Sample Form 990 - Return Of Organization Exempt From Income Tax - 2015 Page 14
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3026P0007 10/13/2016 12:54 PM
PHILADELPHIA VETERANS COMFORT HOUSE 23-2694118
Schedule A (Form 990 or 990-EZ) 2015
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under
Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2011
(b) 2012
(c) 2013
(d) 2014
(e) 2015
(f) Total
1
Gifts, grants, contributions, and
membership fees received. (Do not
include any "unusual grants.")
. . . . . . . .
2
Tax revenues levied for the
organization's benefit and either paid
to or expended on its behalf
. . . . . . . . .
3
The value of services or facilities
furnished by a governmental unit to the
organization without charge
. . . . . . . . . .
4
Total. Add lines 1 through 3
. . . . . . . . . .
5
The portion of total contributions by
each person (other than a
governmental unit or publicly
supported organization) included on
line 1 that exceeds 2% of the amount
shown on line 11, column (f)
. . . . . . . . . .
Public support. Subtract line 5 from line 4.
6
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2011
(b) 2012
(c) 2013
(d) 2014
(e) 2015
(f) Total
7
Amounts from line 4
. . . . . . . . . . . . . . . . . .
8
Gross income from interest, dividends,
payments received on securities loans,
rents, royalties and income from similar
sources
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
Net income from unrelated business
activities, whether or not the business
is regularly carried on
. . . . . . . . . . . . . . . . .
10
Other income. Do not include gain or
loss from the sale of capital assets
(Explain in Part VI.)
. . . . . . . . . . . . . . . . . . .
11
Total support. Add lines 7 through 10
12
Gross receipts from related activities, etc. (see instructions)
12
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
First five years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3)
organization, check this box and stop here
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section C. Computation of Public Support Percentage
14
Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f))
14
%
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
Public support percentage from 2014 Schedule A, Part II, line 14
15
%
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16a 33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b 33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more,
check this box and stop here. The organization qualifies as a publicly supported organization
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17a
10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is
10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in
Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b 10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule A (Form 990 or 990-EZ) 2015
DAA
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