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pdfSCHEDULE C
OMB No. 1545-0047
Political Campaign and Lobbying Activities
(Form 990 or 990-EZ)
For Organizations Exempt From Income Tax Under section 501(c) and section 527
Department of the Treasury
Internal Revenue Service
©
© Complete if the organization is described below.
Attach to Form 990 or Form 990-EZ. © See separate instructions.
2009
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, line 3, or Form 990-EZ, Part VI, line 46 (Political Campaign Activities), then
● Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
● Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
● Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
● Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
● Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, line 5 (Proxy Tax), then
● Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of organization
Part I-A
1
2
3
2
3
4
5
Complete if the organization is exempt under section 501(c)(3).
Enter the amount of any excise tax incurred by the organization under section 4955
Enter the amount of any excise tax incurred by organization managers under section 4955
If the organization incurred a section 4955 tax, did it file Form 4720 for this year?
Was a correction made?
If “Yes,” describe in Part IV.
Part I-C
1
Complete if the organization is exempt under section 501(c) or is a section 527 organization.
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
Political expenditures
© $
Volunteer hours
Part I-B
1
2
3
4a
b
Employer identification number
©
©
$
$
Yes
Yes
No
No
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
Enter the amount directly expended by the filing organization for section 527 exempt function
activities
© $
Enter the amount of the filing organization’s funds contributed to other organizations for section
527 exempt function activities
© $
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL,
line 17b
© $
Did the filing organization file Form 1120-POL for this year?
Yes
No
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which payments
were made. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political
contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated
fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name
(b) Address
(c) EIN
(d) Amount paid from
filing organization’s
funds. If none, enter -0-.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Cat. No. 50084S
(e) Amount of political
contributions received and
promptly and directly
delivered to a separate
political organization. If
none, enter -0-.
Schedule C (Form 990 or 990-EZ) 2009
Schedule C (Form 990 or 990-EZ) 2009
Page
2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election
under section 501(h)).
A Check ©
if the filing organization belongs to an affiliated group.
B Check ©
if the filing organization checked box A and “limited control” provisions apply.
Limits on Lobbying Expenditures
(The term “expenditures” means amounts paid or incurred.)
1a
b
c
d
e
f
g
h
i
j
(a) Filing
organization’s totals
(b) Affiliated
group totals
Total lobbying expenditures to influence public opinion (grass roots lobbying)
Total lobbying expenditures to influence a legislative body (direct lobbying)
Total lobbying expenditures (add lines 1a and 1b)
Other exempt purpose expenditures
Total exempt purpose expenditures (add lines 1c and 1d)
Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
If the amount on line 1e, column (a) or (b) is:
Not over $500,000
The lobbying nontaxable amount is:
20% of the amount on line 1e.
Over $500,000 but not over $1,000,000
$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000
$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000
Over $17,000,000
$225,000 plus 5% of the excess over $1,500,000.
$1,000,000.
Grassroots nontaxable amount (enter 25% of line 1f)
Subtract line 1g from line 1a. If zero or less, enter -0Subtract line 1f from line 1c. If zero or less, enter -0If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year?
Yes
No
4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) Total
2a Lobbying nontaxable amount
b Lobbying ceiling amount
(150% of line 2a, column (e))
c Total lobbying expenditures
d Grassroots nontaxable amount
e Grassroots ceiling amount
(150% of line 2d, column (e))
f Grassroots lobbying expenditures
Schedule C (Form 990 or 990-EZ) 2009
Schedule C (Form 990 or 990-EZ) 2009
Part II-B
Page
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768
(election under section 501(h)).
(a)
Yes
1
a
b
c
d
e
f
g
h
i
j
2a
b
c
d
(b)
Amount
No
During the year, did the filing organization attempt to influence foreign, national, state or local
legislation, including any attempt to influence public opinion on a legislative matter or
referendum, through the use of:
Volunteers?
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)?
Media advertisements?
Mailings to members, legislators, or the public?
Publications, or published or broadcast statements?
Grants to other organizations for lobbying purposes?
Direct contact with legislators, their staffs, government officials, or a legislative body?
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means?
Other activities? If “Yes,” describe in Part IV
Total. Add lines 1c through 1i
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)?
If “Yes,” enter the amount of any tax incurred under section 4912
If “Yes,” enter the amount of any tax incurred by organization managers under section 4912
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year?
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section
501(c)(6).
Yes
1
2
3
3
1
2
3
Were substantially all (90% or more) dues received nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Did the organization agree to carryover lobbying and political expenditures from the prior year?
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section
501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered
“Yes.”
Dues, assessments and similar amounts from members
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a Current year
b Carryover from last year
c Total
3 Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
4 If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the
excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying
and political expenditure next year?
5 Taxable amount of lobbying and political expenditures (see instructions)
1
2
Part IV
No
1
2a
2b
2c
3
4
5
Supplemental Information
Complete this part to provide the descriptions required for Part I-A, line 1; Part I-B, line 4; Part I-C, line 5; and Part II-B, line 1i.
Also, complete this part for any additional information.
Schedule C (Form 990 or 990-EZ) 2009
Schedule C (Form 990 or 990-EZ) 2009
Part IV
Page
4
Supplemental Information (continued)
Schedule C (Form 990 or 990-EZ) 2009
File Type | application/pdf |
File Title | 2009 Form 990 or 990-EZ (Schedule C) |
Subject | Fillable |
Author | SE:W:CAR:MP |
File Modified | 2010-02-03 |
File Created | 2010-02-03 |