Form 50-115 - Application For Charitable Organization Property Tax Exemption Page 3

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P r o p e r t y T a x

A p p l i c a t i o n f o r C h a r i t a b l e O r g a n i z a t i o n P r o p e r t y T a x E x e m p t i o n

Form 50-115

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Provides for the organized solicitation of gifts and grants to non-profit human services organizations. Tax Code § 11.18 (d)(15)*

If this function is checked, answer the following questions.

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a. Does the organization have a volunteer board of directors? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

b. Is the organization affiliated with a state or national organization that authorizes, approves or sanctions

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volunteer fundraising organizations? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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c. Does the organization qualify for exemption under Sec. 501(c)(3), Internal Revenue Code, as amended? . . . . . . . . . .

Yes

d. Does the organization distribute contributions to at least five other organizations which (1) use the funds for

charitable purposes; (2) are governed by volunteer boards of directors; (3) qualify for exemption under

Sec. 501(c)(3), Internal Revenue Code, as amended; (4) receive a majority of their revenue from charitable gifts

and government agencies; and (5) provide services without regard to their beneficiaries’ ability to pay?

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If yes, attach a list of organizations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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Performs biomedical or scientific research or scientific education for benefit of the public.* Tax Code § 11.18 (d)(16)

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Acquires, holds, and transfers unimproved real property under an urban land bank demonstration program established under Chapter 379, Local

Government Code, as or on behalf of a land bank. Tax Code § 11.18 (d)(21)

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Acquires, holds, or transfers unimproved real property under an urban land bank program established under Chapter 379E, Local Government

Code, as or on behalf of a land bank. Tax Code § 11.18 (d)(22)

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Provides housing and related services to individuals who are unaccompanied, homeless and have a disabling condition who have been

continuously homeless for a year or more or have had at least four episodes of homelessness in the preceding 3 years and are owned by a

charitable organization that has been in existence for at least 10 years, are used to provide housing and related services to individuals described

by that subsection that are located on a single campus owned by a municipality with a population of more than 750,000 and less than 850,000. Tax

Code Section 11.18(d)(23)

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Operates a radio station that broadcasts educational, cultural or other public interest programming, including classical music, and that in the

preceding five years has received or been selected to receive one or more grants from the Corporation for Public Broadcasting under 47 U.S.C.

Section 396, as amended. Tax Code Section 11.18 (d)(24)

* A corporation that performs a function that is marked with an asterisk(*) does not have to be organized as a non-profit corporation.

** A charitable organization that performed this function must engage primarily in performing the described function, but may engage in other activities that support or are related to its charitable functions.

5. Does the organization perform, or does its charter permit it to perform, any functions other than those checked

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in question 2? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If “Yes” attach a statement describing the other functions in detail.

STEP 4: Answer these Questions About the Organization’s Bylaws or Charter

Attach a copy of the charter, bylaws or other documents adopted by the organization which govern its affairs, and answer the following questions.

1. Does the organization use its assets in performing the organization’s charitable functions or the charitable function

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of another charitable organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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2. Does the charitable organization divide responsibility with another organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If “YES,” is that organization

1. exempt from federal income taxation under Section 501(a), Internal Revenue Code of 1986,

as an organization described by Section 501(c)(3) of that code;

2. meet the criteria for a charitable organization under Section 11.18(e) and (f) Texas Tax Code; and

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3. under common control with the charitable organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

3. Do these documents direct that on the discontinuance of the organization the organization’s assets are to be

transferred to the state of Texas, to the United States, or to an educational, religious, charitable or other similar

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organization that is qualified for exemption under Section 501(c)(3), Internal Revenue Code, as amended? . . . . . . . . . . . . . . . . . .

Yes

__________

If “Yes” give the page and paragraph numbers . . . . . . . . . . . . . . . . . . . . . . . . . . Page

Paragraph

If “NO,” do these documents direct that on discontinuance of the organization the organization’s assets are to be transferred

to its members who have promised in their membership applications to immediately transfer them to the State of Texas, to the

United States, or to an educational, religious, charitable or other similar organization that is qualified for exemption under

Sec. 501(c)(3), Internal Revenue Code, as amended?

__________

If “Yes” give the page and paragraph numbers . . . . . . . . . . . . . . . . . . . . . . . . . . Page

Paragraph

If “Yes” , was the two-step transfer required for the organization to qualify for exemption under Sec. 501(c)(3),

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Internal Revenue Code, as amended? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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50-115 • 08-12/13 • Page 3