Tax-exempt bond liabilities (attach schedule) t b Mortgages and other notes payable (attach schedule) See Worksheet e 65 Other liabilities (descnbe 1 See StIRt 6 ) s Organizations that follow SFAS 117, check here 1 N and complete lines 67 Through 69 and lines 73 and 74 NF 67 Unrestricted au 68 Temporarily restricted to d 69 Permanently restricted A Organizations that do not follow SFAS 117, check here 1 0 and 5B complete lines 70 through 74 sa 70 Capital stock trust principal, or current funds al to 71 Paid-in or capital surplus, or land, building and equipment fund 5n 72 Retained earnings, endowment accumulated income, or other funds c 73 Total net assets or fund balances (add lines 67 through 69 or lines oa ry 70 through 72 column (A) must equal line 19, column (B) must equal line 21) Forth 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 it return Therefore, please make sure the return is complete and accurate and fully describes, in Part III, we organization's programs and accomplishments ona SC02 Form 990 (20( Vildfld f7VU5e Inc . 39-1339717 p. 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 (See oaae 26 of the instructions 1 Return a Total revenue, gains, & other support a Total expenses and losses per per audited financial statements audited financial statements b Amounts included on line a but not on b Amounts included on line a but not line 12, Form 990 on line 17, Form 990 (7) Net unrealized gains on (7) Donated services and use investments $ -34, 36 ' of facilities $ (2) Donated services and use (2) Prior year adjustments of facilities $ reported on line 20, (3) Recoveries of prior Form 990 f year grants f (3) Losses reported on line 20, (4) Other (specify) Forth 990 $ See Stmt 7 (4) Other (specify) $ -708, 57~ See Stmt 9 Add amounts on lines (1) through (4) It- Add amounts on lines (7) through (4) 1 c a minus line b 11.
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