2017 Department of the Treasury

Transcription

1 ETENDED TO MAY, 0 OMB -007 Return of Orgniztion Exempt From Inome Tx Form 0 Under setion 0(), 7, or 7()() of the Internl Revenue Code (exept privte foundtions) 07 Deprtment of the Tresury Do not enter soil seurity numers on this form s it my e mde puli. Open to Puli Internl Revenue Servie Go to for instrutions nd the ltest informtion. Inspetion A For the 07 lendr yer, or tx yer eginning JUL, 07 nd ending JUN 0, 0 B Chek if C Nme of orgniztion D Employer identifition numer pplile: Address hnge Nme hnge ADAPTIVE SPORTS FOUNDATION Doing usiness s - Initil return Numer nd street (or P.O. ox if mil is not delivered to street ddress) Room/suite E Telephone numer Finl return/ PO BO, 00 SILVERMAN WAY terminted City or town, stte or provine, ountry, nd ZIP or foreign postl ode G Gross reeipts $,,0. Amended return WINDHAM, NY H() Is this group return Applition F Nme nd ddress of prinipl offier: VINCE PASSIONE for suordintes? ~~ Yes No pending MCKINLEY AVE, RIDGEWOOD, NJ H() Are ll suordintes inluded? Yes No I Tx-exempt sttus: 0()() 0() ( ) (insert no.) 7()() or 7 If "No," tth list. (see instrutions) J Wesite: H() Group exemption numer K Form of orgniztion: Corportion Trust Assoition Other L Yer of formtion: 000 M Stte of legl domiile: NY Prt I Summry Briefly desrie the orgniztion s mission or most signifint tivities: SUMMER AND WINTER PROGRAMS FOR INDIVIDUALS WITH DISABILITIES Ativities & Governne Revenue Expenses Net Assets or Fund Blnes Sign Here 0 Chek this ox if the orgniztion disontinued its opertions or disposed of more thn % of its net ssets. Numer of voting memers of the governing ody (Prt VI, line ) Numer of independent voting memers of the governing ody (Prt VI, line ) ~~~~~~~~~~~~~~ Totl numer of individuls employed in lendr yer 07 (Prt V, line ) ~~~~~~~~~~~~~~~~ Net unrelted usiness txle inome from Form 0-T, line Professionl fundrising fees (Prt I, olumn (A), line e) ~~~~~~~~~~~~~~ Totl fundrising expenses (Prt I, olumn (D), line ),. true, orret, nd omplete. Delrtion of preprer (other thn offier) is sed on ll informtion of whih preprer hs ny knowledge. Signture of offier VINCE PASSIONE, BOARD CHAIR Type or print nme nd title ~~~~~~~~~~~~~~~~~~~~ Totl numer of volunteers (estimte if neessry) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7 Totl unrelted usiness revenue from Prt VIII, olumn (C), line ~~~~~~~~~~~~~~~~~~~~ Contriutions nd grnts (Prt VIII, line h) ~~~~~~~~~~~~~~~~~~~~~ Progrm servie revenue (Prt VIII, line g) ~~~~~~~~~~~~~~~~~~~~~ Investment inome (Prt VIII, olumn (A), lines,, nd 7d) ~~~~~~~~~~~~~ Other revenue (Prt VIII, olumn (A), lines, d,,, 0, nd e) ~~~~~~~~ Totl revenue - dd lines through (must equl Prt VIII, olumn (A), line ) Grnts nd similr mounts pid (Prt I, olumn (A), lines -) Benefits pid to or for memers (Prt I, olumn (A), line ) ~~~~~~~~~~~ ~~~~~~~~~~~~~ Slries, other ompenstion, employee enefits (Prt I, olumn (A), lines -0) ~~~ = = 7 7 Prior Yer Current Yer,,77.,0,. 0,.,. 7,.,70. 7,7. 7,.,7,7.,, ,. 7, Print/Type preprer s nme Preprer s signture Dte Chek PTIN if Pid JILLIAN M. GALE, CPA // self-employed P000 Preprer Firm s nme WOJESKI & COMPANY CPA S, P.C. Firm s EIN -7 Use Only Firm s ddress 7 TROY ROAD EAST GREENBUSH, NY 0 Phone no My the IRS disuss this return with the preprer shown ove? (see instrutions) Yes No LHA For Pperwork Redution At Notie, see the seprte instrutions. Form 0 (07) Dte 0,7. -,. 7 Other expenses (Prt I, olumn (A), lines -d, f-e) ~~~~~~~~~~~~~,0,00.,70. Totl expenses. Add lines -7 (must equl Prt I, olumn (A), line ) ~~~~~~~,77,.,77,. Revenue less expenses. Sutrt line from line 7,00.,0. Beginning of Current Yer End of Yer 0 Totl ssets (Prt, line ) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7,,. 7,7,7. Totl liilities (Prt, line ) ~~~~~~~~~~~~~~~~~~~~~~~~~~~,0.,0. Net ssets or fund lnes. Sutrt line from line 0,,.,,. Prt II Signture Blok Under penlties of perjury, I delre tht I hve exmined this return, inluding ompnying shedules nd sttements, nd to the est of my knowledge nd elief, it is

2 Form 0 (07) ADAPTIVE SPORTS FOUNDATION - Pge Prt III Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in this Prt III Briefly desrie the orgniztion s mission: SUMMER AND WINTER PROGRAMS FOR INDIVIDUALS WITH DISABILITIES Did the orgniztion undertke ny signifint progrm servies during the yer whih were not listed on the prior Form 0 or 0-EZ? If "Yes," desrie these new servies on Shedule O. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion ese onduting, or mke signifint hnges in how it onduts, ny progrm servies? ~~~~~~ If "Yes," desrie these hnges on Shedule O. Desrie the orgniztion s progrm servie omplishments for eh of its three lrgest progrm servies, s mesured y expenses. Setion 0()() nd 0()() orgniztions re required to report the mount of grnts nd llotions to others, the totl expenses, nd revenue, if ny, for eh progrm servie reported. ( Code: ) ( Expenses $,,. inluding grnts of $ ) ( Revenue $,. ) THE ORGANIZATION OFFERS BOTH SUMMER AND WINTER RECREATIONAL OPPORTUNITIES TO INDIVIDUALS WITH MENTAL AND/OR PHYSICAL DISABILITIES. Yes Yes No No ( Code: ) ( Expenses $ inluding grnts of $ ) ( Revenue $ ) ( Code: ) ( Expenses $ inluding grnts of $ ) ( Revenue $ ) d e Other progrm servies (Desrie in Shedule O.) ( Expenses $ inluding grnts of $ ) ( Revenue $ ) Totl progrm servie expenses ,,. Form 0 (07)

3 Form 0 (07) ADAPTIVE SPORTS FOUNDATION - Prt IV Cheklist of Required Shedules d e f Is the orgniztion desried in setion 0()() or 7()() (other thn privte foundtion)? If "Yes," omplete Shedule A~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Is the orgniztion required to omplete Shedule B, Shedule of Contriutors? ~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion engge in diret or indiret politil mpign tivities on ehlf of or in opposition to ndidtes for puli offie? If "Yes," omplete Shedule C, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Setion 0()() orgniztions. Did the orgniztion engge in loying tivities, or hve setion 0(h) eletion in effet during the tx yer? If "Yes," omplete Shedule C, Prt II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Is the orgniztion setion 0()(), 0()(), or 0()() orgniztion tht reeives memership dues, ssessments, or similr mounts s defined in Revenue Proedure -? If "Yes," omplete Shedule C, Prt III ~~~~~~~~~~~~~~ Did the orgniztion mintin ny donor dvised funds or ny similr funds or ounts for whih donors hve the right to provide dvie on the distriution or investment of mounts in suh funds or ounts? If "Yes," omplete Shedule D, Prt I Did the orgniztion reeive or hold onservtion esement, inluding esements to preserve open spe, the environment, histori lnd res, or histori strutures? If "Yes," omplete Shedule D, Prt II~~~~~~~~~~~~~~ Did the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," omplete Shedule D, Prt III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report n mount in Prt, line, for esrow or ustodil ount liility, serve s ustodin for mounts not listed in Prt ; or provide redit ounseling, det mngement, redit repir, or det negotition servies? If "Yes," omplete Shedule D, Prt IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion, diretly or through relted orgniztion, hold ssets in temporrily restrited endowments, permnent endowments, or qusi-endowments? If "Yes," omplete Shedule D, Prt V ~~~~~~~~~~~~~~~~~~~~~~~~ If the orgniztion s nswer to ny of the following questions is "Yes," then omplete Shedule D, Prts VI, VII, VIII, I, or s pplile. Did the orgniztion report n mount for lnd, uildings, nd equipment in Prt, line 0? If "Yes," omplete Shedule D, Prt VI ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report n mount for investments - other seurities in Prt, line tht is % or more of its totl ssets reported in Prt, line? If "Yes," omplete Shedule D, Prt VII ~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report n mount for investments - progrm relted in Prt, line tht is % or more of its totl ssets reported in Prt, line? If "Yes," omplete Shedule D, Prt VIII ~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report n mount for other ssets in Prt, line tht is % or more of its totl ssets reported in Prt, line? If "Yes," omplete Shedule D, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report n mount for other liilities in Prt, line? If "Yes," omplete Shedule D, Prt ~~~~~~ Did the orgniztion s seprte or onsolidted finnil sttements for the tx yer inlude footnote tht ddresses the orgniztion s liility for unertin tx positions under FIN (ASC 70)? If "Yes," omplete Shedule D, Prt ~~~~ Did the orgniztion otin seprte, independent udited finnil sttements for the tx yer? If "Yes," omplete Shedule D, Prts I nd II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Ws the orgniztion inluded in onsolidted, independent udited finnil sttements for the tx yer? If "Yes," nd if the orgniztion nswered "No" to line, then ompleting Shedule D, Prts I nd II is optionl ~~~~~ Is the orgniztion shool desried in setion 70()()(A)(ii)? If "Yes," omplete Shedule E ~~~~~~~~~~~~~~ Did the orgniztion mintin n offie, employees, or gents outside of the United Sttes? ~~~~~~~~~~~~~~~~ Did the orgniztion hve ggregte revenues or expenses of more thn $0,000 from grntmking, fundrising, usiness, investment, nd progrm servie tivities outside the United Sttes, or ggregte foreign investments vlued t $00,000 or more? If "Yes," omplete Shedule F, Prts I nd IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report on Prt I, olumn (A), line, more thn $,000 of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Shedule F, Prts II nd IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report on Prt I, olumn (A), line, more thn $,000 of ggregte grnts or other ssistne to or for foreign individuls? If "Yes," omplete Shedule F, Prts III nd IV ~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report totl of more thn $,000 of expenses for professionl fundrising servies on Prt I, olumn (A), lines nd e? If "Yes," omplete Shedule G, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report more thn $,000 totl of fundrising event gross inome nd ontriutions on Prt VIII, lines nd? If "Yes," omplete Shedule G, Prt II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report more thn $,000 of gross inome from gming tivities on Prt VIII, line? If "Yes," omplete Shedule G, Prt III 7 0 d e f 7 Yes Pge No Form 0 (07)

4 Form 0 (07) ADAPTIVE SPORTS FOUNDATION - Prt IV Cheklist of Required Shedules (ontinued) d Setion 0()(), 0()(), nd 0()() orgniztions. Did the orgniztion engge in n exess enefit trnstion with disqulified person during the yer? If "Yes," omplete Shedule L, Prt I ~~~~~~~~~~~~~~~~ Did the orgniztion operte one or more hospitl filities? If "Yes," omplete Shedule H ~~~~~~~~~~~~~~~~ If "Yes" to line 0, did the orgniztion tth opy of its udited finnil sttements to this return? ~~~~~~~~~~ Did the orgniztion report more thn $,000 of grnts or other ssistne to ny domesti orgniztion or domesti government on Prt I, olumn (A), line? If "Yes," omplete Shedule I, Prts I nd II ~~~~~~~~~~~~~~ Did the orgniztion report more thn $,000 of grnts or other ssistne to or for domesti individuls on Prt I, olumn (A), line? If "Yes," omplete Shedule I, Prts I nd III ~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion nswer "Yes" to Prt VII, Setion A, line,, or out ompenstion of the orgniztion s urrent nd former offiers, diretors, trustees, key employees, nd highest ompensted employees? If "Yes," omplete Shedule J ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion hve tx-exempt ond issue with n outstnding prinipl mount of more thn $00,000 s of the lst dy of the yer, tht ws issued fter Deemer, 00? If "Yes," nswer lines through d nd omplete Shedule K. If "No", go to line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion invest ny proeeds of tx-exempt onds eyond temporry period exeption? ~~~~~~~~~~~ Did the orgniztion mintin n esrow ount other thn refunding esrow t ny time during the yer to defese ny tx-exempt onds? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion t s n "on ehlf of" issuer for onds outstnding t ny time during the yer? ~~~~~~~~~~~ Is the orgniztion wre tht it engged in n exess enefit trnstion with disqulified person in prior yer, nd tht the trnstion hs not een reported on ny of the orgniztion s prior Forms 0 or 0-EZ? If "Yes," omplete Shedule L, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion report ny mount on Prt, line,, or for reeivles from or pyles to ny urrent or former offiers, diretors, trustees, key employees, highest ompensted employees, or disqulified persons? If "Yes," omplete Shedule L, Prt II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion provide grnt or other ssistne to n offier, diretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to % ontrolled entity or fmily memer of ny of these persons? If "Yes," omplete Shedule L, Prt III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Ws the orgniztion prty to usiness trnstion with one of the following prties (see Shedule L, Prt IV instrutions for pplile filing thresholds, onditions, nd exeptions): A urrent or former offier, diretor, trustee, or key employee? If "Yes," omplete Shedule L, Prt IV ~~~~~~~~~~~ A fmily memer of urrent or former offier, diretor, trustee, or key employee? If "Yes," omplete Shedule L, Prt IV ~~ An entity of whih urrent or former offier, diretor, trustee, or key employee (or fmily memer thereof) ws n offier, diretor, trustee, or diret or indiret owner? If "Yes," omplete Shedule L, Prt IV~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion reeive more thn $,000 in non-sh ontriutions? If "Yes," omplete Shedule M ~~~~~~~~~ Did the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulified onservtion ontriutions? If "Yes," omplete Shedule M ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion liquidte, terminte, or dissolve nd ese opertions? If "Yes," omplete Shedule N, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion sell, exhnge, dispose of, or trnsfer more thn % of its net ssets? If "Yes," omplete Shedule N, Prt II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion own 00% of n entity disregrded s seprte from the orgniztion under Regultions setions nd ? If "Yes," omplete Shedule R, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~ Ws the orgniztion relted to ny tx-exempt or txle entity? If "Yes," omplete Shedule R, Prt II, III, or IV, nd Prt V, line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion hve ontrolled entity within the mening of setion ()()? ~~~~~~~~~~~~~~~~~~ If "Yes" to line, did the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolled entity within the mening of setion ()()? If "Yes," omplete Shedule R, Prt V, line ~~~~~~~~~~~~~~~~~~~ Setion 0()() orgniztions. Did the orgniztion mke ny trnsfers to n exempt non-hritle relted orgniztion? If "Yes," omplete Shedule R, Prt V, line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion ondut more thn % of its tivities through n entity tht is not relted orgniztion nd tht is treted s prtnership for federl inome tx purposes? If "Yes," omplete Shedule R, Prt VI ~~~~~~~~ Did the orgniztion omplete Shedule O nd provide explntions in Shedule O for Prt VI, lines nd? Note. All Form 0 filers re required to omplete Shedule O 0 0 d Yes Pge No Form 0 (07)

5 Form 0 (07) ADAPTIVE SPORTS FOUNDATION - Pge Prt V Sttements Regrding Other IRS Filings nd Tx Compline Chek if Shedule O ontins response or note to ny line in this Prt V Enter the numer reported in Box of Form 0. Enter -0- if not pplile ~~~~~~~~~~~ Enter the numer of Forms W-G inluded in line. Enter -0- if not pplile ~~~~~~~~~~ Did the orgniztion omply with kup withholding rules for reportle pyments to vendors nd reportle gming If t lest one is reported on line, did the orgniztion file ll required federl employment tx returns? ~~~~~~~~~~ Note. If the sum of lines nd is greter thn 0, you my e required to e-file (see instrutions) ~~~~~~~~~~~ 7 Orgniztions tht my reeive dedutile ontriutions under setion 70(). Did the orgniztion reeive pyment in exess of $7 mde prtly s ontriution nd prtly for goods nd servies provided to the pyor? 0 d e f g h Sponsoring orgniztions mintining donor dvised funds. Did donor dvised fund mintined y the Sponsoring orgniztions mintining donor dvised funds. Setion 0()(7) orgniztions. Enter: Setion 0()() orgniztions. Enter: Setion 7()() non-exempt hritle trusts. Is the orgniztion filing Form 0 in lieu of Form 0? (gmling) winnings to prize winners? Enter the numer of employees reported on Form W-, Trnsmittl of Wge nd Tx Sttements, filed for the lendr yer ending with or within the yer overed y this return ~~~~~~~~~~ Did the orgniztion hve unrelted usiness gross inome of $,000 or more during the yer? ~~~~~~~~~~~~~~ If "Yes," hs it filed Form 0-T for this yer? If "No," to line, provide n explntion in Shedule O ~~~~~~~~~~ At ny time during the lendr yer, did the orgniztion hve n interest in, or signture or other uthority over, finnil ount in foreign ountry (suh s nk ount, seurities ount, or other finnil ount)?~~~~~~~ If "Yes," enter the nme of the foreign ountry: J See instrutions for filing requirements for FinCEN Form, Report of Foreign Bnk nd Finnil Aounts (FBAR). Ws the orgniztion prty to prohiited tx shelter trnstion t ny time during the tx yer? ~~~~~~~~~~~~ Did ny txle prty notify the orgniztion tht it ws or is prty to prohiited tx shelter trnstion? ~~~~~~~~~ If "Yes," to line or, did the orgniztion file Form -T? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Does the orgniztion hve nnul gross reeipts tht re normlly greter thn $00,000, nd did the orgniztion soliit ny ontriutions tht were not tx dedutile s hritle ontriutions? If "Yes," did the orgniztion inlude with every soliittion n express sttement tht suh ontriutions or gifts were not tx dedutile? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," did the orgniztion notify the donor of the vlue of the goods or servies provided? Setion 0()() qulified nonprofit helth insurne issuers. Note. See the instrutions for dditionl informtion the orgniztion must report on Shedule O. Did the orgniztion reeive ny pyments for indoor tnning servies during the tx yer? ~~~~~~~~~~~~~~~~ If "Yes," hs it filed Form 70 to report these pyments? If "No," provide n explntion in Shedule O ~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion sell, exhnge, or otherwise dispose of tngile personl property for whih it ws required to file Form? ~~~~~~~~~~~~~~~ If "Yes," indite the numer of Forms filed during the yer ~~~~~~~~~~~~~~~~ Did the orgniztion reeive ny funds, diretly or indiretly, to py premiums on personl enefit ontrt? Did the orgniztion, during the yer, py premiums, diretly or indiretly, on personl enefit ontrt? 7d 0 0 ~~~~~~~ ~~~~~~~~~ If the orgniztion reeived ontriution of qulified intelletul property, did the orgniztion file Form s required? ~ If the orgniztion reeived ontriution of rs, ots, irplnes, or other vehiles, did the orgniztion file Form 0-C? sponsoring orgniztion hve exess usiness holdings t ny time during the yer? ~~~~~~~~~~~~~~~~~~~ Did the sponsoring orgniztion mke ny txle distriutions under setion? Did the sponsoring orgniztion mke distriution to donor, donor dvisor, or relted person? Initition fees nd pitl ontriutions inluded on Prt VIII, line ~~~~~~~~~~~~~~~ Gross reeipts, inluded on Form 0, Prt VIII, line, for puli use of lu filities ~~~~~~ Gross inome from memers or shreholders ~~~~~~~~~~~~~~~~~~~~~~~~~~ Gross inome from other soures (Do not net mounts due or pid to other soures ginst mounts due or reeived from them.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," enter the mount of tx-exempt interest reeived or rued during the yer ~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~ Is the orgniztion liensed to issue qulified helth plns in more thn one stte? ~~~~~~~~~~~~~~~~~~~~~ Enter the mount of reserves the orgniztion is required to mintin y the sttes in whih the orgniztion is liensed to issue qulified helth plns ~~~~~~~~~~~~~~~~~~~~~~ Enter the mount of reserves on hnd~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ e 7f 7g 7h Yes No Form 0 (07)

6 Form 0 (07) ADAPTIVE SPORTS FOUNDATION - Pge Prt VI Governne, Mngement, nd Dislosure For eh "Yes" response to lines through 7 elow, nd for "No" response to line,, or 0 elow, desrie the irumstnes, proesses, or hnges in Shedule O. See instrutions. Chek if Shedule O ontins response or note to ny line in this Prt VI Setion A. Governing Body nd Mngement Enter the numer of voting memers of the governing ody t the end of the tx yer ~~~~~~ If there re mteril differenes in voting rights mong memers of the governing ody, or if the governing Is there ny offier, diretor, trustee, or key employee listed in Prt VII, Setion A, who nnot e rehed t the orgniztion s miling ddress? If "Yes," provide the nmes nd ddresses in Shedule O Setion B. Poliies (This Setion B requests informtion out poliies not required y the Internl Revenue Code.) exempt sttus with respet to suh rrngements? Setion C. Dislosure 7 List the sttes with whih opy of this Form 0 is required to e filed JNY 0 ody delegted rod uthority to n exeutive ommittee or similr ommittee, explin in Shedule O. Enter the numer of voting memers inluded in line, ove, who re independent ~~~~~~ persons other thn the governing ody? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion ontemporneously doument the meetings held or written tions undertken during the yer y the following: Desrie in Shedule O the proess, if ny, used y the orgniztion to review this Form 0. Did the orgniztion hve written onflit of interest poliy? If "No," go to line ~~~~~~~~~~~~~~~~~~~~ Were offiers, diretors, or trustees, nd key employees required to dislose nnully interests tht ould give rise to onflits? ~~~~~~ Did the orgniztion regulrly nd onsistently monitor nd enfore ompline with the poliy? If "Yes," desrie in Shedule O how this ws done ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ for puli inspetion. Indite how you mde these ville. Chek ll tht pply. Own wesite Another s wesite Upon request Other (explin in Shedule O) Did ny offier, diretor, trustee, or key employee hve fmily reltionship or usiness reltionship with ny other offier, diretor, trustee, or key employee? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion delegte ontrol over mngement duties ustomrily performed y or under the diret supervision of offiers, diretors, or trustees, or key employees to mngement ompny or other person? ~~~~~~~~~~~~~~ Did the orgniztion mke ny signifint hnges to its governing douments sine the prior Form 0 ws filed? ~~~~~ Did the orgniztion eome wre during the yer of signifint diversion of the orgniztion s ssets? ~~~~~~~~~ Did the orgniztion hve memers or stokholders? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7 Did the orgniztion hve memers, stokholders, or other persons who hd the power to elet or ppoint one or more memers of the governing ody? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Are ny governne deisions of the orgniztion reserved to (or sujet to pprovl y) memers, stokholders, or The governing ody? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Eh ommittee with uthority to t on ehlf of the governing ody? ~~~~~~~~~~~~~~~~~~~~~~~~~~ 0 Did the orgniztion hve lol hpters, rnhes, or ffilites? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," did the orgniztion hve written poliies nd proedures governing the tivities of suh hpters, ffilites, nd rnhes to ensure their opertions re onsistent with the orgniztion s exempt purposes? ~~~~~~~~~~~~~ Hs the orgniztion provided omplete opy of this Form 0 to ll memers of its governing ody efore filing the form? Did the orgniztion hve written whistlelower poliy? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion hve written doument retention nd destrution poliy? ~~~~~~~~~~~~~~~~~~~~~~ Did the proess for determining ompenstion of the following persons inlude review nd pprovl y independent persons, omprility dt, nd ontemporneous sustntition of the deliertion nd deision? The orgniztion s CEO, Exeutive Diretor, or top mngement offiil Other offiers or key employees of the orgniztion ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes" to line or, desrie the proess in Shedule O (see instrutions). ~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion invest in, ontriute ssets to, or prtiipte in joint venture or similr rrngement with txle entity during the yer? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," did the orgniztion follow written poliy or proedure requiring the orgniztion to evlute its prtiiption in joint venture rrngements under pplile federl tx lw, nd tke steps to sfegurd the orgniztion s Setion 0 requires n orgniztion to mke its Forms 0 (or 0 if pplile), 0, nd 0-T (Setion 0()()s only) ville Desrie in Shedule O whether (nd if so, how) the orgniztion mde its governing douments, onflit of interest poliy, nd finnil sttements ville to the puli during the tx yer. Stte the nme, ddress, nd telephone numer of the person who possesses the orgniztion s ooks nd reords: JOANNE GRUNENTHAL PO BO, 00 SILVERMAN WAY, WINDHAM, NY Yes Yes No No Form 0 (07)

7 Form 0 (07) ADAPTIVE SPORTS FOUNDATION - Pge 7 Prt VII Compenstion of Offiers, Diretors, Trustees, Key Employees, Highest Compensted Employees, nd Independent Contrtors Chek if Shedule O ontins response or note to ny line in this Prt VII Setion A. List ll of the orgniztion s urrent offiers, diretors, trustees (whether individuls or orgniztions), regrdless of mount of ompenstion. Enter -0- in olumns (D), (E), nd (F) if no ompenstion ws pid. List ll of the orgniztion s urrent key employees, if ny. See instrutions for definition of "key employee." List the orgniztion s five urrent highest ompensted employees (other thn n offier, diretor, trustee, or key employee) who reeived reportle ompenstion (Box of Form W- nd/or Box 7 of Form 0-MISC) of more thn $00,000 from the orgniztion nd ny relted orgniztions. List ll of the orgniztion s former offiers, key employees, nd highest ompensted employees who reeived more thn $00,000 of reportle ompenstion from the orgniztion nd ny relted orgniztions. List ll of the orgniztion s former diretors or trustees tht reeived, in the pity s former diretor or trustee of the orgniztion, more thn $0,000 of reportle ompenstion from the orgniztion nd ny relted orgniztions. List persons in the following order: individul trustees or diretors; institutionl trustees; offiers; key employees; highest ompensted employees; nd former suh persons Offiers, Diretors, Trustees, Key Employees, nd Highest Compensted Employees Complete this tle for ll persons required to e listed. Report ompenstion for the lendr yer ending with or within the orgniztion s tx yer. Chek this ox if neither the orgniztion nor ny relted orgniztion ompensted ny urrent offier, diretor, or trustee. (A) (B) (C) (D) (E) (F) Nme nd Title Averge hours per week (list ny hours for relted orgniztions elow line) Position (do not hek more thn one ox, unless person is oth n offier nd diretor/trustee) Individul trustee or diretor Institutionl trustee Offier Key employee Highest ompensted employee Former Reportle ompenstion from the orgniztion (W-/0-MISC) Reportle ompenstion from relted orgniztions (W-/0-MISC) Estimted mount of other ompenstion from the orgniztion nd relted orgniztions () GWEN ALLARD.00 DIRECTOR () JIM BARNES.00 DIRECTOR () MOREEN CAREY.00 DIRECTOR () MARK DAVIS.00 TREASURER () MICHAEL FEE.00 DIRECTOR () RAYMOND GILMARTIN.00 DIRECTOR (7) DANIEL GILBERT.00 DIRECTOR () RUSSELL HUNTINGTON.00 DIRECTOR () JAMES A. BEHA, II.00 DIRECTOR (0) GLEN KUNOFSKY.00 DIRECTOR () WILLIAM LAWSON.00 DIRECTOR () ROBERT LUCKOW.00 DIRECTOR () CHARLES MCGUFFOG.00 DIRECTOR () KEVIN O'CONNOR.00 DIRECTOR () EILEEN O'CONNOR.00 DIRECTOR () VINCE PASSIONE.00 BOARD CHAIR (7) THOMAS RYAN.00 SECRETARY Form 0 (07)

8 Form 0 (07) ADAPTIVE SPORTS FOUNDATION - Pge Prt VII Setion A. Offiers, Diretors, Trustees, Key Employees, nd Highest Compensted Employees (ontinued) (A) (B) (C) (D) (E) (F) Nme nd title Averge Position (do not hek more thn one Reportle Reportle Estimted hours per ox, unless person is oth n ompenstion ompenstion mount of week offier nd diretor/trustee) from from relted other (list ny the orgniztions ompenstion hours for orgniztion (W-/0-MISC) from the relted (W-/0-MISC) orgniztion orgniztions nd relted elow orgniztions line) Individul trustee or diretor Institutionl trustee Offier () HARVEY SILVERMAN.00 PAST CHAIRMAN () ROBERT STUBBS.00 PAST CHAIRMAN (0) L. KEVIN SHERIDAN.00 DIRECTOR () PAM GREENE 0.00 PROG DIR, VP 0, () TODD MUNN 0.00 E. DIR, PRESIDENT 00, Key employee Highest ompensted employee Former d Su-totl~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Totl from ontinution sheets to Prt VII, Setion A ~~~~~~~~~~ Totl (dd lines nd ) Did the orgniztion list ny former offier, diretor, or trustee, key employee, or highest ompensted employee on line? If "Yes," omplete Shedule J for suh individul ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did ny person listed on line reeive or rue ompenstion from ny unrelted orgniztion or individul for servies rendered to the orgniztion? If "Yes," omplete Shedule J for suh person Setion B. Independent Contrtors Totl numer of individuls (inluding ut not limited to those listed ove) who reeived more thn $00,000 of reportle ompenstion from the orgniztion For ny individul listed on line, is the sum of reportle ompenstion nd other ompenstion from the orgniztion nd relted orgniztions greter thn $0,000? If "Yes," omplete Shedule J for suh individul~~~~~~~~~~~~~ Complete this tle for your five highest ompensted independent ontrtors tht reeived more thn $00,000 of ompenstion from the orgniztion. Report ompenstion for the lendr yer ending with or within the orgniztion s tx yer. 0, , (A) (B) (C) Nme nd usiness ddress NONE Desription of servies Compenstion Yes No Totl numer of independent ontrtors (inluding ut not limited to those listed ove) who reeived more thn $00,000 of ompenstion from the orgniztion Form 0 (07)

9 Form 0 (07) ADAPTIVE SPORTS FOUNDATION - Prt VIII Sttement of Revenue Contriutions, Gifts, Grnts nd Other Similr Amounts Progrm Servie Revenue Other Revenue d e f g Nonsh ontriutions inluded in lines -f: $ d e e Totl. Add lines -d ~~~~~~~~~~~~~~~ Totl revenue. See instrutions. f Business Code PROGRAM REVENUE 000,.,. d e f g d d 0 Totl. Add lines -f 7,7. 0,00. Misellneous Revenue Business Code LIFT LEASE INCOME 000 0,000. 0,000. OTHER MISCELLANEOUS IN 000,7.,7. d Government grnts (ontriutions) All other ontriutions, gifts, grnts, nd similr mounts not inluded ove ~~ Pge Chek if Shedule O ontins response or note to ny line in this Prt VIII (A) (B) (C) (D) Totl revenue Relted or Unrelted Revenue exluded exempt funtion usiness from tx under setions revenue revenue - Federted mpigns Memership dues ~~~~~~ ~~~~~~~~ Fundrising events ~~~~~~~~ Relted orgniztions ~~~~~~ All other progrm servie revenue ~~~~~ Investment inome (inluding dividends, interest, nd other similr mounts) ~~~~~~~~~~~~~~~~~ Inome from investment of tx-exempt ond proeeds Roylties Gross rents ~~~~~~~ Less: rentl expenses~~~ Rentl inome or (loss) ~~ Net rentl inome or (loss) 7 Gross mount from sles of ssets other thn inventory Less: ost or other sis nd sles expenses ~~~ Gin or (loss) ~~~~~~~ (i) Rel (ii) Personl (i) Seurities,0. (ii) Other Net gin or (loss) Gross inome from fundrising events (not inluding $,00. of ontriutions reported on line ). See Prt IV, line ~~~~~~~~~~~~~ Less: diret expenses~~~~~~~~~~ Net inome or (loss) from fundrising events Gross inome from gming tivities. See Prt IV, line ~~~~~~~~~~~~~ Less: diret expenses ~~~~~~~~~ Net inome or (loss) from gming tivities Gross sles of inventory, less returns nd llownes ~~~~~~~~~~~~~ Less: ost of goods sold ~~~~~~~~ Net inome or (loss) from sles of inventory All other revenue ~~~~~~~~~~~~~,00.,07,. 0,. h Totl. Add lines -f,0,. 7,.,.,7.,.,.,.,.,.,.,7.,7.,.,.,7.,,.,.,7. 0,0. Form 0 (07)

10 Form 0 (07) ADAPTIVE SPORTS FOUNDATION - Prt I Sttement of Funtionl Expenses Setion 0()() nd 0()() orgniztions must omplete ll olumns. All other orgniztions must omplete olumn (A). Chek if Shedule O ontins response or note to ny line in this Prt I Do not inlude mounts reported on lines, (A) (B) (C) (D) 7,,, nd 0 of Prt VIII. Totl expenses Progrm servie Mngement nd Fundrising expenses generl expenses expenses Grnts nd other ssistne to domesti orgniztions nd domesti governments. See Prt IV, line ~ d e f g d Grnts nd other ssistne to domesti individuls. See Prt IV, line ~~~~~~~ Grnts nd other ssistne to foreign orgniztions, foreign governments, nd foreign individuls. See Prt IV, lines nd ~~~ Benefits pid to or for memers ~~~~~~~ Compenstion of urrent offiers, diretors, trustees, nd key employees ~~~~~~~~ Compenstion not inluded ove, to disqulified persons (s defined under setion (f)()) nd persons desried in setion ()()(B) Other slries nd wges ~~~~~~~~~~ Pension pln ruls nd ontriutions (inlude setion 0(k) nd 0() employer ontriutions) Loying ~~~~~~~~~~~~~~~~~~ Professionl fundrising servies. See Prt IV, line 7 Investment mngement fees ~~~~~~~~ Other. (If line g mount exeeds 0% of line, olumn (A) mount, list line g expenses on Sh O.) Other expenses. Itemize expenses not overed ove. (List misellneous expenses in line e. If line e mount exeeds 0% of line, olumn (A) mount, list line e expenses on Shedule O.) e All other expenses Totl funtionl expenses. Add lines through e Joint osts. Complete this line only if the orgniztion reported in olumn (B) joint osts from omined edutionl mpign nd fundrising soliittion. Chek here if following SOP - (ASC -70) ~~~ Other employee enefits ~~~~~~~~~~ Pyroll txes ~~~~~~~~~~~~~~~~ Fees for servies (non-employees): Mngement ~~~~~~~~~~~~~~~~ Legl ~~~~~~~~~~~~~~~~~~~~ Aounting ~~~~~~~~~~~~~~~~~ Advertising nd promotion ~~~~~~~~~ Offie expenses~~~~~~~~~~~~~~~ Informtion tehnology ~~~~~~~~~~~ Roylties ~~~~~~~~~~~~~~~~~~ Oupny ~~~~~~~~~~~~~~~~~ Trvel ~~~~~~~~~~~~~~~~~~~ Pyments of trvel or entertinment expenses for ny federl, stte, or lol puli offiils Conferenes, onventions, nd meetings ~~ Interest ~~~~~~~~~~~~~~~~~~ Pyments to ffilites ~~~~~~~~~~~~ Depreition, depletion, nd mortiztion ~~ Insurne ~~~~~~~~~~~~~~~~~ Pge 0 0,. 7,7.,.,. 0,.,7.,7.,0.,.,0.,7.,.,.,. 7,. 7,0.,70.,70.,.,.,.,. WINTER PROGRAMS EPENSE 70,. 70,. WARRIOR IN MOTION PROGR,.,. VOLUNTEER EPENSE,.,. VETERAN AFFAIRS PROGRAM,.,.,.,. 7,7. 7,70. 7,0.,07. 7,0.,0.,7.,7.,7. 0,0.,77.,7. 7,.,.,0.,7.,0.,.,7.,07.,77,.,,.,.,. 0 Form 0 (07)

11 Form 0 (07) ADAPTIVE SPORTS FOUNDATION - Pge Prt Blne Sheet Net Assets or Fund Blnes Liilities Assets Chek if Shedule O ontins response or note to ny line in this Prt (A) (B) Beginning of yer End of yer Csh - non-interest-ering ~~~~~~~~~~~~~~~~~~~~~~~~~,0. 7,0. Svings nd temporry sh investments ~~~~~~~~~~~~~~~~~~,00,77. 0,. Pledges nd grnts reeivle, net ~~~~~~~~~~~~~~~~~~~~~ 7,.,. Aounts reeivle, net ~~~~~~~~~~~~~~~~~~~~~~~~~~ Lons nd other reeivles from urrent nd former offiers, diretors, trustees, key employees, nd highest ompensted employees. Complete Prt II of Shedule L ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Lons nd other reeivles from other disqulified persons (s defined under setion (f)()), persons desried in setion ()()(B), nd ontriuting employers nd sponsoring orgniztions of setion 0()() voluntry 7 employees enefiiry orgniztions (see instr). Complete Prt II of Sh L ~~ Notes nd lons reeivle, net ~~~~~~~~~~~~~~~~~~~~~~~ 7 Inventories for sle or use ~~~~~~~~~~~~~~~~~~~~~~~~~~ Prepid expenses nd deferred hrges ~~~~~~~~~~~~~~~~~~,0.,70. 0 Lnd, uildings, nd equipment: ost or other sis. Complete Prt VI of Shedule D ~~~ 0,0,. Less: umulted depreition ~~~~~~ 0,7,0.,,. 0,7,7. Investments - pulily trded seurities ~~~~~~~~~~~~~~~~~~~,,7.,,77. Investments - other seurities. See Prt IV, line ~~~~~~~~~~~~~~,0,07. Investments - progrm-relted. See Prt IV, line ~~~~~~~~~~~~~ Intngile ssets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other ssets. See Prt IV, line ~~~~~~~~~~~~~~~~~~~~~~ Totl ssets. Add lines through (must equl line ) 7,,. 7,7,7. 7 Aounts pyle nd rued expenses ~~~~~~~~~~~~~~~~~~,. 7,. Grnts pyle ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Deferred revenue ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~, Tx-exempt ond liilities ~~~~~~~~~~~~~~~~~~~~~~~~~ 0 Esrow or ustodil ount liility. Complete Prt IV of Shedule D ~~~~ Lons nd other pyles to urrent nd former offiers, diretors, trustees, key employees, highest ompensted employees, nd disqulified persons. Complete Prt II of Shedule L ~~~~~~~~~~~~~~~~~~~~~~~ Seured mortgges nd notes pyle to unrelted third prties ~~~~~~ 70, ,000. Unseured notes nd lons pyle to unrelted third prties ~~~~~~~~ Other liilities (inluding federl inome tx, pyles to relted third prties, nd other liilities not inluded on lines 7-). Complete Prt of Shedule D ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~,000. 0,0. Totl liilities. Add lines 7 through,0.,0. Orgniztions tht follow SFAS 7 (ASC ), hek here nd omplete lines 7 through, nd lines nd. 7 Unrestrited net ssets ~~~~~~~~~~~~~~~~~~~~~~~~~~~,,77. 7,077,0. Temporrily restrited net ssets ~~~~~~~~~~~~~~~~~~~~~~,0,7.,7,. Permnently restrited net ssets ~~~~~~~~~~~~~~~~~~~~~,7,0.,,. Orgniztions tht do not follow SFAS 7 (ASC ), hek here nd omplete lines 0 through. 0 Cpitl stok or trust prinipl, or urrent funds ~~~~~~~~~~~~~~~ Pid-in or pitl surplus, or lnd, uilding, or equipment fund ~~~~~~~~ 0 Retined ernings, endowment, umulted inome, or other funds ~~~~ Totl net ssets or fund lnes ~~~~~~~~~~~~~~~~~~~~~~,,.,,. Totl liilities nd net ssets/fund lnes 7,,. 7,7,7. Form 0 (07)

12 Form 0 (07) ADAPTIVE SPORTS FOUNDATION - Pge Prt I Reonilition of Net Assets Chek if Shedule O ontins response or note to ny line in this Prt I 7 Totl revenue (must equl Prt VIII, olumn (A), line ) Totl expenses (must equl Prt I, olumn (A), line ) ~~~~~~~~~~~~~~~~~~~~~~~~~~ Revenue less expenses. Sutrt line from line ~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Net ssets or fund lnes t eginning of yer (must equl Prt, line, olumn (A)) ~~~~~~~~~~ Net unrelized gins (losses) on investments Donted servies nd use of filities Investment expenses Prior period djustments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other hnges in net ssets or fund lnes (explin in Shedule O) ~~~~~~~~~~~~~~~~~~~ 0 Net ssets or fund lnes t end of yer. Comine lines through (must equl Prt, line, olumn (B)) 0,,. Prt II Finnil Sttements nd Reporting Chek if Shedule O ontins response or note to ny line in this Prt II Yes No Aounting method used to prepre the Form 0: Csh Arul Other If the orgniztion hnged its method of ounting from prior yer or heked "Other," explin in Shedule O. Were the orgniztion s finnil sttements ompiled or reviewed y n independent ountnt? ~~~~~~~~~~~~ If "Yes," hek ox elow to indite whether the finnil sttements for the yer were ompiled or reviewed on seprte sis, onsolidted sis, or oth: Seprte sis Consolidted sis Both onsolidted nd seprte sis Were the orgniztion s finnil sttements udited y n independent ountnt? ~~~~~~~~~~~~~~~~~~~ If "Yes," hek ox elow to indite whether the finnil sttements for the yer were udited on seprte sis, onsolidted sis, or oth: Seprte sis Consolidted sis Both onsolidted nd seprte sis If "Yes" to line or, does the orgniztion hve ommittee tht ssumes responsiility for oversight of the udit, review, or ompiltion of its finnil sttements nd seletion of n independent ountnt?~~~~~~~~~~~~~~~ If the orgniztion hnged either its oversight proess or seletion proess during the tx yer, explin in Shedule O. As result of federl wrd, ws the orgniztion required to undergo n udit or udits s set forth in the Single Audit At nd OMB Cirulr A-? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," did the orgniztion undergo the required udit or udits? If the orgniztion did not undergo the required udit or udits, explin why in Shedule O nd desrie ny steps tken to undergo suh udits 7,,.,77,.,0.,,.,.,0. 0. Form 0 (07)

13 SCHEDULE A (Form 0 or 0-EZ) Deprtment of the Tresury Internl Revenue Servie Complete if the orgniztion is setion 0()() orgniztion or setion 7()() nonexempt hritle trust. Atth to Form 0 or Form 0-EZ. Go to for instrutions nd the ltest informtion. OMB -007 Open to Puli Inspetion Nme of the orgniztion Employer identifition numer ADAPTIVE SPORTS FOUNDATION - Prt I Reson for Puli Chrity Sttus (All orgniztions must omplete this prt.) See instrutions. The orgniztion is not privte foundtion euse it is: (For lines through, hek only one ox.) 7 0 d e f A hurh, onvention of hurhes, or ssoition of hurhes desried in setion 70()()(A)(i). A shool desried in setion 70()()(A)(ii). (Atth Shedule E (Form 0 or 0-EZ).) A hospitl or oopertive hospitl servie orgniztion desried in setion 70()()(A)(iii). A medil reserh orgniztion operted in onjuntion with hospitl desried in setion 70()()(A)(iii). Enter the hospitl s nme, ity, nd stte: An orgniztion operted for the enefit of ollege or university owned or operted y governmentl unit desried in setion 70()()(A)(iv). (Complete Prt II.) A federl, stte, or lol government or governmentl unit desried in setion 70()()(A)(v). An orgniztion tht normlly reeives sustntil prt of its support from governmentl unit or from the generl puli desried in setion 70()()(A)(vi). (Complete Prt II.) A ommunity trust desried in setion 70()()(A)(vi). (Complete Prt II.) An griulturl reserh orgniztion desried in setion 70()()(A)(ix) operted in onjuntion with lnd-grnt ollege or university or non-lnd-grnt ollege of griulture (see instrutions). Enter the nme, ity, nd stte of the ollege or university: An orgniztion tht normlly reeives: () more thn /% of its support from ontriutions, memership fees, nd gross reeipts from tivities relted to its exempt funtions - sujet to ertin exeptions, nd () no more thn /% of its support from gross investment inome nd unrelted usiness txle inome (less setion tx) from usinesses quired y the orgniztion fter June 0, 7. See setion 0()(). (Complete Prt III.) Puli Chrity Sttus nd Puli Support An orgniztion orgnized nd operted exlusively to test for puli sfety. See setion 0()(). An orgniztion orgnized nd operted exlusively for the enefit of, to perform the funtions of, or to rry out the purposes of one or more pulily supported orgniztions desried in setion 0()() or setion 0()(). See setion 0()(). Chek the ox in lines through d tht desries the type of supporting orgniztion nd omplete lines e, f, nd g. Type I. A supporting orgniztion operted, supervised, or ontrolled y its supported orgniztion(s), typilly y giving the supported orgniztion(s) the power to regulrly ppoint or elet mjority of the diretors or trustees of the supporting orgniztion. You must omplete Prt IV, Setions A nd B. Type II. A supporting orgniztion supervised or ontrolled in onnetion with its supported orgniztion(s), y hving ontrol or mngement of the supporting orgniztion vested in the sme persons tht ontrol or mnge the supported orgniztion(s). You must omplete Prt IV, Setions A nd C. Type III funtionlly integrted. A supporting orgniztion operted in onnetion with, nd funtionlly integrted with, its supported orgniztion(s) (see instrutions). You must omplete Prt IV, Setions A, D, nd E. Type III non-funtionlly integrted. A supporting orgniztion operted in onnetion with its supported orgniztion(s) tht is not funtionlly integrted. The orgniztion generlly must stisfy distriution requirement nd n ttentiveness requirement (see instrutions). You must omplete Prt IV, Setions A nd D, nd Prt V. Chek this ox if the orgniztion reeived written determintion from the IRS tht it is Type I, Type II, Type III funtionlly integrted, or Type III non-funtionlly integrted supporting orgniztion. Enter the numer of supported orgniztions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 07 g Provide the following informtion out the supported orgniztion(s). (i) Nme of supported (ii) EIN (iii) Type of orgniztion (iv) Is the orgniztion listed (v) Amount of monetry (vi) Amount of other in your governing doument? orgniztion (desried on lines -0 support (see instrutions) support (see instrutions) ove (see instrutions)) Yes No Totl LHA For Pperwork Redution At Notie, see the Instrutions for Form 0 or 0-EZ Shedule A (Form 0 or 0-EZ) 07

14 Shedule A (Form 0 or 0-EZ) 07 ADAPTIVE SPORTS FOUNDATION - Pge Prt II Support Shedule for Orgniztions Desried in Setions 70()()(A)(iv) nd 70()()(A)(vi) (Complete only if you heked the ox on line, 7, or of Prt I or if the orgniztion filed to qulify under Prt III. If the orgniztion fils to qulify under the tests listed elow, plese omplete Prt III.) Setion A. Puli Support Clendr yer (or fisl yer eginning in) Totl. Add lines through ~~~ Puli support. Sutrt line from line. Clendr yer (or fisl yer eginning in) 7 0 ssets (Explin in Prt VI.) ~~~~ Totl support. Add lines 7 through 0 () 0 () 0 () 0 0 (e) 07 (f) Totl () 0 () 0 () 0 0 (e) 07 (f) Totl First five yers. If the Form 0 is for the orgniztion s first, seond, third, fourth, or fifth tx yer s setion 0()() 7 0% -fts-nd-irumstnes test If the orgniztion did not hek ox on line,, or, nd line is 0% or more, Gifts, grnts, ontriutions, nd memership fees reeived. (Do not inlude ny "unusul grnts.") ~~ Tx revenues levied for the orgniztion s enefit nd either pid to or expended on its ehlf ~~~~ The vlue of servies or filities furnished y governmentl unit to the orgniztion without hrge ~ The portion of totl ontriutions y eh person (other thn governmentl unit or pulily supported orgniztion) inluded on line tht exeeds % of the mount shown on line, olumn (f) ~~~~~~~~~~~~ Setion B. Totl Support Amounts from line ~~~~~~~ Gross inome from interest, dividends, pyments reeived on seurities lons, rents, roylties, nd inome from similr soures ~ Net inome from unrelted usiness tivities, whether or not the usiness is regulrly rried on ~ Other inome. Do not inlude gin or loss from the sle of pitl Gross reeipts from relted tivities, et. (see instrutions) ~~~~~~~~~~~~~~~~~~~~~~~ /% support test - 0. If the orgniztion did not hek ox on line or, nd line is /% or more, hek this ox nd stop here. The orgniztion qulifies s pulily supported orgniztion ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ nd if the orgniztion meets the "fts-nd-irumstnes" test, hek this ox nd stop here. Explin in Prt VI how the orgniztion meets the "fts-nd-irumstnes" test. The orgniztion qulifies s pulily supported orgniztion ~~~~~~~~~~~~~~~ 0% -fts-nd-irumstnes test - 0. If the orgniztion did not hek ox on line,,, or 7, nd line is 0% or more, nd if the orgniztion meets the "fts-nd-irumstnes" test, hek this ox nd stop here. Explin in Prt VI how the 7.,.,0.,.,0.,.,. 77,.,.,7.,.,. 0,70.,7.,7., ,. orgniztion, hek this ox nd stop here Setion C. Computtion of Puli Support Perentge Puli support perentge for 07 (line, olumn (f) divided y line, olumn (f)) ~~~~~~~~~~~~. Puli support perentge from 0 Shedule A, Prt II, line ~~~~~~~~~~~~~~~~~~~~~. /% support test If the orgniztion did not hek the ox on line, nd line is /% or more, hek this ox nd stop here. The orgniztion qulifies s pulily supported orgniztion ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ orgniztion meets the "fts-nd-irumstnes" test. The orgniztion qulifies s pulily supported orgniztion ~~~~~~~~ Privte foundtion. If the orgniztion did not hek ox on line,,, 7, or 7, hek this ox nd see instrutions Shedule A (Form 0 or 0-EZ) 07 % %

15 Shedule A (Form 0 or 0-EZ) 07 ADAPTIVE SPORTS FOUNDATION - Prt III Support Shedule for Orgniztions Desried in Setion 0()() Clendr yer (or fisl yer eginning in) The vlue of servies or filities furnished y governmentl unit to the orgniztion without hrge ~ Totl. Add lines through ~~~ 7 Amounts inluded on lines,, nd reeived from disqulified persons Amounts inluded on lines nd reeived from other thn disqulified persons tht exeed the greter of $,000 or % of the mount on line for the yer ~~~~~~ Add lines 7 nd 7 ~~~~~~~ Puli support. (Sutrt line 7 from line.) Clendr yer (or fisl yer eginning in) Amounts from line ~~~~~~~ 0 Gross inome from interest, dividends, pyments reeived on seurities lons, rents, roylties, nd inome from similr soures ~ Unrelted usiness txle inome (less setion txes) from usinesses quired fter June 0, 7 ~~~~ () 0 () 0 () 0 0 (e) 07 (f) Totl () 0 () 0 () 0 0 (e) 07 (f) Totl First five yers. If the Form 0 is for the orgniztion s first, seond, third, fourth, or fifth tx yer s setion 0()() orgniztion, hek this ox nd stop here Setion C. Computtion of Puli Support Perentge Puli support perentge from 0 Shedule A, Prt III, line Setion D. Computtion of Investment Inome Perentge 7 Pge Puli support perentge for 07 (line, olumn (f) divided y line, olumn (f)) ~~~~~~~~~~~~ % /% support tests If the orgniztion did not hek the ox on line, nd line is more thn /%, nd line 7 is not 0 (Complete only if you heked the ox on line 0 of Prt I or if the orgniztion filed to qulify under Prt II. If the orgniztion fils to qulify under the tests listed elow, plese omplete Prt II.) Setion A. Puli Support Gifts, grnts, ontriutions, nd memership fees reeived. (Do not inlude ny "unusul grnts.") ~~ Gross reeipts from dmissions, merhndise sold or servies performed, or filities furnished in ny tivity tht is relted to the orgniztion s tx-exempt purpose Gross reeipts from tivities tht re not n unrelted trde or usiness under setion ~~~~~ Tx revenues levied for the orgniztion s enefit nd either pid to or expended on its ehlf ~~~~ Setion B. Totl Support Add lines 0 nd 0 ~~~~~~ Net inome from unrelted usiness tivities not inluded in line 0, whether or not the usiness is regulrly rried on ~~~~~~~ Other inome. Do not inlude gin or loss from the sle of pitl ssets (Explin in Prt VI.) ~~~~ Totl support. (Add lines, 0,, nd.) Investment inome perentge for 07 (line 0, olumn (f) divided y line, olumn (f)) Investment inome perentge from 0 Shedule A, Prt III, line 7 ~~~~~~~~~~~~~~~~~~ ~~~~~~~~ 7 % more thn /%, hek this ox nd stop here. The orgniztion qulifies s pulily supported orgniztion ~~~~~~~~~~ /% support tests - 0. If the orgniztion did not hek ox on line or line, nd line is more thn /%, nd line is not more thn /%, hek this ox nd stop here. The orgniztion qulifies s pulily supported orgniztion ~~~~ Privte foundtion. If the orgniztion did not hek ox on line,, or, hek this ox nd see instrutions Shedule A (Form 0 or 0-EZ) 07 % %

16 Shedule A (Form 0 or 0-EZ) 07 ADAPTIVE SPORTS FOUNDATION - Pge Prt IV Supporting Orgniztions (Complete only if you heked ox in line on Prt I. If you heked of Prt I, omplete Setions A nd B. If you heked of Prt I, omplete Setions A nd C. If you heked of Prt I, omplete Setions A, D, nd E. If you heked d of Prt I, omplete Setions A nd D, nd omplete Prt V.) Setion A. All Supporting Orgniztions Yes No Are ll of the orgniztion s supported orgniztions listed y nme in the orgniztion s governing douments? If "No," desrie in Prt VI how the supported orgniztions re designted. If designted y lss or purpose, desrie the designtion. If histori nd ontinuing reltionship, explin. Did the orgniztion hve ny supported orgniztion tht does not hve n IRS determintion of sttus under setion 0()() or ()? If "Yes," explin in Prt VI how the orgniztion determined tht the supported orgniztion ws desried in setion 0()() or (). Did the orgniztion hve supported orgniztion desried in setion 0()(), (), or ()? If "Yes," nswer () nd () elow. Did the orgniztion onfirm tht eh supported orgniztion qulified under setion 0()(), (), or () nd stisfied the puli support tests under setion 0()()? If "Yes," desrie in Prt VI when nd how the orgniztion mde the determintion. Did the orgniztion ensure tht ll support to suh orgniztions ws used exlusively for setion 70()()(B) purposes? If "Yes," explin in Prt VI wht ontrols the orgniztion put in ple to ensure suh use. Ws ny supported orgniztion not orgnized in the United Sttes ("foreign supported orgniztion")? If "Yes," nd if you heked or in Prt I, nswer () nd () elow. Did the orgniztion hve ultimte ontrol nd disretion in deiding whether to mke grnts to the foreign supported orgniztion? If "Yes," desrie in Prt VI how the orgniztion hd suh ontrol nd disretion despite eing ontrolled or supervised y or in onnetion with its supported orgniztions. Did the orgniztion support ny foreign supported orgniztion tht does not hve n IRS determintion under setions 0()() nd 0()() or ()? If "Yes," explin in Prt VI wht ontrols the orgniztion used to ensure tht ll support to the foreign supported orgniztion ws used exlusively for setion 70()()(B) purposes. Did the orgniztion dd, sustitute, or remove ny supported orgniztions during the tx yer? If "Yes," nswer () nd () elow (if pplile). Also, provide detil in Prt VI, inluding (i) the nmes nd EIN numers of the supported orgniztions dded, sustituted, or removed; (ii) the resons for eh suh tion; (iii) the uthority under the orgniztion s orgnizing doument uthorizing suh tion; nd (iv) how the tion ws omplished (suh s y mendment to the orgnizing doument). Type I or Type II only. Ws ny dded or sustituted supported orgniztion prt of lss lredy designted in the orgniztion s orgnizing doument? Sustitutions only. Ws the sustitution the result of n event eyond the orgniztion s ontrol? Did the orgniztion provide support (whether in the form of grnts or the provision of servies or filities) to nyone other thn (i) its supported orgniztions, (ii) individuls tht re prt of the hritle lss enefited y one or more of its supported orgniztions, or (iii) other supporting orgniztions tht lso support or enefit one or more of the filing orgniztion s supported orgniztions? If "Yes," provide detil in 7 Prt VI. Did the orgniztion provide grnt, lon, ompenstion, or other similr pyment to sustntil ontriutor (defined in setion ()()(C)), fmily memer of sustntil ontriutor, or % ontrolled entity with regrd to sustntil ontriutor? If "Yes," omplete Prt I of Shedule L (Form 0 or 0-EZ). Did the orgniztion mke lon to disqulified person (s defined in setion ) not desried in line 7? If "Yes," omplete Prt I of Shedule L (Form 0 or 0-EZ). Ws the orgniztion ontrolled diretly or indiretly t ny time during the tx yer y one or more disqulified persons s defined in setion (other thn foundtion mngers nd orgniztions desried 7 in setion 0()() or ())? If "Yes," provide detil in Prt VI. Did one or more disqulified persons (s defined in line ) hold ontrolling interest in ny entity in whih the supporting orgniztion hd n interest? If "Yes," provide detil in Prt VI. Did disqulified person (s defined in line ) hve n ownership interest in, or derive ny personl enefit from, ssets in whih the supporting orgniztion lso hd n interest? If "Yes," provide detil in Prt VI. 0 Ws the orgniztion sujet to the exess usiness holdings rules of setion euse of setion (f) (regrding ertin Type II supporting orgniztions, nd ll Type III non-funtionlly integrted supporting orgniztions)? If "Yes," nswer 0 elow. 0 Did the orgniztion hve ny exess usiness holdings in the tx yer? (Use Shedule C, Form 70, to determine whether the orgniztion hd exess usiness holdings.) Shedule A (Form 0 or 0-EZ) 07

17 Shedule A (Form 0 or 0-EZ) 07 ADAPTIVE SPORTS FOUNDATION - Pge Prt IV Supporting Orgniztions (ontinued) Yes No Hs the orgniztion epted gift or ontriution from ny of the following persons? A person who diretly or indiretly ontrols, either lone or together with persons desried in () nd () elow, the governing ody of supported orgniztion? A fmily memer of person desried in () ove? A % ontrolled entity of person desried in () or () ove? If "Yes" to,, or, provide detil in Prt VI. Setion B. Type I Supporting Orgniztions Yes No Did the diretors, trustees, or memership of one or more supported orgniztions hve the power to regulrly ppoint or elet t lest mjority of the orgniztion s diretors or trustees t ll times during the tx yer? If "No," desrie in Prt VI how the supported orgniztion(s) effetively operted, supervised, or ontrolled the orgniztion s tivities. If the orgniztion hd more thn one supported orgniztion, desrie how the powers to ppoint nd/or remove diretors or trustees were lloted mong the supported orgniztions nd wht onditions or restritions, if ny, pplied to suh powers during the tx yer. Did the orgniztion operte for the enefit of ny supported orgniztion other thn the supported orgniztion(s) tht operted, supervised, or ontrolled the supporting orgniztion? If "Yes," explin in Prt VI how providing suh enefit rried out the purposes of the supported orgniztion(s) tht operted, supervised, or ontrolled the supporting orgniztion. Setion C. Type II Supporting Orgniztions Yes No Were mjority of the orgniztion s diretors or trustees during the tx yer lso mjority of the diretors or trustees of eh of the orgniztion s supported orgniztion(s)? If "No," desrie in Prt VI how ontrol or mngement of the supporting orgniztion ws vested in the sme persons tht ontrolled or mnged the supported orgniztion(s). Setion D. All Type III Supporting Orgniztions Yes No Did the orgniztion provide to eh of its supported orgniztions, y the lst dy of the fifth month of the orgniztion s tx yer, (i) written notie desriing the type nd mount of support provided during the prior tx yer, (ii) opy of the Form 0 tht ws most reently filed s of the dte of notifition, nd (iii) opies of the orgniztion s governing douments in effet on the dte of notifition, to the extent not previously provided? Were ny of the orgniztion s offiers, diretors, or trustees either (i) ppointed or eleted y the supported orgniztion(s) or (ii) serving on the governing ody of supported orgniztion? If "No," explin in Prt VI how the orgniztion mintined lose nd ontinuous working reltionship with the supported orgniztion(s). By reson of the reltionship desried in (), did the orgniztion s supported orgniztions hve signifint voie in the orgniztion s investment poliies nd in direting the use of the orgniztion s inome or ssets t ll times during the tx yer? If "Yes," desrie in Prt VI the role the orgniztion s supported orgniztions plyed in this regrd. Setion E. Type III Funtionlly Integrted Supporting Orgniztions Chek the ox next to the method tht the orgniztion used to stisfy the Integrl Prt Test during the yer (see instrutions). The orgniztion stisfied the Ativities Test. Complete line elow. The orgniztion is the prent of eh of its supported orgniztions. Complete line elow. The orgniztion supported governmentl entity. Desrie in Prt VI how you supported government entity (see instrutions). Ativities Test. Answer () nd () elow. Yes No Did sustntilly ll of the orgniztion s tivities during the tx yer diretly further the exempt purposes of the supported orgniztion(s) to whih the orgniztion ws responsive? If "Yes," then in Prt VI identify those supported orgniztions nd explin how these tivities diretly furthered their exempt purposes, how the orgniztion ws responsive to those supported orgniztions, nd how the orgniztion determined tht these tivities onstituted sustntilly ll of its tivities. Did the tivities desried in () onstitute tivities tht, ut for the orgniztion s involvement, one or more of the orgniztion s supported orgniztion(s) would hve een engged in? If "Yes," explin in Prt VI the resons for the orgniztion s position tht its supported orgniztion(s) would hve engged in these tivities ut for the orgniztion s involvement. Prent of Supported Orgniztions. Answer () nd () elow. Did the orgniztion hve the power to regulrly ppoint or elet mjority of the offiers, diretors, or trustees of eh of the supported orgniztions? Provide detils in Prt VI. Did the orgniztion exerise sustntil degree of diretion over the poliies, progrms, nd tivities of eh of its supported orgniztions? If "Yes," desrie in Prt VI the role plyed y the orgniztion in this regrd Shedule A (Form 0 or 0-EZ) 07 7

18 Shedule A (Form 0 or 0-EZ) 07 ADAPTIVE SPORTS FOUNDATION - Pge Prt V Type III Non-Funtionlly Integrted 0()() Supporting Orgniztions Chek here if the orgniztion stisfied the Integrl Prt Test s qulifying trust on Nov. 0, 70 (explin in Prt VI.) See instrutions. All Setion A - Adjusted Net Inome 7 Adjusted Net Inome (sutrt lines,, nd 7 from line ) Setion B - Minimum Asset Amount 7 d e other Type III non-funtionlly integrted supporting orgniztions must omplete Setions A through E. Net short-term pitl gin Reoveries of prior-yer distriutions Other gross inome (see instrutions) Add lines through Depreition nd depletion Portion of operting expenses pid or inurred for prodution or olletion of gross inome or for mngement, onservtion, or mintenne of property held for prodution of inome (see instrutions) Other expenses (see instrutions) Aggregte fir mrket vlue of ll non-exempt-use ssets (see instrutions for short tx yer or ssets held for prt of yer): Averge monthly vlue of seurities Averge monthly sh lnes Fir mrket vlue of other non-exempt-use ssets Totl (dd lines,, nd ) Disount limed for lokge or other ftors (explin in detil in Prt VI): Aquisition indetedness pplile to non-exempt-use ssets Sutrt line from line d Csh deemed held for exempt use. Enter -/% of line (for greter mount, see instrutions) Net vlue of non-exempt-use ssets (sutrt line from line ) Multiply line y.0 Reoveries of prior-yer distriutions Minimum Asset Amount (dd line 7 to line ) 7 d 7 (A) Prior Yer (A) Prior Yer (B) Current Yer (optionl) (B) Current Yer (optionl) Setion C - Distriutle Amount Current Yer 7 Adjusted net inome for prior yer (from Setion A, line, Column A) Enter % of line Minimum sset mount for prior yer (from Setion B, line, Column A) Enter greter of line or line Inome tx imposed in prior yer Distriutle Amount. Sutrt line from line, unless sujet to emergeny temporry redution (see instrutions) Chek here if the urrent yer is the orgniztion s first s non-funtionlly integrted Type III supporting orgniztion (see instrutions). Shedule A (Form 0 or 0-EZ)

19 Shedule A (Form 0 or 0-EZ) 07 ADAPTIVE SPORTS FOUNDATION - Pge 7 Prt V Type III Non-Funtionlly Integrted 0()() Supporting Orgniztions (ontinued) Setion D - Distriutions Current Yer 7 0 Amounts pid to supported orgniztions to omplish exempt purposes Amounts pid to perform tivity tht diretly furthers exempt purposes of supported orgniztions, in exess of inome from tivity Administrtive expenses pid to omplish exempt purposes of supported orgniztions Amounts pid to quire exempt-use ssets Qulified set-side mounts (prior IRS pprovl required) Other distriutions (desrie in Prt VI). See instrutions. Totl nnul distriutions. Add lines through. Distriutions to ttentive supported orgniztions to whih the orgniztion is responsive (provide detils in Prt VI). See instrutions. Distriutle mount for 07 from Setion C, line Line mount divided y line mount Setion E - Distriution Allotions (see instrutions) (i) Exess Distriutions (ii) Underdistriutions Pre-07 (iii) Distriutle Amount for 07 d e f g h i j 7 d e Distriutle mount for 07 from Setion C, line Underdistriutions, if ny, for yers prior to 07 (resonle use required- explin in Prt VI). See instrutions. Exess distriutions rryover, if ny, to 07 From 0 From 0 From 0 From 0 Totl of lines through e Applied to underdistriutions of prior yers Applied to 07 distriutle mount Crryover from 0 not pplied (see instrutions) Reminder. Sutrt lines g, h, nd i from f. Distriutions for 07 from Setion D, line 7: $ Applied to underdistriutions of prior yers Applied to 07 distriutle mount Reminder. Sutrt lines nd from. Remining underdistriutions for yers prior to 07, if ny. Sutrt lines g nd from line. For result greter thn zero, explin in Prt VI. See instrutions. Remining underdistriutions for 07. Sutrt lines h nd from line. For result greter thn zero, explin in Prt VI. See instrutions. Exess distriutions rryover to 0. Add lines j nd. Brekdown of line 7: Exess from 0 Exess from 0 Exess from 0 Exess from 0 Exess from 07 Shedule A (Form 0 or 0-EZ)

20 Shedule A (Form 0 or 0-EZ) 07 ADAPTIVE SPORTS FOUNDATION - Pge Prt VI Supplementl Informtion. Provide the explntions required y Prt II, line 0; Prt II, line 7 or 7; Prt III, line ; Prt IV, Setion A, lines,,,,,,,,,,,,, nd ; Prt IV, Setion B, lines nd ; Prt IV, Setion C, line ; Prt IV, Setion D, lines nd ; Prt IV, Setion E, lines,,,, nd ; Prt V, line ; Prt V, Setion B, line e; Prt V, Setion D, lines,, nd ; nd Prt V, Setion E, lines,, nd. Also omplete this prt for ny dditionl informtion. (See instrutions.) Shedule A (Form 0 or 0-EZ) 07

21 Shedule B (Form 0, 0-EZ, or 0-PF) Deprtment of the Tresury Internl Revenue Servie Nme of the orgniztion Shedule of Contriutors Atth to Form 0, Form 0-EZ, or Form 0-PF. Go to for the ltest informtion. OMB Employer identifition numer Orgniztion type(hek one): ADAPTIVE SPORTS FOUNDATION - Filers of: Setion: Form 0 or 0-EZ 0()( ) (enter numer) orgniztion 7()() nonexempt hritle trust not treted s privte foundtion 7 politil orgniztion Form 0-PF 0()() exempt privte foundtion 7()() nonexempt hritle trust treted s privte foundtion 0()() txle privte foundtion Chek if your orgniztion is overed y the Generl Rule or Speil Rule. Note: Only setion 0()(7), (), or (0) orgniztion n hek oxes for oth the Generl Rule nd Speil Rule. See instrutions. Generl Rule For n orgniztion filing Form 0, 0-EZ, or 0-PF tht reeived, during the yer, ontriutions totling $,000 or more (in money or property) from ny one ontriutor. Complete Prts I nd II. See instrutions for determining ontriutor s totl ontriutions. Speil Rules For n orgniztion desried in setion 0()() filing Form 0 or 0-EZ tht met the /% support test of the regultions under setions 0()() nd 70()()(A)(vi), tht heked Shedule A (Form 0 or 0-EZ), Prt II, line,, or, nd tht reeived from ny one ontriutor, during the yer, totl ontriutions of the greter of () $,000; or () % of the mount on (i) Form 0, Prt VIII, line h; or (ii) Form 0-EZ, line. Complete Prts I nd II. For n orgniztion desried in setion 0()(7), (), or (0) filing Form 0 or 0-EZ tht reeived from ny one ontriutor, during the yer, totl ontriutions of more thn $,000 exlusively for religious, hritle, sientifi, literry, or edutionl purposes, or for the prevention of ruelty to hildren or nimls. Complete Prts I, II, nd III. For n orgniztion desried in setion 0()(7), (), or (0) filing Form 0 or 0-EZ tht reeived from ny one ontriutor, during the yer, ontriutions exlusively for religious, hritle, et., purposes, ut no suh ontriutions totled more thn $,000. If this ox is heked, enter here the totl ontriutions tht were reeived during the yer for n exlusively religious, hritle, et., purpose. Don t omplete ny of the prts unless the Generl Rule pplies to this orgniztion euse it reeived nonexlusively religious, hritle, et., ontriutions totling $,000 or more during the yer ~~~~~~~~~~~~~~~ $ Cution: An orgniztion tht isn t overed y the Generl Rule nd/or the Speil Rules doesn t file Shedule B (Form 0, 0-EZ, or 0-PF), ut it must nswer "No" on Prt IV, line, of its Form 0; or hek the ox on line H of its Form 0-EZ or on its Form 0-PF, Prt I, line, to ertify tht it doesn t meet the filing requirements of Shedule B (Form 0, 0-EZ, or 0-PF). LHA For Pperwork Redution At Notie, see the instrutions for Form 0, 0-EZ, or 0-PF. Shedule B (Form 0, 0-EZ, or 0-PF) (07) 7-0-7

22 Shedule B (Form 0, 0-EZ, or 0-PF) (07) Nme of orgniztion Employer identifition numer Pge ADAPTIVE SPORTS FOUNDATION - Prt I () Contriutors (see instrutions). Use duplite opies of Prt I if dditionl spe is needed. () Nme, ddress, nd ZIP + PETER R. & CYNTHIA K. KELLOGG () Totl ontriutions Type of ontriution FOUNDATION Person Pyroll WALL ST. 0TH FLOOR $ 7,0. Nonsh NEW YORK, NY 000 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution SKI WINDHAM OPERATING CORPORATION Person CLARENCE D LANE ROAD $,707. Pyroll Nonsh WINDHAM, NY (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution CATSKILL MOUNTAIN FOUNDATION Person Pyroll PO BO 00 $ 0,000. Nonsh WINDHAM, NY (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution WINDHAM MOUNTAIN PARTNERS Person Pyroll PO BO $,000. Nonsh WINDHAM, NY (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution PETER R AND CYNTHIA K KELLOGG FDN Person Pyroll WALL ST 0TH FLOOR $,000. Nonsh NEW YORK, NY 000 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution WILLIAM AND MELISSA LAWSON Person Pyroll SUTTON PLACE $ 0,000. Nonsh NEW YORK, NY 00 (Complete Prt II for nonsh ontriutions.) Shedule B (Form 0, 0-EZ, or 0-PF) (07)

23 Shedule B (Form 0, 0-EZ, or 0-PF) (07) Nme of orgniztion Employer identifition numer Pge ADAPTIVE SPORTS FOUNDATION - Prt I Contriutors (see instrutions). Use duplite opies of Prt I if dditionl spe is needed. () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution 7 GLEN AND KRISTEN MCDERMOTT Person Pyroll CRESTWOOD AVE $,000. Nonsh TUCKAHOE, NY 0707 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution VINCENT PASSIONE Person Pyroll OLD DENVILLE RD $ 0,000. Nonsh BOONTON, NJ 0700 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + THE HOWARD AND BARBARA FARKAS FOUNDATION () Totl ontriutions 0- METROPOLITIAN AVE $,000. FOREST HILL, NY 7 Type of ontriution Person Pyroll Nonsh (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution 0 NNN PROPERTIES Person Pyroll S PEASACK RD $,000. Nonsh SPRING VALLEY, NY 077 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution IRON HORSE CIGAR DEPOT-ROY BROWN Person Pyroll S7TH STREET $,. Nonsh HUDSON, NY (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution LEGENDS IN VALOR Person Pyroll 7 BEACH TH STREET $,000. Nonsh BELLE HARBOR, NY (Complete Prt II for nonsh ontriutions.) Shedule B (Form 0, 0-EZ, or 0-PF) (07)

24 Shedule B (Form 0, 0-EZ, or 0-PF) (07) Nme of orgniztion Employer identifition numer Pge ADAPTIVE SPORTS FOUNDATION - Prt I Contriutors (see instrutions). Use duplite opies of Prt I if dditionl spe is needed. () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution ROBERT AND AUDREY LUKOW Person Pyroll OLD POST RD $ 0,000. Nonsh WYCKOFF, NJ 07 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution STEPHEN AND STACIE KIRATSOUS Person Pyroll 00 E 7TH ST APT B $ 0,000. Nonsh NEW YORK, NY 00 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution BENJAMIN ROMNEY Person Pyroll GLEN DRIVE $,000. Nonsh SOUTH SALEM, NY 00 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution MOHICAN POST AMERICAN LEGION Person Pyroll PO BO $ 0,000. Nonsh CAIRO, NY (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution 7 CHARLES MCGUFFOG Person Pyroll PO BO $,000. Nonsh WINDHAM, NY (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution THOMAS AND KAREN HAMILTON Person Pyroll STUYVASAN AVE $ 0,000. Nonsh RYE, NY 00 (Complete Prt II for nonsh ontriutions.) Shedule B (Form 0, 0-EZ, or 0-PF) (07)

25 Shedule B (Form 0, 0-EZ, or 0-PF) (07) Nme of orgniztion Employer identifition numer Pge ADAPTIVE SPORTS FOUNDATION - Prt I Contriutors (see instrutions). Use duplite opies of Prt I if dditionl spe is needed. () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution NAVILLUS TILE INC Person Pyroll RD AVE 7TH FLOOR $ 7,00. Nonsh NEW YORK, NY 007 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution 0 RBC TRUST COMPANY (DELAWARE) Person Pyroll PO BO 7 $,000. Nonsh WILMINGTON, DE 0 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution GEN AND ALISON KUNOFSKY Person Pyroll 70 WEST 7RD ST AOT B $,000. Nonsh NEW YORK, NY 00 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution CHARLES MCGUFFOG Person Pyroll PO BO $,000. Nonsh WINDHAM, NY (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution BNP PARIBAS Person Pyroll 77 SEVENTH AVE $ 0,000. Nonsh NY, NY 00 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution UBS AG Person Pyroll PO BO 0 $ 0,000. Nonsh STAMFORD, CT 0 (Complete Prt II for nonsh ontriutions.) Shedule B (Form 0, 0-EZ, or 0-PF) (07)

26 Shedule B (Form 0, 0-EZ, or 0-PF) (07) Nme of orgniztion Employer identifition numer Pge ADAPTIVE SPORTS FOUNDATION - Prt I Contriutors (see instrutions). Use duplite opies of Prt I if dditionl spe is needed. () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution INTERVAL PARTNERS Person Pyroll 0 RD AVE TH FLOOR $ 0,000. Nonsh NY, NY 00 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution MUFG Person Pyroll AVENUE OF THE AMERICAS $,000. Nonsh NY, NY 000 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution 7 GOLDMAN SACH Person Pyroll 00 WEST STREET $ 0,000. Nonsh NY, NY 0 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution DEUTSCHE BANK Person Pyroll 00 PLAZA ONE $ 0,000. Nonsh NEW JERSEY CITY, NJ 07 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution SELECT EQUITY GROUP Person Pyroll 0 LAFAYETTE ST FLOOR $,000. Nonsh NY, NY 000 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution 0 PRICEWATERHOUSE COOPER Person Pyroll PO BO 000 $ 0,000. Nonsh TAMPA, FL 0 (Complete Prt II for nonsh ontriutions.) Shedule B (Form 0, 0-EZ, or 0-PF) (07)

27 Shedule B (Form 0, 0-EZ, or 0-PF) (07) Nme of orgniztion Employer identifition numer Pge ADAPTIVE SPORTS FOUNDATION - Prt I Contriutors (see instrutions). Use duplite opies of Prt I if dditionl spe is needed. () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution SELECT EQUITY GROUP Person Pyroll 0 LAFAYETTE ST FLOOR $,000. Nonsh NY, NY 000 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution SIDLEY AUSTIN LLP Person Pyroll 77 SEVENTH AVE $,000. Nonsh NY, NY 00 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution MUFG Person Pyroll AVE OF THE AMERICAS $ 0,000. Nonsh NY, NY 000 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution STEPHEN AND STACI KIRATSOUS Person Pyroll 00 E 7TH ST APT B $ 0,000. Nonsh NY, NY 00 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution MEDLEY CAPITAL Person Pyroll 7 PARK AVE SUITE 0 $ 0,000. Nonsh NY, NY 0 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution TURNER CONSTRUCTION COMPANY Person Pyroll 7 HUDSON STREET $ 0,000. Nonsh NEW YORK, NY 00 7 (Complete Prt II for nonsh ontriutions.) Shedule B (Form 0, 0-EZ, or 0-PF) (07)

28 Shedule B (Form 0, 0-EZ, or 0-PF) (07) Nme of orgniztion Employer identifition numer Pge ADAPTIVE SPORTS FOUNDATION - Prt I Contriutors (see instrutions). Use duplite opies of Prt I if dditionl spe is needed. () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution 7 JP MORGAN CHASE Person Pyroll POLARIS PARKWAY FLOOR N $,000. Nonsh COLUMBUS, OH 0 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution WELLS FARGO BANK Person Pyroll TH AND PLUM STREETS $ 7,00. Nonsh RED WING, MN 0 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution GINO AND DIANA MARTOCCI Person Pyroll HLF MILE RD $ 0,000. Nonsh ARMONK, NY 00 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution 0 TYLIS FAMILY FOUNDATION Person Pyroll W. 7TH ST APT DH $ 0,000. Nonsh NEW YORK, NY 00 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution FIFTH GENERATION INC Person Pyroll 0 SMITH RD BLD C $ 0,000. Nonsh AUSTIN, T 77 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution TEE IT UP FOR THE TROOPS INC Person Pyroll W TRAVELERS TRL $,. Nonsh BURNSVILLE, MN 7 (Complete Prt II for nonsh ontriutions.) Shedule B (Form 0, 0-EZ, or 0-PF) (07)

29 Shedule B (Form 0, 0-EZ, or 0-PF) (07) Nme of orgniztion Employer identifition numer Pge ADAPTIVE SPORTS FOUNDATION - Prt I Contriutors (see instrutions). Use duplite opies of Prt I if dditionl spe is needed. () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution WALMART FOUNDATION Person Pyroll 70 SW TH STREET $,000. Nonsh BENTONVILLLE, AZ (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution NEWMAN S OWN FOUNDATION Person Pyroll ONE MORNINGSIDE DRIVE $ 0,000. Nonsh WESTPORT, CT 00 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution MERINGOFF FAMILY FOUNDATION Person Pyroll 0 WEST TH ST TH FLOOR $,000. Nonsh NY, NY 000 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution SELECT EQUITY GROUP Person Pyroll 0 LAFAYETTE ST FL $,0. Nonsh NY, NY 000 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution 7 RITE AID FOUNDATION Person Pyroll PO BO $,000. Nonsh HARRISBURGH, PA 70 (Complete Prt II for nonsh ontriutions.) () () Nme, ddress, nd ZIP + () Totl ontriutions Type of ontriution $ Person Pyroll Nonsh (Complete Prt II for nonsh ontriutions.) Shedule B (Form 0, 0-EZ, or 0-PF) (07)

30 Shedule B (Form 0, 0-EZ, or 0-PF) (07) Nme of orgniztion Pge Employer identifition numer ADAPTIVE SPORTS FOUNDATION - Prt II Nonsh Property (see instrutions). Use duplite opies of Prt II if dditionl spe is needed. () from Prt I () Desription of nonsh property given FORGIVENESS OF INTEREST () FMV (or estimte) (See instrutions.) Dte reeived $ 7,0. 0/0/ () from Prt I LIFT TICKETS () Desription of nonsh property given () FMV (or estimte) (See instrutions.) Dte reeived $,707. 0/0/ () from Prt I () Desription of nonsh property given () FMV (or estimte) (See instrutions.) Dte reeived $ () from Prt I () Desription of nonsh property given () FMV (or estimte) (See instrutions.) Dte reeived $ () from Prt I () Desription of nonsh property given () FMV (or estimte) (See instrutions.) Dte reeived $ () from Prt I () Desription of nonsh property given () FMV (or estimte) (See instrutions.) Dte reeived $ Shedule B (Form 0, 0-EZ, or 0-PF) (07)

31 Shedule B (Form 0, 0-EZ, or 0-PF) (07) Nme of orgniztion Pge Employer identifition numer ADAPTIVE SPORTS FOUNDATION - Prt III () from Prt I Exlusively religious, hritle, et., ontriutions to orgniztions desried in setion 0()(7), (), or (0) tht totl more thn $,000 for the yer from ny one ontriutor. Complete olumns () through (e) nd the following line entry. For orgniztions ompleting Prt III, enter the totl of exlusively religious, hritle, et., ontriutions of $,000 or less for the yer. (Enter this info. one.) $ Use duplite opies of Prt III if dditionl spe is needed. () Purpose of gift () Use of gift Desription of how gift is held (e) Trnsfer of gift Trnsferee s nme, ddress, nd ZIP + Reltionship of trnsferor to trnsferee () from Prt I () Purpose of gift () Use of gift Desription of how gift is held (e) Trnsfer of gift Trnsferee s nme, ddress, nd ZIP + Reltionship of trnsferor to trnsferee () from Prt I () Purpose of gift () Use of gift Desription of how gift is held (e) Trnsfer of gift Trnsferee s nme, ddress, nd ZIP + Reltionship of trnsferor to trnsferee () from Prt I () Purpose of gift () Use of gift Desription of how gift is held (e) Trnsfer of gift Trnsferee s nme, ddress, nd ZIP + Reltionship of trnsferor to trnsferee Shedule B (Form 0, 0-EZ, or 0-PF) (07)

32 SCHEDULE D (Form 0) Complete if the orgniztion nswered "Yes" on Form 0, Prt IV, line, 7,,, 0,,,, d, e, f,, or. Deprtment of the Tresury Atth to Form 0. Internl Revenue Servie Go to for instrutions nd the ltest informtion OMB -007 Open to Puli Inspetion Nme of the orgniztion Employer identifition numer ADAPTIVE SPORTS FOUNDATION - Prt I Orgniztions Mintining Donor Advised Funds or Other Similr Funds or Aounts. Complete if the orgniztion nswered "Yes" on Form 0, Prt IV, line. () Donor dvised funds () Funds nd other ounts 7 d Totl numer t end of yer ~~~~~~~~~~~~~~~ Aggregte vlue of ontriutions to (during yer) Aggregte vlue of grnts from (during yer) Aggregte vlue t end of yer Complete lines through d if the orgniztion held qulified onservtion ontriution in the form of onservtion esement on the lst dy of the tx yer. Held t the End of the Tx Yer (i) (ii) ~~~~ ~~~~~~ ~~~~~~~~~~~~~ Did the orgniztion inform ll donors nd donor dvisors in writing tht the ssets held in donor dvised funds re the orgniztion s property, sujet to the orgniztion s exlusive legl ontrol?~~~~~~~~~~~~~~~~~~ Did the orgniztion inform ll grntees, donors, nd donor dvisors in writing tht grnt funds n e used only for hritle purposes nd not for the enefit of the donor or donor dvisor, or for ny other purpose onferring impermissile privte enefit? Prt II Conservtion Esements. Complete if the orgniztion nswered "Yes" on Form 0, Prt IV, line 7. Purpose(s) of onservtion esements held y the orgniztion (hek ll tht pply). Preservtion of lnd for puli use (e.g., reretion or edution) Protetion of nturl hitt Preservtion of open spe Preservtion of historilly importnt lnd re Preservtion of ertified histori struture Totl numer of onservtion esements ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Totl rege restrited y onservtion esements ~~~~~~~~~~~~~~~~~~~~~~~~~~ Numer of onservtion esements on ertified histori struture inluded in () ~~~~~~~~~~~~ Numer of onservtion esements inluded in () quired fter 7//0, nd not on histori struture listed in the Ntionl Register ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Numer of onservtion esements modified, trnsferred, relesed, extinguished, or terminted y the orgniztion during the tx yer Numer of sttes where property sujet to onservtion esement is loted Does the orgniztion hve written poliy regrding the periodi monitoring, inspetion, hndling of violtions, nd enforement of the onservtion esements it holds? ~~~~~~~~~~~~~~~~~~~~~~~~~ Stff nd volunteer hours devoted to monitoring, inspeting, hndling of violtions, nd enforing onservtion esements during the yer Amount of expenses inurred in monitoring, inspeting, hndling of violtions, nd enforing onservtion esements during the yer $ Does eh onservtion esement reported on line ove stisfy the requirements of setion 70(h)()(B)(i) nd setion 70(h)()(B)(ii)? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ In Prt III, desrie how the orgniztion reports onservtion esements in its revenue nd expense sttement, nd lne sheet, nd inlude, if pplile, the text of the footnote to the orgniztion s finnil sttements tht desries the orgniztion s ounting for onservtion esements. Prt III Orgniztions Mintining Colletions of Art, Historil Tresures, or Other Similr Assets. Complete if the orgniztion nswered "Yes" on Form 0, Prt IV, line. If the orgniztion eleted, s permitted under SFAS (ASC ), not to report in its revenue sttement nd lne sheet works of rt, LHA historil tresures, or other similr ssets held for puli exhiition, edution, or reserh in furtherne of puli servie, provide, in Prt III, the text of the footnote to its finnil sttements tht desries these items. If the orgniztion eleted, s permitted under SFAS (ASC ), to report in its revenue sttement nd lne sheet works of rt, historil tresures, or other similr ssets held for puli exhiition, edution, or reserh in furtherne of puli servie, provide the following mounts relting to these items: Revenue inluded on Form 0, Prt VIII, line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ $ Assets inluded in Form 0, Prt ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If the orgniztion reeived or held works of rt, historil tresures, or other similr ssets for finnil gin, provide the following mounts required to e reported under SFAS (ASC ) relting to these items: Revenue inluded on Form 0, Prt VIII, line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ $ Assets inluded in Form 0, Prt Supplementl Finnil Sttements For Pperwork Redution At Notie, see the Instrutions for Form 0. Shedule D (Form 0) 07 d $ $ 07 Yes Yes Yes Yes No No No No

33 Shedule D (Form 0) 07 ADAPTIVE SPORTS FOUNDATION - Pge Prt III Orgniztions Mintining Colletions of Art, Historil Tresures, or Other Similr Assets (ontinued) Using the orgniztion s quisition, ession, nd other reords, hek ny of the following tht re signifint use of its olletion items d e f d e If "Yes," explin the rrngement in Prt III. Chek here if the explntion hs een provided on Prt III Prt V Endowment Funds. Complete if the orgniztion nswered "Yes" on Form 0, Prt IV, line 0. d e f g (i) (ii) () Current yer () Prior yer () Two yers k Three yers k (e) Four yers k,,.,,7.,,7.,0,.,,. 07,77.,00,.,0.,0.,0. 70,. 7,. -,0.,00. 0,.,0. Desrie in Prt III the intended uses of the orgniztion s endowment funds. Prt VI Lnd, Buildings, nd Equipment. Complete if the orgniztion nswered "Yes" on Form 0, Prt IV, line. See Form 0, Prt, line 0. (hek ll tht pply): Puli exhiition Sholrly reserh Preservtion for future genertions Lon or exhnge progrms Provide desription of the orgniztion s olletions nd explin how they further the orgniztion s exempt purpose in Prt III. During the yer, did the orgniztion soliit or reeive dontions of rt, historil tresures, or other similr ssets to e sold to rise funds rther thn to e mintined s prt of the orgniztion s olletion? Yes Prt IV Esrow nd Custodil Arrngements. Complete if the orgniztion nswered "Yes" on Form 0, Prt IV, line, or reported n mount on Form 0, Prt, line. Is the orgniztion n gent, trustee, ustodin or other intermediry for ontriutions or other ssets not inluded on Form 0, Prt? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ d e f Yes Yes (i) (ii) () Cost or other () Cost or other () Aumulted Book vlue sis (investment) sis (other) depreition,70.,0.,7,0.,,0. 70,.,00,0. Lesehold improvements ~~~~~~~~~~ d Equipment ~~~~~~~~~~~~~~~~~,0. 70,.,7. e Other,. 0,7. 0,7. Totl. Add lines through e. (Column must equl Form 0, Prt, olumn (B), line 0.),7,7. Other If "Yes," explin the rrngement in Prt III nd omplete the following tle: Beginning lne Additions during the yer ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Distriutions during the yer ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Ending lne ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the orgniztion inlude n mount on Form 0, Prt, line, for esrow or ustodil ount liility? ~~~~~ Beginning of yer lne Contriutions ~~~~~~~~~~~~~~ Net investment ernings, gins, nd losses Grnts or sholrships Other expenditures for filities nd progrms Administrtive expenses End of yer lne ~~~~~~~ ~~~~~~~~~ ~~~~~~~~~~~~~ ~~~~~~~~ ~~~~~~~~~~ Provide the estimted perentge of the urrent yer end lne (line g, olumn ()) held s: Bord designted or qusi-endowment % Permnent endowment. % Temporrily restrited endowment.7 % The perentges on lines,, nd should equl 00%. Are there endowment funds not in the possession of the orgniztion tht re held nd dministered for the orgniztion y: unrelted orgniztions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ relted orgniztions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes" on line (ii), re the relted orgniztions listed s required on Shedule R? ~~~~~~~~~~~~~~~~~~~~ Desription of property Lnd ~~~~~~~~~~~~~~~~~~~~ Buildings ~~~~~~~~~~~~~~~~~~ Amount -,00. -,70. -,0. -0,. -, ,0. -,. -,0. -,.,0,7.,,.,,7.,,7.,0,. Yes No No No No Shedule D (Form 0)

34 Shedule D (Form 0) 07 ADAPTIVE SPORTS FOUNDATION - Pge Prt VII Investments - Other Seurities. Complete if the orgniztion nswered "Yes" on Form 0, Prt IV, line. See Form 0, Prt, line. () Desription of seurity or tegory (inluding nme of seurity) () Book vlue () Method of vlution: Cost or end-of-yer mrket vlue () Finnil derivtives ~~~~~~~~~~~~~~~ () Closely-held equity interests ~~~~~~~~~~~ () Other (A) MARKETABLE SECURITIES,0,07. END-OF-YEAR MARKET VALUE (B) (C) (D) (E) (F) (G) (H) Totl. (Col. () must equl Form 0, Prt, ol. (B) line.),0,07. Prt VIII Investments - Progrm Relted. Complete if the orgniztion nswered "Yes" on Form 0, Prt IV, line. See Form 0, Prt, line. () Desription of investment () Book vlue () Method of vlution: Cost or end-of-yer mrket vlue () () () () () () (7) () () Totl. (Col. () must equl Form 0, Prt, ol. (B) line.) Prt I Other Assets. Complete if the orgniztion nswered "Yes" on Form 0, Prt IV, line d. See Form 0, Prt, line. () Desription () Book vlue () () () () () () (7) () () Totl. (Column () must equl Form 0, Prt, ol. (B) line.) Prt Other Liilities. Complete if the orgniztion nswered "Yes" on Form 0, Prt IV, line e or f. See Form 0, Prt, line.. () Desription of liility () Book vlue () Federl inome txes () DEFERRED INCOME 0,0. () () () () (7) () () Totl. (Column () must equl Form 0, Prt, ol. (B) line.) 0,0.. Liility for unertin tx positions. In Prt III, provide the text of the footnote to the orgniztion s finnil sttements tht reports the orgniztion s liility for unertin tx positions under FIN (ASC 70). Chek here if the text of the footnote hs een provided in Prt III Shedule D (Form 0)

35 Shedule D (Form 0) 07 ADAPTIVE SPORTS FOUNDATION - Pge Prt I Reonilition of Revenue per Audited Finnil Sttements With Revenue per Return. Complete if the orgniztion nswered "Yes" on Form 0, Prt IV, line. Totl revenue, gins, nd other support per udited finnil sttements ~~~~~~~~~~~~~~~~~~~,,7. d e Add lines through d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ e Sutrt line e from line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other (Desrie in Prt III.) ~~~~~~~~~~~~~~~~~~~~~~~~~~ Add lines nd ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 0. Totl revenue. Add lines nd. (This must equl Form 0, Prt I, line.),,. Prt II Reonilition of Expenses per Audited Finnil Sttements With Expenses per Return. Complete if the orgniztion nswered "Yes" on Form 0, Prt IV, line. Totl expenses nd losses per udited finnil sttements ~~~~~~~~~~~~~~~~~~~~~~~~~~,0,. d e Amounts inluded on line ut not on Form 0, Prt VIII, line : Net unrelized gins (losses) on investments Donted servies nd use of filities ~~~~~~~~~~~~~~~~~~~~~~ Reoveries of prior yer grnts Other (Desrie in Prt III.) Add lines through d ~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~ Amounts inluded on Form 0, Prt VIII, line, ut not on line : Investment expenses not inluded on Form 0, Prt VIII, line 7 Amounts inluded on line ut not on Form 0, Prt I, line : ~~~~~~~~ Donted servies nd use of filities ~~~~~~~~~~~~~~~~~~~~~~ Prior yer djustments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other losses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other (Desrie in Prt III.) ~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Sutrt line e from line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Amounts inluded on Form 0, Prt I, line, ut not on line : Investment expenses not inluded on Form 0, Prt VIII, line 7 Other (Desrie in Prt III.) ~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~ Add lines nd ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Totl expenses. Add lines nd. (This must equl Form 0, Prt I, line.) Prt III Supplementl Informtion. Provide the desriptions required for Prt II, lines,, nd ; Prt III, lines nd ; Prt IV, lines nd ; Prt V, line ; Prt, line ; Prt I, lines d nd ; nd Prt II, lines d nd. Also omplete this prt to provide ny dditionl informtion. d d,. 0,00. 0,00. e,.,,. 0,00.,77,. 0.,77,. PART I, LINE D - OTHER ADJUSTMENTS: DIRECT SPECIAL EVENT EPENSES 0,00. PART II, LINE D - OTHER ADJUSTMENTS: DIRECT SPECIAL EVENT EPENSES 0, Shedule D (Form 0) 07

36 OMB -007 SCHEDULE G Supplementl Informtion Regrding Fundrising or Gming Ativities (Form 0 or 0-EZ) Complete if the orgniztion nswered "Yes" on Form 0, Prt IV, line 7,, or, or if the 07 orgniztion entered more thn $,000 on Form 0-EZ, line. Deprtment of the Tresury Atth to Form 0 or Form 0-EZ. Open to Puli Internl Revenue Servie Inspetion Go to for the ltest instrutions. Nme of the orgniztion Employer identifition numer ADAPTIVE SPORTS FOUNDATION - Prt I d Fundrising Ativities. Complete if the orgniztion nswered "Yes" on Form 0, Prt IV, line 7. Form 0-EZ filers re not required to omplete this prt. Indite whether the orgniztion rised funds through ny of the following tivities. Chek ll tht pply. Mil soliittions Internet nd emil soliittions Phone soliittions In-person soliittions Did the orgniztion hve written or orl greement with ny individul (inluding offiers, diretors, trustees, or e f g Soliittion of non-government grnts Soliittion of government grnts Speil fundrising events key employees listed in Form 0, Prt VII) or entity in onnetion with professionl fundrising servies? If "Yes," list the 0 highest pid individuls or entities (fundrisers) pursunt to greements under whih the fundriser is to e ompensted t lest $,000 y the orgniztion. Yes No (i) Nme nd ddress of individul or entity (fundriser) (ii) Ativity (iii) Did fundriser (iv) Gross reeipts hve ustody or ontrol of from tivity ontriutions? (v) Amount pid to (or retined y) fundriser listed in ol. (i) (vi) Amount pid to (or retined y) orgniztion Yes No Totl List ll sttes in whih the orgniztion is registered or liensed to soliit ontriutions or hs een notified it is exempt from registrtion or liensing. LHA For Pperwork Redution At Notie, see the Instrutions for Form 0 or 0-EZ. Shedule G (Form 0 or 0-EZ)

37 Shedule G (Form 0 or 0-EZ) 07 ADAPTIVE SPORTS FOUNDATION - Pge Prt II Fundrising Events. Complete if the orgniztion nswered "Yes" on Form 0, Prt IV, line, or reported more thn $,000 of fundrising event ontriutions nd gross inome on Form 0-EZ, lines nd. List events with gross reeipts greter thn $,000. Revenue Gross reeipts ~~~~~~~~~~~~~~ () Event # () Event # () Other events GOLF MASTER CHEF TOURNAMENT (event type) (event type) (totl numer) Totl events (dd ol. () through ol. ()),7. 7,.,0. 0,7. Less: Contriutions ~~~~~~~~~~~,00.,00. Gross inome (line minus line ) 0,. 7,.,0. 7,7. Csh prizes ~~~~~~~~~~~~~~~ Diret Expenses 7 Nonsh prizes ~~~~~~~~~~~~~ Rent/fility osts ~~~~~~~~~~~~ Food nd everges ~~~~~~~~~~ 0 Net inome summry. Sutrt line 0 from line, olumn Prt III Gming. Complete if the orgniztion nswered "Yes" on Form 0, Prt IV, line, or reported more thn Revenue Entertinment ~~~~~~~~~~~~~~ Other diret expenses ~~~~~~~~~~ Diret expense summry. Add lines through in olumn $,000 on Form 0-EZ, line. Gross revenue,.,. 0,. 0,07. ~~~~~~~~~~~~~~~~~~~~~~~~ 0,07.,77. () Bingo () Pull ts/instnt ingo/progressive ingo () Other gming Totl gming (dd ol. () through ol. ()) Diret Expenses Csh prizes ~~~~~~~~~~~~~~~ Nonsh prizes ~~~~~~~~~~~~~ Rent/fility osts ~~~~~~~~~~~~ Other diret expenses Volunteer lor ~~~~~~~~~~~~~ Yes % Yes % Yes % No No No 7 Diret expense summry. Add lines through in olumn ~~~~~~~~~~~~~~~~~~~~~~~~ Net gming inome summry. Sutrt line 7 from line, olumn Enter the stte(s) in whih the orgniztion onduts gming tivities: Is the orgniztion liensed to ondut gming tivities in eh of these sttes? ~~~~~~~~~~~~~~~~~~~~ If "No," explin: Yes No 0 Were ny of the orgniztion s gming lienses revoked, suspended, or terminted during the tx yer? ~~~~~~~~~ If "Yes," explin: Yes No Shedule G (Form 0 or 0-EZ) 07 7

38 Shedule G (Form 0 or 0-EZ) 07 ADAPTIVE SPORTS FOUNDATION - Pge Does the orgniztion ondut gming tivities with nonmemers? ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Is the orgniztion grntor, enefiiry or trustee of trust, or memer of prtnership or other entity formed to dminister hritle gming? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes Yes No No Indite the perentge of gming tivity onduted in: The orgniztion s fility ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ % An outside fility ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ % Enter the nme nd ddress of the person who prepres the orgniztion s gming/speil events ooks nd reords: Nme Address Does the orgniztion hve ontrt with third prty from whom the orgniztion reeives gming revenue? ~~~~~~ Yes No If "Yes," enter the mount of gming revenue reeived y the orgniztion $ nd the mount of gming revenue retined y the third prty $ If "Yes," enter nme nd ddress of the third prty: Nme Address Gming mnger informtion: Nme Gming mnger ompenstion $ Desription of servies provided Diretor/offier Employee Independent ontrtor 7 Mndtory distriutions: Is the orgniztion required under stte lw to mke hritle distriutions from the gming proeeds to retin the stte gming liense? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Yes No Enter the mount of distriutions required under stte lw to e distriuted to other exempt orgniztions or spent in the orgniztion s own exempt tivities during the tx yer $ Prt IV Supplementl Informtion. Provide the explntions required y Prt I, line, olumns (iii) nd (v); nd Prt III, lines,, 0,,,, nd 7, s pplile. Also provide ny dditionl informtion. See instrutions Shedule G (Form 0 or 0-EZ) 07

39 Shedule G (Form 0 or 0-EZ) ADAPTIVE SPORTS FOUNDATION - Prt IV Supplementl Informtion (ontinued) Pge Shedule G (Form 0 or 0-EZ)

40 SCHEDULE M (Form 0) Deprtment of the Tresury Internl Revenue Servie Complete if the orgniztions nswered "Yes" on Form 0, Prt IV, lines or 0. Atth to Form 0. OMB -007 Open To Puli Inspetion Go to for the ltest informtion. Nme of the orgniztion Employer identifition numer ADAPTIVE SPORTS FOUNDATION - Prt I Types of Property () () () Chek if Method of determining pplile nonsh ontriution mounts Art - Works of rt ~~~~~~~~~~~~~ Art - Historil tresures ~~~~~~~~~ Art - Frtionl interests ~~~~~~~~~~ Books nd pulitions ~~~~~~~~~~ Clothing nd household goods ~~~~~~ Crs nd other vehiles ~~~~~~~~~~ Bots nd plnes ~~~~~~~~~~~~~ Intelletul property Seurities - Pulily trded ~~~~~~~~~~~ ~~~~~~~~ Seurities - Closely held stok~~~~~~~ Seurities - Prtnership, LLC, or trust interests Seurities - Misellneous ~~~~~~~~~~~~~~ Qulified onservtion ontriution - Histori strutures ~~~~~~~~ ~~~~~~~~~~~~ Qulified onservtion ontriution - Other~ Rel estte - Residentil Rel estte - Commeril ~~~~~~~~~ Rel estte - Other ~~~~~~~~~ ~~~~~~~~~~~~ Colletiles ~~~~~~~~~~~~~~~~ Food inventory ~~~~~~~~~~~~~~ Drugs nd medil supplies ~~~~~~~~ Txidermy Historil rtifts Sientifi speimens ~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~ Numer of ontriutions or items ontriuted Nonsh ontriution mounts reported on Form 0, Prt VIII, line g Arheologil rtifts ~~~~~~~~~~ Other J ( LIFT TICKETS ),707.COMPARABLE MARKET PR Other J ( FOREGIVEN INT ) 7,0.APPLICABLE FEDERAL R Other J ( ) Other J ( ) Numer of Forms reeived y the orgniztion during the tx yer for ontriutions for whih the orgniztion ompleted Form, Prt IV, Donee Aknowledgement ~~~~ 0 During the yer, did the orgniztion reeive y ontriution ny property reported in Prt I, lines through, tht it must hold for t lest three yers from the dte of the initil ontriution, nd whih isn t required to e used for exempt purposes for the entire holding period? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," desrie the rrngement in Prt II. Does the orgniztion hve gift eptne poliy tht requires the review of ny nonstndrd ontriutions? ~~~~~~ Does the orgniztion hire or use third prties or relted orgniztions to soliit, proess, or sell nonsh LHA ontriutions? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," desrie in Prt II. If the orgniztion didn t report n mount in olumn () for type of property for whih olumn () is heked, desrie in Prt II. J J J Nonsh Contriutions 07 For Pperwork Redution At Notie, see the Instrutions for Form 0. Shedule M (Form 0) 07 0 Yes No

41 Shedule M (Form 0) 07 ADAPTIVE SPORTS FOUNDATION - Pge Prt II Supplementl Informtion. Provide the informtion required y Prt I, lines 0,, nd, nd whether the orgniztion is reporting in Prt I, olumn (), the numer of ontriutions, the numer of items reeived, or omintion of oth. Also omplete this prt for ny dditionl informtion Shedule M (Form 0) 07

42 SCHEDULE O (Form 0 or 0-EZ) Deprtment of the Tresury Internl Revenue Servie Nme of the orgniztion Supplementl Informtion to Form 0 or 0-EZ Complete to provide informtion for responses to speifi questions on Form 0 or 0-EZ or to provide ny dditionl informtion. Atth to Form 0 or 0-EZ. Go to for the ltest informtion. 07 OMB -007 Open to Puli Inspetion Employer identifition numer ADAPTIVE SPORTS FOUNDATION - FORM 0, PART I, LINE VOLUNTEERS ARE NECESSARY FOR THE SUCCESS AND OPERATIONS OF ADAPTIVE SPORTS FOUNDATION. VOLUNTEERS RESPONSIBILITIES RANGE FROM ONE-ON-ONE INDIVIDUAL ASSISTANCE WITH ADAPTIVE SPORTS PROGRAMS TO INDOOR ASSISTANCE WITH THE RUNNING OF PROGRAMS AND ACTIVITIES. FORM 0, PART VI, SECTION B, LINE B: THE BOARD OF ASF REVIEWS THE ANNUAL FINANCIAL STATEMENT ON WHICH THE 0 IS BASED AND VOTES ON SAME. THE 0 IS REVIEWED BY THE AUDIT COMMITTEE AND CIRCULATED TO THE ENTIRE BOARD FOR REVIEW AND COMMENT. IT IS ALSO REVIEWED BY THE BOARD CHAIR (WHO SIGNS IT), THE TREASURER, AND THE ASF S FINANCIAL STAFF. FORM 0, PART VI, SECTION B, LINE C: DIRECTORS, OFFICERS AND EMPLOYEES OF ADAPTIVE SPORTS FOUNDATION (ASF) SHALL ANNUALLY COMPLETE A DISCLOSURE FORM IDENTIFYING ANY RELATIONSHIPS, POSITIONS AND CIRCUMSTANCES IN WHICH THE RESPONSIBLE PERSON IS INVOLVED THAT HE OR SHE BELIEVES COULD CONTRIBUTE TO A CONFLICT OF INTEREST ARISING. THE BOARD CHAIR, EECUTIVE DIRECTOR AND ANY COMMITTEE APPOINTED TO ADDRESS THE CONFLICT OF INTEREST SHALL ADDRESS ANY NECESSARY SITUATIONS THAT MAY ARISE. THE POLICY SHALL BE REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS AND ANY CHANGES TO THE POLICY SHALL BE COMMUNICATED TO ALL RESPONSIBLE PERSONS WITHIN THE ORGANIZATION. FORM 0, PART VI, SECTION B, LINE : ADAPTIVE SPORTS FOUNDATION RELIES ON PUBLISHED NOT-FOR-PROFIT AND LHA For Pperwork Redution At Notie, see the Instrutions for Form 0 or 0-EZ. Shedule O (Form 0 or 0-EZ) (07)

43 Shedule O (Form 0 or 0-EZ) (07) Pge Nme of the orgniztion Employer identifition numer ADAPTIVE SPORTS FOUNDATION - ASSOCIATION COMPENSATION PUBLICATIONS AND SURVEYS TO ESTABLISH COMPENSATION AND BENEFITS. COMPENSATION STUDIES REPORTING COMPENSATION IN THE PRIVATE AND PUBLIC SECTORS WITHIN THE ASF S GEOGRAPHIC OPERATIONAL AREAS MAY BE USED TO SUPPLEMENT THESE MATERIALS. ASF S EECUTIVE COMMITTEE IS THE COMPENSATION COMMITTEE AND WILL ADMINISTER ASF COMPENSATION PROGRAMS PROVIDED THAT PERSONS WITH CONFLICTS OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE ARE NOT INVOLVED. THE COMPENSATION COMMITTEE SHALL MEET AS NEEDED TO REVIEW THE COMPENSATION PROGRAM AND MAKE RECOMMENDATIONS FOR ANY CHANGES TO THE BOARD OF TRUSTEES, AS APPROPRIATE. FOR POSITIONS OTHER THAN EECUTIVE DIRECTOR, THE BOARD OF TRUSTEES SHALL REVIEW TOTAL COMPENSATION FOR ALL EMPLOYEES, PRESENTED BY THE EECUTIVE DIRECTOR, AS PART OF THE ANNUAL BUDGET PROCESS. SUCH TOTAL COMPENSATION IS REVIEWED IN THE SPRING EACH YEAR DURING THE BUDGET PROCESS. THE COMPENSATION COMMITTEE MAY COMMISSION A REVIEW BY AN INDEPENDENT CONSULTING FIRM TO EVALUATE THE ORGANIZATION S KEY EECUTIVE COMPENSATION PROGRAM AGAINST THE COMPETITIVE MARKET. THE COMPENSATION COMMITTEE IS RESPONSIBLE FOR ESTABLISHING AND MAINTAINING A COMPETITIVE COMPENSATION PROGRAM FOR THE KEY EMPLOYEES OF THE ORGANIZATION AND HAS FINAL APPROVAL FOR SUCH COMPENSATION ARRANGEMENTS. FORM 0, PART VI, SECTION C, LINE : GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST Shedule O (Form 0 or 0-EZ) (07)

44 Form Deprtment of the Tresury Internl Revenue Servie For lendr yer 07 or other tx yer eginning, nd ending. Go to for instrutions nd the ltest informtion. Do not enter SSN numers on this form s it my e mde puli if your orgniztion is 0()(). OMB -07 Open to Puli Inspetion for 0()() Orgniztions Only Employer identifition numer A Chek ox if Nme of orgniztion ( Chek ox if nme hnged nd see instrutions.) D (Employees trust, see ddress hnged instrutions.) B Exempt under setion Print ADAPTIVE SPORTS FOUNDATION - 0( )( ) or E Unrelted usiness tivity odes Numer, street, nd room or suite no. If P.O. ox, see instrutions. (See instrutions.) Type 0(e) 0(e) PO BO, 00 SILVERMAN WAY Book vlue of ll ssets C F Group exemption numer (See instrutions.) t end of yer 7,7,7. G Chek orgniztion type 0() orportion 0() trust 0() trust Other trust H Desrie the orgniztion s primry unrelted usiness tivity. RETAIL SALES & PROPERTY DEVELOPMENT I During the tx yer, ws the orportion susidiry in n ffilited group or prent-susidiry ontrolled group? ~~~~~~ Yes No If "Yes," enter the nme nd identifying numer of the prent orportion. J The ooks re in re of JOANNE GRUNENTHAL Telephone numer Prt I Unrelted Trde or Business Inome (A) Inome (B) Expenses (C) Net Gross reeipts or sles,7. Less returns nd llownes Blne ~~~,7. Cost of goods sold (Shedule A, line 7) ~~~~~~~~~~~~~~~~~,. Gross profit. Sutrt line from line ~~~~~~~~~~~~~~~~,.,. 7 0 Other inome (See instrutions; tth shedule) ~~~~~~~~~~~~ Totl. Comine lines through,.,. Prt II Dedutions Not Tken Elsewhere (See instrutions for limittions on dedutions.) (Exept for ontriutions, dedutions must e diretly onneted with the unrelted usiness inome.) T 0A 0() City or town, stte or provine, ountry, nd ZIP or foreign postl ode () WINDHAM, NY 0 7 Cpitl gin net inome (tth Shedule D) ~~~~~~~~~~~~~~~ Net gin (loss) (Form 77, Prt II, line 7) (tth Form 77) ~~~~~~ Cpitl loss dedution for trusts ~~~~~~~~~~~~~~~~~~~~ Inome (loss) from prtnerships nd S orportions (tth sttement) ~~~ Rent inome (Shedule C) ~~~~~~~~~~~~~~~~~~~~~~ Unrelted det-finned inome (Shedule E) ~~~~~~~~~~~~~~ Interest, nnuities, roylties, nd rents from ontrolled orgniztions (Sh. F)~ Investment inome of setion 0()(7), (), or (7) orgniztion (Shedule G) Exploited exempt tivity inome (Shedule I) ~~~~~~~~~~~~~~ Advertising inome (Shedule J) ~~~~~~~~~~~~~~~~~~~~ Compenstion of offiers, diretors, nd trustees (Shedule K) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Slries nd wges ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Repirs nd mintenne Bd dets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Interest (tth shedule) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Txes nd lienses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Chritle ontriutions (See instrutions for limittion rules) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Depreition (tth Form ) Less depreition limed on Shedule A nd elsewhere on return Depletion Contriutions to deferred ompenstion plns ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Totl dedutions. Add lines through ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Unrelted usiness txle inome. Sutrt line from line. If line is greter thn line, enter the smller of zero or line For Pperwork Redution At Notie, see instrutions. 7 0 ~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Employee enefit progrms ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Exess exempt expenses (Shedule I) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Exess redership osts (Shedule J) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other dedutions (tth shedule) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SEE STATEMENT Unrelted usiness txle inome efore net operting loss dedution. Sutrt line from line ~~~~~~~~~~~~ Net operting loss dedution (limited to the mount on line 0) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Unrelted usiness txle inome efore speifi dedution. Sutrt line from line 0 ~~~~~~~~~~~~~~~~~ Speifi dedution (Generlly $,000, ut see line instrutions for exeptions) ~~~~~~~~~~~~~~~~~~~~~ LHA Exempt Orgniztion Business Inome Tx Return (nd proxy tx under setion 0(e)) JUL, 07 JUN 0, ,7..,7.,0. -,. -,.,000. -,. Form 0-T (07)

45 Form 0-T (07) ADAPTIVE SPORTS FOUNDATION - Prt III Tx Computtion Orgniztions Txle s Corportions. See instrutions for tx omputtion. 7 Controlled group memers (setions nd ) hek here See instrutions nd: () $ () $ () $ Enter orgniztion s shre of: () Additionl % tx (not more thn $,70) $ () Additionl % tx (not more thn $00,000) ~~~~~~~~~~~~~ $ Trusts Txle t Trust Rtes. See instrutions for tx omputtion. Inome tx on the mount on line from: Proxy tx. See instrutions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 0 Tx on Non-Complint Fility Inome. See instrutions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Totl. Add lines 7, nd to line or, whihever pplies Prt IV Tx nd Pyments Foreign tx redit (orportions tth Form ; trusts tth Form ) ~~~~~~~~ d e Totl redits. Add lines through d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other txes. Chek if from: Form Form Form 7 Form Other (tth shedule) Totl tx. Add lines nd ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Pyments: A 0 overpyment redited to 07 ~~~~~~~~~~~~~~~~~~~ 7 07 estimted tx pyments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Tx deposited with Form ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ d Foreign orgniztions: Tx pid or withheld t soure (see instrutions) ~~~~~~~~~~ f g Other redits nd pyments: Totl pyments. Add lines through g ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Tx due. If line is less thn the totl of lines nd 7, enter mount owed ~~~~~~~~~~~~~~~~~~~ Overpyment. If line is lrger thn the totl of lines nd 7, enter mount overpid ~~~~~~~~~~~~~~ 0 Enter the mount of line you wnt: Credited to 0 estimted tx Refunded Prt V Sttements Regrding Certin Ativities nd Other Informtion (see instrutions) At ny time during the 07 lendr yer, did the orgniztion hve n interest in or signture or other uthority Yes No Sign Here Enter your shre of the $0,000, $,000, nd $,,000 txle inome rkets (in tht order): Inome tx on the mount on line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Tx rte shedule or Shedule D (Form 0) ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Alterntive minimum tx Other redits (see instrutions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Generl usiness redit. Atth Form 00 ~~~~~~~~~~~~~~~~~~~~~~ Credit for prior yer minimum tx (tth Form 0 or 7) ~~~~~~~~~~~~~~ Sutrt line e from line 0 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ e Bkup withholding (see instrutions) ~~~~~~~~~~~~~~~~~~~~~~~~ Credit for smll employer helth insurne premiums (Atth Form ) Form ~~~~~~~~ Form Other Totl Estimted tx penlty (see instrutions). Chek if Form 0 is tthed ~~~~~~~~~~~~~~~~~~~ over finnil ount (nk, seurities, or other) in foreign ountry? If YES, the orgniztion my hve to file FinCEN Form, Report of Foreign Bnk nd Finnil Aounts. If YES, enter the nme of the foreign ountry here During the tx yer, did the orgniztion reeive distriution from, or ws it the grntor of, or trnsferor to, foreign trust? ~~~~~~~~~ If YES, see instrutions for other forms the orgniztion my hve to file. Enter the mount of tx-exempt interest reeived or rued during the tx yer $ Under penlties of perjury, I delre tht I hve exmined this return, inluding ompnying shedules nd sttements, nd to the est of my knowledge nd elief, it is true, orret, nd omplete. Delrtion of preprer (other thn txpyer) is sed on ll informtion of whih preprer hs ny knowledge. = = BOARD CHAIR Signture of offier Dte Title d d e f g 7 0 e 7 0 Pge My the IRS disuss this return with the preprer shown elow (see instrutions)? Yes No Print/Type preprer s nme Preprer s signture Dte Chek if PTIN JILLIAN M. GALE, self- employed Pid CPA // P000 Preprer Firm s nme WOJESKI & COMPANY CPA S, P.C. Firm s EIN -7 Use Only 7 TROY ROAD Firm s ddress EAST GREENBUSH, NY 0 Phone no Form 0-T (07)

46 Form 0-T (07) ADAPTIVE SPORTS FOUNDATION - Pge Shedule A - Cost of Goods Sold. Enter method of inventory vlution N/A Inventory t eginning of yer ~~~ 0. Inventory t end of yer ~~~~~~~~~~~~ 0. Purhses ~~~~~~~~~~~,. 7 Cost of goods sold. Sutrt line Cost of lor~~~~~~~~~~~ from line. Enter here nd in Prt I, Additionl setion A osts (tth shedule). Desription of property ~~~~~~~~ Do the rules of setion A (with respet to Other osts (tth shedule) ~~~ property produed or quired for resle) pply to Totl. Add lines through,. the orgniztion? Shedule C - Rent Inome (From Rel Property nd Personl Property Lesed With Rel Property) (see instrutions) () () () () () () () (). From personl property (if the perentge of rent for personl property is more thn 0% ut not more thn 0%) Rent reeived or rued line () From rel nd personl property (if the perentge of rent for personl property exeeds 0% or if the rent is sed on profit or inome) ~~~~~~~~~~~~~~~~~~~~ () 7,. Yes Dedutions diretly onneted with the inome in olumns () nd () (tth shedule) () Totl 0. Totl 0. () Totl inome. Add totls of olumns () nd (). Enter () Totl dedutions. Enter here nd on pge, here nd on pge, Prt I, line, olumn (A) 0. Prt I, line, olumn (B) 0. Shedule E - Unrelted Det-Finned Inome (see instrutions). Dedutions diretly onneted with or llole. Gross inome from to det-finned property. Desription of det-finned property or llole to detfinned property () Stright line depreition () Other dedutions (tth shedule) (tth shedule) No () () () () () () () (). Amount of verge quisition. Averge djusted sis. Column divided 7. Gross inome. Allole dedutions det on or llole to det-finned of or llole to y olumn reportle (olumn (olumn x totl of olumns property (tth shedule) det-finned property x olumn ) () nd ()) (tth shedule) Enter here nd on pge, Prt I, line 7, olumn (A). Enter here nd on pge, Prt I, line 7, olumn (B). Totls ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Totl dividends-reeived dedutions inluded in olumn 0. % % % % Form 0-T (07)

47 Form 0-T (07) ADAPTIVE SPORTS FOUNDATION - Shedule F - Interest, Annuities, Roylties, nd Rents From Controlled Orgniztions (see instrutions) Exempt Controlled Orgniztions. Nme of ontrolled orgniztion. Employer. Net unrelted inome. Totl of speified. Prt of olumn tht is. Dedutions diretly identifition (loss) (see instrutions) pyments mde inluded in the ontrolling onneted with inome numer orgniztion s gross inome in olumn Pge () () () () Nonexempt Controlled Orgniztions 7. Txle Inome. Net unrelted inome (loss). Totl of speified pyments 0. Prt of olumn tht is inluded. Dedutions diretly onneted (see instrutions) mde in the ontrolling orgniztion s with inome in olumn 0 gross inome () () () () Totls J Shedule G - Investment Inome of Setion 0()(7), (), or (7) Orgniztion (see instrutions) () () () (). Desription of exploited tivity. Desription of inome. Amount of inome. Gross unrelted usiness inome from trde or usiness Enter here nd on pge, Prt I, line 0, ol. (A).. Expenses diretly onneted with prodution of unrelted usiness inome Enter here nd on pge, Prt I, line 0, ol. (B). Enter here nd on pge, Prt I, line, olumn (A).. Net inome (loss) from unrelted trde or usiness (olumn minus olumn ). If gin, ompute ols. through 7. Add olumns nd 0. Enter here nd on pge, Prt I, line, olumn (A). Add olumns nd. Enter here nd on pge, Prt I, line, olumn (B).. Dedutions Totl dedutions diretly onneted. Set-sides. nd set-sides (tth shedule) (tth shedule) (ol. plus ol. ). Gross inome. Expenses from tivity tht ttriutle to is not unrelted olumn usiness inome Enter here nd on pge, Prt I, line, olumn (B). Totls Shedule I - Exploited Exempt Ativity Inome, Other Thn Advertising Inome (see instrutions) () () () () Exess exempt expenses (olumn minus olumn, ut not more thn olumn ). Enter here nd on pge, Prt II, line. Totls Shedule J - Advertising Inome (see instrutions) Prt I Inome From Periodils Reported on Consolidted Bsis. Nme of periodil. Gross. Diret dvertising dvertising osts inome. Advertising gin or (loss) (ol. minus ol. ). If gin, ompute ols. through 7.. Cirultion. Redership inome osts 7. Exess redership osts (olumn minus olumn, ut not more thn olumn ). () () () () Totls (rry to Prt II, line ()) Form 0-T (07) 7

48 Form 0-T (07) ADAPTIVE SPORTS FOUNDATION - Prt II Inome From Periodils Reported on Seprte Bsis (For eh periodil listed in Prt II, fill in olumns through 7 on line-y-line sis.) () () () () Totls from Prt I. Nme of periodil. Gross. Diret dvertising dvertising osts inome Enter here nd on pge, Prt I, line, ol. (A). Enter here nd on pge, Prt I, line, ol. (B).. Advertising gin or (loss) (ol. minus ol. ). If gin, ompute ols. through 7.. Cirultion. Redership inome osts 7. Exess redership osts (olumn minus olumn, ut not more thn olumn ). Enter here nd on pge, Prt II, line 7. Totls, Prt II (lines -) Shedule K - Compenstion of Offiers, Diretors, nd Trustees (see instrutions). Perent of. Compenstion ttriutle Title time devoted to. Nme. to unrelted usiness usiness () () () () Totl. Enter here nd on pge, Prt II, line % % % % Pge 0. Form 0-T (07)

49 ADAPTIVE SPORTS FOUNDATION - }}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-T OTHER DEDUCTIONS STATEMENT }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} DESCRIPTION AMOUNT }}}}}}}}}}} }}}}}}}}}}}}}} UTILITIES EPENSE 0. BUILDING MAINTENANCE EPENSES. PROFESSIONAL FEES 0. INSURANCE EPENSE,0. DEPRECIATION EPENSE,. }}}}}}}}}}}}}} TOTAL TO FORM 0-T, PAGE, LINE,7. ~~~~~~~~~~~~~~ STATEMENT(S)

50 Form (Rev. Jnury 07) Deprtment of the Tresury Internl Revenue Servie Type or print File y the due dte for filing your return. See instrutions. Applition Is For File seprte pplition for eh return. Informtion out Form nd its instrutions is t Eletroni filing (e-file). You n eletronilly file Form to request -month utomti extension of time to file ny of the forms listed elow with the exeption of Form 70, Informtion Return for Trnsfers Assoited With Certin Personl Benefit Contrts, for whih n extension request must e sent to the IRS in pper formt (see instrutions). For more detils on the eletroni filing of this form, visit lik on Chrities & Non-Profits, nd lik on e-file for Chrities nd Non-Profits. All orportions required to file n inome tx return other thn Form 0-T (inluding 0-C filers), prtnerships, REMICs, nd trusts must use Form 700 to request n extension of time to file inome tx returns. Nme of exempt orgniztion or other filer, see instrutions. Numer, street, nd room or suite no. If P.O. ox, see instrutions. PO BO, 00 SILVERMAN WAY City, town or post offie, stte, nd ZIP ode. For foreign ddress, see instrutions. WINDHAM, NY Return Code Applition Is For OMB -70 Enter filer s identifying numer Employer identifition numer (EIN) or Soil seurity numer (SSN) Enter the Return Code for the return tht this pplition is for (file seprte pplition for eh return) Form 0 or Form 0-EZ Form 0-BL Form 70 (individul) Form 0-PF Applition for Automti Extension of Time To File n Exempt Orgniztion Return Automti -Month Extension of Time. Only sumit originl (no opies needed). ADAPTIVE SPORTS FOUNDATION - Form 0-T (se. 0() or 0() trust) Form 0-T (trust other thn ove) 0 Form 70 JOANNE GRUNENTHAL The ooks re in the re of PO BO, 00 SILVERMAN WAY - WINDHAM, NY Telephone Fx Return Code Form 0-T (orportion) 07 Form 0-A Form 70 (other thn individul) Form 7 Form 0 If the orgniztion does not hve n offie or ple of usiness in the United Sttes, hek this ox~~~~~~~~~~~~~~~~~ If this is for Group Return, enter the orgniztion s four digit Group Exemption Numer (GEN). If this is for the whole group, hek this ox. If it is for prt of the group, hek this ox nd tth list with the nmes nd EINs of ll memers the extension is for. I request n utomti -month extension of time until MAY, 0, to file the exempt orgniztion return for the orgniztion nmed ove. The extension is for the orgniztion s return for: lendr yer or tx yer eginning JUL, 07, nd ending JUN 0, 0. If the tx yer entered in line is for less thn months, hek reson: Initil return Finl return Chnge in ounting period If this pplition is for Forms 0-BL, 0-PF, 0-T, 70, or 0, enter the tenttive tx, less ny nonrefundle redits. See instrutions. $ If this pplition is for Forms 0-PF, 0-T, 70, or 0, enter ny refundle redits nd estimted tx pyments mde. Inlude ny prior yer overpyment llowed s redit. $ Blne due. Sutrt line from line. Inlude your pyment with this form, if required, y using EFTPS (Eletroni Federl Tx Pyment System). See instrutions. $ Cution: If you re going to mke n eletroni funds withdrwl (diret deit) with this Form, see Form -EO nd Form 7-EO for pyment instrutions. LHA For Privy At nd Pperwork Redution At Notie, see instrutions. Form (Rev. -07) MAIL TO: DEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE CENTER OGDEN, UT

51 CHAR00 NYS Annul Filing for Chritle Orgniztions Send with fee nd tthments to: NYS Offie of the Attorney Generl Chrities Bureu Registrtion Setion Lierty Street New York, NY Open to Puli Inspetion.Generl Informtion For Fisl Yer Beginning (mm/dd/yyyy) 07/0/07 nd Ending (mm/dd/yyyy) 0/0/0 Chek if Applile: Nme of Orgniztion: Employer Identifition Numer (EIN): Address Chnge ADAPTIVE SPORTS FOUNDATION - Nme Chnge Initil Filing Finl Filing Amended Filing Reg ID Pending Miling Address: NY Registrtion Numer: PO BO, 00 SILVERMAN WAY 70 City / Stte / ZIP: Telephone: WINDHAM, NY Wesite: Chek your orgniztion s registrtion tegory: 7A only EPTL only DUAL (7A & EPTL) EEMPT*. Certifition Confirm your Registrtion Ctegory in the Chrities Registry t See instrutions for ertifition requirements. Improper ertifition is violtion of lw tht my e sujet to penlties. The ertifition requires two signtories. We ertify under penlties of perjury tht we reviewed this report, inluding ll tthments, nd to the est of our knowledge nd elief, they re true, orret nd omplete in ordne with the lws of the Stte of New York pplile to this report. President or Authorized Offier: Emil: VINCE PASSIONE BOARD CHAIR Signture Print Nme nd Title Dte Chief Finnil Offier or Tresurer: Signture Print Nme nd Title Dte. Annul Reporting Exemption Chek the exemption(s) tht pply to your filing. If your orgniztion is liming n exemption under one tegory (7A or EPTL only filers) or oth tegories (DUAL filers) tht pply to your registrtion, omplete only prts,, nd, nd sumit the ertified Chr00. No fee, shedules, or dditionl tthments re required. If you nnot lim n exemption or re DUAL filer tht lims only one exemption, you must file pplile shedules nd tthments nd py pplile fees.. 7A filing exemption: Totl ontriutions from NY Stte inluding residents, foundtions, government genies, et. did not exeed $,000 nd the orgniztion did not engge professionl fund riser (PFR) or fund rising ounsel (FRC) to soliit ontriutions during the fisl yer.. EPTL filing exemption: Gross reeipts did not exeed $,000 nd the mrket vlue of ssets did not exeed $,000 t ny time during the fisl yer.. Shedules nd Atthments See the following pge for heklist of shedules nd Yes No. Did your orgniztion use professionl fund riser, fund rising ounsel or ommeril o-venturer for fund rising tivity in NY Stte? If yes, omplete Shedule. tthments to omplete your filing. Yes No. Did the orgniztion reeive government grnts? If yes, omplete Shedule.. Fee See the heklist on the next pge to lulte your fee(s). Indite fee(s) you re sumitting here: 7A filing fee: EPTL filing fee: Totl fee: $. $ 0. $ 7. Mke single hek or money order pyle to: "Deprtment of Lw" CHAR00 Annul Filing for Chritle Orgniztions (Updted April 0) *The "Exempt" tegory refers to n orgniztion s NYS registrtion sttus. It does not refer to its IRS tx designtion Pge

52 ADAPTIVE SPORTS FOUNDATION Simply sumit the ertified CHAR00 with no fee, shedule, or dditionl tthments IF: CHAR00 - Your orgniztion is registered s 7A only nd you mrked the 7A filing exemption in Prt. - Your orgniztion is registered s EPTL only nd you mrked the EPTL filing exemption in Prt. Annul Filing Cheklist - Your orgniztion is registered s DUAL nd you mrked oth the 7A nd EPTL filing exemption in Prt. Cheklist of Shedules nd Atthments Chek the shedules you must sumit with your CHAR00 s desried in Prt : If you nswered "yes" in Prt, sumit Shedule : Professionl Fund Risers (PFR), Fund Rising Counsel (FRC), Commeril Co-Venturers (CCV) If you nswered "yes" in Prt, sumit Shedule : Government Grnts Chek the finnil tthments you must sumit with your CHAR00: IRS Form 0, 0-EZ, or 0-PF, nd 0-T if pplile All dditionl IRS Form 0 Shedules, inluding Shedule B (Shedule of Contriutors). Shedule B of puli hrities is exempt from dislosure nd will not e ville for puli review. Our orgniztion ws eligile for nd filed n IRS 0-N e-postrd. Our revenue exeeded $,000 nd/or our ssets exeeded $,000 in the filing yer. We hve inluded n IRS Form 0-EZ for stte purposes only. If you re 7A only or DUAL filer, sumit the pplile independent Certified Puli Aountnt s Review or Audit Report: Review Report if you reeived totl revenue nd support greter thn $0,000 nd up to $70,000. Audit Report if you reeived totl revenue nd support greter thn $70,000 No Review Report or Audit Report is required euse totl revenue nd support is less thn $0,000 We re DUAL filer nd heked ox, no Review Report or Audit Report is required Clulte Your Fee For 7A nd DUAL filers, lulte the 7A fee: $0, if you heked the 7A exemption in Prt $, if you did not hek the 7A exemption in Prt Is my Registrtion Ctegory 7A, EPTL, DUAL or EEMPT? Orgniztions re ssigned Registrtion Ctegory upon registrtion with the NY Chrities Bureu: 7A filers re registered to soliit ontriutions in New York under Artile 7-A of the Exeutive Lw ("7A") For EPTL nd DUAL filers, lulte the EPTL fee: $0, if you heked the EPTL exemption in Prt $, if the NET WORTH is less thn $0,000 EPTL filers re registered under the Esttes, Powers & Trusts Lw ("EPTL") euse they hold ssets nd/or ondut tivities for hritle purposes in NY. DUAL filers re registered under oth 7A nd EPTL. $0, if the NET WORTH is $0,000 or more ut less thn $0,000 EEMPT filers hve registered with the NY Chrities Bureu $00, if the NET WORTH is $0,000 or more ut less thn $,000,000 nd meet onditions in Shedule E - Registrtion $0, if the NET WORTH is $,000,000 or more ut less thn $0,000,000 Exemption for Chritle Orgniztions. These $70, if the NET WORTH is $0,000,000 or more ut less thn $0,000,000 orgniztions re not required to file nnul finnil reports ut my do so voluntrily. $00, if the NET WORTH is $0,000,000 or more Send Your Filing Send your CHAR00, ll shedules nd tthments, nd totl fee to: NYS Offie of the Attorney Generl Chrities Bureu Registrtion Setion Lierty Street New York, NY 000 Confirm your Registrtion Ctegory nd lern more out NY lw t Where do I find my orgniztion s NET WORTH? NET WORTH for fee purposes is lulted on: - IRS Form 0 Prt I, line - IRS Form 0 EZ Prt I, line - IRS Form 0 PF, lulte the differene etween Totl Assets t Fir Mrket Vlue (Prt II, line ()) nd Totl Liilities (Prt II, line ()). Need Assistne? Visit: Cll: () -0 Emil: Chrities.Bureu@g.ny.gov CHAR00 Annul Filing for Chritle Orgniztions (Updted April 0) Pge

53 CT- Deprtment of Txtion nd Finne Corportion Tx Return Summry THIS FORM MUST BE FILED WITH YOUR RETURN d 7e 7f 7g 7h Legl nme of orportion Pyment. ADAPTIVE SPORTS FOUNDATION enlosed Return type. CT Employer ID numer (EIN). - File numer (FCC). MM Period eginning dte ( mm-dd-yy) Period ending dte (mm-dd-yy) Amended (Y=; N=0). 0 Address hnge (Y=; N=0). 0 Finl (Y=; N=0) 0. NAICS ode. 0 MTA inditor (None = 0, Y =, N =, Both = ). Federl 0-H filed (Y =, N = 0). REIT/RIC inditor (Y =, N = 0). Tx due/mta surhrge Mndtory first instllment (MFI) - no extension filed nd tx due is over $,000. Return Gift to Wildlife 7. Brest Cner Reserh nd Edution Fund 7. Prostte nd Testiulr Cner Reserh nd Edution Fund 7. / Memoril 7d. Volunteer Firefighting & EMS Reruitment Fund 7e. Veterns Rememrne 7f. Women s Cners Edution nd Prevention Fund 7g. New York Stte Veterns Homes 7h. Blne due Amount of overpyment redited to next period - NYS. Refund of overpyment 0. Refund of unused tx redits. Tx redits to e redited s n overpyment to next yer s return. Amount of overpyment redited to next period - MTA. Amount of MTA surhrge retlitory tx redit to e refunded. Fixed dollr minimum. Designted gent s (Artile -A) or omined prent s (Artile ) EIN. - New York reeipts Hve you een onvited of n offene (NYS Penl Lw, Art. 00 or, or setion.0)? Pid preprer s EIN Preprer s NYTPRIN Exl. ode For offie use only

54 ADAPTIVE SPORTS FOUNDATION - Pge of CT- (07) Form CT--E filers only Exise tx on teleommunition servies - NYS. Exise tx on moile teleommunition servies sujet to the.% rte. Totl exise tx on teleommunition servies. Tx on gross inome - NYS. MTA surhrge relted to non-moile teleommunition servies. 7 MTA surhrge relted to teleommunition servie sujet to the 0.7% tx rte 7. Totl MTA surhrge relted to teleommunition servies. MTA surhrge on gross inome. 0 Blne due - NYS. 7 Blne due - MTA 7. Provided teleommunition servies in the MCTD this yer? (None = 0, Y =, N =, Both = ) (None = 0, Y =, N =, Both = ) Sujet to supervision of the Deprtment of Puli Servie nd provided utility servies in the MCTD this yer?.. 0 Overpyment redited to next yer s tx - NYS 0. Overpyment redited to next yer s tx - MTA. Refund of overpyment - NYS. Refund of overpyment - MTA. Refund of unused tx redits - NYS. Refund of unused tx redits - MTA. Refundle tx redits to e redited to next yer s tx - NYS. 7 Refundle tx redits to e redited to next yer s tx - MTA

55 CT- Deprtment of Txtion nd Finne Amended All filers enter tx period: return Tx Lw - Artile eginning ending Employer identifition numer (EIN) File numer Business telephone numer If you lim n - MM overpyment, mrk n in the ox Legl nme of orportion Trde nme/dba Unrelted Business Inome Tx Return ADAPTIVE SPORTS FOUNDATION Miling nme (if different from legl nme ove) Stte or ountry of inorportion Dte reeived (for Tx Deprtment use only) /o Numer nd street or PO ox PO BO, 00 SILVERMAN WAY City Stte ZIP ode WINDHAM, NY NAICS usiness ode numer (from federl return) 0 Prinipl unrelted usiness tivity (see instrutions) If ddress/phone ove is new, mrk n in the ox RETAIL SALES & PROPERTY DEVELOPMENT Dte of inorportion Foreign orportions: dte egn usiness in NYS If you need to updte your ddress or phone informtion for orportion tx, or other tx types, you n do so online. See Business informtion in Form CT-. Audit (for Tx Deprtment use only) Form CT-7, Applition for Exemption from Corportion Frnhise Txes y Not-For-Profit Orgniztion - Hve you filed this New York Stte pplition for exemption? (see instrutions) ~~~~~~~~~~~~~~ Yes No Mrk n in this ox if you re n employee trust s defined in Internl Revenue Code (IRC) setion 0() ~~~~~~~~~~~~~~~~~ Mrk n in this ox if you esed operting the unrelted usiness during the tx yer overed y this return (see setion Who must file Form CT- in the instrutions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Pyment enlosed A. Py mount shown on line. Mke pyle to: New York Stte Corportion Tx Atth your pyment here. Deth ll hek stus. (See instrutions for detils.) A Computtion of inome nd tx Federl unrelted usiness txle inome efore net operting loss dedution nd fter $,000 speifi dedution ~~~~~ New York Stte Artile nd Artile tx deduted on federl return ~~~~~~~~~~~~~~~~~~~~ Additions required for shreholders of federl S orportions (see instrutions) ~~~~~~~~~~~~~~~~~ Grossed-up txes for shreholders of New York S orportions (see instrutions) Other dditions (see instrutions) IRC setion dedution: ~~~~~~~~~~ Add lines through -,. Other inome (see instrutions) ~~~~~~~~~~~~~~~~~~~~~~~~ 7 Federl S orportion shreholder sutrtions (see instrutions) ~~~~~~~ Other sutrtions (see instrutions) ~~~~~~~~~~~~~~~~~~~~~~ New York net operting loss dedution (tth federl nd NYS omputtions; see instrutions) ~~~~~~~~ Txle inome (sutrt line from line ) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Totl sutrtions (dd lines 7,, nd ) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 0 Txle inome efore net operting loss dedution (sutrt line 0 from line ) ~~~~~~~~~~~~~~~~ -,. -,. Alloted txle inome (multiply line y % from line ; or enter mount from line if llotion is not limed) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ -,. Tx sed on inome (multiply line y % (.0)) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 0. Minimum tx ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 0{ 00 Tx (line or line, whihever is lrger) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7 0. Totl prepyments from line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Blne (if line is less thn line 7, sutrt line from line 7) ~~~~~~~~~~~~~~~~~~~~~~~ Interest on lte pyment (see instrutions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Lte filing nd lte pyment penlties (see instrutions) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Blne due (dd lines, 0, nd nd enter here; enter the pyment mount on line A ove) ~~~~~~~~ Overpyment (if line 7 is less thn line, sutrt line 7 from line ) ~~~~~~~~~~~~~~~~~~~~ Amount of overpyment on line to e redited to next yer ~~~~~~~~~~~~~~~~~~~~~~~~ Amount of overpyment on line to e refunded (sutrt line from line ) See pge for third-prty designee, ertifition, nd signture entry res ,

56 Pge of CT- (07) Hve you een udited y the Internl Revenue Servie in the pst yers? Yes No If Yes, list yers: Federl return ws filed on: 0-T Other: Shedule A - Unrelted usiness llotion Atth omplete opy of your federl return. If you did not mintin regulr ple of usiness outside New York Stte, leve this shedule lnk. A regulr ple of usiness is ny offie, ftory, wrehouse, or other spe regulrly used y the txpyer in its unrelted usiness. If you lim this llotion, tth list of eh ple of usiness, the lotion, nture of tivities, nd numer nd duties of employees. Averge vlue of: Rel estte owned (see instrutions) ~~~~~~~~~~~~~ 7 Gross rents (tth list; see instrutions) ~~~~~~~~~~~ 7 Inventories owned ~~~~~~~~~~~~~~~~~~~~~ Other tngile personl property owned (see instrutions) ~~ 0 Totl (dd lines through ) ~~~~~~~~~~~~~~~ 0 Perentge in New York Stte (divide line 0, olumn A, y line 0, olumn B) ~~~~~~~~~~~~~~~~~~~~ % Reeipts in the regulr ourse of usiness from: Sles of tngile personl property shipped to 7 Other usiness reeipts~~~~~~~~~~~~~~~~~~~ Totl (dd lines through ) ~~~~~~~~~~~~~~~~ 7 Perentge in New York Stte (divide line 7, olumn A, y line 7, olumn B) % Wges, slries, nd other ompenstion of employees (exept generl exeutive offiers; see instrutions) ~~~~ 0 Perentge in New York Stte (divide line, olumn A, y line, olumn B) ~~~~~~~~~~~~~~~~~~~~ 0 % Totl of New York Stte perentges (dd lines,, nd 0) ~~~~~~~~~~~~~~~~~~~~~~~~~~ % Business llotion perentge (divide line y three or y the numer of perentges) % Composition of prepyments limed on line * Dte pid Amount points within New York Stte~~~~~~~~~~~~~~~ All sles of tngile personl property ~~~~~~~~~~~~ Servies performed ~~~~~~~~~~~~~~~~~~~~~ Rentls of property ~~~~~~~~~~~~~~~~~~~~~ Pyment with extension request, Form CT-, line ~~~~~~~~~~~~~~~~~~ Seond instllment from Form CT-00~~~~~~~~~~~~~~~~~~~~~~~~ Third instllment from Form CT-00 ~~~~~~~~~~~~~~~~~~~~~~~~~ Fourth instllment from Form CT-00 ~~~~~~~~~~~~~~~~~~~~~~~~ Amount of overpyment redited from prior yers ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Totl prepyments (dd lines through ; enter here nd on line ) ~~~~~~~~~~~~~~~~~~~~~, Txpyers sujet to the unrelted usiness inome tx re not required to mke estimted tx pyments. If you did mke these unrequired pyments, report them on lines,, nd. Amended return informtion A New York Stte If filing n mended return, mrk n in the ox for ny items tht pply nd tth doumenttion. B Everywhere Finl federl determintion ~~~~~~ If mrked, enter dte of determintion: Net operting loss (NOL) rryk ~~ Cpitl loss rryk ~~~~~~~~~~~~~~~~~~~~~ Federl return filed ~~~~ Form Amended Form 0-T ~~~~~~~~~~~~~~~~~~~~~~

57 CT- (07) Pge of Designee s nme (print) Third-prty Yes No designee (see instrutions) Designee s e-mil ddress Certifition: I ertify tht this return nd ny tthments re to the est of my knowledge nd elief true, orret, nd omplete. Printed nme of uthorized person Signture of uthorized person Offiil title Authorized VINCE PASSIONE BOARD CHAIR person E-mil ddress of uthorized person Telephone numer Dte Pid preprer use only (see instr.) Designee s phone numer Firm s nme (or yours if self-employed) Firm s EIN Preprer s PTIN or SSN WOJESKI & COMPANY CPA S, P.C. -7 P000 Signture of individul prepring this return Address City Stte ZIP ode 7 TROY ROAD EAST GREENBUSH, NY 0 E-mil ddress of individul prepring this return Preprer s NYTPRIN or Exl. ode Dte JGALE@WOJESKICO.COM 0 -- See instrutions for where to file. PIN