te Cotton Swabs_ Balls Pads by jennyyingdi

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.. FO OMB NO 1545-0047
    1"" Return of Organization Exempt From Income Tax 2009
 D rtment f th T                                                                   I . . . .elm ,,,.A7 ,Y. ,
                                                    Under section 501(c) 527, or 4947(a)(1) of the Internal Revenue Code W
                                                                (except black lung benefit trust or private foundation)
 intzgfinai Revgnoesserrsiizuw * The organization may have to use a copy of this return to satisfy state reporting requirements
                                                                                                                                                                   I:-,Q
                                                                                                                                                                      "Lf .J­
     For thle 2009 calendar year, or tax year beginning , 2009, and ending
             apphcable Pl C Name ION LASALLI STA DE MIAMI, INC . 6 5 - 0 0 5 6 7 3
 B Check rf Change ISEISITSB EUNDACof orgamzahon D Employerldentitication9Number
     Address
                                  or "nt Number and street (or P O box if mail is not delivered to street addr) Roomfsuite E Telephone number
           Name change orsgrpe
           imiiaiieium speifnc 901 PONCE DE LEON BOULEVARD                                                          606 (305) 505-7430
                    Instruc. Cit town
           Termination tions. Y- W or count State ZIP code + 4
           Amended return CORAL GABLES FL 3 3 13 4 G Gross receipts $ 12 3 , 7 1 3 .
     lj Application pending F Name and address of principal officer "(3) IS this a group lem" for 37111131657 Yes No
                                                                           A all I-filiate cl ded? - No
                  HUGO CASIRO 7411 s .w. 66 SI MIAMI EL 33143 ""7 ,ffffw gum 3,22, Um Instructions)
                                                                                                    Yes

   Tax-exempt status
                     N/A )* (insert no) lj 4947(a)(1) or U 527
 J Website: P 501 (c) ( 3H(c) Group exemption number *
 K Form of organization Corporation E Trust D Association D Other* l L Year of Formation 1 9 88 I Nl State of legal domicile FL
 tE(ar"t-51%-31 Summary
       1 Briefly describe the organizations mission or most significant activities -FQ1QD- QRJAJI-SQIQQL IQ -H2112 Ix1EEiDj-C-H-I1,QRFEy- *­
             & RELIEF TO CUBA FOR HUMANITARIAN ASSISQA-NQE - - - - - - - - *- ­


            0l1eOk-1h1s-bOx-*- E* ifthe-o?g5n1zatiOn-degontmuectig Op-erati-on-s-or*d1spO5e0 Of-mOre t-han25o/:of Es-a5s5ts- - - ­
            Number of voting members ofthe governing body (Part VI, line 1a) 3 5
          Number of independent voting members of the governing body (Part VI, line 1b)
          Total number of employees (Part V, line 2a)
       6 Total number of volunteers (estimate if necessary)
       7a Total gross unrelated business revenue from Part VIII, lcolumn (C), ine 12
                                                                                                                                                     4
                                                                                                                                                     5
                                                                                                                                                     6
                                                                                                                                                     7a
                                                                                                                                                          55                         0
        b Net unrelated business taxable income from Form 990-T, line 34                                                                             7b
                                                                                                                                    Prior Year                   Current Year
       8 Contributions and grants (Part Vlll, line 1h)                                                                                    27, 423                      123,706
       9 Program service revenue (Part Vlll, line 2g)
      10 Investment income (Part Vlll, column (A), lines 3, 4, and 7d)                                                                           113                                 7
      11 Other revenue (Part Vlll, column (A), lines 5, 6d, Sc, 9c, 1Oc, and
      12 Total revenue - add lines 8 through 11 (must equal Part Vlll, colum n (A), line 12)                                              27,536                       123,713
      13 Grants and similar amounts paid (Part IX, column (A), lines 1-3)                                                                 45, 600                      101, 058
      14 Benefits paid to or for members (Part IX, column (A), line 4)




     S ,
      15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-IO)                                                  6,000
      16a Professional fundraising fees (Part IX, column (A), line 11e)
        b Total fundraising expenses (Part IX, column (D), line 25) *                                                                                                    1, 41#




  lg" V
      17 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24-f)                                                                      3,515                        6,212
      18 Total expenses Add lines 13-17 (must equal Part IX,                                                                              55, 115                      107,270
      19 Revenue less expenses Subtract line 18 from line 1 A F                                                                         -27, 579.                        16, 443
                                                                                                                              Beginning of Year                  End of Year
     20 Total (Part X, line 26)
                          assets (Part X, line 16)                                                                                          2,000.                       18, 444



                 I I Y Dale
    U f , ,f officer//-31/0
     21 Total liabilities

     ,ey ignaBlock ,L21 ill fill.,
                    s" i ure line g .-,H
   airoii- 1- fund balances Subtractii,-I from lig , . ,i, j
      Net assets or
     722                                                                                                                                    2,000.                       18, 444



 S te"%7/ I   iiS2?LEf?2a"f*S?.&"e8$lI,1Qlel C 3131122 *Jr lI,?ZE5f2?T$*iI?5f 111311 e$#l3eiI"FS "e"1I23aaS?P$pin




 Here /Signature
                /Que 6% and title /
                                         /* /S
              *Typybr rint name242220 /fe-Maemf
                                                                                                                    d5tatemenIs. and to the best of my knowledge and belief. it is
                                                                                                                    preparer has any knowledge




      I // me 53511 @fs@rr:rLzaIa2te*"Q"mf
 Se Firm"s name (or signature 11-/
 pg$&r,S IRIONDO 8: RODRIGUEZ*Pf. Af. ­f"­
                            ff/ / 254476
 Pald Preparer*s Q - //J emllloyed P Q /WJ
 01115/ S2".Ii"335d$"na        ,
              yours "f 56"" 901 PONCE DE LEON BLVD STE 501 any r 27*0C?-50 35(4)
              zip+4" CORAL OAELES EL 33134-3059 enema e jovwffg/ CL/ /N
 May the IRS discuss this return with the preparer shown above? (see instructions) E Yes No
 BAA For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. TEEAOioi 07/20/09 Form 990 (2009)
                                                        Y X 1- A A 7
  Part Ill-il Statement of FUNDACION LASALLISTA DE MIAMI, INC. 65-0056973 Page 2
  Eform"990 (2009) Program Service Accomplishments
   1 Briefly describe the organizations mission
   1, .EQQCBELOIVEQ EQPLPQIEIL EQ .NEEDJL QHJLQREN .................................... - ­
       & RELIEF TO CUBA FOR HUMANITARIAN ASSISTANCE


l 2 Form 990 or 990-EZ? EI Yes No
           1




       Did the organization undertake any significant program services during the year which were not listed on the prior

       If "Yes," describe these new services on Schedule O
   3   Did the organization cease conducting, or make significant changes in how it conducts, any program services? EI Yes No
     lf *Yes," describe these changes on Schedule O
   4 Describe the exempt purpose achievements for each of the organization"s three largest program services by expenses Section 501 (c)(3)
       and 501 (c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total
       expenses, and revenue, if any, for each program service reported


   4a (Code ) (Expenses S 3 , OOO . including grants of S 3 , OOO . ) (Revenue S O . )
       PE 1-5- QALQE. EQLLCEILONEL- SEIITEB.-.PBQVEQEL l*3QflCl"*II.Ol*I5lL EQFLPQET . . . . . . . . . . . . . . . . - I . . .- ­
       - IQ EHELPBELN. DL LTEEL EQVLESIEEQ 1. .FLJQREQPL 53512- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .- ­




   4b (Code ) (Expenses S 6 , O00 . including grants of S 6 , O00 . ) (Revenue S 0 . )
       .BET-ILGI QU.S-QOl@l1lNI?LE5 .T39 QT." HQMEIS 2153 U91 -A.IP-"IlO. QQB5 .PLFE EPS IIQRBI QPEIESL IN 2998. . . . . . .- ­




   4:: (Code ) (Expenses S including grants of $ ) (Revenue S )




   4d Oiliei program services. (Describe in Schedule O)
       (Expenses S including grants of S ) (Revenue S
   4e Total program service expenses v 9 , 000 .
                                                                                                                                             )l
 BAA TEEAo1o2 07/20/09 F0fm 990 (2009)
Form 990 (2009) FUNDACION LASALLISTA DE MIAMI, INC. 65-0056973 Page3
IPart IV 1 IChecklist of Required Schedules
  0                                                                                                                                               Yes   No


        c e ule
  1 lg trhedorgaciiifzation described in section 501 (c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete
  2 ls the organization required to complete Schedule B, Schedule of Contributors?
                                                                                                                                           1
                                                                                                                                           2XX
  3 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates
     for public office? If "Yes," complete Schedule C, Part I                                                                              3X
  4 Section 501(c)(3) organizations Did the organization engage in lobbying activities? If "Yes," complete
     Schedule C, Part Il
  5 Section 501(c)(4), 501(c)(5), and 501(c)(6) organizations. ls the organization subiect to the section 6033(e) notice and
     reporting requirement and proxy tax? If "Yes," complete Schedule C, Part I/I

  6 Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to
       art
     I/grovit/ie advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D,
                                                                                                                                       ii­ 4X
                                                                                                                                           6X
  7 Did the organization receive or hold a conservation easement, including easements to preserve open space, the
     environment, historic land areas or historic structures? If "Yes, " complete Schedule D, Part ll                                      7X
  8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? lf "Yes,"
     complete Schedule D, Part Ill                                                                                                         8X
  9 Did the organization report an amount in Part X, line 21, serve as a custodian for amounts not listed in Part X,
     or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete
     Schedule D, Part /V                                                                                                                   9X
 10 Did the organization, directly or through a related organization, hold assets in term, permanent, or quasi-endowments? If
        "Yes," complete Schedule D, Part V                                                                                                 10 X
 11 ls the organization"s answer to any of the following questions "Yes"? If so, complete Schedule D, Parts VI, VII, VIII, IX, or
      X as applicable                                                                                                                      11 X
      0 Did the organization report an amount for land, buildings and equipment in Part X, line 10? If "Yes," complete Schedule
        D, Part VI
      0 Did the organization report an amount for investments- other securities in Part X, line 12 that is 5% or more of its total
        assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII




                   , , 12 X
      0 Did the organization report an amount for investments- program related in Part X, line 13 that is 5% or more of its total
        assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII
      0 Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in
        Part X, line 16? If "Yes," complete Schedule D, Part /X
      0 Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X
      0 Did the organization"s separate or consolidated financial statements for the tax year include a footnote that addresses
        the organizaiton"s liability for uncertain tax positions under FIN 48? lfYes," complete Schedule D, PartX
 12 Did the organization obtain separate, independent audited financial statement for the tax year? If "Yes," complete
     Schedule D Parts Xl, Xl/ and Xlll

    year? If "Yes," completing Schedule independent audited and XIII is optional tax H X
 12AWas the organization included in consolidated,D, Parts Xl, XII, financial statement for the12 A No
13 ls the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E                                       13 X
14a Did the organization maintain an office, employees, or agents outside of the United States?                                        .-1.14­
                                                                                                                                           14a
      b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising,
        business, and program service activities outside the United States? If "Yes," complete Schedule F, Part I
15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization
                                                                                                                                       .--L.
                                                                                                                                           14b

    or entity located outside the United States? If "Yes," complete Schedule F, Part ll                                                 15 x
16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to
    individuals located outside the United States? If "Yes," complete Schedule F, Part Ill                                              is x
17 Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX,
    column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I                                                                  11 x
18 Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part Vlll,
    lines 1c and 8a? If "Yes," complete Schedule G, Part ll
19 Did the organization report more than $15,000 of gross income from gaming activities on Part Vlll, line 9a? If "Yes,"
                                                                                                                                        is x
    complete Schedule G, Part Ill                                                                                                          19
                                                                                                                                           on
20 Did the organization operate one or more hospitals? If "Yes," complete Schedule H                                                   i   Lu I




BAA TEE.Ao1o3 oz/12/io Form 990 (2009)
                                                1 i i "fwfr ff
Form 990 (2009) FUNDACION LASALLISTA DE MIAMI, INC. 65-0056973 Page4
lPartlV* lChecklist of Required Schedules (continued)
  L/                                                                                                                                          Yes No
 21 Did the orga-nization report more than $5,000 of grants and other assistance to governments and organizations in the
     United States on Part IX, column (A), line 1? If "Yes," complete Schedule l, Parts l and Il                                       21 X
 22 Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part
     IX, column (A), line 2? lf "Yes," complete Schedule l, Parts l and lll                                                            22 X
 23 Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization"s current
     and former officers, directors, trustees, key employees, and highest compensated employees? lf "Yes," complete
     Schedule J                                                                                                                        23 X
 24a Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000
     as of the last day of the year, and that was issued after December 31, 2002? lf "Yes," answer lines 24b through 24d and
     complete Schedule K lf "No, "go to line 25                                                                                        24a X
   b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?                                 24b
       c Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease
         any tax-exempt bonds?                                                                                                         24c
       d Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?                       24d

25a Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a
    disqualified person during the year? If "Yes," complete Schedule L, Part l                                                        .*1..L
                                                                                                                                       25a
       b Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and
         that the transaction has not been reported on any of the organization"s prior Forms 990 or 990-EZ? lf "Yes," complete
         Schedule L, Part/                                                                                                             25b X
26 Was a Ioan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or
    disqualified person outstanding as of the end of the organizations tax year? If "Yes," complete Schedule L, Part ll                26 X
27 Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial
    contributor, or a grant selection comittee member, or to a person related to such an individual? lf "Yes," complete
    Schedule L, Part /ll                                                                                                               27 X
                                                                                                                                      . *1-me Y IA: I
28 Was the organization a party to a business transation with one of the following parties (see Schedule L, Part IV                   " , .f ..*"",g -
                                                                                                                                      *. h Q".it Qt. 5,     -*
    instructions for applicable filing thresholds, conditions, and exceptions)                                                          n .-",- s ,
                                                                                                                                      ,- -5. fstiujxu. .LZ V. 1
                                                                                                                                      -nn - .1.*..tL. r-.*it,.J
  a A current or former officer, director, trustee, or key employee? lf "Yes," complete Schedule L, Part IV                            28a X
       b A family member of a current or former officer, director, trustee, or key employee? lf "Yes," complete
         Schedule L, Part /V                                                                                                           28b X
  c An entity of which a current or former officer, director, trustee, or key employee of the organization (or a family member)
                                                                                                                                       28c X
    was an officer, director, trustee, or direct or indirect owner? lf "Yes," complete Schedule L, Part /V
                                                                                                                                      29 X
29 Did the organization receive more than $25,000 in non-cash contributions? lf "Yes," complete Schedule M
30 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation
    contributions? lf "Yes," complete Schedule M
31 Did the organization liquidate, terminate, or dissolve and cease operations? lf "Yes," complete Schedule N, Part l
32 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? lf "Yes," complete
    Schedule N, Part ll
                                                                                                                                      ll.
                                                                                                                                      WSL.
                                                                                                                                      lil
33 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections
    301 7701-2 and 301 7701-3? lf "Yes, " complete Schedule R, Part/                                                                  5.?-.PL
34 I/Nas lthe organization related to any tax-exempt or taxable entity? lf "Yes," complete Schedule R, Parts ll, lll, IV, and V,
     ine                                                                                                                              34 X
35 Is any related organization a controlled entity within the meaning of section 512(b)(13)? lf "Yes," complete Schedule R,
     Part V, /ine 2                                                                                                                   L?-PL
36 Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related

37 Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is



BAA
    organization? lf "Yes," complete Schedule R, Part V, line 2

    treated as a partnership for federal income tax purposes? lf "Yes," complete Schedule R, Part Vl
38 Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19?
        Note. All Form 990 filers are required to complete Schedule O
                                                                                                                                      lil ,
                                                                                                                                      il-X­
                                                                                                                                       sax
                                                                                                                                       Form 990 (2009)




                                                                     1EEAo1o4 oz/12/io
                                                                                                *YW X
Form 990 (2009) FUNDACION LASALLISTA DE MIAMI, INC. 65-0056973 Page 5
IPart V * IStatements Regarding Other IRS Filings and Tax Compliance
 v                                                                                                                                        Yes No
       Information Returns. Enter -0- if not applicable 1a O
  1a Enter the number reported in Box 3 of form 1096, Annual Summary and Transmittal of U S.                                                       i




     b Enter the number of Forms W-2G included in line 1a Enter -0- if not applicable 1 b 0                                                        i




     c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming
       (gambling) winnings to prize winners?                                                                                         1cX
              ye g int e year covered by this return 2a
      calendar ar endin employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the N
  2a Enter the number of with or with h
                                                                                                                                     2b
  2b If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
                                                                                                                                                   i

     Note. lf the sum of lines la and 2a is greater than 250, you may be required to e-fi/e this return (see instructions)                         l



  3a Did the organization have unrelated business gross income of $1,000 or more during the year covered by
     this return                                                                                                                     3a X
                                                                                                                                     3b
     b lf "Yes" has it filed a Form 990-T for this year? lf "No, " provide an explanation in Schedule O
  4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a
     financial account in a foreign country (such as a bank account, securities account, or other financial account)?                4a X
   b If "Yes," enter the name of the foreign country *
     See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank and
     Financial Accounts
  5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?                           5a X
   b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?                5b X
     c lf "Yes," to line 5a or 5b, did the organization file Form 8886-T, Disclosure by Tax-Exempt Entity Regarding Prohibited
       Tax Shelter Transaction?                                                                                                      5c
  6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization
     solicit any contributions that were not tax deductible?                                                                         6a X
     b deductib e the organization include with every solicitation an express statement that such contributions or gifts were not
       lf "Yes," pid                                                                                                                 6b
  7 Organizations that may receive deductible contributions under section 170(c).
     a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services
       provided to the payor?                                                                                                        7a X
                                                                                                                                     7b
     b lf "Yes," did the organization notify the donor of the value of the goods or services provided?

     c Did thgggrganization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file
       Form                                                                                                                          7c X
     d If "Yes," indicate the number of Forms 8282 filed during the year I 7d1                                                                         l




   e Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal
     benefit contract?
                                                                                                                                     7f X
                                                                                                                                     7e X
   f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
   g For all contributions of qualified intellectual property, did the organization file Form 8899 as required?                      79
   h For contributions of cars, boats, airplanes, and other vehicles, did the organization file a Form 1098-C as required?           1h
                                                                                                                                                       I



  8 Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations.Did the
     supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business
     holdings at any time during the year?                                                                                           8X                i
                                                                                                                                                       1




  9 Sponsoring organizations maintaining donor advised funds.
     a Did the organization make any taxable distributions under section 4966?                                                       9a X
                                                                                                                                     9b X                  1




     b Did the organization make any distribution to a donor, donor advisor, or related person?
 10 Section 501(c)(7) organizations Enter
     a Initiation fees and capital contributions included on Part Vlll, line 12 10a
     b Gross Receipts, included on Form 990, Part Vlll, line 12, for public use of club facilities m
 11 Section 501 (c)(12) organizations. Enter
     a Gross income from other members or shareholders 11 a
      amounts due or received from them ) 11 b
     b Gross income from other sources (Do not net amounts due or paid to other sources against
                                                                                                                                    T12.-i I
 12a Section 4947(a)(1) non-exempt charitable trusts. ls the organization filing Form 990 in lieu of Form 1041?
     b lf "Yes," enter the amount of tax-exempt interest received or accrued during the year I 12bI
BAA                                                                                                                                 Form 990 (2009 )




                                                                        TEE/xoios oz/12/io
                      K




Form 990 (2009) FUNDAC ION LASALLI STA DE MIAMI , INC . 6 5 - 0 O 5 6 9 7 3 Page 6
Part VI FI Governance, Management and Disclosure For each "Yes" response to //nes 2 through 7b be/ow, and for




                               Q D iii*
 ,,. a "No" response to /ine 8a, 8b, or 70b be/ow, describe the circumstances, processes, or changes                                        /fl
         Schedule O. See instructions.
Section"A. Governing Body and Management
                                                                                                                                            Yes   No


  1a Enter the number of voting members of theare inde endent 1 b 5
   b Enter the number of votin members that governing body 1aI
  2 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other
     officer, director, trustee or key employee?
  3 Did the organization delegate control over management duties customarily performed by or under the direct supervision
     of officers, directors or trustees, or key employees to a management company or other person?
  4 Did the organization make any significant changes to its organizational documents
     since the prior Form 990 was filed?
  5 Did the organization become aware during the year of a material diversion of the organization"s assets?
  6 Does the organization have members or stockholders?
  7a Does the organization have members, stockholders, or other persons who may elect one or more members of the
     governing body?
                                                                                                                                     ll
                                                                                                                                      2X
                                                                                                                                     -3.-lx
                                                                                                                                     ill
                                                                                                                                     li..­
                                                                                                                                      7a X
   b Are any decisions of the governing body subiect to approval by members, stockholders, or other persons?                          7b X
  8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by
     the following:                                                                                                                               --I  I




   a The governing body?                                                                                                              8aX
   b Each committee with authority to act on behalf of the governing body?                                                            8bX
  9 ls there any officer, director or trustee, or key employee listed in Part Vll, Section A, who cannot be reached aththe
      organization"s mailing address? lf "Yes," provide the names and addresses in Schedule O                                         9           X
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Cade )

 10a Does the organization have local chapters, branches, or affiliates?
  b lf "Yes," does the organization have written policies and procedures governing the activities of such chapters, affiliates,
                                                                                                                                     -.-.L
                                                                                                                                     10a
                                                                                                                                            Yes No


    and branches to ensure their operations are consistent with those of the organization?                                           1ob
11 Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?                11 x
11 ADescribe in Schedule O the process, if any, used by the organization to review this Form 990.
                                                                                                                                     Q--PL
                                                                                                                                                           I




12a Does the organization have a written conflict of interest policy? If "No," go to /ine I3                                         12a
  b Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise
    to conflicts?                                                                                                                    12b
  c Does the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in
    Schedule O how this is done                                                                                                      12c
13 Does the organization have a written whistleblower policy?                                                                        13 X
                                                                                                                                     14 X
14 Does the organization have a written document retention and destruction policy?                                                                         I




                                                                                                                                     *ll..I
15 Did the process for determining compensation of the following persons include a review and approval by independent
    persons, comparability data, and contemporaneous substantiation ofthe deliberation and decision?
  a The organization"s CEO, Executive Director, or top management official                                                           4133         X
  b Other officers of key employees of the organization                                                                              15b
    lf "Yes" to line 15a or 15b, describe the process in Schedule O. (See instructions )                                                                       I




16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable
    entity during the year?
   b If "Yes," has the organization adopted a written policy or procedure requiring the organization to evaluate its participation
                                                                                                                                     ...il­J
                                                                                                                                     16a

                                                                                                                                          .
                                                                                                                                                               I

                                                                                                                                                               I




     in ioint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization"s exempt
     status with respect to such arrangements?                                                                                       16b
Section C. Disclosures
17 List the states with which a copy of this Form 990 is required to be tiled * -Elgr-iga - - - - - - - - - - - - - -- ­
18 Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public
     inspection Indicate how you make these available Check all that apply
    lj Own website U Another*s website Upon request
19 Describe in Schedule O whether (and if so, how) the organization makes its governing documents, conflict of interest policy, and financial
    statements available to the public
20 State the name, physical address, and telephone number of the person who possesses the books and records of the organization



BAA Form 990 (2009)
   *$990. Q6.5.TBQ ....... - .7.4lL .5.-IE -. E Q .SEL - - MIAMI 1. ..... - EE - -3.3l $3 .... - - (.39 ELQOE 17329


                                                                  TEEA0106 02/05/10
     a
                                          ,Wi X f f i V i i Y
Form 990 (2009) FUNDACION LASALLISTA DE MIAMI, INC. 65-0056973 Page 7
-* Emp Compensation of Officers, Contractors
lPart VIFIoyees, and IndependentDirectors, Trustees, Key Employees, Highest Compensated
 Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
  1a Complete this table for all persons required to be listed Report compensation for the calendar year ending with or within the
     organizalions"s tax year Use Schedule J-2 if additional space is needed
      0 List all of the organizations current officers directors, trustees (whether individuals or organizations), regardless of amount of
compensation Enter -0- in columns (D), (E), and (F) if no compensation was paid.
      0 List all of the organizations current key employees See instructions for definition of "key employees "
      0 List the organizations five current highest compensated employees (other than an officer, director, trustee, or key employee) who
received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any
related organizations
      0 List all of the organizations fom1er officers, key employees, and highest compensated employees who received more than $100,000 of
reportable compensation from the organization and any related organizations
      0 List all of the organization"sfom1er directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations
List persons in the following order individual trustees or directors, institutional trustees, officers, key employees, highest compensated
employees, and former such persons

                     (A) (B)2(C) (D) (E) (F)
lj Check this box if the organization did not compensate any current officer, director, or trustee


                              - O A ., A I
                Name and Title Axefage POSWO" (Check 3" that 3PPlY) Reportable Reportablef amount of other
                                       OUY 5 ,, 1 I compensation from compensation om
                                                                                                                                       Estimated



                                                         EL- 1- 1: - organization
                                                         3 rl-4 9 3 3 and related
                                                          q--L
                                                         1
                                           L- 3 5-: U: the organization related ogganizations compensation
                                     Pef Week j 5 .3 :-,- I-:I - (w-2/1099-Misc) (w-2/i 9-Misc) from the
                                                         -. - is - organizations
                                                              T
                                                              1        *I




DIRECTOR 10.00 X 0. O. O.
.HQQQ QESLFBQ .......... - ­

DIRECTOR 10.00 X 0. 0. O.
JOSE BESTAED


DIRECTOR 10 . OO X 0 . 0 . O .
JOSE ALVARINO


DIRECTOR 10.00 x o. o. o.
JOSE M ARELLANO


DEIRECTOR 10.00 X 0. O. O.
$3E1?9*fXN.1**LIBE"ll ......... - ­




                                             IIIIIIii
BAA TEE/(oio7 ii/io/09 Form 990 (2009)
t I I I I 11* f ff ft
Form 990 (2009) FUNDACION LASALLISTA DE MIAMI, INC. 65-0056973 Page 8
  . (A) (B) (C) (D) (E) (F)
                                                                           "3 - rg
I Part Vll I Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (cont. )
                  * Name and Tiiie Avefage POSIUO" (Check a" *hal BPPW) Reponabie Reporiabie Estimated

                                                                 -* ,, and related
                                               hours TTB-*X-Q,-?T compensation from compensation from amount of other
                                                                 -O
                                                     - T 2 the organization related oaganizations compensation
                                              Pe* Week " -- (W-2/1099-MISC) (W-2/1 9-MISC) from the

                                                                      -Q
                                                                                                                                0 anization
                                                                                                                                organizations


                                                                                  ,..




  1 b Total * O . O . O .
  2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation
     from the organization *

  3 Did the organization list any former officer, director or trustee, key employee, or highest compensated employee e e l
     on line 1a7 lf "Yes," complete Schedule J for such individual X                                                                            i


  4 For any individual listed on line 1a, is the sum of reportable compensation and other compensation from                                     l
     the organization and related organizations greater than $150,000? lf "Yes" complete Schedule J for such
     individual

  5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization for services A - A A- *MJ
     rendered to the organization? lf "Yes," complete Schedule J for such person                                                5X
Section B. Independent Contractors


                                          (A) (B) (C)
  1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of
     compensation from the organization

                             Name and business address Description of Services Compensation V




  2 Total number of independent contractors (including but not limited to those listed above) who received more than
 $100,000 in compensation from
BAA TEEAo10a oi/so/io the organization * ­
                               Form 990 (2009)
                                                             fe - 1 -.W-Z I I I L 1,, - L
Form 990 (2009) FUNDACION LASALLISTA DE MIAMI , INC .           , 65-0056973 Pages
lPart Vllll Statement of Revenue
 ni                                                                                      (A)
                                                                                    Total revenue
                                                                                                      (B) (C) (D)
                                                                                                    Related or Unrelated Revenue
                                                                                                     exempt business excluded from tax
                                                                                                    function revenue under sections
                                                                                                    revenue 512, 513, or 514
       1a      Federated campaigns 1a
           b   Membership dues 1 b
               Fundraising events 1 c
- d Related organizations 1d
.Z e
           c

               Government grants (contributions) 1 e
"" f similar amounts not included above 1 f 123 , 706 .
               All other contributions, gifts, grants, and

           9   Noncash contribns included in Ins Ia-If S 92 , O 5 8 .
           h   Total. Add lines Ia-If * 123,706.                  Business Code




 -c        d
           e
           f   All other program service revenue

       3

       4
       5
           9   Total. Add lines 2a-2f *
               otherincome (including dividends, interest and *
               Investment


               Royalties *
                          similar amounts)
               Income from investment of tax-exempt bond proceeds *
                                                                                                7. 7. 0. O.
                                                       (i) Real (ii) Personal
       6a Gross Rents

               Rental income or (loss) f s
        b Less rental expenses
           c
           d   Net rental income or (loss) *
                                                    (i) Securities (iD Other

                     cost or 1 Y
               Less:or (loss) other basis t
       7a      Gross amount from sales of
               assets other than inventory
           b

           c
           d
               Gain
               and sales expenses


               Net gain or (loss) *
       8a Gross income from fundraising events

                   contributions reported on line lc). ,
               of Part IV, line 18 a
          (not including S


           b
           c
               Less direct expenses b I
               See
               Net income or (loss) from fundraising events *


               Less- direct expenses b ,
       9a Gross income from gaming activities

           b
           c
               See Part IV, line 19 a
               Net income or (loss) from gaming activities *
               and allowances a
      10a Gross sales of inventory, less returns

           b   Less cost of goods sold b

      11a
           c
                         Miscellaneous Revenue Business Code i A
               Net income or (loss) from sales of inventory *




                      otherFrevenue 1
           d All lines See instructions * 123 , 713 . 7i. 0 . O .
           b
           c


           Total. Add
           Total revenue. IIa-I Id
           e
      12
BAA                                                                               1EEAoio9 02/12/io Form 990 (2009)
                                                         FT W T Y -- X T17,
Forrrl 990 (2009) FUNDACION LASALLISTA DE MIAMI , INC . 55-0056973 Page 10
Part IX I Statement of Functional Expenses
       * Section 501(c)(3) and 501(c)(4) organizations must complete all columns.

                                                               (A) (B) (C) (D)
                    All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).

Do not include amounts neporfed on //"nes
6b, 7b, 8b, 9b, and 70b of Pad VIII.
                                                          Total expenses Program service Management and Fundraising
                                                                            expenses general expenses expenses
     Grants and other assistance to governments
     and organizations in the U S See Pan IV,
    line 21
    Grants and other assistance to individuals in
                                                                  9,000. 9,000
    the U S See Part IV, line 22
    Grants and other assistance to governments,
    organizations, and individuals outside the
    U S. See Part IV, lines 15 and 16                            92,058. 92,058
    Benefits paid to or for members
    Compensation of current officers, directors,
    trustees, and key employees
    Compensation not included above, to
    disqualified persons (as defined under
    section 4958(f)(1) and persons described in
    section 4958(c)(3)(B)
    Other salaries and wages
    Pension plan contributions (include section
    401(k) and section 403(b) employer
    contributions)
    Other employee benefits
    Payroll taxes
    Fees for services (non-employees)
  a Management
  b Legal
  c Accounting
  d Lobbying
                                                                  1,000. 0. 1,000                                                    O



  e Prof fundraising svcs See Part IV, In 17
  f Investment management fees


                                                                     496. 0. 496
  g Other
    Advertising and promotion
    Office expenses                                                                                                                  0
    Information technology


                                                                     270. 0. 270
    Royalties
    Occupancy
    Travel                                                                                                                           0
    Payments of travel or entertainment
    expenses for any federal, state, or local
    public officials
    Conferences, conventions, and meetings
    Interest
    Payments to affiliates
    Depreciation, depletion, and amortization
    Insurance
    Other expenses ltemize expenses not
    covered above (Expenses grouped together
    and labeled miscellaneous may not exceed
    5% of total expenses shown on line 25
    below )
  a REGI STRATION FEE                                                 61.                                             61             0
  b BANK CHARGES                                                     191.                                           19 1             0
  C PRINTING, POSTAGE                                                840.                                              0           840.
  d TELEPHONE                                                     1,018.                                         1,01 8.             0
  0 .IN 5lQ.R?i*1*lCl*3:Q1BEC.T9135l Li I-*L31 ELTXI              1,597.                                         1,59 7              0
  I All other expenses                                               739.                                           73 9 .           0
    Total functional expenses. Add lines 1 through 24f         107, 270 .              101,                      5,37 2            840.
    ..- .-- .. . .. i gn.­
    Joint costs. Check here * E if following



AA Form 990 (2009)
    bUF 95-Z bOlTlDl6lE IFIIS llllts Ol"iiy ii uit:
    organization reported in column (B) ioint
    costs from a combined educational
    campaign and fundraising solicitation




                                                                 TEEA01l0 02/05/10
                                  1 I ""1 7 1 ""7" if
. (A) (B)
Form 990 (2009) FUNDACION LASALLISTA DE MIAMI, INC. 65-0056973 Page11
Part X " Balance Sheet
                . Beginning of year End of year
        Cash - non-interest-bearing
        Savings and temporary cash investments 1 1 550 ­
        Pledges and grants receivable, net
        Accounts receivable, net
                                                                                                              17 1 994


        Receivables from current and former officers, directors, trustees, key employees,
        and highest compensated employees Complete Part ll of Schedule L                          5
   6 Receivables from other disqualified persons (as defined under section 4958(t)(i)) gg g HA MMM* A ,Y N *gg g
        and persons described in section 4958(c)(3)(B) Complete Part ll of Schedule L
   7 Notes and loans receivable, net
   8 Inventories for sale or use
   9 Prepaid expenses and deferred charges
  10a Land, buildings, and equipment cost or other basis 10a                                                             l




        Complete Part Vl of Schedule D
       b Less" accumulated depreciation 10b                                                      10 C
  11 Investments - publicly-traded securities                                                    11
  12 Investments - other securities See Part IV, line 11                                         12


  14 Intangible assets 450 .
  13 Investments - program-related See Part IV, line 11

  15 Other assets See Part IV, line 11
                                                                                                 13
                                                                                                 14
                                                                                                 15
                                                                                                                   450

  16 Total assets Add lines 1 through 15 (must equal line 34) 2 , 000 .                          16           18, 444
  17 Accounts payable and accrued expenses                                                       17
  18 Grants payable                                                                              18
  19 Deferred revenue                                                                            19
  20 Tax-exempt bond liabilities                                                                 20
  21 Escrow or custodial account liability Complete Part IV of Schedule D                        21
  22 Payables to current and former officers, directors, trustees, key employees,
                                                                                                                             i



                                                                                                                             i




        highest compensated employees, and disqualified persons Complete Part ll *A
        of Schedule L                                                                           222
  23  Secured mortgages and notes payable to unrelated third parties                             23
  24 Unsecured notes and loans payable to unrelated third parties                                24
  25 Other liabilities Complete Part X of Schedule D                                             25
  26 Total liabilities. Add lines 17 through 25 O .                                              26                  0
                                                                                                                             i


        Organizations that follow SFAS 117, check here * D and complete lines
        27 through 29 and lines 33 and 34. - g g f gg, - ,­
  27  Unrestricted net assets                                                                   *Q7

  28 Temporarily restricted net assets                                                           28
  29 Permanently restricted net assets                                                           29
        Organizations that do not follow SFAS 117, check here * and complete
        lines 30 through 34. Y g 4*-*Y* gg g
                                                                                                                                 i




                                                                                                                         1

  30 Capital stock or trust principal, or current funds                                          30
  31 Paid-in or capital surplus, or land, building, and equipment fund                           31
  32 Retained earnings, endowment, accumulated income, or other funds 2 , 000 .                  32           18, 444.

BAA Form 990 (2009
  33 Total net assets or fund balances 2 , 000 .
  34 Total liabilities and net assets/fund balances. 2 , O00 .
                                                                                                 33
                                                                                                 34
                                                                                                              18,444.
                                                                                                              18. 444.
                                                                                                                         )




                                                               TEEA0111 01/30/10
                               as ZW 1 X I I
F0rm990 (2009) FUNDACION LASALLISTA DE MIAMI, INC. 65-005697 3                                                                     Page 12
IPart Xl " Financial Statements and Reporting
                                                                                                                                         Yes No
 x1 Accounting method used to prepare the Form 990 Cash U Accrual lj Other
    lf the organization changed its method of accounting from a prior year or checked "Other," explain
    in Schedule O
                                                                                                                                    2a X
                                                                                                                                                  i




 2a Were the organization"s financial statements compiled or reviewed by an independent accountant?
  b Were the organization"s financial statements audited by an independent accountant?                                              2b X
  c lf "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit,
    review, or compilation of its financial statements and selection of an independent accountant?                                  2c
    If the organization changed either its oversight process or selection process during the tax year, explain
    in Schedule O
  d If "Yes" to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a
    consolidated basis, separate basis, or both
      lj Separate basis E Consolidated basis EI Both consolidated and separate basis                                                              I
                                                                                                                                                      l




 3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single
      Audit Act and OMB Circular A-133?                                                                                             3a X
   b lf "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit
     or audits, explain why in Schedule O and describe any steps taken to undergo such audits                                       3b
BAA                                                                                                                                Form 990 (2009)




                                                                 TEEAoi 12 oz/05/io
              X Z if I I
(?,ff2E,2yoL,E9QEZ) Public Charity Status and Public Support                                                                      (359
 . nonexempt charitable trust.
De ri t fin T
                              Complete it the organization is a section 501 (c)(3) organization or a section 4947(a)(1)
                                                                                                                                  Open to Public
                                                                                                                                    Inspection ,
inigfnainiggvgnueeserfriselw * Attach to Fomi 990 or Fomi 990-EZ. * See separate instructions.
Name of the organization Employer identification number
FUNDACION LASALLISTA DE MIAMI, INC.                                                    65-0056973
IPart lj Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is (For lines 1 through 11, check only one box )
  1 as A church, convention of churches or association of churches described in section 170(b)(1)(A)(i).
  2 tl A school described in section 170(b)(1)(A)(ii). (Attach Schedule E )
       cizi A hospital or cooperative hospital service organization described in section 170(b)(1)(A)(iii).
            A medical research organization operated in coniunction with a hospital described in section 170(b)(1)(A)(iii) Enter the hospitals
        - name, city, and state - - . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Q - - - -- ­
  5 An organization operated for the benefit of a college or university owned or operated by a governmental unit described insection
     :Z 170(b)(1)(A)(iv). (Complete Part Il )
  6 G: A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
  7 X An organization that normally receives a substantial part of its support from a governmental unit or from the general public described
     q- in section 170(b)(1)(A)(vi). (Complete Part ll )
  8 A community trust described in section 170(b)(1)(A)(vi). (Complete Part ll )
  9 An organization that normally receives" (1) more than 33-1/3 % of its support from contributions, membership fees, and gross receipts
         from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33-1/3 % 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). (Complete Part Ill )
 10 An organization organized and operated exclusively to test for public safety. See section 509(a)(4).
     eg­
 11 An organization organized and operated exclusively for the benefit of, to perform the functions of, or carry out the purposes of one or
         more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509(a)(3). Check the box that
         describes the type of supporting organization and complete lines 11e through 11h
           a EI Type l b lj Type ll c lj Type III - Functionally integrated d lj Type lll- Other
    e 5 By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other
         than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section
         509(a)(2)
    f If the organization received a written determination from the IRS that is a Type l, Type ll or Type Ill supporting organization, lj
           check this box
    g Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?


                below, the governing body of the supported organization? ­
           (i) a person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii) m
           (ii) a family member of a person described in (i) above7
           (iii) a 35% controlled entity of a person described in (i) or (ii) above? 11 g (iii)
    h Provide the following information about the supported organizations
         (i) Name of Supported (ii) EIN (iii) Type of organization (iv) ls the (v) Did you notify (vi) ls the                    (vii) Amount of Support
                                                                in col the organization (i) of (1) organized in the
             Organization (described on lines 1-9 organization section (i) listed in your col in organization in col
                                                   above or IRC
                                                         (see instructions)) dqoverning your support? U S 7
                                                                              ocument7
                                                                                Yes No Yes No Yes No




Total
BAA For Privacy Act and Papenivork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule A (Form 990 or 990-EZ) 2009




                                                                  TEEAO401 02/05/10
                                                             1 1 ,1, Y rx 77777 Y
 Schedule A (Form 990 or 990-EZ) 2009 FUNDACION LASALLISTA DE MIAMI , INC . 65-0056973 Page 2
 IPart ll 1Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
             (Complete only if you checked the box on line 5, 7, or 8 of Part I )
 Section A. Public Support
 Calendarlyear (or fiscal year                  (a) 2005          (b) 2006           (C) 2007           (ii) zoos          (e) 2009          (f) Total
 beginning in) *
   1  Gifts, grants, contributions and
         membership fees received SDO
         not include "unusual grants "           19. 440     . 40,599                 59,214             11, 978          123,706            254, 937.
   2     Tax revenues levied for the
     organizationsit or expended
     eit er paid to benefit and
     on its behalf
   3 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
   4 Total. Add lines 1-through 3                19, 440     . 40,599                 59,214             11,978           123,706            254,9371
   5    The portion of total
        contributions by each person
        (other than a governmental
        unit or publicly supported
        organization) included on line 1
        that exceeds 2% of the amount

16      shown on line 11, column (f)
         Public support. Subtract line 5
         from line 4                                                                                                                         254, 937.
 Section B. Total Sugport
 Calendar year (or fiscal year                  (a) 2005          (b) 2006           (C) 2007           (d) 2008           (e) 2009          (f) Total
 beginning in) *
   7 Amounts from line 4                         19,440 .      40,599.                 59,214.           11, 978           123, 706 .        254, 937.
   8 Gross income from interest,
     dividends, payments received
     on securities loans, rents,
     royalties and income form
     similar sources
   9 Net income from unrelated
                                                        29   . 62                            76                110.                   7              284.
     business activities, whether or
     not the business is regularly
     carried on
  10 Other income Do not include
     gain or loss from the sale of
     capital assets (Explain in
     Part IV )
  11 Total support. Add lines 7
                                                                                                                                              255,221.




   DD 14 . 1
  14 , , , D Q"0
     through 10
  12 Gross receipts from related activities, etc (see instructions)                                                               I12

 Sec " . " "
  13    First five years. If the Form 990 is for the organization"s first, second, third, fourth, or fifth tax year as a section 501(c)(3)
        organization, check this box and stop here                                                                                                       *ci
        tion C Computation of Public Support Percentage
        Public support percentage for 2009 (line 6 column (f) divided by line 11 column (f) 99 89 /
  15 Public su ort ercenta e from 2008 Schedule A, Part ll, line 14 15 26 . 89 %
  16a 33-1/3 support test - 2009. lf the organization did not check the box on line 13, and the line 14 is 33-1/3 % or more, check this box
      and stop here. The organization qualifies as a publicly supported organization *
       b and stop here. 111e organization qualifies as a publicly supported organization or 16a, and line 15 is 33-1/3% or more, check this box , EI
         33-1/3 support test - 2008. lf the organization did not check a box on line 13,

  17a 10%-facts-and-circumstances test - 2009 If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10%
        the organization meets the "facts-and-circumstances" test. The organization qualifies this box and stop here. Explain in
        or more, and if the organization meets the "facts-and-circumstances" test, checkas a publicly supported organization Part lV how , U
       Li 10%.-faqrgqnigl-.girg-umgtances test - 2008. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10%
        or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Pan iv" how the
        organization meets the "facts-and-circumstances" test The organization qualifies as a publicly supported organization *

 BAA Schedule A (Form 990 or 990-EZ) 2009
 18 Private foundation. lf the organization did not check a box on line, 13, 16a, 16b, 17a, or 17b, check this box and see instructions * H


                                                                      TEEA0402 10/08/09
                                                       2 , I Y YY Y YY Y X
Schedule A (Form 990 or 990-EZ) 2009 FUNDACION LASALLI STA DE MIAMI , INC . 65-0056973 Page 3
I Part Ill * I Support Schedule for Organizations Described in Section 509(a)(2)
1*              (Complete only if you checked the box on line 9 of Part I )
Section A. Public Support
Calendar year (or fiscal yr beginning in)* (a) 2005 (I3) 2006 (9) 2007 (Q) 2008 (g) 2009 (f) Total
  1     Gifts, grants, contributions and
    membership fees received S00
    not include "unusual grants "
  2 Gross receipts from
        admissions, merchandise sold
        or services performed, or
        facilities furnished in a activity
        that is related to the
        organization"s tax-exempt
        purpose
  3     Gross receipts from activities that are
        not an unrelated trade or business
        under section 513
  4 Tax revenues levied for the
     organizations benefit and
     either paid to or expended on
     its behalf
  5 The value of services or
     facilities furnished by a
     governmental unit to the
     organization without charge
  6 Total. Add lines 1 through 5
  7a Amounts included on lines 1,
     2, 3 received from disqualified
     persons
   b Amounts included on lines 2
     and 3 received from other than
     disqualified persons that
     exceed the greater of 1% of
     the amount on line 13 for the
     year
   c Add lines 7a and 7b
  8 Public support (Subtract line
     7c from line 6)
Section B. Total Support
Calendar year (or fiscal yr beginning in) *         (a) 2005 (Q) 2006 (C) 2007 (d) 2008 (e) 2009 (f) Total
  9 Amounts from line 6
 10a Gross income from interest,
     dividends, payments received
     on securities loans, rents,
        royalties and income form
        similar sources
      b Unrelated business taxable
        income (less section 511
        taxes) from businesses
        acquired after June 30, 1975
      c Add lines 10a and 10b
 11     Net income from unrelated business
        activities not included inline 1Ob,
       whether or not the business is
       regularly carried on
 12    Other income Do not include
       gain or loss from the sale of
       capital assets (Explain in
        Part IV )
 13    Total support. (aaa inss, ioc, ii, ana iz)
 14 First tive years. If the Form 990 is for the organization"s first, second, third, fourth, or fifth tax year as a section 501 (c)(3) ,
    organization, check this box and stop here
Section C. Computation of Public Support Percentage
 15 Public support percentage for 2009 (line 8, column (f) divided by line 13, column (f))
 16 Public support percentage from 2008 Schedule A, Part Ill, line 15
Section D. Computation of Investment Income Percentage
                                                                                                                            16 %
                                                                                                                           * 15 %
 17 Investment income percentage for 2009 (line 10c, column (f) divided by line 13, column (f))
 18 Investment income percentage from 2008 Schedule A, Part Ill, line 17                                                   l18 %
                                                                                                                             17 %
 19a 33-1/3 support tests - 2009. If the organization did not check the box on line 14, and line 15 is more than 33-I/3%, and iine 17 is not
       more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization * EI
      b 33-1/3 support tests - 2008. If the organization did not check a box on line 14 or 19a, and line 16 is more than 33-1/3%, and line 18
                                                                                                                                   P
20 Private foundation. If the organization this not check stop here. The organizationcheck this boxa publicly supported organization * H
    is not more than 33-1/3%, check did box and a box on line 14, 19a, or 19b, qualifies as and see instructions
BAA TEE/toads oz/is/io Schedule A (Form 990 or 990-EZ) 2009
                                          X P77 WT" I 1 I Z "W
    n



Schedule A (Form 990 or 990-EZ) 2009 FUNDACION LASALLI STA DE MIAMI , INC . 65-0056973 Page 4
IPart IV* I$uppIementaI Information. Complete this part to provide the explanations required by Part Il, line 103
          Part II, line 17a or 17bg and Part III, line 12. Provide any other additional information. See instructions.




BAA 1-iaEAo4o4 oz/os/io Schedule A (Form 990 or 990-EZ) 2009
                        7XW
* * FUNDACION LASALLISTA DE MIAMI, INC. 65-0056973

          Additional information

        i HUMANITARIAN AID TO CUBA

          DURING THE YEAR 2009 THE ORGANIZATION RECEIVED AN "IN-KIND" DONATION
                      TO ASSIST IN THE DAMAGES INCURRED IN CUBA DURING THE
           2008 HURRICANE SEASON. ALL ITEMS RECEIVED I WERE SENT TO CUBA
          TO "CARITAS CUBANA" , AS ULTIMATE CONSIGNEE, WHICH IS THE SECTION OF THE CUBAN CATHOLIC
           CHURCH IN CHARGE OF RECEIVING DONATIONS FOR HUMANITARIAN PURPOSES.

          THE GOODS RECEIVED WERE CLEANING SUPPLIES, TOILETRIES AND OTHER
           SUPPLIES SUCH AS AJAX, RUBBING ALCOHOL, AMMONIA, COTTON BALLS
           AND SWABS, CHILDREN TOOTH BRUSHES, ETC.
sci-iEDui.E D , ,
(Form 990) I Supplemental Financial Statements
                                                                                                                                   OMB N0 1545-0047




               iinese 7, 8,9 See,separa,te instructions 990, , ,,&,y,,,, ui., L "­
                                  the
     " Pan iv, Form * Complete if10 organization answered "Yes," to Form-5%Inspecti,-fe
                                      11 oriz.
ry * Attach to organization Employer 3i,gope,ri.bto*i2ubiic3 @
                     990. , *
Name of the                                         Identification number
FUNDACION LASALLISTA DE MIAMI, INC. 65-0056973
 Part I "IOrganizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts Complete if
K the organization answered "Yes" to Form 990, Part IV, line 6.
                                             (3) Donor advised funds (Q) Funds and other accounts
     Total number at end of year
     Aggregate contributions to (during year)
     Aggregate grants from (during year)
     Aggregate value at end of year
  5 Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
     funds are the organization"s property, subject to the organization"s exclusive legal control? lj Yes No
  6 Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
     used only for charitable purposes and not for the benefit of the donor or donor advisor or for any other
     purpose conferring impermissible private benefit" EI Yes No
fPart Ilffl Conservation Easements Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
  1 Purpose(s) of conservation easements held by the organization (check all that apply)
         Preservation of land for public use (e g , recreation or pleasure) Preservation of an historically important land area
         Protection of natural habitat Preservation of certified historic structure



                                                                                                             2bI
          Preservation of open space
  2 Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the
     last day of the tax year
                                                                                                          A 333:- Held at the End of the Year
   a Total number of conservation easements 2a
   b Total acreage restricted by conservation easements
   c Number of conservation easements on a certified historic structure included in (a) 2c
   d Number of conservation easements included in (c) acquired after 8/I7/06 2d
  3 Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax
     year *
  4 Number of states where property subject to conservation easement is located *
  5 Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations,
     and enforcement of the conservation easement it holds? EI Yes lj No
                         year * $
     during the l70(h)(4)(B)(ii)7 lj Yes lj No
  6 Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements




IP , ,
     during the year *
  7 Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements


     17O(h)(4)(B)(i) and
  8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section

  9 In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and balance sheet, and
      include, if applicable, the text of the footnote to the organization"s financial statements that describes the organization"s accounting for
      conservation easements
 art Ill? Organizations Maintaining Collections of Art Historical Treasures, or Other Similar Assets
Y Complete if the organization answered "Yes* to Form 990, Part IV, line 8.
  1a If the organization elected, as permitted under SFAS lI6, not to report in its revenue statement and balance sheet works of art, historical
     treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIV,
     the text of the footnote to its financial statements that describes these items
   b If the organization elected, as permitted under SFAS II6, to report in its revenue statement and balance sheet works of art, historical
     treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following
     amounts relating to these items:
     (i) Revenues
                  included in Form Part VIII, line $
     (ii) Assets included in Form 990, 990, Part X I** S
 2 if the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following
     amounts required to be reported under SFAS H6 ielating to these :tems
   a Revenues included in Form 990, Part VIII, line I *$
   b Assets included in Form 990, Part X * S
BAA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Fonn 990. Schedule D (Form 990) 2009
                                                                  TEEA330I 02/02/I 0
                             X7
schedule D (Form 990) 2009 FUNDACION LASALLI STA DE MIAMI, INC. 65-0056973 Page 2
IPart Ill Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
  .3 Using the organization"s acquisition accession and other records, check any of the following that are a significant use of its collection
      items (check all that apply)
    a Public exhibition d Loan or exchange programs
    b Scholarly research e Other
    c Preservation for future generations
  4 Provide a description of the organization"s collections and explain how they further the organization"s exempt purpose in
      Part XIV
  5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar
    assets to be sold to raise funds rather than to be maintained as part of the organizations collection? D Yes D No
IPQH IV lEscrow and Custodial Arrangements Complete if organization answered "Yes" to Form 990, Part IV, line
         9, or reported an amount on Form 990, Part X, line 21.

     included on Form 990, Part X7 lj Yes EI No
  1 a ls the organization an agent, trustee, custodian, or other intermediary for contributions or other assets not

    b If "Yes," explain the arrangement in Part XIV and complete the following table
                                                                                                                               Amount
   c Beginning balance
   d Additions during the year
   e Distributions during the year
   t Ending balance
  2a Did the organization include an amount on Form 990, Part X, line 217 U Yes E No
    b If "Yes," explain the arrangement in Part XIV



  1a Beginning of year balance I
   b Contributions
                                            (a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back


   c Net Investment earnings, gains,
     and losses
   d Grants or scholarships
   e Other expenditures for facilities
     and programs
   f Administrative expenses
   g V of year balance
IPartEndIEndowment Funds Co ete if organization answered                        "Yes" to Form 990, Part IV, line 10.
  2 Provide the estimated percentage of the year end balance held as:

                                 li-%
   a Board designated or quasi-endowment * %


     organization by No
    bPermanent endowment *
   c Term endowment * %

     (i) related organizations I
     Gi)unrelatedorganizations I
  3a Are there endowment funds not in the possession of the organization that are held and administered for the



   b If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R7 3b
  4 Describe in Part XIV the intended uses of the organization"s endowment funds

             Description of investment (a) Cost or other basis (b) Cost or other (c) Accumulated (d) Book Value
                                                            (investment) basis (other) Depreciation
  1a Land
   b Buildings
   c Leasehold improvements
   d Equipment
   e Other

BAA Schedule D (Form 990) 2009
Total. VI llnvestments-Land, Buildings, and Equipment. See Form 990,
IPartAdd lines Ia through Ie (Column (d) must equal Form 990, Part X, column (B), I/ne I 0(c) ) Part X, line 10. )




                                                                   TEEA33o2 02/02/io
                                                                   - V 7 if . it
Schedule D (Form 990) 2009 FUNDACION LASALLI STA DE MIAMI , INC . 65-0056973 Page 3
lPart VII llnvestments-Other Securities See Form 990, Part X, line 12.
       (a) Description of
  * (including namesecurity or category (b) Book value (c) Method of valuation
                          of security) Cost or end-of-year market value
Financial derivatives
Closely-held equity interests
Other




Total. (Column (b) mustequal Form 990PartX, col. (B) line 12 ) * l
IPart Vlllllnvestments-Program Related (See Form 990, Part X, line 13)
               (a) Description of investment type (b) Book value (c) Method of valuation
                                                                                                      Cost or end-of-year market value




Total (Column b musteaua/Form 990. Far1X, ,Col (5)/me I3) * I
IPart IX l-(gther Assets (See Form 990, Part X, line 15)
                                                              (a) Description (b) Book value




Total. (Column (b) must equal Form 990, Part X, col (B), /ine I5) *
lPari x Ioiher Liabilities (see Form 990, Part x, line 25)
                      (Q) Description of Liability (b) Amount
Federal Income Taxes




Total. (Co/umn (b) must equal Farm 990, PartX, col (B) /me 25) *
2. FIN 48 Footnote. In Part XIV, provide the text of the footnote to the organizations financial statements that reports the organization"s liability
for uncertain tax positions under FIN 48
BAA TEEA33o3 oz/oz/io Schedule D (Form 990) 2009
     I mw ff NWI
Schedule D (Form 990) 2009 FUNDACION LASALLI STA DE MIAMI , INC . 65-0056973 Page 4
IPart XI* IReconciIiation of Change in Net Assets from Form 990 to Financial Statements
  1 Total revenue (Form 990, Part VllI,coIumn (A), line 12)
 iz Teiai expenses (Form 990, Pen ix, column (A), line 25)
     Excess or (deficit) for the year Subtract line 2 from line I
     Net unrealized gains (losses) on investments
     Donated services and use of facilities
     Investment expenses
     Prior period adlustments
      Other (Describe in Part XIV)
  9 Total adlustments (net) Add lines 4 through 8
 10 Excess or (deficit) for the year per audited financial statements Combine lines 3 and 9
IPart XII I Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
  1 Total revenue, gains, and other support per audited financial statements 1
  2 Amounts included on line I but not on Form 990, Part VIII, line 12:
    a Net unrealized gains on investments 22
    b Donated services and use of facilities
    c Recoveries of prior in Part XIV) 2d - g
    d Other (Describe year grants
                               A-2­
    e Add lines 2a through Zd 26
  3 Subtract line Ze from line 1
  4 Amounts included on Form 990, Part VIII, line I2, but not on line1
    a Investments expenses not included on Form 990, Part VIII, line 7b 4a
    b Other (Describe in Part XIV) 4b *A­
    c Add lines 4a and 4b                                                                                                   4c
  5 Total revenue Add lines 3 and 4c. (This must equal Form 990, Part I, line 12)                                           5




                                                                                                                         is
IPart XIII IReconciIiation of Expenses per Audited Financial Statements With Expenses per Return
  1 Total expenses and losses per audited financial statements 1
  2 Amounts included on line I but not on Form 990, Part IX, line 25


       Other 2a in Part E 2d f
                   losses
    cOther year adlustments XIV) 2d26
    a Donated services and use of facilities 23
    b Prior
    d Add (Describe through
    e       lines
  3 Subtract line Ze from line 1
  4 Amounts included on Form 990, Part IX, line 25, but not on line1:
    a Investments expenses not included on Form 990, Part VIII, line 7b 4a
    b Other (Describe in Part XIV) 4b , , y
    c Add lines 4a and 4b                                                                                                   4c
  5 Total ex enses. Add lines 3 and 4c (This must equal Form 990, Part I, line I8) -5
lPart XIV Ingup-plemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9, Part III, lines Ia and 4, Part IV, lines Ib and 2b, Part V,
line 4, Part X, line 2, Part Xl, line 8g Part XII, lines 2d and 4b, and Part XIII, lines 2d and 4b Also complete this part to provide any additional
information




BAA TEE/B304 02/02/io Schedule D (Form 990) 2009
                                                   IX

Schedule D (Form 990) 2009 FUNDACION LASALLI STA DE MIAMI , INC . 65 -0056973 Page 5
IPart:XIV ISup-plemental Information (continued)
 n
              u




BAA TEEA33o5 07/1o/09 Schedule D (Form 990) 2009
                                                                                                                             K




                                                                                                                          OMB No 1545-0047

g*,22,?gg*,l)e F Statement of Activities Outside the United States                                                          2009
                            * Complete if the organization answered "Yes" to Fomi 990, Part IV, line 14b, 15, or 16.
Dm,-,anmeni of the neasufy * Attach to Form 990. * See separate instnictions.
Internal Revenue Service
                                                                                                                          Open to Public
                                                                                                                          Inspection
Name ol the organization Employer identification number
 FUNDACION LASALLISTA DE MIAMI, INC.                                                     65-0056973
IPart I I General Information on Activities Outside the United States. Complete if the organization answered "Yes"
          to Form 990, Part IV, line l4b.
  1 For grantmakers. Does the organization maintain records to substantiate the amount of the grants or assistance, the
     grantees" eligibility for the grants or assistance, and the selection criteria used to award the grants or assistance? E Yes lj No

  2 For grantmakers. Describe in Part lV the organizations procedures for monitoring the use of grant funds outside the United States

  3 Activities per Region (Use Schedule F -l (Form 990) if additional space is needed )
          (a) Region (b) Number of (c) Number of (d) Activities conducted in (e) If activity listed in                           (f) Total
                                  offices in the employees or region (by type) (i e , (d) is a program expenditures in
                                     region agents in fundraising, program service, describe                                      region
                                                       region services, grants to recipients specific type of
                                                                        located in the region) service(s) in region




Totals *
BAA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule F (Form 990) (2009)




                                                               TEE-lA350l 07/06/09
                  X 7* T *ii - 77 ,YY Y
. i* .
Schedule F (Form 990) 2009 FUNDACION LASALLISTA DE MIAMI , INC . 65-0056973 Page 4
Part IV
K
          Supplemental Information
          Complete this part to provide the lnformatlon requlred an Part I, lane 2, and any addltlonal lnformatlon.




BAA TEaA35o4 07/oe/09 Schedule F (Form 990) 2009
                                                  - X, ,T 1
(Form 990) 9
SCHEDULE 0 Supplemental Information to Form 990 OMB N0 15450047
           * F omi infonnation provide any additional on 3* ,.3 7,- K E. VV ,
 , - Complete to provide990 or to for responses to specitig questionsinfonnation. "fig
Internal Revenue Service , Att h Form 990 ,. ,P V In $4.5*-55
Department qf the Treasury BC 0 -t 51:*-3.54 ,-3,6.:I0 :-1 et. fr 55,.,
Name of the organization Employer identification number
FUNDACION LASALLISTA DE MIAMI, INC. 65-0056973
Pt VI-A, Line 6 ALL CONTRIBUTORS ARE CONSIDERED MEMBERS

Pt VI-A, Line 7a MEMBERS OF GOVERNING BODY ELECTED BY MEMBERS OF ASSOCIATION "

.PE .V.I: 12 f- L i.f1.@. l1.A. QINICE- 9.99 - 1.5. Q QM.PT.J E.T.EP .VLE.MEER5 -0.F. IPLE. BQABQ .FLEET FQ .DEE QU.SE .PINE JIPEBQVE- .

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BAA For Privacy An and paperwom Reduaion Aci Nome, see me insu-unions iw Form 990 TEE/meoi om 7/09 Schedule O (Form 990) 2009
                                                        K,
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                                     1000 MODBLI CHILDRENS TOOTHBRUSHES. TOOTHBRUSH         SRR99    s1,ooo
                                          KIDS CARS GEAR? BR

                                   1000 HDDSL" DETROLSUN JELLY. PGTROLLU JILLT FOB          BAIP9    32,000
                                          BLU

                                   1000 mozv       TRRSH BAGS, TRRSH BAGS LEGAL LSCT        ZM99     a2.oco
                                   1000 MODEL      SAWITARY NAPKIN6. BODYFDRH HAXI PADI
                                          Zac: n:CuLAg
                                                                                            IME?     93.000 ,
                                   moo nc-nur. orcrnu. rnznuownsu. mc Aorvup 1              :usa     12 000 *
                                         DIGITAL THBRHOMTZR
                                                                                                               1
                                     100 MODEL: BTSTHOSCOPL. ADC YflO6COPE                  FAR99      S300
                                          RTvTurSFOPF

                                     200 MODEL Ahfllr n1*APrRQ. FTNQ1* QHMYTY WRU/A15       EARQQ    51.600 y
                                         ADULT DIAPIRI

                                   1000 MODEL: DSRSONAL BRUSH CLEANERS, YINGBRHML           ZAB99    $1.000
                                         BRUSH CLEANERS

                                   anno u0nyx1 Twfnnll nxnnxzrn, Tuvnnnl nlxuxvrn,          IM99     $1,000
                                         INDIVIDUAL SIZED

                                     100 NUOELI BLOOD PRESSURE CUFF, ADC ADCUFF BLOOD EM299          $1.500    f
                                          PRESSURE CUFF/ADULT
                                     Dl098L6
                             VALIDATEO: JAH 10 1009
                             EKPIRES: JAN 31 2011



                                   X000 MODEL: BLR SOAP IVORY SOAP BAR BABY SKIN            amass    $1,000
                                     100 MODEL( LLTZX GLOVEB, 9O$1TIVZ TOUCH POIEDZR        :M99       S600
                                          FREE LATIX GLOVES

                                   1000 MODEL      GAUZE PADS. DYNAREX COTTON FLLLED        EAR98    94,000
                                         COTTON GUAZS PADS

                                   1000 NODEL:     soulux Brcnnsormrz, mornin: PLUS ­       LAR99      $499 *
                                         SODIUM    szcmzeomnz. :oo nn sox
                                   1000 MODEL. nosouzzo wars, rsb-SQUI1-0 mar cL.o""H       EARBS    22,000

                                   1000 M9D5L      pnmlrmx cavzz QOLLS. Gnu-L: nDr.r.$      LAHOQ    114,000

                                     200 MODEL" EROT5CT1vE HASKS COHFIT DHor2cT1vc          :N109    51.000
                                         HRSKS

                                     530 MODEL" H001, Bx.AN14z1-s, wool. smmurrs            EAR99    $6.360

                                   1000 MODEL" HAND H1255. msor. umm uxvcs                  EAR99    50.000

                                   1000 HODBL2 MEDICAL ADHESIVE TAPE, nzolcru.              EAR99    51,000
                                         ADHESIVE TAPE, 1/2" X 10 YARDS

       4
                                   X000 MODEL: IDDIHE VRTER TABLZT5, IOUINL NRTZR           LAH99    93.000
                                         Tl8LZT, BOTTLE OF JO

                                                                                          roms: 992,056
                            TVI EXPORT RDMINISTRATIGN REGULATIONS REQUIRE YOU T0 TAKE THE FOLLOWING ACTIONS




       https://snapr bis doc.gov/snapr/exp/Acknowledgement/948795 1/12/2009

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                                           3 NO RISRIZ, TRJLNBIIR, OR RLUKPOBT Ol" THB ITEHS LISTED ON THIS LICENSE
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                                           4 NO MILITARY END-USERS OR USES

                                           5 no wucL:nn, cwzn1cAL, BIOLOGTCAL, OR MISSILE RELATED END-virus on N
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           https"//snapr.bis.doc .gov/snapr/exp/Ack:nowledgememf948 795 1/12/2009

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                                               T0 THE "DIVERBION GROW * THE DSA HA-B p0nrS"r1C orrxczs :N n051* KAJOA
                                               PORT CITIES. FOR Ofrmin LOCAILONS, CALL THE DSA IF NASHLNGTON, D.C.
                                              AT (202)307-2114




                         Work Hem DLS1906 Work hem DLS1Q06 Acknowledgements and Vahdatrons




                                FOIA I Disclaimer I Privacy Policy Stalemeni I Information Quallly
                                             Department ofCommerce I Contact Us




         hnps ://snapnbis.doc.gov/Snflllf/CXD/Ackflowledgemem/948795


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         QTY " Description Total Price
          1,000 Ajax Cleaner, 14 oz powder w/bleach $1,000
          Looo RubmngAm0h0L5o% 12ozvvhue Szooo
          1,000 Ammonia, 64 oz Liquid Regular $2,000
          2,000 Baby Nipples, Latex 6px $2,000
          1,000 Baby Oil, 12 oz Personal Care $2,000
          2,000 Baby Bottles, Baby Bottles for infant health and nutrition $2,000
          2,000 Pacifier, Baby King Pacifier 2Pk B/C $2,000
          1,000 Baby Shampoo, 15 oz bottles $2,000
          1,000 Waterproof Bandages, Coralite Bandage Water Protect 30ct $2,000
          1,000 Cotton Balls, Cotton Balls Plastic Bags (200 in each) $1,000
          1,000 Cotton Swabs, Cotton Swab Blister Pack (300 Ct) $3,000
          1,000 Baby Wipes, Baby Wipes (100 Ct) $4,000
           200 Reading Glasses, Assorted Rack Display $1,400
                 Baby Diapers, Baby Diaper 30ct Medium, Baby Diaper 30ct Large, Baby
          1,000 Diaper 30ct Extra Large $10,000
          1,000 Razors - Supermax Twin Men"s Disposable (10Ct) $1,000
          1,000 Hydrogen Peroxide, 16oz, 3% H20 $1,000
          1,000 Household Disinfectant, Pine Cleaner, 2802 Powerhouse $3,000
                 Adult Toothbrushes, Toothbrush DR Fresh,,3xAssorted Color and Peroxide
          1,000 Antibacterial toothpaste $4,000
          1,000 Childrenls Toothbrushes, Toothbrush Kids Care Bears 3R $1,000
          1,000 Petroleum Jelly, Petroleum Jelly 8oz, Btl $2,000
          1,000 Trash Bags, Trash bags 13 gal (13Ct) $3,000
          1,000 Sanitary Napkins, Bodyform Maxi pads, (24 Ct) Regular $3,000
          1,000 Digital Thermometer,ADC ADTEMP 1 Digital Thermometer $2,000
           100 Stethoscope, ADC Proscope Stethoscope $300
           200 Adult Diapers, First Quality Prevail Adult Diapers $1,500
          1,000 Personal Brush Cleaners, Fingernal brush cleaners $1,000
         4,000 Thermal Blankets, Thermal Blankets, Individual sized $4,000
           100 Blood Presure Cuff, ADC ADCUFF Bllod Pressue Cuff/Adult $1,300
          1,000 Bar Soap, Ybory Bar Soap Baby Skin $1,000
           200 Latex Gloves, Positive Touch Powder Free Latex Gloves $600
          1,000 Gauze Pads, Dunarex Cotton Filled Cotton Gauze Pads. $4,000
         1,000 Sodium Bicarbonate, Toothettr Plus Sodium Bicarbonate, 500 per Box $498
         1,000 Mosquito Nets, Mosquito Nets Cloth $2,000
         1,000 Dynarex Gauze Rolls, Guaze Rolls $4,000
           200 Protective Masks, Comfit Protective Masks $1,000
           530 Wool Blankets, Wool Blankets $6,360
         1,000 Hand Wipes, Lysol Hand Wipes $4,000
         1,000 Medical Adhesive Tape, Medical Adhesive Tape 1/2" x 10 yards $1,000
         1,000 Iodine Water Tablet, Iodine Water Tablet, Bottel of 50 $3,000
                                                                                       ** " 058


  I
 I Application for Extenslionlof Time
Exempt Organization Return To File an ,5,,5,,,,,9
                                      OMB N0
                                  T eas . .
Devartme t of*l.heseparate application .for each return.
initfmai Rgvenue serN,C$"y File a
9 If you,are filing for an Automatic 3-Month Extension, complete only Part land check this box
9 If you are filing for an Additional (Not Automatic) 3-Month Extension, complete only Part II (on page 2 of this form).
                                                                                                                                                      A
Do not complete Par/ // un/essyou have already been granted an automatic 3-month extension on a previously filed Form 8868
IPBYU I Automatic 3-Month Extension of Time. Only submit original (no copies needed).
A corporation required to file Form 990-T and requesting an automatic 6-month extension - check this box and complete Part I only
All other corporations (including I 120-C filers), partnerships, REM/CS, and trusts must use Form 7004 to request an extension of time to file
income tax returns
Electronic Filing (e-fi/e). Generally, you can electronically file Form 8868 if you want a 3-month automatic extension of time to file one of the
returns noted below (6 months for a corporation required to file Form 990-T) However, you cannot file Form 8868 electronically if (1) you want
the additional (not automatic) 3-month extension or (2) you file Forms 990-BL, 6069, or 8870, group returns, or a composite or consolidated
Form 990-T Instead, you must submit the fully completed and signed page 2 (Part ll) of Form 8868 For more details on the electronic filing of
this form, visit www /rs gov/efi/e and click on e-fi/e for Charities & Nonprofits.
               Name of Exempt Organization                                                                           Employer identilication number
Type or
pnnt
               FUNDAC ION LASALLI STA DE MIAMI , INC .                                                               65-0056973
File by the    Number, street, and room or suite number It a P O box, see instructions
due date for
tiling your
return See     9 Ol PONCE DE LEON BOULEVARD , # 6 0 6
instructions   City, town or post office, state, and ZIP code For a foreign address, see instructions
             CORAL GABLES                                                                                                          33134
Check type of return to be filed (file a separate application for each return)"
Form 990                                           Form 990-T (corporation)                                 Form 4720
I Form 990-BL                                      Form 990-T (section 401(a) or 408(a) trust)              Form 5227
Q Form 990-Ez                                      Form 990-T (trust other than above)                      Form 6069
I Form 990-PF                                                Form 1041 -A                                   Form 8870

 9 The books are in the care of * HUGO CASTRO

     Telephone N0 *lg Q5-) - 50-5:14-39 ---- - - FAX N0, * ----------- n - l
 9 lf the organization does not have an office or place ot business in the United States, check this box                                              F Ei
 * If this is for a Group Return, enter the organizations four digit Group Exemption Number (GEN) lf this is for the whole group,
    Check this box * lj If it is for part of the group, check this box * lj and attach a list with the names and ElNs of all members
    the extension will cover
   1 I request an automatic 3-month (6 months for a corporation required to file Form 990-T) extension of time
       until -AL1g- -16 - - -, 20 -IQ - , to file the exempt organization return for the organization named above.
       The extension is for the organizations return for

          l tax year 20 -02 -
        -calendaryear beginningor" - - - - -- -, 20 - - -, and ending - - * - - -- I, 20 - - ­
        *



                             0.
                           $ O.
   2 If this tax year is for less than 12 months, check reason lj lnitial return EI Final return lj Change in accounting period

       nonrefundable credits. See instructions 3a
   3a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any


                           S
     b lf 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 3b

       See instructions 3c $ 0.
     c Balance Due. Subtract line 3b from line 3a Include your payment with this form, or, if required,
       deposit with PFD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System)

Caution. lf you are going to make an electronic fund withdrawal with this Form 8868, see Form 8453-EO and Form 8879-EO for
payment instructions.
BAA For Privacy Act and Paperwork Reduction Act Notice, see instructions. Form 8868 (Rev 4-2009)




                                                                                    FlFZ0501 03/11/09
II
 Form 8868 (Rev 4-2009) FUNDACION LASALLISTA DE MIAMI , INC . 65-0056973                                                                                                         Page 2
  0 If you are filing for an Additional (Not Automatic) 3-Month Extension, complete only Part lland check this box
 Note. Only complete Part ll if you have already been granted an automatic 3-month extension on a previously filed Form 8868
                                                                                                                                                                                 A
  0 If you.are filing for an Automatic 3-Month Extension, complete only Part l(on page I)
IPan ii I Additional (Not Automatic) 3-Month Extension of Time. Only file the original (no copies needed).
                Name of Exempt Organization Employer identification number
 Type or
 pnnt           FUNDACION LASALLISTA DE MIAMI, INC. 65-0056973
                Number, street, and room or suite number If a P O box, see instructions For IRS use only
 File by the
 extended
 due date for
 filing the
 return See
                901 PONCE DE LEON BOULEVARD, #606
 instructions   City, town or post office, state. and ZIP code For a foreign address. see instructions
                CORAL GABLES FL 33134
 Check type of return to be filed (File a separate application for each return)
 Form 990 Form 990-PF Form 1041 -A Form 5069
 Q Form 990-BL Form 990-T (section 40l(a) or 408(a) trust) Form 4720 Form 8870
 I Form 990-EZ Form 990-T (trust other than above) Form 5227
 STOPI Do not complete Part ll if you were not already granted an automatic 3-month extension on a previously filed Form 8868.
  0 The books are in care of * HUGO CASTRO
      Telephene N0 *.IE9.5.l - 50-5314.39 .... - , FAX N0 * ............... - ­
  0 If the organization does not have an office or place of business in the United States, check this box * EI
  0 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 * lj If it is for part of the group, check this box * lj and attach a list with the names and EINS of all
 members the extension is for

                         Y ----, - - - - --- - -- , - - --- -­
   4 I request an additional 3-month extension of time until QI-Q2 -lj - - - - , 20 -IQ
   5 For calendar ear 2009 , or other tax year beginning , 20 , and ending , 20
        If this tax year is for less than I2 months, check reason U Initial return lj Final return ljChange in accounting period
        Stale In detail Why YOU need the extension LPA-*Qi ,PBEP.A,BER. Ill .Cl4AR.LGl3-Q.F. EQRI4 ............. - ­
         PREPARATION WAS RECENTLY HOSPITALIZED FOR HEALTH REASONS, IN ADDITION
        TAX PREPARER IS IN PROCESS OF MOVING HIS OFFICE AND NEEDS ADDITIONAL TIME.

        nonrefundable credits See instructions 8a S
   8a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any
                                                                                                                                                                                    O.


        with Form 8868 8b S
      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

      c Balance Due. Subtract line 8b from line 8a Include your payment with this form, or, if required, deposit
        with l-TTD coupon or, if required, by using EFTPS (Electronic Federal Tax Payment System) See instrs 8c S
                                                                                                                                                                                    0.

                                                                                                                                                                                    0.
                                                                          Signature and Verification

Signature * Title 5 Date *
Under penalties of pergury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true.
correct, and complete, and that I am authorized to prepare this form




BAA FiFz05o2 03/ii/09 Form 8868 (Rev 4-2009)

								
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