Form 8879-Eo - Irs E-File Signature Authorization For An Exempt Organization Sample - 2015 Page 19
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41CANCER SUPPORT COMMUNITY MONTANA
81-0542266
Schedule A (Form 990 or 990-EZ) 2015
Page
6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970.
See instructions.
All
other Type III non-functionally integrated supporting organizations must complete Sections A through E.
(B) Current Year
Section A - Adjusted Net Income
(A) Prior Year
(optional)
1
Net short-term capital gain
1
2
Recoveries of prior-year distributions
2
3
Other gross income (see instructions)
3
4
Add lines 1 through 3
4
5
Depreciation and depletion
5
6
Portion of operating expenses paid or incurred for production or
collection of gross income or for management, conservation, or
maintenance of property held for production of income (see instructions)
6
Other expenses (see instructions)
7
7
(subtract lines 5, 6 and 7 from line 4)
8
Adjusted Net Income
8
(B) Current Year
Section B - Minimum Asset Amount
(A) Prior Year
(optional)
1
Aggregate fair market value of all non-exempt-use assets (see
instructions for short tax year or assets held for part of year):
a
Average monthly value of securities
1a
b
Average monthly cash balances
1b
c
Fair market value of other non-exempt-use assets
1c
d
Total
(add lines 1a, 1b, and 1c)
1d
e
Discount
claimed for blockage or other
factors (explain in detail in
Part VI
):
2
Acquisition indebtedness applicable to non-exempt-use assets
2
3
Subtract line 2 from line 1d
3
4
Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount,
see instructions).
4
5
Net value of non-exempt-use assets (subtract line 4 from line 3)
5
6
Multiply line 5 by .035
6
7
Recoveries of prior-year distributions
7
8
Minimum Asset Amount
(add line 7 to line 6)
8
Section C - Distributable Amount
Current Year
1
Adjusted net income for prior year (from Section A, line 8, Column A)
1
2
Enter 85% of line 1
2
3
Minimum asset amount for prior year (from Section B, line 8, Column A)
3
4
Enter greater of line 2 or line 3
4
5
Income tax imposed in prior year
5
6
Distributable Amount.
Subtract line 5 from line 4, unless subject to
emergency temporary reduction (see instructions)
6
7
Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see
instructions).
Schedule A (Form 990 or 990-EZ) 2015
532026
09-23-15
18
13340919 792194 141677
2015.04020 CANCER SUPPORT COMMUNITY MO 141677_1
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