Free untitled - Canada

Place bar code label here

REGISTERED CHARITY INFORMATION RETURN
Section A: Identification Guide T4033B, Completing the Registered Charity Information Return is available at www.cra.gc.ca/E/pub/tg/t4033b/README.html The Privacy Act protects all personal information given on this form, which is kept in personal information bank CRA PPU 200. The Canada Revenue Agency (CRA) will make this form and all attachments available to the public on the Charities Directorate Web site, except for information or data identified as confidential. All of the information collected on this form may be shared as permitted by law (e.g. with certain other government departments and agencies). Remember: Even if the charity goes through an inactive period, you must continue to file information returns to maintain your registered status. If you did not receive a barcode label to affix to the return, please provide the following: 1. Charity's name:

2. Return for fiscal period ending:
Year Month Day

3. BN/registration number:
RR

4. Web address (if applicable)

A1 Was the charity in a subordinate position to a parent organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If yes, please provide the name and BN/registration number of the organization. Name

1510

Yes

No

BN (if applicable)

A2 Has the charity wound-up, dissolved, or terminated operations? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1570 A3 All charities are designated as one of the following: a charitable organization, a public foundation, or a private foundation. Is your organization designated as a public foundation or private foundation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1600 (Refer to the Form TF725 Registered Charity Basic Information sheet (BIS) to confirm. This form is included in the return package.) If yes, you must complete and attach Schedule 1, Foundations, to your return. Section B: Directors/trustees and like officials

Yes Yes

No No

B1 The charity is required to provide certain information for all members of its board of directors/trustees for the complete fiscal period. Only the public information section on the worksheet is available to the public. The confidential data section is for the CRA's use but may be shared as permitted by law (e.g. with certain other government departments and agencies). Use Form T1235(09), Directors/Trustees and Like Officials Worksheet, or include your own sheet with the same information. Charities subject to the Ontario Corporations Act may complete a blended worksheet. See Key Terms and Definitions included with the return package for further information. Section C: Programs and general information C1 Was the charity active during the fiscal period? If "No" explain why in the "Ongoing programs" space provided at C2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1800 Yes No

C2 In the space provided, describe all ongoing and new charitable programs the charity carried on to further its charitable purpose(s) (as defined in its governing documents) this fiscal period. "Programs" includes all of the charitable work the charity carries out on its own through employees or volunteers as well as through qualified donees and intermediaries. The charity may also use this space to describe the contributions of its volunteers in carrying out its programs (e.g. number of volunteers and/or hours). Grant-making charities should describe the types of organizations they support. Please note that "programs" does not include fundraising activities. Do not attach additional sheets of paper or annual reports. Ongoing programs:

New programs:

T3010B E (09)

(Ce formulaire existe en français)

Registered charities may make gifts to qualified donees. Qualified donees are other registered Canadian charities, as well as certain other organizations described in the Income Tax Act. C3 Did the charity make gifts or transfer funds to qualified donees or other organizations? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2000 If yes, you must complete and attach Form T1236(09), Qualified Donees Worksheet/Amounts Provided to Other Organizations, to your return. C4 Did the charity carry on, fund, or provide any resources through employees, volunteers, agents, joint ventures, contractors, or any other individuals, intermediaries, entities, or means (other than qualified donees) for any activity/program/project outside 2100 Canada? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If yes, you must complete and attach Schedule 2, Activities Outside Canada, to your return. A registered charity may pursue political activities to retain, oppose, or change the law, policy, or decision of any level of government inside or outside Canada provided the activities are non-partisan, related to its charitable purposes, and limited in extent. C5 (a) Did the charity carry on any political activities during the fiscal period? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (b) Enter the total amount spent by the charity on these activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2400 5030 $ Yes No .00 Yes No

Yes

No

C6 If the charity carried on fundraising activities or engaged third parties to carry on fundraising activities on its behalf, check all fundraising methods that it used during the fiscal period. 2500 2510 2530 2540 2550 2560 Advertisements/print/radio/ TV commercials Auctions Collection plate/boxes Door-to-door solicitation Draws/lotteries Fundraising dinners/galas/concerts 2570 2575 2580 2590 2600 2610 Fundraising sales (e.g., cookies) Internet Mail campaigns Planned-giving programs Targeted corporate donations/ sponsorships Targeted contacts 2620 2630 2640 2650 2660 Telephone/TV solicitations Tournament/sporting events Cause-related marketing Other Specify

C7 Did the charity pay external fundraisers? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If yes , you must answer the following questions and complete Question 1 ­ Information about Fundraisers on Schedule 4 ­ Confidential Data. (a) Enter the gross revenue collected by the fundraisers on behalf of the charity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (b) Enter the amounts paid to and/or retained by the fundraisers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (c) Identify the method of payment to the fundraiser: 2730 2740 Commissions Bonuses 2750 2760 Finder's fees Set fee for services 2770 2780 2790

2700

Yes

No

5450 5460

$ $

.00 .00

Honoraria Other Specify: 2800 3200 3400 Yes Yes Yes No No No

(d) Did the fundraiser issue tax receipts on behalf of the charity?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C8 Did the charity compensate any of its directors/trustees or like officials or persons not at arm's length from the charity for services provided during the fiscal period (Other than reimbursement for out-of pocket expenses)? . . . . . . . . . . . . . . . . . . . . . C9 Did the charity incur any expenses for compensation of employees during the fiscal period?. . . . . . . . . . . . . . . . . . . . . . . . . . . If yes, you must complete and attach Schedule 3, Compensation to your return.

C10 Did the charity receive any donations or gifts of any kind valued at $10,000 or more from any donor that was not resident in Canada and was not any of the following: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3900 A Canadian citizen, nor Employed in Canada, nor Carrying on a business in Canada, nor A person having disposed of taxable Canadian property? If yes, you must complete Question 2 ­ Information about Donors Not Resident in Canada on Schedule 4 ­ Confidential Data for each donation of $10,000 or more. See Key Terms and Definitions for more information. C11 Did the charity receive any non-cash gifts (gifts-in-kind) for which it issued tax receipts? . . . . . . . . . . . . . . . . . . . . . . . . . . . . If yes, you must complete and attach Schedule 5, Non-Cash Gifts to your return. C12 Did the charity acquire a non-qualifying security? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C13 Did the charity allow a donor to use any of the charity's property during the fiscal period? (except for permissible uses) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C14 Did the charity issue any of its tax receipts for donations on behalf of another organization?. . . . . . . . . . . . . . . . . . . . . . . . . . 5800 4000

Yes

No

Yes

No

Yes

No

5810 5820

Yes Yes

No No

Section D: Financial information If any of the following applies to your charity, proceed to Schedule 6, Detailed Financial Information, and do not complete Section D below. If none of the following applies, complete Section D. a) The charity's revenue exceeds $100,000. b) The amount of all assets (e.g., investments, rental properties) not used in charitable programs exceeds $25,000. c) The charity currently has permission to accumulate funds during this fiscal period. d) The charity has spent or transferred enduring property during this fiscal period. See Key Terms and Definitions for a definition of terms used.

Please show all figures to the nearest single dollar. D1 Was the financial information reported below prepared on an accrual or cash basis? . . . . . . . . . . . . . . . . . . . . . . . . . . . . D2 Summary of financial position: Using the charity's own financial statements, provide the following: Does the charity own land and/or buildings? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4050 Total assets (including land and buildings) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4200 Total liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4350 Did the charity borrow from, loan to, or invest assets with any non-arm's length parties?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4400 D3 Revenue: Did the charity issue tax receipts for donations?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4490 If yes, what is the total eligible amount of all donations for which the charity issued tax receipts (except enduring property). . . . . . . 4500 Total amount received from other charities (excluding specified gifts and enduring property). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4510 What is the total amount for all other donations received for which a tax receipt was not issued by the charity? (excluding amounts at lines 4575 and 4630) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4530 Did the charity receive any revenue from any level of Canadian government? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4565 If yes, total amount received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4570 Total non tax-receipted amounts from all sources outside Canada (government and non-government). . . . . . . . . . . . . . . . . . . . . . . 4575 Total non tax-receipted amounts from fundraising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4630 Total revenue from sale of goods and services (except to any level of Canadian government). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4640 Other amounts not already included in the amounts above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4650 Total revenue (Add lines 4500 through 4650) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4700 D4 Expenditures: What was the charity's total expenditure on professional and consulting fees?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4860 What was the charity's total expenditure on travel and vehicles? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4810 $ $ $ $ .00 .00 .00 .00 $ $ $ $ $ $ $ $ $ Yes Yes No .00 .00 .00 No .00 .00 .00 .00 .00 .00 $ $ Yes Yes No .00 .00 No 4020 Accrual Cash

All other expenditures not already included in the amounts above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4920 Total expenditures (excluding gifts to qualified donees) (Add lines 4860+4810+4920) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4950 Of the total amount at line 4950: a) How much did the charity spend on charitable programs?. . . . . . . . . . . . . . . . . . . . . . . . . . . . 5000 b) How much did the charity spend on management and administration?. . . . . . . . . . . . . . . . . . 5010 $ $ .00 .00

Total amount of gifts (excluding specified gifts) made to all qualified donees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5050 Total amount of specified gifts made to qualified donees. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5070 Total expenditures (Add lines 4950 and 5050 + 5070) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5100

$ $ $

.00 .00 .00

Section E: Certification This return must be signed by a director/trustee or like official of the registered charity who has authority to sign on behalf of the charity. It is a serious offence under the Income Tax Act to provide false or deceptive information. I certify that the information given on this form, the basic information sheet, and any attachment is, to the best of my knowledge, correct, complete, and current. Name (please print): Position in charity: Date: Signature: Telephone No.:

Section F: Confidential data F1 Provide the physical address of the charity and the address in Canada for the charity's books and records. Post office box numbers and rural routes are not sufficient. Physical address of the charity Number, street, apt. no., or lot and concession no. City Province or territory and postal code F2 Name and address of individual who completed this return. Name: Firm name (if applicable): Number, street, apt. no., R.R. no., or P.O. box no.: City, province or territory, and postal code: Telephone number: Is this the same person who certified in section E? Yes T3010B Registered Charity Information Return checklist Have you confirmed that all charity information included in the Form TF725, Registered Charity Basic Information sheet (BIS) is correct? If any changes are required to any of the information displayed on the BIS, make the changes directly on the BIS. Have you attached Form TF725, Registered Charity Basic Information sheet (BIS)? Has the charity made any amendments to its governing documents during the fiscal period? If yes, have you sent us an official copy of the amended governing documents in a separate envelope? Have you completed Schedule 1, Foundations, if required? Have you attached Form T1235(09), Directors/Trustees and Like Officials Worksheet? Have you attached Form T1236(09), Qualified Donees Worksheet/Amounts Provided to Other Organizations, if required? Have you completed Schedule 2, Activities Outside Canada, if required? Have you completed Schedule 3, Compensation, if required? Have you completed Schedule 4, Confidential Data, if required? Have you completed Schedule 5, Non-Cash Gifts, if required? Have you completed Schedule 6, Detailed Financial Information, if required? Have you attached a copy of the charity's financial statements? No Address for the charity's books and records

Foundations 1 Did the foundation acquire control of a corporation in the fiscal period?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100

Schedule 1 Yes No

2 Did the foundation incur any debts at any time during the fiscal period other than for current operating expenses, purchasing or selling investments, or in administering charitable programs? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 For private foundations only: 3 At any time during the fiscal period, did the foundation hold any shares, rights to acquire shares, or debts owing to it that meet the definition of a non-qualified investment? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Did the foundation own more than 2% of any class of shares of a corporation at any time during this fiscal period? . . . . . . . . . If yes, you must complete and attach Form T2081, Excess Corporate Holdings Worksheet, to your return. (Note: Only private foundations will have this worksheet included in their return package.) Activities Outside Canada For more information about carrying on programs outside Canada see the Charities Directorate website at www.cra.gc.ca/charities 1 What were total expenditures on activities/programs/projects carried on outside Canada during the fiscal period, excluding gifts to qualified donees? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Were any of the charity's resources provided for programs outside Canada under any kind of an arrangement including a contract, agency agreement, or joint venture to any other individual or entity (excluding gifts to qualified donees)? . . . . . . . . . 120 130

Yes

No

Yes Yes

No No

Schedule 2

200

$

.00

210

Yes

No

If yes, enter the amounts of the total reported on line 200 transferred to these individuals/organizations as required in the following table. Using the list on the reverse, identify country code where activities were carried on. Amount ($) Please show amounts to the nearest single dollar.

Name of individual/organization

3 Using the list on the reverse, identify the countries where the charity itself carried on programs or provided any of its resources. Enter the appropriate country codes in the following spaces.

4 Are any projects undertaken outside Canada funded by the

Canadian International Development Agency (CIDA)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If yes, what was the total amount of funds expended under this arrangement?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

220 230 240 250 $

Yes

No .00

5 Were any programs carried on outside Canada carried out by employees? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Were any programs carried on outside Canada carried out by volunteers of the charity? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes Yes Yes

No No No

7 Is the charity exporting goods as part of its charitable programs?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 260 If yes, list the items being exported, their value, their destination (city/region) and country code. Item Value Destination (city/region)

Country code

COUNTRY CODES Americas-Central and South AR-Argentina BO-Bolivia BR-Brazil CL-Chile CO-Columbia CR-Costa Rica CU-Cuba DO-Dominican Republic EC-Ecuador SV-El Salvador GT-Guatemala GY-Guyana HT-Haiti HN-Honduras JM-Jamaica MX-Mexico NI-Nicaragua PA-Panama PE-Peru UY-Uruguay VE-Venezuela QM-Other Americas-North US-United States of America QN-Other Middle East IR-Iran IQ-Iraq IL-Israel PS-Israeli Occupied Territories JO-Jordan KW-Kuwait LB-Lebanon OM-Oman QA-Qatar SA-Saudi Arabia SY-Syrian Arab Republic YE-Yemen QO-Other Europe AL- Albania AM-Armenia BA-Bosnia and Herzegovina BY-Belarus BG-Bulgaria DK-Denmark ES-Spain FR-France GE-Georgia DE-Germany GB-United Kingdom HR-Croatia IT-Italy CY-Cyprus MK-Macedonia ME-Montenegro NL-Netherlands PL-Poland RO-Romania RU-Russia RS-Serbia TR-Turkey UA-Ukraine QP-Other Asia and Oceania AF- Afghanistan AZ-Azerbaijan BD-Bangladesh BT-Bhutan KH-Cambodia CN-China IN-India ID-Indonesia KZ-Kazakhstan KG-Kyrgyzstan LA-Laos LK-Sri Lanka MY-Malaysia MN-Mongolia MM-Myanmar (Burma) KP-North Korea KR-South Korea PK-Pakistan PH-Philippines SG-Singapore TH-Thailand TJ-Tajikistan TL-Timor-Leste UZ-Uzbekistan VN-Vietnam QR-Other Africa DZ-Algeria AO-Angola BW-Botswana CM-Cameroon CF-Central African Republic TD-Chad CG-Republic of Congo CD- Democratic Republic of Congo EG-Egypt ET-Ethiopia GA-Gabon GM-Gambia GH-Ghana NA-Namibia KE-Kenya LR-Liberia MG-Madagascar NE-Niger NG-Nigeria RW-Rwanda SL-Sierra Leone SO-Somalia SD-Sudan UG-Uganda ZM-Zambia ZW-Zimbabwe QS-Other

Compensation 1 (a) Enter the number of permanent, full-time, compensated positions in the fiscal period. (This number should represent the number of positions the charity had including both managerial positions and others, and should not include independent contractors.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (b) For the ten (10) highest compensated, permanent, full-time positions enter the number falling within each of the following annual compensation categories. 305 320 335 $1 ­ $39, 999 $120,000 ­ $159,999 $250,000 ­ $299,999 310 325 340 $40,000 ­ $79,999 $160,000 ­ $199,999 $300,000 ­ $349,999 315 330 345

Schedule 3

300

$80,000 ­ $119,999 $200,000 ­ $249,999 $350,000 and over

2 (a) Enter the number of part-time or part-year (for example, seasonal) employees the charity employed during the fiscal period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (b) What was the total expenditure on compensation for part-time or part-year employees in the fiscal period?. . . . . . . . . . . . 3 What was the charity's total expenditure on all compensation in the fiscal period? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

370 380 390 $ $ .00 .00

Confidential Data

Schedule 4

The information in this confidential data schedule is for the CRA's use but may be shared as permitted by law (e.g. with certain other government departments and agencies). 1. Information about Fundraisers Please provide the name(s) and arm's length status of external fundraiser(s). Name At arm's length? Yes/No

2. Information about Donors Not Resident in Canada This schedule must be completed to report any donation of $10,000 or more received from any donor that was not resident in Canada and was not any of the following: A Canadian citizen, nor Employed in Canada, nor Carrying on business in Canada, nor A person having disposed of taxable Canadian property Provide the name of the donor and the value of the donation in the chart below. You must also indicate whether the donor was an organization (for example a business, corporate entity, charity, non-profit organization), a government or an individual by placing a check mark in the appropriate box. Name Amount Organization Government Individual

Non-Cash Gifts 1 Identify all types of non-cash gifts (gifts-in-kind) received for which a tax-receipt was issued: 500 505 510 515 520 Artwork/wine/jewellery Building materials Clothing/furniture/food Vehicles Cultural properties 525 530 535 540 545 Ecological properties Life insurance policies Medical equipment/supplies Privately-held securities 550 555 560 565

Schedule 5

Publicly traded securities/mutual funds Books (literature, comics) Other Specify:

Machinery/equipment (including computers and software) 580 $ .00

2 Indicate the total eligible amount of tax receipted non-cash gifts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Detailed Financial Information Was the financial information reported below prepared on an accrual or cash basis? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4020 Statement of financial position Please show figures to the nearest single dollar. See the Key Terms and Definitions for a definition of the terms used. Assets: Cash, bank accounts, and short-term investments. . . 4100 Amounts receivable from non-arm's length parties. . . 4110 Amounts receivable from all others. . . . . . . . . . . . . . . 4120 Investments in non-arm's length parties . . . . . . . . . . . 4130 Long-term investments. . . . . . . . . . . . . . . . . . . . . . . . . 4140 Inventories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4150 Land and buildings in Canada. . . . . . . . . . . . . . . . . . . 4155 Other capital assets in Canada. . . . . . . . . . . . . . . . . . 4160 Capital assets outside Canada. . . . . . . . . . . . . . . . . . 4165 Accumulated amortization of capital assets . . . . . . . . 4166 Other assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4170 Total assets (add lines 4100 to 4170). . . . . . . . . . . . 4200 Statement of operations Revenue: Total eligible amount of all gifts for which the charity issued tax receipts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . For all tax-receipted gifts received during the fiscal period please provide: $ $ $ $ $ $ $ $ $ $ $ $ .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 Liabilities: Accounts payable and accrued liabilities. . . . . 4300 Deferred revenue. . . . . . . . . . . . . . . . . . . . . . . 4310 Amounts owing to non-arm's length parties. . . 4320 Other liabilities. . . . . . . . . . . . . . . . . . . . . . . . . 4330 Total liabilities (add lines 4300 to 4330). . . . 4350

Schedule 6 Accrual Cash

$ $ $ $ $

.00 .00 .00 .00 .00

Amount included in lines 4150, 4155, 4160, 4250 4165 and 4170 not used in charitable programs. . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

.00

4500

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

.00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00

Total eligible amount of tax-receipted tuition fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5610 Total eligible amount of tax-receipted enduring property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5640 Total amount received from other registered charities (excluding specified gifts and enduring property) . . . . . . . . . . . . . . . . . . . . . . 4510 Total specified gifts from other registered charities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4520 Total enduring property from other registered charities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4525 Total other gifts received for which a tax receipt was not issued by the charity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4530 Total revenue received from federal government. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4540 Total revenue received from provincial/territorial governments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4550 Total revenue received from municipal/regional governments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4560 Total revenue received from all sources outside Canada. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4575 Total interest and investment income received or earned . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4580 Gross proceeds from disposition of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4590 Net proceeds from disposition of assets (show a negative amount with brackets). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4600 Gross income received from rental of land and/or buildings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4610 Non tax-receipted revenues received for memberships, dues, and association fees. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4620 Total non tax-receipted revenue from fundraising. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4630 Total revenue from sale of goods and services (except to government) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4640 Other revenue not already included in the amounts above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4650 Specify type(s) of revenue included in the amount reported at 4650 (e.g., dividends) 4655 Total revenue (add line 4500, 4510 to 4580, and 4600 to 4650). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4700 Expenditures: 4800 4810 4820 4830 Office supplies and expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4840 Occupancy costs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4850 Professional and consulting fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4860 Education and training for staff and volunteers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4870 Advertising and promotion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Travel and vehicle expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Interest and bank charges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Licences, memberships, and dues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total expenditure on all compensation (enter the amount reported at line 390 in Schedule 3 if applicable) . . . . . . . . . . . . . . . . . . . . 4880 Fair market value of all donated good used in charitable programs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4890 Total cost of all purchased supplies and assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4891

$ $ $ $ $ $ $ $ $ $ $

.00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00

Amortization of capitalized assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4900 Total expenditure for research grants and scholarships as part of charitable programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4910 Other expenditures not included in the amounts above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4920 Specify type(s) of expenditures included in the amount reported at 4920 4930 Total expenditures before gifts to qualified donees (add lines 4800 to 4920) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4950

$ $ $ $

.00 .00 .00 .00

Lines 5000 to 5030 represent a breakdown of the expenditures on lines 4800 to 4920. The total of lines 5000 to 5030 should equal line 4950.

Total expenditures on charitable programs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total expenditures on management and administration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total expenditures on fundraising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total expenditures on political activities, inside or outside Canada. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5000 5010 5020 5030

$ $ $ $ $ $ $ $ $

.00 .00 .00 .00 .00 .00 .00 .00 .00

Total other expenditures included in line 4950 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5040 Total amount of gifts (excluding enduring property and specified gifts) made to all qualified donees . . . . . . . . . . . . . . . . . . . . . . . . . 5050 Total amount of enduring property transferred to qualified donees (excluding specified gifts of enduring property) . . . . . . . . . . . . . . 5060 Total amount of specified gifts made to qualified donees (including specified gifts of enduring property) . . . . . . . . . . . . . . . . . . . . . . 5070 Total expenditures (add amount from line 4950 and the amounts from lines 5050, 5060, and 5070) . . . . . . . . . . . . . . . . . . . . . . 5100

Other financial information Permission to accumulate property: Only registered charities that have written permission to accumulate should complete this question. $ Enter the amount accumulated for the fiscal period, including income earned on accumulated funds . . . . . . . . . . . . . . . . . . . . . . 5500 $ Enter the amount disbursed for the fiscal period for the specified purpose we have permitted. . . . . . . . . . . . . . . . . . . . . . . . . . . . 5510 $ Enter the amount deemed to be a tax-receipted gift for the fiscal period. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5520 Enduring property and the capital gains pool From the amount reported at line 4950, what is the fair market value of all enduring property spent during the fiscal period? . . . . . . 5710 Enter the capital gains from the disposition of enduring property in the fiscal period. Do not enter an amount reflecting a capital loss or a negative amount in this field. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5720 Is the charity claiming an amount that is less than the maximum capital gains reduction?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5730 If yes, enter the amount from line 11 of Form T1259, Capital Gains and Disbursement Quota Worksheet . . . . . . . . . . . . . . . . . . . . . 5740 If the charity has received approval from the Charities Directorate to make a special reduction to its disbursement quota, enter the amount for the fiscal period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5750 Property not used in charitable activities Enter the value of property not used for charitable activities or administration during: The 24 months before the beginning of the fiscal period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5900 The 24 months before the end of the fiscal period. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5910 $ $ .00 .00 $ $ $ $ Yes .00 .00 No .00 .00 .00 .00 .00