Form Char500 - Annual Filing For Charitable Organizations - 2013 Page 3
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4Schedule 4b: Governm ent Contributions (Grants)
If you checked the box in question 4.b. on page 1, complete the following schedule for each government contribution (grant). Use additional copies
of this page if necessary to list each government contribution (grant) separately.
Government Agency Name
Grant Amount
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Total Governm ent Contributions (Grants)
$
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CHAR500 - 2013
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