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1 OMB No. -00 Return of Orgniztion Exempt From Inome Tx Form 0 Uner setion 0(),, or ()() of the Internl Revenue Coe (exept privte fountions) 0 Deprtment of the Tresury Do not enter soil seurity numers on this form s it my e me puli. Open to Puli Internl Revenue Servie Informtion out Form 0 n its instrutions is t Inspetion A For the 0 lenr yer, or tx yer eginning n ening B Chek if C Nme of orgniztion D Employer ientifition numer pplile: Aress hnge Nme hnge Doing usiness s VOLUNTEERMATCH -0 Initil return Numer n street (or P.O. ox if mil is not elivere to street ress) Room/suite E Telephone numer Finl return/ 0 MONTGOMERY STREET, TH FL () - terminte City or town, stte or provine, ountry, n ZIP or foreign postl oe G Gross reeipts $,00,. Amene return SAN FRANCISCO, CA H() Is this group return Applition F Nme n ress of prinipl offier: GREGORY BALDWIN for suorintes? ~~ Yes No pening SAME AS C ABOVE H() Are ll suorintes inlue? Yes No I Tx-exempt sttus: 0()() 0() ( ) (insert no.) ()() or If "No," tth list. (see instrutions) J Wesite: H() Group exemption numer K Form of orgniztion: Corportion Trust Assoition Other L Yer of formtion: M Stte of legl omiile: CA Prt I Summry Ativities & Governne Revenue Expenses Net Assets or Fun Blnes Sign Here Pi Preprer Use Only Totl unrelte usiness revenue from Prt VIII, olumn (C), line 0 Net unrelte usiness txle inome from Form 0-T, line Professionl funrising fees (Prt I, olumn (A), line e) ~~~~~~~~~~~~~~ 0 Briefly esrie the orgniztion's mission or most signifint tivities: Chek this ox Totl funrising expenses (Prt I, olumn (D), line ) Prior Yer Beginning of Current Yer Chek if self-employe Current Yer En of Yer Uner penlties of perjury, I elre tht I hve exmine this return, inluing ompnying sheules n sttements, n to the est of my knowlege n elief, it is true, orret, n omplete. Delrtion of preprer (other thn offier) is se on ll informtion of whih preprer hs ny knowlege. Signture of offier Type or print nme n title Print/Type preprer's nme Firm's nme Firm's ress if the orgniztion isontinue its opertions or ispose of more thn % of its net ssets. Numer of voting memers of the governing oy (Prt VI, line ) Numer of inepenent voting memers of the governing oy (Prt VI, line ) Totl numer of iniviuls employe in lenr yer 0 (Prt V, line ) Preprer's signture ~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~ Totl numer of volunteers (estimte if neessry) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Contriutions n grnts (Prt VIII, line h) ~~~~~~~~~~~~~~~~~~~~~ Progrm servie revenue (Prt VIII, line g) ~~~~~~~~~~~~~~~~~~~~~ Investment inome (Prt VIII, olumn (A), lines,, n ) ~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~ Other revenue (Prt VIII, olumn (A), lines,,,, 0, n e) ~~~~~~~~ Totl revenue - lines through (must equl Prt VIII, olumn (A), line ) Grnts n similr mounts pi (Prt I, olumn (A), lines -) Benefits pi to or for memers (Prt I, olumn (A), line ) Slries, other ompenstion, employee enefits (Prt I, olumn (A), lines -0) Other expenses (Prt I, olumn (A), lines -, f-e) My the IRS isuss this return with the preprer shown ove? (see instrutions) Yes No LHA For Pperwork Reution At Notie, see the seprte instrutions. Form 0 (0) ~~~~~~~~~~~ ~~~~~~~~~~~~~ ~~~ Totl expenses. A lines - (must equl Prt I, olumn (A), line ) ~~~~~~~ Revenue less expenses. Sutrt line from line Totl ssets (Prt, line ) ~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Totl liilities (Prt, line ) ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Net ssets or fun lnes. Sutrt line from line 0 Prt II Signture Blok = = PUBLIC DISCLOSURE COPY - STATE REGISTRATION NO. 0 IMPACT ONLINE INC. CONNECTING GOOD PEOPLE WITH GOOD CAUSES. GREGORY BALDWIN, PRESIDENT/BOARD MEMBER KATY BROWN TO STRENGTHEN COMMUNITIES BY,0. Dte Dte // Phone no. PTIN,,.,,.,,.,.,.,.,.,,.,,.,,0.,,,,.,,.,,.,0,. -,. -,0.,0,0.,,.,0,0.,,.,00,0.,,. P00 - ARMANINO LLP ALCOSTA BLVD, STE. 00 Firm's EIN SAN RAMON, CA

2 Form 0 (0) Prt III Sttement of Progrm Servie Aomplishments Chek if Sheule O ontins response or note to ny line in this Prt III Briefly esrie the orgniztion's mission: Di the orgniztion unertke ny signifint progrm servies uring the yer whih were not liste on the prior Form 0 or 0-EZ? If "Yes," esrie these new servies on Sheule O. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Di the orgniztion ese onuting, or mke signifint hnges in how it onuts, ny progrm servies? ~~~~~~ If "Yes," esrie these hnges on Sheule O. Desrie the orgniztion's progrm servie omplishments for eh of its three lrgest progrm servies, s mesure y expenses. Setion 0()() n 0()() orgniztions re require to report the mount of grnts n llotions to others, the totl expenses, n revenue, if ny, for eh progrm servie reporte. IMPACT ONLINE INC. -0 IMPACT ONLINE (VOLUNTEERMATCH) STRENGTHENS COMMUNITIES BY CONNECTING GOOD PEOPLE WITH GOOD CAUSES. THE ORGANIZATION OFFERS ONLINE SERVICES TO SUPPORT INDIVIDUALS AND ORGANIZATIONS COMMITTED TO COMMUNITY ENGAGEMENT.,,.,,. VOLUNTEERMATCH ASSISTS CORPORATIONS, EDUCATIONAL AND NONPROFIT ORGANIZATIONS IN MANAGING SUCCESSFUL COMMUNITY ENGAGEMENT PROGRAMS. WE PROVIDE MORE THAN 0 CLIENTS WITH THE TOOLS AND RESOURCES THEY NEED TO ALIGN THEIR COMMUNITY INVOLVEMENT STRATEGIES WITH THE NEEDS OF LOCAL NONPROFITS, TO TRACK AND REPORT ON PROGRAM GOALS, AND TO INSPIRE THEIR EMPLOYEES AND CUSTOMERS TO MAKE A DIFFERENCE IN THEIR COMMUNITIES. ( Coe: ) ( Expenses $ inluing grnts of $ ) ( Revenue $ ) Yes Yes Pge No No WE PROVIDE AN ONLINE PLATFORM FOR NONPROFIT ORGANIZATIONS TO RECRUIT THE VOLUNTEERS THEY NEED TO ACHIEVE THEIR MISSIONS. WE ALSO PROVIDE TRAININGS AND RESOURCES TO HELP THEM BETTER ENGAGE THOSE VOLUNTEERS. WITH OVER 00,000 ORGANIZATIONS USING THE SITE TO RECRUIT VOLUNTEERS AND,000 CONNECTIONS PER DAY, VOLUNTEERMATCH IS THE WORLD'S LARGEST ( Coe: ) ( Expenses $ inluing grnts of $ ) ( Revenue $ ) ( Coe: ) ( Expenses $ inluing grnts of $ ) ( Revenue $ ) e Other progrm servies (Desrie in Sheule O.) ( Expenses $ inluing grnts of $ ) ( Revenue $ ) Totl progrm servie expenses 00 --,,. SEE SCHEDULE O FOR CONTINUATION(S) Form 0 (0)

3 Form 0 (0) Prt IV Cheklist of Require Sheules 0 e f Is the orgniztion esrie in setion 0()() or ()() (other thn privte fountion)? If "Yes," omplete Sheule A ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Is the orgniztion require to omplete Sheule B, Sheule of Contriutors? ~~~~~~~~~~~~~~~~~~~~~~ Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt I Setion 0()() orgniztions. Di the orgniztion engge in loying tivities, or hve setion 0(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," omplete Sheule D, Prt I the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II~~~~~~~~~~~~~~ If "Yes," omplete Sheule D, Prt III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," omplete Sheule D, Prt IV Di the orgniztion report n mount for ln, uilings, n equipment in Prt, line 0? If "Yes," omplete Sheule D, Prt VI ssets reporte in Prt, line? If "Yes," omplete Sheule D, Prt VII Prt, line? If "Yes," omplete Sheule D, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Di the orgniztion report n mount for other liilities in Prt, line? If "Yes," omplete Sheule D, Prt ~~~~~~ If "Yes," omplete Sheule D, Prt Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Sheule D, Prts I n II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ or more? If "Yes," omplete Sheule F, Prts I n IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV olumn (A), lines n e? If "Yes," omplete Sheule G, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ n? If "Yes," omplete Sheule G, Prt II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ omplete Sheule G, Prt III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Is the orgniztion setion 0()(), 0()(), or 0()() orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure -? If "Yes," omplete Sheule C, Prt III ~~~~~~~~~~~~~~ Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? Di the orgniztion report n mount in Prt, line, for esrow or ustoil ount liility, serve s ustoin for mounts not liste in Prt ; or provie reit ounseling, et mngement, reit repir, or et negotition servies? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V ~~~~~~~~~~~~~~~~~~~~~~~~ If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, I, or s pplile. IMPACT ONLINE INC. -0 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Di the orgniztion report n mount for investments - other seurities in Prt, line tht is % or more of its totl ~~~~~~~~~~~~~~~~~~~~~~~~~ Di the orgniztion report n mount for investments - progrm relte in Prt, line tht is % or more of its totl ssets reporte in Prt, line? If "Yes," omplete Sheule D, Prt VIII ~~~~~~~~~~~~~~~~~~~~~~~~~ Di the orgniztion report n mount for other ssets in Prt, line tht is % or more of its totl ssets reporte in Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN (ASC 0)? If "Yes," ~~~~ Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line, then ompleting Sheule D, Prts I n II is optionl ~~~~~ Is the orgniztion shool esrie in setion 0()()(A)? If "Yes," omplete Sheule E ~~~~~~~~~~~~~~ Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? ~~~~~~~~~~~~~~~~ Di the orgniztion hve ggregte revenues or expenses of more thn $0,000 from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $00,000 Di the orgniztion report on Prt I, olumn (A), line, more thn $,000 of grnts or other ssistne to or for ny ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Di the orgniztion report on Prt I, olumn (A), line, more thn $,000 of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV ~~~~~~~~~~~~~~~~~~~~~~~~~~ Di the orgniztion report totl of more thn $,000 of expenses for professionl funrising servies on Prt I, Di the orgniztion report more thn $,000 totl of funrising event gross inome n ontriutions on Prt VIII, lines Di the orgniztion report more thn $,000 of gross inome from gming tivities on Prt VIII, line? 0 e f Yes Pge No Form 0 (0) 00 --

4 Form 0 (0) Prt IV Cheklist of Require Sheules (ontinue) 0 0 Setion 0()(), 0()(), n 0()() orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt I ~~~~~~~~~~~~~~~~ Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H ~~~~~~~~~~~~~~~~ omesti government on Prt I, olumn (A), line? If "Yes," omplete Sheule I, Prts I n II ~~~~~~~~~~~~~~ Prt I, olumn (A), line? If "Yes," omplete Sheule I, Prts I n III ~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," omplete Sheule J ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Sheule K. If "No", go to line Sheule L, Prt I omplete Sheule L, Prt II If "Yes," omplete If "Yes," of ny of these persons? If "Yes," omplete Sheule L, Prt III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV ~~~~~~~~~~~~~~~~~~~~~ ontriutions? If "Yes," omplete Sheule M ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," omplete Sheule N, Prt I Sheule N, Prt II Prt V, line IMPACT ONLINE INC. -0 If "Yes" to line 0, i the orgniztion tth opy of its uite finnil sttements to this return? ~~~~~~~~~~ Di the orgniztion report more thn $,000 of grnts or other ssistne to ny omesti orgniztion or Di the orgniztion report more thn $,000 of grnts or other ssistne to or for omesti iniviuls on Di the orgniztion nswer "Yes" to Prt VII, Setion A, line,, or out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste employees? Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $00,000 s of the lst y of the yer, tht ws issue fter Deemer, 00? If "Yes," nswer lines through n omplete ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption? Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer to efese ny tx-exempt ons? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer? If "Yes," omplete ~~~~~~~~~~~ ~~~~~~~~~~~ Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 0 or 0-EZ? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Di the orgniztion report ny mount on Prt, line,, or for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or isqulifie persons? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to % ontrolle entity or fmily memer Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV ~~~~~~~~~~~ A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV ~~ An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, Di the orgniztion reeive more thn $,000 in non-sh ontriutions? If "Yes," omplete Sheule M ~~~~~~~~~ Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie onservtion Di the orgniztion liquite, terminte, or issolve n ese opertions? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn % of its net ssets? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Di the orgniztion own 00% of n entity isregre s seprte from the orgniztion uner Regultions setions 0.0- n 0.0-? If "Yes," omplete Sheule R, Prt I ~~~~~~~~~~~~~~~~~~~~~~~~ Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, or IV, n ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Di the orgniztion hve ontrolle entity within the mening of setion ()()? ~~~~~~~~~~~~~~~~~~ If "Yes" to line, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion ()()? If "Yes," omplete Sheule R, Prt V, line ~~~~~~~~~~~~~~~~~~~ Setion 0()() orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle relte orgniztion? If "Yes," omplete Sheule R, Prt V, line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Di the orgniztion onut more thn % of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, Prt VI ~~~~~~~~ Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines n? Note. All Form 0 filers re require to omplete Sheule O Yes Pge No Form 0 (0) 00 --

5 Form 0 (0) Pge Prt V Sttements Regring Other IRS Filings n Tx Compline Chek if Sheule O ontins response or note to ny line in this Prt V Enter the numer reporte in Box of Form 0. Enter -0- if not pplile ~~~~~~~~~~~ 0 e f g h Enter the numer of Forms W-G inlue in line. Enter -0- if not pplile ~~~~~~~~~~ Di the orgniztion omply with kup withholing rules for reportle pyments to venors n reportle gming Orgniztions tht my reeive eutile ontriutions uner setion 0(). Sponsoring orgniztions mintining onor vise funs. Di onor vise fun mintine y the Sponsoring orgniztions mintining onor vise funs. Setion 0()() orgniztions. Enter: Setion 0()() orgniztions. Enter: Setion ()() 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 reporte on Form W-, Trnsmittl of Wge n Tx Sttements, file for the lenr yer ening with or within the yer overe y this return ~~~~~~~~~~ If t lest one is reporte on line, i the orgniztion file ll require feerl employment tx returns? ~~~~~~~~~~ Note. If the sum of lines n is greter thn 0, you my e require to e-file (see instrutions) ~~~~~~~~~~~ Di the orgniztion hve unrelte usiness gross inome of $,000 or more uring the yer? ~~~~~~~~~~~~~~ If "Yes," hs it file Form 0-T for this yer? If "No," to line, provie n explntion in Sheule O ~~~~~~~~~~ At ny time uring the lenr yer, i 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 n Finnil Aounts (FBAR). Ws the orgniztion prty to prohiite tx shelter trnstion t ny time uring the tx yer? Di the orgniztion reeive pyment in exess of $ me prtly s ontriution n prtly for goos n servies provie to the pyor? Setion 0()() qulifie nonprofit helth insurne issuers. Note. See the instrutions for itionl informtion the orgniztion must report on Sheule O. ~~~~~~~~~~~~ Di ny txle prty notify the orgniztion tht it ws or is prty to prohiite tx shelter trnstion? ~~~~~~~~~ If "Yes," to line or, i the orgniztion file Form -T? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Does the orgniztion hve nnul gross reeipts tht re normlly greter thn $00,000, n i the orgniztion soliit ny ontriutions tht were not tx eutile s hritle ontriutions? If "Yes," i the orgniztion inlue with every soliittion n express sttement tht suh ontriutions or gifts were not tx eutile? ~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," i the orgniztion notify the onor of the vlue of the goos or servies provie? Di the orgniztion sell, exhnge, or otherwise ispose of tngile personl property for whih it ws require to file Form? ~~~~~~~~~~~~~~~ If "Yes," inite the numer of Forms file uring the yer ~~~~~~~~~~~~~~~~ Di the orgniztion reeive ny funs, iretly or iniretly, to py premiums on personl enefit ontrt? Di the orgniztion, uring the yer, py premiums, iretly or iniretly, on personl enefit ontrt? 0 0 ~~~~~~~ ~~~~~~~~~ If the orgniztion reeive ontriution of qulifie intelletul property, i the orgniztion file Form s require? ~ If the orgniztion reeive ontriution of rs, ots, irplnes, or other vehiles, i the orgniztion file Form 0-C? sponsoring orgniztion hve exess usiness holings t ny time uring the yer? ~~~~~~~~~~~~~~~~~~~ Di the sponsoring orgniztion mke ny txle istriutions uner setion? Di the sponsoring orgniztion mke istriution to onor, onor visor, or relte person? Initition fees n pitl ontriutions inlue on Prt VIII, line Gross reeipts, inlue on Form 0, Prt VIII, line, for puli use of lu filities Gross inome from memers or shreholers ~~~~~~~~~~~~~~~ Gross inome from other soures (Do not net mounts ue or pi to other soures ginst mounts ue or reeive from them.) IMPACT ONLINE INC. -0 ~~~~~~~~~~~~~~~~~~~ ~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," enter the mount of tx-exempt interest reeive or rue uring the yer ~~~~~~~~~~~~~ Is the orgniztion liense to issue qulifie helth plns in more thn one stte? ~~~~~~~~~~~~~~~~~~~~~ Enter the mount of reserves the orgniztion is require to mintin y the sttes in whih the orgniztion is liense to issue qulifie helth plns ~~~~~~~~~~~~~~~~~~~~~~ Enter the mount of reserves on hn ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Di the orgniztion reeive ny pyments for inoor tnning servies uring the tx yer? ~~~~~~~~~~~~~~~~ If "Yes," hs it file Form 0 to report these pyments? If "No," provie n explntion in Sheule O 0 e f g h Yes No Form 0 (0) 00 --

6 Form 0 (0) Pge Prt VI Governne, Mngement, n Dislosure For eh "Yes" response to lines through elow, n for "No" response to line,, or 0 elow, esrie the irumstnes, proesses, or hnges in Sheule O. See instrutions. Chek if Sheule O ontins response or note to ny line in this Prt VI Setion A. Governing Boy n Mngement Enter the numer of voting memers of the governing oy t the en of the tx yer Is there ny offier, iretor, trustee, or key employee liste in Prt VII, Setion A, who nnot e rehe t the orgniztion's miling ress? If "Yes," provie the nmes n resses in Sheule O Setion B. Poliies (This Setion B requests informtion out poliies not require y the Internl Revenue Coe.) 0 If there re mteril ifferenes in voting rights mong memers of the governing oy, or if the governing oy elegte ro uthority to n exeutive ommittee or similr ommittee, explin in Sheule O. Enter the numer of voting memers inlue in line, ove, who re inepenent Di the orgniztion ontemporneously oument the meetings hel or written tions unertken uring the yer y the following: Were offiers, iretors, or trustees, n key employees require to islose nnully interests tht oul give rise to onflits? in Sheule O how this ws one ~~~~~~ ~~~~~~ Di ny offier, iretor, trustee, or key employee hve fmily reltionship or usiness reltionship with ny other offier, iretor, trustee, or key employee? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Di the orgniztion elegte ontrol over mngement uties ustomrily performe y or uner the iret supervision of offiers, iretors, or trustees, or key employees to mngement ompny or other person? ~~~~~~~~~~~~~~ Di the orgniztion mke ny signifint hnges to its governing ouments sine the prior Form 0 ws file? ~~~~~ Di the orgniztion eome wre uring the yer of signifint iversion of the orgniztion's ssets? ~~~~~~~~~ Di the orgniztion hve memers or stokholers? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Di the orgniztion hve memers, stokholers, or other persons who h the power to elet or ppoint one or more memers of the governing oy? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Are ny governne eisions of the orgniztion reserve to (or sujet to pprovl y) memers, stokholers, or persons other thn the governing oy? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ The governing oy? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Eh ommittee with uthority to t on ehlf of the governing oy? ~~~~~~~~~~~~~~~~~~~~~~~~~~ 0 Di the orgniztion hve lol hpters, rnhes, or ffilites? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," i the orgniztion hve written poliies n proeures governing the tivities of suh hpters, ffilites, n rnhes to ensure their opertions re onsistent with the orgniztion's exempt purposes? ~~~~~~~~~~~~~ Hs the orgniztion provie omplete opy of this Form 0 to ll memers of its governing oy efore filing the form? Desrie in Sheule O the proess, if ny, use y the orgniztion to review this Form Di the orgniztion hve written onflit of interest poliy? If "No," go to line ~~~~~~~~~~~~~~~~~~~~ Di the orgniztion regulrly n onsistently monitor n enfore ompline with the poliy? Di the orgniztion hve written whistlelower poliy? If "Yes," esrie Own wesite Another's wesite Upon request Other (explin in Sheule O) ~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Di the orgniztion hve written oument retention n estrution poliy? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~ Di the proess for etermining ompenstion of the following persons inlue review n pprovl y inepenent persons, omprility t, n ontemporneous sustntition of the eliertion n eision? The orgniztion's CEO, Exeutive Diretor, or top mngement offiil Other offiers or key employees of the orgniztion IMPACT ONLINE INC. -0 If "Yes" to line or, esrie the proess in Sheule O (see instrutions). ~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Di the orgniztion invest in, ontriute ssets to, or prtiipte in joint venture or similr rrngement with txle entity uring the yer? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," i the orgniztion follow written poliy or proeure requiring the orgniztion to evlute its prtiiption in joint venture rrngements uner pplile feerl tx lw, n tke steps to sfegur the orgniztion's exempt sttus with respet to suh rrngements? Setion C. Dislosure List the sttes with whih opy of this Form 0 is require to e file JCA,OR Setion 0 requires n orgniztion to mke its Forms 0 (or 0 if pplile), 0, n 0-T (Setion 0()()s only) ville for puli inspetion. Inite how you me these ville. Chek ll tht pply. Desrie in Sheule O whether (n if so, how) the orgniztion me its governing ouments, onflit of interest poliy, n finnil sttements ville to the puli uring the tx yer. Stte the nme, ress, n telephone numer of the person who possesses the orgniztion's ooks n reors: GREG BALDWIN, PRESIDENT MONTGOMERY STREET, TH FL, SAN FRANCISCO, CA 0 0 Yes Yes No No Form 0 (0)

7 Form 0 (0) Prt VII Compenstion of Offiers, Diretors, Trustees, Key Employees, Highest Compenste Employees, n Inepenent Contrtors Setion A. Chek if Sheule O ontins response or note to ny line in this Prt VII Offiers, Diretors, Trustees, Key Employees, n Highest Compenste Employees Complete this tle for ll persons require to e liste. Report ompenstion for the lenr yer ening with or within the orgniztion's tx yer. List ll of the orgniztion's urrent offiers, iretors, trustees (whether iniviuls or orgniztions), regrless of mount of ompenstion. Enter -0- in olumns (D), (E), n (F) if no ompenstion ws pi. List ll of the orgniztion's urrent key employees, if ny. See instrutions for efinition of "key employee." List the orgniztion's five urrent highest ompenste employees (other thn n offier, iretor, trustee, or key employee) who reeive reportle ompenstion (Box of Form W- n/or Box of Form 0-MISC) of more thn $00,000 from the orgniztion n ny relte orgniztions. List ll of the orgniztion's former offiers, key employees, n highest ompenste employees who reeive more thn $00,000 of reportle ompenstion from the orgniztion n ny relte orgniztions. List ll of the orgniztion's former iretors or trustees tht reeive, in the pity s former iretor or trustee of the orgniztion, more thn $0,000 of reportle ompenstion from the orgniztion n ny relte orgniztions. List persons in the following orer: iniviul trustees or iretors; institutionl trustees; offiers; key employees; highest ompenste employees; n former suh persons. (A) (B) (C) (D) (E) (F) Position (o not hek more thn one ox, unless person is oth n offier n iretor/trustee) Iniviul trustee or iretor Institutionl trustee Offier Key employee Highest ompenste employee Former Chek this ox if neither the orgniztion nor ny relte orgniztion ompenste ny urrent offier, iretor, or trustee. Nme n Title () CRAIG JACOBY BOARD CHAIR () JAY BACKSTRAND BOARD MEMBER () DEBORAH DINKELACKER (TO 0/) BOARD MEMBER/AUDIT COMMITTEE CHAIR () STOUFFER EGAN BOARD MEMBER () MEG GARLINGHOUSE BOARD MEMBER () HOLLY ROSS BOARD MEMBER () PREMAL SHAH BOARD MEMBER () ROBERT SAVAGE BOARD MEMBER () GREGORY BALDWIN PRESIDENT (0) DENISE HOWELL CHIEF FINANCIAL OFFICER () KIRK SCHAPER CHIEF TECHNOLOGY OFFICER () SUSAN BRIGGS VICE PRESIDENT, PRODUCTS MNGMNT () WATSON LOHMANN VICE PRESIDENT, BUSINESS DEVELOPMENT () JOHN RACKWITZ SENIOR ENGINEER () HSIAOYUN SUE APPLICATIONS ENGINEER () ERIC SWANSON SYSTEMS ADMINISTRATOR IMPACT ONLINE INC. -0 Averge hours per week (list ny hours for relte orgniztions elow line) Reportle ompenstion from the orgniztion (W-/0-MISC),00.,.,.,.,.,. 0,., Reportle ompenstion from relte orgniztions (W-/0-MISC) Pge Estimte mount of other ompenstion from the orgniztion n relte orgniztions,.,,0,.,. 0,.,., Form 0 (0)

8 IMPACT ONLINE INC. Form 0 (0) Pge Prt VII Setion A. Offiers, Diretors, Trustees, Key Employees, n Highest Compenste Employees (ontinue) (A) (B) (C) (D) (E) (F) Nme n title Averge Position Reportle Reportle Estimte (o not hek more thn one hours per ox, unless person is oth n ompenstion ompenstion mount of week offier n iretor/trustee) from from relte other (list ny the orgniztions ompenstion hours for orgniztion (W-/0-MISC) from the relte (W-/0-MISC) orgniztion orgniztions n relte elow orgniztions line) Iniviul trustee or iretor Institutionl trustee Offier Key employee Highest ompenste employee Former -0,0,0. 0,.,0,0. 0,. Su-totl~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Totl from ontinution sheets to Prt VII, Setion A ~~~~~~~~~~ Totl ( lines n ) Totl numer of iniviuls (inluing ut not limite to those liste ove) who reeive more thn $00,000 of reportle ompenstion from the orgniztion Di the orgniztion list ny former offier, iretor, or trustee, key employee, or highest ompenste employee on line? If "Yes," omplete Sheule J for suh iniviul ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ For ny iniviul liste on line, is the sum of reportle ompenstion n other ompenstion from the orgniztion n relte orgniztions greter thn $0,000? If "Yes," omplete Sheule J for suh iniviul ~~~~~~~~~~~~~ Di ny person liste on line reeive or rue ompenstion from ny unrelte orgniztion or iniviul for servies renere to the orgniztion? If "Yes," omplete Sheule J for suh person Setion B. Inepenent Contrtors Complete this tle for your five highest ompenste inepenent ontrtors tht reeive more thn $00,000 of ompenstion from the orgniztion. Report ompenstion for the lenr yer ening with or within the orgniztion's tx yer. Yes No (A) (B) (C) Nme n usiness ress Desription of servies Compenstion NONE Totl numer of inepenent ontrtors (inluing ut not limite to those liste ove) who reeive more thn $00,000 of ompenstion from the orgniztion Form 0 (0)

9 Form 0 (0) Prt VIII Sttement of Revenue Contriutions, Gifts, Grnts n Other Similr Amounts Progrm Servie Revenue Other Revenue e f g Nonsh ontriutions inlue in lines -f: $ h e f g 0 All other ontriutions, gifts, grnts, n similr mounts not inlue ove ~~ e f Totl. A lines -f Business Coe Totl. A lines -f Business Coe e Totl. A lines - ~~~~~~~~~~~~~~~ Totl revenue. See instrutions. Pge Chek if Sheule O ontins response or note to ny line in this Prt VIII (A) (B) (C) (D) Totl revenue Relte or Unrelte Revenue exlue exempt funtion usiness from tx uner setions revenue revenue - Feerte mpigns Memership ues Funrising events Relte orgniztions ~~~~~~ ~~~~~~~~ ~~~~~~~~ ~~~~~~ Government grnts (ontriutions) All other progrm servie revenue ~~~~~ Investment inome (inluing iviens, interest, n other similr mounts) ~~~~~~~~~~~~~~~~~ Inome from investment of tx-exempt on proees Roylties Gross rents ~~~~~~~ Less: rentl expenses ~~~ Rentl inome or (loss) Net rentl inome or (loss) ~~ Gross mount from sles of ssets other thn inventory Less: ost or other sis n sles expenses ~~~ Gin or (loss) ~~~~~~~ (i) Rel Personl (i) Seurities Other Net gin or (loss) Gross inome from funrising events (not inluing $ of ontriutions reporte on line ). See Prt IV, line ~~~~~~~~~~~~~ Less: iret expenses ~~~~~~~~~~ Net inome or (loss) from funrising events Gross inome from gming tivities. See Prt IV, line ~~~~~~~~~~~~~ Less: iret expenses ~~~~~~~~~ Net inome or (loss) from gming tivities Gross sles of inventory, less returns n llownes ~~~~~~~~~~~~~ Less: ost of goos sol ~~~~~~~~ Net inome or (loss) from sles of inventory Misellneous Revenue IMPACT ONLINE INC. -0 All other revenue ~~~~~~~~~~~~~,. PROGRAM SERVICES NONPROFIT PREMIUM SVS REGISTRATION FEES,,0.,,.,0., -,,.,,.,.,0.,,.,.,.,,.,.,0.,.,. -,0. -,0.,,.,,.,. Form 0 (0)

10 Form 0 (0) Prt I Sttement of Funtionl Expenses Setion 0()() n 0()() orgniztions must omplete ll olumns. All other orgniztions must omplete olumn (A). Chek if Sheule O ontins response or note to ny line in this Prt I Do not inlue mounts reporte on lines, (A) (B) (C) (D) Totl expenses Progrm servie Mngement n Funrising,,, n 0 of Prt VIII. expenses generl expenses expenses 0 0 e f g e Grnts n other ssistne to omesti orgniztions n omesti governments. See Prt IV, line Grnts n other ssistne to omesti iniviuls. See Prt IV, line ~~~~~~~ Grnts n other ssistne to foreign orgniztions, foreign governments, n foreign iniviuls. See Prt IV, lines n ~~~ Benefits pi to or for memers ~~~~~~~ Compenstion of urrent offiers, iretors, trustees, n key employees ~~~~~~~~ Compenstion not inlue ove, to isqulifie persons (s efine uner setion (f)()) n persons esrie in setion ()()(B) Pension pln ruls n ontriutions (inlue setion 0(k) n 0() employer ontriutions) Professionl funrising servies. See Prt IV, line Other. (If line g mount exees 0% of line, olumn (A) mount, list line g expenses on Sh O.) Other expenses. Itemize expenses not overe ove. (List misellneous expenses in line e. If line e mount exees 0% of line, olumn (A) mount, list line e expenses on Sheule O.) Totl funtionl expenses. A lines through e Joint osts. Complete this line only if the orgniztion reporte in olumn (B) joint osts from omine eutionl mpign n funrising soliittion. Chek here if following SOP - (ASC -0) ~ ~~~ Other slries n wges ~~~~~~~~~~ Other employee enefits ~~~~~~~~~~ Pyroll txes ~~~~~~~~~~~~~~~~ Fees for servies (non-employees): Mngement ~~~~~~~~~~~~~~~~ Legl ~~~~~~~~~~~~~~~~~~~~ Aounting ~~~~~~~~~~~~~~~~~ Loying ~~~~~~~~~~~~~~~~~~ Investment mngement fees ~~~~~~~~ Avertising n promotion ~~~~~~~~~ Offie expenses~~~~~~~~~~~~~~~ Informtion tehnology ~~~~~~~~~~~ Roylties ~~~~~~~~~~~~~~~~~~ Oupny ~~~~~~~~~~~~~~~~~ Trvel ~~~~~~~~~~~~~~~~~~~ Pyments of trvel or entertinment expenses for ny feerl, stte, or lol puli offiils Conferenes, onventions, n meetings ~~ Interest ~~~~~~~~~~~~~~~~~~ Pyments to ffilites ~~~~~~~~~~~~ Depreition, epletion, n mortiztion Insurne All other expenses IMPACT ONLINE INC. -0 ~~ ~~~~~~~~~~~~~~~~~,.,,0. 0,.,.,. 0,.,.,.,.,. 0,0. 0,.,.,..,00,.,.,0,. Pge 0 0,. 0,.,.,,. 0,.,0,0.,.,. 0,.,,.,.,0. 0,.,.,.,.,.,0..,.,.,.,.,.,.,.,.,...,,.,..,.,. 0.,,.,.,0. Form 0 (0)

11 Form 0 (0) Prt Blne Sheet Net Assets or Fun Blnes Liilities Assets IMPACT ONLINE INC. Chek if Sheule O ontins response or note to ny line in this Prt (A) (B) Beginning of yer En of yer Csh - non-interest-ering ~~~~~~~~~~~~~~~~~~~~~~~~~ Svings n temporry sh investments ~~~~~~~~~~~~~~~~~~ Pleges n grnts reeivle, net ~~~~~~~~~~~~~~~~~~~~~ Aounts reeivle, net ~~~~~~~~~~~~~~~~~~~~~~~~~~ Lons n other reeivles from urrent n former offiers, iretors, trustees, key employees, n highest ompenste employees. Complete Prt II of Sheule L ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Lons n other reeivles from other isqulifie persons (s efine uner setion (f)()), persons esrie in setion ()()(B), n ontriuting employers n sponsoring orgniztions of setion 0()() voluntry employees' enefiiry orgniztions (see instr). Complete Prt II of Sh L ~~ Notes n lons reeivle, net ~~~~~~~~~~~~~~~~~~~~~~~ Inventories for sle or use ~~~~~~~~~~~~~~~~~~~~~~~~~~ Prepi expenses n eferre hrges ~~~~~~~~~~~~~~~~~~ 0 Ln, uilings, n equipment: ost or other sis. Complete Prt VI of Sheule D ~~~ 0 Less: umulte epreition ~~~~~~ 0 Investments - pulily tre seurities ~~~~~~~~~~~~~~~~~~~ Investments - other seurities. See Prt IV, line ~~~~~~~~~~~~~~ Investments - progrm-relte. See Prt IV, line ~~~~~~~~~~~~~ Intngile ssets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other ssets. See Prt IV, line ~~~~~~~~~~~~~~~~~~~~~~ Totl ssets. A lines through (must equl line ) Aounts pyle n rue expenses ~~~~~~~~~~~~~~~~~~ Grnts pyle ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Deferre revenue ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 0 Tx-exempt on liilities ~~~~~~~~~~~~~~~~~~~~~~~~~ Esrow or ustoil ount liility. Complete Prt IV of Sheule D ~~~~ Lons n other pyles to urrent n former offiers, iretors, trustees, key employees, highest ompenste employees, n isqulifie persons. Complete Prt II of Sheule L ~~~~~~~~~~~~~~~~~~~~~~~ Seure mortgges n notes pyle to unrelte thir prties ~~~~~~ Unseure notes n lons pyle to unrelte thir prties ~~~~~~~~ Other liilities (inluing feerl inome tx, pyles to relte thir prties, n other liilities not inlue on lines -). Complete Prt of Sheule D ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Totl liilities. A lines through Orgniztions tht follow SFAS (ASC ), hek here n omplete lines through, n lines n. Unrestrite net ssets ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Temporrily restrite net ssets Permnently restrite net ssets ~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~ Orgniztions tht o not follow SFAS (ASC ), hek here n omplete lines 0 through. 0 Cpitl stok or trust prinipl, or urrent funs ~~~~~~~~~~~~~~~ Pi-in or pitl surplus, or ln, uiling, or equipment fun ~~~~~~~~ Retine ernings, enowment, umulte inome, or other funs ~~~~ Totl net ssets or fun lnes ~~~~~~~~~~~~~~~~~~~~~~ Totl liilities n net ssets/fun lnes Pge,.,0.,.,. 0,00,,0,. 0,.,.,.,., 0,0,.,,.,,. 0,,.,,0.,,.,,,0,0.,,.,. 0,,,.,,.,.,,0,0.,,.,,.,0, 0,0.,0.,00,0.,,.,0,0.,,. Form 0 (0) 0 --

12 Form 0 (0) Prt I Reonilition of Net Assets 0 Chek if Sheule O ontins response or note to ny line in this Prt I 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 fun lnes t eginning of yer (must equl Prt, line, olumn (A)) Net unrelize gins (losses) on investments Donte servies n use of filities Investment expenses Prior perio justments ~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other hnges in net ssets or fun lnes (explin in Sheule O) ~~~~~~~~~~~~~~~~~~~ Net ssets or fun lnes t en of yer. Comine lines through (must equl Prt, line, olumn (B)) 0 Prt II Finnil Sttements n Reporting Chek if Sheule O ontins response or note to ny line in this Prt II Yes Aounting metho use to prepre the Form 0: Csh Arul Other If the orgniztion hnge its metho of ounting from prior yer or heke "Other," explin in Sheule O. Were the orgniztion's finnil sttements ompile or reviewe y n inepenent ountnt? ~~~~~~~~~~~~ If "Yes," hek ox elow to inite whether the finnil sttements for the yer were ompile or reviewe on seprte sis, onsolite sis, or oth: Seprte sis Consolite sis Both onsolite n seprte sis Were the orgniztion's finnil sttements uite y n inepenent ountnt? ~~~~~~~~~~~~~~~~~~~ If "Yes," hek ox elow to inite whether the finnil sttements for the yer were uite on seprte sis, onsolite sis, or oth: IMPACT ONLINE INC. -0 Seprte sis Consolite sis Both onsolite n seprte sis If "Yes" to line or, oes the orgniztion hve ommittee tht ssumes responsiility for oversight of the uit, review, or ompiltion of its finnil sttements n seletion of n inepenent ountnt? ~~~~~~~~~~~~~~~ If the orgniztion hnge either its oversight proess or seletion proess uring the tx yer, explin in Sheule O. As result of feerl wr, ws the orgniztion require to unergo n uit or uits s set forth in the Single Auit At n OMB Cirulr A-? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," i the orgniztion unergo the require uit or uits? If the orgniztion i not unergo the require uit or uits, explin why in Sheule O n esrie ny steps tken to unergo suh uits Pge,,.,0,. -,0.,00,0. -0,.,,. No Form 0 (0) 0 --

13 SCHEDULE A OMB No. -00 (Form 0 or 0-EZ) Complete if the orgniztion is setion 0()() orgniztion or setion ()() nonexempt hritle trust. Deprtment of the Tresury Atth to Form 0 or Form 0-EZ. Open to Puli Internl Revenue Servie Informtion out Sheule A (Form 0 or 0-EZ) n its instrutions is t Inspetion Nme of the orgniztion Employer ientifition numer Prt I 0 e f setion 0()()(A)(i). A shool esrie in setion 0()()(A). (Atth Sheule E (Form 0 or 0-EZ).) A hospitl or oopertive hospitl servie orgniztion esrie in setion 0()()(A)(iii). A meil reserh orgniztion operte in onjuntion with hospitl esrie in setion 0()()(A)(iii). Enter the hospitl's nme, setion 0()()(A)(iv). (Complete Prt II.) A feerl, stte, or lol government or governmentl unit esrie in setion 0()()(A)(v). setion 0()()(A)(vi). (Complete Prt II.) A ommunity trust esrie in setion 0()()(A)(vi). (Complete Prt II.) An griulturl reserh orgniztion esrie in setion 0()()(A)(ix) operte in onjuntion with ln-grnt ollege See setion 0()(). (Complete Prt III.) An orgniztion orgnize n operte exlusively to test for puli sfety. See setion 0()(). more pulily supporte orgniztions esrie in setion 0()() or setion 0()(). See setion 0()(). Chek the ox in Type I. A supporting orgniztion operte, supervise, or ontrolle y its supporte orgniztion(s), typilly y giving orgniztion. You must omplete Prt IV, Setions A n B. Type II. A supporting orgniztion supervise or ontrolle in onnetion with its supporte orgniztion(s), y hving orgniztion(s). You must omplete Prt IV, Setions A n C. (All orgniztions must omplete this prt.) See instrutions. The orgniztion is not privte fountion euse it is: (For lines through, hek only one ox.) IMPACT ONLINE INC. Reson for Puli Chrity Sttus A hurh, onvention of hurhes, or ssoition of hurhes esrie in ity, n stte: An orgniztion operte for the enefit of ollege or university owne or operte y governmentl unit esrie in An orgniztion tht normlly reeives sustntil prt of its support from governmentl unit or from the generl puli esrie in or university or non-ln-grnt ollege of griulture (see instrutions). Enter the nme, ity, n stte of the ollege or university: An orgniztion tht normlly reeives: () more thn /% of its support from ontriutions, memership fees, n gross reeipts from tivities relte to its exempt funtions - sujet to ertin exeptions, n () no more thn /% of its support from gross investment inome n unrelte usiness txle inome (less setion tx) from usinesses quire y the orgniztion fter June 0,. An orgniztion orgnize n operte exlusively for the enefit of, to perform the funtions of, or to rry out the purposes of one or lines through tht esries the type of supporting orgniztion n omplete lines e, f, n g. the supporte orgniztion(s) the power to regulrly ppoint or elet mjority of the iretors or trustees of the supporting ontrol or mngement of the supporting orgniztion veste in the sme persons tht ontrol or mnge the supporte Type III funtionlly integrte. A supporting orgniztion operte in onnetion with, n funtionlly integrte with, its supporte orgniztion(s) (see instrutions). Puli Chrity Sttus n Puli Support You must omplete Prt IV, Setions A, D, n E. Type III non-funtionlly integrte. A supporting orgniztion operte in onnetion with its supporte orgniztion(s) tht is not funtionlly integrte. The orgniztion generlly must stisfy istriution requirement n n ttentiveness requirement (see instrutions). You must omplete Prt IV, Setions A n D, n Prt V. Chek this ox if the orgniztion reeive written etermintion from the IRS tht it is Type I, Type II, Type III funtionlly integrte, or Type III non-funtionlly integrte supporting orgniztion. Enter the numer of supporte orgniztions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 0-0 g Provie the following informtion out the supporte orgniztion(s). (i) Nme of supporte EIN (iii) Type of orgniztion (iv) Is the orgniztion liste (v) Amount of monetry (vi) Amount of other in your governing oument? orgniztion (esrie on lines -0 support (see instrutions) support (see instrutions) ove (see instrutions)) Yes No Totl LHA For Pperwork Reution At Notie, see the Instrutions for Form 0 or 0-EZ Sheule A (Form 0 or 0-EZ) 0

14 Sheule A (Form 0 or 0-EZ) 0 Prt II Support Sheule for Orgniztions Desrie in Setions 0()()(A)(iv) n 0()()(A)(vi) Clenr yer (or fisl yer eginning in) Totl. A lines through ~~~ Puli support. Sutrt line from line. Clenr yer (or fisl yer eginning in) 0 Totl support. A lines through 0 () 0 () 0 () 0 () 0 (e) 0 (f) Totl () 0 () 0 () 0 () 0 (e) 0 (f) Totl First five yers. If the Form 0 is for the orgniztion's first, seon, thir, fourth, or fifth tx yer s setion 0()() orgniztion, hek this ox n stop here Setion C. Computtion of Puli Support Perentge (Complete only if you heke the ox on line,, or of Prt I or if the orgniztion file to qulify uner Prt III. If the orgniztion fils to qulify uner the tests liste elow, plese omplete Prt III.) Setion A. Puli Support Gifts, grnts, ontriutions, n memership fees reeive. (Do not inlue ny "unusul grnts.") ~~ Tx revenues levie for the orgniztion's enefit n either pi to or expene on its ehlf ~~~~ The vlue of servies or filities furnishe y governmentl unit to the orgniztion without hrge ~ The portion of totl ontriutions y eh person (other thn governmentl unit or pulily supporte orgniztion) inlue on line tht exees % of the mount shown on line, olumn (f) ~~~~~~~~~~~~ Setion B. Totl Support Amounts from line ~~~~~~~ Gross inome from interest, iviens, pyments reeive on seurities lons, rents, roylties n inome from similr soures ~ Net inome from unrelte usiness tivities, whether or not the usiness is regulrly rrie on ~ Other inome. Do not inlue gin or loss from the sle of pitl ssets (Explin in Prt VI.) ~~~~ Gross reeipts from relte tivities, et. (see instrutions) ~~~~~~~~~~~~~~~~~~~~~~~ Puli support perentge for 0 (line, olumn (f) ivie y line, olumn (f)) ~~~~~~~~~~~~ Puli support perentge from 0 Sheule A, Prt II, line IMPACT ONLINE INC. -0 ~~~~~~~~~~~~~~~~~~~~~ /% support test - 0. If the orgniztion i not hek the ox on line, n line is /% or more, hek this ox n stop here. The orgniztion qulifies s pulily supporte orgniztion ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ /% support test - 0. If the orgniztion i not hek ox on line or, n line is /% or more, hek this ox n stop here. The orgniztion qulifies s pulily supporte orgniztion ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 0% -fts-n-irumstnes test - 0. If the orgniztion i not hek ox on line,, or, n line is 0% or more, n if the orgniztion meets the "fts-n-irumstnes" test, hek this ox n stop here. Explin in Prt VI how the orgniztion meets the "fts-n-irumstnes" test. The orgniztion qulifies s pulily supporte orgniztion ~~~~~~~~~~~~~~~ 0% -fts-n-irumstnes test - 0. If the orgniztion i not hek ox on line,,, or, n line is 0% or more, n if the orgniztion meets the "fts-n-irumstnes" test, hek this ox n stop here. Explin in Prt VI how the orgniztion meets the "fts-n-irumstnes" test. The orgniztion qulifies s pulily supporte orgniztion ~~~~~~~~ Privte fountion. If the orgniztion i not hek ox on line,,,, or, hek this ox n see instrutions Pge Sheule A (Form 0 or 0-EZ) 0 % % 0 0--

15 Sheule A (Form 0 or 0-EZ) 0 Prt III Support Sheule for Orgniztions Desrie in Setion 0()() Clenr yer (or fisl yer eginning in) The vlue of servies or filities furnishe y governmentl unit to the orgniztion without hrge ~ Totl. A lines through ~~~ Amounts inlue on lines,, n reeive from isqulifie persons Amounts inlue on lines n reeive from other thn isqulifie persons tht exee the greter of $,000 or % of the mount on line for the yer ~~~~~~ A lines n ~~~~~~~ Puli support. (Sutrt line from line.) Clenr yer (or fisl yer eginning in) Amounts from line ~~~~~~~ 0 Gross inome from interest, iviens, pyments reeive on seurities lons, rents, roylties n inome from similr soures ~ () 0 () 0 () 0 () 0 (e) 0 (f) Totl () 0 () 0 () 0 () 0 (e) 0 (f) Totl hek this ox n stop here Setion C. Computtion of Puli Support Perentge Puli support perentge from 0 Sheule A, Prt III, line Setion D. Computtion of Investment Inome Perentge 0 (Complete only if you heke the ox on line 0 of Prt I or if the orgniztion file to qulify uner Prt II. If the orgniztion fils to qulify uner the tests liste elow, plese omplete Prt II.) Setion A. Puli Support Gifts, grnts, ontriutions, n memership fees reeive. (Do not inlue ny "unusul grnts.") ~~ Gross reeipts from missions, merhnise sol or servies performe, or filities furnishe in ny tivity tht is relte to the orgniztion's tx-exempt purpose Gross reeipts from tivities tht re not n unrelte tre or usiness uner setion ~~~~~ Tx revenues levie for the orgniztion's enefit n either pi to or expene on its ehlf ~~~~ Setion B. Totl Support Unrelte usiness txle inome (less setion txes) from usinesses quire fter June 0, ~~~~ A lines 0 n 0 ~~~~~~ Net inome from unrelte usiness tivities not inlue in line 0, whether or not the usiness is regulrly rrie on ~~~~~~~ Other inome. Do not inlue gin or loss from the sle of pitl ssets (Explin in Prt VI.) ~~~~ Totl support. (A lines, 0,, n.),,.,0,0.,,.,,.,,. First five yers. If the Form 0 is for the orgniztion's first, seon, thir, fourth, or fifth tx yer s setion 0()() orgniztion, Pge Puli support perentge for 0 (line, olumn (f) ivie y line, olumn (f)) ~~~~~~~~~~~~ % Investment inome perentge for 0 (line 0, olumn (f) ivie y line, olumn (f)) Investment inome perentge from 0 Sheule A, Prt III, line IMPACT ONLINE INC. -0 0,.,.,.,,.,00,0.,0,.,,.,,.,,.,,.,,,,,,0.,0,,,.,,.,,0.,,.,0.,.,.,,.,0.,.,. 0,,.,,,,0.,0,,,.,,.,,0.,.,0.,.,.,. 0,0.,.,0.,.,.,. 0,0.,,.,00,.,0.,0,,. ~~~~~~~~~~~~~~~~~~ ~~~~~~~~ % /% support tests - 0. If the orgniztion i not hek the ox on line, n line is more thn /%, n line is not more thn /%, hek this ox n stop here. The orgniztion qulifies s pulily supporte orgniztion ~~~~~~~~~~ /% support tests - 0. If the orgniztion i not hek ox on line or line, n line is more thn /%, n line is not more thn /%, hek this ox n stop here. The orgniztion qulifies s pulily supporte orgniztion ~~~~ Privte fountion. If the orgniztion i not hek ox on line,, or, hek this ox n see instrutions.... Sheule A (Form 0 or 0-EZ) 0 % %

16 Sheule A (Form 0 or 0-EZ) 0 Prt IV Supporting Orgniztions IMPACT ONLINE INC. -0 (Complete only if you heke ox in line on Prt I. If you heke of Prt I, omplete Setions A n B. If you heke of Prt I, omplete Setions A n C. If you heke of Prt I, omplete Setions A, D, n E. If you heke of Prt I, omplete Setions A n D, n omplete Prt V.) Setion A. All Supporting Orgniztions Are ll of the orgniztion's supporte orgniztions liste y nme in the orgniztion's governing ouments? If "No," esrie in Prt VI how the supporte orgniztions re esignte. If esignte y lss or purpose, esrie the esigntion. If histori n ontinuing reltionship, explin. Di the orgniztion hve ny supporte orgniztion tht oes not hve n IRS etermintion of sttus uner setion 0()() or ()? If "Yes," explin in Prt VI how the orgniztion etermine tht the supporte orgniztion ws esrie in setion 0()() or (). Di the orgniztion hve supporte orgniztion esrie in setion 0()(), (), or ()? If "Yes," nswer () n () elow. Di the orgniztion onfirm tht eh supporte orgniztion qulifie uner setion 0()(), (), or () n stisfie the puli support tests uner setion 0()()? If "Yes," esrie in Prt VI when n how the orgniztion me the etermintion. Di the orgniztion ensure tht ll support to suh orgniztions ws use exlusively for setion 0()()(B) purposes? If "Yes," explin in Prt VI wht ontrols the orgniztion put in ple to ensure suh use. Ws ny supporte orgniztion not orgnize in the Unite Sttes ("foreign supporte orgniztion")? If "Yes," n if you heke or in Prt I, nswer () n () elow. Di the orgniztion hve ultimte ontrol n isretion in eiing whether to mke grnts to the foreign supporte orgniztion? If "Yes," esrie in Prt VI how the orgniztion h suh ontrol n isretion espite eing ontrolle or supervise y or in onnetion with its supporte orgniztions. Di the orgniztion support ny foreign supporte orgniztion tht oes not hve n IRS etermintion uner setions 0()() n 0()() or ()? If "Yes," explin in Prt VI wht ontrols the orgniztion use to ensure tht ll support to the foreign supporte orgniztion ws use exlusively for setion 0()()(B) purposes. Di the orgniztion, sustitute, or remove ny supporte orgniztions uring the tx yer? If "Yes," nswer () n () elow (if pplile). Also, provie etil in Prt VI, inluing (i) the nmes n EIN numers of the supporte orgniztions e, sustitute, or remove; the resons for eh suh tion; (iii) the uthority uner the orgniztion's orgnizing oument uthorizing suh tion; n (iv) how the tion ws omplishe (suh s y menment to the orgnizing oument). Type I or Type II only. Ws ny e or sustitute supporte orgniztion prt of lss lrey esignte in the orgniztion's orgnizing oument? Sustitutions only. Ws the sustitution the result of n event eyon the orgniztion's ontrol? Di the orgniztion provie support (whether in the form of grnts or the provision of servies or filities) to nyone other thn (i) its supporte orgniztions, iniviuls tht re prt of the hritle lss enefite y one or more of its supporte orgniztions, or (iii) other supporting orgniztions tht lso support or enefit one or more of the filing orgniztion's supporte orgniztions? If "Yes," provie etil in Prt VI. Di the orgniztion provie grnt, lon, ompenstion, or other similr pyment to sustntil ontriutor (efine in setion ()()(C)), fmily memer of sustntil ontriutor, or % ontrolle entity with regr to sustntil ontriutor? If "Yes," omplete Prt I of Sheule L (Form 0 or 0-EZ). Di the orgniztion mke lon to isqulifie person (s efine in setion ) not esrie in line? If "Yes," omplete Prt I of Sheule L (Form 0 or 0-EZ). Ws the orgniztion ontrolle iretly or iniretly t ny time uring the tx yer y one or more isqulifie persons s efine in setion (other thn fountion mngers n orgniztions esrie in setion 0()() or ())? If "Yes," provie etil in Prt VI. Di one or more isqulifie persons (s efine in line ) hol ontrolling interest in ny entity in whih the supporting orgniztion h n interest? If "Yes," provie etil in Prt VI. Di isqulifie person (s efine in line ) hve n ownership interest in, or erive ny personl enefit from, ssets in whih the supporting orgniztion lso h n interest? If "Yes," provie etil in Prt VI. 0 Ws the orgniztion sujet to the exess usiness holings rules of setion euse of setion (f) (regring ertin Type II supporting orgniztions, n ll Type III non-funtionlly integrte supporting orgniztions)? If "Yes," nswer 0 elow. 0 Di the orgniztion hve ny exess usiness holings in the tx yer? (Use Sheule C, Form 0, to etermine whether the orgniztion h exess usiness holings.) 0 Pge Yes No Sheule A (Form 0 or 0-EZ) 0