1023 Application for Recognition of Exemption -,:-'; ~~ :.-.

UnCil'i Section 501(c)(3\ of liip. In!<;lrna! Rcvenue C~l(je . ,. . "," ~ , ' 1(,

r.~tJ..'!( 1r ,>, ,.': ", ~ .;, r; .,. f ':' '.,:,,; •

h:t"'-cj: P.;.,":: ~.~ :~"!. - ___ !_2::.:.: __ ,."_, ________ _ i:I";';".: .~·:':ifU\-,lv.\n-· fed ;::H:!, r> . .::.::? c;~~d!j!;',r

A User Fcc rnus.t be 8ttac~c:d Ie tr.is ;applk:.tlion.

:;P!~i():-:':;i::h·Ij·~IJ: i(:0) ~fw .3rp:,( .. ;"'lllC,ft !rid;,' br~ ~(~i~;rfl'~d rC"; \,,_;(,

Complc~tc t~e Procedural Checkils~.ln tile Ins-trucHans-. --_._----------------------[ PSi1 I

----- .. -.- .... --.- .----- r;- ~,~>i;;~yr~;~:~b>0;1~:::-;~r~;,; -----.--

SOUNCIL ~~~£..i~~~RI.~.:r;_:J_:~~J~:rg~:_li~}i::.:.rL)U_·~_'. 1b cfo Nc::px' {:f at::p!i:;?,t,.i(:J

12G~_EL C~V'E~0 _~!\},:L,..::~~L£!L_.lJ_:~_::/·. 1($ Cit'jl or town, ~-)tr.rf!. ar;ci ZIP .:-:ud .. •

SANTA CLARr,. c.n.. 95C5()

~eC!j0n nllllO CO(J~?

__ if "yc£nI::I~~:~~~:~~~I~~~~ __ . ____ ~ , _______ . ____ . ,_. ___ ._. ________ _ 9 is th~ o:g(mt2atk)r) ~oqullr:~d ~~J f!~() r-:):!";·r :.l:18It';r Fc:1':! 9::;.:'-[2;"

__ ~ .. ~t_'·No,·' dt~ic~::!~~~i:~~~'~~~~:...i:~~:~~~!.~ ~~:.:~~?~.~::..~:..... ____ ._ .. " ..

" ... {I! !!()"I~: ~,£,(: ~j!:::I\.,LiI("i:;,)

~';.:~f;l" .:..!,,~ ' • ..:k:pfl;·fl.! r'r~JiYI!:'''! (;i r·&;r:.c .. ,: ;'J bc,

:;.:,!:p._:~.:.,(; :i ::·:;(ji:F",P:!/ l"l~~',r!~'u:I':'~\ ,:'. ·;(;·~~':"'".i~:cJ

i\ f)Ol] L-· RAf'1 j,,·~jl'li t3l)lP~~~Y.~'j 1 .• G S j '7 i; S - ..2 ~ .~~\ :~

.. __ ~ __ 0-'''_'_''· ___ ... , .. ~ ___ ..• ________ ._ .• __

.--... ~ ... , j N,';,

,. J

-- -... ---'"

.{ (:: ..

'fe:,

Ttif APPUCAT;~H-J 8f:FORt'_ ~A,'i.:~;f·JG j~;/)r. Spud1ic jn~'StructiQn:/. Pi)rt f. LI/}e 11.) O;vt pUh. 557. T.ax-Cxt~mpt .stJt.~~~ f~)f y{)U~ OrgJ,nlt..lU ... .;11.

tor e.K.i:lmpfcs of ('j-rg~ntz~IU.Jnat documcn:~.j

c [J

Please

SIgn

Her'EJ

C0rrorairOll~' i\t1'<r~!J rJ '~~')rY (11 II:!! .4r;;l:~r-:~ .... ("A ;(!:,-(,rl);";',~V-·:' (I·.~_~~~·c];!;;; ,J;r, .. :I~,.::.';;:,·.::<·: (Il'~ 1;<·~:1:~:';1O .. t:1 ' .. 1< /,::1'; ~ ... ~.;'~'("/'.l' '>r" ~:,,-

i1PPf~fJ;t<.H{~ ~)ltlf~J I.:ti':"", . .ll. ~j!~.<1 :I:,;i;y:r:- :~ ,:; :p,;- Of !h;: r.·",f:~,r.~,

/,~,s.ociatl0'\- AHn-ch a C('p', cr :~)~; Arw.:l(:~~ i:I.I\:~:~t'·C::.1f:(:;I~, : .. 0{·::tl~~ .. fi·-}fl. Or ~'.!"iH,·1 .::.rt~(li<!~{j .. 1:;<~t;'~"':;f;t ;..-.:1-. ,-t ~;"" :;".:_,!.':;::' ;-;! ..... :; ::J'\:!> ... t;,:..::::~ .:)r f.~!1l(1' (.!YiC0n~JJ n!(· \IF.Fll1:2.111':):; · .... '0'. !'-:'!rJi-I)'j ;y .. ' ~c!"~i::t;{)'· '/ ~~;._~ -'.~.-:'"-,_:'.I-II<_!;", L'; !:;'--'" ~t ~\ ! .~!~~~ r,l~;i~,.J·; ~t:<''':'' .'-'·-;i.;.j;; u C~;r.'·i.·. Of H:f) t.VJaws

, ~ .'.. .t , I! .', • ~ . ;I~'

------------------ ____________ '~,_,<_2..

l£art 11 I Jl.cthlities Bfld Operatk:>l1ol InformaHon

~~~~~~jg~: ;.~ ~~: ;~11:8~~~(~~,~J~:~~~:~ ~;~~ ~~ :~~~~~~~ ~~:~~~ ~!lf~:_~~ '-~; ~~'f~i! ~._:~~ ~: ;'/~~I!;Z ~_~; ~~ ~ :!~) ':;;~~:l~~: !~!; d~~ ~ -, ~ t r;:~~.~~ :!(~: ~ ,~~ ~~~:~) ;~~~~~ ;~~~ ~~ ~~~r~~1 ~ ~~~!~ ~j (!. 3:;, a n1i·.!~rnur;·" th-.~ fOjIO"Nlt\U: (:l) a dC~:::Hh~:(: C:rJ:;,:,i;::'iJ(~n ;;! j~~U 2~-:~;,:j:'J lljdt;c!:iI"; I!' ;::. ,;DD:,f: r>j h'Lf~;; I:,L' :)r::~;\!::'I-:IJ~;~;r ': .. !i', t,;: j/'jti,lk(!", ;/1"10 (::! v:holo and bv 1J"..'~lOrn Ill,;: aC!:I/1:y "/t l,! bf' c.'.JI;(ji'Cl~'(! .

SEE BELOH

__________ -,-________ ' __ ' ____ ' ______ '_ --"---------"------"C""--" -,.-- -.- ",,"-;t DCtscr:bc thO org-anlZatlOnt~ h)ndti{_~$jng plo~.:;rDrll, b-::U', tif.:ttwl an,:; v;D:~r~.:tJ. nr!,:t f:~)q:'j:;1:n Ii} \.~~,;~~ t':' .. :;c,:dt H:I:' l>'_"L~; Pl,i H"~::! 1.~:rf)';~L

of fund! dlsing at:tivit~o3 :it:ch as Y:I(){~!!Y,) rr~[HlIng$, fDallal:0n (,f 111ft,!, i1~''-;lOq l'.(\t!1>n:f1f·"C~~, u:.;.., 1)1 ¥~.t~ r, t~/O~; '~'r ~l (;~(.f.!'I':i'-'~~: !Clnd~ ;,t!;~~IJ :-;, p{c, Au~~t) 'eprn$Qntat~v(? COP!f'!~; of :;;{)fiCft~ti~.I'I1S ~()f fifliH)Cl"! ~:'··Jrport

To ralsto the required fi.\nds to carry out its CXClllpt-purpose dct,ivitiC'-s, mn: organizatj"on ;;.rill conduct fundraising events 5u(':h <:15 dinner pl'oqcams direc'ced to the American Islamic community, ca:r:ry out direct-mail fund;. raising campaigns, and lev)' modest annual "mernbe-cship" fees to partl.cipants­-(though legall-i our organization wjll _~air~._::!..0.2.t:.m~eerstiil? corpor.ation).

COl :0;C1L O~ ,\\lER!Ci\~"'i-fSL.\'\UC RFL~.T!O:\S, .~". C\L. ; 26;; EJ Camillo Ht':>1. Si\i(" 4 i 02-.\ ~Sani a Ci;If';l (':\ <J::;O~f}

E!:o.; ~:-n·n i 19-i

Form J 02.3!:\UadHlH'IH~

1"10"'/ ii, .[)!1,-sUon I

,\,;i\it iI''> and Opef;J lio Ha! I nf:,nn!ii ir}/:

\V' have fnrIl1cc1 1111:; (Jrganlz;l!:c)n in <Jrdt:1' In I.'U:ICJil" lh,~' pl!i'Ii~' 2!: hJ!:~;~ en ;~,'[J':\ ;,,,'.1 CII!i<:(;f'f1:;

imponant !o til::: /Si,!lllic \\odci, ;:nd ti) <~dllC;i1t' J\illl'rican \lu~iiljh ilrJ\V i',1 ;I1'<:Cll\,'h ;:,,',rnmtlfl:C,a:c

Islamic idt'als to tlw genera! pui'iJc (;1 addi[J(l!'I, \o,e '.v;:;h fe, <1<1\ ('-:,j;'': !'ow ;f;.ar,'1,'lJ[ ;;f\;usiim c ;:1 :\merica and comb;]t discr!min:l!iz)1I dn <.:cted <'g;lin'l the :;am::: ::!(lUP

• Orgi1liize c:mrcrcllccs and ~cmina!s ()))l:11 (,' rhe puhii,' (,:f,d cj;'t.'c',cd :'i'l'::iiicdJ\, t() !ilt'mh::r:,

ofacadC'l!lia, sO\emmcnt official~, an:! rl:il:C~>l'!n;\ti\<.::; urlhe I"'edi.l) ttl f.~dl)i:~\:,.c pan;':ip.lflts ab(lut i!,!>ucs one! umce:rns irpp()r!;lIlc 10 [h,; lsla1i;ic \\cldd

t ()rganize cl~~se~. £:nd ~~f.:l1)inars Jin:":led to .'\Ir:cric;d-j \ltzs{:;n:, !p i.'di'(..:iiL: Uit~ill to t~(:th:t unucrsuir d (HI{~ pre:::en~ ~SSt!CS and (OnCc;:j:~ -:.>f inl1:J(1! LI!!i.,·l~ r ~ ~ t he L~.i:·HPi,-· ','.'ud..i

.. Ptlbli~h and distrihute J[! OJ n"'n":oli1metci~1 L,,;iti,.!) :\ \;\ril'i\ (lj' <:duCJliuJ);d )1,d:d;~';\!:r)i''; {jncludH't~ prcs:s rf'!t:~aSt:~;-} prOfilcJtifig flY) ~h.:,i.. ilrat~ und(:! ~u;:ndi!}:.; oC !~!~Hn

\-'iaIlY of our ~"'i:ii1pt-purp(),,(~ <1t:tiviti ... ,'i art: curll:lltly under,'_:!,:' llh:\ .ir,-, i''':;i!~J (',',nd!JCI<:j ,'\ till' J11ernbcrs orum Boaru c{~)ircctors, :'ilJ:l11 'LitY. "oJ \oh;I1!(:c~~;

4 .:;j".~ i/l(J~~:::':''''~:~L!:~G..:;--!)atjf~~~l~~~~~t:,:.:~~;.'::~~'j2:::~~;~~:Lr~~y _____ ~ ____ ~ ~ ____ ,._. ___________ < •• _. __ ' •• ______ " • ________ •• _._

r-;arn'2:>, J!j~!:t::· ... -=-(:s, ~j1d ~lii(!~ 6: rJ'hl~F~;' d,!(;(;t'JJ~';_ ::'f ... ~.!r:~) (~j;:

ABDUL-RAHHAN BARAK.TI, DJRECTC)P! H:EGIDLirr 33J5 HOMESTE,c,D ROp.D #?'0, ~;;l·.lrTj:' CLr,FA CI, 9SI)':'!

I1Am'lUD MUSBAH, [:'TRECTOEjVJCE PFE~;I,'DrT 1') '") C". U0l:.",Y:--C"'"':"T-rl'lr.

HASEEB RIZ,;:r: I DIPEC';'OR/5ECR.EI'Af.:'£-'I'RI.:A.SUFJ':;' 110 CORTE !-1ADEJ~A RC:'\.D, PORTeLl,. \'i'.LLEY CA ')402(;

appl}il~~r:d by pu:-;;:...:: 0H;:'_ldi"::,r;.

If "Yf:~<'1l2trlr~ :ri:~).,,('pr':f::OI'·'-; .'i.:l(,(,)'pl.J;r: ~:"_" hy .. ; (!! !:,; .• ··J:11:(I,.:~:, .:..: J~ J ··,r;':p::,.7

d Aff""! ony 1110:1'0.,'-,,' f; c.! rhu (.'1q.-H'~i!3t'(\h·~' '~F:':";i '):('4 c-o';;? ··,:j,-.. q\I;)J':j,-!.:,~~ ~~"~;!-:;C'!;< .I •. ;;r; (,,;' r"-:":~ ;;:1 It){o tJ;";:.r'~ ... ~-:

(\.)tncr tr,an t ,·/'r::2s>;;;.n cf t" •• .;:;;:--,!~~) nk,r',\t:'I:r (;1 }hi;' y··~·.---~n::·'Ci ~.A~(iy\ (;1 (1r_, ;";)1 ,~: .'~·i· :, ..... '~"1;(, • .":, t:.~VI:, f-~<~:<'~~ ,1

b;:01;)(:~:;!)r r11rn,!V !t';.1.:;J!~)lr:ltlj!=J ·J·n!l~ -'(j:;':L~:'~~:'~;('C: ~";::_,~~;l-"'! ."::,J;:f! Specffic h"'.itru.("~;on9;r'ad I •. Lilj.t! rld.i

:t '-\'-':X-i." o:tp:a;p

5 OO.fJS 11~o mgat1!z a~!on i.:J;ntH)l (:r ~;;. If Gom:(.:';!t::d r .... ~· ;I"'~' i>:hl"';i l:J~F.r~I~~il~'''''''·'-;-

!s th..:: o~g;Hlild!i(;n i!1£l c-urr;J(')',,-vih (:~ (01 ·IUC~,E-:.«; !('~i '\!I'.--,!fH:I z·.!\:<Y;:z~;~:-:,)-} ,'j 'ji)'; ~.~ ;,;;:(~,~ "\>1<;.," .i·':'.· ..• ·"

vr.It', nnoHWf 01 q;; f1IZ~~ti(}n ()':o" I e:j::c'j/ -of inWr:-:-'1. "")I!~-i ;j:rf:<ir;.' :1;il'~' Cf ~.'r:j' : I y:;':)~:..

It !':'It~~tJr GI !h~);.iC: q!..Hf:-)f!v!~:) I::~ ,j':~~--:/'I'{JI!)0 "{e:...' ';'-f.li;:;..n

5 Do(~=:'i 6r w:H 1'1f} c·t q(',ni2allPft .j'" (v~!J'( i)'- ;r,a:;{~r~~J.,r ~!I~SJ£I~Jn in j;!'ly -:)! HH.: ~~i;: .. _: ... ·."r·~ I~ ':!.f'.';-1 ::_'P:, ·· ...... l!.~~ a!/: rJ;;:.:;· "

orq,:u'tZJ!,oa or, othGr oxt:rrJpl c,rq;;/Ii; (1:I·:)1"! (0P',C!~ il,:~n r)(, 1J~; i( ~I) ~J'!f;l';i::- ._l!·:_·,C': j (3) ~;.: :.~":". (b) rl~'!:"'" t',:: --,~.: ':~

!;afe:; o! lIfi$'Jt5: (~) l(!fI!,-I~ of ! ar~n!l,t::; Of (::il':'~)f) ~cr"t (dj 103n:,; ::r jeD;! '';::.,'''':: ell :~r9:_. {-e) • {·· ... 1 ·c!;' ·:''-·;-~i.··;r ;.,;

l.::ln~(:;~On!f'; (t) :':'.Y.10(rr-t!J:nct~ ,-)f ;;e:v:c'J~j. r~~fn'r-I'r.><~r"flip. f)' L;I·,--fffii·;!/~:) :,;.:i·-:·U\··Hi.· .. ;::r (9) ',tl:'~~O;_! .,1·'.-lU!'k-·:!

:)C!l!lP[!)(Jnt, rnrHh!'9 !f:-,!~; Gf o~t)U; a~!;pt~;. Of P"i!(~ (;!l\r:h.'·r·:·~-:.!

B "Yf:S: m:r.imr: fUUy :lr,d ;dOr-::;IY :'iQ. 0111r:1 ~Jr~}'J-n;zr.lJj0/"'; ~r·';tOI .. ('"

, ------.---~-------.;----~: .... ---.---.-,_# .. ~- --- ----. 7 Is 1hc or9~Hlj2i."ion Hndncinllv ;)i.:~:·'ttli~':,b!u t(J <::'ny (jnli_~1 C·lqilniZ.P:Ofl?

if .. ~., es.," ox-plain c! ~d id(Hlntv th;.:: nTh;,! uryan;7HHnn ind;:(i-o -;;~!t;~!i'; CD' ":':;'1':,(1(: ,~~':,'(h:: 't~~L!~t,~'1 ':;1 .-HLE ,.

------~' .. ~.---,-------------

$0

so

~_3J No

. '.?

::'~~'-'-------------------~ -..-:",:,::,,~

-------------------------------------------------------~-------------------------------------

6 'II/bill a;--:;-'1::!ts c1C.Jf1S ;~.-= or~an;.:;:n~··:"n hJ'.!p li);)t 'J'O:' Il~,C:d Il~ Ill'.; f)1..;d.-,/i;:·ur:r:(' L:~ t::"; (1,:~ .. r·'·;~; :!):'IC)lC(,rj ~D~~ ;;,,: W,::.l! ,::it, ~llt.!;r:;:.' ;--::! ·.}(!I.J~:r.:... !;W.lj'.:.!rn2n~ l;·'t:or~·,,!.; H :my a!.~:, • .;i!:" {)!-::~ (1(,: f:.Jjiv ('pf?~:il;'~;l~! (:/;·i,:'7) 11".,>;: :·.~;..\!U<, ~':kj: ;~c: .... )!'r,r'd~ ·.~l';:':; 11';-, '::;!!: !(. ~ ...... - C'-';J\~;(-~~"::C::. ,}~;(!

",'1":.;:-. F~Jn~ :lf121 : .. tcps W:!: b·:-~ r.::;k("~I: i~ "f'J(.i;·I~:,·' l!ldil ...... :j0 .. ~.::;\

N!A ,--~--.------.-------,--------".---~.-.-------~------ ---.----.---.--~.~------."'- . ...,.....-'-,---

V·f,U ttle org~1.nI2cJ:;(;P tx~ ~fin b~r:D;':'I.1r\' c( ",:(~g-Dt~!-'l .. pr r)("'~i~ fll~m'::':~;':1 ,... .. (f~··~ t!H: ;I~':": 2. 'I',;::,',? _ L_; Yea L!::.J ·140

lOa !·!Jllf ar1\; o! r~-'8 Gr~dlli::3Til)p'$ f0.Ci;!i('S or sp(:;ntl':'dl:; :»...: ;;"1~H'3Clf.!~~ bv :!:16~h~'~: ('::~'~I~~('i"j~:rin ~.( . ~r!··;y .•• '}; V-,(jf~' i~

/"~-::.n~18c~u;.:)1 ag:t:.~·q)(:r~f?

b ~:~ thE!. :)r;~;:H ... izutlpn ,'1 Ptll

If n:nl(!r cf t!~(:!"S(> qUC~!;')i(:;!S £:n:·:'l:·.Jr:.~d '·Y;-:o:::. ( .. ~t.ic.h~! u~>Py f;f j~ f' :..:·.~n:,?.·~r: d:lcl j·;.;:.L .. Hi ~I·(! i{~:I'"'!:-:f~"_r,:;:.. ~{It; ... (!s::·:

tlll1- ~lppl;C~HJ~ and nH~ c;.tlw~i P~I~!d"-;:

b JeSCnbC;'1I)U! pf('~ .. ;r!t": Mtd rJIc,r_·r':.J(~I~ r::;!';l"~r-. ~, .• ·)!~I:,· ~ .,'" n L!/::- .1;.; ::'. j'

'11<J~(!n~lll!:/.:d tOI th(;~ p':.!fr,(:I;:.:

'.\'

13 Doo!;. or WIt ~11(J 0"';IaoI7111100 CHh!lllpI !r} ~!lf!:J(trv{? lrJ-:l;:;~;'~ij:)(; .

;:: .. ~ .' .....

If '1'05." O"tplnPl .. AIS;O. 9fVO an fJ':nrn.'~t· ~Jt t~l'r jJ'.Ju:,,·nl;I:'~I: ()r t['t' \;'+,r~':: !!k:;':::' !'I-;l:;' .,! 'l :'IT'-!' \';'~i' I. ,! ;;.<;,.,..:-.!-\I" ....

14 Coos or 'J"W tho organlz,(tt/op jr.h~r v{JrJ(~ !n i!n'j Wi'!'; :t; r. ',·{~k·,;tf 1;."'.rnV.J:':'l!j';. ~"-1.;:1!j(1J·:(~ I! '. ;'!t!)~:,.:;tl:,):I.- .!: ·.:I·r~' ,~~,':'

of storertl(tnl~?

If wie5," o:<pia1l1 fuHV

IX': N~ ~}" t"~ t_~! .~ ...

Fenl) 11.~23(Rel.'.7 _-_90.3:.,:) __________________ _

C?:iliJIO TechniCal Requlremonts

Aro \'OiJ f:J!ng Forrn 1023 'J{lrhin 1.,? n~nths frolTl rtw ODd 0: iho nll~nth !11 WhlClt yGW Grgen~4a~~Gn was creatlJd

or 100mod? rJ No 1-If you ans\. ... 'or 'Yes," dO not an~wef Q~lo!.>t;Gn~ on H!1C:~ 2 th~~9h 7, ________________________________ , ____ _

- 2. If one 01 tlio 9xcop:ions to the lcHnonlh l>ting requ·rement ShUN:! l)Cdo\\' itppiri.>s: chock Ihl} apPIGpriit18 boy. and proce<;rj 10 -:juost1on 8.

Exceptions - Yo:.! ar~ not req:JlfOd to !ilo an Gxcmplivn apPlicDtion ""illl;n 15 nx,nlhs lItho org<lIll,aJ;o,,:

o (a) IS a chur~h. InIelchHrch organlznlion of local ~jni~~.;, ~t. ~';ihu:-ch" a (;onve~illcll or :JS50clorion c= chllrcil(1s. or an illtegrated

QUxillaoy ot a_c/)trr::11 (see in:i!rllGlions): o ,:../ is not a prill 310 foundation ;jnd ncrnklHy has'gro:-is fec{;Ipts of nt!f D1O!;) U'la~l $5,000 mDach ta,,: year: or

--------------------3 - tf tho o~9anizaticn does not tnt/tit any of.'1l1e e~,C<!p.!~-;ns Jll !:n~J 2. ::ue you ~tlillg F(",r~n 1023 WI!:iJrl 27 montto~ !rom ';10

I'nd of the fno!'th in which tho (l~g:lI)iz2Iio" \'tDS f;18lI0d::;! !ol"~cd? 0 Yes o No

4

if 'Yes," your oignnizalion quallf!os linder S{:(;1I0tl 401 or Rov. rroe. 92--<35. 1'J92-42 I.RB .. 22. 1,), un tollton":ll;c

12-!l'?' :'1 ~xtensi~n of t,hl) J 5~r:'t)rHh iili'~..J "eql1ire,,~anL Do ~n()t an~' .. v(Jr ,QlffJS~IOWi 4 l!UCUgH 7.

Jr.''No:: answ~! quo,·tion 4.

--------~-----~-------.--------~--r---_;_-~-----. --'-' ----'jf y<?u ~r3W~ ;:r-ui to qlJu;.~tron 3, haS'lrr'.l t)r~rlniZa!}Otl,bOCt)-:;.:(jJ1t;Cled by i}jrJ jF.~ n:qcH~~in;; Jr~ ral!lJl'J 10 tHo F:)!Hl

-1023 wilbln 27-·rr.onlh$lmfn tM {)iid 0! ti,o fl1Onll11n whicl1 tt)\'l 'orga;;,zatiol1 was cWilWi or -

formed? ., . . . . _ :_ _ _

::. If "No/:: YO,or .or"gaoizaVon qU",llfios tOt RO.Ox1v(t:;ntl Of tHr.(J 10 ~1pply t!'n~fjf me: ·'HJu~)rh~lAi!. ac:r::-:~~' dod 9UtH .. 11-'lJlh'

r~.Q~lren:onr!j or ~Or.tiotl' 5.01 01 Rev, prut;, ej:..:B5. Do ·~.lQi-:3nflw.rJr q\j,,!;~jh6n~~ ''),lim:~ugh:'7.

if ''Yes," ansWer qtJ~'Slion 5 ...

L~J y~s D·NO

"',

_______ ~' . .:_:.. _____ . ____ ._'.~--.,-.. _~-. ___ ... -.:......:~-.----:::_,--:--.--·c----.-------~ '.:.

~ I(yo'u ,'ariswej''''.~es·· 10 qtlQ...~ti0f1'·4" doU3' !r~o.· o;g.sH1i201iOn 'w~5h 'to HtqlHyst ~,f~I~: 'h-~' rn' !·Hl 15"':i'i)Cn~rf fliing

~oquilt1mor.t7. <' '_.' . .' :>

D· No . -

'Ij"y~s:giv~ Ih~ rEll\so~$ tor not 1111:19 !I,,~.~pPltcai,,;;, p,iI)f !o oo;;,g ~Cf1W;!,jd by!!)c I~<;, S<3fJ Sr-l?!IC 1!\$tHJ'~OOM, P£rtiil,UneS: befor(fcornpI9ling:lfliS Itilm. Do no!anSV;f)rqlfesllon~ (; illl~ 7:; ..

"'6"< If you answer ':No-'Io QlIO'lti0f15, Y\)UI \:)r93i1i7.allOn;~·qLJaliticnlion ~~ e:. ~,c!ion !l()lr<.~,.>, 6rq;)I1IUMJ)~_8II·b>l . . .r~~ogniZad·oniy. fro~(he d~(e Ihis:npp!icll'i!O-n \$ filod willl:yout'kav DISIr>CIDiwC!Ol. Th"'erole.do you w~nl t!" :0_

'con~idar \lOiu)O'.ppficQllon'as a roquDs.l :0' r("Cogt1flionoi t;!XOI:'1p'iQQas a-S<Y.:lil)l1 501 (ci(3} o'gano:zlliionlrcfn ,too dati, J;~ilpF'ficatjOniS !~oi;ect arid .wl ,ouoaclivo;yto ItiO(iato Ilia ,~r9al~1/lilc!l was C!C"!Ud 0' vJm1l!d1 >

"" ),," ,'," ".' .. .,

. - .

. D'~~" ,[] No:

______________ -· ____ ~-'--b ..... ': .. -... -_ .. --}--·-· _'_,- ':' _ .,' " ,,' . ,;'::. '-". ",., ,", " .,' ,tr ,. ,)' . "

If you ansy.·Et. :;Yas" to too-question OflIlflEl6 abov-:-s ant;! 'HiS;J.fo rt;quoe: ~i-'COg.li';o,· of S(,~liim'::-o I (C)«) S(3l"JS k.,IIH, poo:jd 1~'r\nir,¥.J'

VlithlM date-.!hoorga:lizatl6r.was(m-mad ~l1d andingwilli lilO 'dalo tho FOl111 1C.2J 'aPJJ(iCatlo,~ ~va~ IUCO;'Jud r,:hii'Jttflctlve dJi.i;' ~t;!1U' _ Or9aniz8Ii~n;3~sQ;:iion5i.i·i(c)(j) G!aIU~i' choC~ lr'1ra ... 0 <lr;d ~U"Gi> <I crimp!fltod p~go t i:,fFr;'1ll 1024 ~,) !I11~ Ul"!'il~dii",r.·

, • " ' ~, ~, '. _ ", -: • ,- " • r •

. ;:~

[Pan ITI; Technlc...t Requirements (COIll;nucdl

---- ._---_. ----------------------.-..;.....------.'----~-(f Is 111<1 o;ganlzaliofl a I=-rivato f0unda:wr.?

lAn~wE:: ql..:e";lfon O,i II/l,l:' ~. i

(Ar.swOl qlle~\ion on ~lt1& 10 and promod ~s Instructed .. f _. \ l

_. . _~ .. r ,. _- . ,_ . . --'---'---,....,----. ----~-----------,---'\~-----:---.---.. --.-.. - ... _--------_. ---. -:-:---;--------. ~ ~. ~ '. . - '. - - --. . ; , . .' - -' ~ .'

9 If you ~~SWAr "(es" \0 tho qilostion on iin" fI, d06~: Ih~ Ctrgar,l~ati011 cialr~ to 00 "- pllvat" operating iound&ilun?

· O'f.e. S' (Complete: Sellout lie f:)' .' '1 . . .

U ~o - -j

--------------------.----.--~--"~--.--.-. ----... --...:.--~-'

101'..you aIISllller:'No-~fO the qt;ot.t;o;·, cnJir;u 6,' rndicaiO t/)O:f;Ublir.Cha;'~r C"1'.;~~[kanoil the ()f93f>oZHtICn Is'T{,ql'e~lin~ tJ'{ l~lJ[)C~.irif! ffl(\ ~i)('-. lilol 1l1Osteppiopnatoly "'ppH,lS - '.

-, ' .

· (aj '0 :'15' a ~hurcll ur a com,f)(,Iicnoi a:,,,,,)ciati;n of'cl'Ult.hm; C';.,.' . ; $eelJona f>091"i(1)

(CHUhCHES MUST COMPLi,U: SCi-lEDULEAl ..... .. '. .... ' .'" 'and 11()(b)(11(~){i). ----~-.---'-.-.----------.-.-----'--. ---:--- ----:--:----c-:---·SbciIOlls 5{)9(nl2)::t.(l"'j'-,-';":"'-.-.. ' ..

. (b) rr~nDCh6ol {Mi,:~Tc.6r"PLETr: SCI·;EO:.1LE §':J;' , .-. :' '.' ... ' ,', '" m\d,1;i~))i(1)iAI(qZ~~~~' iZ)~~-a hospi!afOfa co;p~lalivo (,:)spllaf:mr .... ic"' ,)Jgac,ildllorr, [r~-'-:--. -.,'-='------: · - -. hlOdl::aj:;~~~C~O(g;~~z~lion op~r~!C'lin(;or1:lJ,n~)U)nw~~;ahosPi;al l .. ,..' 1>«:!ionS)Xl9!3j( 11.:

-(Musr·c ,)1\.1, L .. TE S~H~"":.:...:.:....::....,-,:";:~..:.,~ ___ .x,~~,:,:,: _.iLc..-_...;: eM 17~tbH1 i(~:"i.::;{l,-,ii):..;.:.;.·~-,-,-

'. Ad). :.fl.·' .... 1\$ agovernI1100Ial;J-ni! daScri~d ill. ;~:,: r~~)(;).· .. " .-;'-~~>-.~/!.~;--__ ~_.: '~.>'!~'~;h~:~~l;;~; .:: ~~./;:. . (~)':;·O. MbclngopetAtod sO!elylor IIle bennnl~t, ~lf:<:oiln~!lo", WlI.i~,Q·rj.} .

orrro~e of -hi) OlganlzaiiOlis orj",olood ;l)alt-ih.-::gli d,'g; h.Df I ;. . . ,..... . (MUST COMPLS:Tc'SCHEDl!LE n.)- " ',< ' . '.,

(I) ")EJ'~ .A3belng ~ganized .. nc op~r~iei:!;exdUSj;~~fO;;~s1i:;g:i6r f)~btiC ,_,:-.."; •. ;;....._.,--..,.-.. ..:....-"""' . ..;..,<--:"..;..:-.... ~:...,;..:.,;.,.:.:.;:...:.;'"";,,-..:....-.c..~'--___ ,";

u •. m'ul'~u'''' ifJ'J IX;n&::: of /I col~/} Of \lI1ivl}!:;irv.lhClt~>· ~.o-.vrlod oioi.>eraladbY;~\'6~!~nli,{ujiiL-:: . __ ." .. -,'.' ... ,.0,

. '-p.~ rllCei\ling ',Isllb~arill~1 p;rt;;Ul~s!'PP;;-rt: 11J!h~ to;il>}}1 ._......,..---,;..~'.;.-...,.'~"'-''-..... .,;..'-';.. . .;;.;;.:..c.;;..;,~-.:o:..;.'=;.,;,.==-.- ...

CODt!lJ:loJlicn,i Iromput>l;cJy ~ilpporl'~C: or~illiiza[i()n~;h()rinJ .~Oyf;rrimant~!ljnj!.6f.frCom UlcOSt>f,(;raqiuJ}ti<::'.: '.>r •• ; .' ....:;-. ' •

~.(/)!,[J,.) .' Asnorri)i>.JIY'fecoiir\ng nOrl'C1(-,rO lhan';;;'~;':thlicll}liissupp<ilt I;~--'-.....,-.--'-.;.,...;..;..".-'-,'··,.:;:·~::.·.:.;...~=~~l;~=..:;:.:..;..,·:..,;~-?''-f· C.

.9rO~if)vesl~~Ii~ofoo ~~d:n!OrQlhar\ or.e::tI\lfd fA . . conl{lbu'tiomi: rnamb?rshipJOOS, !l~.td ploa. . '., ..... r(lI~ICd ,. !u~cti6f~S .

________ ~-----------------------~~r-~;~.7 . - . . ----.---_._---------------------------

11 If yOu checked bO>:.-"t}, 1# VI j on-'i~e 10, h~\~; H"le orgono:otlofl c:ornpk~t(tc 3'!~~X yt:j£1r of J.t 1£0"31 ,}! r,,'onH15? o Ye~-ii1dic;ite 'Nhell1cf YC'lf a;() rGqullsnllg··· ..

r1 A defini!;ve "ruling (Answpt <lq~~;t)ns 0n j'!IC~: 1211'jI0~,;ji! 1:::-.: . . . D ~\n advance "ruling (.Co;r.s\;vm ques'!on~ on linet-: 12 and 15 ilr!d ariach NoD Form .. '; 872-C ::.ornpi0!Qrt and ::;;gnw',): ", _'_

~NCJ-YOU must r<>quest an advanco ruling by~!npl"tlnfl ..... a signing two Forms a72-C ~nd attaching \h"m·to the appUel!tlon: 12 . Ii the orgaf1ization (oceNed any t!r"fu8I"101 gmnE; dtHJng :!ny a f "the: I~% yC.3fS ::;hO' .. "'Zl :p PClI11'~-A. aHactl a t~:>t- t·:;r eacll yoar $;hO~~f-\g H"!!: llaI))(l-O!

: the contr}.butor; the d~tn and 'fll8 amOti!lf o1'the 'get al11: ?oHC! a or.let df!Scriptior') o~ -tho /la!UIC: of t1;e gr(1nt.

N / F,

b' fUlac.h a 1i3t $Ilowi~g lhe.-l1illll~ 1-'\1\0 anY"';lInl.~b~; by Ga-;'hper$O~l (0U~D"~~!.:-.!n··a ~6~efn~"!}€:n~allin:t 0: -pubhciy·~t:pp(\i.1.ed'· o;·ganJ2d.lio"l1) ' ..

\I'.ih~S·o Win: girts, ?r'aj"'tn, ccint,·;btJllr.ns~ utc., \-'0'1]111 nlOre H'J~n the an,,?ur?~ orifc({?d 'Ijn line)3ff~':J~ . .:....~_· __ .· ____ -;_" _: ____ . __ c_·_' __ ~'~·'. If \!OU are :aq'Je~Ii'lga <!elini \iverulingul1dc, gect~~li·!;i)8(O}(2j,.Ole.Ck I~lf(: ~U-;r"t . ., ,.. _. . .. _c" , -

For··6ach 011110 yoarsinc1udeO onhnos 1.2, and 9 of Pa:1 IV-A,altacll a:lisl 2i10wing tM ;\ilnltl of and umounl If!':eivecl'{,(jfn ['ach rOlsquaiif:eo

.p.:trsOTI." (For 11 dE'fjniifon oLa "disquali:iQd porior.~- ~(!eSpedflC;lnstruc£lons. Partli,UIlCl 4d_). .- _. -

F~;--<;la6hcif Iho yes.s 1~c!U-ded on I;n(l(>'~f POll I~J -A_ attach ails! s~w.~g !f~ n;,me-l1fad(; ilnlOtmt "J'~i",~ed 11 Oil] 'J,,~,t> P;lVP.; ('Jli'lGr JIIOr..;i

"di~q:~~lilied parsen") wh6scPllymOIl's:p the, (J1g"nlzaf,~'n-",,~,e n10re\r(c';l~:'~',oOo. Forlni3 ?tlrp{)~t. ·-paYM· ,iKiu,j,;r;. t-Ul is f1()i limlr~lo.janv or,¢anii~icl1 described in sections 17C(b){ 1 )(A){I) lhrouqh' (V'L dc_en . .:..,.;." =,-". c;.:.;,:.;'(.I"'rn,_r_'1f.;.;:.;.n;.:I.::i!l;...,:;."-~_;<_=..::.;:;·=.:c.. __ ".--'-----y_-.--_,c__.,_-",.....;_ .... ~

.. ·U'dicaloiFvoyr"orgl't!izationis ont) r,t 1110 for.owmg. If,90,cornp!{)!o\~,o.;8qu'rod sctlerlule. (S:'bmit only

Iho(;e SC~~dt;Ie:Jlh~t"PPIY .to '{o~r orgaililnl~J'f. D<:' ,not !:Ilqu,ll hlank sdled-~Ie.!l_~ " ' . - ..

'.--

. . . .

Is me (.igalilii;liOf}.~t ~o.y parI 01 Ii. 2 &:::hoO'7 -. J'

- is tMeorganiiotlofl, or anypal1.oi .t.:ti horpo i6rHi!J ilg!.!d Qf !13hc!,~ap(,,·(p : ~ •• ; '. < .~. • - •• • • • ,

'j

.I~tho Or?~aniZ~lii.cn, olanyp;"t ofrt; a:r;ilifdC:i.ro ';!:;;~~l;::~iK)fl?

;:6;~<J !he.o;g(\~iZlttion provide or' uO!l'Ilnlslut ar.)' ~crlota( 5tli~ 1X,:'::iliW, '~., '7"', ",-_.:' - -. .

:W'les." tic> ... . -compl~!e_

F':'."I'~l ~023~Rell'. ;-93j

'. . ';j' tPar:t=t{j Finimcial Data

--- ----------~------'---'--'-.O:HYlpJetothefirianc:a, Sfaf(ln~~r.!? fnr rh-:: ~':rr~1if 'tc:.7H iH1G k.; 0~c!', 0~,i!~~:;,} VUJis Irr;n·.u.:JI31~ly t;t:;;1:-j lf..; \1. il.n. ".;xl~l(;tiO·~ 1i:~S ~f:aJl. 4 yoars. (..'OmplE'tEf

the slatemenl~ lo('oach Y<.lar in ex!i;!Cf~cti. If In exlster.ce- less th"il 1 ·fear. al.soproYlde:proposod hudgets foy ll'lQ 2 years followIng t!1e .curren' yo~r. .. . - . -, ..

.'"

;; ~---.---.. -------J' ,:' -' -

j

~l

-R e

-V' e n U' e.

'1

:2

3

-~

- Git;. grants-, and co~1tif:u!ions rece,'oJ.cd (no; inc,,,ding unusu,,1 -granls-see '!'l$lru~iO"l')

Momborship fees ll'jceiv~ ,

Gross in'Ioi!ment inccl11e (sOP.

insllUClions for dai:nili~ril - -,

'N'9t f;li:~orr~.! frn''''''' ('rI'J'1U0':'!·Hi."',,'(·

unr~.la!od'bu"mi;ss activ'\lQS .no-! lncluded Qil·';rw. J - _

:·5 - Ta~:r~'I!Grf.jflS loV..;!! I~' an;j eithel paid to 0: -sP!,f'l1 {lrt oe~lorf

o! IliooigailiZa~,{l!1" ' ,$ _valiie Of.:~)iitic"-'? o. !I.iClt.H;<S

'fumfsnud ,:,y~ 2: go:;ornrr"lf;tAl/: ~nit:t~~ihO m9Gr.IZ_9~n \~fl~O{J!., "

- chdlgo (/l<jIIIlCI~~dll,g :h~- V~"'CJ ::

.- cf'f.(~iCOS-(lr facH:t~&s_gfif:lt::rllily .1O;'r1isbr.i:l 1:)0 publ~.; \lfJlh(~~1

'-. -----------.------------.. --~'--- -'-.-.----_._---A_ Statement !.of P.eyelllJ~ '!od Exp-ansias _ 'I' Cllrr"nlt~. --y---:---.------------------.~--.-.~--------.

. y~?r I· ;:; plI,cr laY. y~;;r:; 01, p~.(j~~)SfJd ~I(!!c;el fOf 2 years ,1· . .. ··~(a)~--t_--·--"---:r, . !------. ~ l---- .. ------l (b}1(j 53_0 __ J (C)~9 ?? __ I (c)1g~~.,j ,to - . 'to - -.! ' ,I - I

r----:---.·-·~-]'5,OOol~·--3 5 .. 00'01 . . 170 t 000 .t-:-------.I -:~.-:-'-:--~-~4_- I-,---:-~:....<...::....::...:.:.. -----.----r--.-----L----- ---+-----'---~-,

I r '., I' li ~-----' _-' --'. Ii __ -1_-_--_. -.--.:~.-+

··J+--':-:+~-~-··.f:-·· ~.! 4-.c~-~~ '-. L ~ ______ .---~J __ ..:.._' _._+ ___ ~_~ __ : _~,~_j __ ~~~~ ; .- . l""' - 'j' - .. '. f· . - "1 -' '--~. i . .' !.; -! i , I i ~ , .J 1 I I

'.S :.:.;;. r. :1 1: _, I

-. ctjaryo) ': ' . . ... ··::Lj:....~-:".. -- "J._.~ - :~:..- __ ~ 70'lhllr illCori1l;;-,;:r;OI in;:iudin9 _

_~O"\U1~a;l~se ,i'ron)'s,,,Je oi capi,t1* \;. :::a~oI5Htin~C:h:"'-Cl1ed,:,I('.I·.

II· :romi (addlinOs 1 In-rCUQlt'''1 ~9 : Gro~'r~~lsjiorri ·ad;~:sil~ni;·'.

$alos~i merchand'se orsc;"'.J¢f.-} :ot'lui~~/1ina.oi'fa(~liiio?,· .. -~)ri ,~.~y·~.~t.V.;Y'.ih~(is··no, ;n., ~'" :.1,

unr9:at~'bl~siiie~s ~ithin \t;9";:", :~.'" ~itnil'9 O!;l)I;l;1l0h)1;J ': .. '.

:.Tota!(aft!j'hnes,!.l and 9)· .•. ;

G~in ~i ~$illr~M.·gai~~rC~~i(ol: ~~,els.(arr3ch:scI19dullJ) ,'.' "': LI!lUSllill !1(1rrts, . '" . ,

.':rowr~~fiMua (c-.d:1!in~l:o :"

J J ' . .l . . r----'""..,...·-·-·-----+---'-~·--:.-;:'_:-~..,_,:__:::_t-·----:~_-_;::_'·__;:·_:::~=i-c-.-.--.-~;..---+-__,,-~:-::.-..;..~_:::'_=_

". ,-.---:------- -.~---.>''-----''-.. ,'--..... --'-,----:....:...-'--..;- .-;. ---::-'---'--·-·..:-.-l-·"---..;....:·'-"-'-,,=·~· I-I.>

I 1 .!

"", ,

COUNCil, ON AMERIC~N-ISLj-\l\:IICRELATIONS, N. CAL. 1265 £1 C~niirw Rea!~ Suile #1 O.2-AoSllnta Cir,ra CA 95050"

EIN 77-0411194 Slatemcllt of Pr(Jjerlcd R~"'eilue llnd Expenses

for tfu~pedorl .hllluary J I 1996 to Dt>ct'mbci: 31. 1997

PROJECTED EXPENSES

Primirig

Copying,'

Stali,)'nary

,Subscriptions,

Travel

" ...

•••• !'" ...:"

1996

$2,[JOO

$500

$1;000

SlS0 sum)

$5,250

",::' ;" ,', (

IQ97

$:2,OOQ

$500

51;000 ,

• S251)

Sl,SOlr

. ~ .,' "',: .

fPartlVl Finan.cial Data {COnlimwdi

2

3

4

s

6

7

9

!1

13

14

B. 8~ia(oce Shee\ (at the e..,cj .of the period shown}

Accoun!& reolivablf'. no!

Inve;;rlJrio..c; .

8ond~ Flnd notes r8('f:HVuble (,!.nacll ~cl1otjLlln.~

Corporato stocks (a1tach ~chedul") .

MOl1gage loalls (allacl~ schftdul"i ..

i/ -Depr9Ciabie and depIGi~I:>'c o:;s.}ts (altaCi) :.,:h',duif;)

lanci jt

l .jj

Other aG~tn (an'neil sdhCduf(:) :, "

T "

',i I' " ota assets {~f~ Inos 1 lllrough ~c.:

Accc,un!s p~yable_,

);"

n p il

eolltributior.S. >lifts. gl~~ts. (lIe. Pff,ntM

MOr1gag~s ~nd Iloles pa'(obio (;)naell och!lCfdl("

---------------

, Fund Bal,ltlces 0; Net A~snb

. ";:. /;