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CANCER SUPPORT COMMUNITY MONTANA

81-0542266

Form 990 (2015)

Page

Part IV Checklist of Required Schedules

(continued)

Yes

If "Yes," complete Schedule H

Did the organization operate one or more hospital facilities?

~~~~~~~~~~~~~~~~

20a

If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? ~~~~~~~~~~

20b

Did the organization report more than $5,000 of grants or other assistance to any domestic organization or

If "Yes," complete Schedule I, Parts I and II

domestic government on Part IX, column (A), line 1?

~~~~~~~~~~~~~~

Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on

If "Yes," complete Schedule I, Parts I and III

Part IX, column (A), line 2?

~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization's current

If "Yes," complete

and former officers, directors, trustees, key employees, and highest compensated employees?

Schedule J

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the

If "Yes," answer lines 24b through 24d and complete

last day of the year, that was issued after December 31, 2002?

Schedule K. If "No", go to line 25a

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

24a

Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?

~~~~~~~~~~~

24b

Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease

any tax-exempt bonds?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

24c

Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?

~~~~~~~~~~~

24d

Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations.

Did the organization engage in an excess benefit

If "Yes," complete Schedule L, Part I

transaction with a disqualified person during the year?

~~~~~~~~~~~~~~~~

25a

Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and

If "Yes," complete

that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?

Schedule L, Part I

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

25b

Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or

If "Yes,"

former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?

complete Schedule L, Part II

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial

contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member

If "Yes," complete Schedule L, Part III

of any of these persons?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV

instructions for applicable filing thresholds, conditions, and exceptions):

If "Yes," complete Schedule L, Part IV

A current or former officer, director, trustee, or key employee?

~~~~~~~~~~~

28a

If "Yes," complete Schedule L, Part IV

A family member of a current or former officer, director, trustee, or key employee?

28b

An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer,

If "Yes," complete Schedule L, Part IV

director, trustee, or direct or indirect owner?

~~~~~~~~~~~~~~~~~~~~~

28c

If "Yes," complete Schedule M

Did the organization receive more than $25,000 in non-cash contributions?

~~~~~~~~~

Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation

If "Yes," complete Schedule M

contributions?

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization liquidate, terminate, or dissolve and cease operations?

If "Yes," complete Schedule N, Part I

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

If "Yes," complete

Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?

Schedule N, Part II

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization own 100% of an entity disregarded as separate from the organization under Regulations

If "Yes," complete Schedule R, Part I

sections 301.7701-2 and 301.7701-3?

~~~~~~~~~~~~~~~~~~~~~~~~

If "Yes," complete Schedule R, Part II, III, or IV, and

Was the organization related to any tax-exempt or taxable entity?

Part V, line 1

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization have a controlled entity within the meaning of section 512(b)(13)?

~~~~~~~~~~~~~~~~~~

35a

If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity

If "Yes," complete Schedule R, Part V, line 2

within the meaning of section 512(b)(13)?

~~~~~~~~~~~~~~~~~~~

35b

Section 501(c)(3) organizations.

Did the organization make any transfers to an exempt non-charitable related organization?

If "Yes," complete Schedule R, Part V, line 2

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Did the organization conduct more than 5% of its activities through an entity that is not a related organization

If "Yes," complete Schedule R, Part VI

and that is treated as a partnership for federal income tax purposes?

~~~~~~~~

Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19?

Note.

All Form 990 filers are required to complete Schedule O •••••••••••••••••••••••••••••••

990

Form

(2015)

532004

12-16-15

13340919 792194 141677

2015.04020 CANCER SUPPORT COMMUNITY MO 141677_1

Form 8879-Eo - Irs E-File Signature Authorization For An Exempt Organization Sample - 2015 Page 5

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