Sample Form 990 - Return Of Organization Exempt From Income Tax

26P0007 10/13/2016 12:54 PM

PHILADELPHIA VETERANS COMFORT HOUSE 23-2694118

Form 990 (2015)

Page

Part IV

Checklist of Required Schedules (continued)

Yes

20a

Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H

20a

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If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return?

20b

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Did the organization report more than $5,000 of grants or other assistance to any domestic organization or

domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II

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Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on

Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III

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Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the

organization's current and former officers, directors, trustees, key employees, and highest compensated

employees? If "Yes," complete Schedule J

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24a

Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than

$100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b

through 24d and complete Schedule K. If “No,” go to line 25a

24a

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Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?

24b

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Did the organization maintain an escrow account other than a refunding escrow at any time during the year

to defease any tax-exempt bonds?

24c

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Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?

24d

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25a

Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit

transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I

25a

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Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior

year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?

If "Yes," complete Schedule L, Part I

25b

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Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any

current or former officers, directors, trustees, key employees, highest compensated employees, or

disqualified persons? If "Yes," complete Schedule L, Part II

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Did the organization provide a grant or other assistance to an officer, director, trustee, key employee,

substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled

entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III

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Was the organization a party to a business transaction with one of the following parties (see Schedule L,

Part IV instructions for applicable filing thresholds, conditions, and exceptions):

A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV

28a

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A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete

Schedule L, Part IV

28b

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An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof)

was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV

28c

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Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M

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Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified

conservation contributions? If “Yes,” complete Schedule M

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Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,

Part I

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Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes,"

complete Schedule N, Part II

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Did the organization own 100% of an entity disregarded as separate from the organization under Regulations

sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I

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Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III,

or IV, and Part V, line 1

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35a

Did the organization have a controlled entity within the meaning of section 512(b)(13)?

35a

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If "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a

controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2

35b

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Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable

related organization? If “Yes,” complete Schedule R, Part V, line 2

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Did the organization conduct more than 5% of its activities through an entity that is not a related organization

and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R,

Part VI

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Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and

19? Note. All Form 990 filers are required to complete Schedule O.

990

Form

(2015)

DAA