Instructions for Schedule A (Form 990 or 990-EZ)

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1 2010 Instructions for Schedule A (Form 990 or 990-EZ) Public Charity Status and Public Support Department of the Treasury Internal Revenue Service Section references are to the Internal Revenue Code unless otherwise noted. Schedule A (Form 990 or 990-EZ) was different from the accounting method checked on the 2010 Form 990, Part XII, Specific Instructions General Instructions line 1, or the 2010 Form 990-EZ, line G, Part I. Reason for Public Note. Terms in bold are defined in the the organization should not report, in Glossary of the Instructions for Form 990. either Part II or Part III, the amounts Purpose of Schedule reported in the applicable columns of the 2009 Schedule A (Form 990 or 990-EZ). Schedule A (Form 990 or 990-EZ) is used Instead, the organization should report all by an organization that files Form 990 or amounts in Part II or Part III using the Form 990-EZ to provide the required accounting method checked on the 2010 information regarding public charity Form 990, Part XII, line 1, or the 2010 status and public support. Form 990-EZ, line G. Charity Status Lines 1 11 Check only one of the boxes on lines 1 through 11 to indicate the reason the organization is a public charity for the tax year. The reason can be the same as stated in the organization s tax-exempt determination letter from the IRS ( exemption letter ) or subsequent IRS Who Must File Example 1. An organization checks determination letter, or it can be different. An organization that answered Yes to Cash on Form 990, Part XII, line 1. It An organization that does not check any Form 990, Part IV, line 1, must complete should report the amounts in Part II or of the boxes on lines 1 through 11 should and attach Schedule A (Form 990 or Part III using the cash method. If the not file Form 990, Form 990-EZ, or 990-EZ) to Form 990. Any section organization filed a 2009 Schedule A Schedule A (Form 990 or 990-EZ) for the 501(c)(3) organization or section (Form 990 or 990-EZ) using the cash tax year, but should file Form 990-PF 4947(a)(1) nonexempt charitable trust method, it should report in the 2006 instead. that files a Form 990-EZ must complete through 2009 columns on the 2010 If an organization believes there is and attach this schedule to Form 990-EZ. Schedule A (Form 990 or 990-EZ) the more than one reason why it is a public These include: same amounts that it reported in the 2006 charity, it should check only one box but Organizations that are described in through 2009 columns on the 2009 can explain the other reasons it qualifies section 501(c)(3) and are public Schedule A (Form 990 or 990-EZ). for public charity status in Part IV. charities; Organizations that are described in The IRS does not update its records sections 501(e), 501(f), 501(k), or 501(n); Example 2. An organization checks on an organization s public charity status and Accrual on Form 990, Part XII, line 1. based on a change the organization Nonexempt charitable trusts The organization reports grants on Form makes on Schedule A (Form 990 and described in section 4947(a)(1) that are 990, Part VIII, line 1, in accordance with Form 990-EZ). Thus, an organization that not treated as private foundations. checks a public charity status different SFAS 116 (ACS 958) (see instructions If an organization is not required to file from the reason stated in its exemption for Form 990, Part VIII, line 1). The Form 990 or 990-EZ but chooses to do letter or subsequent determination letter, organization receives a grant to be paid in so, it must file a complete return and although not required, may submit a future years. The organization should provide all of the information requested, request to the IRS Exempt Organizations report the grants s present value on the Determinations Office for a determination including the required schedules Schedule A (Form 990 or Form letter confirming that it qualifies for the Any organization that is exempt 990-EZ). The organization should report new public charity status if the TIP from tax under section 501(c)(3) accruals of present value increments to organization wants the IRS records to but is a private foundation and not the unpaid grant on Schedule A (Form reflect that new public charity status. See a public charity should not file Form 990, 990 or 990-EZ) in future years. Section 9 of Rev. Proc , Form 990-EZ, or Schedule A (Form 990 I.R.B. 122 (or latest annual update) for or 990-EZ), but should file Form 990-PF. instructions. No user fee is required to be See instructions to Part I. The IRS has eliminated the paid.! advance ruling process for section 501(c)(3) organizations described A subordinate organization of a Accounting Method in sections 170(b)(1)(A)(vi) and 509(a)(2). group exemption that is filing its own When completing Schedule A (Form 990 return, but has not received its own tax Organizations with an advance ruling that or 990-EZ), the organization must use the exemption determination letter from the same accounting method it checked on expired on or after June 9, 2008 no longer IRS, should check the public charity Form 990, Part XII, line 1, or Form need to file Form 8734, Support Schedule status box which most accurately 990-EZ, line G. The organization must for Advance Ruling Period, after 5 years describes its public charity status. use this accounting method in reporting to receive a definitive ruling. An organization that does not know the all amounts on Schedule A (Form 990 or Organizations described in sections public charity status stated in its 990-EZ), regardless of the accounting 170(b)(1)(A)(vi) and 509(a)(2) now use a exemption letter or subsequent method it used in completing Schedule A 5-year period that includes the current tax determination letter should call the (Form 990 or 990-EZ) for prior years. year and the four preceding tax years in Exempt Organizations Customer Account If the accounting method the computing their public support Services toll free at or organization used in completing the 2009 percentages. Cat. No Q write to Internal Revenue Service, TE/GE

2 Customer Account Services, P.O. Box and by court decisions. They include: to do the research, the organization is not 2508, Cincinnati, OH See the distinct legal existence; recognized creed a medical research organization. examples below. and form of worship; definite and distinct The organization is not required to be Example 1. The organization ecclesiastical government; formal code of an affiliate of the hospital, but there must received an exemption letter that it is a doctrine and discipline; distinct religious be a joint effort by the organization and public charity under section history; membership not associated with the hospital to maintain continuing close 170(b)(1)(A)(vi). For the tax year, it meets any other church or denomination; cooperation in the active conduct of the requirements for public charity status organization of ordained ministers; medical research. under section 170(b)(1)(A)(vi). The ordained ministers selected after completing prescribed courses of study; The definition of medical research organization should check the box on line literature of its own; established places of TIP for Schedule A (Form 990 or 7 and complete Part II. worship; regular congregations; regular 990-EZ), Part I, is different from Example 2. The organization religious services; Sunday schools for the the definition for Schedule H (Form 990). received an exemption letter that it is a religious instruction of the young; schools Accordingly, research that constitutes public charity under section for the preparation of its ministers. The medical research for purposes of 170(b)(1)(A)(vi). For the tax year, it does IRS generally uses a combination of determining whether an organization is a not meet the requirements for public these characteristics, together with other medical research organization is not charity status under section facts and circumstances, to determine necessarily medical research for 170(b)(1)(A)(vi). Instead, it meets the whether an organization is considered a Schedule H (Form 990) reporting requirements for public charity status church for federal tax purposes. purposes. under section 509(a)(2). The organization Line 2. Check the box for a school Assets test/expenditure test. An should check the box on line 9 and whose primary function is the organization qualifies as a medical complete Part III. presentation of formal instruction, which research organization if its principal Example 3. The organization regularly has a faculty, a curriculum, an purpose is medical research, and if it received an exemption letter that it is a enrolled body of students, and a place devotes more than half its assets, or public charity under section 509(a)(2). For where educational activities are regularly spends at least 3.5% of the fair market the tax year, it does not meet the conducted. A private school must have a value of its endowment, directly in requirements for public charity status racially nondiscriminatory policy toward its conducting medical research. Either test under section 509(a)(2) or students. For details about these can be met based on a computation 170(b)(1)(A)(vi). Instead, it meets the requirements, see Schedule E (Form 990 period consisting of the immediately requirements for public charity status as a or 990-EZ), and its related instructions. preceding tax year or the immediately supporting organization under section preceding 4 tax years. 509(a)(3). The organization should (a) An organization that checks the TIP box on line 2 must also complete If an organization does not satisfy check the box on line 11; (b) check the Schedule E (Form 990 or 990-EZ). either the assets test or the expenditure box on either line 11a, 11b, 11c, or 11d; test, it can still qualify as a medical (c) complete lines 11e through 11g; and Line 3. Check the box for an research organization based on the (d) complete the table on line 11h. organization whose main purpose is to circumstances involved. Example 4. The organization provide hospital or medical care. A rehabilitation institution or an outpatient These tests are discussed in received an exemption letter that it is a clinic can qualify as a hospital if its Regulations sections 1.170A-9(d)(2)(v) supporting organization under section principal purposes or functions are the and (vi). Under these tests, value the 509(a)(3). Based on Announcement providing of hospital or medical care, but organization s assets as of any day in its , I.R.B. 247, the the term does not include medical tax year using the same day every year, organization submitted a request to the schools, medical research organizations, and value the endowment at fair market IRS to change its classification to public convalescent homes, homes for children value, using commonly accepted charity status under section 509(a)(2). or the aged, or vocational training valuation methods. See Regulations The organization received a institutions for handicapped individuals. section determination letter that it has been reclassified as a public charity under Check the box on line 3 also for a Line 5. Check the box and complete section 509(a)(2). The organization cooperative hospital service organization Part II if the organization receives and should check the box on line 9 and described in section 501(e). manages property for and expends funds complete Part III. to benefit a college or university that is The definition of hospital for owned or operated by one or more states Example 5. The organization TIP Schedule A (Form 990 or 990-EZ), or political subdivisions. The school must received an exemption letter that it is a Part I, is different from the be an organization described in the public charity under section definition for Schedule H (Form 990), instructions for line (b)(1)(A)(vi). For the tax year, it does Hospitals. Accordingly, see Who Must not meet the requirements for public File in the Instructions for Schedule H Expending funds to benefit a college or charity status under section (Form 990) regarding whether the university includes acquiring and 170(b)(1)(A)(vi) or 509(a)(2), or as a organization also is required to complete maintaining the campus, its buildings and supporting organization under section Schedule H (Form 990), Hospitals. equipment, granting scholarships and 509(a)(3). Nor does it meet the student loans, and making any other Line 4. Check the box for an requirements for public charity status payments in connection with the normal organization whose principal purpose or under any other provision of the Internal functions of colleges and universities. function is to engage in medical Revenue Code. The organization is a research, and that is directly engaged in The organization must meet the same private foundation and should not file the continuous active conduct of medical public support test described below for Form 990, Form 990-EZ, or Schedule A research in conjunction with a hospital. line 7. See Rev. Rul , C.B. (Form 990 or Form 990-EZ) for the tax The hospital must be described in section 107. year but should file Form 990-PF instead. 501(c)(3) or operated by the federal Line 6. Only a federal, state, or local Line 1. Check the box for a church, government, a state or its political government or governmental unit that convention of churches, or association of subdivision, a U.S. possession or its has received an exemption letter churches. Pub. 1828, Tax Guide for political subdivision, or the District of recognizing it as exempt from tax under Churches and Religious Organizations, Columbia. section 501(c)(3) should check this box. provides certain characteristics generally If the organization primarily gives See Rev. Rul , C.B attributed to churches. These attributes of funds to other organizations (or grants Line 7. Check the box and complete a church have been developed by the IRS and scholarships to individuals) for them Part II if the organization meets one of the -2-

3 section 170(b)(1)(A)(vi) public support supported organizations. If the organization loses its status as a tests. See instructions for Part II organization can answer Yes to the supporting organization. regarding how an organization can qualify following question, check the box for as a publicly supported organization Type II. Line 11h. An organization checking a under section 170(b)(1)(A)(vi). box on line 11 must complete the table on Do the same persons, such as line 11h. Line 8. Check the box and complete directors, trustees, and officers, supervise Part II if the organization is a community Columns (i) and (ii). Enter the name or control the supported organization(s) trust and meets a section 170(b)(1)(A)(vi) and employer identification number (EIN) and the supporting organization? public support test. A community trust is a for each supported organization. Type III Functionally Integrated. charity that attracts large contributions Check this box if: Column (iii). For each supported for the benefit of a particular community organization named in column (i), show 1. The organization is not described in or area, often initially from a small number which line number (from lines 1 through Type I or Type II above; of donors, and is generally governed by 9) best describes the supported 2. The organization s activities representatives of its particular organization. For example, if the perform the functions of, or carry out the community or area. See Temporary organization supported a hospital, enter purposes of, the publicly supported Regulations sections 1.170A-9T(f)(10), 3 in column (iii). If the organization organizations; and (11), and (12). supported a federal, state, local 3. But for the organization s government, or governmental unit, or A community trust claiming it involvement, such activities would foreign government, enter 6 in column! qualifies as a public charity should normally be engaged in by the publicly (iii). check the box on line 8 whether it supported organizations themselves. Column (iv). Check Yes if the is structured as a corporation or as a See Regulations section supported organization named in column trust (a)-4(i)(3)(ii); Rev. Proc , (i) is specifically named as a supported Line 9. Check the box and complete I.R.B. 142; and any further organization in the organization s Part III if the organization meets both of related guidance for more information. declaration of trust, articles of the section 509(a)(2) support tests. See Type III Other. Check this box if the incorporation, or other governing the instructions for Part III regarding how organization is not described as a Type I, document. An organization that supports an organization can qualify as a publicly Type II, or Type III Functionally non-designated publicly supported supported organization under section Integrated organization. organizations and meets the 509(a)(2). Line 11e. A section 509(a)(3) requirements of Regulations section Line 10. Check the box only if the supporting organization cannot be 1.509(a)-4(d)(2)(i) (relating to designating organization has received a ruling from controlled by disqualified persons, other the publicly supported organizations by the IRS that it is organized and operated than foundation managers. Section class or purpose rather than by name) primarily to test for public safety. 509(a)(1) or (2) organizations and should not complete column (iv) but Line 11. Check the box if the foundation managers who are disqualified should provide a statement in Part IV organization is a supporting organization. persons only as a result of being explaining how it meets these For more information about supporting foundation managers are not treated as requirements. organizations, see Regulations section disqualified persons. Column (v). Only Type III 1.509(a)-4, and sections 509(a)(3) and organizations are required to answer this Line 11f. The organization s 509(f). question. Check Yes if the organization exemption letter or subsequent notified the supported organization If the organization is a supporting determination letter may state the type of named in column (i) of its support. organization, it also must check either box supporting organization it is. If it does, 11a, 11b, 11c, or 11d to show the type of Column (vi). Only Type III check the box on this line. If the letter supporting organization it is. The organizations are required to answer this does not state the type, leave this line organization also must complete lines 11e question. Check Yes if the supported blank. through 11g, and the table on line 11h. organization named in column (i) is A grantor to a section 509(a)(3) organized in the United States. Lines 11a 11d. Use the information supporting organization, acting in good Column (vii). Enter the total amount of below to determine the supporting faith, can rely on this letter in determining monetary support paid to, or for the organization s type. If the organization whether the organization is a Type I, Type benefit of, the supported organization checks the box on line 11f, the letter the II, or Type III organization. The grantor named in column (i) during the tax year. If organization received from the IRS also can rely on certain representations no monetary support was provided during identifies its type. If the box checked on made by the organization, or can rely on the tax year, enter -0-. Do not report any of lines 11a through 11d is different a written reasoned opinion of counsel of non-monetary support in column (vii). from the type stated in the letter, provide either the grantor or the organization that However, the organization can describe an explanation in Part IV. If the the organization is a functionally such support in Part IV. If the organization organization does not check the box on integrated Type III supporting provided to or purchased for the benefit of line 11f, it should check the box on lines organization. See Rev. Proc , the supported organization services, 11a to 11d that best describes the type of I.R.B facilities, or goods, explain in Part IV. supporting organization it is. Type I. A Type I supporting Line 11g. This information is organization is operated, supervised, or necessary to determine whether the Part II. Support Schedule controlled by one or more publicly organization is controlled by certain for Organizations supported organizations. If the donors. Section 509(f)(2), which became organization can answer Yes to the effective August 17, 2006, prohibits Described in Sections following question, check the box for certain supporting organizations from 170(b)(1)(A)(iv) and Type I. accepting gifts or contributions from Does the governing body, officers or certain persons associated with the 170(b)(1)(A)(vi) membership of the supported public supported organization of such supporting If the organization checked a box suporting organization s officers, Type III supporting organization accepts a! on line 5, 7, or 8 of Part I, it should directors, or trustees? gift or contribution from a person who complete Part II. If the Type II. A Type II supporting controls the governing body of a organization checks the box on line 13 of charity(ies) select a majority of the organization. For example, if a Type I or organization is supervised or controlled supporting organization or from certain Part II, it should stop there and not in connection with one or more publicly related persons, then the supporting complete the rest of Part II. -3-

4 If the organization checked a box pledged contribution, it should deduct 1. Attracted because of the TIP on line 5, 7, or 8 of Part I and also $20,000 from the amount reported in Part organization s publicly supported nature, checks the box on line 18 of Part II, line 1, column (c) for tax year Unusual and unexpected because II, the organization should complete Part Support from a governmental unit. of the amount, and III to determine if it qualifies as a publicly Include on line 1 support received from a 3. Large enough to endanger the supported organization under section governmental unit. This includes any organization s status as normally meeting 509(a)(2). If it does qualify, the amounts received from a governmental either the 33 1 /3% public support test or the organization should instead check the box unit, including donations or contributions 10% facts and circumstances test. on line 9 of Part I. and amounts received in connection with Public Support Test. For an a contract entered into with a For a list of other factors to be organization to qualify as a publicly governmental unit for the performance of considered in determining whether a supported organization under section services or in connection with a grant is an unusual grant, see Temporary 170(b)(1)(A)(vi), either: government research grant, unless the 33 Regulations section 1.509(a)-3T(c)(4). 1 /3% or more of its total support must amounts are received from exercising or come from governmental agencies, performing the organization s tax-exempt An unusual grant is excluded even if contributions from the general public, and purpose or function, which should be the organization receives or accrues the contributions or grants from other public reported on line 12. An amount received funds over a period of years. charities, or from a governmental unit is not treated as 10% or more of its total support must received from exercising or performing Do not report gross investment income come from governmental agencies, the organization s tax-exempt purpose or items as unusual grants. Instead, include contributions from the general public, and function if the payment is to enable the all investment income on line 8. contributions or grants from other public organization to provide a service to, or charities and the facts and circumstances maintain a facility for, the direct benefit of See Rev. Rul , C.B. 58; indicate it is a publicly supported the public (for example, to maintain library Temporary Regulations section organization. facilities that are open to the public). See 1.170A-9T(f)(6)(ii); and Temporary Note. An organization will not meet Temporary Regulations section Regulations sections 1.509(a)-3T(c)(3) either of these public support tests if 1.170A-9T(f)(8) and Rev. Rul , and (4) for details about unusual grants. almost all of its support comes from gross C.B receipts from related activities and an Unusual grants. An organization that Reporting contributions not reported insignificant amount of its support comes received any unusual grants during the as revenue. If the organization reports from governmental units and 5-year period should keep for its records any contributions on line 1 of this part contributions made directly or indirectly a list showing, for each year, the name of that it does not report as revenue in Part by the general public. the contributor, the date and amount of VIII or assets in Part X of Form 990, or as the grant, and a brief description of the revenue or assets in Form 990-EZ, Public support is measured using a grant. If the organization used the cash explain in Part IV the basis for 5-year computation period. If the method for the applicable year, show only characterizing such transfers as organization was not a section 501(c)(3) organization for the entire 5-year period in the amounts the organization actually contributions but not as revenue or Part II, report amounts only for the years received during that year. If the assets. For example, if an organization is the organization was a section 501(c)(3) organization used the accrual method for a community foundation that receives and organization. the applicable year, show only the holds a cash transfer for another amounts the organization accrued for that tax-exempt organization and reports Line 1. Do not include any unusual year. An example of this list is given contributions of such property on line 1 grants. See Unusual grants on this page. below. without reporting it as revenue in Part VIII Include membership fees only to the or assets in Part X, explain the basis for extent to which the fees are payments to Do not file this list with the characterizing the property as provide support for the organization rather! organization s Form 990 or contributions but not as revenue or than to purchase admissions, 990-EZ because it may be made assets. merchandise, services, or the use of available for public inspection. facilities. To the extent that the Line 2. Enter tax revenue levied for the membership fees are payments to Line 1. Example organization s benefit by a governmental purchase admissions, merchandise, unit and either paid to the organization or services, or the use of facilities in a Year 2010 Description expended on its behalf. Report this related activity, report the membership Name Mr. Undeveloped land amount whether or not the organization fees on line 12. To the extent that the Distinguished Donor includes this amount as revenue on its membership fees are payments to financial statements or elsewhere on purchase admissions, merchandise, Date of Grant Form 990 or 990-EZ. services, or the use of facilities in an January 15, 2010 unrelated business activity, report the Amount of Grant Line 3. Enter the value of services or membership fees on line 9. See $60,000 facilities furnished by a governmental Temporary Regulations section unit to the organization without charge A-9T(f)(7)(iv). Include in Part IV a list showing the Do not include the value of services or Use any reasonable method to amount of each unusual grant actually facilities generally furnished to the public determine the value of noncash received each year (if the cash without charge. For example, include the contributions reported on line 1. accounting method is used), or accrued fair rental value of office space furnished If an organization records a loss on an each year (if the accrual accounting by a governmental unit to the organization uncollectible pledge that it reported on a method is used). without charge but only if the prior year s Schedule A, it should deduct governmental unit does not generally that loss from the contribution amount for Do not include the names of the furnish similar office space to the public the year in which it originally counted that! grantors because Part IV will be without charge. Report these amounts contribution as revenue. For example, if made available for public whether or not the organization includes the organization reported a pledged inspection. these amounts as revenue on its financial contribution of $50,000 during tax year Unusual grants generally are statements or elsewhere on Form 990 or 2008 but learned during tax year 2010 substantial contributions and bequests 990-EZ. that it would not receive $20,000 of that from disinterested persons and are: -4-

5 Line 5. Enter in column (f) the portion of purpose. Instead, report these amounts extent they are payments to purchase total contributions by each individual, on line 12. admissions, merchandise, services, or the trust, or corporation included on line 1 for Line 9. Enter the organization s net use of facilities in a related activity. For the years reported that exceeds 2% of the income from carrying on unrelated example, include on this line gross amount reported on line 11, column (f). business activities, whether or not the receipts from: However, the 2% limitation does not apply activities are regularly carried on as a A trade or business in which to contributions from organizations trade or business. See sections 512 and substantially all work is performed by qualifying as publicly supported 513 and the applicable regulations. volunteers (such as book fairs and sales organizations under section Include membership fees to the extent of gift wrap paper). See section 513(a)(1). 170(b)(1)(A)(vi), governmental units they are payments to purchase A trade or business carried on by the described in section 170(b)(1)(A)(v), and admissions, merchandise, services, or the organization primarily for the convenience other organizations, such as the following, use of facilities in an activity that is an of its members, students, patients, but only if they also qualify as publicly unrelated business. officers, or employees. See section supported organizations under section 513(a)(2). 170(b)(1)(A)(vi): Net income and net losses from all of A trade or business which is the selling Churches described in section the organization s unrelated business of merchandise, substantially all of which 170(b)(1)(A)(i); activities should be aggregated. If a net the organization received as gifts or loss results, enter -0- on this line. Educational institutions described in contributions. See section 513(a)(3). section 170(b)(1)(A)(ii); Line 10. Include all support as defined in Qualified public entertainment Hospitals described in section section 509(d) that is not included activities or qualified convention and 170(b)(1)(A)(iii); and elsewhere in Part II. Explain in Part IV the trade show activities of certain nature and source of each amount organizations. See section 513(d). Organizations operated for the benefit reported. Do not include gain or loss from Furnishing certain hospital services. of a college or university owned or the sale of capital assets. See section 513(e). operated by a governmental unit Line 12. Enter the total amount of gross A trade or business consisting of described in section 170(b)(1)(A)(iv). receipts the organization received from conducting bingo games, but only if the The organization should keep for its related activities for all years reported in conduct of such games is lawful. See records a list showing the name of and Part II. Although an organization may section 513(f). amount contributed by each donor (other otherwise meet the section Qualified pole rentals by a mutual or than a governmental unit or publicly 170(b)(1)(A)(vi), 33 cooperative telephone or electric /3% public support test supported organization) whose total gifts or the 10% facts and circumstances company. See section 513(g). during the years reported exceed 2% of public support test, it will not be treated as The distribution of certain low cost the amount reported on line 11, column meeting one of these tests if almost all of articles and exchange and rental of (f). An example of this list is given below. its support consists of gross receipts from members lists. See section 513(h). related activities and an insignificant Soliciting and receiving qualified Do not file this list with the amount of support comes from sponsorship payments. See section! organization s Form 990 or governmental units and public 513(i). 990-EZ because it may be made contributions. See Temporary Line 13. An organization that checks this available for public inspection. Regulations section 1.170A-9T(f)(7)(iii). box should stop here and should not Line 8. Include the gross income from Include on line 12 gross receipts from complete the rest of Part II. It should not interest, dividends, payments with respect admissions, sales of merchandise, make a public support computation on to securities loans (section 512(a)(5)), performance of services, or furnishing of line 14 or 15 or check any of the boxes on rents, royalties, and income from similar facilities in any activity which is not an lines 16 through 18. sources. Do not include on this line unrelated trade or business (within the Example. An organization receives payments that result from activities of the meaning of section 513). See section an exemption letter from the IRS that it is organization that further its exempt 509(d)(2). Include membership fees to the exempt from tax under section 501(c)(3) Line 5. Example Assumption: 2% of the amount on Schedule A (Form 990 or 990-EZ), Part II, line 11, column (f) is $12,000 Contributors whose total gifts from 2006 through 2010 were in excess of the 2% limitation (a) (b) (c) (d) (e) (f) (g) Name Total Excess contributions (col. (f) minus the 2% limitation) XYZ Foundation $59,000 $3,000 $18,000 $80,000 $68,000 Banana Office $12,000 3,000 1,000 16,000 4,000 Supply Plum 15,000 15,000 30,000 18,000 Corporation John Smith 5,000 $5,000 5,000 1,000 16,000 4,000 Sue Adams 10,000 10,000 10,000 30,000 18,000 Raisin Trade 20,000 7,000 27,000 15,000 Assoc. Total. Add the items in column (g). Enter the total here and on Part II, column (f), line 5... $127,000-5-

6 and qualifies as a public charity under generally provides facilities or services Part III. Support Schedule section 170(b)(1)(A)(vi) effective March directly for the benefit of the general 25, 2010, its date of incorporation. The public on a continuing basis. for Organizations organization uses a calendar year If the organization is a membership Described in Section accounting period. When the organization organization, explain whether the prepares Part II for 2010 through 2014, it solicitation for dues-paying members is 509(a)(2) should check the box on line 13 and designed to enroll a substantial number of If an organization checked the box When the organization prepares Part II for dues for individual members have been! on line 9 of Part I, it should 2015 and subsequent years, it should not fixed at rates designed to make complete Part III. If the should not complete the rest of Part II. persons from the community, whether check the box on line 13 and should membership available to a broad organization checks the box on line 14 of complete the rest of Part II. cross-section of the interested public, and Part III, it should stop there and not whether the activities of the organization complete the rest of Part III. An organization in its first 5 years TIP will likely appeal to persons having some as a section 501(c)(3) broad common interest or purpose. If the organization checked the organization should make the TIP box on line 9 of Part I and also public support computations on a copy of Line 17b. If the organization did not checks the box on line 20 of Part Schedule A that it keeps for itself. An check a box on line 13, 16a, 16b, or 17a, III, the organization should complete Part organization should carefully monitor its and line 15 is 10% or more, and if the II to determine if it qualifies as a publicly public support on an ongoing basis to organization meets the facts and supported organization under section ensure that it will meet a public support circumstances test, check the box on 170(b)(1)(A)(vi). If it does qualify, the test in the sixth year and succeeding this line and do not complete the rest organization should instead check the box years. of Part II. The organization qualifies as a on line 5, 7, or 8 of Part I, whichever Line 14. Round to the nearest hundredth publicly supported organization for applies. decimal point in reporting the percentage If this box is checked, explain in Part IV of public support. For example, if the how the organization meets the facts Public Support Test. For an organization calculates its public support and circumstances test in Temporary organization to qualify as a publicly percentage as %, this percentage Regulations section 1.170A-9T(f)(3). supported organization under section would be rounded to 58.35% when Include the same information identified in 509(a)(2): reported on line 14. the instructions for line 17a on this page. More than 33 1 /3% of its support must Note. The alternative test for come from contributions, membership Line 15. For 2010, enter the public organizations experiencing substantial fees, and gross receipts from activities support percentage from the 2009 and material changes in its sources of related to its exempt functions or from Schedule A (Form 990 or 990-EZ), Part II, support, other than from unusual grants, amounts which are not unrelated trades line 14. Round to the nearest hundredth has been eliminated. or businesses under section 513, and decimal point in reporting the percentage of public support. No more than 33 1 /3% of its support Line 18. If the organization did not check must come from gross investment income Line 16a. If the organization did not a box on line 13, 16a, 16b, 17a, or 17b, it and net unrelated business income check the box on line 13, and line 14 is does not qualify as a publicly supported (less section 511 tax) from businesses 33 1 /3% or more, check the box on this organization under section acquired by the organization after June line and do not complete the rest of 170(b)(1)(A)(iv) or 170(b)(1)(A)(vi) for the 30, Part II. The organization qualifies as a 2010 tax year and should check the box publicly supported organization for 2010 on this line. If the organization does not Public support is measured using a and qualify as a public charity under any of 5-year computation period. If the Line 16b. If the organization did not the boxes in Part I, lines 1 through 11, it is organization was not a section 501(c)(3) check a box on line 13 or 16a, and line 15 a private foundation as of the beginning of organization for the entire 5-year period in is 33 1 /3% or more, check the box on this the 2010 tax year and should not file Part III, report amounts only for the years line and do not complete the rest of Form 990, Form 990-EZ, or Schedule A the organization was a section 501(c)(3) Part II. The organization qualifies as a (Form 990 or 990-EZ) for the 2010 tax organization. publicly supported organization for year. Instead, the organization should file Form 990-PF, and check Initial return of a Line 1. Do not include any unusual Line 17a. If the organization did not former public charity on the top of page 1 grants. See Unusual grants on page 7. check a box on line 13, 16a or 16b, and of Form 990-PF. Include membership fees only to the line 14 is 10% or more, and if the extent to which the fees are payments to organization meets the facts and If Form 990 or 990-EZ is for the provide support for the organization rather circumstances test, check the box on TIP organization s sixth tax year as a than to purchase admissions, this line and do not complete the rest section 501(c)(3) organization, merchandise, services, or the use of of Part II. The organization qualifies as a and it checked the box on line 18, it facilities. To the extent that the publicly supported organization for 2010 should compute the public support membership fees are payments to and percentage on its Form 990 or 990-EZ for purchase admissions, merchandise, If this box is checked, explain in Part its first 5 tax years. If its public support services, or the use of facilities in a IV how the organization meets the facts percentage for its first 5 tax years is related activity, include the membership and circumstances test in Temporary 33 1 /3% or more, or if it meets the 10% fees on line 2. See Regulations section Regulations section 1.170A-9T(f)(3). facts and circumstances test for its first 1.509(a)-3(h). To the extent that the Include the following information. five tax years, it will qualify as a public membership fees are payments to Explain whether the organization charity for its sixth tax year. If the purchase admissions, merchandise, maintains a continuous and bona fide organization qualifies in this manner, services, or the use of facilities in an program for solicitation of funds from the explain in Part IV. activity that is not an unrelated business general public, community, membership under section 513, report the membership group involved, governmental units or If the organization does not qualify fees on line 3. To the extent that the other public charities. TIP as a publicly supported membership fees are payments to List all other facts and circumstances, organization under section purchase admissions, merchandise, including the sources of support, whether 170(b)(1)(A)(vi), it can complete Part III to services, or the use of facilities in an the organization has a governing body determine if it qualifies as a publicly activity that is an unrelated business, which represents the broad interests of supported organization under section report the net amount either on line 10b the public, and whether the organization 509(a)(2). or line 11, as appropriate. -6-

7 Use any reasonable method to Line 1. Example To the extent that the membership determine the value of noncash fees are payments to purchase contributions reported on line 1. Year 2010 Description admissions, merchandise, services, or the If an organization records a loss on an Name Mr. Undeveloped land use of facilities in a related activity, uncollectible pledge that it reported on a Distinguished Donor include the membership fees on this line prior year s Schedule A, it should deduct 2. See Regulations section 1.509(a)-3(h). that loss from the contribution amount for Date of Grant the year in which it originally counted that January 15, 2010 Line 3. Include gross receipts from: contribution as revenue. For example, if Amount of Grant the organization reported a pledged A trade or business in which $60,000 contribution of $50,000 during tax year substantially all work is performed by 2008 but learned during tax year 2010 Include in Part IV a schedule showing the volunteers (such as book fairs and sales that it would not receive $20,000 of that amount of each unusual grant actually of gift wrap paper). See section 513(a)(1). pledged contribution, it should deduct received each year (if the cash A trade or business carried on by the $20,000 from the amount reported in Part accounting method is used), or accrued organization primarily for the convenience III, line 1, column (c) for tax year each year (if the accrual accounting of its members, students, patients, Support from a governmental unit. method is used). officers, or employees. See section Include on line 1 support received from a Do not include the names of the 513(a)(2). governmental unit. This includes any amounts received from a governmental! grantors because Part IV will be A trade or business which is the selling unit, including donations or contributions made available for public of merchandise, substantially all of which and amounts received in connection with inspection. the organization received as gifts or a contract entered into with a Unusual grants generally are contributions. See section 513(a)(3). governmental unit for the performance of substantial contributions and bequests Qualified public entertainment services or in connection with a from disinterested persons and are: activities or qualified convention and government research grant, unless the 1. Attracted because of the trade show activities of certain amounts are received from exercising or organization s publicly supported nature, performing the organization s tax-exempt organizations. See section 513(d). 2. Unusual and unexpected because purpose or function, which should be of the amount, and Furnishing certain hospital services. reported on line 2. An amount received 3. Large enough to endanger the See section 513(e). from a governmental unit is not treated as organization s status as normally meeting A trade or business consisting of received from exercising or performing the 33 1 /3% public support test. conducting bingo games, but only if the the organization s tax-exempt purpose or conduct of such games is lawful. See function if the payment is to provide For a list of other factors to be services, facilities, or products primarily section 513(f). considered in determining whether a for the economic benefit of the payee. For grant is an unusual grant, see Temporary Qualified pole rentals by a mutual or example, if a state agency pays an Regulations section 1.509(a)-3T(c)(4). cooperative telephone or electric organization to operate an institute to An unusual grant is excluded even if company. See section 513(g). train employees from various industries in the organization receives or accrues the The distribution of certain low cost the principles of management and funds over a period of years. articles and exchange and rental of administration, the funds received should be included on line 2 as support related to Do not report gross investment income members lists. See section 513(h). the exercise or performance of the items as unusual grants. Instead, include Soliciting and receiving qualified organization s tax-exempt purpose. See all investment income on line 10a. sponsorship payments. See section Regulations section 1.509(a)-3(g). See Rev. Rul , C.B. 58; 513(i). Unusual grants. An organization that Regulations section 1.170A-9(f)(6)(ii); and received any unusual grants during the Temporary Regulations sections Line 4. Enter tax revenue levied for the 5-year period, should keep for its records 1.509(a)-3T(c)(3) and 1.509(a)-3T(c)(4) organization s benefit by a governmental a list showing, for each year, the name of for details about unusual grants. unit and either paid to the organization or the contributor, the date and amount of Reporting contributions not reported expended on its behalf. Report this the grant, and a brief description of the as revenue. If the organization reports amount whether or not the organization grant. If the organization used the cash any contributions on line 1 of this Part includes this amount as revenue on its method for the applicable year, show only that it does not report as revenue in Part amounts the organization actually financial statements or elsewhere on VIII or assets in Part X of Form 990, or as received during that year. If the Form 990 or 990-EZ. revenue or assets in Form 990-EZ, organization used the accrual method for explain in Part IV the basis for the applicable year, show only amounts characterizing such transfers as Line 5. Enter the value of services or the organization accrued for that year. An contributions but not as revenue or facilities furnished by a governmental unit example of this list is given below. assets. For example, if an organization is to the organization without charge. Do not Do not file this list with the a community foundation that receives and include the value of services or facilities! organization s Form 990 or holds a cash transfer for another generally furnished to the public without 990-EZ because it may be made tax-exempt organization and reports charge. For example, include the fair available for public inspection. contributions of such property on line 1 rental value of office space furnished by a without reporting it as revenue in Part VIII governmental unit to the organization or assets in Part X, explain the basis for without charge, but only if the characterizing the property as governmental unit does not generally contributions but not as revenue or assets. furnish similar office space to the public without charge. Report these amounts Line 2. Include gross receipts from whether or not the organization includes admissions, merchandise sold, services these amounts as revenue on its financial performed, or facilities furnished in any activity that is related to the organization s statements or elsewhere on Form 990 or tax-exempt purpose (such as charitable, 990-EZ. educational, etc.). -7-

8 Line 7a. Example Disqualified Person (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total David Smith $7,000 $6,000 $2,000 $15,000 Anne Parker $5,000 $7,000 4,000 16,000 Total $7,000 $6,000 $5,000 $7,000 $6,000 $31,000 Line 7b. Example Year 2010 (a) Name (b) Amount received in (c) 1% of amount on line (d) Enter the larger of (e) 2010 excess (column in 2010 column (c) or $5,000 (b) minus column (d)) Word Processing, Inc. $25,000 $2,000 $5,000 $20,000 Enter on Schedule A, column (e), line 7b... $20,000 Line 7a. Enter the amounts that are 512) from trades or businesses that it accounting period. When the organization included on lines 1, 2, and 3 that the acquired or commenced after June 30, prepares Part III for 2010 through 2014, it organization received from disqualified 1975, over the amount of tax imposed on should check the box on line 14 and persons. See second Glossary definition this income under section 511. Include should not complete the rest of Part III. of disqualified person in the Instructions membership fees to the extent they are When the organization prepares Part III for Form 990. payments to purchase admissions, for 2015 and subsequent years, it should For amounts included on lines 1, 2, merchandise, services, or the use of not check the box on line 14 and should and 3 that were received from a facilities in an unrelated business activity complete the rest of Part III. disqualified person, the organization that is a trade or business that was acquired or commenced after June 30, An organization in its first 5 years should keep for its records a list showing TIP as a section 501(c)(3) the name of, and total amounts received organization should make the in each year from, each disqualified Net income and net losses from all of public support and investment income person. Enter the total of such amounts these trades or businesses should be computations on a copy of Schedule A for each year on line 7a. See an example aggregated. If a net loss results, enter -0- (Form 990 or 990-EZ) that it keeps for of this list above. on this line. See Regulations section itself. An organization should carefully 1.509(a)-3(a)(3). monitor its public support on an ongoing Do not file this list with the Line 11. Enter the organization s net organization s Form 990 or basis to ensure that it will meet the public! income from carrying on unrelated 990-EZ because it may be made support tests in the sixth year and business activities not included on line available for public inspection. succeeding years. 10b, whether or not the activities are Line 7b. For any gross receipts included Line 15. Round to the nearest hundredth regularly carried on as a trade or on lines 2 and 3 from related activities decimal point in reporting the percentage business. See sections 512 and 513 and received from a person or from a bureau of public support. For example, if the the applicable regulations. Include or similar agency of a governmental organization calculates its public support membership fees to the extent they are unit, other than from a disqualified percentage as %, this percentage payments to purchase admissions, person, that exceed the greater of $5,000 would be rounded to 58.35% when merchandise, services, or the use of or 1% of the amount on line 13 for the reported on line 15. facilities in an activity that is an unrelated applicable year, enter the excess on line business not included on line 10b. Line 16. For 2010, enter the public 7b. The organization should keep for its Net income and net losses from all of support percentage from the 2009 records a list showing, for each year, the the organization s unrelated business Schedule A (Form 990 or 990-EZ), Part name of the person or government activities should be aggregated. If a net III, line 15. Round to the nearest agency, the amount received during the loss results, enter -0- on this line. hundredth decimal point in reporting the applicable year, the larger of $5,000 or percentage of public support. 1% of the amount on line 13 for the Line 12. Include all support as defined in section 509(d) that is not included Line 17. Round to the nearest whole applicable year, and the excess, if any. elsewhere in Part III. Explain in Part IV percentage. See an example of this list below. the nature and source of each amount Line 18. For 2010, enter the investment Do not file this list with the reported. Do not include gain or loss from income percentage from the 2009! organization s Form 990 or sale of capital assets. Schedule A (Form 990 or 990-EZ), Part 990-EZ because it may be made Line 14. An organization that checks this III, line 17. Round to the nearest whole available for public inspection. box should stop here and should not percentage. Line 10a. Include the gross income from complete the rest of Part III. It should not Line 19a. If the organization did not interest, dividends, payments received on make a public support computation on check the box on line 14, line 15 is more securities loans (section 512(a)(5)), rents, line 15 or 16 or an investment income than 33 1 /3%, and line 17 is not more than royalties, and income from similar computation on line 17 or 18, or check 33 1 /3%, check the box on this line and sources. Do not include on this line any of the boxes on line 19 or 20. do not complete the rest of this payments that result from activities of the Example. An organization receives schedule. The organization qualifies as a organization that further its exempt an exemption letter from the IRS that it is publicly supported organization for 2010 purpose. Instead, report these amounts exempt from tax under section 501(c)(3) and on line 2. and qualifies as a public charity under Line 19b. If the organization did not Line 10b. Enter the excess of the section 509(a)(2) effective March 25, check the box on line 14 or 19a, line 16 is organization s unrelated business 2010, its date of incorporation. The more than 33 1 /3%, and line 18 is not more taxable income (as defined in section organization uses a calendar year than 33 1 /3%, check the box on this line -8-

9 and do not complete the rest of this If Form 990 or 990-EZ is for the Part IV. Supplemental schedule. The organization qualifies as a TIP organization s sixth tax year as a Information publicly supported organization for Note. The alternative test for organizations experiencing substantial and material changes in its sources of support, other than from unusual grants, has been eliminated. Line 20. If the organization did not check the box on line 14, 19a, or 19b, it does not qualify as a publicly supported organization under section 509(a)(2) for the 2010 tax year and should check the box on this line. If the organization does not qualify as a public charity under any of the boxes on Schedule A (Form 990 or 990-EZ), Part I, lines 1 through 11, it is a private foundation as of the beginning of the tax year and should not file Form 990, Form 990-EZ, or Schedule A (Form 990 or 990-EZ) for the 2010 tax year. Instead, the organization should file Form 990-PF, and check Initial return of a former public charity on the top of page 1 of Form 990-PF. section 501(c)(3) organization, and it checked the box on line 20, it Use Part IV to provide the narrative should compute the public support explanations required, if applicable, by percentage and the investment income Part II, line 10, Part II, line 17a or 17b, percentage on its Form 990 for its first 5 and Part III, line 12. Also use Part IV to tax years. If its public support percentage provide other narrative information for its first 5 tax years is more than 33 1 /3% required by these instructions or to and the investment income percentage supplement responses to questions on for its first 5 tax years is not more than Schedule A (Form 990 or 990-EZ) /3%, it will qualify as a public charity for Identify the specific part and line number its sixth tax year. If the organization that the response supports, in the order in qualifies in this manner, explain in Part IV. which they appear on Schedule A (Form If the organization does not qualify 990 or 990-EZ). Part IV can be duplicated TIP as a publicly supported if more space is needed. organization under section Do not include in Part IV the 509(a)(2), it can complete Part II to! names of any donors, grantors, or determine if the organization qualifies as contributors because Part IV will a publicly supported organization under be made available for public inspection. section 170(b)(1)(A)(vi). -9-

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