Form 990 - Return Of Organization Exempt From Income Tax - 2014 Page 36

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NATIONAL CENTER FOR LEARNING
DISABILITIES, INC.
13-2899381
Schedule G (Form 990 or 990-EZ) 2014
Page
3
11
Does the organization conduct gaming activities with nonmembers?
~~~~~~~~~~~~~~~~~~~~~~~~~~~
Yes
No
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity formed
to administer charitable gaming?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Yes
No
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
13a
%
b
An outside facility
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name |
Address |
Yes
No
15
a
Does the organization have a contract with a third party from whom the organization receives gaming revenue?
~~~~~~
b
If "Yes," enter the amount of gaming revenue received by the organization |
$
and the amount
of gaming revenue retained by the third party | $
.
c
If "Yes," enter name and address of the third party:
Name |
Address |
16
Gaming manager information:
Name |
Gaming manager compensation |
$
Description of services provided |
Director/officer
Employee
Independent contractor
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
Yes
No
retain the state gaming license? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
b
Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organization's own exempt activities during the tax year | $
Part IV
Supplemental Information.
Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b,
15c, 16, and 17b, as applicable. Also provide any additional information (see instructions).
Schedule G (Form 990 or 990-EZ) 2014
432083 08-28-14
36
17330517 756359 1107145.000
2014.05092 NATIONAL CENTER FOR LEARNIN 11071451

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