Schedule K (Form 990) - Supplemental Information On Tax-Exempt Bonds - 2014 Page 2
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Schedule K (Form 990) 2014
Page
Part III
Private Business Use (Continued)
A
B
C
D
3a Are there any management or service contracts that may result in private
Yes
No
Yes
No
Yes
No
Yes
No
business use of bond-financed property?
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b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside
counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of
bond-financed property? .
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d If "Yes" to line 3c, does the organization routinely engage bond counsel or other
outside counsel to review any research agreements relating to the financed property?
4
Enter the percentage of financed property used in a private business use by entities
other than a section 501(c)(3) organization or a state or local government
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▶
%
%
%
%
5
Enter the percentage of financed property used in a private business use as a
result of unrelated trade or business activity carried on by your organization,
another section 501(c)(3) organization, or a state or local government .
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%
%
▶
%
%
6
Total of lines 4 and 5 .
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%
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7
Does the bond issue meet the private security or payment test? .
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8a Has there been a sale or disposition of any of the bond-financed property to a
nongovernmental person other than a 501(c)(3) organization since the bonds were issued?
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or
disposed of .
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c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations
sections 1.141-12 and 1.145-2?
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9
Has the organization established written procedures to ensure that all
nonqualified bonds of the issue are remediated in accordance with the
requirements under Regulations sections 1.141-12 and 1.145-2?
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Part IV
Arbitrage
A
B
C
D
1
Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and
Yes
No
Yes
No
Yes
No
Yes
No
Penalty in Lieu of Arbitrage Rebate? .
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2
If "No" to line 1, did the following apply?
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a Rebate not due yet?
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b Exception to rebate? .
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c No rebate due? .
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If “Yes” to line 2c, provide in Part VI the date the rebate computation was
performed
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3
Is the bond issue a variable rate issue? .
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4a Has the organization or the governmental issuer entered into a qualified
hedge with respect to the bond issue? .
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b Name of provider .
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c Term of hedge .
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d Was the hedge superintegrated? .
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e Was the hedge terminated? .
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Schedule K (Form 990) 2014
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