Form Char500 - Annual Filing For Charitable Organizations Page 5

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5. Type of IRS Report Filed
Which version of the IRS Form 990 is being filed electronically with the IRS?
IRS form 990
IRS form 990EZ
IRS form 990PF
6. Filing Fee Calculator
Total Support &
These amounts are from the IRS Form being filed
$10,003,844
Revenue amount :
electronically with the IRS.
Assets/Net Worth at
$17,838,504
End of Year amount :
The annual filing fee(s) you owe are indicated below.
You must pay the following fee under New York State's Executive Law Article 7A:
7A and DUAL filers, not exempt
$25
7A exempt or EPTL only filers
$0
You must pay the following under New York's Estates, Powers and Trusts Law (EPTL)
Assets/Net Worth at End of Year
Fee
Less than $50,000
$25
$50,000 or more, but less than $250,000
$50
Your Total Fee:
$775
$250,000 or more, but less than $1,000,000
$100
$1,000,000 or more, but less than $10,000,000
$250
$10,000,000 or more, but less than $50,000,000
$750
$50,000,000 or more
$1500
Not Applicable
$0
7. Attachments
7A. Independent Certified Public Accountant's Report (For Executive Law Article 7-A and Dual Filers Only)
Please check the box below indicating that you are attaching an Accountant's Report, if applicable
Certified Public Accountant's Audit Report - Total support and revenue was more than $500,000 during the fiscal year.
Certified Public Accountant's Review Report - Total support and revenue was between $250,001 and $500,000 during the fiscal year.
No Accountant's Report is required.

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