Form 990 - Return Of Organization Exempt From Income Tax

Form 990 (2013)

Page5

Statements Regarding Other IRS Filings and Tax Compliance

Check IfSchedule O contaIns a response or note to any |Ine In thIs PartV

Yes

1a Enterthe number reported In Box 3 of Form 1096 Enter -0- If not applIcable

b Enterthe number of Forms W-ZG Included In |Ine 1a Enter-0- If not applIcable

DId the organIzatIon comply WIth backup WIthholdIng rules for reportable payments to vendors and reportable

gamIng(gamblIng)WInnIngstoprIzeWInners?

Yes

2a Enterthe number ofemployees reported on Form W-3, TransmIttal ofWage and

Tax Statements, fIled forthe calendar year endIng WIth or WIthIn the year covered

bythIsreturn..................

103

b Ifat least one Is reported on |Ine 2a, dId the organIzatIon le all reqUIred federal employment tax returns?

Note. Ifthe sum oflInes 1a and 2a Is greaterthan 250, you may be reqUIred to e-fIle (see InstructIons)

Yes

3a DId the organIzatIon have unrelated busmess gross Income of$1,000 or more durIng the year?

b If"Yes," has It led a Form 990-T forthIs year? If Noto/Ine 3b, prowde an explanation In Schedule 0 .

4a At any tIme durIng the calendar year, dId the organIzatIon have an Interest In, or a SIgnature or other authorIty

over, a fInanCIal account In a foreIgn country (such as a bank account, securItIes account, or otherfInanCIal

account)?..........................

b If"Yes," enterthe name ofthe foreIgn country h-

See InstructIons forfIlIng reqUIrements for Form TD F 90-22 1, Report of ForeIgn Bank and FInanCIal Accounts

5a Was the organIzatIon a party to a prothIted tax shelter transactIon at any tIme durIng the tax year?

b DId any taxable party notIfy the organIzatIon that It was or Is a party to a prothIted tax sheltertransactlon?

If"Yes," to |Ine 5a or 5b, dId the organIzatIon le Form 8886-T?

6a Does the organIzatIon have annual gross receIpts that are normally greaterthan $100,000, and dId the

organIzatIon solICIt any contrIbutIons that were not tax deducthle as charItable contrIbutIons?

b If"Yes," dId the organIzatIon Include WIth every solICItatIon an express statement that such contrIbutIons or ngts

werenottaxdeduchble"........................

Organizations that may receive deductible contributions under section 170(c).

DId the organIzatIon recere a payment In excess of$75 made partly as a contrIbutIon and partly for goods and

serVIces prOVIded to the payor?

b If"Yes," dId the organIzatIon notIfy the donor ofthe value ofthe goods or serVIces prOVIded?

DId the organIzatIon sell, exchange, or otherWIse dIspose oftangIble personal property for thch It was reqUIred to

fIleForm8282'P...........................7C

d If"Yes," IndIcate the number of Forms 8282 led durIng the year

I 7d I

DId the organIzatIon recere any funds, dIrectly or IndIrectly, to pay prequms on a personal benet

contract"............................7e

DId the organIzatIon, durIng the year, pay prequms, dIrectly or IndIrectly, on a personal benet contract?

Ifthe organIzatIon recered a contrIbutIon ofqualIerd Intellectual property, dId the organIzatIon le Form 8899 as

requwed"............................79

h Ifthe organIzatIon recered a contrIbutIon ofcars, boats, aIrplanes, or other vehIcles, dId the organIzatIon le a

Form1098-C'P..........................

Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. DId

the supportIng organIzatIon, or a donor adVIsed fund maIntaIned by a sponsorIng organIzatIon, have excess

busmess holdIngs at any tIme durIng the year?

Sponsoring organizations maintaining donor advised funds.

DId the organIzatIon make any taxable dIstrIbutIons under sectIon 4966?

DId the organIzatIon make a dIstrIbutIon to a donor, donor adVIsor, or related person?

Section 501(c)(7) organizations. Enter

InItIatIon fees and capItal contrIbutIons Included on Part VIII, |Ine 12

10a

b Gross receIpts,Included on Form 990,PartVIII,|Ine 12,for publIc use ofclub

10b

faCIIItIes

Section 501(c)(12) organizations. Enter

Gross Income from members or shareholders

11a

Gross Income from other sources (Do not net amounts due or paId to other sources

agaInstamounts due or recered from them )

11b

12a Section 4947(a)(1) non-exempt charitable trusts. Is the organIzatIon fIlIng Form 990 In IIeu of Form 1041?

12a

b If"Yes," enterthe amount oftax-exempt Interest recered or accrued durIng the

year....................

12b

Section 501(c)(29) qualified nonprofit health insurance issuers.

Is the organIzatIon |Icensed to Issue qualIerd health plans In more than one state?

Note. See the InstructIons for addItIonal InformatIon the organIzatIon must report on Schedule 0

13a

b Enterthe amount of reserves the organIzatIon Is reqUIred to maIntaIn by the states

In thch the organIzatIon Is |Icensed to Issue qualIerd health plans

13b

Enterthe amount of reserves on hand

13c

14a DId the organIzatIon recere any payments for IndoortannIng serVIces durIng the tax year?

14a

b If "Yes," has It led a Form 720 to report these payments? If No,prov1de an explanation In Schedule 0 .

14b

Form 990 (2013)

Form 990 - Return Of Organization Exempt From Income Tax - 2013 Page 6

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