Form 199 (2024) — California Exempt Organization Annual Information Return

# preamble

3651243 Form 199 2024 Side 1For Privacy Notice, get FTB 1131 EN-SP. 1 Gross sales or receipts from other sources. From Side 2, Part II, line 8................................ • 1 00 2 Gross dues and assessments from members and affiliates ......................................... • 2 00 3 Gross contributions, gifts, grants, and similar amounts received ..................................... • 3 00 4 Total gross receipts for filing requirement test. Add line 1 through line 3. This line must be completed. If the result is less than $50,000, see General Information B ................ • 4 00 5 Cost of goods sold ............................................... • 5 00 6 Cost or other basis, and sales expenses of assets sold ................... • 6 00 7 Total costs. Add line 5 and line 6............................................................... 7 00 8 Total gross income. Subtract line 7 from line 4................................................... • 8 00 9 Total expenses and disbursements. From Side 2, Part II, line 18 ..................................... • 9 00 10 Excess of receipts over expenses and disbursements. Subtract line 9 from line 8 ........................ • 10 00 11 Total payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .• 11 00 12 Use tax. See General Information K .......................................................... • 12 00 13 Payments balance. If line 11 is more than line 12, subtract line 12 from line 11 ......................... • 13 00 14 Use tax balance. If line 12 is more than line 11, subtract line 11 from line 12 ........................... • 14 00 15 Penalties and interest. See General Information J.................................................. 15 00 16 Balance due. Add line 12 and line 15. Then subtract line 11 from the result ........................... • 16 00

# TAXABLE YEAR

California Exempt Organization Annual Information Return Sign Here 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 taxpayer) is based on all information of which preparer has any knowledge. Paid Preparer's Use Only FORM A First return ........................................ □ Yes □ No B Amended return .................................. •□ Yes □ No C IRC Section 4947(a)(1) trust .......................... □ Yes □ No D Final information return? • □ Dissolved □ Surrendered (Withdrawn) □ Merged/Reorganized Enter date: (mm/dd/yyyy) • ____ / _____ / _______ E Check accounting method: (1) □ Cash (2) □ Accrual (3) □ Other F Federal return filed? (1) • □ 990T (2) • □ 990PF (3) • □ Sch H (990) (4) □ Other 990 series G Is this a group filing? See instructions ................. •□ Yes □ No H Is this organization in a group exemption ................ □ Yes □ No If "Yes," what is the parent's name? I Did the organization have any changes to its guidelines not reported to the FTB? See instructions. .............. •□ Yes □ No J If exempt under R&TC Section 23701d, has the organization engaged in political activities? See instructions. ......... •□ Yes □ No K Is the organization exempt under R&TC Section 23701g? .. •□ Yes □ No If "Yes," enter the gross receipts from nonmember sources .. $ L Is the organization a limited liability company? .......... •□ Yes □ No M Did the organization file Form 100 or Form 109 to report taxable income? .................................. •□ Yes □ No N Is the organization under audit by the IRS or has the IRS audited in a prior year?. ............................ •□ Yes □ No O Is federal Form 1023/1024 pending?. ................... □ Yes □ No Date filed with IRS Part I Complete Part I unless not required to file this form. See General Information B and C. Receipts and Revenues Expenses Payments Title Date •Telephone Date Check if selfemployed ▶ □ •PTIN Firm's name (or yours, if self-employed) ▶ and address • Firm's FEIN •Telephone May the FTB discuss this return with the preparer shown above? See instructions ................... • □ Yes □ No Calendar Y ear 2024 or fiscal year beginning (mm/dd/yyyy) , and ending (mm/dd/yyyy) . Corporation/Organization name California corporation number Additional information. See instructions. FEIN Street address (suite or room) PMB no. City State ZIP code Foreign country name Foreign province/state/county Foreign postal code Signature of officer ▶ Preparer's signature ▶

Side 2 Form 199 2024 1 Gross sales or receipts from all business activities. See instructions .................................. • 1 00 2 Interest ................................................................................. • 2 00 3 Dividends ............................................................................... • 3 00 4 Gross rents .............................................................................. • 4 00 5 Gross royalties ........................................................................... • 5 00 6 Gross amount received from sale of assets (See instructions) ....................................... • 6 00 7 Other income. Attach schedule ............................................................... • 7 00 8 Total gross sales or receipts from other sources. Add line 1 through line 7. Enter here and on Side 1, Part I, line 1 ... 8 00 9 Contributions, gifts, grants, and similar amounts paid. Attach schedule ............................... • 9 00 10 Disbursements to or for members ............................................................ • 10 00 11 Compensation of officers, directors, and trustees. Attach schedule ................................... • 11 00 12 Other salaries and wages ................................................................... • 12 00 13 Interest ................................................................................. • 13 00 14 Taxes................................................................................... • 14 00 15 Rents .................................................................................. • 15 00 16 Depreciation and depletion (See instructions) ................................................... • 16 00 17 Other expenses and disbursements. Attach schedule .............................................. • 17 00 18 Total expenses and disbursements. Add line 9 through line 17. Enter here and on Side 1, Part I, line 9 ......... 18 00 Part II Organizations with gross receipts of more than $50,000 and private foundations regardless of amount of gross receipts — complete Part II or furnish substitute information. Receipts from Other Sources Expenses and Disbursements

# Schedule L Balance Sheet Beginning of taxable year

Assets End of taxable year (a) (b) (c) (d) 1 Cash...................................... • 2 Net accounts receivable ....................... • 3 Net notes receivable.......................... • 4 Inventories ................................. • 5 Federal and state government obligations ......... • 6 Investments in other bonds .................... • 7 Investments in stock ......................... • 8 Mortgage loans ............................. • 9 Other investments. Attach schedule.............. • 10 a Depreciable assets ......................... b Less accumulated depreciation ............... 11 Land...................................... • 12 Other assets. Attach schedule .................. • 13 Total assets ................................ 14 Accounts payable ............................ • 15 Contributions, gifts, or grants payable ............ • 16 Bonds and notes payable ....................... • 17 Mortgages payable........................... • 18 Other liabilities. Attach schedule ................ 19 Capital stock or principal fund................... • 20 Paid-in or capital surplus. Attach reconciliation ..... • 21 Retained earnings or income fund ............... • 22 Total liabilities and net worth.................. 1 Net income per books ........................ • 7 Income recorded on books this year 2 Federal income tax ........................... • not included in this return. Attach schedule .. • 3 Excess of capital losses over capital gains......... • 8 Deductions in this return not charged 4 Income not recorded on books this year. against book income this year. Attach schedule ............................. • Attach schedule ....................... • 5 Expenses recorded on books this year not 9 Total. Add line 7 and line 8............... deducted in this return. Attach schedule .......... • 10 Net income per return. 6 Total. Add line 1 through line 5.................. Subtract line 9 from line 6 ............... Liabilities and net worth Do not complete this schedule if the amount on Schedule L, line 13, column (d), is less than $50,000.

# Schedule M-1 Reconciliation of income per books with income per return