Short Form Return of Organization Exempt From Income Tax - For the 2004 calendar year

Sep 19, 2026

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Short Form Return of Organization Exempt From Income Tax (Form 990-EZ) for the 2004 calendar year sets out eligibility rules under Internal Revenue Code sections 501(c), 527, and 4947(a)(1), including guidance on when schedules and attachments are required. It includes organization identification fields, gross receipts thresholds, accounting method options, revenue and expense sections, total revenue, total expenses, and net assets reporting. It also covers balance sheet line items and program service accomplishment prompts.

LanguageEnglish

CategoryForms

FormatPDF

Pages3

Reading Time1 min

AccessFree to download

Part I

Revenue, Expenses, and Changes in Net Assets or Fund Balances

Part II

Statement of Program Service Accomplishments

# Short FormReturn of Organization Exempt From Income Tax Under section 501(c),527,or 4947(a)(1)of the Internal Revenue Code (except black lung benefit trust or private foundation) ▶For organizatrons with gross receipts less than $100,000 and total assets less than $250,000 at the end of the year. ▶ The organization may have to use a copy of this returm to satisfy state reporting requrements. A For the 2004 calendar year,or tax year beginning ,2004,and ending ,20 | B Check f applcable
Address change
Name change
Initual retum
Final retum
Amended return
Applcaton pendng | Please
use IRS
label or
print or
type.
See
Specnfic
histruc-
trons. | C Name of organizaton
EASTBMD6WWAER
↓1sDRCAL Sci4,/NC | | | D Employeridentfication number
64 :3011889 | | --- | --- | --- | --- | --- | --- | | | | al is not dehvered to street address)
Number and street (or PO
.
Bx
IZL | Room/suite | | E Telephone number
58837 | | | | Crty or town,state or country,and ZIP+4
ELmwo0D
MA 02337 | | | F Group Exempton
Number | | ● Section 501/c)(3)organizatlons and 4947(a)(1)nonexempt chanitable trusts must attach
a completed Schedule A(Form 990 or 990-EZ). | | | | G Accounting method:
区Cash
Accrual
Other (specfy)▶ | | H Check▶□ if the organizationI Website:▶ s not required to attach Schedule B(Form 990,990-EZ,or 990-PF) K Check▶□ if the organzation's gross recelpts are normally not more than $25,000.The organization need not file a return with the IRS;but f theorganizaton recelved a Fom 990 Package n the mal,t should file a retum wthout financlal data Some states require a complete retum. ▶$ L Add hines 5b,6b,and 7b,to line 9 to determine gross recelpts,f $100,000 or more,file Form 990 nstead of Form 990-EZ ## Part I Revenue,Expenses,and Changes in Net Assets or Fund Balances (See page 37 of the instructions. | Revenue | 1 Contnbutions,gifts,grants,and similar amounts recelved
2 Program service revenue ncludng government fees and contracts
3 Membership dues and assessments
4 Investment income
5a
5a Gross amount from sale of assets other than inventory
二
5b
b Less:cost or other basis and sales expenses
c Gan or (loss)from sale of assets other than inventory (line 5a less line 5b)(attach schedule)
□
6 Special events and activites (attach schedule).If any amount is from gaming,check here▶
a Gross revenue (not including $_____________—
of contnbutions
6a
reported on line 1)
6b
b Less:drect expenses other than fundraising expenses
c Net income or (loss)from special events and activites (ine 6a less line 6b)
7a
7a Gross sales of inventory,less returns and allowances
7b
b Less:cost of goods sold
c Gross profit or(loss)from sales of nventory (lne 7a less line 7b)
8 Other revenue (describe▶.
3300,5
2438.一 | | | 1 | | | | | --- | --- | --- | --- | --- | --- | --- | --- | | | | | | 2 | | | | | | | | | 3 | | 440二 | | | | | | | 4 | | 8547 | | | | | | | 5c | | - | | | | | | | 6c | | 6250) | | | | | | | 7c | | - | | | | | | | 8 | | → | | | | 9 Total revenue (add lines 1,2,3,4,5c,6c,7c,and 8) | | | 9 | | 432,z | | | sesuedx3 | 10 Grants and similar amounts paid (attach schedule)
11 Benefits paid to or for members..
12 Salaries,other compensation,and employee benefits
13 Professional fees and other payments to independent contractors
14 Occupancy,rent,utlities,and maintenance
15 Pnnting,publications,postage,and shipping
16 Other expenses (descrbe▶_
加 mise.svpoL这 | | | 10 | | — | | | | | | | 11 | | | | | | | | | 12 |

FAQs

Who can use the Form 990-EZ Short Form return?

Organizations with gross receipts less than $100,000 and total assets less than $250,000 at the end of the year may use the short form, subject to applicable rules and exceptions.

What attachments are required for certain organizations?

Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach a completed Schedule A (Form 990 or 990-EZ).

How are gross receipts determined for whether Form 990 is required?

Add lines 5b, 6b, and 7b to line 9 to determine gross receipts; if gross receipts are $100,000 or more, the organization must file Form 990 instead of Form 990-EZ.

Sep 19, 2026

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