OMB No 1545 4'047

202 Open to Public

Inspection

Under section 501(c), 527, or 4947(ax1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

zation may have to use a copy of this return to satisfy stale reporting requirements Department of the Treasury Internal Revenue Service I - The

A For the 2002 calendar yea

B Check if applicable

or tax vearbeamnma 7/01 .2002 . and endma 6/3i Employer Idenblication Number

72-0829897

G Web site ~ N/A

J Organization type I~I I~I n (check only one) 501 (c) 3 ~ (insert no) ~ ~ 4947(a)(1) or I ~ 5n

K Check here ll`~ if the organizations grass receipts are normally not more than $25,000 The organization need not file a return with the IRS, but if the organization received a Form 990 Package in the mail, it should file a return without financial data Some states require a complete return Check - U d the organization is not required

to attach Schedule B (Form 990, 990 EZ, or 990 PF) L Gross receipts Add lines 164 .937

R E v E N U E

Other

13 Program services (from line 44, column (B)) 14 Management and general (from line 44, column (C)) 15 Fundraising (from line 44, column (D)) 16 Payments to affiliates (attach schedule)

E

D v W E

N

E Q s

A 18 Excess or (deficit) for the year (subtract line 17 from line 12) x 5 19 Net assets or fund balances at beginning of year (from line 73, column (A)) i T 20 Other changes in net assets or fund balances (attach explanation)

5 21 Net assets or fund balances at end of ear (combine lines 18, 19, and 20) BAA For Paperwork Reduction Act Notice, see the separate instructions TEEA0107L 091

121,979 Form 990 (2002) a6P

Form 990 Return of Organization Exempt from Income Tax

Adoiesschange "RSi~b~l EPILEPSY FOUNDATON OF SOUTHEAST LA or y ~mt 3701 CANAL STREET }kH/I Name change orrype see NEW ORLEANS, LA 70119

Initial return speafc insWc

Final ieWm pons

Amended realm

u Application pending " Section 501(cx3) organizations and 4947(ax 7) nonexempt chantable trusts must attach a completed Schedule A (Form 990 or 990-EZ)

Telephone number

I

F melhod~~m9 UCash [2q Accrual

OIMr (specify) ~

H and 1 are not applicable to section 527 organizations

H (a) Is Ihrs a group return for affiliates' ~ Yes N No

H (b) II Yes enter number Of affiliates i"

H (C) Are all affiliates mcluaea'+ FI Yes F1

No

(II No attach a list See instructions

H (d) Is this a separate return tiled by an

organization covered by a group rWini F] Yes

(~

~n~ No

M Q

N

O

1 Contributions gigs grants, and similar amounts received a Direct public support 1 a b Indirect public support 1 b c Government contributions (grants) 1 c d la,lhiouphllc)(cash $ 164 0 9-- .~ .$

2 Program service revenue including go rnme~f~e`e~d~ o~l~~t) (from Part VII, line 93) 3 Membership dues and assessments

U 4 Interest on savings and temporary cas ~ est tttrsss fn 5 Dividends and interest from securities v ~~4 1 6a Gross rents a 6a b Less rental expenses ~p ' UT 6b t Net rental income or (loss) (subtract If

7 Other investment income (describe

8a Gross amount from sales of assets other (A) Securil~es

than inventory b Less cost or other basis and sales expenses c Gain or (loss) (attach schedule) d Net gain or (loss) (combine line & columns (A) and (B))

9 Special events and activities (attach schedule) a Gross revenue (not including $ of contributions

reported on line la) b Less direct expenses other than fundraising expenses t Net income or (loss) from special events (subtract line 9b from line 9a)

l0a Gross sales of inventory, less returns and allowances b Less cost of goods sold c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line 10a)

11 Other revenue (from Part VII, line 103) 12 Total revenue (add lines ld . 2 3 . 4 . 5 Sc 7 . Scf . 9c . 10c . and 111

id 164,059 2 3 4 5

6c 7

Sd

9c

loc i 0-8 - 12 164, 937

16

110 .497

'or m 990 2002 EPILEPSY FOUNDATON OF SOUTHEAST LA 72-0829897 Pa part II Statement of Functional Expenses All organizations must complete column (A) Columns (B), (C), and (D) are

required for section 501(c)(3) and (4) organizations and section 4947(a)(1) nonexempt charitable trusts but optional for others

Do not include amounts reported on line (B) Program (CIn Management

66, 86, 96, 106, or 16 of Part/ (A) Total services d general (D) Fundraising

22 Grants and allocations (at : sch) (cash $ non cash $ ) 22

23 Specific assistance to individuals (att sch) 23 24 Benefits paid to or for members (all sch) 24 25 Compensation of officers, directors, etc 25 86 , 121 78 370 3 , 44 5 26 Other salaries and wages 26 12 , 568 11,437 503 27 Pension plan contributions 27 28 Other employee benefits 28 29 Payroll taxes 29 30 Professional fundraising fees 30 9 972 9 525 199 31 Accounting fees 31 32 Legal fees 32 33 Supplies 33 34 Telephone 34 5 , 234 4 1 763 209 35 Postage and shipping 35 2 , 115 1 925 85 36 Occupancy 36 16 520 15 , 033 661 37 Equipment rental and maintenance 37 1,756 1, 598 70 38 Printing and publications 38 1 , 126 1, 025 95 39 Travel 39 3 180 2 899 127 40 Conferences, conventions, and meetings 40 41 Interest 41 42 Depreciation, depletion, etc (attach schedule) 42 345 319 19 43 Other expenses not covered above (itemize)

a DIRECT CLIENT EXP 43a 1,398 1,398 b FUND RAISING 43b 9,998 c MEMBERSHIP DUES 43c 7 , 378 6,713 299 d MISCELLANEOUS-------_ aid 1,744 1,587 70 e-------- - 43e

44 Total functional expenses (add lines 22 43) Organizations completing columns (B) (D), carry these totals tolines l3 75 44 153 .905 131,532 5 .722

17

Joint Costs Check 11`U if you are following SOP 98-2 Are any joint costs from a combined educational campaign and fundraising solicitation reported in (B) Program services? ~~ Yes X~ No If 'Yes, enter (i) the aggregate amount of these point costs $ , (ii) the amount allocated to program services $ , (iii) the amount allocated to management and general $ , and (iv) the amount allocated

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

(Grants and allocations $ 8,937 b PROFESSIONAL EDUCATION AND TRAIING

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

(Grants and allocations $ ) c COMMUNITY SERVICES

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

(Grants and allocations $ ) d PATIENT SERVICES

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

(Grants and allocations S

21

081 e Other program services 1 Total of Program Servu

BAA Form TEen0102- 01122103

88

What is the organizations primary exempt purposes " SEE Statement 1 All organizations must describe their exempt purpose achievements in a clear and concise manner Stale the number c clients served, publications issued etc Discuss achievements that are not measurable (Section 501(d(3) & (4) organ

a PUBLIC -HEALTH -EDUCATION

Form 990 (2002) EPILEPSY FOUNDATON OF SOUTHEAST LA 72-0829897 Page 3

Part IV Balance Sheets see Instructions)

50

60 Accounts payable and accrued expenses 61 Grants payable i 62 Deferred revenue a 63 Loans from officers, directors, trustees, and key employees (attach schedule) L 64a Tax exempt bond liabilities (attach schedule) T

i b Mortgages and other notes payable (attach schedule) E 5 65 Other liabilities (describe - )

66 Total liabilities (add lines 60 lhrou h 65)

Organizations that follow SFAS 117, check here ' U and complete lines 67 through 69 and lines 73 and 74

67 Unrestricted

68 Temporarily restricted 69 Permanently restricted

R Organizations that do not follow SFAS 117, check here " F land complete lines

70 through 74 70 Capital stock, trust principal, or current funds

71 Paid in or capital surplus, or land, building, and equipment fund e 72 Retained earnings, endowment, accumulated income, or other funds

A 73 Total net assets or fund balances (add lines 67 through 69 or lines 70 through

72, column (A) must equal line 19, column (B) must equal line 21)

74 Total liabilities and net assets/fund balances (add lines 66 and 73)

5,545

91,186 80,293

121,979 127.024

26 , 781 67 83 , 666 68

69

70 T n

110,447 73

TEEno107L 09104ro2

Note Where required, attached schedules and amounts within the description column should be for end o/ year amounts only

45 Cash - non-interest bearing 46 Sarongs and temporary cash investments

47a Accounts receivable b Less allowance for doubtful accounts

48a Pledges receivable 48a bless allowance for doubtful accounts 48b

49 Grants receivable

50 Recervables from officers, directors, trustees, and key s employees (attach schedule e 51 a Other notes 8 loans receivable (attach sch) 51 a r s b Less allowance for doubtful accounts 51 b

52 Inventories for sale or use 53 Prepaid expenses and deterred charges 54 Investments - securities (attach schedule)

w ~ Cost[] FMV

55a Investments - land, buildings, & equipment basis 55a 5,091

b Less accumulated deprecation (attach schedule) Statement 2 SSb 9 998

56 Investments - other (attach schedule) 57a Land, buildings, and equipment basis 57a

b Less accumulated depreciation (attach schedule) 57b

58 Other assets (describe ~ )

Beginning year

9,886

47

B) End of 43,375

80,293

3,263

93

127,024 5,545

Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a particular organization How the public perceives an organization in such cases may be determined by the information presented on its return therefore, please make sure the return is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments

BAA

Form 990 (2002 EPILEPSY FOUNDATON OF SOUTH Part IV-A Reconaliation of Revenue per Audited

Financial Statements with Revenue per Return (See fnstrucfions )

72-0824847 of Expenses per Audited ments with Expenses

a Total revenue, gains, and other support per audited financial statements .

b Amounts included on line a but not on line 12, Form 990

(1) Net unrealized gains on investments $

(2) Donated sew ices and use of facilities $

(3) Recoveries of prior year grants $

(4) Other (specify)

--------

Add amounts on lines (1) through (4) c Line a minus line b

d Amounts included on line 12, Form 990 but not on line a

(1) Investment expenses not included on line 6b, Farm 990 $

(2) Other (specify)

Add amounts on lines (1) and (2)

e Total revenue per line 12, Form

153

to (E) Expense t account and other .d allowances

(f not paid, employee enter -0-)

I plans and

See Statement -3 ----------------------

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

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

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

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

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

TEEAOtOEL 0722/03

c plus line d) ~I e I 164,937

(B) Title and average 1- (A) Name and address per week devoted to position

per Return

a Total expenses and losses per and financial statements

b Amounts included on line a but not on line 17, Form 990

(1) Donated sew ices and use of facilities $

(2) Prior year adjust menu reported on line 20, Form 990 $

(3) Losses reported on line 20, Form 990 $

(4) Other (specify)

Add amounts an lines (1) through (9) c Line a minus line b

d Amounts included on line 17, Form 990 but not on line a

(1) Investment expenses not included on line 6b, Form 990. $

(2) Other (specify)

Add amounts on lines (1) and (2)

e Total expenses per line 17, Form 990 (line c plus line d)

d

" I e I 153,905

75 Did any officer, director, trustee, or key employee receive aggregate compensation of more than $100,000 from your organization and all related organizations, of which more than $10,000 was provided by the related organizations ~ Yes F X] If 'Yes, attach schedule - see instructions

8AA Form 990 (2002)

BOa Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees officers, etc, to any other exempt or nonexempt organization

b II 'Yes,' enter the name of the organization - N/A and check whether it is n exempt or ~ nonexempt

81 a Enter direct or indirect political expenditures See line 81 instructions I 81 al 0 b Did the organization file Forth 1120-POL for this year X

82 a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at substantially less than fair rental values 82a X

b If 'Yes,' you may indicate the value of these items here Do not include this amount as revenue in Part I or as an expense in Part II (See instructions in Part III )

c Enter Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 ~ 0

d Enter Amount of tax on line 89c, above, reimbursed by the organization ~ 0 90a List the stales with which a copy of this return is filed " None

b Number of employees employed in the pay period that includes March 12, 2002 (See instructions ) 90b 0 91 The books are in care of " DOROTHY MARTINO Telephone number " 509-486-6326

Located at " 3701 CANAL ST N 0 LA ZAP + 4-w 70119 92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of Form 7041 - Check here N_/_A_ 0

and enter the amount of tax exempt interest received or accrued dunno the tax vear N/A Form 990 (2002) BAA

TEEA0105L 0122/03

'art VI I Other Information (see instructions )

76 Did the organization engage no any activity not previously reported to the IRS If 'Yes,' attach a detailed description of each activity

77 Were any changes made in the organizing or governing documents but not reported to the IRS If 'Yes ' attach a conformed copy of the changes

78a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return b If 'Yes,' has it filed a tax return on Form 990-T for this year

79 Was there a liquidation, dissolution, termination, or substantial contraction during the years If Yes, attach a statement

Yes No

X

X

83a Did the organization comply with the public inspection requirements for returns and exemption applications 83a X b Did the organization comply with the disclosure requirements relating to quid pro quo contributions? 83b X

Boa Did the organization solicit any contributions or gifts that were not tax deductible? BOa X

b If Yes,' did the or ~anizalion include with every solicitation an express statement that such contributions or gifts were not tax deductible 84b N A

85 501(c)(4) (5), or (6) organizations a Were substantially all dues nondeductible by members BSa N ?A b Did the organization make only in-house lobbying expenditures of $2,000 or less BSb N A

If 'Yes' was answered to either 85a or 85b, do not complete &5c through 85h below unless the organization received a waiver for proxy tax owed for the prior year

c Dues, assessments, and similar amounts from members d Section 162(e) lobbying and political expenditures e Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices 1 Taxable amount of lobbying and political expenditures (line 85d less 85e) g Does the organization elect to pay the section 6033(e) tax on the amount on line 85f7

h It section fi033(e)(1)(A) dues notices were sent, does the organization agree to add the amount on line 85f to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year

86 501(c)(7) organizations Enter a Initiation fees and capital contributions included on line 12 1 86al

b Gross receipts, included on line 12, for public use of club facilities 87 50I(c)(l2) organizations Enter a Gross income from members or shareholders

b Gross income from other sources (DO not net amounts due or paid to other sources against amounts due or received from them )

88 A1 any lime during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership, or an entity disregarded as separate from the organization under Regulations sections 301 7701-2 and 301 7701 37 If 'Yes,' complete Part IX

89a 501(c)(3) organizations Enter Amount of tax imposed on the organization during the year under section 4911 - 0 , section 4912 - 0 , section 4955 . 0

b 501(c)(3) and 507(c)(4) organizations Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior years If 'Yes, attach a statement explaining each transaction 89b1 I X

b c d e ( Medicare/Medicaid payments g Fees 8 contracts from government agencies

94 Membership dues and assessments 95 Interest on savings 8 temporary cash invmnts % Dividends & interest from securities 97 Net rental income or (lass) from real estate

a debt financed properly b not debt financed property

98 Net rental income or (loss) from pers prop 99 Other investment income

100 Gain or (loss) from sales of assets other than inventory

101 Net income or (loss) from special events 102 Gross profit of (lass) from sales of inventory 103 Other revenue a

b OTHER INCOME c d e

104 Subtotal (add columns (B), (D), and (E)) 105 Total (add line 104, columns (B), (D),

Note Line 105 plus line id, Part 1 should eq Part VIII Relationshi p of Activities 1 Line No Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment

of the organization's exempt purposes (other than by providing funds for such purposes) 94&103 ALL FUNDS RECEIVED ARE USED TO DISSEMiNATR TNFORMATTON AROITT RPTT.RP.SYAS.CTST

AND THEIR FAMILIES) AND PROMOTE EFFECTIVE TREATMENT OF THOSE WI

(D) (E) Total End-of-year income assets

Ct5 (See instructions )

(B) (C)

"ntage of hio interest Nature of activities

(A)

id EIN of or

a Did the organizaUOn, during the year, receive any funds, directly or indirectly, to pay b Did the organization, during the year, pay pre afis, directly or in Note 1/ 'Yes' to (b), file Form 8870 and For 4720 (see instructions

Under penalties of perju~Y 1 d Care Ihal (~a~ ed leis realm i ncluding hue w~mct and mmplel eclar ali Ypr rr er khan oHiceQ is based

Please Sign Signatur of officer Here ll~

/T~r 6intri.me

Paid P pares Pre- sqnalme ~1a/'e~ 5 Firm s name (or Use

yours if self employe

Only address a ZIP + 4

SAA

eans, LA 70112

Form 990 (2002) EPI

Note Enter gross amounts unless . otherwise indicated

93 Program service revenue

OF SOUTHEAST LA 72-0824847 Page n Activities See instructions )

Unrelated business income Excluded by section 512, 513, or 514 iri e ~ (A) (B) (C) (D) Related or exempt

Business code Amount Exclusion code Amount function income

& Co LLP

Organization Exempt Under Virfuno f"Dm Section 501(c)(3)

(Except Private Foundation) and Section 501(e), 5010, 501(k), -00-501(n), or Section 4947(a(1) Nonexempt Chantable Trust 1 1 Supplementary Information - (See separate instructions .)

" MUST be completed by the above organizations and attached to their Form 990 or 990-EZ Department of the Treasury

Internal Revenue service

a re none, ente r 'None ')

(b) Title and average hours per week

devoted to position

(c) Compensation (d) Contributions (e) Expense lo, employee bene(,t I account and other

Total number of other employees paid

Compensation of the Five Highest Paid Independent Contractors for Professional (See instructions List each one (whether individuals or firms) If there are none, enter 'None ')

Schedule A (Form 990 or 990 EZ) 2002

TEEA09011 0122/03

SCHEDULE A (Form 990 or 990-EZ)

of Jhe organization

J Compensation of the Five 1 -(See instructions List each one If

(a) Name and address of each employee paid more

than $50,000

None

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

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

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

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

Empioyn idemincation number

72-0824847

(a) Name and address of each independent contractor paid more than $50,000

None

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

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

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

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

others recervinq over

BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 and Form 990-EZ

(b) Type of service I (c) Compensation

824897

Part III Statements About Activities see instructions) No

X

3 Does the organization make grants for scholarships, fellowships, student loans, etc (See Note below ) 4 Do you have a section 403(b) annuity plan for your employees

Note Attach a statement to explain how the organization determines that individuals or organizations receiving orants or loans from it in furtherance o/ its charitable oroorams 'oualilv' to receive oavments

The organization is not a private foundation because i1 is (Please check only ONE applicable box ) 5 A church, convention of churches, or association of churches Section 170(b)(1)(A)(i) 6 A school Section 170(b)(1)(A)(ii) (Also complete Part V ) 7 ~ ~ A hospital or a cooperative hospital service organization Section 170(b)(1)(A)(uq 8 ~ -~ A Federal stale, or local government or governmental unit Section 170(b)(1)(A)(v) 9 ~ A medical research organization operated in conjunction with a hospital Section 170(b)(1)(A)(ui) Enter the hospital's name, city,

and state 10 FlAn organization operated for the benefit of a college or university owned or operated by a governmental unit Section 170(b)(1)(A)(rv)

(Also complete the Support Schedule in Part IV A )

11 a ~ An organization that normally receives a substantial part of its support from a governmental unit or from the general public Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A )

11b ~ A community trust Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV A )

12 An organization that normally receives (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its charitable, etc, functions - subject to certain exceptions, and (2) no more than 33-113°.5 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, 1975 See section 509(a)(2) (Also complete the Support Schedule in Part IV A )

13 ~ An organization that is riot controlled by any disqualified persons (other than foundation managers) and supports organizations described in (1) lines 5 through 12 above, or (2) section 501(c)(4), (5), or (6), if they meet the test of section 509(a)(2) (See section 509(a)(3) )

14 n An organization organized and operated to test for public safety Section 509(a)(4) (See instructions )

BAA TEecoaozL 01122103 Schedule A (Form 990 or Form 990 EZ) 2002

1 During the year, has the organization attempted to influence national, state, or local legislation, including any attempt to influence public opinion on a legislative matter or referendums If Yes, enter the total expenses paid or incurred in connection with the lobbying activities ~ $ N/A (Must equal amounts on line 38, Part VI A, or line i of Part VI B )

Organizations that made an election under section 501(h) by filing Form 5768 must complete Part VI A Other organizations checking 'Yes, must complete Part VI 8 AND attach a statement giving a detailed description of the lobbying activities

2 During the year has the organization, either directly or indirectly, engaged in any of the following acts with any substantial contributors, trustees, directors, officers, creators, key employees, or members of their families, or with any taxable organization with which any such person is affiliated as an officer, director, trustee, majority owner, or principal beneficiary (II the answer to any question is 'Yes 'attach a detailed statement explaining the transactions)

a Sale, exchange, or leasing of property

b Lending of money or other extension of credit

c Furnishing of goods, services, or facilities

d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)

e Transfer of any part of its income or assets

Par11V Reason for Non-Private Foundation Status (see instructions)

Schedule A (Form 990 or 990 EZ) 2002 EPILEPSY FOUNDATON OF SOUTHEAST LA 72-0824897 Page 3 FP-art IV-A Support Schedule (Complete only if you checked a box on line 10, 11, or 12) Use cash methodof accounting Note* You may use the worksheet in the instructions /or converting from the accrual to the cash method of accounting

unusual iants See line 28 154 , 060 16 Membership tees received 210

17 Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities m any activity that is related to the organization s charitable, etc , pur pose

18 Gross income from interest, dividends, amounts received from payments on securities loans (section 512(ax5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organ izahon after June 30 1915

19 Net income from unrelated business activities not included in line IB

20 Tax revenues levied for the organizations benefit and either paid to it or expended on its behalf

21 The value of services or facilities furnished to the organization by a governmental unit without charge Do not include the value of services or facilities generally furnished to the public without charge

22 Other income Attach a schedule Do not include

9ai~talrassets from

9 621 23 Total of tines 15 lhrouoh 22 154 .891

167

194,128 I 174 1 I 168 .102

1 line 23 26 Organizations described on lines 10 or 11 a Enter 2°/, of amount in column (e), line 24

b Prepare a list for your records to show the name of one amount contributed by each person (other than a governmental unit or publicly supported organization) whose total gills for 1998 through 2001 exceeded the amount shown in line 26a Do not file this list with your return Enter the total of all these recess amounts

c Total support for section 509(a)(1) test Enter line 24, column (e) d Add Amounts from column (e) for lines 18 19

22 3,460 26b e Public support (line 26c minus line 264 total) ~ 26e 637 716 . f Public support percentage pine 26e (numerator) divided by line 26c (denominator)) w26f 99 46 $

27 Organizations described on line 12 N/A a For amounts included in lines 15, 16, and 17 that were received from a 'disqualified person,' prepare a list for your records to show the name of, and total amounts received in each year from, each 'disqualified person ' Do not file this list with your return Enter the sum of such amounts for each year (2007)

------------ (2000)

------------ (1999)------------ (1998)

-----------bFor any amount included in line 17 that was received from each person (other than 'disqualified persons, prepare a list for your records to show the name of, and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000 (Include in the list organizations described in lines 5 through 11, as well as individuals ) Do not file this list with your return After computing the difference between the amount received and the larger amount described in (1) or (2), enter the sum of these differences (the excess amounts) for each year (2001)

------------ (2000)------------ (1999)------------ (1998)

-------------c Add Amounts from column (e) for lines 15 16 17 20 21 I 27c

- - -$

d Add Line 27a total and line 27b total e Public support (line 27c total minus line 274 total) 1 Total support for section 509(a)(2) test Enter amount from line 23, column (e) ~ 27f g Public support percentage Qme 27e (numerator) divided by line 27f (denominator)) h Investment income percentage (line 18, column (e) (numerator) divided by line 2711 (denomin Unusual Grants For an organization described in line 10, 11, or 12 that received any unusual list for your records to show for each year, the name of the contributor, the date and amount nature of the grant Do not file this list with vour return Do not include these grants in line 1'.

28 during 1998 through 2001, prepare a grant, and a brief description of the

BAA TEEA0403L 09/12/03 Schedule A (Form 990 or 990 En 2002

Calendar year (or fiscal year beginning in) -1 Ad I

to I JW9 1 of 10 V8

M Total

9 636 , 542 5 1,174

1 . 3,960 5 641 176 . 5 641 , 176 1 I 6a 12 .824

b Has the organization s right to such aid ever been revoked or suspended It you answered 'Yes to either 34a or b, please explain using an attached statement

35 Does the organization certify that it has complied with the applicable requirements of sections 4 Ol through 4 OS of Rev Proc 75 50, 1975-2 C B 587, covering racial

TEEno4o4L o112ao7 or BAA

Schedule A (Form 990 or 990 EZ) 2002 EPILEPSY FOUNDATON OF SOUTHEAST LA 72-0824847 Page 4 Part V Private School Questionnaire (See instructions )

(To be completed ONLY by schools that checked the box on line 6 in Part IV) N/A Yes No

29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws, other governing instrument, or in a resolution of its governing body 29

I 30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures,

catalogues, and other written communications with the public dealing with student admissions, programs, - and scholarships 30

31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media Buring the period of solicitation for students, or during the registration period if it has no solicitation program, in a way that makes the policy known to all parts of the general community it serves 31 If Yes, please describe, if 'No,' please explain (If you need more space, attach a separate statement )

--------------------------------------------------------- --------------------------------------------------------- ______________________-_-__________-__-_-_-______________ 1 ---------------------------------------------------------

32 Does the organization maintain the following a Records indicating the racial composition of the student body, faculty, and administrative staffs 32a

b Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory basis 32b

c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing with student admissions, programs, and scholarships 32c

dCopies of all material used by the organization or on its behalf to solicit contributions 32d

If you answered 'NO' to any of the above, please explain (If you need more space, attach a separate statement )

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

33 Does the organization discriminate by race in any way with respect to

a Students rights or privileges?

b Admissions policies

c Employment of faculty or administrative staff?

d Scholarships or other financial assislance7 1 33

e Educational policies

f Use of facilities

g Athletic programs? 1 33

h Other extracurricular activities?

If you answered 'Yes' to any of the above, please explain (If you need more space, attach a separate statement )

-------------------------------------------------------- -------------------------------------------------------- _________________________________________________________I-.-1--I_-~

34a Does the organization receive any financial aid or assistance from a governmental agency

Schedule A (Form 990 or 990-EZ) 2002 EPILEPSY FOUNDATON OF SOUTHEAST LA 72-0824847 Page 5 Part WA Lobbying Expenditures b~ Electing Public Charities See instructions )

(To be completed ONLY by an e igible organization that filed Form 5768) N/A Check " a it the organization belongs to an affiliated arouo Check - b if you checked 'a and limited control' provisions a I

Limits on Lobbying Expenditures

(The term 'expenditures' means amounts paid or incurred )

36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 37 Total lobbying expenditures to influence a legislative body (direct lobbying) 38 Total lobbying expenditures (add lines 36 and 37) 39 Other exempt purpose expenditures 40 Total exempt purpose expenditures (add lines 38 and 39) 41 Lobbying nontaxable amount Enter the amount from the following table -

If the amount on line 40 is - The lobbying nontaxable amount is - Not over $500,000 20% of the amount on line 40 Over Y500,000 but not over $1,000,000 $100,0(10 plus 15% of the excess

me, $500,000

Over $1,000,000 but not over $1,5(10,000 j175,0(10 plus 10°/, of the excess over $1,000,000 Over $I,50(I,IXq but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000 Over $17,000,000 $1,000,000

42 Grassroots nontaxable amount (enter 25% of line 41) 43 Subtract line 42 from line 36 Enter 0 if line 42 is more than line 36 44 Subtract line 41 from line 38 Enter 0 if line 41 is more than line 38

36

Lobbying Expenditures During 4-Year Averaging Penod

Calendar year (a) (or fiscal year 2002 beginning in)

45 Lobbying nontaxable amount

46 Lobbying ceiling amount (I50% of line 45(e))

47 Total lobbying expenditures

48 Grassroots non taxable amount

49 Grassroots ceiling amount

(b) I (c) 2001 2000 1999 Total

,EEnoao51. 0e11va2

(a) (b) Affiliated group To be completed totals for ALL elechnq

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below

See the instructions for lines 45 through 50 )

50 Grassroots lobbying expenditures

Part VI-B Lobbying Activity by Nonelecting Public Charities (For reporting only by organizations that did not complete Part VI A) (See instructions ) N/A

During the year, did the organization attempt to influence national, slate or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of Yes No Amount

a Volunteers b Paid staff or management (Include compensation in expenses reported on lines c through h c Media advertisements d Mailings to members, legislators, or the public e Publications, or published or broadcast statements f Grants to other organizations for lobbying purposes g Direct contact with legislators, their stalls, government officials, or a legislative body h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means i Total lobbying expenditures (add lines c through h

It 'Yes to any of the above, also attach a statement giving a detailed description of the lobbying activities BAA Schedule A (Form 990 or 990 EZ) 2002

(i)Sales or exchanges of assets with a noncharitable exempt organization (i)Purchases of assets from a noncharitable exempt organization (iii)Rental of facilities, equipment, or other assets (iv) Reimbursement arrangements (v)Loans or loan guarantees (vi)Performance of services or membership or fundraising solicitations

c Sharing of facilities, equipment, mailing lists, other assets, or paid employees

52a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described in section 501 (c) of the Code (other than section 501(c)(3)) or in section 527 - F] Yes X No

BAA ,eEnoaosL oenvoz Schedule A (Forth 990 or 990-EZ) 2002

Schedule A Form 990 or 990 EZ) 2002 EPILEPSY FOUNDATON OF SOUTHEAST LA 72-0829897 Pa e 69M VII Information Regarding Transfers To and Transactions and Relationships With Nonchantable

Exempt Organizations (see instructions) 51 Did the reporling organization directly or indirectly engage in any of the following with any other organization described in section 501(c)

of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations a Transfers from the reporting organization to a noncharitable exempt organization of Yes No

()Cash (n)Other assets

b Other transactions

2002 Page 1 Federal Statements

ROBERT MORA Vice President 0 0 0 None

BRUCE FISCH Director 0 0 . 0 None

ANGEL CURRY Secretary 0 0 0 None

BEANCA WILLIAMS Treasurer 0 0 0 None

HELEN BANQUER Director D 0 0 None

Client 1713 EPILEPSY FOUNDATON OF SOUTHEAST LA 72-0824847 12111103 03 44PM

Statement 1 Form 990 , Part III Organization's Primary Exempt Purpose

ALL FUNDS RECEIVED ARE USED TO DISSEMINATE INFORMATION ABOUT EPILEPSY, ASSIST INDIVIDUALS WITH EPILEPSY (AND THEIR FAMILIES) AND PROMOTE THE DEVELOPMENT OF FACILITIES AND SERVICESFOR EFFECTIVE TREATMENT OF THOSE WITH EPILEPSY

Statement 2 Form 990, Part IV, Line SSb Investments - Land, Buildings, and Equipment

Accum Book Category Basis Deprec . Value

Furniture and Fixtures $ 2,499 $ 2,999 $ 0 Machinery and Equipment 2 592 2 499 93

Total 5,091 4,998 93

Statement 3 Form 990, Part V List of Officers, Directors, Trustees, and Key Employees

Title and Contri- Expense Average Hours Compen- button to Account/

Name and Address Per Week Devoted sation EBP & DC Other JEAN STALLARD President $ 0 $ 0 $ 0

None

Statement 4 Schedule A, Part IV-A, Line 22 Other Income

Description (a) 2001 (b) 2000 (c) 1999 (d) 1998 (e) Total

MISCELLANEOUS $ 621 $ 146 $ 1 862 $ 831 $ 3 , 460 Total 621 146 1,862 831 3,960

2002 Federal Statements Page 2 Client 1713 ,EPILEPSY FOUNDATON OF SOUTHEAST LA 72-0824847 12/11/03 03 44PM

Statement 3 (continued) Form 990, Part V List of Officers, Directors, Trustees, and Key Employees

Title and Contra- Expense Average Hours Compen- button to Account/

Name and Address Per Week Devoted sation EBP & DC Other

GAMAL HUSSEIN Director $ 0 $ 0 $ 0 None

MICHAEL CAREY Director 0 0 0 None

MARILYN MILLER Director 0 0 0 None

ANNA NAGRATH Director 0 0 0 None

PIOTR OLEJNICZACK Director 0 0 0 None

SKEETER STULB Director 0 0 . 0 None

PAUL PEPITON Director 0 0 0 None

CARMELA TARDO Director 0 0 0 None

MARK WALTON Director 0 0 0 None

Total _~_0 T-0 T-0

Part 1 Automatic 3-Month Extension of Time - only submit original (no copies needed) Note Fomr 990-1 corporations requesting an automatic 6-month extension - check this box and complete Part / only

All other corporations (including Form 990-C (leis) must use Form 7004 to request an extension o/ time to file income fax returns Partnerships, REMICs and trusts must use Farm 8730` to request an extension of time to 61e Foam 1065. 7066 or 7041

Type or EPI pnot

File by the n--b. due date for filing your 370 return See

city

� instructions

NEW

847 room or wife number II a Y 0 box. see

or post office For a foreign address see instructions

RLEANS, LA 70119 sole ur coo .

Check type of return to be filed (file a separate application for each return) X Form 990 Form 990 T (corporation) A Form 990 BL A Form 990 T (Section 401(a) or 408(a) trust)

Form 4720 Form 5227 Form 6069 Form 990 T (trust other than above) Form 990 EZ

b If this application is for Form 990 PF or 990 T, enter any refundable credits and estimated tax payments made Include any prior year overpayment allowed as a credit

vent with this form, or, if required, deposit with FTD ax Payment System) See instructions

c Balance Due Subtract line 3b from line couoon or, if recurred, by using EFTPS

return including accompanying schedules and statements, and to Use best of my 4nowla0ga and beret, it is true, correct, and

t 1

Act Notice, sea instructions BAA Form 8868 (12 2000)

FiFZ0501L 07n5A2

Form 886$ Application for Extension of Time to File an (December 2000) Exempt Organization Return OMB NO 1545 1709 DeO2,1m

J!",

room or suin number If a P 0 box. see

I ~

E]Form 8870

a foroon address see rntrucbons

Check type of return to be filed (file a F ~ Form 990 F-1 Form 990 EZ X

application for each return) 1 990 T (Section 401 (a) or 408(a) trust) Form 1041 A Form 5227 1 990 T (trust other than above) H Form 4720 Form 6069

b If this application is for Form 990 PF, 990 T, 4720, or 6069, enter any refundable credits and estimated tax payments made Include any prior year overpayment allowed as a credit and any amount paid previously with Form 8868 $

I ctr , a IT" xnt r c Balance due Subtract line 8b from line Ila Inc'ude your p aymenl

with 'IS

1,r%or I)reSu' re, ' ~deposit with

FTID coupon or, if required, by using EFTP Ee on cF dea Pam ~t~m

ee n ctions $ Signature and Verification

fhai',am~ Under penalties of pert., I d.clt- .11 h form, including accompanying schedules and statements; and to the best of my knowledge and belief it is true correct and complete and

puth d 10 r . Is form - arm

lx~ Data i"

By Direct ., Date

Alternate Mailing Address - Enter the address if you want the copy of this application for an additional 3 month extension returned to an address different than the one entered above

.am.

Ped Type or Numbi print 101

New BAA

& Co LLP SpnC1tmCnfae5pp. room OritpuramemitormserOrlirl.) D,

ommon St , Suite 2100 prowonce or state and country a rucluding postal or ZIP code)

Form 8868 (Rev 12 2000) FIFZ0502L 101134/02

Form 9868 (12 2000) all, If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part 11 and check this box

Note Only complete Part # ifyotichave already been granted an automatic 3-month extension on apretwously filed ficom 8"

0 If you are filing for an Automatic 3-Month Extension, complete only Part I (on page 1) Part If Additional (not automatic) 3-Month Extension of Time - Must File Original and One Copy. Type or

I Name of Exempt Organutapon Employer Identification number

pnnt IEPILEPSY FOUNDATON OF SOUTHEAST LA 172-0824847 File by Me extended due date to filing the 13701 CAM re Wrn See I City town or post in.truct,on.

Stop Do not complete Part 11 it you were not already granted an automatic 3-month extension on a previously filed Form 8868 " If the organization does not have an office or place of business in the United States, check this box ;7-D

" If this is for a Group Return, enter the organizations four digit Group Exemption Number (GEN) If this is for the whole group, check this box lx~ F1 If it is part of the group, check this box -F] and attach a list with the names and EINs of all members the extension is for 4 1 request an additional 3 month extension of time until 20 5 For calendar year or other tax year beginning 1,761 20 02 and ending 6/30 20 03 6 If this tax year is for less than 12 months, check reason Initial return Final return TIChange in accounting period 7 State in detail why you need the extension - TaxLayti~_ respectfully_EequtELt,~_~!dditional

- time

- to - - - - - -_gather-information necessarV to file a-complete and accurate tax return --- --- --- --

-----------------------------------------------------------------Sa If this application is for Form 990 BL, 990 PF, 990 T, 4720, or 6069, enter the tentative tax, less any

nonrefundable credits See instructions $

Notice to Applicant - To b&Completed by the IRS ion Please attach this form to the organization's return

W lication However, we have granted a 10 day grace period from the later of the date shown below or the

'~ /d eturn (including any prior extensions) This grace period is considered to be a valid extension of time for e/u be made on a timely filed return Please attach this form to the organization's return

We have not approved this application After considering the reasons stated in item 7, we cannot grant your request for an extension of time to file We are not granting a 10 day grace period

We cannot consider this application because it was filed after the due date of the return for which an extension was requested Other