Form 8879-Eo - Irs E-File Signature Authorization For An Exempt Organization Sample - 2015 Page 15
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41CANCER SUPPORT COMMUNITY MONTANA
81-0542266
Schedule A (Form 990 or 990-EZ) 2015
Page
2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization
fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
|
(a)
2011
(b)
2012
(c)
2013
(d)
2014
(e)
2015
(f)
Total
1
Gifts, grants, contributions, and
membership fees received. (Do not
204,768. 230,297. 432,250. 357,403. 314,891.
1,539,609.
include any "unusual grants.") ~~
2
Tax revenues levied for the organ-
ization's benefit and either paid to
or expended on its behalf ~~~~
The value of services or facilities
3
furnished by a governmental unit to
the organization without charge ~
204,768. 230,297. 432,250. 357,403. 314,891.
1,539,609.
Add lines 1 through 3 ~~~
4
Total.
5
The portion of total contributions
by each person (other than a
governmental unit or publicly
supported organization) included
on line 1 that exceeds 2% of the
amount shown on line 11,
column (f) ~~~~~~~~~~~~
1,539,609.
6 Public support.
Subtract line 5 from line 4.
Section B. Total Support
Calendar year (or fiscal year beginning in) |
(a)
2011
(b)
2012
(c)
2013
(d)
2014
(e)
2015
(f)
Total
204,768. 230,297. 432,250. 357,403. 314,891.
1,539,609.
7
Amounts from line 4 ~~~~~~~
8
Gross income from interest,
dividends, payments received on
securities loans, rents, royalties
32,118.
21,560.
14,638.
16,687.
11,693.
96,696.
and income from similar sources ~
9
Net income from unrelated business
activities, whether or not the
770.
639.
590.
7,094.
0.
9,093.
business is regularly carried on ~
10
Other income. Do not include gain
or loss from the sale of capital
assets (Explain in Part VI.) ~~~~
1,645,398.
Add lines 7 through 10
11
Total support.
12
Gross receipts from related activities, etc. (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)
••••••••••••••••••••••••••••••••••••••••••••• |
organization, check this box and
stop here
Section C. Computation of Public Support Percentage
93.57
~~~~~~~~~~~~
14
14
Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f))
%
92.94
15
15
Public support percentage from 2014 Schedule A, Part II, line 14
~~~~~~~~~~~~~~~~~~~~~
%
16
a
33 1/3% support test - 2015.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and
X
stop here.
The organization qualifies as a publicly supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ |
b
33 1/3% support test - 2014.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box
and
stop here.
The organization qualifies as a publicly supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ |
17
a
10% -facts-and-circumstances test - 2015.
If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more,
and if the organization meets the "facts-and-circumstances" test, check this box and
stop here.
Explain in Part VI how the organization
meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ~~~~~~~~~~~~~~~ |
b
10% -facts-and-circumstances test - 2014.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or
more, and if the organization meets the "facts-and-circumstances" test, check this box and
stop here.
Explain in Part VI how the
organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ~~~~~~~~ |
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions ••• |
Schedule A (Form 990 or 990-EZ) 2015
532022
09-23-15
14
13340919 792194 141677
2015.04020 CANCER SUPPORT COMMUNITY MO 141677_1
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial