Form 990 Schedule A Public Charity Status And Public Support Page 3
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Schedule A (Form 990 or 990-EZ) 2015
Page
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II.
If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2011
(b) 2012
(c) 2013
(d) 2014
(e) 2015
(f) Total
▶
1
Gifts, grants, contributions, and membership fees
received. (Do not include any "unusual grants.")
2
Gross receipts from admissions, merchandise
sold or services performed, or facilities
furnished in any activity that is related to the
organization’s tax-exempt purpose .
.
.
3
Gross receipts from activities that are not an
unrelated trade or business under section 513
4
Tax
revenues
levied
for
the
organization’s benefit and either paid
to or expended on its behalf
.
.
.
5
The value of services or facilities
furnished by a governmental unit to the
organization without charge .
.
.
.
6
Total. Add lines 1 through 5 .
.
.
.
7a Amounts included on lines 1, 2, and 3
received from disqualified persons
.
b Amounts included on lines 2 and 3
received
from other than disqualified
persons that exceed the greater of $5,000
or 1% of the amount on line 13 for the year
c Add lines 7a and 7b
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8
Public support. (Subtract line 7c from
line 6.) .
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Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2011
(b) 2012
(c) 2013
(d) 2014
(e) 2015
(f) Total
▶
9
Amounts from line 6
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10a Gross income from interest, dividends,
payments received on securities loans, rents,
royalties and income from similar sources .
b Unrelated business taxable income (less
section 511 taxes) from businesses
acquired after June 30, 1975 .
.
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.
c Add lines 10a and 10b
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11
Net income from unrelated business
activities not included in line 10b, whether
or not the business is regularly carried on
12
Other income. Do not include gain or
loss from the sale of capital assets
(Explain in Part VI.) .
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13
Total support. (Add lines 9, 10c, 11,
and 12.)
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14
First five years. If the Form 990 is for the organization’s first, second, third, fourth, or fifth tax year as a section 501(c)(3)
organization, check this box and stop here
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Section C. Computation of Public Support Percentage
15
Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f))
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15
%
16
Public support percentage from 2014 Schedule A, Part III, line 15
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16
%
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) .
17
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%
18
Investment income percentage from 2014 Schedule A, Part III, line 17 .
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18
%
19a 33
1 /3
% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33
%, and line
1 /3
17 is not more than 33
%, check this box and stop here. The organization qualifies as a publicly supported organization
.
1 /3
▶
b 33
% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33
1 /3
1 /3
%, and
line 18 is not more than 33
%, check this box and stop here. The organization qualifies as a publicly supported organization
1 /3
▶
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
20
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Schedule A (Form 990 or 990-EZ) 2015
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