foundation described in section 10 I 49420X3) or l' J 40420)(5) Tax year Pnor 3 years **Total (al 2003 (b) 2002 (0)2001 (d) 2000 on exempt erg Onted4011 (4) Own mieslment noire Ns 9 Part XV JSA 3E1490 1000 Supplementary Information (Complete this part only If the organization had $5,000 or more