Form 990 Schedule B Schedule Of Contributors Page 2

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Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Page
Name of organization
Employer identification number
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
Part I
(a)
(b)
(c)
(d)
No.
Name, address, and ZIP + 4
Total contributions
Type of contribution
Person
Payroll
$
Noncash
(Complete Part II for
noncash contributions.)
(a)
(b)
(c)
(d)
No.
Name, address, and ZIP + 4
Total contributions
Type of contribution
Person
Payroll
$
Noncash
(Complete Part II for
noncash contributions.)
(a)
(b)
(c)
(d)
No.
Name, address, and ZIP + 4
Total contributions
Type of contribution
Person
Payroll
$
Noncash
(Complete Part II for
noncash contributions.)
(a)
(b)
(c)
(d)
No.
Name, address, and ZIP + 4
Total contributions
Type of contribution
Person
Payroll
$
Noncash
(Complete Part II for
noncash contributions.)
(a)
(b)
(c)
(d)
No.
Name, address, and ZIP + 4
Total contributions
Type of contribution
Person
Payroll
$
Noncash
(Complete Part II for
noncash contributions.)
(a)
(b)
(c)
(d)
No.
Name, address, and ZIP + 4
Total contributions
Type of contribution
Person
Payroll
$
Noncash
(Complete Part II for
noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

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