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3a
<br />b
<br />4a
<br />ILDING TOGETHER OF THE TRIANGLE s6-1
<br />ax
<br />2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements,
<br />filed for the calendar year ending with or within the year covered by this return
<br />lf at least one is reporled on line 2a, did the organization file all required federal employment tax returns?
<br />Note: lf the sum of lines 1a and 2a is greater than 250, you may be required lo e-file. See instructions.
<br />Did the organization have unrelated business gross income of $1 ,000 or more during the year?
<br />lf "Yes," has it filed a Form 990.T for this year? lf "No" to line 3b, provide an explanation on Schedule O
<br />At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a
<br />ftnancial account in a foreign country (such as a bank account, securities account, or other financial account)?
<br />lf,,YeS,,,enterthenameoftheforeigncountry>
<br />See instructions for filing requirements for FinCEN Form 114, Repod of Foreign Bank and Financial Accounts (FBAR).
<br />Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?
<br />Did any taxable party notify the organization that it was or is a pany to a prohibited tax shelter transaction?
<br />lf "Yes" to line 5a or 5b, did the organization file Form 8886-T?
<br />Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit
<br />any contributions that were not tax deductible as charitable contributions?
<br />lf "Yes," did the organization include with every solicitation an express statement that such contributions or gifts
<br />were not tax deductible?
<br />' organizations that may receive deductible contributions under section 170(c).
<br />a Did the or0anization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provicled to the payor?
<br />b lf "Yes, " did the organization notify the donor of the value of the goods or services provided?
<br />c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required
<br />to file Form B2B2?
<br />lf "Yes," indicate the number of Forms 8282 filed during the year 7d
<br />Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
<br />Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
<br />lf the organization received a contribution of qualified intellectual property, did the organization frle Form BB99 as required? ..
<br />lf the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form i ogB-C?
<br />Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the
<br />sponsorang organization have excess business holdings at any time during the year?
<br />Sponsoring organizations maintaining donor advised funds.
<br />Did the sponsoring organization make any taxable distributions under section 4966?
<br />5a
<br />b
<br />c
<br />6a
<br />d
<br />e
<br />I
<br />s
<br />h
<br />B
<br />a
<br />b
<br />10
<br />a
<br />b
<br />Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?
<br />Section 501(cX7) organizations. Enter:
<br />lnitiation fees and capital contributions included on part Vlll, Iine 12
<br />Gross receipts, included on Form 990, part Vlll, line 12, for public use of club facilities11 Section 501(c)(12) organizations. Enter:
<br />a Gross income from members or shareholders
<br />b Gross income from other sources. (Do not net amounts due or paid to other sources against
<br />amounts due or received from them.)
<br />12a Section agaT@)(1) non-exempt charitable trusts. ls the organization filing Form 990 in lieu of Form 1041?b lf "Yes, " enter the amount of tax-exempt interest received or accrued during the year13 Section 501(c)(29) qualified nonprofit health insurance issuers.
<br />a ls the organization licensed to issue qualified health plans in more than one state?
<br />Note: See the instructions for additional information the organization must report on Schedule O.b Enter the amount of reserves the organization is required to maintain by the states in which the
<br />organization is licensed to issue qualified health plans
<br />Enter the amount of reserves on hand
<br />Did the organization receive any payments for indoor tanning services during the lax year?
<br />lf "Yes," has it filed aFormT2O to report these payments? lf ,,No,,, provide an explanation on Schedule O
<br />ls the organization subject to the section 4960 tax on payment(s) of more than $1 ,O00,000 in remuneration or
<br />excess parachute payment(s) during the year? .............
<br />lf "Yes," see the instructions and file Form 4720, Scheduie N.
<br />ls the organization an educational institution subject to the section 4g68 excise tax on net investment income?
<br />lf "Yes," complete Form 4720, Schedule O.'17 Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any
<br />activjties that would result in the imposition of an excise tax under section 4951 ,4952 or 4953?
<br />c
<br />14a
<br />b
<br />15
<br />16
<br />x
<br />x
<br />132005 12-0S-21 Form 990 (2021)
<br />L7
<br />DocuSign Envelope ID: 3B3ED7CA-61F5-4E47-87CD-95256B532A12
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