Form 8879-Eo - Irs E-File Signature Authorization For An Exempt Organization Sample - 2015 Page 26
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41CANCER SUPPORT COMMUNITY MONTANA
81-0542266
4
Schedule D (Form 990) 2015
Page
Part XI
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return.
Complete if the organization answered "Yes" on Form 990, Part IV, line 12a.
1
Total revenue, gains, and other support per audited financial statements
~~~~~~~~~~~~~~~~~~~
1
2
Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a
Net unrealized gains (losses) on investments
~~~~~~~~~~~~~~~~~~
2a
b
Donated services and use of facilities
~~~~~~~~~~~~~~~~~~~~~~
2b
c
Recoveries of prior year grants
~~~~~~~~~~~~~~~~~~~~~~~~~
2c
d
Other (Describe in Part XIII.)
~~~~~~~~~~~~~~~~~~~~~~~~~~
2d
e
Add lines
2a
through
2d
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
2e
3
Subtract line
2e
from line
1
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3
4
Amounts included on Form 990, Part VIII, line 12, but not on line 1:
Investment expenses not included on Form 990, Part VIII, line 7b
~~~~~~~~
a
4a
Other (Describe in Part XIII.)
~~~~~~~~~~~~~~~~~~~~~~~~~~
b
4b
Add lines
and
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
c
4a
4b
4c
(This must equal Form 990, Part I, line 12.)
Total revenue. Add lines
and
•••••••••••••••••
5
3
4c.
5
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return.
Complete if the organization answered "Yes" on Form 990, Part IV, line 12a.
1
Total expenses and losses per audited financial statements
~~~~~~~~~~~~~~~~~~~~~~~~~~
1
2
Amounts included on line 1 but not on Form 990, Part IX, line 25:
a
Donated services and use of facilities
~~~~~~~~~~~~~~~~~~~~~~
2a
b
Prior year adjustments
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
2b
c
Other losses
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
2c
~~~~~~~~~~~~~~~~~~~~~~~~~~
d
Other (Describe in Part XIII.)
2d
e
Add lines
2a
through
2d
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
2e
3
Subtract line
2e
from line
1
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3
4
Amounts included on Form 990, Part IX, line 25, but not on line 1:
a
Investment expenses not included on Form 990, Part VIII, line 7b
~~~~~~~~
4a
b
Other (Describe in Part XIII.)
~~~~~~~~~~~~~~~~~~~~~~~~~~
4b
c
Add lines
4a
and
4b
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
4c
(This must equal Form 990, Part I, line 18.)
••••••••••••••••
5
Total expenses. Add lines
3
and
4c.
5
Part XIII Supplemental Information.
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI,
lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
PART V, LINE 4:
THE BOARD HAS DESIGNATED THESE FUNDS FOR LONG-TERM INVESTMENT WITH THE
INTENTION OF GROWING THE FUNDS TO BE USED TO SUBSIDIZE THE ORGANIZATION'S
ANNUAL OPERATING EXPENSES.
532054
Schedule D (Form 990) 2015
09-21-15
29
13340919 792194 141677
2015.04020 CANCER SUPPORT COMMUNITY MO 141677_1
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