Orange County NC Website
Schedule B <br />(Form 990,990-EZ, <br />or 990-PF) <br />Deputment ol the Treasury <br />lnternal Revenue Service <br />Name of the organization <br />REBUILD <br />Organization type (check one): <br />Filers of: Section: <br />Form 990 or 990-EZ <br />Form 990-PF <br />Schedule of Contributors <br />) Attach to Form 990, Form 990-EZ, or Form 990-PF, <br />) Go to www.irs.gov/Form99O for the latest information. <br />ETHER OF THE <br />Employer identification number <br />55629 <br />OMB No. 1545-0047 <br />2020 <br />[Xl sol (c)( 3 ) (enter number) organization <br />f-l aOAl6yl) nonexempt charitable trust not treated as a private foundation <br />I I 52 / political organization <br />f-l sot (.Xg) exempt private foundation <br />f 1 aO+11n111) nonexempt charitable trust treated as a private foundatjon <br />f l sOr 1"11S1 taxable private foundation <br />Check jf your organization rs covered by the General Rule or a Special Rule. <br />Note: Only a section 501(c)(7), (B), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions. <br />General Bule <br />[] fol. an organizatron f iling Form 990, 99O,EZ, or 990.pF that <br />propedy) from any one contributor. Complete parls I and ll. <br />Special Rules <br />received, during the year, contributions totaling $5,OOO or more (in money or <br />See instrr-rctions for determining a contributor's total contributions. <br />For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33 1/3%suppoft test of the regulations under <br />sections509(a)(1)and170(b)(1)(A)(vi) thatcheckedScheduleA(Form99Oor99O-EZ),par1 ll, line13, l6a,orl6b,andthatreceivedfrorn <br />anyonecontributor,duringtheyear,total contributionsof thegreaterof (1) $5,ooo; or(2)z%of theamounton(i) Formggo,partVlll, linelh; <br />or (ii) Form 990-EZ, line 1. Comptete parts I and ll. <br />For an organization described in section 501(c)(7), (B), or (l0) filing Form 990 or 990-EZ that received from any one <br />contributor, during the year, total contributions of more than $1 ,000 exclusively for religious, charitable, scjentific, <br />literary, or educational purposes, or Ior the preventjon of cruelty to children or animals. Complete parts I (entering <br />"N/A" in column (b) instead of the contributor name and address), ll. and lll. <br />l l rotanorganizationdescribedinsection50l(c)(7),(B) or(10) filingForm990or990-EZthatreceivedfromanyonecontributor,durjngthe <br />year, contributions exclusively for religious. charrtable, etc., purposes, but no such contrrbutions totaled more than $1 ,000. lf this box <br />is checked, enter here the total contributjons that were received during the year for an exclusively religious, charitable, etc., <br />purpose. Don't complete any of the pads unless the General Rule applies to this organization because it received nonexclusively <br />reliqious. charitable. etc.. contributions totaling $5.ooo or more cluring the year > $ <br />Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990, 990.E2, or 990.pF). <br />but it must answer "No' on Pad lV, line 2, of its Form 990; or check the box on line H of its Form 99O.EZ or on rts Form ggo.pF, pad l, lane 2, to <br />cenify that it doesn't meet the filing requirements of Schedule B (Form 990, 99o.EZ, or 990-pF). <br />LHA For Paperwork Reduction Act Notice, see the instrLrctions for Form 990,99O-EZ, or 99O pF. <br />[U <br />fl <br />023451 11-25 20 <br />Sclredule B (Form 99O, 99O-EZ, or 99O,pF) (2020) <br />DocuSign Envelope ID: E86DD11C-7C3F-4DD6-97F0-CADB5D52D35A