Form Nfp-20 - Indiana Not-For-Profit Organization'S Annual Report - 2002

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Check if:
Change of Address
Final Return
Indiana Department of Revenue
Amended Return
Indiana Not-For-Profit Organization's Annual Report
For the Calendar Year or Fiscal Year
Beginning _____/_____/_____ and Ending _____/_____/_____
AA
BB
Form NFP-20
/
/
/
/
MM
DD
YYYY
MM
DD
YYYY
State Form 51062 (R/ 9-02)
Due on the 15th day of the 5th month following the end of the tax year.
See reverse side for extension information.
Telephone Number
A
(
)
Name of Organization
Indiana Taxpayer Identification Number (TID)
B
H
Federal Identification Number (FID)
Address
County
I
C
D
Email Address
City
State
Zip Code
E
F
J
G
If you are filing a federal return, attach a completed copy of Form 990, 990EZ, or 990PF, check here
and do not complete the rest of this form.
Note: If your organization has gross income of more than $1,000 that constitutes unrelated business income under Section 513 of the Internal
Revenue Code, you must file form IT-20NP. If you are required to file federal form 990T you are also required to file Indiana Form IT-
20NP.
Part I - Report related receipts which furthers - tax exempt purpose of the organization
1. Gross contributions, gifts, grants, and similar amounts ........................................................................................... 1.
2. Gross dues and assessments from members and affiliates ....................................................................................... 2.
3. Interest ...................................................................................................................................................................... 3.
4. Dividends .................................................................................................................................................................. 4.
5. Rents ......................................................................................................................................................................... 5.
6. Royalties ................................................................................................................................................................... 6.
7. Amounts received from sale of assets ...................................................................................................................... 7.
8. Fund raising events and activities including bingo, raffles, etc. ................................................................................ 8.
9. Other income (attach explanation) ............................................................................................................................ 9.
10. Total Receipts ......................................................................................................................................................
10.
Part II - Report expenses related to tax exempt purpose of the organization
11. Cost of goods sold .................................................................................................................................................... 11.
12. Cost or other basis and sales expense of assets sold ................................................................................................ 12.
13. Contributions, gifts, grants, and similar amounts paid ............................................................................................. 13.
14. Disbursements to (or for) members .......................................................................................................................... 14.
15. Compensation of officers, directors, and trustees .................................................................................................... 15.
16. Other salaries and wages ........................................................................................................................................... 16.
17. Interest ...................................................................................................................................................................... 17.
18. Taxes ......................................................................................................................................................................... 18.
19. Rent .......................................................................................................................................................................... 19.
20. Other (attach explanation) ........................................................................................................................................ 20.
21. Total Expenses .....................................................................................................................................................
21.
22. Profit or (loss) for the year (line 10 minus line 21) ...............................................................................................
22.
23. Net Assets or Fund Balances (Beginning of Year) ................................................................................................
23.
24. Changes in Net Assets or Fund Balances (attach explanation) .............................................................................
24.
25. Net Assets or Fund Balances (end of year) ...........................................................................................................
25.

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