Part III Technical Requirements (Continued) | |||
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12 If the organization received any unusual grants during any of the tax years shown in Part IV-A, attach a list
for each year showing the name of the contributor; the date and amount of the grant; and a brief description of
the nature of the grant.
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13 If you are requesting a definite ruling under section 170(b)(1)(A)(iv) or (vi), check here [.. ] and a. Enter 2% of line 8, column (e), Total, of Part IV-A _________ b. Attach a list showing the name and amoung contributed by each person (other than a governmental unit or "publicly supported" organization) whose total gifts, grants, contributions, etc., were more than the amount entered on line 13a above. | |||
14 If you are requesting a definitive ruling under section 509(a)(2) check here [.. ] and: a For each of the yearas included on lines 1, 2, and 9 of Part IV-A, attach a list showing the name of and amount received from each "disqualified person". (For a definition of "disqualified person", see Specific Instructions, Part II, Line 4d, on page 3) b. For each of the years included on line 9 of Part IV-A, attach a list showing the name of and amount received from each payer (other than a "disqualified person") whose payments to the organization were more than $5,000. For this purpose, "payer" includes, but is not limited to, any organization described in sections 170(b)(a)(A)(i) through (vi) and any governmental agency or bureau. |
15 Indicate if your organization is one of the following. If so, complete the required schedule. (Submit only those schedules that apply to your organization. Do not submit blank schedules). | Yes No Schedule |
Is the organization a church? | [.. ] [.. ] A |
Is the organization, or any part of it, a school? | [.. ] [.. ] B |
Is the organization, or any part of it, a hospital or medical research organization? | [.. ] [.. ] C |
Is the organization a section 509(a)(3) supporting organization? | [.. ] [.. ] D |
Is the organization a private operation foundation? | [.. ] [.. ] E |
Is the organization, or any part of it, a home for the aged or handicapped? | [.. ] [.. ] F |
Is the organization, or any part of it, a child care organization? | [.. ] [.. ] G |
Does the organization provide or administer any scholarship benefits, student aid, etc.? | [.. ] [.. ] H |
Has the organization taken over, or will it take over, the faciltities of a "for profit" institution? | [.. ] [.. ] I |