Form 1024 - Application For Recognition Of Exemption Under Section 501(A) Page 7
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207
Form 1024 (Rev. 1-2018)
Page
Schedule A
Organizations described in section 501(c)(2) or 501(c)(25) (Title-holding corporations or trusts)
1 State the complete name, address, and EIN of each organization for which title to property is held and the number and type of the applicant
organization’s stock held by each organization.
2 If the annual excess of revenue over expenses has not been or will not be turned over to the organization for which title to property is held, state
the purpose for which the excess is or will be retained by the title holding organization.
3 In the case of a corporation described in section 501(c)(2), state the purpose of the organization for which title to property is held (as shown in its
governing instrument) and the Code sections under which it is classified as exempt from tax. If the organization has received a determination or
ruling letter recognizing it as exempt from taxation, please attach a copy of the letter.
4 In the case of a corporation or trust described in section 501(c)(25), state the basis whereby each shareholder is described in section
501(c)(25)(C). For each organization described that has received a determination or ruling letter recognizing that organization as exempt from
taxation, please attach a copy of the letter.
5 With respect to the activities of the organization.
a
Yes
No
Is any rent received attributable to personal property leased with real property? .
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If “Yes,” what percentage of the total rent, as reported on the financial statements in Part III, is attributable to personal
property?
b
Will the organization receive income which is incidentally derived from the holding of real property, such as income
from operation of a parking lot or from vending machines? .
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Yes
No
If “Yes,” what percentage of the organization’s gross income, as reported on the financial statements in Part III, is
incidentally derived from the holding of real property?
c
Will the organization receive income other than rent from real property or personal property leased with real property or
income which is incidentally derived from the holding of real property?
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Yes
No
If “Yes,” describe the source of the income.
Instructions
Line 1.—Provide the requested information on each organization for
describes the organization (as shown in its IRS determination letter).
which the applicant organization holds title to property. Also indicate the
Line 4.—Indicate if the shareholder is one of the following.
number and types of shares of the applicant organization’s stock that
1. A qualified pension, profit-sharing, or stock bonus plan that meets
are held by each.
the requirements of the Code;
Line 2.—For purposes of this question, “excess of revenue over
2. A government plan;
expenses” is all of the organization’s income for a particular tax year
less operating expenses.
3. An organization described in section 501(c)(3); or
Line 3.—Give the exempt purpose of each organization that is the basis
4. An organization described in section 501(c)(25).
for its exempt status and the Internal Revenue Code section that
1024
Form
(Rev. 1-2018)
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