Sample Form 990 - Return Of Organization Exempt From Income Tax - 2015 Page 3

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26P0007 10/13/2016 12:54 PM
PHILADELPHIA VETERANS COMFORT HOUSE 23-2694118
3
Form 990 (2015)
Page
Part IV
Checklist of Required Schedules
Yes No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,”
X
complete Schedule A
1
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
X
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)?
2
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to
X
candidates for public office? If “Yes,” complete Schedule C, Part I
3
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h)
X
election in effect during the tax year? If "Yes," complete Schedule C, Part II
4
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues,
assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
X
Part III
5
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors
have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If
X
“Yes,” complete Schedule D, Part I
6
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
X
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part II
7
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,”
X
complete Schedule D, Part III
8
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
Did the organization report an amount in Part X, line 21, for escrow or custodial account liability, serve as a
custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or
X
debt negotiation services? If “Yes,” complete Schedule D, Part IV
9
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted
X
endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part V
10
. . . . . . . . . . . . . . . . . . . . . . . . . .
11
If the organization's answer to any of the following questions is “Yes,” then complete Schedule D, Parts VI,
VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes,"
X
complete Schedule D, Part VI
11a
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more
X
of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII
11b
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more
X
of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII
11c
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets
X
reported in Part X, line 16? If "Yes," complete Schedule D, Part IX
11d
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X
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X
11e
. . . . . . . . . . . . .
f
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses
X
the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X
11f
. . . . . . . . . .
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete
X
Schedule D, Parts XI and XII
12a
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If
X
"Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional
12b
. . . . . . . . . . . . .
X
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
X
14a
Did the organization maintain an office, employees, or agents outside of the United States?
14a
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking,
fundraising, business, investment, and program service activities outside the United States, or aggregate
X
foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV
14b
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or
X
for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
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16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other
X
assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV
16
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on
X
Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions)
17
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on
X
Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II
18
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19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a?
X
If "Yes," complete Schedule G, Part III
19
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990
Form
(2015)
DAA

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