Form 990 - Return Of Organization Exempt From Income Tax - 2013 Page 28

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Schedule G (Form 990 or 990-EZ) 2013
m
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported
more than $15,000 of fundraismg event contributions and gross income on Form 990EZ, lines 1 and 6b. List
events With gross receipts greater than $5,000.
Page 2
(a) Event #1
(b) Event #2
(c) Other events
(d) Total events
(add col (a) through
col (c))
(event type)
(event type)
(total number)
I11
2
1
Gross receipts
I11
5
2
Less Contributions
a:
3
Gross income (line 1
minus line 2)
4
Cash prizes
5
Noncash prizes
to
<1:-
E
6
Rent/faCIlity costs
<1:-
G.
Ii
7
Food and beverages
E
8
Entertainment
5.
9
Other direct expenses
10
Direct expense summary Add lines 4 through 9 in column (d)
It
(
)
11
Net income summary Subtract line 10 from line 3, column (d)
P
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than
$15,000 on Form 990EZ, line 6a.
'11
(a) Bingo
(b) Pull tabs/Instant
(c) Other gaming
(d) Total gaming (add
2
bingo/progresswe bingo
col (a) through col
I11
5
(c))
a:
1
Gross revenue
3
2
Cash prizes
in
E
g
3
Non-cash prizes
U
4
Rent/faCIlity costs
E
C:
5
Otherdirect expenses
' Yes_____________ ___/9__
' Yes_____________ ___/9__
' Yes_____________ ___/9__
6
Volunteerlabor
' No
' No
' No
7
Direct expense summary Add lines 2 through 5 in column (d)
P
8
Net gaming income summary Subtract line 7 from line 1, column (d)
It
9
Enterthe state(s) in which the organization operates gaming actiVities
Is the organization licensed to operate gaming actiVities in each of these states?
' YeS ' N0
If"No," explain
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year?
.
I Yes I No
b
If"Yes," explain
Schedule G (Form 990 or 990-EZ) 2013

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