Form 14414 - Group Rulings Questionnaire Page 9

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Page 9 of 12
66. Have you filed a Form 990 group return on behalf of two or more of your subordinates for tax years 2008, 2009 or 2010? If you
answer “no” or “don’t know,” skip to question 70
Yes
No
Don’t know
a. If "yes" to question 66, provide the total number of subordinates included in your group exemption, the total number included in
your Form 990 group return, and the number of subordinates included in that return that had gross receipts greater than or equal
to $200,000 OR had total assets equal to or greater than $500,000 for the periods listed below
Provide approximate numbers if the exact numbers are not known. If you did NOT file a group return with two or more
of your subordinates in any of the years below, insert “N/A” in the column entries for that year
2010
2009
2008
Total Number of Subordinates
Number Included in Your Form 990 Group Return
Number of Subordinates with > $200,000 Gross
Receipts OR Total Assets > $500,000
b. Have you obtained an EIN (Employer Identification Number), separate from your own EIN, to use to file a group return
Yes
No
Don’t know
c. Prior to filing a group return, did you obtain a written statement, signed by an officer under penalties of perjury, from each of the
subordinates included in the group return that authorized each subordinate's inclusion in the return for the periods listed below?
Select one per row
Year
Yes
No
N/A
(Didn’t File Group Return)
2010
2009
2008
d. Did you file a group return on behalf of some but not all of your subordinates for tax years 2008, 2009 or 2010
Yes
No
Don’t know
e. If 'Yes' to question 66d, describe the reason(s) why you did not file a group return for all subordinates and the criteria you used to
determine which subordinates to include (or not include) in a group return
67. Have any of your subordinates that you included in a group return for tax year 2008, 2009 or 2010 separately disclosed to the public
the subordinate’s portion of the compensation information reported on the group return
Yes
No
Don’t know
a. If “yes” to question 67, how many of your subordinates separately disclosed to the public the subordinate’s portion of the
compensation information reported on the group return? Check one box for each row
All
More than half of
Half or fewer of
Year
Don't Know
N/A
(no group return filed)
subordinates
the subordinates
the subordinates
2010
2009
2008
b. If “yes” to question 67, how did your subordinates disclose the compensation information to the public? Check all that apply
Subordinate’s website
Another’s website
Don’t know
Other (describe)
14414
Catalog Number 59845N
Form
(Rev. 10-2012)

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