Schedule D (Form 990) - Supplemental Financial Statements - 2015
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5SCHEDULE D
OMB No. 1545-0047
Supplemental Financial Statements
2015
(Form 990)
Complete if the organization answered “Yes” on Form 990,
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Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
Open to Public
Attach to Form 990.
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Department of the Treasury
Inspection
Information about Schedule D (Form 990) and its instructions is at
Internal Revenue Service
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Name of the organization
Employer identification number
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts.
Complete if the organization answered “Yes” on Form 990, Part IV, line 6.
(a) Donor advised funds
(b) Funds and other accounts
1
Total number at end of year .
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2
Aggregate value of contributions to (during year)
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Aggregate value of grants from (during year)
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Aggregate value at end of year .
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Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization’s property, subject to the organization’s exclusive legal control? .
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Yes
No
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Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used
only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose
conferring impermissible private benefit?
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Yes
No
Part II
Conservation Easements.
Complete if the organization answered “Yes” on Form 990, Part IV, line 7.
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Purpose(s) of conservation easements held by the organization (check all that apply).
Preservation of land for public use (e.g., recreation or education)
Preservation of a historically important land area
Protection of natural habitat
Preservation of a certified historic structure
Preservation of open space
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation
easement on the last day of the tax year.
Held at the End of the Tax Year
a Total number of conservation easements
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2a
b Total acreage restricted by conservation easements .
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2b
c Number of conservation easements on a certified historic structure included in (a) .
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2c
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a
historic structure listed in the National Register
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2d
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Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year
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Number of states where property subject to conservation easement is located
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Does the organization have a written policy regarding the periodic monitoring, inspection, handling of
violations, and enforcement of the conservation easements it holds? .
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Yes
No
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
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Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
$
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Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i)
and section 170(h)(4)(B)(ii)? .
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Yes
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In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes the
organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered “Yes” on Form 990, Part IV, line 8.
1 a If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet
works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of
public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet
works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of
public service, provide the following amounts relating to these items:
(i) Revenue included on Form 990, Part VIII, line 1
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(ii) Assets included in Form 990, Part X .
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2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a Revenue included on Form 990, Part VIII, line 1
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b Assets included in Form 990, Part X .
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For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2015
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