Form Schedule M (F 990) Schedule M (F 990) Non-Cash Contribution

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I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
SCHEDULE M (FORM 990) PAGE 1 of 2
MARGINS: TOP 13 mm (1⁄ 2 "), CENTER SIDES.
PRINTS: FACE ONLY
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
FLAT SIZE: 216 mm (81⁄ 2 ") 3 279 mm (11")
PERFORATE: NONE
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

SCHEDULE M
(Form 990)

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Types of Property

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Art—Works of art
Art—Historical treasures
Art—Fractional interests
Books and publications
Clothing and household
goods
Cars and other vehicles
Boats and planes
Intellectual property
Securities—Publicly traded
Securities—Closely held stock
Securities—Partnership, LLC,
or trust interests
Securities—Miscellaneous
Qualified conservation
contribution (historic
structures)
Qualified conservation
contribution (other)
Real estate—Residential
Real estate—Commercial
Real estate—Other
Collectibles
Food inventory
Drugs and medical supplies
Taxidermy
Historical artifacts
Scientific specimens
Archeological artifacts
Other (describe
Other (describe
Other (describe
Other (describe

Revised proofs
requested

OMB No. 1545-0047

2008

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Open To Public
Inspection

Employer identification number

(a)
Check if
applicable

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Signature

O.K. to print

To be completed by organizations that answered
“Yes” on Form 990, Part IV, lines 29 or 30.

Name of the organization

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Date

Non-Cash Contributions

Department of the Treasury
Internal Revenue Service

Part I

Action

(b)
Number of Contributions

(c)
Revenues reported on
Form 990, Part VIII, line 1g

(d)
Method of determining
revenues

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Number of Forms 8283 received by the organization during the tax year for contributions for
which the organization completed Part IV, Donee Acknowledgement

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Yes No

30a During the year, did the organization receive by contribution any property reported in Part I that it must hold
for at least three years from the date of the initial contribution, and which is not required to be used for
exempt purposes for the entire holding period?
b If “Yes,” describe the arrangement in Part II.
31 Does the organization have a gift acceptance policy that requires the review of any non-standard
contributions?
32a Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash
contributions?
b If “Yes,” describe in Part II.
33 If the organization did not report revenues in Column (c) for a type of property for which Column (a) is
checked, describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

30a

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32a

Schedule M (Form 990) 2008

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I.R.S. SPECIFICATIONS

TO BE REMOVED BEFORE PRINTING

INSTRUCTIONS TO PRINTERS
SCHEDULE M (FORM 990), PAGE 2 of 2
MARGINS: TOP 13 mm (1⁄ 2 "), CENTER SIDES.
PRINTS: HEAD to HEAD
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
FLAT SIZE: 216 mm (81⁄ 2 ") x 835 mm (327⁄ 8 "),
FOLD TO: 216 mm (81⁄ 2 ") x 279 mm (11")
PERFORATE: ON FOLD

DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

Schedule M (Form 990) 2008

Part II

Page

2

Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.

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Schedule M (Form 990) 2008