Form 8879-Eo - Irs E-File Signature Authorization For An Exempt Organization Sample - 2015 Page 28
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41CANCER SUPPORT COMMUNITY MONTANA
81-0542266
Schedule G (Form 990 or 990-EZ) 2015
Page
2
Part II
Fundraising Events.
Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000
of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a)
Event #1
(b)
Event #2
(c)
Other events
Total events
(d)
CRUISIN FOR
NONE
(add col.
through
(a)
GALA
A CAUSE
col.
(c)
)
(event type)
(event type)
(total number)
106,447.
33,105.
139,552.
1
Gross receipts
~~~~~~~~~~~~~~
2
Less: Contributions
~~~~~~~~~~~
106,447.
33,105.
139,552.
Gross income (line 1 minus line 2) ••••
3
Cash prizes
~~~~~~~~~~~~~~~
4
Noncash prizes
5
~~~~~~~~~~~~~
Rent/facility costs ~~~~~~~~~~~~
6
14,783.
14,783.
7
Food and beverages
~~~~~~~~~~
900.
900.
8
Entertainment
~~~~~~~~~~~~~~
10,615.
3,704.
14,319.
9
Other direct expenses ~~~~~~~~~~
30,002.
10
Direct expense summary. Add lines 4 through 9 in column (d)
~~~~~~~~~~~~~~~~~~~~~~~~ |
109,550.
11
Net income summary. Subtract line 10 from line 3, column (d)
•••••••••••••••••••••••• |
Part III
Gaming.
Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than
$15,000 on Form 990-EZ, line 6a.
Pull tabs/instant
(b)
(d)
Total gaming (add
(a)
Bingo
(c)
Other gaming
bingo/progressive bingo
col.
(a)
through col.
(c)
)
1
Gross revenue ••••••••••••••
Cash prizes
2
~~~~~~~~~~~~~~~
Noncash prizes
3
~~~~~~~~~~~~~
Rent/facility costs
4
~~~~~~~~~~~~
Other direct expenses
5
••••••••••
Yes
%
Yes
%
Yes
%
Volunteer labor ~~~~~~~~~~~~~
6
No
No
No
7
Direct expense summary. Add lines 2 through 5 in column (d)
~~~~~~~~~~~~~~~~~~~~~~~~ |
••••••••••••••••••••• |
8
Net gaming income summary. Subtract line 7 from line 1, column (d)
Enter the state(s) in which the organization conducts gaming activities:
9
a
Is the organization licensed to conduct gaming activities in each of these states?
~~~~~~~~~~~~~~~~~~~~
Yes
No
b
If "No," explain:
10
a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year?
~~~~~~~~~
Yes
No
b
If "Yes," explain:
Schedule G (Form 990 or 990-EZ) 2015
532082 09-14-15
31
13340919 792194 141677
2015.04020 CANCER SUPPORT COMMUNITY MO 141677_1
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