PUBLIC DISCLOSURE COPY Form 99 Return of Orgniztion Exempt From Inome Tx Uner setion 51, 527, or 4947(1) of the Internl Revenue Coe (exept privte fountions) OMB 1545-47 Do not enter Soil Seurity numers on this form s it my e me puli. Deprtment of the Tresury Internl Revenue Servie informtion out Form 99 n its instrutions is t www.irs.govform99. A For the 213 lenr yer, or tx yer eginning OCTOBER 1. 213, n ening SEPTEMBER 3,2 14 B Chek if pplile: C Nme of orgniztion D Employer ientifition numer Aress hnge Doing Business As Nme hnge Numer n street (or P.O. ox if mil Is not elivere to street ress) Roomsuite E Telephone numer Initil return 2 SOUTH CLARK STREET 2 (312)912-6348 Terminte Amene return Applition pening City or town, stte or provine, ountry, n ZIP or foreign postl oe CHICAGO, IL 663 F Nme n ress of prinipl offier: SAME AS C ABOVE CHRISTA OJEDA Tx-exempt sttus: LZ] 51 (3) 51( ) * (insert no.) 4947(1) or 527 j Wesite: WWW.GIRLSCOUTSGCNWI.ORG K Form of orgniztion: [7] Corportion Q Trust [3 Assoition D Other 1 2 3 4 5 6 7 Summry Briefly esrie the orgniztion's mission or most signifint tivities: GIRLS OF COURAGE, CONFIDENCE, AND CHARACTER, WHO MAKE G Gross reeipts $ 29,363,965 H Is this group return for suorintes? Yes [3 No H() Are il suorintes inlue? O YesCD No If "No," tth list, (see Instrutions) H Group exemption numer L Yer of formtion: 1993 M Stte of legl omiile: IL THE_ORGANJZATjw Chek this ox if the orgniztion isontinue its opertions or ispose of more thn 25 Numer of voting memers of the governing oy (Prt VI, line 1) Numer of inepenent voting memers of the governing oy (Prt VI, line 1 ) Totl numer of iniviuls employe in lenr yer 213 (Prt V, line 2) Totl numer of volunteers (estimte if neessry) Totl unrelte usiness revenue from Prt VIII, olumn (C), line 12.... Net unrelte usiness txle inome from Form 99-T, line 34.... 8 Contriutions n grnts (Prt VIII, line 1 h) 9 Progrm servie revenue (Prt VIII, line 2g) 1 Investment inome (Prt VIII, olumn (A), lines 3, 4, n 7) 11 Other revenue (Prt VIII, olumn (A), lines 5, 6, 8, 9, 1, n11e)... 12 Totl revenue- lines 8 through 11 (must equl Prt VIII, olumn (A), line 12) 13 Grnts n similr mounts pi (Prt IX, olumn (A), lines 1-3) 14 Benefits pi to or for memers (Prt IX, olumn (A), line 4) 15 Slries, other ompenstion, employee enefits (Prt IX, olumn (A), lines 5-1) 16 Professionl funrising fees (Prt IX, olumn (A), line 11 e) Totl funrising expenses (Prt IX, olumn (D), line 25)?.?5;1?. 3.. 17 Other expenses (Prt IX, olumn (A), lines 11-11, 11 f-24ej 18 Totl expenses. A lines 13-17 (must equl Prt IX, olumn (A), line 25). 19 Revenue less expenses. Sutrt line 18 from line 12 2 Totl ssets (Prt X, line 16) 21 Totl liilities (Prt X, line 26) 22 Net ssets or fun lnes. Sutrt line 21 from line 2 Prt II Signture Blok Prior Yer % of its net ssets. 3 7 7 Current Yer 3 3 397 21,282 8,435 5,371 2,537,282 2,14,149 1,32,656 1,478,964 553,759 343,792 12,284,564 11,475,436 16,696,261 15,438,341 246,76 29,553 1,839,951 9,436,477 7,68,348 6,548,721 18,155,5 16,194,751-1,458,744-756,41 Beginning of Current Yer En of Yer 3,547,63 29,22,94 5,2,24 4,32,858 25,347,426 24,72,46 Uner penlties of perjury, I elre tht I hve exmine this return, inluing ompnying sheules n sttements, n to the est of my knowlege n elief, it is true, orret, n omplete. Delrtion of preprer (other thn offier) is se on ll informtion of whih preprer hs ny knowlege. Sign Here Signture of offier CHRISTA OJEDA, CFO Type or print nme n title PrintType preprer's nme I Preprer's signture 7.! I Dte. r i.. IPTIN Chek if Pi 33215 self-employe NICOLE BENCIK P756195 XXL Preprer Firm's nme CROWE HORWATH LLP Firm's EIN 35-92168 Use Only F i r m. s ress» 225 WEST WACKER DRIVE, SUITE 26, CHICAGO, IL 666-1224 Phone no. (312)899-7 My the IRS isuss this return with the preprer shown ove? (see instrutions) \7\ Yes No For Pperwork Reution At Notie, see the seprte instrutions. Ct. 11282Y Form 99 (213) 33215 7-38-5 AM 1 213 Return Girl Souts of Greter Chigo n Northwest Inin 363871241
Form 99(213) Pge 2 fsbtmni Sttement of Progrm Servie Aomplishments Chek if Sheule O ontins response or note to ny line in this Prt III 1 Briefly esrie the orgniztion's mission: THE GIRL SCOUT MISSION IS TO BUILD GIRLS OF COURAGE, CONRDENCE^ "BETTER PLAir^ VOTUNTJER-LEDTO "GOAL-SETT?^ 2 Di the orgniztion unertke ny signifint progrm servies uring the yer whih were not liste on the prior Form 99 or 99-EZ? Yes No If "Yes," esrie these new servies on Sheule O. 3 Di the orgniztion ese onuting, or mke signifint hnges in how it onuts, ny progrm servies? QYes HNo If "Yes," esrie these hnges on Sheule O, 4 Desrie the orgniztion's progrm servie omplishments for eh of its three lrgest progrm servies, s mesure y expenses. Setion 51(3) n 51(4) orgniztions re require to report the mount of grnts n llotions to others, the totl expenses, n revenue, if ny, for eh progrm servie reporte. 4 (Coe: ) (Expenses $ 12,885,553 inluing grnts of $ 2?J1?1.) (Revenue $ 7_1?J1 2. 8..) THE ORGANIZATION PROVIDED ACTIVITIES TO 61,531 GIRLS AND 21,282 ADULTS_INJ_R^ "GREATERCrTlCAGOAND'N WHERE GTRL^DISCOVEFVA TAKE ACTION-TNIDENTIFY^ 7HOSE7NST M7S^^ "REFLECTTHICO 7HE"ENVI767MENT. 88 4 (Coe: ) (Expenses $. 38 3?.. inluing grnts of $ j 3? 2 J (Revenue $ ^8,415J GIRL SCOUT TROOPS AND GROUPS USED CAMPS AND PROGRAM CENTERS IN WISCON^ "CAM7ING7NDOU7D6O7AC7VTT^ 7XFLOR7,7NTHAVE7^^ l^a^r^hipabil^ 4 (Coe: ) (Expenses $ inluing grnts of $ J (Revenue $ 11:?35J_57.) THE PRODUCTSALES PROGRAMVS7N7NT G"RAL PART OF OUR BUSINEs ^ "HELPS""GI7LS L AR7 U INES ETHTCS7S "G7RLS77RTIC7P7A7ED7N7U^^^ 7R V NUES7O $^ 7,3M757967BOXES^ ^ROGTRAIM "squtmerchandls 7H S H6PVWER R "R LA7ED7OTH S P OGR^^ ON FORM 99, PART yin, QN S 1 OA &_B. 4 4 e Other progrm servies (Desrie in Sheule O.) (Expenses $ inluing grnts of $ ) (Revenue $ Totl progrm servie expenses 13,765,942 36215 9:52:57 AM Form 99 (213) 213 Return Girl Souts of Greter Chigo n
Form 99(213) Pge 3 l^rir Cheklist of Require Sheules Yes No 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 1 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 2 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 3 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 4 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 5 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 6 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 7 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 8 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 9 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 1 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 11 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 11 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 11 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 11 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 11e 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 11f 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 12 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 12 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 13 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 14 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 14 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 15 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 16 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 17 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 18 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 19 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 2 1 Is the orgniztion esrie in setion 51(3) or 4947(1) (other thn privte fountion)? If "Yes," 2 Is the orgniztion require to omplete Sheule B, Sheule of Contriutors (see instrutions)?... 3 Di the orgniztion engge in iret or iniret politil mpign tivities on ehlf of or in opposition to nites for puli offie? If "Yes," omplete Sheule C, Prt 1 4 Setion 51(3) orgniztions. Di the orgniztion engge in loying tivities, or hve setion 51(h) eletion in effet uring the tx yer? If "Yes," omplete Sheule C, Prt II 5 Is the orgniztion setion 51(4), 51(5), or 51(6) orgniztion tht reeives memership ues, ssessments, or similr mounts s efine in Revenue Proeure 98-19? If "Yes," omplete Sheule C, 6 Di the orgniztion mintin ny onor vise funs or ny similr funs or ounts for whih onors hve the right to provie vie on the istriution or investment of mounts in suh funs or ounts? If 7 Di the orgniztion reeive or hol onservtion esement, inluing esements to preserve open spe, the environment, histori ln res, or histori strutures? If "Yes," omplete Sheule D, Prt II... 8 Di the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? If "Yes," 9 Di the orgniztion report n mount in Prt X, line 21, for esrow or ustoil ount liility; serve s ustoin for mounts not liste in Prt X; or provie reit ounseling, et mngement, reit repir, or et negotition servies? If "Yes," omplete Sheule D, Prt IV 1 Di the orgniztion, iretly or through relte orgniztion, hol ssets in temporrily restrite enowments, permnent enowments, or qusi-enowments? If "Yes," omplete Sheule D, Prt V.. 11 If the orgniztion's nswer to ny of the following questions is "Yes," then omplete Sheule D, Prts VI, VII, VIII, IX, or X s pplile. Di the orgniztion report n mount for ln, uilings, n equipment in Prt X, line 1? If "Yes," Di the orgniztion report n mount for investments other seurities in Prt X, line 12 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VII Di the orgniztion report n mount for investments progrm relte in Prt X, line 13 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt VIII Di the orgniztion report n mount for other ssets in Prt X, line 15 tht is 5% or more of its totl ssets reporte in Prt X, line 16? If "Yes," omplete Sheule D, Prt IX e Di the orgniztion report n mount for other liilities in Prt X, line 25? If "Yes," omplete Sheule D, Prt X f Di the orgniztion's seprte or onsolite finnil sttements for the tx yer inlue footnote tht resses the orgniztion's liility for unertin tx positions uner FIN 48 (ASC 74)? If "Yes," omplete Sheule D, Prt X. 12 Di the orgniztion otin seprte, inepenent uite finnil sttements for the tx yer? If "Yes," omplete Ws the orgniztion inlue in onsolite, inepenent uite finnil sttements for the tx yer? If "Yes," n if the orgniztion nswere "No" to line 12, then ompleting Sheule D, Prts XI n XII is optionl 13 Is the orgniztion shool esrie in setion 17()(1)(A)(ii)? If "Yes," omplete Sheule E.... 14 Di the orgniztion mintin n offie, employees, or gents outsie of the Unite Sttes? Di the orgniztion hve ggregte revenues or expenses of more thn $1, from grntmking, funrising, usiness, investment, n progrm servie tivities outsie the Unite Sttes, or ggregte foreign investments vlue t $1, or more? If "Yes," omplete Sheule F, Prts 1 n IV 15 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of grnts or other ssistne to or for ny foreign orgniztion? If "Yes," omplete Sheule F, Prts II n IV 16 Di the orgniztion report on Prt IX, olumn (A), line 3, more thn $5, of ggregte grnts or other ssistne to or for foreign iniviuls? If "Yes," omplete Sheule F, Prts III n IV. 17 Di the orgniztion report totl of more thn $15, of expenses for professionl funrising servies on Prt IX, olumn (A), lines 6 n Me? If "Yes," omplete Sheule G, Prt 1 (see instrutions) 18 Di the orgniztion report more thn $15, totl of funrising event gross inome n ontriutions on Prt VIII, lines 1 n 8? If "Yes," omplete Sheule G, Prt II 19 Di the orgniztion report more thn $15, of gross inome from gming tivities on Prt VIII, line 9? 2 Di the orgniztion operte one or more hospitl filities? If "Yes," omplete Sheule H f "Yes" to line 2, i the orgniztion tth opy of its uite finnil sttements to this return? 2 Form 99(213) 36215 9:52:57 AM 3 213 Return Girl Souts of Greter Chigo n
Form 99(213) Pge 4 UHJli'J Cheklist of Require Sheules (ontinue) Yes No 21 Di the orgniztion report more thn $5, of grnts or other ssistne to ny omesti orgniztion or government on Prt IX, olumn (A), line 1? If "Yes," omplete Sheule 1, Prts 1 n II 22 Di the orgniztion report more thn $5, of grnts or other ssistne to iniviuls in the Unite Sttes 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste 24 Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $1, s of the lst y of the yer, tht ws issue fter Deemer 31, 22? If "Yes," nswer lines 24 Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?.. Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer?.. 25 Setion 51(3) n 51(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt 1 Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 99 or 99-EZ? 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or 27 Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily memer of ny of these persons? If "Yes," omplete Sheule L, Prt III 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV.. A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV.,. 29 Di the orgniztion reeive more thn $25, in non-sh ontriutions? If "Yes," omplete Sheule M 3 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie 31 Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, 32 Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes," 33 Di the orgniztion own 1% of n entity isregre s seprte from the orgniztion uner Regultions setions 31.771-2 n 31.771-3? If "Yes," omplete Sheule R, Prt 1 34 Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, 35 Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If "Yes" to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512()(13)? If "Yes," omplete Sheule R, Prt V, line 2.. 36 Setion 51(3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle 37 Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, 38 Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines 11 n 21 21 Di the orgniztion report more thn $5, of grnts or other ssistne to ny omesti orgniztion or government on Prt IX, olumn (A), line 1? If "Yes," omplete Sheule 1, Prts 1 n II 22 Di the orgniztion report more thn $5, of grnts or other ssistne to iniviuls in the Unite Sttes 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste 24 Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $1, s of the lst y of the yer, tht ws issue fter Deemer 31, 22? If "Yes," nswer lines 24 Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?.. Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer?.. 25 Setion 51(3) n 51(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt 1 Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 99 or 99-EZ? 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or 27 Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily memer of ny of these persons? If "Yes," omplete Sheule L, Prt III 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV.. A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV.,. 29 Di the orgniztion reeive more thn $25, in non-sh ontriutions? If "Yes," omplete Sheule M 3 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie 31 Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, 32 Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes," 33 Di the orgniztion own 1% of n entity isregre s seprte from the orgniztion uner Regultions setions 31.771-2 n 31.771-3? If "Yes," omplete Sheule R, Prt 1 34 Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, 35 Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If "Yes" to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512()(13)? If "Yes," omplete Sheule R, Prt V, line 2.. 36 Setion 51(3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle 37 Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, 38 Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines 11 n 22 21 Di the orgniztion report more thn $5, of grnts or other ssistne to ny omesti orgniztion or government on Prt IX, olumn (A), line 1? If "Yes," omplete Sheule 1, Prts 1 n II 22 Di the orgniztion report more thn $5, of grnts or other ssistne to iniviuls in the Unite Sttes 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste 24 Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $1, s of the lst y of the yer, tht ws issue fter Deemer 31, 22? If "Yes," nswer lines 24 Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?.. Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer?.. 25 Setion 51(3) n 51(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt 1 Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 99 or 99-EZ? 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or 27 Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily memer of ny of these persons? If "Yes," omplete Sheule L, Prt III 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV.. A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV.,. 29 Di the orgniztion reeive more thn $25, in non-sh ontriutions? If "Yes," omplete Sheule M 3 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie 31 Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, 32 Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes," 33 Di the orgniztion own 1% of n entity isregre s seprte from the orgniztion uner Regultions setions 31.771-2 n 31.771-3? If "Yes," omplete Sheule R, Prt 1 34 Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, 35 Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If "Yes" to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512()(13)? If "Yes," omplete Sheule R, Prt V, line 2.. 36 Setion 51(3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle 37 Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, 38 Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines 11 n 23 21 Di the orgniztion report more thn $5, of grnts or other ssistne to ny omesti orgniztion or government on Prt IX, olumn (A), line 1? If "Yes," omplete Sheule 1, Prts 1 n II 22 Di the orgniztion report more thn $5, of grnts or other ssistne to iniviuls in the Unite Sttes 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste 24 Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $1, s of the lst y of the yer, tht ws issue fter Deemer 31, 22? If "Yes," nswer lines 24 Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?.. Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer?.. 25 Setion 51(3) n 51(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt 1 Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 99 or 99-EZ? 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or 27 Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily memer of ny of these persons? If "Yes," omplete Sheule L, Prt III 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV.. A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV.,. 29 Di the orgniztion reeive more thn $25, in non-sh ontriutions? If "Yes," omplete Sheule M 3 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie 31 Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, 32 Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes," 33 Di the orgniztion own 1% of n entity isregre s seprte from the orgniztion uner Regultions setions 31.771-2 n 31.771-3? If "Yes," omplete Sheule R, Prt 1 34 Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, 35 Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If "Yes" to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512()(13)? If "Yes," omplete Sheule R, Prt V, line 2.. 36 Setion 51(3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle 37 Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, 38 Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines 11 n 24 21 Di the orgniztion report more thn $5, of grnts or other ssistne to ny omesti orgniztion or government on Prt IX, olumn (A), line 1? If "Yes," omplete Sheule 1, Prts 1 n II 22 Di the orgniztion report more thn $5, of grnts or other ssistne to iniviuls in the Unite Sttes 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste 24 Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $1, s of the lst y of the yer, tht ws issue fter Deemer 31, 22? If "Yes," nswer lines 24 Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?.. Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer?.. 25 Setion 51(3) n 51(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt 1 Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 99 or 99-EZ? 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or 27 Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily memer of ny of these persons? If "Yes," omplete Sheule L, Prt III 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV.. A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV.,. 29 Di the orgniztion reeive more thn $25, in non-sh ontriutions? If "Yes," omplete Sheule M 3 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie 31 Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, 32 Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes," 33 Di the orgniztion own 1% of n entity isregre s seprte from the orgniztion uner Regultions setions 31.771-2 n 31.771-3? If "Yes," omplete Sheule R, Prt 1 34 Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, 35 Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If "Yes" to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512()(13)? If "Yes," omplete Sheule R, Prt V, line 2.. 36 Setion 51(3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle 37 Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, 38 Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines 11 n 24 21 Di the orgniztion report more thn $5, of grnts or other ssistne to ny omesti orgniztion or government on Prt IX, olumn (A), line 1? If "Yes," omplete Sheule 1, Prts 1 n II 22 Di the orgniztion report more thn $5, of grnts or other ssistne to iniviuls in the Unite Sttes 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste 24 Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $1, s of the lst y of the yer, tht ws issue fter Deemer 31, 22? If "Yes," nswer lines 24 Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?.. Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer?.. 25 Setion 51(3) n 51(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt 1 Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 99 or 99-EZ? 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or 27 Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily memer of ny of these persons? If "Yes," omplete Sheule L, Prt III 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV.. A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV.,. 29 Di the orgniztion reeive more thn $25, in non-sh ontriutions? If "Yes," omplete Sheule M 3 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie 31 Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, 32 Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes," 33 Di the orgniztion own 1% of n entity isregre s seprte from the orgniztion uner Regultions setions 31.771-2 n 31.771-3? If "Yes," omplete Sheule R, Prt 1 34 Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, 35 Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If "Yes" to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512()(13)? If "Yes," omplete Sheule R, Prt V, line 2.. 36 Setion 51(3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle 37 Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, 38 Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines 11 n 24 21 Di the orgniztion report more thn $5, of grnts or other ssistne to ny omesti orgniztion or government on Prt IX, olumn (A), line 1? If "Yes," omplete Sheule 1, Prts 1 n II 22 Di the orgniztion report more thn $5, of grnts or other ssistne to iniviuls in the Unite Sttes 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste 24 Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $1, s of the lst y of the yer, tht ws issue fter Deemer 31, 22? If "Yes," nswer lines 24 Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?.. Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer?.. 25 Setion 51(3) n 51(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt 1 Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 99 or 99-EZ? 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or 27 Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily memer of ny of these persons? If "Yes," omplete Sheule L, Prt III 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV.. A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV.,. 29 Di the orgniztion reeive more thn $25, in non-sh ontriutions? If "Yes," omplete Sheule M 3 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie 31 Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, 32 Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes," 33 Di the orgniztion own 1% of n entity isregre s seprte from the orgniztion uner Regultions setions 31.771-2 n 31.771-3? If "Yes," omplete Sheule R, Prt 1 34 Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, 35 Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If "Yes" to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512()(13)? If "Yes," omplete Sheule R, Prt V, line 2.. 36 Setion 51(3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle 37 Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, 38 Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines 11 n 24 21 Di the orgniztion report more thn $5, of grnts or other ssistne to ny omesti orgniztion or government on Prt IX, olumn (A), line 1? If "Yes," omplete Sheule 1, Prts 1 n II 22 Di the orgniztion report more thn $5, of grnts or other ssistne to iniviuls in the Unite Sttes 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste 24 Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $1, s of the lst y of the yer, tht ws issue fter Deemer 31, 22? If "Yes," nswer lines 24 Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?.. Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer?.. 25 Setion 51(3) n 51(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt 1 Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 99 or 99-EZ? 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or 27 Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily memer of ny of these persons? If "Yes," omplete Sheule L, Prt III 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV.. A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV.,. 29 Di the orgniztion reeive more thn $25, in non-sh ontriutions? If "Yes," omplete Sheule M 3 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie 31 Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, 32 Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes," 33 Di the orgniztion own 1% of n entity isregre s seprte from the orgniztion uner Regultions setions 31.771-2 n 31.771-3? If "Yes," omplete Sheule R, Prt 1 34 Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, 35 Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If "Yes" to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512()(13)? If "Yes," omplete Sheule R, Prt V, line 2.. 36 Setion 51(3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle 37 Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, 38 Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines 11 n 25 21 Di the orgniztion report more thn $5, of grnts or other ssistne to ny omesti orgniztion or government on Prt IX, olumn (A), line 1? If "Yes," omplete Sheule 1, Prts 1 n II 22 Di the orgniztion report more thn $5, of grnts or other ssistne to iniviuls in the Unite Sttes 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste 24 Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $1, s of the lst y of the yer, tht ws issue fter Deemer 31, 22? If "Yes," nswer lines 24 Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?.. Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer?.. 25 Setion 51(3) n 51(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt 1 Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 99 or 99-EZ? 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or 27 Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily memer of ny of these persons? If "Yes," omplete Sheule L, Prt III 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV.. A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV.,. 29 Di the orgniztion reeive more thn $25, in non-sh ontriutions? If "Yes," omplete Sheule M 3 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie 31 Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, 32 Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes," 33 Di the orgniztion own 1% of n entity isregre s seprte from the orgniztion uner Regultions setions 31.771-2 n 31.771-3? If "Yes," omplete Sheule R, Prt 1 34 Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, 35 Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If "Yes" to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512()(13)? If "Yes," omplete Sheule R, Prt V, line 2.. 36 Setion 51(3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle 37 Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, 38 Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines 11 n 25 21 Di the orgniztion report more thn $5, of grnts or other ssistne to ny omesti orgniztion or government on Prt IX, olumn (A), line 1? If "Yes," omplete Sheule 1, Prts 1 n II 22 Di the orgniztion report more thn $5, of grnts or other ssistne to iniviuls in the Unite Sttes 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste 24 Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $1, s of the lst y of the yer, tht ws issue fter Deemer 31, 22? If "Yes," nswer lines 24 Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?.. Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer?.. 25 Setion 51(3) n 51(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt 1 Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 99 or 99-EZ? 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or 27 Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily memer of ny of these persons? If "Yes," omplete Sheule L, Prt III 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV.. A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV.,. 29 Di the orgniztion reeive more thn $25, in non-sh ontriutions? If "Yes," omplete Sheule M 3 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie 31 Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, 32 Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes," 33 Di the orgniztion own 1% of n entity isregre s seprte from the orgniztion uner Regultions setions 31.771-2 n 31.771-3? If "Yes," omplete Sheule R, Prt 1 34 Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, 35 Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If "Yes" to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512()(13)? If "Yes," omplete Sheule R, Prt V, line 2.. 36 Setion 51(3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle 37 Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, 38 Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines 11 n 26 21 Di the orgniztion report more thn $5, of grnts or other ssistne to ny omesti orgniztion or government on Prt IX, olumn (A), line 1? If "Yes," omplete Sheule 1, Prts 1 n II 22 Di the orgniztion report more thn $5, of grnts or other ssistne to iniviuls in the Unite Sttes 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste 24 Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $1, s of the lst y of the yer, tht ws issue fter Deemer 31, 22? If "Yes," nswer lines 24 Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?.. Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer?.. 25 Setion 51(3) n 51(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt 1 Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 99 or 99-EZ? 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or 27 Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily memer of ny of these persons? If "Yes," omplete Sheule L, Prt III 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV.. A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV.,. 29 Di the orgniztion reeive more thn $25, in non-sh ontriutions? If "Yes," omplete Sheule M 3 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie 31 Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, 32 Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes," 33 Di the orgniztion own 1% of n entity isregre s seprte from the orgniztion uner Regultions setions 31.771-2 n 31.771-3? If "Yes," omplete Sheule R, Prt 1 34 Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, 35 Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If "Yes" to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512()(13)? If "Yes," omplete Sheule R, Prt V, line 2.. 36 Setion 51(3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle 37 Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, 38 Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines 11 n 27 21 Di the orgniztion report more thn $5, of grnts or other ssistne to ny omesti orgniztion or government on Prt IX, olumn (A), line 1? If "Yes," omplete Sheule 1, Prts 1 n II 22 Di the orgniztion report more thn $5, of grnts or other ssistne to iniviuls in the Unite Sttes 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste 24 Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $1, s of the lst y of the yer, tht ws issue fter Deemer 31, 22? If "Yes," nswer lines 24 Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?.. Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer?.. 25 Setion 51(3) n 51(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt 1 Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 99 or 99-EZ? 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or 27 Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily memer of ny of these persons? If "Yes," omplete Sheule L, Prt III 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV.. A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV.,. 29 Di the orgniztion reeive more thn $25, in non-sh ontriutions? If "Yes," omplete Sheule M 3 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie 31 Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, 32 Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes," 33 Di the orgniztion own 1% of n entity isregre s seprte from the orgniztion uner Regultions setions 31.771-2 n 31.771-3? If "Yes," omplete Sheule R, Prt 1 34 Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, 35 Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If "Yes" to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512()(13)? If "Yes," omplete Sheule R, Prt V, line 2.. 36 Setion 51(3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle 37 Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, 38 Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines 11 n 28-7 ^ 21 Di the orgniztion report more thn $5, of grnts or other ssistne to ny omesti orgniztion or government on Prt IX, olumn (A), line 1? If "Yes," omplete Sheule 1, Prts 1 n II 22 Di the orgniztion report more thn $5, of grnts or other ssistne to iniviuls in the Unite Sttes 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste 24 Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $1, s of the lst y of the yer, tht ws issue fter Deemer 31, 22? If "Yes," nswer lines 24 Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?.. Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer?.. 25 Setion 51(3) n 51(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt 1 Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 99 or 99-EZ? 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or 27 Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily memer of ny of these persons? If "Yes," omplete Sheule L, Prt III 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV.. A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV.,. 29 Di the orgniztion reeive more thn $25, in non-sh ontriutions? If "Yes," omplete Sheule M 3 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie 31 Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, 32 Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes," 33 Di the orgniztion own 1% of n entity isregre s seprte from the orgniztion uner Regultions setions 31.771-2 n 31.771-3? If "Yes," omplete Sheule R, Prt 1 34 Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, 35 Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If "Yes" to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512()(13)? If "Yes," omplete Sheule R, Prt V, line 2.. 36 Setion 51(3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle 37 Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, 38 Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines 11 n 28 21 Di the orgniztion report more thn $5, of grnts or other ssistne to ny omesti orgniztion or government on Prt IX, olumn (A), line 1? If "Yes," omplete Sheule 1, Prts 1 n II 22 Di the orgniztion report more thn $5, of grnts or other ssistne to iniviuls in the Unite Sttes 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste 24 Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $1, s of the lst y of the yer, tht ws issue fter Deemer 31, 22? If "Yes," nswer lines 24 Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?.. Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer?.. 25 Setion 51(3) n 51(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt 1 Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 99 or 99-EZ? 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or 27 Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily memer of ny of these persons? If "Yes," omplete Sheule L, Prt III 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV.. A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV.,. 29 Di the orgniztion reeive more thn $25, in non-sh ontriutions? If "Yes," omplete Sheule M 3 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie 31 Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, 32 Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes," 33 Di the orgniztion own 1% of n entity isregre s seprte from the orgniztion uner Regultions setions 31.771-2 n 31.771-3? If "Yes," omplete Sheule R, Prt 1 34 Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, 35 Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If "Yes" to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512()(13)? If "Yes," omplete Sheule R, Prt V, line 2.. 36 Setion 51(3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle 37 Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, 38 Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines 11 n 28 21 Di the orgniztion report more thn $5, of grnts or other ssistne to ny omesti orgniztion or government on Prt IX, olumn (A), line 1? If "Yes," omplete Sheule 1, Prts 1 n II 22 Di the orgniztion report more thn $5, of grnts or other ssistne to iniviuls in the Unite Sttes 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste 24 Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $1, s of the lst y of the yer, tht ws issue fter Deemer 31, 22? If "Yes," nswer lines 24 Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?.. Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer?.. 25 Setion 51(3) n 51(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt 1 Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 99 or 99-EZ? 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or 27 Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily memer of ny of these persons? If "Yes," omplete Sheule L, Prt III 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV.. A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV.,. 29 Di the orgniztion reeive more thn $25, in non-sh ontriutions? If "Yes," omplete Sheule M 3 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie 31 Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, 32 Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes," 33 Di the orgniztion own 1% of n entity isregre s seprte from the orgniztion uner Regultions setions 31.771-2 n 31.771-3? If "Yes," omplete Sheule R, Prt 1 34 Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, 35 Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If "Yes" to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512()(13)? If "Yes," omplete Sheule R, Prt V, line 2.. 36 Setion 51(3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle 37 Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, 38 Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines 11 n 29 21 Di the orgniztion report more thn $5, of grnts or other ssistne to ny omesti orgniztion or government on Prt IX, olumn (A), line 1? If "Yes," omplete Sheule 1, Prts 1 n II 22 Di the orgniztion report more thn $5, of grnts or other ssistne to iniviuls in the Unite Sttes 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste 24 Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $1, s of the lst y of the yer, tht ws issue fter Deemer 31, 22? If "Yes," nswer lines 24 Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?.. Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer?.. 25 Setion 51(3) n 51(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt 1 Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 99 or 99-EZ? 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or 27 Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily memer of ny of these persons? If "Yes," omplete Sheule L, Prt III 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV.. A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV.,. 29 Di the orgniztion reeive more thn $25, in non-sh ontriutions? If "Yes," omplete Sheule M 3 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie 31 Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, 32 Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes," 33 Di the orgniztion own 1% of n entity isregre s seprte from the orgniztion uner Regultions setions 31.771-2 n 31.771-3? If "Yes," omplete Sheule R, Prt 1 34 Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, 35 Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If "Yes" to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512()(13)? If "Yes," omplete Sheule R, Prt V, line 2.. 36 Setion 51(3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle 37 Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, 38 Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines 11 n 3 21 Di the orgniztion report more thn $5, of grnts or other ssistne to ny omesti orgniztion or government on Prt IX, olumn (A), line 1? If "Yes," omplete Sheule 1, Prts 1 n II 22 Di the orgniztion report more thn $5, of grnts or other ssistne to iniviuls in the Unite Sttes 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste 24 Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $1, s of the lst y of the yer, tht ws issue fter Deemer 31, 22? If "Yes," nswer lines 24 Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?.. Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer?.. 25 Setion 51(3) n 51(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt 1 Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 99 or 99-EZ? 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or 27 Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily memer of ny of these persons? If "Yes," omplete Sheule L, Prt III 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV.. A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV.,. 29 Di the orgniztion reeive more thn $25, in non-sh ontriutions? If "Yes," omplete Sheule M 3 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie 31 Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, 32 Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes," 33 Di the orgniztion own 1% of n entity isregre s seprte from the orgniztion uner Regultions setions 31.771-2 n 31.771-3? If "Yes," omplete Sheule R, Prt 1 34 Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, 35 Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If "Yes" to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512()(13)? If "Yes," omplete Sheule R, Prt V, line 2.. 36 Setion 51(3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle 37 Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, 38 Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines 11 n 31 21 Di the orgniztion report more thn $5, of grnts or other ssistne to ny omesti orgniztion or government on Prt IX, olumn (A), line 1? If "Yes," omplete Sheule 1, Prts 1 n II 22 Di the orgniztion report more thn $5, of grnts or other ssistne to iniviuls in the Unite Sttes 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste 24 Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $1, s of the lst y of the yer, tht ws issue fter Deemer 31, 22? If "Yes," nswer lines 24 Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?.. Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer?.. 25 Setion 51(3) n 51(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt 1 Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 99 or 99-EZ? 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or 27 Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily memer of ny of these persons? If "Yes," omplete Sheule L, Prt III 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV.. A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV.,. 29 Di the orgniztion reeive more thn $25, in non-sh ontriutions? If "Yes," omplete Sheule M 3 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie 31 Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, 32 Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes," 33 Di the orgniztion own 1% of n entity isregre s seprte from the orgniztion uner Regultions setions 31.771-2 n 31.771-3? If "Yes," omplete Sheule R, Prt 1 34 Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, 35 Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If "Yes" to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512()(13)? If "Yes," omplete Sheule R, Prt V, line 2.. 36 Setion 51(3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle 37 Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, 38 Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines 11 n 32 21 Di the orgniztion report more thn $5, of grnts or other ssistne to ny omesti orgniztion or government on Prt IX, olumn (A), line 1? If "Yes," omplete Sheule 1, Prts 1 n II 22 Di the orgniztion report more thn $5, of grnts or other ssistne to iniviuls in the Unite Sttes 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste 24 Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $1, s of the lst y of the yer, tht ws issue fter Deemer 31, 22? If "Yes," nswer lines 24 Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?.. Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer?.. 25 Setion 51(3) n 51(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt 1 Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 99 or 99-EZ? 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or 27 Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily memer of ny of these persons? If "Yes," omplete Sheule L, Prt III 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV.. A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV.,. 29 Di the orgniztion reeive more thn $25, in non-sh ontriutions? If "Yes," omplete Sheule M 3 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie 31 Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, 32 Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes," 33 Di the orgniztion own 1% of n entity isregre s seprte from the orgniztion uner Regultions setions 31.771-2 n 31.771-3? If "Yes," omplete Sheule R, Prt 1 34 Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, 35 Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If "Yes" to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512()(13)? If "Yes," omplete Sheule R, Prt V, line 2.. 36 Setion 51(3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle 37 Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, 38 Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines 11 n 33 21 Di the orgniztion report more thn $5, of grnts or other ssistne to ny omesti orgniztion or government on Prt IX, olumn (A), line 1? If "Yes," omplete Sheule 1, Prts 1 n II 22 Di the orgniztion report more thn $5, of grnts or other ssistne to iniviuls in the Unite Sttes 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste 24 Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $1, s of the lst y of the yer, tht ws issue fter Deemer 31, 22? If "Yes," nswer lines 24 Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?.. Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer?.. 25 Setion 51(3) n 51(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt 1 Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 99 or 99-EZ? 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or 27 Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily memer of ny of these persons? If "Yes," omplete Sheule L, Prt III 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV.. A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV.,. 29 Di the orgniztion reeive more thn $25, in non-sh ontriutions? If "Yes," omplete Sheule M 3 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie 31 Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, 32 Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes," 33 Di the orgniztion own 1% of n entity isregre s seprte from the orgniztion uner Regultions setions 31.771-2 n 31.771-3? If "Yes," omplete Sheule R, Prt 1 34 Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, 35 Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If "Yes" to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512()(13)? If "Yes," omplete Sheule R, Prt V, line 2.. 36 Setion 51(3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle 37 Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, 38 Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines 11 n 34 21 Di the orgniztion report more thn $5, of grnts or other ssistne to ny omesti orgniztion or government on Prt IX, olumn (A), line 1? If "Yes," omplete Sheule 1, Prts 1 n II 22 Di the orgniztion report more thn $5, of grnts or other ssistne to iniviuls in the Unite Sttes 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste 24 Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $1, s of the lst y of the yer, tht ws issue fter Deemer 31, 22? If "Yes," nswer lines 24 Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?.. Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer?.. 25 Setion 51(3) n 51(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt 1 Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 99 or 99-EZ? 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or 27 Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily memer of ny of these persons? If "Yes," omplete Sheule L, Prt III 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV.. A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV.,. 29 Di the orgniztion reeive more thn $25, in non-sh ontriutions? If "Yes," omplete Sheule M 3 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie 31 Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, 32 Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes," 33 Di the orgniztion own 1% of n entity isregre s seprte from the orgniztion uner Regultions setions 31.771-2 n 31.771-3? If "Yes," omplete Sheule R, Prt 1 34 Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, 35 Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If "Yes" to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512()(13)? If "Yes," omplete Sheule R, Prt V, line 2.. 36 Setion 51(3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle 37 Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, 38 Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines 11 n 35 21 Di the orgniztion report more thn $5, of grnts or other ssistne to ny omesti orgniztion or government on Prt IX, olumn (A), line 1? If "Yes," omplete Sheule 1, Prts 1 n II 22 Di the orgniztion report more thn $5, of grnts or other ssistne to iniviuls in the Unite Sttes 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste 24 Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $1, s of the lst y of the yer, tht ws issue fter Deemer 31, 22? If "Yes," nswer lines 24 Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?.. Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer?.. 25 Setion 51(3) n 51(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt 1 Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 99 or 99-EZ? 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or 27 Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily memer of ny of these persons? If "Yes," omplete Sheule L, Prt III 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV.. A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV.,. 29 Di the orgniztion reeive more thn $25, in non-sh ontriutions? If "Yes," omplete Sheule M 3 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie 31 Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, 32 Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes," 33 Di the orgniztion own 1% of n entity isregre s seprte from the orgniztion uner Regultions setions 31.771-2 n 31.771-3? If "Yes," omplete Sheule R, Prt 1 34 Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, 35 Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If "Yes" to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512()(13)? If "Yes," omplete Sheule R, Prt V, line 2.. 36 Setion 51(3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle 37 Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, 38 Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines 11 n 35 21 Di the orgniztion report more thn $5, of grnts or other ssistne to ny omesti orgniztion or government on Prt IX, olumn (A), line 1? If "Yes," omplete Sheule 1, Prts 1 n II 22 Di the orgniztion report more thn $5, of grnts or other ssistne to iniviuls in the Unite Sttes 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste 24 Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $1, s of the lst y of the yer, tht ws issue fter Deemer 31, 22? If "Yes," nswer lines 24 Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?.. Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer?.. 25 Setion 51(3) n 51(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt 1 Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 99 or 99-EZ? 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or 27 Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily memer of ny of these persons? If "Yes," omplete Sheule L, Prt III 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV.. A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV.,. 29 Di the orgniztion reeive more thn $25, in non-sh ontriutions? If "Yes," omplete Sheule M 3 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie 31 Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, 32 Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes," 33 Di the orgniztion own 1% of n entity isregre s seprte from the orgniztion uner Regultions setions 31.771-2 n 31.771-3? If "Yes," omplete Sheule R, Prt 1 34 Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, 35 Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If "Yes" to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512()(13)? If "Yes," omplete Sheule R, Prt V, line 2.. 36 Setion 51(3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle 37 Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, 38 Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines 11 n 36 21 Di the orgniztion report more thn $5, of grnts or other ssistne to ny omesti orgniztion or government on Prt IX, olumn (A), line 1? If "Yes," omplete Sheule 1, Prts 1 n II 22 Di the orgniztion report more thn $5, of grnts or other ssistne to iniviuls in the Unite Sttes 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste 24 Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $1, s of the lst y of the yer, tht ws issue fter Deemer 31, 22? If "Yes," nswer lines 24 Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?.. Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer?.. 25 Setion 51(3) n 51(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt 1 Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 99 or 99-EZ? 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or 27 Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily memer of ny of these persons? If "Yes," omplete Sheule L, Prt III 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV.. A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV.,. 29 Di the orgniztion reeive more thn $25, in non-sh ontriutions? If "Yes," omplete Sheule M 3 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie 31 Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, 32 Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes," 33 Di the orgniztion own 1% of n entity isregre s seprte from the orgniztion uner Regultions setions 31.771-2 n 31.771-3? If "Yes," omplete Sheule R, Prt 1 34 Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, 35 Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If "Yes" to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512()(13)? If "Yes," omplete Sheule R, Prt V, line 2.. 36 Setion 51(3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle 37 Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, 38 Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines 11 n 37 21 Di the orgniztion report more thn $5, of grnts or other ssistne to ny omesti orgniztion or government on Prt IX, olumn (A), line 1? If "Yes," omplete Sheule 1, Prts 1 n II 22 Di the orgniztion report more thn $5, of grnts or other ssistne to iniviuls in the Unite Sttes 23 Di the orgniztion nswer "Yes" to Prt VII, Setion A, line 3, 4, or 5 out ompenstion of the orgniztion's urrent n former offiers, iretors, trustees, key employees, n highest ompenste 24 Di the orgniztion hve tx-exempt on issue with n outstning prinipl mount of more thn $1, s of the lst y of the yer, tht ws issue fter Deemer 31, 22? If "Yes," nswer lines 24 Di the orgniztion invest ny proees of tx-exempt ons eyon temporry perio exeption?.. Di the orgniztion mintin n esrow ount other thn refuning esrow t ny time uring the yer Di the orgniztion t s n "on ehlf of" issuer for ons outstning t ny time uring the yer?.. 25 Setion 51(3) n 51(4) orgniztions. Di the orgniztion engge in n exess enefit trnstion with isqulifie person uring the yer? If "Yes," omplete Sheule L, Prt 1 Is the orgniztion wre tht it engge in n exess enefit trnstion with isqulifie person in prior yer, n tht the trnstion hs not een reporte on ny of the orgniztion's prior Forms 99 or 99-EZ? 26 Di the orgniztion report ny mount on Prt X, line 5, 6, or 22 for reeivles from or pyles to ny urrent or former offiers, iretors, trustees, key employees, highest ompenste employees, or 27 Di the orgniztion provie grnt or other ssistne to n offier, iretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 35% ontrolle entity or fmily memer of ny of these persons? If "Yes," omplete Sheule L, Prt III 28 Ws the orgniztion prty to usiness trnstion with one of the following prties (see Sheule L, Prt IV instrutions for pplile filing threshols, onitions, n exeptions): A urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete Sheule L, Prt IV.. A fmily memer of urrent or former offier, iretor, trustee, or key employee? If "Yes," omplete An entity of whih urrent or former offier, iretor, trustee, or key employee (or fmily memer thereof) ws n offier, iretor, trustee, or iret or iniret owner? If "Yes," omplete Sheule L, Prt IV.,. 29 Di the orgniztion reeive more thn $25, in non-sh ontriutions? If "Yes," omplete Sheule M 3 Di the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulifie 31 Di the orgniztion liquite, terminte, or issolve n ese opertions? If "Yes," omplete Sheule N, 32 Di the orgniztion sell, exhnge, ispose of, or trnsfer more thn 25% of its net ssets? If "Yes," 33 Di the orgniztion own 1% of n entity isregre s seprte from the orgniztion uner Regultions setions 31.771-2 n 31.771-3? If "Yes," omplete Sheule R, Prt 1 34 Ws the orgniztion relte to ny tx-exempt or txle entity? If "Yes," omplete Sheule R, Prt II, III, 35 Di the orgniztion hve ontrolle entity within the mening of setion 512()(13)? If "Yes" to line 35, i the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolle entity within the mening of setion 512()(13)? If "Yes," omplete Sheule R, Prt V, line 2.. 36 Setion 51(3) orgniztions. Di the orgniztion mke ny trnsfers to n exempt non-hritle 37 Di the orgniztion onut more thn 5% of its tivities through n entity tht is not relte orgniztion n tht is trete s prtnership for feerl inome tx purposes? If "Yes," omplete Sheule R, 38 Di the orgniztion omplete Sheule O n provie explntions in Sheule O for Prt VI, lines 11 n 38 Form 99 (213) 36215 9:52:57 AM 4 213 Return Girl Souts of Greter Chigo n
Form 99(213) PrtV 1 2 3 4 5 6 1 11 12 13 14 Sttements Regring Other IRS Filings n Tx Compline Chek if Sheule O ontins response or note to ny line in this Prt V Yes No Enter the numer reporte in Box 3 of Form 196. Enter -- if not pplile Enter the numer of Forms W-2G inlue in line 1. Enter -- if not pplile........ 1 1 Di the orgniztion omply with kup withholing rules for reportle pyments to venors n reportle gming (gmling) winnings to prize winners? Enter the numer of employees reporte on Form W-3, Trnsmittl of Wge n Tx Sttements, file for the lenr yer ening with or within the yer overe y this return 2 397 If t lest one is reporte on line 2, i the orgniztion file il require feerl employment tx returns?. Note. If the sum of lines 1 n 2 is greter thn 25, you my e require to e-file (see instrutions).. Di the orgniztion hve unrelte usiness gross inome of $1, or more uring the yer?.... If "Yes," hs it file Form 99-T for this yer? If "No" to line 3, provie n explntion in Sheule O.. At ny time uring the lenr yer, i the orgniztion hve n interest in, or signture or other uthority over, finnil ount in foreign ountry (suh s nk ount, seurities ount, or other finnil ount)? If "Yes," enter the nme of the foreign ountry: See instrutions for filing requirements for Form TD F 9-22.1, Report of Foreign Bnk n Finnil Aounts. Ws the orgniztion prty to prohiite tx shelter trnstion t ny time uring the tx yer?... Di ny txle prty notify the orgniztion tht it ws or is prty to prohiite tx shelter trnstion? If "Yes" to line 5 or 5, i the orgniztion file Form 8886-T? Does the orgniztion hve nnul gross reeipts tht re normlly greter thn $1,, n i the orgniztion soliit ny ontriutions tht were not tx eutile s hritle ontriutions? If "Yes," i the orgniztion inlue with every soliittion n express sttement tht suh ontriutions or gifts were not tx eutile? Orgniztions tht my reeive eutile ontriutions uner setion 17. Di the orgniztion reeive pyment in exess of $75 me prtly s ontriution n prtly for goos n servies provie to the pyor? If "Yes," i the orgniztion notify the onor of the vlue of the goos or servies provie? Di the orgniztion sell, exhnge, or otherwise ispose of tngile personl property for whih it ws require to file Form 8282? If "Yes," inite the numer of Forms 8282 file uring the yer I 7 Di the orgniztion reeive ny funs, iretly or iniretly, to py premiums on personl enefit ontrt? Di the orgniztion, uring the yer, py premiums, iretly or iniretly, on personl enefit ontrt?. If the orgniztion reeive ontriution of qulifie intelletul property, i the orgniztion file Form 8899 s require? If the orgniztion reeive ontriution of rs, ots, irplnes, or other vehiles, i the orgniztion file Form 198-C? Sponsoring orgniztions mintining onor vise funs n setion 59(3) supporting orgniztions. Di the supporting orgniztion, or onor vise fun mintine y sponsoring orgniztion, hve exess usiness holings t ny time uring the yer? Sponsoring orgniztions mintining onor vise funs. Di the orgniztion mke ny txle istriutions uner setion 4966? Di the orgniztion mke istriution to onor, onor visor, or relte person? Setion 51(7) orgniztions. Enter: Initition fees n pitl ontriutions inlue on Prt VIII, line 12 1 Gross reeipts, inlue on Form 99, Prt VIII, line 12, for puli use of lu filities. 11 Setion 51(12) orgniztions. Enter: Gross inome from memers or shreholers 11 Gross inome from other soures (Do not net mounts ue or pi to other soures ginst mounts ue or reeive from them.) 11 Setion 4947(1) non-exempt hritle trusts. Is the orgniztion filing Form 99 in lieu of Form 141? If "Yes," enter the mount of tx-exempt interest reeive or rue uring the yer.. 112 Setion 51(29) qulifie nonprofit helth insurne issuers. Is the orgniztion liense to issue qulifie helth plns in more thn one stte? Note. See the instrutions for itionl informtion the orgniztion must report on Sheule O. Enter the mount of reserves the orgniztion is require to mintin y the sttes in whih the orgniztion is liense to issue qulifie helth plns 13 Enter the mount of reserves on hn 13 Di the orgniztion reeive ny pyments for inoor tnning servies uring the tx yer? If "Yes," hs it file Form 72 to report these pyments? If "No," provie n explntion in Sheule O 36215 9:52:57 AM 1 2 3 3 4 5 5 5 6 6 7 7 7 7e 7f 7g 7h 9 9 12 13 14 14 Pge 5 Form 99 (213) 213 Return Girl Souts of Greter Chigo n
Form 99(213) Prt VI Governne, Mngement, n Dislosure For eh "Yes" response to lines 2 through 7 elow, n for "No" response to line 8, 8, or 1 elow, esrie the irumstnes, proesses, or hnges in Sheule. See instrutions. Chek if Sheule O ontins response or note to ny line in this Prt VI Setion A. Governing Boy n Mngement 1 4 5 6 7 Enter the numer of voting memers of the governing oy t the en of the tx yer.. 1 3 If there re mteril ifferenes in voting rights mong memers of the governing oy, or if the governing oy elegte ro uthority to n exeutive ommittee or similr ommittee, explin in Sheule O. Enter the numer of voting memers inlue in line 1, ove, who re inepenent 1 3 Di ny offier, iretor, trustee, or key employee hve fmily reltionship or usiness reltionship with ny other offier, iretor, trustee, or key employee? Di the orgniztion elegte ontrol over mngement uties ustomrily performe y or uner the iret supervision of offiers, iretors, or trustees, or key employees to mngement ompny or other person? Di the orgniztion mke ny signifint hnges to its governing ouments sine the prior Form 99 ws file? Di the orgniztion eome wre uring the yer of signifint iversion of the orgniztion's ssets?. Di the orgniztion hve memers or stokholers? Di the orgniztion hve memers, stokholers, or other persons who h the power to elet or ppoint one or more memers of the governing oy? Are ny governne eisions of the orgniztion reserve to (or sujet to pprovl y) memers, stokholers, or persons other thn the governing oy? Di the orgniztion ontemporneously oument the meetings hel or written tions unertken uring the yer y the following: The governing oy? Eh ommittee with uthority to t on ehlf of the governing oy? Is there ny offier, iretor, trustee, or key employee liste in Prt VII, Setion A, who nnot e rehe t the orgniztion's miling ress? If "Yes," provie the nmes n resses in Sheule O Setion B. Poliies (This Setion B requests informtion out poliies not require y the Internl Revenue Coe.) Yes No 1 11 12 13 14 15 16 Di the orgniztion hve lol hpters, rnhes, or ffilites? If "Yes," i the orgniztion hve written poliies n proeures governing the tivities of suh hpters, ffilites, n rnhes to ensure their opertions re onsistent with the orgniztion's exempt purposes? Hs the orgniztion provie omplete opy of this Form 99 to ll memers of its governing oy efore filing the form? Desrie in Sheule O the proess, if ny, use y the orgniztion to review this Form 99. Di the orgniztion hve written onflit of interest poliy? If "No,"go to line 13 Were offiers, iretors, or trustees, n key employees require to islose nnully interests tht oul give rise to onflits? Di the orgniztion regulrly n onsistently monitor n enfore ompline with the poliy? If "Yes," esrie in Sheule O how this ws one Di the orgniztion hve written whistlelower poliy? Di the orgniztion hve written oument retention n estrution poliy? Di the proess for etermining ompenstion of the following persons inlue review n pprovl y inepenent persons, omprility t, n ontemporneous sustntition of the eliertion n eision? The orgniztion's CEO, Exeutive Diretor, or top mngement offiil Other offiers or key employees of the orgniztion If "Yes" to line 15 or 15, esrie the proess in Sheule O (see instrutions). Di the orgniztion invest in, ontriute ssets to, or prtiipte in joint venture or similr rrngement with txle entity uring the yer? If "Yes," i the orgniztion follow written poliy or proeure requiring the orgniztion to evlute its prtiiption in joint venture rrngements uner pplile feerl tx lw, n tke steps to sfegur the orgniztion's exempt sttus with respet to suh rrngements? Setion C. Dislosure 17 List the sttes with whih opy of this Form 99 is require to e file _[L,J_N 18 Setion 614 requires n orgniztion to mke its Forms 123 (or 124 if pplile), 99, n 99-t (Setion 5T(3)s only) ville for puli inspetion. Inite how you me these ville. Chek ll tht pply. Own wesite Another's wesite Upon request Other (explin in Sheule O) 19 Desrie in Sheule O whether (n if so, how) the orgniztion me its governing ouments, onflit of interest poliy, n finnil sttements ville to the puli uring the tx yer. 2 Stte the nme, physil ress, n telephone numer of the person who possesses the ooks n reors of the orgniztion: CHRISTA OJEDA, 2 SOUTH CLARK, SUITE 2, CHICAGO, IL 663, (312)912-6348, FAX: (312)75-718 36215 9:52:57 AM 7 7 8 8 1 1 11 12 12 12 13 14 15 15 16 16 Yes Pge 6 Form 99(213) 213 Return Girl Souts of Greter Chigo n No B
Form 99 (213) Prt VII Compenstion of Offiers, Diretors, Trustees, Key Employees, Highest Compenste Employees, n Inepenent Contrtors Chek if Sheule O ontins response or note to ny line in this Prt VII Setion A. Offiers, Diretors, Trustees, Key Employees, n Highest Compenste Employees 1 Complete this tle for ll persons require to e liste. Report ompenstion for the lenr yer ening with or within the orgniztion's tx yer. List ll of the orgniztion's urrent offiers, iretors, trustees (whether iniviuls or orgniztions), regrless of mount of ompenstion. Enter -- in olumns (D), (E), n (F) if no ompenstion ws pi. List ll of the orgniztion's urrent key employees, if ny. See instrutions for efinition of "key employee." List the orgniztion's five urrent highest ompenste employees (other thn n offier, iretor, trustee, or key employee) who reeive reportle ompenstion (Box 5 of Form W-2 nor Box 7 of Form 199-MISC) of more thn $1, from the orgniztion n ny relte orgniztions. List ll of the orgniztion's former offiers, key employees, n highest ompenste employees who reeive more thn $1, of reportle ompenstion from the orgniztion n ny relte orgniztions. List ll of the orgniztion's former iretors or trustees tht reeive, in the pity s former iretor or trustee of the orgniztion, more thn $1, of reportle ompenstion from the orgniztion n ny relte orgniztions. List persons in the following orer: iniviul trustees or iretors; institutionl trustees; offiers; key employees; highest ompenste employees; n former suh persons. Pge 7 (A) Nme n Title (B) Averge hours per week (list ny hours for relte orgniztions elow otte line) (C) Position (o not hek more thn one ox, unless person is oth n offier n iretortrustee) Iniviul trustee or iretor Institutionl trustee Offier Key employee Highest ompenste employee Former (D) (E) Reportle Reportle ompenstion ompenstion from from relte the orgniztions orgniztion (W-2199-MISC) (W-2199-MISC) (F) Estimte mount of other ompenstion from the orgniztion n relte orgniztions (1) KAREN LAYNG 5 PRESIDENT (2) KATHY SCHERER 2 TREASURER (3) MARYANN WARYJAS 1 1ST VICE PRESIDENT (4) MONICA WEED 1 2ND VICE PRESIDENT (5) ANN MCALOON 1 SECRETARY (6) CHRISTINE MONTENEGRO MCGRATH 3RD VICE PRESIDENT (7) MAUREEN BEAL 1 MEMBER-AT-LARGE (8) CHERYL PEARSON-MCNEIL 1 MEMBER-AT-LARGE (9) JOSEPHINE BAHL 1 MEMBER-AT-LARGE (1) TAMARA MEYER 1 MEMBER-AT-LARGE (11) KAREN ENG 1 MEMBER-AT-LARGE-EXITING (12) CHERYL BEEBE 1 MEMBER-AT-LARGE (13) JEANNE REYNOLDS 1 MEMBER-AT-LARGE-EXITING (14) CARLA MICHELOTTI 1 MEMBER-AT-LARGE Form 99 (213) 36215 9:52:57 AM 7 213 Return Girl Souts of Greter Chigo n
Form 99(213) Pge 8 Prt VII (A) Nme n title (B) Averge hours per week (list ny hours for relte orgniztions elow otte line) (C) Position (o not hek more thn one ox, unless person is oth n offier n iretortrustee) Iniviul trustee or iretor Institutionl trustee Offier Key employee Highest ompenste employee Former (D) (E) Reportle Reportle ompenstion ompenstion from from relte the orgniztions orgniztion (W-2199-MISC) (W-2199-MISC) (F) Estimte mount of other ompenstion from the orgniztion n relte orgniztions (15)GENEIVEIVE THIERS 1 MEMBER-AT-LARGE-EXITING (16) JAMES DIMITRIOU 1 MEMBER-AT-LARGE (17) MARYANN MCNALLY 1 MEMBER-AT-LARGE (18) KAREN SCHILLINGS 1 MEMBER-AT-LARGE (19) JANET GIBBS 1 MEMBER-AT-LARGE-EXITING (2) PHYLLIS COCHRAN 1 MEMBER-AT-LARGE (21) SCOTT SAUNDERS 1 MEMBER-AT-LARGE (22) VIOLET SISTOVARIS 1 MEMBER-AT-LARGE (23) AMY BEST 1 MEMBER-AT-LARGE (24) MARLENA PELEO-LAZAR 1 MEMBER-AT-LARGE-EXITING (25) MAUREEN JAMROCK 1 MEMBER-AT-LARGE Totl from ontinution sheets to Prt VII, Setion A 1,25,264 12,48 1,25,264 12,48 2 Totl numer of iniviuls (inluing ut not limite to those liste ove) who reeive more thn $1, of reportle ompenstion from the orgniztion 6 Di the orgniztion list ny former offier, iretor, or trustee, key employee, or highest ompenste employee on line 1? If "Yes," omplete Sheule J for suh iniviul For ny iniviul liste on line 1, is the sum of reportle ompenstion n other ompenstion from the orgniztion n relte orgniztions greter thn $15,? If "Yes," omplete Sheule J for suh iniviul Di ny person liste on line 1 reeive or rue ompenstion from ny unrelte orgniztion or iniviul for servies renere to the orgniztion? If "Yes," omplete Sheule J for suh person Setion B. Inepenent Contrtors Complete this tle for your five highest ompenste inepenent ontrtors tht reeive more thn $1, of ompenstion from the orgniztion. Report ompenstion for the lenr yer ening with or within the orgniztion's tx Yes No (A) Nme n usiness ress (B) Desription of servies (C) Compenstion NONE 2 Totl numer of inepenent ontrtors (inluing ut not limite to those liste ove) who reeive more thn $1, of ompenstion from the orgniztion o 7 : - I 5 36215 9:52:57 AM 213 Return Girl Souts of Greter Chigo n
Form 99(213) Pge 9 s, Gifts, G imilr Ami ion rsi Contri n Sttement of Revenue Chek if Sheule O ontins response or note to ny line in this Prt VIII. (A) Totl revenue (B) Relte or exempt funtion revenue 1 Feerte mpigns... 1 158,233 II i Memership ues. 1 Funrising events. 1 729,392 Relte orgniztions... 1 e Government grnts (ontriutions) 1e 11,946 f All other ontriutions, gifts, grnts, S3 n similr mounts not inlue ove 1f 1,24,578 g ontriutions inlue in lines 1-1f: $ 17,29 h Totl. A lines 1-1f....... 2,14,149 <D Business Coe C > 2 PROGRAM FEES 999 1,464,543 1,464,543 (C) Unrelte usiness revenue Revenue exlue from tx uner setions 512-514 CC SPONSORSHIPS 999 14,421 14,421 <u e f All other progrm servie revenue.. g Totl. A lines 2-2f....... 1,478,964 -:-" v.. - : : - - :' 3 Investment inome Inluing iviens, interest, n other similr mounts)..... 122,42 122,42 igrm Serv 4 Inome from investment of tx-exempt on proees 5.... (i) Rel (ii) l 6 Gross rents.. Less: rentl expenses Rentl inome or (loss) Net rentl inome or.... 7 Gross mount from sles of (i) Seurities (ii) Other ssets other thn inventory 4,19,321 39, Less: ost or other sis n sles expenses. 3,926,634 35,937 Gin or (loss).. 182,687 39,63 Net gin or (loss).... 221,75 221,75 3 C ) > CC k. ) o 8 Gross inome from funrising events (not inluing $ 729,392 of ontriutions reporte on line 1). See Prt IV, line 18. 65,58 Less: iret expenses... 165,576 Net inome or (loss) from funrising events. -99,996-99,996 9 Gross inome from gming tivities. See Prt IV, line 19. Less: iret expenses... Net inome or (loss) from gming tivities.. 1 Gross sles of inventory, less returns n llownes.. 21,17,634 Less: ost of goos sol.. 9,482,8 Net inome or (loss) from sles of inventory.. 11,535,157 11,535,157 Misellneous Revenue Business Coe 11 INSURANCE CLAIMS 999 11,393 11,393 FARMING INCOME 999 8,435 8,435 OTHER 999 2,447 2,447 All other revenue. e Totl. A lines 11-11...... 4,275 12 Totl revenue. See instrutions..... 15,438,341 12,999,7 8,435 29,57 Form 99 (213) 36215 9-52-57 AM 9 213 Return Girl Souts of Greter Chigo
Form 99 (213) Prt IX Sttement of Funtionl Expenses Setion 51(3) n 51(4) orgniztions must omplete ll olumns. All other orgniztions must omplete olumn (A). Chek if Sheule O ontins response or note to ny line in this Prt IX Do not inlue mounts reporte on lines 6, 7, 8, 9, n 1 of Prt VIII. 1 Grnts n other ssistne to governments n orgniztions in the Unite Sttes. See Prt IV, line 21 2 Grnts n other ssistne to iniviuls in the Unite Sttes. See Prt IV, line 22... 3 Grnts n other ssistne to governments, orgniztions, n iniviuls outsie the Unite Sttes. See Prt IV, lines 15 n 16.. 4 Benefits pi to or for memers.... 5 Compenstion of urrent offiers, iretors, trustees, n key employees (A) Totl expenses (B) Progrm servie expenses (C) Mngement n generl expenses (D) Funrising expenses Pge 1 6 Compenstion not inlue ove, to isqulifie persons (s efine uner setion 4958(f)(1)) n persons esrie in setion 4958(3)(B).. 6,213,673 5,388,779 524,626 3,268 29,553 29,553 634,47 164,152 244,957 225,298 8 Pension pln ruls n ontriutions (inlue setion 41 (k) n 43() employer ontriutions) 1,67,21 892,215 15,299 69,696 898,62 778,83 84,437 34,795 623,125 512,423 7,296 4,46 11 Fees for servies (non-employees): 6,16 6,16 44,49 431 44,59 e Professionl funrising servies. See Prt IV, line 17 f Investment mngement fees g Other. (If line 11 g mount exees 1% of line 25, olumn (A) mount, list line 11 g expenses on Sheule.).. 56,836 366,946 147,158 46,732 545,78 295,99 129,65 12,914 55,515 18,55 18,55 18,55 1,968,364 1,964,413 3,116 835 45,21 394,81 6,6-4,88 18 Pyments of trvel or entertinment expenses for ny feerl, stte, or lol puli offiils 19 Conferenes, onventions, n meetings. 92,757 61,253 15,148 16,356 14,589 122,316 11,711 6,562 22 Depreition, epletion, n mortiztion. 1,45,137 97,985 74,152 391,28 336,51 35,215 19,564 24 Other expenses. Itemize expenses not overe ove (List misellneous expenses in line 24e. If line 24e mount exees 1% of line 25, olumn (A) mount, list line 24e expenses on Sheule O.) SUPPLIES 813,555 8,725 7,646 5,184 PRINT & PUBLICATIONS 227,627 214,86 1,833 1,934 C BAD DEBT 279,656 24,778 24,993 13,885 e All other expenses (27,344) 33,97 (6,81) 369 25 Totl funtionl expenses. A lines 1 through 24e 16,194,751 13,765,942 1,493,626 935,183 26 Joint osts. Complete this line only if the orgniztion reporte in olumn (B) joint osts from omine eutionl mpign n funrising soliittion. Chek here if following SOP 98-2 (ASC 958-72).... 36215 9:52:57 AM 1 213 Return Girl Souts of Greter Chigo n
Form 99 (213) Pge 11 Blne Sheet Chek UI ICOI\ if II OUI Sheule ICUUIC W O UUI ontins li\\ lo 1 response o p u i IOC or UI note I IVJL^ to IU ny *i ly line III iu in II this i1.1 II^J Prt i X (A) Beginning of yer (B) En of yer 985,535 1 1,279,765 2,229,48 2 1,543,843 436,592 3 48,59 5 Lons n other reeivles from urrent n former offiers, iretors, trustees, key employees, n highest ompenste employees. 2,852 4 3,226 5 Assets 6 Lons n other reeivles from other isqulifie persons (s efine uner setion 4958(f)(1)), persons esrie in setion 4958(3)(B), n ontriuting employers n sponsoring orgniztions of setion 51(9) voluntry employees' enefiiry orgniztions (see instrutions). Complete Prt II of Sheule L " 6 7 589,969 8 618,261 1 Ln, uilings, n equipment: ost or other sis. Complete Prt VI of Sheule D 36,21 9 373,27 1 36,547,195 Less: umulte epreition.... 1 22,53,791 14,89,157 1 14,43,44 11 Investments pulily tre seurities.. 1,844,92 11 1,61,963 12 Investments other seurities. See Prt IV, line 11 12 13 Investments progrm-relte. See Prt IV, line 11 13 14 343,194 15 15,663 16 Totl ssets. A lines 1 through 1 5 (must equl line 34) 3,547,63 16 29,22,94 17 Aounts pyle n rue expenses 1,421,758 17 1,124,82 18 Liilities 21 Esrow or ustoil ount liility. Complete Prt IV of Sheule D. 22 Lons n other pyles to urrent n former offiers, iretors, trustees, key employees, highest ompenste employees, n isqulifie persons. Complete Prt II of Sheule L 23 Seure mortgges n notes pyle to unrelte thir prties.. 24 Unseure notes n lons pyle to unrelte thir prties... 25 Other liilities (inluing feerl inome tx, pyles to relte thir prties, n other liilities not inlue on lines 17-24). Complete Prt X 194,98 25 322,53 19 58,377 2 21 22 2,76,936 23 2,633,873 5, 24 35,788 Net Assets or Fun Blnes Orgniztions tht follow SFAS 117 (ASC 958), hek here H n omplete lines 27 through 29, n lines 33 n 34. Orgniztions tht o not follow SFAS 117 (ASC 958), hek here n omplete lines 3 through 34. 3 Cpitl stok or trust prinipl, or urrent funs 3 31 Pi-in or pitl surplus, or ln, uiling, or equipment fun... 31 32 Retine ernings, enowment, umulte inome, or other funs. 32 5,2,24 26 4,32,858 23,982,5 27 23,765,547 1,224,364 28 813,442 141,57 29 141,57 25,347,426 33 24,72,46 34 Totl liilities n net ssetsfun lnes 3,547,63 34 29,22,94 Form 99(213) 36215 9:52:57 AM 11 213 Return Girl Souts of Greter Chigo n
Form 99 (213) Prt XI Reonilition of Net Assets Chek if Sheule O ontins response or note to ny line in this Prt XI 1 Totl revenue (must equl Prt VIII, olumn (A), line 12) 2 Totl expenses (must equl Prt IX, olumn (A), line 25) 3 Revenue less expenses. Sutrt line 2 from line 1 4 Net ssets or fun lnes t eginning of yer (must equl Prt X, line 33, olumn (A))... 5 Net unrelize gins (losses) on investments 6 Donte servies n use of filities 7 Investment expenses 8 Prior perio justments 9 Other hnges in net ssets or fun lnes (explin in Sheule O) 1 Net ssets or fun lnes t en of yer. Comine lines 3 through 9 (must equl Prt X, line 33, olumn (F3)) Prt XII Finnil Sttements n Reporting Chek if Sheule O ontins response or note to ny line in this Prt XII 1 Aounting metho use to prepre the Form 99: Csh Arul Other _ If the orgniztion hnge its metho of ounting from prior yer or heke "Other," explin in Sheule O. 2 Were the orgniztion's finnil sttements ompile or reviewe y n inepenent ountnt?... If "Yes," hek ox elow to inite whether the finnil sttements for the yer were ompile or reviewe on seprte sis, onsolite sis, or oth: Seprte sis Consolite sis Both onsolite n seprte sis Were the orgniztion's finnil sttements uite y n inepenent ountnt? If "Yes," hek ox elow to inite whether the finnil sttements for the yer were uite on seprte sis, onsolite sis, or oth: 3 Seprte sis Consolite sis Both onsolite n seprte sis If "Yes" to line 2 or 2, oes the orgniztion hve ommittee tht ssumes responsiility for oversight of the uit, review, or ompiltion of its finnil sttements n seletion of n inepenent ountnt? If the orgniztion hnge either its oversight proess or seletion proess uring the tx yer, explin in Sheule O. As result of feerl wr, ws the orgniztion require to unergo n uit or uits s set forth in the Single Auit At n OMB Cirulr A-133? If "Yes," i the orgniztion unergo the require uit or uits? If the orgniztion i not unergo the require uit or uits, explin why in Sheule O n esrie ny steps tken to unergo suh uits. 1 2 2 2 3 3 Pge 12 15,438,341 16,194,751-756,41 25,347,426 129,3 24,72,46 Yes No Form 99(213) 36215 9:52:57 AM 12 213 Return Girl Souts of Greter Chigo n
Setion A. Offiers, Diretors, Trustees, Key Employees, n Highest Compenste Employees (ontinue) (A) Nme n Title (B) Averge hours per week (list ny hours for relte orgniztions elow otte line) Iniviul trustee or iretor (C) Position (CheK ll tht pply) Institutionl trustee Offier Key employee Highest ompenste employee Former (D) Reportle ompenstion from the orgniztion (W-2199-MISC) (E) Reportle ompenstion from relte orgniztions (W-2199-MISC) (F) Estimte mount of other ompenstion from the orgniztion n relte orgniztions (26) EILEEN SWEENEY MEMBER-AT-LARGE-EXITING (27) SIDNEY DILLARD 1 MEMBER-AT-LARGE (28) JOLANTA GAL 1 MEMBER-AT-LARGE (29) DUKE ALDEN 1 MEMBER-AT-LARGE (3) TASHA BROWN 1 MEMBER-AT-LARGE (31) JENNIFER EVANS 1 MEMBER-AT-LARGE (32) KEVIN MCDONNELL 1 MEMBER-AT-LARGE (33) JENNIFER MIKULINA 1 MEMBER-AT-LARGE (34) MELISSA PRESTON MEMBER-AT-LARGE (35) RACHEL PORTELL 1 MEMBER-AT-LARGE (36) KIMBERLY REOME 1 MEMBER-AT-LARGE (37) MARIA WYNNE 38 CHIEF EXECUTIVE OFFICER (38) CHRISTA OJEDA 38 CHIEF FINANCIAL OFFICER (39) JANET NEUBERT 38 CHIEF OPERATING OFFICER (4) NANCY WRIGHT 38 CHIEF EXECUTIVE OFFICER (41) BRYN REESE 38 CHIEF DEVELOPMENT OFFICER (42) KATHRYN MLSNA 38 CHIEF STRATEGYINTEGRATIONS (43) JENNIFER FREDRICKS 38 VICE PRESIDENT, PRODUCT PROGRAMS (44) PATRICIA FAY 38 VICE PRESIDENT, HUMAN RESOURCES V 323,118 15,12 66,13 8,259 132,541 11,249 156,557 19,72 129,465 15,137 113,488 13,459 13,965 19,752 VB215 9-52-57 AM 13 213 Return Girl Souts of Greter Chigo n 36215 9.5A57 AM
SCHEDULE A (Form 99 or 99-EZ) Deprtment of the Tresury Internl Revenue Servie Puli Chrity Sttus n Puli Support Complete if the orgniztion is setion 51(3) orgniztion or setion 4947(1) nonexempt hritle trust. Atth to Form 99 or Form 99-EZ. Open to Puli Informtion out Sheule A (Form 99 or 99-EZ) n its instrutions is t www.irs.govform99. Inspetion Nme of the orgniztion Employer ientifition numer Prti Reson for Puli Chrity Sttus (All orgniztions must omplete this prt.) See instrutions. The orgniztion is not privte fountion euse it is: (For lines 1 through 11, hek only one ox.) A hurh, onvention of hurhes, or ssoition of hurhes esrie in setion 17()(1)(A)(i). 1 11 A shool esrie in setion 17()(1)(A)(ii). (Atth Sheule E.) A hospitl or oopertive hospitl servie orgniztion esrie in setion 17()(1)(A) (iii). A meil reserh orgniztion operte in onjuntion with hospitl esrie in setion 17()(1)(A)(iii). Enter the hospitl's nme, ity, n stte: An orgniztion operte for the enefit of ollege or university owne or operte y governmentl unit esrie in setion 17()(1)(A)(iv). (Complete Prt II.) A feerl, stte, or lol government or governmentl unit esrie in setion 17()(1)(A)(v). An orgniztion tht normlly reeives sustntil prt of its support from governmentl unit or from the generl puli esrie in setion 17()(1)(A)(vi). (Complete Prt II.) A ommunity trust esrie in setion 17()(1)(A)(vi). (Complete Prt II.) L3 An orgniztion tht normlly reeives: (1) more thn 33 1 3% of its support from ontriutions, memership fees, n gross reeipts from tivities relte to its exempt funtions sujet to ertin exeptions, n (2) no more thn 33 1 3% of its support from gross investment inome n unrelte usiness txle inome (less setion 511 tx) from usinesses quire y the orgniztion fter June 3,1975. See setion 59(2). (Complete Prt III.) An orgniztion orgnize n operte exlusively to test for puli sfety. See setion 59(4). An orgniztion orgnize n operte exlusively for the enefit of, to perform the funtions of, or to rry out the purposes of one or more pulily supporte orgniztions esrie in setion 59(1) or setion 59(2). See setion 59(3). Chek the ox tht esries the type of supporting orgniztion n omplete lines 11 e through 11 h. Type I Type II Type lll-funtionlly integrte Type lll-non-funtionlly integrte By heking this ox, I ertify tht the orgniztion is not ontrolle iretly or iniretly y one or more isqulifie persons other thn fountion mngers n other thn one or more pulily supporte orgniztions esrie in setion 59(1) or setion 59(2). If the orgniztion reeive written etermintion from the IRS tht it is Type I, Type II, or Type III supporting orgniztion, hek this ox Sine August 17, 26, hs the orgniztion epte ny gift or ontriution from ny of the following persons? (i) A person who iretly or iniretly ontrols, either lone or together with persons esrie in (ii) n (iii) elow, the governing oy of the supporte orgniztion? (ii) A fmily memer of person esrie in (i) ove? (iii) A 35% ontrolle entity of person esrie in (i) or (ii) ove? iig( 11g(ii) 11g(iM) Yes No (i) Nme of supporte orgniztion (ii) EIN (iii) Type of orgniztion (esrie on lines 1-9 ove or IRC setion (see instrutions)) (iv) Is the orgniztion in ol. (i) liste in your governing oument? (v) Di you notify the orgniztion in ol. (i) of your support? (vi) Is the orgniztion in ol. (i) orgnize in the U.S.? Yes No Yes No Yes No (vii) Amount of monetry support (A) (B) (C) (D) (E) Totl Form 99 or 99-EZ. Ct. 11285F Sheule A (Form 99 or 99-EZ) 213 36215 9:52:57 AM 14 213 Return Girl Souts of Greter Chigo n
: Sheule A (Form 99 or 99-EZ) 213 Prt II Support Sheule for Orgniztions Desrie in Setions 17()(1)(A)(iv) n 17()(1)(A)(vi) (Complete only if you heke the ox on line 5, 7, or 8 of Prt I or if the orgniztion file to qulify uner Prt III. If the orgniztion fils to qulify uner the tests liste elow, plese omplete Prt III.) Setion A. Puli Support Clenr yer (or fisl yer eginning in) 1 Gifts, grnts, ontriutions, n memership fees reeive. (Do not inlue ny "unusul grnts.")... 2 Tx revenues levie for the orgniztion's enefit n either pi to or expene on its ehlf... 3 The vlue of servies or filities furnishe y governmentl unit to the orgniztion without hrge.... 4 Totl. A lines 1 through 3.... 5 The portion of totl ontriutions y eh person (other thn governmentl unit or pulily supporte orgniztion) inlue on line 1 tht exees 2% of the mount shown on line 11, olumn (f).... 6 Puli support. Sutrt line 5 from line 4. Setion B. Totl Support Clenr yer (or fisl yer eginning in) 7 Amounts from line 4 8 Gross inome from interest, iviens, pyments reeive on seurities lons, rents, roylties n inome from similr soures 9 Net inome from unrelte usiness tivities, whether or not the usiness is regulrly rrie on 1 Other inome. Do not inlue gin or loss from the sle of pitl ssets (Explin in Prt IV.) 11 12 13 29 () 21 211 212 (e)213 (f) Totl :.'--. '= 29 ()21 211 212 (e)213 (f) Totl Totl support. A lines 7 through 1. (see instrutions) 12 First five yers. If the Form 99 is for the orgniztion's first, seon, thir, fourth, or fifth tx yer s setion 51(3) orgniztion, hek this ox n stop here Setion C. Computtion of Puli Support Perentge 14 15 Puli support perentge for 213 (line 6, olumn (f) ivie y line 11, olumn (f)) Puli support perentge from 212 Sheule A, Prt II, line 14.... 14 15 16 33 1 3% support test 213. If the orgniztion i not hek the ox on line 13, n line 14 is 33 1 3% or more, hek this ox n stop here. The orgniztion qulifies s pulily supporte orgniztion 33 1 3% support test 212. If the orgniztion i not hek ox on line 13 or 16, n line 15 is 33 1 3% or more, hek this ox n stop here. The orgniztion qulifies s pulily supporte orgniztion 17 18 1%-fts-n-irumstnes test 213. If the orgniztion i not hek ox on line 13,16, or 16, n line 14 is 1% or more, n if the orgniztion meets the "fts-n-irumstnes" test, hek this ox n stop here. Explin in Prt IV how the orgniztion meets the "fts-n-irumstnes" test. The orgniztion qulifies s pulily supporte orgniztion 1%-fts-n-irumstnes test 212. If the orgniztion i not hek ox on line 13,16, 16, or 17, n line 15 is 1% or more, n if the orgniztion meets the "fts-n-irumstnes" test, hek this ox n stop here. Explin in Prt IV how the orgniztion meets the "fts-n-irumstnes" test. The orgniztion qulifies s pulily supporte orgniztion Privte fountion. If the orgniztion i not hek ox on line 13,16, 16, 17, or 17, hek this ox n see instrutions % % Sheule A (Form 99 or 99-EZ) 213 36215 9:52:57 AM 15 213 Return Girl Souts of Greter Chigo n
Sheule A (Form 99 or 99-EZ) 213 Prt III Support Sheule for Orgniztions Desrie in Setion 59(2) (Complete only if you heke the ox on line 9 of Prt I or if the orgniztion file to qulify uner Prt I If the orgniztion fils to qulify uner the tests liste elow, plese omplete Prt II.) Setion A. Puli Support Clenr yer (or fisl yer eginning in) 1 Gifts, grnts, ontriutions, n memership fees reeive. (Do not inlue ny "unusul grnts.") 2 Gross reeipts from missions, merhnise sol or servies performe, or filities furnishe in ny tivity tht is relte to the orgniztion's tx-exempt purpose... 3 Gross reeipts from tivities tht re not n unrelte tre or usiness uner setion 513 4 Tx revenues levie for the orgniztion's enefit n either pi to or expene on its ehlf... 5 The vlue of servies or filities furnishe y governmentl unit to the orgniztion without hrge.... 6 Totl. A lines 1 through 5.... 7 Amounts inlue on lines 1, 2, n 3 reeive from isqulifie persons 29 ()21 211 212 (e)213 (f) Totl Amounts inlue on lines 2 n 3 reeive from other thn isqulifie persons tht exee the greter of $5, or 1 % of the mount on line 13 for the yer A lines 7 n 7 62,8 76,45 138,53 8 Puli support (Sutrt line 7 from line 6.) 127,198,468 Setion B. Totl Support Clenr yer (or fisl yer eginning in) 9 Amounts from line 6 1 Gross inome from interest, iviens, pyments reeive on seurities lons, rents, roylties n inome from similr soures. Unrelte usiness txle inome (less setion 511 txes) from usinesses quire fter June 3,1975.... A lines 1 n 1 11 Net inome from unrelte usiness tivities not inlue in line 1, whether or not the usiness is regulrly rrie on 12 Other inome. Do not inlue gin or loss from the sle of pitl ssets (Explin in Prt IV.) Pge 3 2,292,973 2,415,3 2,787,662 2,537,282 2,14,472 12,173,419 21,82,99 22,957,549 25,144,796 23,495,744 22,482,5 115,163,579 23,375,963 25,372,579 27,932,458 26,33,26 24,622,972 127,336,998 62,8 76,45 138,53 29 ()21 211 212 (e)213 (f) Totl 23,375,963 25,372,579 27,932,458 26,33,26 24,622,972 127,336,998 186,353 152,416 141,922 156,81 122,42 758,814 2,391 3,935 5,371 11,697 188,744 156,351 141,922 156,81 127,413 77,511 172,585 134,866 66,18 129,655 122,998 1,166,122 13 Totl support. (A lines 9, 1, 11, n 12.) 23,737,292 25,663,796 28,68,398 26,318,762 24,873,383 129,273,631 14 First five yers. If the Form 99 is for the orgniztion's first, seon, thir, fourth, or fifth tx yer s setion 51 (3) orgniztion, hek this ox n stop here Setion C. Computtion of Puli Support Perentge 15 Puli support perentge for 213 (line 8, olumn (f) ivie y line 13, olumn i 15 98.39 % 16 Puli support perentge from 212 Sheule A, Prt III, line 15 16 98.32 % Setion D. Computtion of Investment Inome Perentge 17 Investment inome perentge for 213 (line 1, olumn (f) ivie y line 13, olumn (f)).. 17.6 % 18 Investment inome perentge from 212 Sheule A, Prt III, line 17 18.73 % 19 33 1 3% support tests-213. If the orgniztion i not hek the ox on line 14, n line 15 is more thn 33 1 3%, n line 17 is not more thn 33 1 3%, hek this ox n stop here. The orgniztion qulifies s pulily supporte orgniztion. [TJ 33 1 3% support tests 212. If the orgniztion i not hek ox on line 14 or line 19, n line 16 is more thn 33 1 3%, n line 18 is not more thn 33 1 3%, hek this ox n stop here. The orgniztion qulifies s pulily supporte orgniztion 2 Privte fountion. If the orgniztion i not hek ox on line 14,19, or 19, hek this ox n see instrutions 36215 9:52:57 AM 16 Sheule A (Form 99 or 99-EZ) 213 213 Return Girl Souts of Greter Chigo n
Supplementl Informtion Complete this prt to provie the explntions require y Prt II, line 1; Prt II, line 17 or 17; n Prt III, line 12. Also omplete this prt for ny itionl informtion. (See instrutions). Return Referene Ientifier Explntion SCHEDULE A, PART III, LINE 12 OTHER INCOME Desription 29 () 21 211 212 (e) 213 (f) Totl OTHER INCOME 132,345 63,4 48,768 63,915 57,418 365,486 GROSS RECEIPTS 4,24 71,826 557,25 65,74 65,58 8,636 FROM FUNDRAISING Totl 172,585 134,866 66,18 129,655 122,998 1,166,122 36215 9:52:57 AM 17 213 Return Girl Souts of Greter Chigo n
Sheule B (Form 99, 99-EZ, or 99-PF) Deprtment of the Tresury Sheule of Contriutors Atth to Form 99, Form 99-EZ, or Form 99-PF. Informtion out Sheule B (Form 99,99-EZ, or 99-PF) n its instrutions is t www.irs.govform99. Internl Revenue Servie Nme of the orgniztion Orgniztion type (hek one): OMB 1545-47 Employer ientifition numer Filers of: Form 99 or 99-EZ Setion: [TJ 51 ( 3 ) (enter numer) orgniztion 4947(1) nonexempt hritle trust not trete s privte fountion 527 politil orgniztion Form 99-PF 51 (3) exempt privte fountion 4947(1) nonexempt hritle trust trete s privte fountion 51 (3) txle privte fountion Chek if your orgniztion is overe y the Generl Rule or Speil Rule. Note. Only setion 51(7), (8), or (1) orgniztion n hek oxes for oth the Generl Rule n Speil Rule. See instrutions. Generl Rule LTJ For n orgniztion filing Form 99, 99-EZ, or 99-PF tht reeive, uring the yer, $5, or more (in money or property) from ny one ontriutor. Complete Prts I n II. Speil Rules For setion 51 (3) orgniztion filing Form 99 or 99-EZ tht met the 33V3 % support test of the regultions uner setions 59(1) n 17()(1)(A)(vi) n reeive from ny one ontriutor, uring the yer, ontriution of the greter of (1) $5, or (2) 2% of the mount on (i) Form 99, Prt VIII, line 1 h, or (ii) Form 99-EZ, line 1. Complete Prts I n II. For setion 51 (7), (8), or (1) orgniztion filing Form 99 or 99-EZ tht reeive from ny one ontriutor, uring the yer, totl ontriutions of more thn $1, for use exlusively for religious, hritle, sientifi, literry, or eutionl purposes, or the prevention of ruelty to hilren or nimls. Complete Prts I, II, n III. For setion 51 (7), (8), or (1) orgniztion filing Form 99 or 99-EZ tht reeive from ny one ontriutor, uring the yer, ontriutions for use exlusively for religious, hritle, et., purposes, ut these ontriutions i not totl to more thn $1,. If this ox is heke, enter here the totl ontriutions tht were reeive uring the yer for n exlusively religious, hritle, et., purpose. Do not omplete ny of the prts unless the Generl Rule pplies to this orgniztion euse it reeive nonexlusively religious, hritle, et., ontriutions of $5, or more uring the yer $ Cution. An orgniztion tht is not overe y the Generl Rule nor the Speil Rules oes not file Sheule B (Form 99, 99-EZ, or 99-PF), ut it must nswer "No" on Prt IV, line 2, of its Form 99; or hek the ox on line H of its Form 99-EZ or on its Form 99-PF, Prt I, line 2, to ertify tht it oes not meet the filing requirements of Sheule B (Form 99, 99-EZ, or 99-PF). For Pperwork Reution At Notie, see the Instrutions for Form 99, 99-EZ, or 99-PF. Ct. 3613X Sheule B (Form 99, 99-EZ, or 99-PF) (213) 36215 9:52:57 AM 18 213 Return Girl Souts of Greter Chigo n
Sheule B (Form 99, 99-EZ, or 99-PF) (213) Nme of orgniztion Pge 2 Employer ientifition numer Contriutors (see instrutions). Use uplite opies of Prt I if itionl spe is neee. () Totl ontriutions Type of ontriution 1 $ 3, L7J D nonsh ontriutions.) () Totl ontriutions Type of ontriution 2 $ 1, nonsh ontriutions.) () Totl ontriutions Type of ontriution 3 $ 25, 13 nonsh ontriutions.) () Totl ontriutions Type of ontriution 4 $ 6,62 L3 nonsh ontriutions.) () Totl ontriutions Type of ontriution 5 $ 15,88 L3 nonsh ontriutions.) () Totl ontriutions Type of ontriution 6 $ 5, L3 nonsh ontriutions.) Sheule B (Form 99, 99-EZ, or 99-PF) (213) 36215 9:52:57 AM 19 213 Return Girl Souts of Greter Chigo n
Sheule B (Form 99, 99-EZ, or 99-PF) (213) Pge 2 Nme of orgniztion Contriutors (see instrutions). Use uplite opies of Prt I if itionl spe is neee. Employer ientifition numer () Totl ontriutions Type of ontriution 7 $ 8, nonsh ontriutions.) () Totl ontriutions Type of ontriution 8 $ 25, nonsh ontriutions.) () Totl ontriutions Type of ontriution 9 $ 5, nonsh ontriutions.) () Totl ontriutions Type of ontriution 1 $ 1, nonsh ontriutions.) () Totl ontriutions Type of ontriution 11 $ 7, nonsh ontriutions.) () Totl ontriutions Type of ontriution 12 $ 25, nonsh ontriutions.) Sheule B (Form 99, 99-EZ, or 99-PF) (213) 36215 9:52:57 AM 2 213 Return Girl Souts of Greter Chigo n