SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
PAX AMICUS FOUNDATION
 
Employer identification number

22-1919443
Return Reference Explanation
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et RELATED PARTIES SIT ON THE BOARD OF DIRECTORS.
Form 990, Part VI, Line 11b: Form 990 Review Process No review was or will be conducted.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available No documents available to the public.
Form 990, Part IX, Line 24e: Other Expenses CONCESSIONS: Column (A) - Total = $1735; Column (B) - Program Services = $1735; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses DRY CLEANING: Column (A) - Total = $533; Column (B) - Program Services = $533; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses DUES & SUBSCRIPTIONS: Column (A) - Total = $0; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses ENTERTAINMENT: Column (A) - Total = $147; Column (B) - Program Services = $103; Column (C) - Management & General = $44; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses EQUIPMENT RENTAL: Column (A) - Total = $1111; Column (B) - Program Services = $1111; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses INTERNET/WEB HOSTING: Column (A) - Total = $449; Column (B) - Program Services = $449; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses LICENSES & FEES: Column (A) - Total = $470; Column (B) - Program Services = $470; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses MISCELLANEOUS: Column (A) - Total = $1487; Column (B) - Program Services = $1041; Column (C) - Management & General = $446; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses Postage and Shipping: Column (A) - Total = $1480; Column (B) - Program Services = $1480; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses Printing and Publications: Column (A) - Total = $2460; Column (B) - Program Services = $2460; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses REPAIRS & MAINTENANCE: Column (A) - Total = $6193; Column (B) - Program Services = $5574; Column (C) - Management & General = $619; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses SCRIPTS: Column (A) - Total = $2692; Column (B) - Program Services = $2692; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses SHOW EXPENSES: Column (A) - Total = $755; Column (B) - Program Services = $755; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Other Changes In Net Assets Or Fund Balances - Other Decreases NET INCOME FROM UNRELATED BUSINESS REPORTED ON 990-T = -$1379
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID: 13000170
Software Version: 2013v3.1