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Cleveland Foundation 2009 Form

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Cleveland Foundation 2009 Form ________________________________________________________________ ______________________________________________________________________________________________________ 0MB No. 1545-1879 Form 8453-EO Exempt Organization Declaration and Signature for Electronic Filing For calendar year 2009, or tax year beginning — — .Q_1j_Q]. , 2009, and ending — — _i 2/31, 20 — For use with Forms 990, 990-EZ, 990-PF, 1120-POL, and 8868 Department of the Treasury Internal Revenue Service _See_instructions_on_back. Name of exempt organization Employer identification number THE CLEVELAND FOUNDATION 34-0714588 Type of Return and Return Information (Whole Dollars Only) Check the box for the return for which you are using this Form 8453-EQ and enter the applicable amount, if any, from the return. If you check the box on line Ia, 2a, 3a, 4a, or 5a below and the amount on that line for the return for which you are filing this form was blank, then leave line Ib, 2b, 3b, 4b, or 5b, whichever is applicable, blank (do not enter -0-). If you entered -0- on the return, then enter -0-on the applicable line below. Do not complete more than one line in Part I. Ia Form 990 check here b L1 b Total revenue, if any (Form 990, Part VIII, column (A), line 12) . lb 7 8 1 910 93. *2a Form 990-EZ check here b Total revenue, if any (Form 990-EZ, line 9) 2b 3a Form 1120-POL check here b Totaltax (Form 1120-POL, line 22) 3b 4a Form 990-PF check here b Tax based on investment income (Form 990-PF, Part VI, line 5) 4b 5a Form 8868 check here b Balance due (Form 8868, line 3c) 5b Declaration of Officer Treasury and its designated Financial Agent to initiate an ACH electronic funds withdrawal (direct debit) entry 6 I authorize the U.S. to the financial institution account indicated in the tax preparation software for payment of the organization’s federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. charities program, certify that LJ If a copy of this return is being filed with a state agency(ies) regulating as part of the IRS Fed/State I consent contained within this return allowing disclosure by the IRS of this Form I executed the electronic disclosure above) to the selected state agency(ies). 990/990-EZ/990-PF (as specifically identified in Part I penalties of perjury, declare that am an officer of the above named organization and that I have examined a copy of the Under I I organization’s 2009 electronic return and accompanying schedules and statements and to the best of my knowledge and belief, they are declare is the amount shown on the copy of the organization’s true, correct, and complete. I further that the amount in Part I above electronic return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the organization’s return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) an indication of any r und off et, ( th reason for any delay in processing the return or refund, and (d) the date of any refund. Sign i/-i-iD S 111° rn1 I Here Signature of officer Date Title I1iIII Declaration of Electronic Return Originator (ERO) and Paid Preparesee instructions) entries on Form 8453-EQ complete and correct best I declare that I have reviewed the above organization’s return and that the are to the If am not responsible for reviewing the return and only declare that this form accurately reflects am only a collector, I of my knowledge. I will have signed this form before I submit return. will give the officer a copy of all the data on the return. The organization officer the I forms and information to be filed with the IRS, and have followed all other requirements in Pub. 4163, Modernized e-File (MeF) Information have examined the am also the Paid Preparer, under penalties of declare that I above for Authorized IRS e-flle Providers for Business Returns. If I perjury I organization’s return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. declaration which have any knowledge. This Paid Preparer is based on all information of I Date Check if Check EROs SSN or PTIN EROs also paid if self ERO S signature preparer employed . Use , ERNST & YOUNG U.S. LLP E1N346565596 Firm a name (or Only yours if self-employed), 111 MONUMENT CIRCLE, SUITE 2600 address,andZlPcode INDIANAPOLIS IN 46204 Phoneno. 3176817000 declare that have examined the above return and accompanying schedules and statements, and to the best of my knowledge under penalties of perjury, I I and belief, they are true, correct, and complete. Declaration of preparer is based on all information of which the preparer has any knowledge. Date Check Preparer’s SSN or PTIN Preparer’s if self- Paid signature employed [1 Preparer’s Firm’s name (or BIN Use Only yours if self-employed), address, and ZIP code Phone no. For Privacy Act and Paperwork Reduction Act Notice, see back of form. Form 8453-EO (2009) JSA 9E1675 1.000 505AZ 3987 11/12/2010 4:35:22 PM V 89—8.5 PAGE 1 Form 990 (2009) 34-0714588 Page 2 Part III Statement of Program Service Accomplishments 1 Briefly describe the organization's mission: ATTACHMENT 3 2 Did the organization undertake manymm significantmmmmmm programmmmmm mservicesmmmm mduringmmm mthem myearmm mwhichmmm mweremm mnotmm mlistedmm monmm the prior Form 990 or 990-EZ? Yes X No If "Yes," describe these new services on Schedule O. 3 Did the organizationmmmmmm ceasemmmm conducting,mmmmmm morm mmakemm msignificantmmmmm mchangesmmmmm inm mhowmm itm mconducts,mmmmm anymm mprogrammmmmmmmmm services? Yes X No If "Yes," describe these changes on Schedule O. 4 Describe the exempt purpose achievements for each of the organization's three largest program services by expenses. Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. 4a (Code: ) (Expenses $ 85,690,762. including grants of $ 76,341,376. ) (Revenue $ 1,184,193. ) ATTACHMENT 4 4b (Code: ) (Expenses $ including grants of $ ) (Revenue $ ) 4c (Code: ) (Expenses $ including grants of $ ) (Revenue $ ) 4d Other program services. (Describe in Schedule O.) (Expenses $ including grants of $ ) (Revenue $ ) 4e Total program service expenses I 85,690,762. Form 990 (2009) JSA 9E1020 2.000 5605AZ 3987 11/15/2010 2:33:54 PM V 09-8.5 PAGE 3 Form 990 (2009) 34-0714588 Page 3 Part IV Checklist of Required Schedules Yes No 1 Is the organization describedmmmm minm sectionmmmm m501(c)(3)mmmmm morm 4947(a)(1)mmmmmm m(othermmm thanmmm am mprivatemmm mfoundation)?mmmmmmm Ifm "Yes,"mmmmm complete Schedule A mmmmmmmmmmmmmmmmmmm1 X 2 Is the organization required to complete Schedule B, Schedule of Contributors? 2 X 3 Did the organization engage in direct or indirect political campaignmm mactivitiesmmmm monm mbehalfmmm mofm orm minm oppositionmmmmmm tommm candidates for public office? If "Yes," complete Schedule C, Part I 3 X 4 Section 501(c)(3) morganizations.mmmmmmmmmDidm mthemm morganizationmmmmmm mengagemmmm minm mlobbyingmmmm mactivities?mmmmmmIfm m"Yes,"mmm completemmmmmmm Schedule C, Part II 4 X 5 Sections 501(c)(4), 501(c)(5), and 501(c)(6) organizations. Is the organization subjectm tom mthem msectionmmm m6033(e)mmmmmm notice and reporting requirement and proxy tax? If "Yes," complete Schedule C, Part III 5 6 Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice onmm themm distributionmmmmmm morm minvestmentmmmmm mofm mamountsmmmm minm suchmmm fundsmmm morm accounts?mmmmmm Ifm "Yes,"mmmmm complete Schedule D, Part I 6 X 7 Did the organization receive or hold a conservation easement, including easements to preservem mopenmm mspace,mmmmm the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II 7 X 8 Did the organization maintain mcollectionsmmmmm mofm mworksmmm ofm mart,m mhistoricalmmmmm treasures,mmmmmm orm mothermm msimilarmmm massets?mmmm Ifm "Yes,"mmmmm complete Schedule D, Part III 8 X 9 Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling,mm mdebtmm mmanagement,mmmmmmmm mcreditmm mrepair,mmmm ormm debtmmm negotiationmmmmmm mservices?mmmmm mIfm "Yes,"mmmmm complete Schedule D, Part IV 9 X 10 Did the organization, directly or through a related organization,mmmmmmm mholdmm massetsmmmm minm term,mmm mpermanent,mmmmmm mormmm quasi-endowments? If" Yes," complete Schedule D, Part V 10 X 11 Is the organization’s answer tom manymm mofm themm followingmmmmm mquestionsmmmmm m"Yes"?mmm mIf mso,mm completemmmmm mSchedulemmmmm D,m mPartsmmm VI,mmm VII, VIII, IX, or X as applicable 11 X %Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete Schedule D, Part VI. %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? If "Yes," complete Schedule D, Part VII.
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