Form 8879-Eo - Irs E-File Signature Authorization For An Exempt Organization Sample - 2015 Page 4

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CANCER SUPPORT COMMUNITY MONTANA
81-0542266
3
Form 990 (2015)
Page
Part IV Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?
X
If "Yes," complete Schedule A
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1
X
Schedule B, Schedule of Contributors
2
Is the organization required to complete
?
~~~~~~~~~~~~~~~~~~~~~~
2
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for
X
If "Yes," complete Schedule C, Part I
public office?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3
4
Section 501(c)(3) organizations.
Did the organization engage in lobbying activities, or have a section 501(h) election in effect
X
If "Yes," complete Schedule C, Part II
during the tax year?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
4
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or
X
If "Yes," complete Schedule C, Part III
similar amounts as defined in Revenue Procedure 98-19?
~~~~~~~~~~~~~~
5
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to
6
X
If "Yes," complete Schedule D, Part I
provide advice on the distribution or investment of amounts in such funds or accounts?
6
Did the organization receive or hold a conservation easement, including easements to preserve open space,
7
X
If "Yes," complete Schedule D, Part II
the environment, historic land areas, or historic structures?
~~~~~~~~~~~~~~
7
If "Yes," complete
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets?
X
Schedule D, Part III
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
8
9
Did the organization report an amount in Part X, line 21, for escrow or custodial account liability, serve as a custodian for
amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services?
X
If "Yes," complete Schedule D, Part IV
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
9
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent
X
If "Yes," complete Schedule D, Part V
endowments, or quasi-endowments?
~~~~~~~~~~~~~~~~~~~~~~~~
10
11
If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X
as applicable.
If "Yes," complete Schedule D,
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
X
Part VI
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
11a
b
Did the organization report an amount for investments - other securities in Part X, line 12 that is 5% or more of its total
X
If "Yes," complete Schedule D, Part VII
assets reported in Part X, line 16?
~~~~~~~~~~~~~~~~~~~~~~~~~
11b
c
Did the organization report an amount for investments - program related in Part X, line 13 that is 5% or more of its total
X
If "Yes," complete Schedule D, Part VIII
assets reported in Part X, line 16?
~~~~~~~~~~~~~~~~~~~~~~~~~
11c
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in
X
If "Yes," complete Schedule D, Part IX
Part X, line 16?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
11d
X
If "Yes," complete Schedule D, Part X
e
Did the organization report an amount for other liabilities in Part X, line 25?
~~~~~~
11e
f
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses
X
If "Yes," complete Schedule D, Part X
the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?
~~~~
11f
If "Yes," complete
12
a
Did the organization obtain separate, independent audited financial statements for the tax year?
X
Schedule D, Parts XI and XII
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
12a
b
Was the organization included in consolidated, independent audited financial statements for the tax year?
X
If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional
~~~~~
12b
X
If "Yes," complete Schedule E
Is the organization a school described in section 170(b)(1)(A)(ii)?
13
~~~~~~~~~~~~~~
13
X
Did the organization maintain an office, employees, or agents outside of the United States?
14
a
~~~~~~~~~~~~~~~~
14a
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business,
investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000
X
If "Yes," complete Schedule F, Parts I and IV
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
or more?
14b
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any
15
X
If "Yes," complete Schedule F, Parts II and IV
foreign organization?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to
16
X
If "Yes," complete Schedule F, Parts III and IV
or for foreign individuals?
~~~~~~~~~~~~~~~~~~~~~~~~~~
16
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX,
X
If "Yes," complete Schedule G, Part I
column (A), lines 6 and 11e?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
17
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines
X
If "Yes," complete Schedule G, Part II
1c and 8a?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
18
If "Yes,"
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a?
X
complete Schedule G, Part III
•••••••••••••••••••••••••••••••••••••••••••••••
19
990
Form
(2015)
532003
12-16-15
3
13340919 792194 141677
2015.04020 CANCER SUPPORT COMMUNITY MO 141677_1

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