Form 990 - Return Of Organization Exempt From Income Tax

Form 990 (2013)

12a

14a

20a

Page 3

Checklist of Required Schedules

Yes

Is the organization described In section 501(c)(3) or 4947(a)(1) (otherthan a private foundation)? If "Yes,"

Yes

complete Schedule A

Is the organization reqUIred to complete Schedule B, Schedule of Contributors (see instructions)? '5

Yes

Did the organization engage in direct or indirect political campaign actiVities on behalf ofor in oppOSItion to

candidates for public office? If Yes,complete Schedule C, Part I

Section 501(c)(3) organizations. Did the organization engage in lobbying actiVities, or have a section 501(h)

Yes

election in effect during the tax year? If Yes,complete Schedule C, Part II

Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues,

assessments, or Similar amounts as defined in Revenue Procedure 98-19? If Yes,complete Schedule C,

Part HIE .

Did the organization maintain any donor adVIsed funds or any Similarfunds or accounts for which donors have the

right to prOVIde adVIce on the distribution or investment ofamounts in such funds or accounts? If "Yes," complete

Schedule D, Part IE

Did the organization receive or hold a conservation easement, including easements to preserve open space,

the enVIronment, historic land areas, or historic structures? If Yes,complete Schedule D, Part II

Did the organization maintain collections of works ofart, historical treasures, or other Similar assets? If "Yes,"

complete Schedule D, Part III E

Did the organization report an amount in Part X, line 21 for escrow or custodial account liability, serve as a

custodian for amounts not listed in Part X, or prOVIde credit counseling, debt management, credit repair, or debt

negotiation serVIces? If "Yes," complete Schedule D, PartI

Did the organization, directly orthrough a related organization, hold assets in temporarily restricted endowments,

permanent endowments, or quaSI-endowments? If "Yes," complete Schedule D, Part

Ifthe organizations answerto any ofthe followmg questions is "Yes," then complete Schedule D, Parts VI, VII,

VIII, IX, orX as applicable

Did the organization report an amount for land, bUIldings, and eqUIpment in Part X, line 10?

If "Yes," complete Schedule D, Part VI .

11a

Yes

Did the organization report an amount for investmentsother securities in Part X, line 12 that is 5% or more of

its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII'E

11b

Did the organization report an amount for investmentsprogram related in Part X, line 13 that is 5% or more of

its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII

11C

Did the organization report an amount for other assets in Part X, line 15 that is 5% or more ofits total assets

reported in Part X, line 16? If "Yes," complete Schedule D, PartI

11d

Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, PartXE

Yes

Did the organizations separate or consolidated finanCIal statements for the tax year include a footnote that

11f

Yes

addresses the organizations liability for uncertain tax p05itions under FIN 48 (ASC 740)? If Yes,complete

Schedule D, Part

Did the organization obtain separate, independent audited finanCIal statements forthe tax year?

If "Yes," complete Schedule D, Parts XI and XII '5

12a

Yes

Was the organization included in consolidated, independent audited finanCIal statements for the tax year? If

"Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional '5

12b

Is the organization a school described in section 170(b)(1)(A)(ii)? If Yes,complete Schedu/eE

Did the organization maintain an office, employees, or agents outSIde of the United States?

14a

Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraismg,

busmess, investment, and program serVIce actiVities outSIde the United States, or aggregate foreign investments

valued at $100,000 or more? If Yes,complete Schedu/eF, Parts I and IV .

14b

Did the organization report on Part IX, column (A), line 3, more than $5,000 ofgrants or other a55istance to or

for any foreign organization? If Yes,complete Schedu/eF, Parts II and IV

Did the organization report on Part IX, column (A), line 3, more than $5,000 ofaggregate grants or other

a55istance to orforforeign indiViduals? If Yes,complete Schedu/eF, Parts III and IV .

Did the organization report a total of more than $15,000 ofexpenses for professmnal fundraismg serVIces on Part

Yes

IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see1nstructions)

Did the organization report more than $15,000 total offundraismg event gross income and contributions on Part

VIII, lines 1c and 8a? If Yes,complete Schedule G, Part II

Did the organization report more than $15,000 ofgross income from gaming actiVities on PartVIII,line 9a? If

"Yes," complete Schedule G, Part III

Did the organization operate one or more hospital faCIlities? If Yes,complete Schedu/eH

20a

If"Yes" to line 20a, did the organization attach a copy ofits audited finanCIal statements to this return?

20b

Form 990 (2013)

Form 990 - Return Of Organization Exempt From Income Tax - 2013 Page 4

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