2009 Exempt Organization Business Tax Return

prepared by:
ZIENTEK & CO., P.C.
2465 SOUTH KIRKWOOD
HOUSTON, TX 77077

The Lazarus House: A Center for Wellness

4106 Austin St.
Houston, TX 77004
 Short Form OMB No. 1545-1150

Form 990-EZ Return of Organization Exempt From Income Tax

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
(except black lung benefit trust or private foundation) 2009
G Sponsoring organizations of donor advised funds and controlling organizations as defined in section 512(b)(13) must file
Form 990. All other organizations with gross receipts less than $500,000 and total assets
less than $1,250,000 at the end of the year may use this form. Open to Public
Department of the Treasury
Internal Revenue Service G The organization may have to use a copy of this return to satisfy state reporting requirements. Inspection

A For the 2009 calendar year, or tax year beginning , 2009, and ending ,
B Check if applicable: C Name of organization D Employer identification number
Please
Address change use IRS The Lazarus House: A Center for Wellness 76-0693417
Name change label or
print or Number and street (or P.O. box, if mail is not delivered to street address) Room/suite E Telephone number
Initial return type.
Termination See 4106 Austin St. (713) 526-5071
Specific City or town, state or country, and ZIP + 4
Amended return Instruc-
tions. F Group Exemption
Application pending Houston TX 77004 Number . . . . . . . . . . . G
?Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts G Accounting method: X Cash Accrual
must attach a completed Schedule A (Form 990 or 990-EZ). Other (specify) G
H Check G if the organization is not
I Website: G www.thelazarushouse.org required to attach Schedule B (Form 990,
990-EZ, or 990-PF).
J Tax-exempt status (check only one) ' X 501(c) ( 3 ) H (insert no.) 4947(a)(1) or 527
K Check G if the organization is not a section 509(a)(3) supporting organization and its gross receipts are normally not more than
$25,000. A Form 990-EZ or Form 990 return is not required, but if the organization chooses to file a return, be sure to file a complete return.
L Add lines 5b, 6b, and 7b, to line 9 to determine gross receipts; if $500,000 or more, file Form 990
instead of Form 990-EZ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G $
150,003.
Part I Revenue, Expenses, and Changes in Net Assets or Fund Balances (See the instructions for Part I.)
1 Contributions, gifts, grants, and similar amounts received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 59,051.
2 Program service revenue including government fees and contracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 39,133.
3 Membership dues and assessments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4 Investment income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5a Gross amount from sale of assets other than inventory . . . . . . . . . . . . . . . . . . . . . 5 a
b Less: cost or other basis and sales expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 b
R c Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5c
E
V 6 Special events and activities (complete applicable parts of Schedule G). If any amount is from gaming, check here . . . . . . . G
E
N a Gross revenue (not including $ of contributions
U
E reported on line 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 a 51,819.
b Less: direct expenses other than fundraising expenses . . . . . . . . . . . . . . . . . . . . . 6 b 6,104.
c Net income or (loss) from special events and activities (Subtract line 6b from line 6a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6c 45,715.
7 a Gross sales of inventory, less returns and allowances . . . . . . . . . . . . . . . . . . . . . . 7 a
b Less: cost of goods sold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 b
c Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7c
8 Other revenue (describe G ) .. 8
9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6c, 7c, and 8 ................................................ G 9 143,899.
10 Grants and similar amounts paid (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
11 Benefits paid to or for members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
E
X
P
12 Salaries, other compensation, and employee benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 101,797.
E 13 Professional fees and other payments to independent contractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 495.
N
S 14 Occupancy, rent, utilities, and maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 3,453.
E
S 15 Printing, publications, postage, and shipping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 275.
16 Other expenses (describe G See Other Expenses Statement ).... 16 45,328.
17 Total expenses. Add lines 10 through 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 17 151,348.
18 Excess or (deficit) for the year (Subtract line 17 from line 9) ........................................... 18 -7,449.
A
N S 19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with end-of-year
E S figure reported on prior year's return) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 56,026.
T E
T 20 Other changes in net assets or fund balances (attach explanation) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
S
21 48,577.
Net assets or fund balances at end of year. Combine lines 18 through 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 21
Part II Balance Sheets. If Total assets on line 25, column (B) are $1,250,000 or more, file Form 990 instead of Form 990-EZ.
(See the instructions for Part II.) (A) Beginning of year (B) End of year
22 Cash, savings, and investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44,998. 22 37,316.
23 Land and buildings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,028. 23 11,261.
24 Other assets (describe G ) .................... 0. 24 0.
25 Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56,026. 25 48,577.
26 Total liabilities (describe G ) .................. 0. 26 0.
27 Net assets or fund balances (line 27 of column (B) must agree with line 21) . . . . . . . . . . . 56,026. 27 48,577.
BAA For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Form 990-EZ (2009)
TEEA0812 01/30/10
Form 990-EZ (2009) The Lazarus House: A Center for Wellness 76-0693417 Page 2
Part III Statement of Program Service Accomplishments (See the instructions.) Expenses
(Required for section
What is the organization's primary exempt purpose? Charitable nonprofit wellness. 501(c)(3) and (4)
Describe what was achieved in carrying out the organization's exempt purposes. In a clear and concise manner, organizations and section
describe the services provided, the number of persons benefited, or other relevant information for each 4947(a)(1) trusts; optional
program title. for others.)
28 Clients attended three times weekly for an hour per
session for specific exercise training. There was an
average of 41 clients (both adolescent & adults).
(Grants $ 0. ) If this amount includes foreign grants, check here . . . . . . . . . . . . . . . . . G 28 a 97,939.
29 Provided lectures for communiuty organizations offering
information about exercise and disease related wasting.

(Grants $ 0. ) If this amount includes foreign grants, check here . . . . . . . . . . . . . . . . . G 29 a 0.

30 Formed a collaboration with Houston Buyers Club to provide
space & opportunity for a Registered Dietician provided by
HBC to work with our clients concerning nutritional counseling.
(Grants $ 0. ) If this amount includes foreign grants, check here . . . . . . . . . . . . . . . . . G 30 a 0.
31 Other program services (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Grants $ ) If this amount includes foreign grants, check here . . . . . . . . . . . . . . . . . G 31 a
32 97,939.
Total program service expenses (add lines 28a through 31a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 32
Part IV List of Officers, Directors, Trustees, and Key Employees. List each one even if not compensated. (See the instrs.)
(b) Title and average hours (c) Compensation (If (d) Contributions to (e) Expense account
(a) Name and address per week devoted not paid, enter -0-.) employee benefit plans and and other allowances
to position deferred compensation
Tino Ramirez
4106 Austin St. President
Houston TX 77004 3.00 0. 0.
Marc Cohen
4106 Austin St. V. Pres.
Houston TX 77004 3.00 0. 0.
Carlos Cordova, Jr.
4106 Austin St. Secretary
Houston TX 77004 3.00 0. 0.
Elizabeth Smith
4106 Austin St. Treasurer
Houston TX 77004 3.00 0. 0.
Boyd Edwards, RN
4106 Austin St. Member
Houston TX 77004 1.00 0. 0.
Betsie Weatherford
4106 Austin St. Member
Houston TX 77004 1.00 0. 0.
Sandy Stacy
4106 Austin St. Member
Houston TX 77004 1.00 0. 0.
Robert Westfall
4106 Austin St. Member
Houston TX 77004 1.00 0. 0.
Lisa Foronda
4106 Austin St. Hon. Member
Houston TX 77004 0.00 0. 0.
Melissa Wilson
4106 Austin St. Hon. Member
Houston TX 77004 0.00 0. 0.
Danielle Sampey
4106 Austin St. Ex. Dir.
Houston TX 77004 40.00 41,214. 0.

BAA TEEA0812 01/30/10 Form 990-EZ (2009)

Form 990-EZ (2009) The Lazarus House: A Center for Wellness 76-0693417 Page 3
Part V Other Information (Note the statement requirements in the instrs for Part V.)
Yes No

33 Did the organization engage in any activity not previously reported to the IRS? If 'Yes,' attach a detailed description of
each activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 X
34 Were any changes made to the organizing or governing documents? If 'Yes,' attach a conformed copy of the changes ..... 34 X
35 If the organization had income from business activities, such as those reported on lines 2, 6a, and 7a (among others), but not reported on Form 990-T,
attach a statement explaining why the organization did not report the income on Form 990-T.

a Did the organization have unrelated business gross income of $1,000 or more or was it subject to section 6033(e) notice,
reporting, and proxy tax requirements? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 a X
b If 'Yes,' has it filed a tax return on Form 990-T for this year? ......................................................... 35 b

36 Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the
year? If 'Yes,' complete applicable parts of Schedule N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 X
37 a Enter amount of political expenditures, direct or indirect, as described in the instructions .. G 37 a 0.
b Did the organization file Form 1120-POL for this year? ............................................................... 37 b X
38 a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were
any such loans made in a prior year and still outstanding at the end of the period covered by this return? . . . . . . . . . . . . . . . . 38 a X
b If 'Yes,' complete Schedule L, Part II and enter the total
amount involved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 b
39 Section 501(c)(7) organizations. Enter:
a Initiation fees and capital contributions included on line 9 ................................. 39 a
b Gross receipts, included on line 9, for public use of club facilities .......................... 39 b
40 a Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under:
section 4911 G ; section 4912 G ; section 4955 G

b Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefit
transaction during the year or is it aware that it engaged in an excess benefit transaction with a disqualified person in a
prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If
'Yes,' complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 b X
c Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax imposed on organization
managers or disqualified persons during the year under sections 4912, 4955, and 4958 . . . . . . . . . G
d Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 40c reimbursed
by the organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
e All organizations. At any time during the tax year, was the organization a party to a prohibited tax
shelter transaction? If 'Yes,' complete Form 8886-T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 e X
41 List the states with which a copy of this return is filed G

42 a The organization's
books are in care of G Danielle Sampey Telephone no. G (713) 526-5071
Located at G 4106 Austin Houston TX ZIP + 4 G 77004

Yes No
b At any time during the calendar year, did the organization have an interest in or a signature or other authority over a
financial account in a foreign country (such as a bank account, securities account, or other financial account)? . . . . . . . . . . . 42 b X
If 'Yes,' enter the name of the foreign country: G

See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of a Foreign Bank and Financial Accounts.
c At any time during the calendar year, did the organization maintain an office outside of the U.S.? . . . . . . . . . . . . . . . . . . . . . . . . 42 c X
If 'Yes,' enter the name of the foreign country: G

43 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-EZ in lieu of Form 1041 ' Check here ........................ G
and enter the amount of tax-exempt interest received or accrued during the tax year . . . . . . . . . . . . . . . . . . . . . . . G 43

Yes No

44 Did the organization maintain any donor advised funds? If 'Yes,' Form 990 must be completed instead
of Form 990-EZ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 X
45 Is any related organization a controlled entity of the organization within the meaning of section 512(b)(13)? If 'Yes,'
Form 990 must be completed instead of Form 990-EZ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 X
BAA TEEA0812 01/30/10 Form 990-EZ (2009)
Form 990-EZ (2009) The Lazarus House: A Center for Wellness 76-0693417 Page 4
Part VI Section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts only. All section
501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts must answer questions
46-49b and complete the tables for lines 50 and 51.
Yes No
46 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates
for public office? If 'Yes,' complete Schedule C, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 X
47 Did the organization engage in lobbying activities? If 'Yes,' complete Schedule C, Part II ................................ 47 X
48 Is the organization a school as described in section 170(b)(1)(A)(ii)? If 'Yes,' complete Schedule E ...................... 48 X
49 a Did the organization make any transfers to an exempt non-charitable related organization? ............................. 49 a X
b If 'Yes,' was the related organization a section 527 organization? ..................................................... 49 b

50 Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key
employees) who each received more than $100,000 of compensation from the organization. If there is none, enter 'None.'
(b) Title and average (c) Compensation (d) Contributions to employee (e) Expense
(a) Name and address of each employee paid hours per week benefit plans and account and
more than $100,000 devoted to position deferred compensation other allowances

None

f Total number of other employees paid over $100,000 . . . . . . . . G

51 Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of
compensation from the organization. If there is none, enter 'None.'

(a) Name and address of each independent contractor paid more than $100,000 (b) Type of service (c) Compensation

None

d Total number of other independent contractors each receiving over $100,000 ............. G

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is
true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

Sign 05/11/10
Here G Signature of officer Date

Danielle Sampey Executive Director

G Type or print name and title.
Date Preparer's Identifying Number
Check if (See instructions)
Paid Preparer's
signature G self-
employed G
Pre-
parer's Firm's name (or ZIENTEK & CO., P.C.
yours if self-
Use employed),
address, and
G 2465 SOUTH KIRKWOOD EIN G
Only ZIP + 4 HOUSTON TX 77077 (281) 496-6152
Phone no. G
May the IRS discuss this return with the preparer shown above? See instructions ........................................G Yes No
BAA Form 990-EZ (2009)

TEEA0812 01/30/10
 OMB No. 1545-0047

SCHEDULE A
(Form 990 or 990-EZ)
Public Charity Status and Public Support 2009
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1)
nonexempt charitable trust.
Open to Public
Department of the Treasury Inspection
Internal Revenue Service G Attach to Form 990 or Form 990-EZ. G See separate instructions.
Name of the organization Employer identification number

The Lazarus House: A Center for Wellness 76-0693417

Part I Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1 A church, convention of churches or association of churches described in section 170(b)(1)(A)(i).
2 A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)
3 A hospital or cooperative hospital service organization described in section 170(b)(1)(A)(iii).
4 A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's
name, city, and state:
5 An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section
170(b)(1)(A)(iv). (Complete Part II.)
6 A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
7 X An organization that normally receives a substantial part of its support from a governmental unit or from the general public described
in section 170(b)(1)(A)(vi). (Complete Part II.)
8 A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)
9 An organization that normally receives: (1) more than 33-1/3 % of its support from contributions, membership fees, and gross receipts
from activities related to its exempt functions ' subject to certain exceptions, and (2) no more than 33-1/3 % of its support from gross
investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after
June 30, 1975. See section 509(a)(2). (Complete Part III.)
10 An organization organized and operated exclusively to test for public safety. See section 509(a)(4).
11 An organization organized and operated exclusively for the benefit of, to perform the functions of, or carry out the purposes of one or
more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that
describes the type of supporting organization and complete lines 11e through 11h.
a Type I b Type II c Type III ' Functionally integrated d Type III' Other
e By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other
than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section
509(a)(2).
f If the organization received a written determination from the IRS that is a Type I, Type II or Type III supporting organization,
check this box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
g Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
Yes No
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii)
below, the governing body of the supported organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 g (i)
(ii) a family member of a person described in (i) above? ................................................... 11 g (ii)
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ........................................ 11 g (iii)
h Provide the following information about the supported organizations.
(i) Name of Supported (ii) EIN (iii) Type of organization (iv) Is the (v) Did you notify (vi) Is the (vii) Amount of Support
Organization (described on lines 1-9 organization in col. the organization in organization in col.
above or IRC section (i) listed in your col. (i) of (i) organized in the
(see instructions)) governing your support? U.S.?
document?

Yes No Yes No Yes No

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

TEEA0401 02/05/10
 The Lazarus House: A Center for Wellness 76-0693417
Schedule A (Form 990 or 990-EZ) 2009 Page 2
Part II Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I.)
Section A. Public Support
Calendar year (or fiscal year
(a) 2005 (b) 2006 (c) 2007 (d) 2008 (e) 2009 (f) Total
beginning in) G
1 Gifts, grants, contributions and
membership fees received. (Do
not include 'unusual grants.') . . . 68,466. 52,021. 133,630. 63,163. 57,401. 374,681.
2 Tax revenues levied for the
organization's benefit and
either paid to it or expended
on its behalf . . . . . . . . . . . . . . . . . .
3 The value of services or
facilities furnished to the
organization by a governmental
unit without charge. Do not
include the value of services or
facilities generally furnished to
the public without charge . . . . . .
4 Total. Add lines 1-through 3 .... 68,466. 52,021. 133,630. 63,163. 57,401. 374,681.
5 The portion of total
contributions by each person
(other than a governmental
unit or publicly supported
organization) included on line 1
that exceeds 2% of the amount
shown on line 11, column (f) . . . 182,804.
6 Public support. Subtract line 5
from line 4 . . . . . . . . . . . . . . . . . . . . 191,877.
Section B. Total Support
Calendar year (or fiscal year
beginning in) G (a) 2005 (b) 2006 (c) 2007 (d) 2008 (e) 2009 (f) Total

7 Amounts from line 4 ........... 68,466. 52,021. 133,630. 63,163. 57,401. 374,681.
8 Gross income from interest,
dividends, payments received
on securities loans, rents,
royalties and income form
similar sources . . . . . . . . . . . . . . . .
9 Net income from unrelated
business activities, whether or
not the business is regularly
carried on . . . . . . . . . . . . . . . . . . . .
10 Other income. Do not include
gain or loss from the sale of
capital assets (Explain in
Part IV.) . . . . . . . . . . . . . . . . . . . . . .

11 Total support. Add lines 7

through 10 . . . . . . . . . . . . . . . . . . . . 374,681.
12 Gross receipts from related activities, etc. (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

13 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)
organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
Section C. Computation of Public Support Percentage
14 Public support percentage for 2009 (line 6, column (f) divided by line 11, column (f) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 51.21 %
15 Public support percentage from 2008 Schedule A, Part II, line 14 .............................................. 15 100.00 %
16 a 33-1/3 support test ' 2009. If the organization did not check the box on line 13, and the line 14 is 33-1/3 % or more, check this box
and stop here. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G X
b 33-1/3 support test ' 2008. If the organization did not check a box on line 13, or 16a, and line 15 is 33-1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G

17 a 10%-facts-and-circumstances test ' 2009 If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10%
or more, and if the organization meets the 'facts-and-circumstances' test, check this box and stop here. Explain in Part IV how
the organization meets the 'facts-and-circumstances' test. The organization qualifies as a publicly supported organization. . . . . . . . . . . G

b 10%-facts-and-circumstances test ' 2008. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10%
or more, and if the organization meets the 'facts-and-circumstances' test, check this box and stop here. Explain in Part IV how the
organization meets the 'facts-and-circumstances' test. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . G
18 Private foundation. If the organization did not check a box on line, 13, 16a, 16b, 17a, or 17b, check this box and see instructions .... G
BAA Schedule A (Form 990 or 990-EZ) 2009

TEEA0402 10/08/09
Schedule A (Form 990 or 990-EZ) 2009 The Lazarus House: A Center for Wellness 76-0693417 Page 3
Part III Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I.)
Section A. Public Support
Calendar year (or fiscal yr beginning in)G (a) 2005 (b) 2006 (c) 2007 (d) 2008 (e) 2009 (f) Total
1 Gifts, grants, contributions and
membership fees received. (Do
not include 'unusual grants.') . . .
2 Gross receipts from
admissions, merchandise sold
or services performed, or
facilities furnished in a activity
that is related to the
organization's tax-exempt
purpose . . . . . . . . . . . . . . . . . . . . . .
3 Gross receipts from activities that are
not an unrelated trade or business
under section 513 . . . . . . . . . . . . . . . . .
4 Tax revenues levied for the
organization's benefit and
either paid to or expended on
its behalf . . . . . . . . . . . . . . . . . . . . .
5 The value of services or
facilities furnished by a
governmental unit to the
organization without charge . . . .
6 Total. Add lines 1 through 5 . . . .
7 a Amounts included on lines 1,
2, 3 received from disqualified
persons . . . . . . . . . . . . . . . . . . . . . .
b Amounts included on lines 2
and 3 received from other than
disqualified persons that
exceed the greater of 1% of
the amount on line 13 for the
year . . . . . . . . . . . . . . . . . . . . . . . . . .
c Add lines 7a and 7b ...........

8 Public support (Subtract line

7c from line 6.) ...............

Section B. Total Support

Calendar year (or fiscal yr beginning in) G (a) 2005 (b) 2006 (c) 2007 (d) 2008 (e) 2009 (f) Total
9 Amounts from line 6 . . . . . . . . . . .
10 a Gross income from interest,
dividends, payments received
on securities loans, rents,
royalties and income form
similar sources . . . . . . . . . . . . . . . .
b Unrelated business taxable
income (less section 511
taxes) from businesses
acquired after June 30, 1975 . . .
c Add lines 10a and 10b . . . . . . . . .
11 Net income from unrelated business
activities not included inline 10b,
whether or not the business is
regularly carried on . . . . . . . . . . . . . . .
12 Other income. Do not include
gain or loss from the sale of
capital assets (Explain in
Part IV.) . . . . . . . . . . . . . . . . . . . . . .
13 Total support. (add lns 9, 10c, 11, and 12.)
14 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)
organization, check this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
Section C. Computation of Public Support Percentage
15 Public support percentage for 2009 (line 8, column (f) divided by line 13, column (f)) ............................ 15 %
16 Public support percentage from 2008 Schedule A, Part III, line 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 %
Section D. Computation of Investment Income Percentage
17 Investment income percentage for 2009 (line 10c, column (f) divided by line 13, column (f)) ..................... 17 %
18 Investment income percentage from 2008 Schedule A, Part III, line 17 ......................................... 18 %
19 a 33-1/3 support tests ' 2009. If the organization did not check the box on line 14, and line 15 is more than 33-1/3%, and line 17 is not
more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . . . . . . . G
b 33-1/3 support tests ' 2008. If the organization did not check a box on line 14 or 19a, and line 16 is more than 33-1/3%, and line 18
is not more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . . . G
20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .............. G
BAA TEEA0403 02/15/10 Schedule A (Form 990 or 990-EZ) 2009
Schedule A (Form 990 or 990-EZ) 2009 The Lazarus House: A Center for Wellness 76-0693417 Page 4
Part IV Supplemental Information. Complete this part to provide the explanations required by Part II, line 10;
Part II, line 17a or 17b; and Part III, line 12. Provide any other additional information. See instructions.

BAA TEEA0404 02/05/10 Schedule A (Form 990 or 990-EZ) 2009

 OMB No. 1545-0047

SCHEDULE G Supplemental Information Regarding

(Form 990 or 990-EZ)
Fundraising or Gaming Activities 2009
Complete if the organization answered'Yes' to Form 990, Part IV, lines 17, 18,
or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. Open to Public
Department of the Treasury
Internal Revenue Service G Attach to Form990 or Form 990-EZ. G See separate instructions. Inspection
Name of the organization Employer identification number

The Lazarus House: A Center for Wellness 76-0693417

Fundraising Activities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 17.
Part I Form 990EZ filers are not required to complete this part.
1 Indicate whether the organization raised funds through any of the following activities. Check all that apply.
Mail solicitations Solicitation of non-government grants
Internet and email solicitations Solicitation of government grants
Phone solicitations Special fundraising events
In-person solicitations
2 a Did the organization have written or oral agreement with any individual (including officers, directors, trustees or key
employees listed in Form 990, Part VII) or entity in connection with professional fundraising services? . . . . . . . . . . . . . . . . . . . Yes No
b If 'Yes,' list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be
compensated at least $5,000 by the organization.
(v) Amount paid to
(i) Name of individual (ii) Activity (iii) Did fundraiser (iv) Gross receipts (or retained by) (vi) Amount paid to
or entity (fundraiser) have custody or control from activity fundraiser listed in (or retained by)
of contributions? col.(i) organization
Yes No

Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
3 List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration
or licensing.

BAA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule G (Form 990 or 990-EZ) 2009
TEEA3701 02/05/10
Schedule G (Form 990 or 990-EZ) 2009 The Lazarus House: A Center for Wellness 76-0693417 Page 2
Part II Fundraising Events. Complete if the organization answered 'Yes' to Form 990, Part IV, line 18, or
reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1 (b) Event #2 (c) Other Events (d) Total Events
(Add col. (a) through
AIDS Walk Fiesta 2009 OTHERS col. (c))
R (event type) (event type) (total number)
E
V
E
N 1 Gross receipts ........................ 14,641. 9,925. 27,253. 51,819.
U
E
2 Less: Charitable contributions ..........

3 Gross income (line 1 minus line 2) ...... 14,641. 9,925. 27,253. 51,819.
4 Cash prizes ...........................

5 Noncash prizes .......................

D
I
R 6 Rent/facility costs .....................
E
C
T 7 Food and beverages ...................
E
X
P 8 Entertainment . . . . . . . . . . . . . . . . . . . . . . . . .
E
N
S 9 Other direct expenses ................. 6,104. 6,104.
E
S

10 Direct expense summary. Add lines 4- through 9 in column (d) G 6,104. ..........................................

11 Net income summary. Combine lines 3, column (d) and line 10 G 45,715. ...........................................

Part III Gaming. Complete if the organization answered 'Yes' to Form 990, Part IV, line 19, or reported more than
$15,000 on Form 990-EZ, line 6a.
R (a) Bingo (b) Pull tabs/Instant (c) Other gaming (d) Total gaming
E bingo/progressive (Add col. (a) through
V bingo col. (c))
E
N
U
E
1 Gross revenue ........................

E
D X 2 Cash prizes ...........................
I P
R E
E N
C S 3 Non-cash prizes .......................
T E
S
4 Rent/facility costs .....................

5 Other direct expenses .................

Yes % Yes % Yes %

6 Volunteer labor . . . . . . . . . . . . . . . . . . . . . . . . No No No

7 Direct expense summary. Add lines 2 through 5 in column (d) ............................................ G

8 Net gaming income summary. Combine lines 1, column (d) and line 7 .................................... G
YES NO
9 Enter the state(s) in which the organization operates gaming activities:
a Is the organization licensed to operate gaming activities in each of these states? ....................................... 9a
b If 'No,' explain:

10 a Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .................. 10 a
b If 'Yes,' explain:

11 Does the organization operate gaming activities with nonmembers? ................................................... 11

12 Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity formed to
administer charitable gaming? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
BAA TEEA3702 02/05/10 Schedule G (Form 990 or 990-EZ) 2009
Schedule G (Form 990 or 990-EZ) 2009 The Lazarus House: A Center for Wellness 76-0693417 Page 3
YES NO
13 Indicate the percentage of gaming activity operated in:
a The organization's facility .................................................................. 13 a %
b An outside facility ......................................................................... 13 b %
14 Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name: G

Address: G ,

15 a Does the organization have a contact with a third party from whom the organization receives gaming revenue? ........... 15 a
b If 'Yes,' enter the amount of gaming revenue received by the organization $ and the amount
of gaming revenue retained by the third party $ .
c If 'Yes,' enter name and address of the third party:

Name: G

Address: G

16 Gaming manager information

Name: G

Gaming manager compensation G $

Description of services provided: G

Director/officer Employee Independent contractor

17 Mandatory distributions

a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the
state gaming license? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 a
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organization's own exempt activities during the tax year: G $
BAA TEEA3703 02/05/10 Schedule G (Form 990 or 990-EZ) 2009
 OMB No. 1545-0047
Schedule B
(Form 990, 990-EZ,
or 990-PF) Schedule of Contributors
Department of the Treasury G Attach to Form 990, 990-EZ, or 990-PF
2009
Internal Revenue Service
Name of the organization Employer identification number

The Lazarus House: A Center for Wellness 76-0693417

Organization type (check one):
Filers of: Section:
Form 990 or 990-EZ X 501(c)( 3 ) (enter number) organization
4947(a)(1) nonexempt charitable trust not treated as a private foundation
527 political organization

Form 990-PF 501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation
501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.

Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule '

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or property) from any one
contributor. (Complete Parts I and II.)

Special Rules '

X For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33-1/3% support test of the regulations under sections
509(a)(1)/170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the greater of (1) $5,000 or (2) 2% of the
amount on (i) Form 990, Part VIII, line 1h or (ii) Form 990-EZ, line 1. Complete Parts I and II.
For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ, that received from any one contributor, during the year,
aggregate contributions of more than $1,000 for use exclusively for religious, charitable, scientific, literary, or educational purposes, or the
prevention of cruelty to children or animals. Complete Parts I, II, and III.
For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ, that received from any one contributor, during the year,
contributions for use exclusively for religious, charitable, etc, purposes, but these contributions did not aggregate to more than $1,000. If
this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc,
purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively
religious, charitable, etc, contributions of $5,000 or more during the year. ...................................... G$
Caution: An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990, 990-EZ, or
990-PF) but it must answer 'No' on Part IV, line 2 of their Form 990, or check the box on line H of its Form 990-EZ, or on line 2 of its Form
990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).
BAA For Privacy Act and Paperwork Reduction Act Notice, see the Instructions Schedule B (Form 990, 990-EZ, or 990-PF) (2009)
for Form 990, 990EZ, or 990-PF.

TEEA0701 01/30/10
Schedule B (Form 990, 990-EZ, or 990-PF) (2009) Page 1 of 1 of Part I
Name of organization Employer identification number

The Lazarus House: A Center for Wellness 76-0693417

Part I Contributors (see instructions.)
(a) (b) (c) (d)
Number Name, address, and ZIP + 4 Aggregate Type of contribution
contributions

1 Houston Endowment Person X

Payroll
600 Travis Suite 6400 $ 20,000. Noncash
(Complete Part II if there
Houston TX 77002 is a noncash contribution.)

(a) (b) (c) (d)

Number Name, address, and ZIP + 4 Aggregate Type of contribution
contributions

2 Favrot Person X
Payroll
1770 St. James $ 5,000. Noncash
(Complete Part II if there
Houston TX 77056 is a noncash contribution.)

(a) (b) (c) (d)

Number Name, address, and ZIP + 4 Aggregate Type of contribution
contributions

3 Bunnies on the Bayou Person X

Payroll
P. O. Box 66832 $ 5,000. Noncash
(Complete Part II if there
Houston TX 77266 is a noncash contribution.)

(a) (b) (c) (d)

Number Name, address, and ZIP + 4 Aggregate Type of contribution
contributions

4 BCBC Person X
Payroll
P. O. Box 131284 $ 7,500. Noncash
(Complete Part II if there
Houston TX 77219 is a noncash contribution.)

(a) (b) (c) (d)

Number Name, address, and ZIP + 4 Aggregate Type of contribution
contributions

Person
Payroll
$ Noncash
(Complete Part II if there
is a noncash contribution.)

(a) (b) (c) (d)

Number Name, address, and ZIP + 4 Aggregate Type of contribution
contributions

Person
Payroll
$ Noncash
(Complete Part II if there
is a noncash contribution.)

BAA TEEA0702 06/23/09 Schedule B (Form 990, 990-EZ, or 990-PF) (2009)

 OMB No. 1545-0172

Form 4562 Depreciation and Amortization

Department of the Treasury
(Including Information on Listed Property) 2009
Attachment
Internal Revenue Service (99) G See separate instructions. G Attach to your tax return. Sequence No. 67
Name(s) shown on return Identifying number

The Lazarus House: A Center for Wellness 76-0693417

Business or activity to which this form relates

Form 990 / Form 990EZ

Part I Election To Expense Certain Property Under Section 179
Note: If you have any listed property, complete Part V before you complete Part I.
1 Maximum amount. See the instructions for a higher limit for certain businesses ............................. 1 $250,000.
2 Total cost of section 179 property placed in service (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Threshold cost of section 179 property before reduction in limitation (see instructions) ....................... 3 $800,000.
4 Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0- ................................. 4
5 Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing
separately, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6 (a) Description of property (b) Cost (business use only) (c) Elected cost

7 Listed property. Enter the amount from line 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 . . . . . . . . . . . . . . . . . . . . . . . . . 8
9 Tentative deduction. Enter the smaller of line 5 or line 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
10 Carryover of disallowed deduction from line 13 of your 2008 Form 4562 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instrs) . . . . 11
12 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11 . . . . . . . . . . . . . . . . . . . . . . 12
13 Carryover of disallowed deduction to 2010. Add lines 9 and 10, less line 12 . . . . . . . . . G 13
Note: Do not use Part II or Part III below for listed property. Instead, use Part V.
Part II Special Depreciation Allowance and Other Depreciation (Do not include listed property.) (See instructions.)
14 Special depreciation allowance for qualified property (other than listed property) placed in service during the
tax year (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
15 Property subject to section 168(f)(1) election ............................................................. 15
16 Other depreciation (including ACRS) ..................................................................... 16
Part III MACRS Depreciation (Do not include listed property.) (See instructions)
Section A
17 MACRS deductions for assets placed in service in tax years beginning before 2009 .......................... 17 3,474.
18 If you are electing to group any assets placed in service during the tax year into one or more general
asset accounts, check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
Section B ' Assets Placed in Service During 2009 Tax Year Using the General Depreciation System
(a) (b) Month and (c) Basis for depreciation (d) (e) (f) (g) Depreciation
Classification of property year placed (business/investment use Recovery period Convention Method deduction
in service only ' see instructions)

19 a 3-year property ..........

b 5-year property ..........

c 7-year property .......... 4,150. 7.0 yrs HY 200 DB 593.

d 10-year property .........

e 15-year property .........

f 20-year property .........

g 25-year property ......... 25 yrs S/L

h Residential rental 27.5 yrs MM S/L
property . . . . . . . . . . . . . . . . . 27.5 yrs MM S/L
i Nonresidential real 39 yrs MM S/L
property . . . . . . . . . . . . . . . . . MM S/L
Section C ' Assets Placed in Service During 2009 Tax Year Using the Alternative Depreciation System
20 a Class life ................ S/L
b 12-year ................. 12 yrs S/L
c 40-year ................. 40 yrs MM S/L
Part IV Summary (See instructions.)
21 Listed property. Enter amount from line 28 ............................................................. 21
22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter here and on
the appropriate lines of your return. Partnerships and S corporations ' see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 4,067.
23 For assets shown above and placed in service during the current year, enter
the portion of the basis attributable to section 263A costs . . . . . . . . . . . . . . . . . . . . . . . . 23
BAA For Paperwork Reduction Act Notice, see separate instructions. FDIZ0812 07/07/09 Form 4562 (2009)
Form 4562 (2009) The Lazarus House: A Center for Wellness 76-0693417 Page 2
Part V Listed Property (Include automobiles, certain other vehicles, cellular telephones, certain computers, and property used for
entertainment, recreation, or amusement.)
Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 24a, 24b,
columns (a) through (c) of Section A, all of Section B, and Section C if applicable.
Section A ' Depreciation and Other Information (Caution: See the instructions for limits for passenger automobiles.)
24 a Do you have evidence to support the business/investment use claimed? .......... Yes No 24b If 'Yes,' is the evidence written? . . . . . . Yes No
(a) (b) (c) (d) (e) (f) (g) (h) (i)
Business/ Basis for depreciation Elected
Type of property (list Date placed Cost or Recovery Method/ Depreciation
investment (business/investment section 179
vehicles first) in service other basis period Convention deduction
use use only) cost
percentage

25 Special depreciation allowance for qualified listed property placed in service during the tax year and
used more than 50% in a qualified business use (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
26 Property used more than 50% in a qualified business use:

27 Property used 50% or less in a qualified business use:

28 Add amounts in column (h), lines 25 through 27. Enter here and on line 21, page 1 . . . . . . . . . . . . . . . . . . . 28
29 Add amounts in column (i), line 26. Enter here and on line 7, page 1 ................................................ 29
Section B ' Information on Use of Vehicles
Complete this section for vehicles used by a sole proprietor, partner, or other 'more than 5% owner,' or related person. If you provided vehicles
to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles.
(a) (b) (c) (d) (e) (f)
30 Total business/investment miles driven
Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Vehicle 5 Vehicle 6
during the year (do not include
commuting miles) . . . . . . . . . . . . . . . . . . . . . . . . .
31 Total commuting miles driven during the year . . . . . . . . .
32 Total other personal (noncommuting)
miles driven . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
33 Total miles driven during the year. Add
lines 30 through 32 . . . . . . . . . . . . . . . . . . . . . . . .
Yes No Yes No Yes No Yes No Yes No Yes No
34 Was the vehicle available for personal use
during off-duty hours? . . . . . . . . . . . . . . . . . . . . . .
35 Was the vehicle used primarily by a more
than 5% owner or related person? . . . . . . . . . .
36 Is another vehicle available for
personal use? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section C ' Questions for Employers Who Provide Vehicles for Use by Their Employees
Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who are not more than
5% owners or related persons (see instructions).
Yes No
37 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting,
by your employees? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

38 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your
employees? See the instructions for vehicles used by corporate officers, directors, or 1% or more owners . . . . . . . . . . . . . . . . . .
39 Do you treat all use of vehicles by employees as personal use? .........................................................

40 Do you provide more than five vehicles to your employees, obtain information from your employees about the use of the
vehicles, and retain the information received? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
41 Do you meet the requirements concerning qualified automobile demonstration use? (See instructions.) . . . . . . . . . . . . . . . . . . . . .
Note: If your answer to 37, 38, 39, 40, or 41 is 'Yes,' do not complete Section B for the covered vehicles.
Part VI Amortization
(a) (b) (c) (d) (e) (f)
Description of costs Date amortization Amortizable Code Amortization Amortization
begins amount section period or for this year
percentage

42 Amortization of costs that begins during your 2009 tax year (see instructions):

43 Amortization of costs that began before your 2009 tax year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

44 Total. Add amounts in column (f). See the instructions for where to report .................................. 44
FDIZ0812 07/07/09 Form 4562 (2009)
 IRS e-file Signature Authorization
Form 8879-EO for an Exempt Organization OMB No. 1545-1878

For calendar year 2009, or fiscal year beginning , 2009, and ending , .

Department of the Treasury

Internal Revenue Service
G Do not send to the IRS. Keep for your records.
G See instructions.
2009
Name of exempt organization Employer identification number

The Lazarus House: A Center for Wellness 76-0693417

Name and title of officer

Danielle Sampey Executive Director

Part I Tax Return and Return Information (Whole Dollars Only)
Check the box for the return for which you are using this Form 8879-EO and enter the applicable amount, if any, from the return. If you check
the box on line 1a, 2a, 3a, 4a, or 5a, below, and the amount on that line for the return for which you are filing this form was blank, then leave
line 1b, 2b, 3b, 4b, or 5b, whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the applicable
line below. Do not complete more than 1 line in Part I.

1 a Form 990 check here .... G b Total revenue, if any (Form 990, Part VIII, column (A), line 12) .......... 1b
2 a Form 990-EZ check here G X b Total revenue, if any (Form 990-EZ, line 9) . . . . . . . . . . . . . . . . . . . . . . . . .
..... 2b 143,899.
3 a Form 1120-POL check here . . . . . . G b Total tax (Form 1120-POL, line 22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3b
4 a Form 990-PF check here . . . . . G b Tax based on investment income (Form 990-PF, Part VI, line 5) . . . . . . . . . . . . . . . . . 4b
5 a Form 8868 check here . . . G b Balance Due (Form 8868, line 3c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5b

Part II Declaration and Signature Authorization of Officer

Under penalties of perjury, I declare that I am an officer of the above organization and that I have examined a copy of the organization's 2009
electronic return and accompanying schedules and statements and to the best of my knowledge and belief, they are true, correct, and
complete. I further declare that the amount in Part I above is the amount shown on the copy of the organization's electronic return. I consent to
allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the organization's return to the IRS and to
receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) an indication of any refund offset, (c) the
reason for any delay in processing the return or refund, and (d) the date of any refund. If applicable, I authorize the U.S. Treasury and its
designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax
preparation software for payment of the organization's federal taxes owed on this return, and the financial institution to debit the entry to this
account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior to the
payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive
confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification
number (PIN) as my signature for the organization's electronic return and, if applicable, the organization's consent to electronic
funds withdrawal.
Officer's PIN: check one box only
X I authorize ZIENTEK & CO., P.C. to enter my PIN 93417 as my signature
Enter five numbers, but
ERO firm name do not enter all zeros

on the organization's tax year 2009 electronically filed return. If I have indicated within this return that a copy of the return is being filed with
a state agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN on
the return's disclosure consent screen.
As an officer of the organization, I will enter my PIN as my signature on the organization's tax year 2009 electronically filed return. If I have
indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State
program, I will enter my PIN on the return's disclosure consent screen.

Officer's signature G Date G 05/11/2010

Part III Certification and Authentication

ERO's EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN .............................. 76654577077
do not enter all zeros

I certify that the above numeric entry is my PIN, which is my signature on the 2009 electronically filed return for the organization indicated
above. I confirm that I am submitting this return in accordance with the requirements of Pub. 4163, Modernized e-File (MeF) Information for
Authorized IRS e-file Providers for Business Returns.

ERO's signature G Date G

ERO Must Retain This Form ' See Instructions

Do Not Submit This Form to the IRS Unless Requested To Do So

BAA For Paperwork Reduction Act Notice, see instructions. Form 8879-EO (2009)

TEEA7401 03/02/10
The Lazarus House: A Center for Wellness 76-0693417 1

Form 990-EZ, Part I, Line 16

Other Expenses Statement

Other expenses (describe)

Payroll taxes 7,903.
Supplies 1,625.
Telephone & utilities 23,707.
Miscellaneous 173.
Bank charges 356.
Cable/internet/DSL 1,406.
Client appreciation 460.
Web page 98.
Payroll fee 728.
Insurance 4,356.
Continuing education 153.
Dues 296.
Depreciation 4,067.

Total 45,328.
The Lazarus House: A Center for Wellness 76-0693417 2

Supporting Statement of:

Form 990-EZ/Line 23, Column (A)

Description Amount

Equipment 22,696.
Less accumulated depreciation -11,668.

Total 11,028.

Supporting Statement of:

Form 990-EZ/Line 23, Column (B)

Description Amount

Equipment 26,996.
Less accumulated depreciation -15,735.

Total 11,261.