Form 8879-Eo - Irs E-File Signature Authorization For An Exempt Organization Sample - 2015 Page 10
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41CANCER SUPPORT COMMUNITY MONTANA
81-0542266
9
Page
Form 990 (2015)
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII •••••••••••••••••••••••••
(A)
(B)
(C)
(D)
Revenue excluded
Related or
Unrelated
Total revenue
from tax under
exempt function
business
sections
revenue
revenue
512 - 514
1 a
Federated campaigns
~~~~~~
1
a
5,000.
b
Membership dues
~~~~~~~~
1
b
c
Fundraising events
~~~~~~~~
1
c
d
Related organizations
~~~~~~
1
d
e
Government grants (contributions)
1
e
f
All other contributions, gifts, grants, and
309,891.
similar amounts not included above
~~
1
f
16,785.
g
Noncash contributions included in lines 1a-1f: $
314,891.
Add lines 1a-1f ••••••••••••••••• |
h
Total.
Business Code
2
a
b
c
d
e
f
All other program service revenue ~~~~~
g
Total.
Add lines 2a-2f ••••••••••••••••• |
3
Investment income (including dividends, interest, and
353.
353.
other similar amounts)
~~~~~~~~~~~~~~~~~ |
4
Income from investment of tax-exempt bond proceeds
|
5
Royalties ••••••••••••••••••••••• |
(i) Real
(ii) Personal
11,340.
6 a
Gross rents
~~~~~~~
523.
b
Less: rental expenses
~~~
10,817.
c
Rental income or (loss)
~~
10,817.
10,817.
d
Net rental income or (loss)
•••••••••••••• |
7
a
Gross amount from sales of
(i) Securities
(ii) Other
assets other than inventory
b
Less: cost or other basis
and sales expenses
~~~
c
Gain or (loss)
~~~~~~~
d
Net gain or (loss) ••••••••••••••••••• |
8
a
Gross income from fundraising events (not
including $
of
contributions reported on line 1c). See
139,552.
Part IV, line 18 ~~~~~~~~~~~~~
a
30,002.
b
Less: direct expenses~~~~~~~~~~
b
109,550.
109,550.
c
Net income or (loss) from fundraising events ••••• |
9 a
Gross income from gaming activities. See
Part IV, line 19 ~~~~~~~~~~~~~
a
b
Less: direct expenses
~~~~~~~~~
b
c
Net income or (loss) from gaming activities
•••••• |
10 a
Gross sales of inventory, less returns
4,931.
and allowances ~~~~~~~~~~~~~
a
5,552.
b
Less: cost of goods sold
~~~~~~~~
b
-621.
-621.
c
Net income or (loss) from sales of inventory
•••••• |
Miscellaneous Revenue
Business Code
11 a
b
c
d
All other revenue ~~~~~~~~~~~~~
e Total.
Add lines 11a-11d ~~~~~~~~~~~~~~~ |
434,990.
0.
-621. 120,720.
Total revenue.
See instructions.
|
12
•••••••••••••
990
Form
(2015)
532009 12-16-15
9
13340919 792194 141677
2015.04020 CANCER SUPPORT COMMUNITY MO 141677_1
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