Schedule J-1 (F 99 Continuation Sheet for Sch J

SCHEDULE J-1
(Form 990)

OMB No. 1545-0047

Continuation Sheet for Schedule J (Form 990)
©

©

Department of the Treasury
Internal Revenue Service

Open to Public
Inspection

See Instructions for Schedule J (Form 990).

Name of the organization

Part I

2009

Attach to Form 990 to list additional information for Schedule J (Form 990), Part II.

Employer identification number

Continuation of Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (Schedule J, Part II)
(B) Breakdown of W-2 and/or 1099-MISC compensation
(i) Base
compensation

(A) Name

(ii) Bonus & incentive
compensation

(iii) Other
reportable
compensation

(C) Retirement and
other deferred
compensation

(D) Nontaxable
benefits

(E) Total of columns
(B)(i)–(D)

(F) Compensation
reported in prior
Form 990 or
Form 990-EZ

(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
(i)
(ii)
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51027H

Schedule J-1 (Form 990) 2009