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pdf(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
2014
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
▶ Information
▶ Attach to Form 990 or Form 990-EZ.
about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
Name of the organization
Part I
OMB No. 1545-0047
Public Charity Status and Public Support
SCHEDULE A
Open to Public
Inspection
Employer identification number
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).
2
A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)
A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).
3
A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the
4
hospital’s name, city, and state:
5
An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
An organization that normally receives a substantial part of its support from a governmental unit or from the general public
described in section 170(b)(1)(A)(vi). (Complete Part II.)
8
9
A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)
An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its
support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
An organization organized and operated exclusively to test for public safety. See section 509(a)(4).
An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of
one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check
the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.
a
Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving
the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting
organization. You must complete Part IV, Sections A and B.
b
Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having
control or management of the supporting organization vested in the same persons that control or manage the supported
organization(s). You must complete Part IV, Sections A and C.
Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with,
its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.
c
d
e
Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s)
that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness
requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.
Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III
functionally integrated, or Type III non-functionally integrated supporting organization.
f Enter the number of supported organizations . . . . . . . . .
g Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization
(described on lines 1–9
above or IRC section
(see instructions))
.
.
.
.
.
.
.
.
.
.
.
.
(iv) Is the organization (v) Amount of monetary
listed in your governing
support (see
document?
instructions)
Yes
.
.
(vi) Amount of
other support (see
instructions)
No
(A)
(B)
(C)
(D)
(E)
Total
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2014
Page 2
Schedule A (Form 990 or 990-EZ) 2014
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under
Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) ▶
1
Gifts, grants, contributions, and
membership fees received. (Do not
include any "unusual grants.") . . .
2
Tax
revenues
levied
for
the
organization’s benefit and either paid
to or expended on its behalf . . .
3
The value of services or facilities
furnished by a governmental unit to the
organization without charge . . . .
4
Total. Add lines 1 through 3 .
5
The portion of total contributions by
each
person
(other
than
a
governmental
unit
or
publicly
supported organization) included on
line 1 that exceeds 2% of the amount
shown on line 11, column (f) . . . .
6
Public support. Subtract line 5 from line 4.
.
.
(a) 2010
(b) 2011
(c) 2012
(d) 2013
(e) 2014
(f) Total
(a) 2010
(b) 2011
(c) 2012
(d) 2013
(e) 2014
(f) Total
.
Section B. Total Support
Calendar year (or fiscal year beginning in) ▶
7
Amounts from line 4 . . . . . .
8
Gross income from interest, dividends,
payments received on securities loans,
rents, royalties and income from similar
sources . . . . . . . . . .
9
Net income from unrelated business
activities, whether or not the business
is regularly carried on
. . . . .
10
Other income. Do not include gain or
loss from the sale of capital assets
(Explain in Part VI.) . . . . . . .
11
12
13
Total support. Add lines 7 through 10
Gross receipts from related activities, etc. (see instructions) . . . . . . . . . . . .
12
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 . . . . . . . . . . . . . . . . . . . . . . . . . ▶
Section C. Computation of Public Support Percentage
14
15
16a
Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) . . . .
14
15
Public support percentage from 2013 Schedule A, Part II, line 14 . . . . . . . . . .
331/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 331/3% or more, check this
▶
box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . .
1
1
b 33 /3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 /3% or more,
▶
check this box and stop here. The organization qualifies as a publicly supported organization
. . . . . . .
17a
%
%
10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is
10% or more, and if the organization meets the “facts-and-circumstances” test, check this box and stop here. Explain in
Part VI how the organization meets the “facts-and-circumstances” test. The organization qualifies as a publicly supported
▶
organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b 10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the “facts-and-circumstances” test, check this box and stop here.
Explain in Part VI how the organization meets the “facts-and-circumstances” test. The organization qualifies as a publicly
▶
supported organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
▶
instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule A (Form 990 or 990-EZ) 2014
Page 3
Schedule A (Form 990 or 990-EZ) 2014
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) ▶
Gifts, grants, contributions, and membership fees
1
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
7a
Total. Add lines 1 through 5 . . . .
Amounts included on lines 1, 2, and 3
received from disqualified persons .
(a) 2010
(b) 2011
(c) 2012
(d) 2013
(e) 2014
(f) Total
(a) 2010
(b) 2011
(c) 2012
(d) 2013
(e) 2014
(f) Total
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
8
Add lines 7a and 7b . . . . . .
Public support (Subtract line 7c from
line 6.) . . . . . . . . . . .
Section B. Total Support
Calendar year (or fiscal year beginning in) ▶
9
Amounts from line 6 . . . . . .
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 . . . .
c
11
12
13
14
Add lines 10a and 10b . . . . .
Net income from unrelated business
activities not included in line 10b, whether
or not the business is regularly carried on
Other income. Do not include gain or
loss from the sale of capital assets
(Explain in Part VI.) . . . . . . .
Total support. (Add lines 9, 10c, 11,
and 12.) . . . . . . . . . .
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 . . . . . . . . . . . . . . . . . . . . . . . . . ▶
Section C. Computation of Public Support Percentage
15
16
Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f))
Public support percentage from 2013 Schedule A, Part III, line 15 . . . . . .
.
.
.
.
.
.
.
.
.
.
15
16
%
%
Section D. Computation of Investment Income Percentage
17
18
19a
Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) . . .
17
%
Investment income percentage from 2013 Schedule A, Part III, line 17 . . . . . . . . . .
18
%
331/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 331/3%, and line
17 is not more than 331/3%, check this box and stop here. The organization qualifies as a publicly supported organization . ▶
b 331/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 331/3%, and
line 18 is not more than 331/3%, check this box and stop here. The organization qualifies as a publicly supported organization ▶
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ▶
20
Schedule A (Form 990 or 990-EZ) 2014
Page 4
Schedule A (Form 990 or 990-EZ) 2014
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A
and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete
Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing
documents? If "No," describe in Part VI how the supported organizations are designated. If designated by
class or purpose, describe the designation. If historic and continuing relationship, explain.
1
2
Did the organization have any supported organization that does not have an IRS determination of status
under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported
organization was described in section 509(a)(1) or (2).
2
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer
(b) and (c) below.
b Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and
satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the
organization made the determination.
3a
3b
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)
(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
4a Was any supported organization not organized in the United States ("foreign supported organization")? If
"Yes" and if you checked 11a or 11b in Part I, answer (b) and (c) below.
b Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign
supported organization? If "Yes," describe in Part VI how the organization had such control and discretion
despite being controlled or supervised by or in connection with its supported organizations.
3c
4a
4b
c
Did the organization support any foreign supported organization that does not have an IRS determination
under sections 501(c)(3) and 509(a)(1) or (2)? If "Yes," explain in Part VI what controls the organization used
to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B)
purposes.
4c
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If "Yes,"
answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN
numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action,
(iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action
was accomplished (such as by amendment to the organizing document).
5a
b Type I or Type II only. Was any added or substituted supported organization part of a class already
designated in the organization's organizing document?
c Substitutions only. Was the substitution the result of an event beyond the organization's control?
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to
anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class
benefited by one or more of its supported organizations; or (c) other supporting organizations that also
support or benefit one or more of the filing organization’s supported organizations? If "Yes," provide detail in
Part VI.
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial
contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent
controlled entity with regard to a substantial contributor? If "Yes," complete Part I of Schedule L (Form 990).
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7?
If "Yes," complete Part I of Schedule L (Form 990).
Was the organization controlled directly or indirectly at any time during the tax year by one or more
disqualified persons as defined in section 4946 (other than foundation managers and organizations described
in section 509(a)(1) or (2))? If "Yes," provide detail in Part VI.
9a
5b
5c
6
7
8
9a
b Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which
the supporting organization had an interest? If "Yes," provide detail in Part VI.
c Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit
from, assets in which the supporting organization also had an interest? If "Yes," provide detail in Part VI.
10a Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f)
(regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting
organizations)? If "Yes," answer (b) below.
10a
b Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to
determine whether the organization had excess business holdings.)
10b
9b
9c
Schedule A (Form 990 or 990-EZ) 2014
Page 5
Schedule A (Form 990 or 990-EZ) 2014
Part IV
Supporting Organizations (continued)
Yes No
11
Has the organization accepted a gift or contribution from any of the following persons?
a A person who directly or indirectly controls, either alone or together with persons described in (b) and (c)
below, the governing body of a supported organization?
b A family member of a person described in (a) above?
c A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11a
11b
11c
Section B. Type I Supporting Organizations
Yes No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to
regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the
tax year? If "No," describe in Part VI how the supported organization(s) effectively operated, supervised, or
controlled the organization’s activities. If the organization had more than one supported organization,
describe how the powers to appoint and/or remove directors or trustees were allocated among the supported
organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
2
Did the organization operate for the benefit of any supported organization other than the supported
organization(s) that operated, supervised, or controlled the supporting organization? If "Yes," explain in Part
VI how providing such benefit carried out the purposes of the supported organization(s) that operated,
supervised, or controlled the supporting organization.
1
2
Section C. Type II Supporting Organizations
Yes No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors
or trustees of each of the organization’s supported organization(s)? If "No," describe in Part VI how control
or management of the supporting organization was vested in the same persons that controlled or managed
the supported organization(s).
1
Section D. All Type III Supporting Organizations
Yes No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the
organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax
year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the
organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported
organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how
the organization maintained a close and continuous working relationship with the supported organization(s).
2
3
By reason of the relationship described in (2), did the organization’s supported organizations have a
significant voice in the organization’s investment policies and in directing the use of the organization’s
income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s
supported organizations played in this regard.
3
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
a
The organization satisfied the Activities Test. Complete line 2 below.
The organization is the parent of each of its supported organizations. Complete line 3 below.
The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions).
Activities Test. Answer (a) and (b) below.
Yes No
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of
the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify
those supported organizations and explain how these activities directly furthered their exempt purposes,
how the organization was responsive to those supported organizations, and how the organization determined
that these activities constituted substantially all of its activities.
2a
b Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more
of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the
reasons for the organization’s position that its supported organization(s) would have engaged in these
activities but for the organization’s involvement.
2b
3
a
Parent of Supported Organizations. Answer (a) and (b) below.
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or
trustees of each of the supported organizations? Provide details in Part VI.
b Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each
of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.
3a
3b
Schedule A (Form 990 or 990-EZ) 2014
Page 6
Schedule A (Form 990 or 990-EZ) 2014
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
2 Recoveries of prior-year distributions
3 Other gross income (see instructions)
4 Add lines 1 through 3
5 Depreciation and depletion
1
2
3
4
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)
7 Other expenses (see instructions)
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)
6
7
8
Section B - Minimum Asset Amount
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
b Average monthly cash balances
c Fair market value of other non-exempt-use assets
d Total (add lines 1a, 1b, and 1c)
e Discount claimed for blockage or other
factors (explain in detail in Part VI):
2 Acquisition indebtedness applicable to non-exempt-use assets
3 Subtract line 2 from line 1d
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount,
see instructions).
5 Net value of non-exempt-use assets (subtract line 4 from line 3)
6 Multiply line 5 by .035
7 Recoveries of prior-year distributions
8 Minimum Asset Amount (add line 7 to line 6)
Section C - Distributable Amount
(A) Prior Year
(B) Current Year
(optional)
1a
1b
1c
1d
2
3
4
5
6
7
8
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) 2014
Page 7
Schedule A (Form 990 or 990-EZ) 2014
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Section D - Distributions
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported
organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions.
7 Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive
(provide details in Part VI). See instructions.
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount
Section E - Distribution Allocations (see instructions)
1
2
(i)
Excess Distributions
Current Year
(ii)
Underdistributions
Pre-2014
(iii)
Distributable
Amount for 2014
Distributable amount for 2014 from Section C, line 6
Underdistributions, if any, for years prior to 2014
(reasonable cause required-see instructions)
Excess distributions carryover, if any, to 2014:
3
a
b
c
d
e
f
g
h
i
j
4
a
b
c
5
6
From 2013 . . . . .
Total of lines 3a through e
Applied to underdistributions of prior years
Applied to 2014 distributable amount
Carryover from 2009 not applied (see instructions)
Remainder. Subtract lines 3g, 3h, and 3i from 3f.
Distributions for 2014 from Section
D, line 7:
$
Applied to underdistributions of prior years
Applied to 2014 distributable amount
Remainder. Subtract lines 4a and 4b from 4.
Remaining underdistributions for years prior to 2014, if
any. Subtract lines 3g and 4a from line 2 (if amount
greater than zero, see instructions).
7
Remaining underdistributions for 2014. Subtract lines 3h
and 4b from line 1 (if amount greater than zero, see
instructions).
Excess distributions carryover to 2015. Add lines 3j
and 4c.
8
Breakdown of line 7:
a
b
c
d Excess from 2013 . .
e Excess from 2014 . .
.
.
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Part VI
Page 8
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and
Part III, line 12. Also complete this part for any additional information. (See instructions.)
Schedule A (Form 990 or 990-EZ) 2014
| File Type | application/pdf |
| File Title | 2014 Form 990 or 990-EZ (Schedule A) |
| Subject | Fillable |
| Author | SE:W:CAR:MP |
| File Modified | 2014-09-16 |
| File Created | 2014-09-16 |