Document reM2zg0NOV3RzmK6a55LN9XYV

lefile GRAPHIC print - DO NOT PROCESS | As Filed Data - | DLN: 93492195011051 Short Form OM B No 1545-1150 F o rm 9 9 0 -E Z Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code 2009 (except black lung benefit trust or private foundation) S p o n s o rin g o rg a n iz a tio n s of d on or a d v ise d funds and co n tro llin g o rg a n iz a tio n s as defined in Department of the Treasury Internal Revenue Service se c tio n 512(b)(13) must file Form 990 A ll o th e ro rg a m z a tio n s with gross receipts less than $500,000 and total assets less than $1,250,000 at the end of the year may use this form The organization may have to use a copy of this return to s a tis fy state reporting requirem ents. Open to Public Inspection A For the 2009 calendar year, or tax year beginning 01-01-2009 , and ending 12-31-2009 B Check if applicable 1 Address change 1 Name change 1 Initial return 1 Terminated 1 Amended return 1 Application pending Please use 1RS label or print or type. See Specific Instruc tions. C Name of organization Asbestos Information AssociationNA Number and street (or P O box, if mail is not delivered to street address) Room/suite P O Box 2227 City or town, state or country, and ZIP + 4 Arlington, VA 222029227 D Employer identification number 13-2702826 E Telephone number (703) 560-2980 F Group Exemption Number * Section 501(c)(3) org a n iza tio n s a n d 4947(a)(1) nonexem pt ch a rita b le trusts m u st attach a com pleted Schedule A (Form 990 or 990-EZ). @ G Accounting method 1 Cash [^ A ccru a l O ther (specify) I W ebsite:^ N/A J Tax-Exempt status (check only one)--F " 50 1 ( c ) ( 3 ) ^(insert no )l 4947(a)(1) or 1 527 H C h e c k s - F" if the organization is not required to attach Schedule B (Form 990, 9 9 0 -E Z , or 9 9 0 -P F ) K C h e c k -! if the organization is not a s e c tio n 509(a)(3) supporting organization and its gross receipts are normally not more than $ 2 5 , 0 0 0 A Form 9 9 0 - E Z or Form 9 9 0 return is not required, but if the organization c h o o s e s to file a return, be sure to file a com plete return L Add lines 5b, 6b, and 7b, to line 9 to determine gross receipts, if $500,000 or more, file Form 990 instead of Form 990-EZ $ 75,708 Part I Revenue, Expenses, and Changes in Net Assets or Fund Balances (See the instructions for Part i ) 1 Contributions, gifts, grants, and sim ilar amounts received 2 Program service revenue including government fees and contracts 3 M em bership dues and a s s e s s m e n t s ............................................ 3 75,693 4 In v e s tm e n t i n c o m e ................................................................... 4 15 5a G ro s s amount from sale of a s s e t s other than inventory 5a O_r, b Less cost or other basis and sales expenses .... 5b i ' c Gain or (loss) from sale of a s s e t s other than inventory (Subtract line 5b from line 5a) . . . . 5c Or LC 6 S pec ial events and ac tivitie s (complete ap p licab le parts of Schedule G) I f any amount is from gaining, check here | Gross revenue (not including $ of contributions reported on line 1 ) .................................................... 6a b Less direct expenses otherthan fundraising expenses 6b c Net income or (loss) from s p e c ia l events and a c tiv itie s (Subtract line 6 b from line 6 a) 6c 7a G ro s s s a le s of inventory, less returns and allowances .... 7a b L e s s c o s t of goods s o l d ................................................................... 7b c Gross profit or (loss) from sales ofinventory (Subtract line 7b from line 7a) 7c 8 O th e r revenue (d escribe ______________________________________________ 9 Total revenue. A dd lines 1, 2, 3, 4, 5c, 6 c, 7c, and 8 75,708 10 Grants and sim ilar amounts paid (attach schedule ) 10 11 Benefits paid to or for m e m b e r s ............................................ 11 12 Salaries, other compensation, and employee benefits 12 66,758 (h 13 P ro fe s s io n al fees and other payments to independent con tracto rs irS~> f 14 O c c u p a n c y , rent, utilities, and m a i n t e n a n c e .............................. 15 Printing, pu bli cations, postage, and shipping .... 13 14 15 16 0 ther e x p e n s e s (describe 17 Total expenses. A dd lines 10 through 16 16 7,197 17 7 3 , 9 5 5 18 E x c e s s o r ( d e f i c i t ) f o r t h e y e a r ( S u b t r a c t l i n e l 7 f r o m l m e 9 ) ............................................ 18 1,753 19 Net a s s e t s o rfu n d balance s at beginning of year (from line 27, column (A)) (must agree with en d-o f- ye ar figure reported on prior year's r e t u r n ) ........................................................... 19 2 1 , 7 2 2 20 0 ther ch anges in net a s s e t s or fund balances (attach e x p l a n a t i o n ) ..................................... 20 21 Net a s s e t s o rfu n d balance s at end of year C om bine lines 18 through 20 .... 21 2 3,4 7 5 Part II Ba la nee Sheets-- I f T o t a l a s s e t s on line 25, column (B) are $ 1 , 2 5 0 , 0 0 0 or more, file Form 9 9 0 instead o fF o r m 9 9 0 - E Z (See the instructions for Part II ) 22 C as h , savin gs, and i n v e s t m e n t s ................................................................... 23 Land and b u i l d i n g s ......................................................................................... 24 O ther a s s e t s (describe 25 Total a s s e t s ................................................................................................ 26 Total liabilities (d escribe ) ) 27 Net assets or fund balances (line 27 of column (B) must agree with line 21) For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. (A) Beginning o fy e a r 2 3 , 8 4 7 22 23 500 24 2 4 , 3 4 7 25 2 ,6 2 5 26 2 1 , 7 2 2 27 Cat No 106421 (B) E nd of year 25,100 1,000 26,100 2,625 2 3,4 7 5 Form 990-EZ (2 0 0 9 ) Form 990-EZ (2009) Page 2 Part III Statement of Program Service Accomplishments (See the instructions for Part III ) What is the organization's primary exempt p urpose7 PRO VIDIN G IN FO R M ATIO N ON ASB ES TO S -H EA LTH R ELA TIO N SH IP AND INDUSTRY EFFORTS TO ELIM INATE PO TEN TIA L PROBLEMS A S S O C IA TED WITH ASBESTOS DUST D escrib e what was achieved in carrying out the organization's exempt purposes In a cle a r and c o n c is e manner, describe the services provided, the number of persons benefited, and other relevant information for each program title 28 reported on government ac tivitie s relating to the a s b e s to s industry appeared before governmental a ge ncies and provided written comments on the rulemaking process for standards affecting the industry produced employee pamphlets 0)(Grants $ If this amount includes foreign grants, check here r 29 Expenses (Required forsection 501 (c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts, optional for others ) 28a 73,452 (Grants $ 30 If this amount includes foreign grants, check here r 29a (Grants $ If this amount includes foreign grants, check here r 30a 3 1 0 t h e r p r o g r a m s e r v i c e s ( a t t a c h s c h e d u l e ) ................................................................... (Grants $ ) If this amount includes foreign grants, check here . r 31a 32 Total program service expenses (add lines 2 8 a through 3 1 a ) ..................................... 32 Part IV List of Officers, Directors, Trustees, and Key Employees. List each one even if not compensated (See the instructions for Part IV ) 73,452 (a) Name and add ress (b) T i t 1e and average hours per week devoted to position (c) C o m p e n s a tio n (If not paid, enter -0-.) (d) C o ntr ibutio ns to em ployee benefit plans 8i deferred compensation (e) E xp en s e account and other allowances bob j pigg po box arlington,VA 22202 P r e s id e n t 8i T re a s ure r 40 00 62,000 00 G Bernard Coulombe po box arlington,VA 22202 director 1 00 0 00 jean-marc leblond po box arlington,VA 22202 chairman 8i secretary 1 00 0 00 Form 990-EZ (2 0 0 9 ) Form 990-EZ (2009) Part V Other Information (Note the statement requirements in the instructions for Part V.) 33 Did the organization engage in any acti vity not previously reported to the I R S 7 I f "Yes," attach a detailed de s c riptio n of ea ch a c t i v i t y ............................................................................................................................... 34 Were any ch anges made to the organizing o r g o v e r n m g d o c u m e n t s 7 I f "Yes," atta ch a conformed copy o fth e ch anges ............................................................................................................................................................. 35 I f t h e organization had income from b u s in e s s a c tivitie s , su ch as th ose reported on lines 2, 6 a, and 7a (among others), but not reported on Form 9 9 0 - T , attach a s tate m en t explaining why the organization did not report the income on Form 9 9 0 - T ........................................................................................................................................... Page 3 Yes No 33 No No 34 a Did the organization have unrelated business gross income o f $ l , 0 0 0 or more or was it subject to section 6 0 3 3 (e) notice, reporting, and proxy tax r e gu ir e m en ts 7 ........................................................................................... 35a b I f "Ye s ," has it filed a tax return on Form 990-T for this y e a r 7 ......................................................................... 35b 36 37a Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the y e a r 7 I f "Yes," com plete app licab le parts o f S c h e d u le N ......................................................................... Enter amount of political expenditures, direct or indirect, as described in the instructions | 3 7 3 |_____________________ C 36 No No b Did the organization file Form 1120-POL for this y e a r 7 ..................................................................................... 38a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key em ployee or we re any s u ch loans made in a p r i o r y e a r a n d still outstanding a t t h e end o ft h e period covered by this return7 . I f "Yes," com plete Schedule L, Part II and e n t e r t h e total amount involved 38b 39 Section 501(c)(7) organizations. Ente r a Initiation fees and capital co ntrib utions included on line 9 .............................. 39a b G ross receipts, included on line 9, for public use of club facilities . . . . 39b 40a Section 501(c)(3) organizations. Ente r amount of tax imposed on the organization during the year under 37b 38a No section 4911 ___________________ 0_ , section 4912 ___________________ 0 , section 4955 ______________ Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4 9 5 8 ex c e s s benefit tran sactio n during the year or is it aware that it engaged in an e x c e s s benefit tran sactio n with a disqualified person in a prior year, and that the transactio n has not been reported on any o fth e organization's prior Forms 9 9 0 o r 9 9 0 - E Z 7 I f " Y e s , " c o m p l e t e S c h e d u l e L , P a r t I ............................................................................... 40b No Section 5 01(c)(3) and 5 0 1 ( c ) (4) organizations E n te ra m o u n t o fta x imposed on organization managers or disqualified persons during the year under sections 49 12, 4 9 5 5 , and 4 9 5 8 . . ____________________ S ec tio n 5 0 1 ( c )( 3 ) and 5 0 1 ( c ) (4) organ izations E n t e r a m o u n t o f t a x on line 4 0 c reimbursed by the o r g a n i z a t i o n ............................................................................................................. ________________ All organizations. A t any time during the tax year, was the organization a party to a prohibited tax shelter t r a n s a c t io n 7 I f "Ye s ," com plete Form 8 8 8 6 - T ........................................................................................... 40e No 41 List the states with which a copy of this return is filed ____________ 42a The organization's books are in care of STRACK Stanfield LLC 15825 SHADY GROVE ROAD SUITE 40 Lo cate d at ROCKVILLE, MD_______________________________ Te le p h o n e no ^ (301) 5 1 9 - 3 2 8 0 Z I P + 4 P- 2 0 8 5 0 _________ b A t any time during the c a le ndar year, did the organization have an interest in or a signature or other authority over a financial ac c o u n t in a foreign country (such as a bank account, s ecu rities account, or other financial a c c o u n t )7 I f " Y e s , " e n t e r t h e name o ft h e foreign country _________________________________________________________ See the instr uctio ns for e x c e ptio n s and filing reguirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts. c A t any time during the c a le ndar year, did the organization maintain an office outside o ft h e U S 7 42b Yes No No 42c No I f " Y e s , " e n t e r t h e name o ft h e foreign country _________________________________________________________ 43 S ec tio n 4 9 4 7 ( a ) ( 1 ) nonexempt charitable trusts filing Form 9 9 0 - E Z in lieu of Form 1041--C h e c k here and enter the amount of tax-exempt interest received or acc rued during the tax year . . . 43 r 44 Did the organization maintain any donor ad vised fu n d s 7 I f "Yes ", Form 990 m u st be completed instead of Yes No Form 990-EZ. 44 No 45 Is any related organ ization a controlled entity o ft h e organization within the meaning of s e c tio n 5 1 2 ( b ) ( 1 3 ) 7 I f "Yes ", Form 990 m u st be completed instead o f Form 990-EZ. 45 No Form 990-EZ (2 0 0 9 ) Form 990-EZ (2009) Page 4 Part VI Section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts only. All section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts must answer questions 46 Did the organization engage in direct or indirect political cam paig n ac tivitie s on behalf of or in opposition to candidates for public office7 If "Yes," complete Schedule C, Part I 47 Did the organization engage in lobbying a c t i v i t i e s 7 I f "Yes," com plete Schedule C, Pa rt II 48 Is the organ ization a s c h o o l de scrib ed in s e c tio n 17 0 ( b ) ( l )(A ) ( i i ) 7 I f "Yes," com plete Schedule E 49a Did the organization make any transfers to an exempt n on-charita ble related organ iz atio n 7 b If "Yes," was the related organization a section 527 organization7 Yes 46 47 48 49a 49b No No No No No 50 C o m plete this table for the organization's five high est c o m p e n s ate d em plo yees (other than officers, dire ctors, tr u stees and key em ployees) who each received more than $ 1 0 0 , 0 0 0 of com pensation from the organization If there is none, enter "None " (a) Name and addre ss o f e a c h employee paid more than $ 1 0 0 , 0 0 0 (b) T i t 1e and average hours per week devoted to position (c) C o m p e n s a tio n (d) C o ntr ibutio ns to employee benefit plans & deferred compensation (e) E xp en s e account and other allowances NONE 50(f) T o t a l n u m b e r o f o t h e r e m p l o y e e s p a i d o v e r $ 1 0 0 , 0 0 0 ......................................................................................... 51 C o m plete this table fo r th e organization's five high est c o m p e n s ate d independent co n trac to rs who ea ch received more than $ 1 0 0 , 0 0 0 of com pensation from the organization If there is none, enter "None " (a) Name and addre ss o f e a c h inde pendent c o n tra c t o r paid more than $ 1 0 0 , 0 0 0 (b) T y p e of s e rv ic e (c) C o m p e n s a tio n NONE 51(d) T o t a l n u m b e r o f o t h e r i n d e p e n d e n t c o n t r a c t o r s e a c h r e c e i v i n g o v e r $ 1 0 0 , 0 0 0 ............................................ Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge Please Sign Here ******_______________________________________________________________________ 2010-07-06 Signature of officer Date MR BOB] PIGG PRESIDENT & TREASURER_______________________________________________________ Type or print name and title Paid Preparer's Use Only Preparer's L signature w Judy Stanfield Firm's name (or yours L STRACK STANFIELD LLC if self-employed), W address, and ZIP + 4 r 15825 Shady Grove Road 40 Date Rockville, MD 20850 May the IRS d iscu ss this return with the preparer shown above7 See instructions Check if selfempolyed | Preparer's identifying number (See instructions) EIN Phone no (301) 519-3280 F FYes No Form 990-EZ ( 2 0 0 9 ) lefile GRAPHIC print - DO NOT PROCESS | As Filed Data - | DLN: 93492195011051 SCHEDULE A (Form990or990EZ) Department of the Treasury Internal Revenue Service Name ofthe organization Asbestos Information AssociationNA Public Charity Status and Public Support Complete if the organization is a section 501(c)(3) organization or a section O M B No 1545-0047 2009 4947(a)(1) nonexempt charitable trust. Open to Public A tta ch to Form 990 or Form 990-EZ. See separate instructions. Inspection Employer identification number Part I ____________________________________________________________________________________ 1 3 - 2 7 0 2 8 2 6 ________ Reason for Public Charity Status (All organizations must complete this part.) See instructions The organization is not a private foundation b ecause it is (For lines 1 through 11, c h e c k only one box ) 1 r A church, convention of churches, or association of churches section 170(b)(l)(A)(i). 2 r A school described in section 170(b)(l)(A)(ii). (Attach Schedule E ) 3 r A hospital or a cooperative hospital service organization described in section 170(b)(l)(A)(iii). 4 r A medical resea rch organization operated in conjunction with a hospital d e scribed in section 170(b)( 1)(A)(iii). E n t e rt h e hospital's name, city, and state 5r er 7r sr 9F 10 r 11 r er f g h A n organization operated for the benefit of a coll ege or university owned or operated by a governmental unit d e s c ribed in section 170(b)(l)(A)(iv). (Complete Part II ) A federal, state, or local government or governmental unit described in section 170(b)(l)(A)(v). An organization that normally receives a substantial part of its support from a governmental unit or from the general public de scribed in section 170(b)(l)(A)(vi) (Complete Part II ) A community trust described in section 170(b)(l)(A)(vi) (Complete Pa rt II ) A n organization that normally receiv es (1) more than 33 1/3% of its s u p p o r tfr o m co ntrib utions, members hip fees, and gross receipts from a c tiv itie s related to its exempt fu n c t io n s -- su bje ct to certain ex c e p tio n s , and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 197 5 See section 509(a)(2). (Complete Part III ) A n organization organized and operated e x c lu s iv e ly to te s t for public safety Seesection 509(a)(4). A n organization organized and operated e x c lu s iv e ly for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) o r s e c t i o n 509(a)(2) See section 509(a)(3). C he ck the box that describes the type of supporting organization and complete lines l i e through l l h a | Type I b | Type II c | Type III - Functionally integrated d | Type III - Other By c h ec k in g this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified pe rsons oth erth an foundation managers and o therthan one or more publicly supported organizations described in section 509(a)(1) or section 50 9 (a)(2) I f the organization received a written determination from the IRS that it is a T y p e I, T y p e II o r T y p e III supporting organization, rc h eck this box Since A u g u st 17, 2 0 0 6 , has the organization accepted any gift or contribution from any ofthe following persons7 (i) a person who directly or indirectly controls, either alone or togeth er with pe rsons de scribed in (n) ___________ Yes No and (in) below, the governing body o ft h e the supported organiz ation 7 iig(i) (M) a family me mber of a person de scribed in (i) a b o v e 7 (iii) a 35% controlled entity o f a person de scribed in (i) or(n ) a b o v e 7 iig() iig(iii) Provide the following information about the supported orgamzation(s) () Name of s upported organization (iii) (v) Type of Is the organization organization in () (described on col (i) listed in EIN lines 1 - 9 above your governing or IRC section document7 (see in s t r u c t io n s )) Yes No (v) Did you notify the organization in col (i) of your s upport7 Yes No (vi) Is the organization in col (i) organized in the U S 7 Yes No (vii) A mount of s upport7 Total For Paperwork Reduction Act Note e, seethe Instructions for Form 990 Cat No 11 28 5 F Schedule A(Form 990 or 990-EZ)2009 Schedule A (Form 990 or 9 9 0 - E Z ) 2 00 9 Page 2 Part II Support Schedule for Organizations Described in IRC 170(b)(l)(A)(iv) and 170(b)(l)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I.)________________________________ Section A. Public Support Calendar year (or fi scal year beginning in) 1 Gifts, grants, contributions, and membership fees received (Do not include any "unusual grants ") 2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf 3 The value ofservices orfacilities furnished by a governmental unit to the organization without charge 4 Total. Add lines 1 through 3 (a) 2 0 0 5 (b) 2 0 0 6 (c) 2 0 0 7 (d) 2 0 0 8 (e) 2 0 0 9 (f) Total 5 The portion o ft o t a l co ntrib utions by each person (otherthan a governmental unit or publicly supported organization) included on line 1 that exceeds 2 % ofth e amount shown on line 1 1 , column (f) 6 Public Support. S ub tra ct line 5 from line 4 Section B. Total Support Calendar year (or fi scal year beginning in) (a) 2 0 0 5 (b) 2 0 0 6 (c) 2 0 0 7 (d) 2 0 0 8 (e) 2 0 0 9 (f) Total 7 Amounts from line 4 8 Gross income from interest, dividends, payme nts received on securities loans, rents, royalties and income from similar sources Net income from unrelated business activities, whether or not the busin ess is regularly carried on 10 O th e r income (Explain in Part IV ) Do not include gain or loss from the sale of capital assets 11 Total support (Add lines 7 through 1 0 ) 12 Gross receipts from related activities, etc (See instructions ) 12 13 First Five Years If the Form 9 9 0 is fo r th e organization's first, seco n d, third, fourth, or fifth tax y e a r a s a 5 0 1 ( c )( 3 ) organization, c h e c k this box and stop here ! Section C. Computation of Public Support Percentage_________________________ i__ 14 P u b l i c S u p p o r t P e r c e n t a g e f o r 2 0 0 9 ( l i n e 6 c o l u m n ( f ) d i v i d e d b y l i n e l l c o l u m n ( f ) ) 14 15 Public Support P e rc en tage for 2 0 0 8 Schedule A, Part II, line 14 15 16a b 17a b 18 33 1/3% support test -- 2009. I f t h e organization did not c h e c k the box on line 13, and line 14 is 33 1/3% or more, c h e c k this box rand stop here. T h e organization qualifies as a publicly supported organization 33 1/3% support te s t-- 2008. I f t h e organization did not c h e c k the box on line 13 or 16a, and line 15 is 33 1/3% or more, c h e c k this rbox and stop here. Th e organization qualifies as a publicly supported organization 10%-facts-and-circumstances test -- 2009. I f t h e organization did not c h e c k a box on line 13, 16a, or 16 b and line 14 is 1 0 % or more, and if th e organ ization meets the "facts and c i r c u m s t a n c e s " test, c h e c k this box and stop here. Explain in Part IV how the organization meets the "facts and c ir c u m s t a n c e s " te st The organization qualifies as a publicly supported ro r g a n i z a t i o n 10%-facts-and-circumstances test -- 2008. I f t h e organization did not c h e c k a box on line 13, 16a, 16b, or 17a and line 15 is 10% or more, and ifth e organization meets the "facts and c i r c u m s t a n c e s " test, c h e c k this box and stop here. Explain in Part IV how the organization meets the "facts and c ir c u m s t a n c e s " te st The organization qualifies as a publicly supported organization r Private Foundation I f t h e organization did not c h e c k a box on line 13, 16a, 16b, 17a or 17b, c h e c k this box and see instructions r Schedule A (Form 990 or 990-EZ) 2009 Schedule A (Form 990 or 9 9 0 - E Z ) 2 00 9 Page 3 Part III Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I.)___________ Section A. Public Support Calendar year (or fi scal year beginning in) (a) 2 0 0 5 (b) 2 0 0 6 (c) 2 0 0 7 (d) 2 0 0 8 (e) 2 0 0 9 (f) Total 1 Gifts, grants, contributions, and membership fees received (Do not 87,659 81,774 82,004 70,875 75,693 398,005 include any "unusual grants ") 2 Gross receipts from admissions, merchandise sold or services performed, or fa cilitie s furnished in any activity that is related to the organization's tax-exempt purpose 3 Gross receipts from activities that are not an unrelated trade or business under section 513 4 Tax revenues levied forthe organization's benefit and either paid to or expended on its behalf 5 The value ofservices orfacilities furnished by a governmental unit to the organization without charge 6 Total. Add lines 1 through 5 87,659 81,774 82,004 70,875 75,693 398,005 7a A m o u n ts included on lines 1, 2, and 3 received from disqualified 0 persons b Am ounts included on lines 2 and 3 received from other than disqualified persons that exceed 0 the greater o f $ 5 , 000 or 1% ofthe amount on line 13 fo rth e year c Add lines 7a and 7b 0 8 Public Support (Subtract line 7c from line 6 ) Section B. Total Support 398,005 Calendar year (or fi scal year beginning in) 9 Amounts from line 6 (a) 2 0 0 5 87,659 (b) 2 0 0 6 81,774 (c) 2 0 0 7 82,004 (d) 2 0 0 8 70,875 (e) 2 0 0 9 75,693 (f) Total 398,005 10a Gross income from interest, dividends, payments received on securities loans, rents, royalties 402 535 480 122 15 1,554 and income from similar sources b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 c Add lines 10a and 10b 402 535 480 122 15 1,554 11 Net income from unrelated business activities not included in line 1 0 b, whether or not the bu s in es s is regularly carried on 12 O th e r income Do not include gain or loss from the sale of capital a s s e t s (Explain in Part 2,267 2,267 IV ) 13 Total support (Add lines 9, 10c , 1 1 and 1 2 ) 88,061 82,309 82,484 73,264 75,708 401,826 14 First Five Years I f t h e Form 9 9 0 is fo r th e organization's first, seco n d, third, fourth, or fifth tax y e a r a s a 5 0 1 ( c )( 3 ) organization, c h e c k this box and stop here ! Section C. Computation of Public Support Percentage 15 Public Support P e rc en tage for 2 0 0 9 (line 8 column (f) divided by line 13 column (f)) 16 Public support percentage from 2 0 0 8 Schedule A, Pa rt I I I , line 15 15 99 0 50 % 16 98 9 8 0 % Section D. Computation of Investment Income Percentage 17 In v e s tm e n t income percentage for 2009 (line 10c column (f) divided by line 13 column (f)) 17 0 3 9 0 % 18 In v e s tm e n t income percentage from 2 0 0 8 S c h e d u le A, Part III, line 17 18 0 4 5 0 % 19a b 20 33 1/3% support tests-- 2009. I f t h e organization did not c h e c k the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, c h e c k this box and stop here. T h e organ ization qualifies as a publicly supported organization F 33 1/3% support tests-- 2008. I f t h e organization did not c h e c k a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, c h e c k this box and stop here. Th e organization qualifies as a publicly supported organization r Private Foundation I f t h e organization did not c h e c k a box on line 14, 19a or 19b, c h e c k this box and see instructions r Schedule A (Form 990 or 990-EZ) 2009 Schedule A (Form 990 or 9 9 0 - E Z ) 2 00 9 Page 4 Part IV Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Provide any other additional information. See instructions Schedule A (Form 990 or 990-EZ) 2009 lefile GRAPHIC print - DO NOT PROCESS | As Filed Data - | TY 2009 Other Assets Schedule DLN: 9349219501105?! accounts receivable Name: Asbestos Information AssociationNA EIN: 13-2702826 Description Beginning of Year Amount 500 End of Year Amount 1,000 lefile GRAPHIC print - DO NOT PROCESS | As Filed Data - | TY 2009 Other Expenses Schedule office expenses taxes & licences tra vel meetings payroll services Name: Asbestos Information AssociationNA EIN: 13-2702826 Description DLN: 9349219501105?! Amount 4,290 637 818 258 1,194 lefile GRAPHIC print - DO NOT PROCESS | As Filed Data - | TY 2009 Other Liabilities Schedule DLN: 9349219501105?! payroll taxes Name: Asbestos Information AssociationNA EIN: 13-2702826 Description Beginning of Year Amount 2,625 End of Year Amount 2,625 lefile GRAPHIC print - DO NOT PROCESS | As Filed Data - | TY 2009 Transfers Personal Benefits Contracts Declaration DLN: 93492195011051 Name: Asbestos Information AssociationNA EIN: 13-2702826 Declaration: The organization did not, during the year, receive any funds, directly,or indirectly, to pay premiums on a personal benefit contract.The organization, did not, during the year, pay any premiums, directly,or indirectly, on a personal benefit contract.