Arkansas Attachment To Irs Form 990ez - Office Of The Attorney General

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ARKANSAS ATTACHMENT TO IRS FORM 990EZ
If you file an IRS Form 990EZ, the Office of the Arkansas Attorney General requires that you
also file a functional expense statement and a schedule of contributions showing total direct
public support and government grants as separate figures. The following section is provided for
your convenience. If you prefer, you may file the same information as a separate attachment.
Organization Name ____________________________________________________________
Federal EIN __________________________
Year-Ending: _________________
SCHEDULE OF CONTRIBUTIONS RECEIVED
1a.
1a. Direct Public Support:
b.
b. Indirect Public Support
c.
c. Government Grants:
d. Total (add lines 1a, b & c)
1d.
(Complete all columns below ?)
(A)
(B)
(C)
(D)
STATEMENT OF
Total
Program
Management
Fund-raising
Services
and General
FUNCTIONAL EXPENSES
22. Grants and Allocations
22
23. Specific Assistance to Individuals
23
24. Benefits Paid to/for Members
24
25. Compensation Officers/Directors
25
26. Other Salaries and Wages
26
27. Pension Plan Contributions
27
28. Other Employee Benefits
28
29. Payroll Taxes
29
30. Professional Fund-raising Fees
30
31. Accounting Fees
31
32. Legal Fees
32
33. Supplies
33
34. Telephone
34
35. Postage and Shipping
35
36. Occupancy
36
37. Equipment Rental & Maintenance
37
38. Printing and Publications
38
39. Travel
39
40. Conferences, Meetings
40
41. Interest
41
42. Depreciation, Depletion
42
43a. Other Expenses (Itemize):
43a
b.
43b
c.
43c
44. Total Functional Expenses
44
* Add lines 22 through 43 to equal the total on line 44.
* Adding lines 44B, 44C, and 44D should equal the total on line 44A.

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