Instructions For Schedule A (Form 990 Or 990-Ez) - 2004 Page 4

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a private foundation. The organization’s
research organization, based on the
4946(a)(1)(C) through (G) (and related
exemption letter states this reason, or the
circumstances involved.
regulations) will be treated as if made by
local IRS office can tell you.
the donor.
These tests are discussed in
The 2% limitation does not apply to
Regulations sections 1.170A-9(c)(2)(v)
Line 6. School. Check the box on line 6
support from governmental units referred
and (vi). Value the organization’s assets
for a school whose primary function is the
to in section 170(c)(1), or to contributions
as of any day in its tax year but use the
presentation of formal instruction, and
from publicly supported organizations
same day every year. Value the
which regularly has a faculty, a
(section 170(b)(1)(A)(vi)), that check the
endowment at fair market value, using
curriculum, an enrolled body of students,
box on their line 11a or 11b.
commonly accepted valuation methods.
and a place where educational activities
(See Regulations section 20.2031.)
are regularly conducted.
Example. X organization reported the
Line 10. Organization Operated for the
following amounts in its Support Schedule
A private school, in addition, must
Benefit of a Governmental Unit. Check
for the 4-year period 2000 through 2003:
have a racially nondiscriminatory policy
the box on line 10 and complete the
toward its students. For details about
Support Schedule if the organization
Line
(e) Total
these requirements, see the instructions
receives and manages property for and
for Part V.
15
Gifts, grants & contributions . . $300,000
expends funds to benefit a college or
Line 7. Hospital or Cooperative
university that is owned or operated by
17
Gross receipts from
Hospital Service Organization. Check
admissions, etc. . . . . . . . . . .
100,000
one or more states or their political
the box on line 7 for an organization
subdivisions. The school must be as
18
Dividends & interest . . . . . . .
300,000
whose main purpose is to provide hospital
described in the first paragraph of the
or medical care. A rehabilitation institution
24
Line 23 minus line 17 . . . . . . .
600,000
instructions for line 6.
or an outpatient clinic may qualify as a
26a 2% of line 24 (2% limitation) . .
12,000
Expending funds to benefit a college or
hospital, but the term does not include
university includes acquiring and
medical schools, medical research
b Total of contributions
maintaining the campus, its buildings, and
exceeding the 2% limitation . .
98,000
organizations, convalescent homes,
its equipment, granting scholarships and
homes for the aged, or vocational training
The X organization determined
student loans, and making any other
institutions for the handicapped.
whether or not it met the section
payments in connection with the normal
509(a)(1)/170(b)(1)(A)(vi) public support
Check the box on line 7 also for a
functions of colleges and universities.
test as follows:
cooperative hospital service organization
The organization must meet
described in section 501(e).
essentially the same public support test
Total support (line 24): . . . . . . . . . $600,000
Line 9. Hospital Medical Research
described below for line 11. See Rev. Rul.
Direct Contributions:
Organization. Check the box on line 9
82-132, 1982-2 C.B. 107.
for a medical research organization
Total direct contributions from
Line 11. Organization Meeting the
operated in connection with or in
persons who contributed less than
Section 509(a)(1) Public Support Test.
conjunction with a hospital. The hospital
2% of total support . . . . . . . . . . . .
50,000
Check either box (but not both) on line
must be described in section 501(c)(3) or
11a or 11b and complete the Support
Total direct contributions from six
operated by the Federal Government, a
Schedule to determine whether the
donors, each of whom gave more
state or its political subdivision, a U.S.
organization meets the section 509(a)(1)/
than 2% ($12,000) of total support
170,000
possession or its political subdivision, or
170(b)(1)(A)(vi) public support test
Indirect contributions from the
the District of Columbia.
described below.
general public:
“Medical research” means studies and
The Support Schedule is completed for
United Fund . . . . . . . . . . . . . . . .
40,000
experiments done to increase or verify
an organization that “normally” (see Part
information about physical or mental
IV, Definitions) receives at least 33
1
/
% of
Grant from Y City . . . . . . . . . . . . .
40,000
3
diseases and disabilities and their
its support (excluding income received in
Total gifts, grants & contributions . . $300,000
causes, diagnosis, prevention, treatment,
exercising its charitable, etc., function)
or control. The organization must conduct
Total direct contributions
from:
the research directly and continuously. If
from six donors, each of
Direct or indirect contributions from the
whom gave more than 2%
it primarily gives funds to other
general public;
of total support . . . . . . . $170,000
organizations (or grants and scholarships
Other publicly supported (section
to individuals) for them to do the
170(b)(1)(A)(vi)) organizations; or
2% limitation for six
research, the organization is not a
A governmental unit.
donors:
medical research organization.
(2% × $600,000 × 6) . . . .
72,000
To determine whether the section
The organization is not required to be
509(a)(1)/170(b)(1)(A)(vi) test is met,
Less: Direct contributions in excess
an affiliate of the hospital, but there must
donor contributions are considered
of 2% of total support . . . . . . . . . .
98,000
be an understanding that there will be
support from direct or indirect
Total public support . . . . . . . . . . .
202,000
close and continuous cooperation in any
contributions from the general public only
joint-effort medical research.
to the extent that the total amount
Section 509(a)(1)/170(b)(1)(A)(vi)
computation:
received from any one donor during the
Assets test/Expenditure test. An
4-tax-year period is 2% or less of the
organization qualifies as a medical
Line 26c Total support . . . . . . . . $600,000
organization’s total support for those 4 tax
research organization if its principal
Line 26d Less total of lines:
years as described below.
purpose is medical research, and it
18 . . . . $300,000
Any contribution by one individual will
devotes more than half its assets, or
19 . . . .
– 0 –
be included in full in the total support
spends at least 3.5% of the fair market
22 . . . .
– 0 –
denominator of the fraction determining
value of its endowment, in conducting
26b . . .
98,000 $398,000
the 33
1
/
%-of-support or the
3
medical research directly.
10%-of-support limitation.
Line 26e Total public support . . . . $202,000
Either test may be met based on a
Only the portion of each donor’s
Line 26f Public support
computation period consisting of the
contribution that is 2% or less of the total
percentage (line 26e
immediately preceding tax year or the
support denominator will be included in
divided by line 26c —
immediately preceding 4 tax years.
the numerator.
$202,000/ $600,000) . . .
33.67%
If an organization does not satisfy
In applying the 2% limitation, all
either the “assets test” or the “expenditure
contributions by any person(s) related to
Since X organization received more
test,” it may still qualify as a medical
the donor as described in section
than 33
1
/
% of its total support for the
3
-4-
Instructions for Schedule A (Form 990 or 990-EZ)

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