Sample Form 990 - Return Of Organization Exempt From Income Tax

26P0007 10/13/2016 12:54 PM

SCHEDULE G

Supplemental Information Regarding Fundraising or Gaming Activities

OMB No. 1545-0047

(Form 990 or 990-EZ)

Complete if the organization answered “Yes” on Form 990, Part IV, lines 17, 18, or 19, or if the

2015

organization entered more than $15,000 on Form 990-EZ, line 6a.



Attach to Form 990 or Form 990-EZ.

Department of the Treasury

Open to Public



Information about Schedule G (Form 990 or 990-EZ) and its instructions is at

Internal Revenue Service

Inspection

Name of the organization

Employer identification number

PHILADELPHIA VETERANS COMFORT HOUSE

23-2694118

Fundraising Activities. Complete if the organization answered “Yes” on Form 990, Part IV, line 17.

Part I

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

Mail solicitations

Solicitation of non-government grants

Internet and email solicitations

Solicitation of government grants

Phone solicitations

Special fundraising events

In-person solicitations

2a Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

. . . . . . . . . . . . . . . . .

If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be

compensated at least $5,000 by the organization.

(iii)

Did fund-

(v) Amount paid to

(vi) Amount paid to

raiser have

(i) Name and address of individual

(iv) Gross receipts

(or retained by)

custody or

(ii) Activity

or entity (fundraiser)

control of

from activity

fundraiser listed in

organization

contributions?

col. (i)

Yes

Total

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from

registration or licensing.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . .

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Schedule G (Form 990 or 990-EZ) 2015

. .

DAA