Form 8879-Eo - Irs E-File Signature Authorization For An Exempt Organization Sample - 2015 Page 16
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
3
Part III Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to
qualify under the tests listed below, please complete Part II.)
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
include any "unusual grants.") ~~
2
Gross receipts from admissions,
merchandise sold or services per-
formed, or facilities furnished in
any activity that is related to the
organization's tax-exempt purpose
Gross receipts from activities that
3
are not an unrelated trade or bus-
iness under section 513 ~~~~~
4
Tax revenues levied for the organ-
ization's benefit and either paid to
or expended on its behalf ~~~~
5
The value of services or facilities
furnished by a governmental unit to
the organization without charge ~
~~~
6
Total.
Add lines 1 through 5
7
a
Amounts included on lines 1, 2, and
3 received from disqualified persons
b
Amounts included on lines 2 and 3 received
from other than disqualified persons that
exceed the greater of $5,000 or 1% of the
~~~~~~
amount on line 13 for the year
c
Add lines 7a and 7b ~~~~~~~
8 Public support.
(Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in) |
(a)
2011
(b)
2012
(c)
2013
(d)
2014
(e)
2015
(f)
Total
9
Amounts from line 6 ~~~~~~~
Gross income from interest,
10a
dividends, payments received on
securities loans, rents, royalties
and income from similar sources ~
b
Unrelated business taxable income
(less section 511 taxes) from businesses
acquired after June 30, 1975
~~~~
c
Add lines 10a and 10b ~~~~~~
11
Net income from unrelated business
activities not included in line 10b,
whether or not the business is
regularly carried on ~~~~~~~
12
Other income. Do not include gain
or loss from the sale of capital
assets (Explain in Part VI.) ~~~~
13
Total support.
(Add lines 9, 10c, 11, and 12.)
14 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
15
Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f))
~~~~~~~~~~~~
15
%
16
Public support percentage from 2014 Schedule A, Part III, line 15
••••••••••••••••••••
16
%
Section D. Computation of Investment Income Percentage
17
Investment income percentage for
2015
(line 10c, column (f) divided by line 13, column (f))
~~~~~~~~
17
%
18
Investment income percentage from
2014
Schedule A, Part III, line 17
~~~~~~~~~~~~~~~~~~
18
%
19
a
33 1/3% support tests - 2015.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not
more than 33 1/3%, check this box and
stop here.
The organization qualifies as a publicly supported organization ~~~~~~~~~~ |
b
33 1/3% support tests - 2014.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, and
line 18 is not more than 33 1/3%, check this box and
stop here.
The organization qualifies as a publicly supported organization~~~~ |
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions •••••••• |
Schedule A (Form 990 or 990-EZ) 2015
532023 09-23-15
15
13340919 792194 141677
2015.04020 CANCER SUPPORT COMMUNITY MO 141677_1
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial