_ L, EFTA00192498

EFTA00192499

Li Li U EFTA00192500

EFTA00192501

EFTA00192502

EFTA00192503

Li Li LI EFTA00192504

EFTA00192505

L., U EFTA00192506

EFTA00192507

Li Li ..) EFTA00192508

EFTA00192509

Li Li Li EFTA00192510

EFTA00192511

U Li EFTA00192512

Form lea (17.7000)' • If you are filing for an Additional Mot automatic) 3-Month Extension, complete only Part N and check this box pi. X Note: Only complete Part Nil you have already been granted an automatic 3-month extension on a previously filed Form 886& you are filing for an Automatic 3-Month Extension, complete only Pert I (on page I). Additional (not automatic) 3-Month Extension of Time - Must File Original and One Copy. Type or print F le by the dI ilet e date Ming the See Name of Exempt CMPltalal THE C . 0 . U.Q . FOUNDATION, INC. NSW member Number. street. and room or state no. If a P.O. box see instmcnons GEORGE V. DELSON ASSOCIATES, : Fix IRS use arty ,C/O Cdy. ffice. 2IP Fora for InstructionsS • -. tovm or post o state, and code address. see two instructions R Check type of return to be filed (Fie a separate application for each return) Form 990 Form 990-EZ Form 990-1 (sec 401(e) or 408(a) trust) Form 990-BL X Form 990-PF Form 990.1 (trust other than above) Form 1041-A Form 4720 Form 52270 Form 8870 Form 6069 STOP: Do not complete Part II if 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 Slates, check this box • If this is for a Group Return, enter the olgapization's four digit Group Exemption Number (GEN) If thus is for the whole group, check this box M If it is for part of the group, check this box lei U and attache fist with me names and EINs of all members the extension is for 4 I request an additional 3-month extension of time unto January 15, 2005 5 For calendar year , or other tax year beginning March 1, 2003 and ending February 29, 2004 6 If this tax year is for less than 12 months. Check reason' j Initial return U Final return LI Change in accounting period 7 State in detail why you need the extension Certain information necessary for the proper completion of the return is not yet available. Ba 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 b If this application is for Form 990-PF, 990-1. 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 5, 000 c Balance Due. Subtract line 8b from line 8a. Include your payment with this form, or, if required, deposit with ETD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See instructions 5,000 Signature and Verification affit8ttAAPPNOW:5 Undo( penalties of perjury. 1 dacha Wig I haw examined this form, including accompanying schoduko and sucvnents anti lo ire Pest 01 ny An‘9,100ye anC Daley OCT 2 5 2004 it is Clue. correct. end c . and 19911arn authcnrod 10 prepare thn Icon Sg lure le toe ► GM stemssi Notice to Applicant - To Be Completed by the IRS We have approved this application. Please attach this form to the organization's return. We have not approved this application. However, we have granted a 10-day grace period from the later of the date shown below or the due dale of the organization's return (including any prier extensions). This grace period is considered to be otherwise required to be made on a timely return. Please attach this tom to the crowdances return. We have not approved this application. Alter considering the reasons slated in Item 7. we cannot grant your Titer if 2fitRion 0 time to file. We are not granting a 10-day grate period. We cannot consider this application because it was filed alter the due date of the return fix which an egens whIGNIu9II Other lUINE?:#4,1t4WWMGI I BY 1 (." %. . if j D:. 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. Dade: t. afttfINSVPROVEirrns Typo or print Ise sr loss I clod Name George V. Deleon Associates room, or apt. no.) Or • P.O. box number and country (including postal or ZIP code) Form 8668 (12.20%) EFTA00192513

Li Li EFTA00192514

EFTA00192515

Li L. EFTA00192516

EFTA00192517

Li EFTA00192518

EFTA00192519

Li Li EFTA00192520

EFTA00192521

Li Li EFTA00192522

EFTA00192523

Li Li EFTA00192524

EFTA00192525

U EFTA00192526

EFTA00192527

.) EFTA00192528

EFTA00192529

EFTA00192530

EFTA00192531

U EFTA00192532

EFTA00192533

I-, EFTA00192534

EFTA00192535

U ..1 EFTA00192536

EFTA00192537

..) EFTA00192538

EFTA00192539

..i EFTA00192540

EFTA00192541

Li EFTA00192542

EFTA00192543

Li EFTA00192544

EFTA00192545

Li Li EFTA00192546

EFTA00192547

.., ..1 EFTA00192548

Form 8%6 eft 17-700ft • If you we filing for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box h Note. Only complete Part II if you have already been granted an automatic 3-month extension on a previously hied Form 8868. • tf you are filing for an Automatic 3-Month Extension, complete only Part I (on page C. Additional (not automatic) 3-Month Extension of Time—Must File Original and One Copy. Type or Name of Exempt Organization ..*'.tV- number print The C.O.U.G Foundation. Inc. et: ;Joey V. blended cks deb tor c/o George V. Debson Associat llIM Number, street, an a room suite i 'ructions z Or use on ,. & fame the Sete. ern 21P Cede For address. see nstructicns ,,-77 rekm See r: wetwelOW Check type of return to be filed (File a separate application for each return). O Form 990 O Form 990-BL O Fonn 990-EZ (Z) Form 990.PF STOP: Do not complete Part II if you were not already granted an automatic 3-month extension on a previously pled Fenn 8868. • The books are In Telephone No. ► FAX No P • If the organization does not have an office or place of business In the United States. check the box P 0 • It this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) If this is for the whole group. check this box h D. If 4 is for part of the gr0Up, check this box W 0 and attach a list with the names and EINs of all members the extension is for Pop 2 O Form 990-T (sec. 401(a) or 408(a) trust) O Form 990-T (trust other than above) O Form 1041-A O Form 4720 O Form 5227 O Form 6069 O Form 8870 4 I request an additional 3-month extension of time until January( 15 , gg 06 5 For calendar yew .. .. .. or other tax year beginning . March 1 20.9.5 . 20 04 and ending February 28 6 If this tax year is for less than 12 months, check reason. 0 Initial return 0 Final return 0 Change in accounting period 7 State in detail why you need the extension Certain information necessary for the proper completion of the return is not yet available. Ilia If this application is for Form 990-BL, 990-PF, 990.7, 4720, or 6069, enter the tentative tax. less any nonrefundable credits. See Instructions 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 c Balance Due. Subtract line 8b from line Be. Include your payment with this form, or, if required. deposit with FTC coupon or, if required. by using EFTPS (Electronic Federal Tax Payment System). See instructions. Under Renew. of Maur), true. comet en! Scrature ► declare Signature and Verification 27,679 27,679 0 An examinee the tern, tidying accompanying schcovies ref stalernerts. are to the best of my know** and belief. Yam euthonzod to non ote Icon Ter. ► Dal. • L€4 14.5.. . Notice to Applicant—To Be Completed by the IRS Nig We have approved this application Please attach this form to the organization's return. We hive not approved this application However, we have granted a 10-day grace period from the later of the date shown below or the due ctete of the organizations return (including any poor extensions) This grace period is considered to be a vatic, extension of tine for elecuons otnermse required to be made on a timely return Please attach this form to the organization's return O We have not approved this application After considering the reasons stated in item 7, we cannot grant your request for an extension of lime to file We are not granting a 10-clay grace prink O We cannot consider this appricabon because it was Ned alter the extended due date of the return for which an extension was requested K Other °vector 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 Name George V. Deleon Associates • • • ghee Type or print suite, room, or apt no.) or a P.O. box number elate, end country Onakeing postal or ZIP code) Form 8869 fir:"6-2ooq EFTA00192549

Li EFTA00192550

EFTA00192551

Li Li EFTA00192552

EFTA00192553

U Li Li EFTA00192554

EFTA00192555

EFTA00192556

EFTA00192557

..) ..1 EFTA00192558

EFTA00192559

Li Li EFTA00192560

EFTA00192561

Li Li EFTA00192562

EFTA00192563

U EFTA00192564

EFTA00192565

U U EFTA00192566

EFTA00192567

EFTA00192568

EFTA00192569

EFTA00192570

EFTA00192571

L.i K. EFTA00192572

EFTA00192573

EFTA00192574

EFTA00192575

Li EFTA00192576

EFTA00192577

L.i Li Li EFTA00192578

EFTA00192579

Li LI L.J EFTA00192580

EFTA00192581

..d EFTA00192582

OFFICE COPY Type or print • Fos.. 8561 (Rev 12.2000 • If you are filing for an Additional (not automatic) 3-Month Extension, complete only Part II and chock this box P QI Note. Only complete Parl II it you have already been granted an automatic 3-month extension on a previously Red Form 8868. • If you are filing for an Automatic 3-Month Extension, complete only Part I (on page 1). Additional (not automatic) 3-Month Extension of Time—Must File Original and One Copy. Name of Exempt Organization Employer Identification number THE C.O.U.Q. FOUNDATION bons. For IRS use only Ca), town or Poll &Ste, state, and ZIP code. Fa a roman address, see instrucesne. Pao, 2 Part II Type or print File by the extended due date ler ring the mum See instrocoons. Check typo of return to be filed (File a separate application for each return): O Form 990 O Form 990-BL O Form 990-EZ El Form 990-PF STOP: Do not complete Part II tt you were not already granted an automatic 3month extension on a previously Bled Form 8868. • The books are in th HARRY BELLER Telephone No. P • If the organization does not have an office or piece of business in the United States. chock this box . ► O • If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) tl this is for the whole group, check this box le O. If It is for pert of the group, check this box ► [land attach a list with the names and EINs of all members the extension Is for. O Form 990-T (sec. 401(a) or 408(e) trust) O Form 990-1 (trust other than above) O Form 1041-A O Form 4720 O Form 5227 O Form 6069 K Form 8870 4 I request an additional 3-month extension of bme until JANUARY 15 , Y0 PT. 5 For calendar year or other tax year beginning MARCH 1 20 05 and ending FEBRUARY 25 8 If this tax year is for less than 12 months, check reason: 0 Initial return O Final return O Chyge In accowttlInrpoperiod 7 State in detail why you need the extension CERTAIN INFORMATION NECESSARY FOR THE PROPER COMP OF THE RETURN IS NOT YET AVAILABLE. 20 06 8a If this application is for Form 99043L, 990-PF, 990-7, 4720, or 6089, enter the tentative tax, less any nonrefundable credits. See instructions . . . . . . . . . . . . . . . $ 37,767 b If this application is for Form 990-PE 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 . . . $ 37,767 c Balance Due. Subtract line 8b from line 8a. Include your payment with this form, or, if required, deposit with FTD coupon or, if requied, by using EFTPS (Electronic Federal Tex Payment System). See instructions. $ 0 Signature and Verification Under cronalbes or mem I declare that I hays Warmed the ern. inducting eccorroanyog schedules and slalarnents and to the test or my knOVIladall and Sit IS via. Carr OM and compete, ant that I am authorized to prepare Via fpm Signature • GEORGE V DELSON Bus e Date P. /044 Notice to Applicant—To Be Completed by the IRS We have approved this app:Ication. Please attach this form to the organization's return. we have not approved this application However, we have granted a 10-day grace period from the later of the date shown below or the duo date of the organization's return (including any prior extensions). This grace period is considered to be a valid extension of time for elections otherwise mooed to be made on a timely return. Ness attach ties form to the organization's mitten. We have not approved the appecation. After considering the reasons stated in 'torn 7, we cannot grant your request for an extension of nano to Fee We are not granting a 10-day grace paced. We cannot consider this application because x was filed after the extended due date of the return for which an extension was requested Other Owesior 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. Name GEORGE V. DELSON ASSOCIATES e, room, or apt. no.) or • P.O. box number By Pete and country (including postal or ap code) Form 8668 Rev 12-2004) EFTA00192583

Li Li EFTA00192584

graFiCE COPY O Form 990 O Form 990-81 K Form 990-EZ • Form 990-PF E.. 8868 (Rev. Orreember 2004) Department of the bonen Internsi Ran* Savior • If you we tiling for an Automatic 3-Month Extension, complete only Part I and check this box ► i,?) • if you we filing for an Additional (not automatic) 3-Month Extension, complete only Part II (on Page 2 of this form) Do not complete Pad ll unless you have already been granted an automatic 3-month extension on a previously bled Form 8868. Automatic 3-Month Extension of Time—Only submit original (no copies needed) Application for Extension of Time To File an Exempt Organization Return P. File a Separate application br oath return. OMB No '54S.1709 Part I Form 990-1 corporations requesting an automatic 6-month extension—check this box and complete Part I only . . O All other corporations (including Form 590-C filers) must use Form 7004 to request an extension of time to file income fax returns. Partnerships, REMICs, and Mists must use Form 8736 to request an extension of time to file Form 1065, 1066, or 1041. Electronic Filing (e-file). Form 8868 can be filed electronically if you want a 3-month automatic extension of time to file one of the returns noted below (6 months for corporate Form 9904 filers). However, you cannot file it electronically if you want the additional (not automatic) 3-month extension, instead you must submit the fully completed signed pago 2 (Part II) of Form 8868. For more details on the electronic filing of this form, visit www.irs.goviefile. Type or print Fee by the due date for fang your return. See Insavabona Name of Exempt Organization The C.O.U.Q. Foundation tate. and ZIP code. For a foreign address. see instructions. Employer Identification number 13 i 3996471 Check type of return to be filed (file a separate application for each return). O Form 990-1 (corporation) O Form 990-1 (sec. 401(8) or 408(a) trust) O Form 990-1 (trust other than above) O Form 1041-A O Form 4720 • Form 5227 O Form 6069 O Form 8870 • The books we in the care of la Harry Belier Telephone No. * FAX No. P • If the organization does not have an office or place of business in the United States, check this box a O • If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) If this is for the whole group, check this box D. If it is for part of the group, check this box PEI and attach a list with the names and EINs of ell members the extension will cover. 1 I request an automatic 3-month (6-months for a Form 990-1 corporation) extension of time until October 15 . 2096. to file the exempt organization return for the organization named above. The extension is for the organization's return for a O calendar year 20... or IF 0 tax year beginning March 1 20 05. and ending February , 20 96. 2 If this tax year is for less than 12 months, check reason: O Initial return O Final return O Change in accounting period 3a If this application is for Form 990-BL, 990-PF, 990-1 4720, or 6069, enter the tentative tax, less any nonrefundable credits. See instructions S 37,767 b If this application is for Form 990-PF or 990.1, enter any refundable credits and estimated tax payments made. Include any prior year overpayment allowed as a credit S 12,767 c Balance Duo. Subtract line 3b from line 3a. Include your payment with this form, or, if required, deposit with FTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System). See Instructions S 25,000 Caution. If you are going to make an electronic fund withdrawal with this Form 8868, see Form 8453-EO and Form 8879-E0 for payment instructions. For Privacy Act and Paperwork Reduction Aot Notice, ***Instructions. Cat No. 2791.0 Fern' 8868 (Rey 12.2004) EFTA00192585

..) EFTA00192586

EFTA00192587

L) U EFTA00192588

EFTA00192589

Li Li EFTA00192590

EFTA00192591

L) L) EFTA00192592

EFTA00192593

L.) .L) .L) EFTA00192594

EFTA00192595

li La) EFTA00192596

EFTA00192597