Instructions For Schedule D (Form 990) - Supplemental Financial Statements - 2011 Page 6

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Column (a). List each type of
must equal the amount reported on
prepared Form 990 in accordance with
program-related investment.
Form 990, Part X, column (B), line 25.
SFAS 117 (ASC 958).
Column (b). Enter the book value of
Line 2. FIN 48 (ASC 740) footnote.
Use the reconciliation statements of
each program-related investment. The
Every organization required to complete
Parts XII and XIII to reconcile the
total of column (b) must equal the
Part X must provide the text of the
differences between the revenue and
amount reported on Form 990, Part X,
footnote to its financial statements, if
expenses reported on the
column (B), line 13.
applicable, regarding the organization’s
organization’s audited financial
liability for uncertain tax positions under
statements prepared in accordance
Column (c). Indicate whether the
FIN 48 (ASC 740). This includes, for
with SFAS 117 (ASC 958) and the
investment is listed at cost or
example, the description of a liability for
revenue and expenses reported on the
end-of-year market value.
unrelated business income tax, or tax
organization’s Form 990.
Part IX. Other Assets
that may be assessed as a result of the
On line 4a of Parts XII and XIII,
revocation of exempt status. Provide
include only those investment expenses
Complete Part IX if the organization
the full text of this footnote in Part XIV,
netted against investment income in the
answered “Yes” on Form 990, Part IV,
even if the organization did not report
revenue portion of the organization’s
line 11d, or reported an amount on
any liability for uncertain tax positions
audited financial statements. Do not
Form 990, Part X, column (B), line 15,
under FIN 48 (ASC 740) in the
include program-related investment
that is 5% or more of the total assets
footnote. Any portion of the FIN 48
expenses or other expenses reported
reported on Form 990, Part X, column
(ASC 740) footnote that addresses only
as program service expenses in the
(B), line 16.
the filing organization’s liability must be
audited statement of activities.
Column (a). Enter a description of
provided verbatim. The filing
Parts XI, XII, and XIII do not have to
assets reported on Form 990, Part X,
organization can summarize that
be completed for group returns.
column (B), line 15. The organization
portion, if any, of the footnote that
can use any reasonable basis to
applies to the liability of multiple
Part XIV. Supplemental
classify these assets.
organizations including the organization
Information
Column (b). Enter the book value of
(for example, as a member of a group
each asset. The total of column (b)
with consolidated financial statements),
Complete Part XIV to provide narrative
must equal the amount reported on
to describe the filing organization’s
information required in the following.
Form 990, Part X, column (B), line 15.
share of the liability.
Part II, lines 3, 5, and 9
(conservation easements).
Part X. Other Liabilities
Parts XI Through XIII.
Part III, lines 1a and 4 (collections
Complete Part X if the organization
Reconciliation of
of art, historical treasures, or other
answered “Yes” on Form 990, Part IV,
similar assets).
Change in Net Assets,
line 11e or line 11f, and either reported
Part IV, lines 1b and 2b (escrow and
an amount on Form 990, Part X,
custodial arrangements).
Revenue, and Expenses
column (B), line 25, or had financial
Part V, line 4 (endowment funds).
From Form 990 to
statements for the tax year that
Part X, line 2 (FIN 48 (ASC 740)
include a footnote addressing the
footnote text).
Audited Financial
organization’s liability for uncertain tax
Part XI, line 8 (reconciliation of
positions under FIN 48 (ASC 740).
Statements
change in net assets).
Organizations are required to
Part XII, lines 2d and 4b
Complete Parts XI, XII, and XIII if the
separately report all liabilities for federal
(reconciliation of revenue).
organization answered “Yes” on Form
income taxes and amounts owed to
Part XIII, lines 2d and 4b
990, Part IV, line 12a. If the
related organizations on Part X of this
(reconciliation of expenses).
organization answered “Yes” on Form
schedule.
Also use Part XIV to provide
990, Part IV, line 12b (but answered
Line 1. Other liabilities. In column
additional narrative explanations and
“No” on line 12a), completing Parts XI,
(a), list each type of liability not
descriptions, as needed. Identify the
XII, and XIII is optional.
reported on lines 17 through 24 of Form
specific part and line number that the
990, Part X. The organization can use
If the organization did not receive
response supports in the order that it
any reasonable basis to classify these
audited financial statements for the
appears on Schedule D (Form 990).
liabilities.
reporting year for which it is completing
Part XIV can be duplicated if more
this Form 990, it is not required to
In column (b), enter the book value
space is needed.
complete Parts XI, XII, or XIII, even if it
of each liability. The total of column (b)
-5-

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