Sample Form 990 - Return Of Organization Exempt From Income Tax - 2015 Page 9

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26P0007 10/13/2016 12:54 PM
PHILADELPHIA VETERANS COMFORT HOUSE 23-2694118
9
Form 990 (2015)
Page
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(A)
(B)
(C)
(D)
Related or
Revenue
Total revenue
Unrelated
exempt
excluded from tax
business
function
under sections
revenue
revenue
512-514
1a
Federated campaigns
1a
. . . . .
b
Membership dues
1b
. . . . . . . . .
c
Fundraising events
1c
. . . . . . . .
d
Related organizations
1d
. . . . .
Government grants (contributions)
e
1e
. .
f
All other contributions, gifts, grants,
and similar amounts not included above
39,019
1f
Noncash contributions included in lines 1a-1f:
g
$
. . . . . . . . . . . . . . . . . . . . .
39,019
h
Total. Add lines 1a–1f
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Busn. Code
43,896
43,896
2a
Program Housing
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13,391
13,391
b
Program Room Charges
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f
All other program service revenue
. . . . . . . .
57,287
g
Total. Add lines 2a–2f
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
Investment income (including dividends, interest,
1,064
1,064
and other similar amounts)
. . . . . . . . . . . . . . . . . . . . . . . .
4
Income from investment of tax-exempt bond proceeds
5
Royalties
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(i) Real
(ii) Personal
6a
Gross rents
Less: rental exps.
b
Rental inc. or (loss)
c
d
Net rental income or (loss)
. . . . . . . . . . . . . . . . . . . . . . . . .
Gross amount from
7a
(i) Securities
(ii) Other
sales of assets
other than inventory
Less: cost or other
b
basis & sales exps.
c
Gain or (loss)
d
Net gain or (loss)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Gross income from fundraising events
8a
(not including
$
. . . . . . . . . . . . . . . . . . . .
of contributions reported on line 1c).
See Part IV, line 18
43,960
a
. . . . . . . . . . . . . .
9,612
b
Less: direct expenses
b
. . . . . . . . .
34,348
c
Net income or (loss) from fundraising events
. . . . . .
Gross income from gaming activities.
9a
See Part IV, line 19
a
. . . . . . . . . . . . . .
b
b
Less: direct expenses
. . . . . . . . .
c
Net income or (loss) from gaming activities
. . . . . . .
10a
Gross sales of inventory, less
returns and allowances
a
. . . . . . .
b
Less: cost of goods sold
b
. . . . . .
c
Net income or (loss) from sales of inventory
. . . . . . .
Miscellaneous Revenue
Busn. Code
11a
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d
All other revenue
. . . . . . . . . . . . . . . . . . . . . . . . . .
e
Total. Add lines 11a–11d
. . . . . . . . . . . . . . . . . . . . . . . . . .
131,718
57,287
0
1,064
12
Total revenue. See instructions.
. . . . . . . . . . . . . . . . . .
990
Form
(2015)
DAA

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