Form 990 Schedule A Public Charity Status And Public Support Page 6

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6
Schedule A (Form 990 or 990-EZ) 2015
Page
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All
other Type III non-functionally integrated supporting organizations must complete Sections A through E.
(B) Current Year
Section A - Adjusted Net Income
(A) Prior Year
(optional)
1 Net short-term capital gain
1
2 Recoveries of prior-year distributions
2
3 Other gross income (see instructions)
3
4 Add lines 1 through 3
4
5 Depreciation and depletion
5
6 Portion of operating expenses paid or incurred for production or
collection of gross income or for management, conservation, or
maintenance of property held for production of income (see instructions)
6
7 Other expenses (see instructions)
7
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)
8
(B) Current Year
Section B - Minimum Asset Amount
(A) Prior Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see
instructions for short tax year or assets held for part of year):
a Average monthly value of securities
1a
b Average monthly cash balances
1b
c Fair market value of other non-exempt-use assets
1c
d Total (add lines 1a, 1b, and 1c)
1d
e Discount claimed for blockage or other
factors (explain in detail in Part VI):
2 Acquisition indebtedness applicable to non-exempt-use assets
2
3 Subtract line 2 from line 1d
3
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount,
see instructions).
4
5 Net value of non-exempt-use assets (subtract line 4 from line 3)
5
6 Multiply line 5 by .035
6
7 Recoveries of prior-year distributions
7
8 Minimum Asset Amount (add line 7 to line 6)
8
Section C - Distributable Amount
Current Year
1
1 Adjusted net income for prior year (from Section A, line 8, Column A)
2 Enter 85% of line 1
2
3 Minimum asset amount for prior year (from Section B, line 8, Column A)
3
4 Enter greater of line 2 or line 3
4
5 Income tax imposed in prior year
5
6 Distributable Amount. Subtract line 5 from line 4, unless subject to
6
emergency temporary reduction (see instructions)
7
Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see
instructions).
Schedule A (Form 990 or 990-EZ) 2015

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