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(Complete only if you checked the box on line 5, 7, or B of part I <br />fails to qualify under the tests listed below, please complete part <br />or if the organization failed to qualify under Part lll. lf the organization <br />ilr.) <br />Calendar year (or fiscal year beginning in) ) <br />1 Gifts, grants, contributions, and <br />membership fees received. (Do not <br />include any "unusual grants.") ...... <br />2 Tax revenues levied for the organ- <br />ization's benefit and either paid to <br />or expended on its behalf ........ . <br />3 The value of services or facilities <br />furnished by a governmental unit to <br />the organization without charge ... <br />4 Total. Add lines 1 through 3 . <br />5 The portion of total contributions <br />by each person (other than a <br />governmental unit or publicly <br />supported organization) included <br />on line 1 that exceeds 2%o of the <br />amount shown on line I1, <br />column (0 <br />from line 4. <br />Calendar year (or fiscal year beginning in) > <br />7 Amounts from line 4 ... .. ....... <br />8 Gross income from interest, <br />dividends, payments received on <br />securities loans, rents, royalties, <br />and income from similar sources ... <br />9 Net income from unreiated business <br />activities, whether or not the <br />business is regularly carried on <br />10 Other income. Do not include gain <br />or loss from the sale of capital <br />assets (Explain in Part Vl.) <br />1 1 Total support. Add lines 7 through 10 <br />12 Gross receipts from related activities, etc. (see instructions) <br />13 First 5 years. lf the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 5oi (c)(3) <br />c. <br />14 Public support percentage 'f or 2021 (line 6, corumn (f), divided by rine 1 1 , corumn (D) ..... ....... ..15 Public support percentage from2OZO Schedule A, part ll, line 14 <br />77 92330 . <br />7 92330 . <br />Total <br />77 923 <br />752. <br />100 00 <br />00 00 <br />>E <br />>E <br />>E <br />16a33 1/3%supporttest-2021' lftheorganizationclidnotchecktheboxonlinel3,andlinel4isg3 1/3yoormore,checkthisno*ano <br />b33 1/3%supporttest-2020' lf theorganizationdidnotcheckaboxonlinel3orl6a,andlinel5is33 1/3%oormore,checkthisbox <br />17a10%-facts-and-circumstancestest-2O2'1. lf theorganizationdidnotcheckaboxonlinel3, 16a,or16b,andlinei4is jOyoormore, <br />and if the organization meets the facts'and-circumstances test, check this box and stop here. Explain in part Vl how the orqanization <br />meets the facts'and-circumstances test. The organization qualifies as a publicly supported organization <br />b'lo%-facts-and-circumstancestest'2o2o. lttheorganizationdidnotcheckaboxonlinei3, 16a,i6b,or17a,andlinej5isi0%or <br />more, and if the organization meets the facts'and-circumstances test, check this box and stop here. Explain in part Vl how the <br />organization meets the facts'and-circumstances test. The organization qualifies as a publicly supported organization <br />Schedule A (Form 99O) 2021 <br />132022 01-04-22 <br />DocuSign Envelope ID: 3B3ED7CA-61F5-4E47-87CD-95256B532A12