TEEA3304 02/02/10
Schedule D (Form 990) 2009
Page 4
Part XI
Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1
Total revenue (Form 990, Part VIII,column (A), line 12)
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2
Total expenses (Form 990, Part IX, column (A), line 25)
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3
Excess or (deficit) for the year. Subtract line 2 from line 1
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4
Net unrealized gains (losses) on investments
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5
Donated services and use of facilities
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6
Investment expenses
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7
Prior period adjustments
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8
Other (Describe in Part XIV)
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9
Total adjustments (net). Add lines 4 through 8
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10
Excess or (deficit) for the year per audited financial statements. Combine lines 3 and 9
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Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1
Total revenue, gains, and other support per audited financial statements
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1
2
Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments
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2 a
b Donated services and use of facilities
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2 b
c Recoveries of prior year grants
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2 c
d Other (Describe in Part XIV)
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2 d
e Add lines 2a through 2d
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2 e
3
Subtract line 2e from line 1
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3
4
Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investments expenses not included on Form 990, Part VIII, line 7b
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4 a
b Other (Describe in Part XIV)
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4 b
c Add lines 4a and 4b
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4 c
5
Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.)
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5
BAA
Schedule D (Form 990) 2009
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1
Total expenses and losses per audited financial statements
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1
2
Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities
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2 a
b Prior year adjustments
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2 b
c Other losses
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2 c
d Other (Describe in Part XIV)
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2 d
e Add lines 2a through 2d
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2 e
3
Subtract line 2e from line 1
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3
4
Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investments expenses not included on Form 990, Part VIII, line 7b
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4 a
b Other (Describe in Part XIV)
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4 b
c Add lines 4a and 4b
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4 c
5
Total expenses. Add lines 3 and 4c (This must equal Form 990, Part I, line 18.)
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5
Part XIV Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V,
line 4; Part X, line 2; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional
information.
MEDICAL TOURISM ASSOCIATION, INC
26-0753785