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<br />TOGETHER OF THE 56-1
<br />1 ls the organization described in section 501(cX3) or 4947(a)(1) (other than a private foundation)?
<br />lf "Yes," complete Schedule A .. . .....
<br />ls the organization required to complete Schedule B, Schedute of Contributors?
<br />Did the organization engage in direct or indrrect political campaign activities on behalf of or in opposition to candidates for
<br />public office? lf "yes," complete Schedute C, part I
<br />Section 501(c)(3) organizations. Did the organization engage in Iobbying activities, or have a section 50-1(h) electjon in effect
<br />ls the organizat,on a sectjon 501(c)(a), 501(c)(5), or 501 (c)(6) organization that receives membership dues, assessments, or
<br />similar amounts as defined in Bevenue Procedure 9B-19? // ',yes,,, comptete Schedule C, paft lll
<br />Did the orgarrizatjon maintain any donor advised funcls or any similar funds or accounts for which donors have the right to
<br />provide advice on the distribution or investment of amounts in such funds or accounts? lf ',yes," complete scl,tedute D, part t
<br />Did the organization receive or hold a conservation easement, including easements to preserve open space,
<br />the environment, historic land areas, or historic structures? lf 'yes,,, complete Schedute D, part il8 Did the organization maintain collections of works of ad, historical treasures. or other similar assets? lf ',yes,, complete
<br />Schedule D, Paft lll
<br />Did the organization repofi an amount in Part X, ilne 21, for escrow or custodial account liabrlity, serve as a custodian for
<br />amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services?
<br />Did the organization, directly or through a related organization, hold assets in donor-restricted endowments
<br />or in quasi endowments? tf "yes," complete Schedute D, paft V
<br />lf the organization's answer to any of the following questions js "Yes," then complete Schedule D, parls Vl, Vll, Vlll, lX, or X
<br />as applicable.
<br />Did the organization repod an amount for land, buildings, and equipment in pad x, line 1 0? lf "yes," complete schedure D,
<br />Did the organization reporl an amount for investments-other securities in Pad X, line 12, that js 5% or more of its total
<br />assets reported in Parl X, line 16? lf "yes," complete Schedule D, paft Vll
<br />Did the organization repod an amount for investments - program related in part X, line 13, that is 5%o or more of its total
<br />assets reponed in Part X, line 16? lf "yes," comptete Schedule D, paftVllt
<br />Did the organization repod an amount for other assets in Parl X, line 15, that iss,yoor more of its total assets reported in
<br />Part X, line 16? lf ,yes," complete Schedule D, paft lX
<br />e
<br />I
<br />Did the organization report an amount for other liabilities in parl X, line 25? lf ,,yes,,, complete Schedule D, paft X . . . .
<br />Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses
<br />the organization's liability for uncedain tax positions under FIN 4g (ASC 74O)? lf ,,yes,,, complete Schedule D, paft X
<br />Did the organization obtain separate, independent audrted financial statements for the tax year? 1s ',yes," complete
<br />Was the organization inclucled in consolidated, independent audited financial statements for the tax year?
<br />x
<br />x
<br />x
<br />x
<br />x
<br />11
<br />b
<br />13
<br />14a
<br />b
<br />15
<br />16
<br />17
<br />12a
<br />20a
<br />b
<br />21
<br />x
<br />x
<br />x
<br />x
<br />X
<br />x
<br />x
<br />x
<br />lf "Yes," and if the organization answered "No" to line 12a, then compteting Schedute D, pafts Xl and Xl! is optional
<br />ls the organization a school described in sectjon i 70(b)(jXAXii)? tf ,,yes,,, cotllplete Schedule E .. .
<br />Did the organization maintain an office, employees, or agents outsrde of the United states?
<br />Did the organization have aggregate revenues or expenses of more than $lo,ooo trorn g,rntrnrt. ng ,rnorut. ng, ;;.i;;.;
<br />investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000
<br />or more? lf "Yes,'complete Schedule F, pafts t and tV
<br />Did the organization report on parl lX, column (A), line 3, more than $5,000 of grants or other assistance to or tor any
<br />foreign organizalion? tf "yes,' complete Schedute F, pafts il and lV
<br />Did the organization repod on part lX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to
<br />or for foreign ind jviduals? tf ',yes,', comptete Schedute F, pafts ilt and tV
<br />Did the organization report a total of more than $15,000 of expenses for professional fundraising services on part lX,
<br />Did the organization operate one or more hospital facilities? tf ,,yes,, complete Schedule H
<br />lf "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
<br />Did the organization report more than $5,000 of grants or other assistance to any domestic organization or
<br />domestic
<br />column (A), lines 6 and 11e? lf "yes," complete Schedute G, paft t
<br />18 Did the organrzation repod mole than $15,ooo total of fundraising event gross income and contributrons on parl vlll, lines
<br />1c and Ba? tf ,Yes," complete Schedule G, part lt
<br />19 Did the organization report more than $15,000 of gross income from gaming activities on parl Vlll, line 9a./ lf ,'yes.,,
<br />complete Schedu/e G, Paft lll
<br />x
<br />X
<br />X
<br />032003 12,23,20 porn-,990 lzozo;
<br />DocuSign Envelope ID: E86DD11C-7C3F-4DD6-97F0-CADB5D52D35A
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