|
5562
<br />2
<br />3
<br />LDTNG TOGETHER TANGLE s6-1
<br />ls the organization described in section 501(c)(3) 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? See instructions ..............-.
<br />Did the organization engage in direct or indirect 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 lobbying aciivities, or have a section 501(h) election in effect
<br />during the tax year? lf ,'yes," complete Schedute C, paft ll
<br />ls the organization a section 501(c)(4), 501 (c)(5), or 501 (c)(6) organization that receives membership dues, assessments, or
<br />similar amounts as defined in Rev. Proc. 98,1 9? // "yes,', complete Schedule C, paft lll
<br />Did the organization maintain any donor advised funds 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 Schedule D, parl 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? tf ',yes,,' complete Schedule D, part tl
<br />Did the organization maintain collections of works of ad, historical treasures, or other similar assets? tf "yes,, complete
<br />Schedule D, Paft lll
<br />Did the organization repod an amount in Part X, line 21 , for escrow or custodial account liability, serve as a custodian for
<br />amounts not listed in Parl X; or provide credit counseling, debt management, credit repair, or debt negotiation services?
<br />lf "Yes," complete Schedule D, Part lV
<br />1O Did the organization, directly or through a related organization, hold assets in donor-restricted endowments
<br />or in quasi endowments? tf ',yes,', complete Schedule D, paft V
<br />'l 1 lf the organization's answer to any of the following questions is "Yes, " then complete Schedule D, parts Vl, Vll, Vlll, lX, or X.
<br />as applicable.
<br />a Did the organization report an amount for land, buildings, and equipment in Part X, line 10? lf "yes,', complete Schedute D,
<br />x
<br />x
<br />x
<br />x
<br />x
<br />x
<br />x
<br />x
<br />x
<br />x
<br />x
<br />x
<br />x
<br />x
<br />x
<br />x
<br />x
<br />x
<br />x
<br />x
<br />13
<br />14a
<br />b
<br />Did the organization report an amount for investments . other securities in
<br />assets reported in Paft X, line 16? lf ,'yes," complete Schedule D, partVll
<br />Did the organization report an amount for investments- program related in
<br />assets reported in Part X, line 16? lf "yes," complete Schedule D, partVlil
<br />d Did the organization repoft an amount for other assets in Part X, line 15, that is 5%o or more of its total assets reported in
<br />Part X, line 16? tf ,yes," comptete Schedute D, paft tX
<br />Did the organization repon an amount for other liabilities in part X, line 25? lf ,,yes,,, complete Schedule D, part 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 uncertain tax positions under FIN 48 (ASC 740)? tf ,,yes,,, complete Schedule D, paft X
<br />Did the organization obtain separate, independent audited financial statements for the tax year? 11 ',yes," comptete
<br />Schedule D, Parts Xl and Xll . .............
<br />b Was the organization included in consolidated, independent audited financial statements for the tax year?
<br />lf "Yes," and if the organization answered "No" to tine 12a, then completing Schedute D, parts Xl and Xll is optional
<br />ls the organization a school described in section 170(b)(lXAXiD? lf ',yes,,, complete Schedute E . .....
<br />Did the organization maintain an office, employees, or agents outside of the United states?
<br />Did the organization have aggregate revenues or expenses of more than $-1O,O0O from grantmaking, fundraising, business,
<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 I and lV
<br />Did the organization repod on Part lX, column (A), line 3, more than $5,000 of grants or other assistance to or for any
<br />foreign organizalion? lf ',yes," complete Schedule F, parts ll and lV16 Did the organization report on Part lX, column (A), Iine 3, more than $5,000 of aggregate grants or other assistance to
<br />orforforeign individuals? If ',yes," complete Schedule F, pafts Ilt and lV'17 Did the organlzation report a total of more than $15,000 of expenses for professional fundraising services on part lX,
<br />column (A), lines 6 and 1 1e? tf ',yes,, complete Schedule G, paft l. See instructions
<br />18 Did the organization repoft more than $15,000 total of fundraising event gross income and contributions on part Vlll. lines'1c and 8a? tf "Yes," complete Schedule G, part lt
<br />19 Did the organization report more than $15,000 of gross income from gaming activities on part Vlll, line 9a? 11 ,'yss."
<br />complete Schedule G, Paft lll
<br />Pari X, line 12, that is 5%o or more of its total
<br />Pafi X, line 13, that is syo or more of its total
<br />e
<br />f
<br />12a
<br />20a
<br />b
<br />21
<br />Did the organization operate one or more hospital facilities? tf ,,yes,,, comptete Schedute H
<br />lf "Yes" to line 20a, did the organization attach a copy of its audited frnancial statements to this return?
<br />Did the organization report more than $5,OOO of grants or other assistance to any domestic organization or
<br />x
<br />x
<br />132003 12-09-21
<br />on Pafi
<br />(2O21)
<br />DocuSign Envelope ID: 3B3ED7CA-61F5-4E47-87CD-95256B532A12
|