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Schedule B
<br />(Form 990)
<br />Department of the Treasury
<br />lnternal Bevenue Service
<br />Name of the organization
<br />Organization type (check one):
<br />Filers of:
<br />Form 990 or 990-EZ
<br />Form 990-PF
<br />Schedule of Contributors
<br />) Attach to Form 990 or Form 990-pF,
<br />) Go to www.irs.gov/Form99O for the latest information.
<br />EBUILDI OF THE
<br />Section:
<br />fXl sor (cX 3 ) lenter number) organization
<br />4947(a)(1) nonexempt charitable trust not treated as a private foundation
<br />527 political organization
<br />501 (c)(3) exempt private foundation
<br />f_l +O+l1uyl) nonexempt charitable trust treated as a private foundation
<br />f--l sOt 1";1s1 taxabte private foundation
<br />OMB No. 1545-0047
<br />2021
<br />Employer identification number
<br />955629
<br />fl
<br />E
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<br />check if your organization is covered by the General Rule or a special Bule,
<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 Rule
<br />f-] rot an organization filing Form 990, 990-EZ, or 990'PF that received, dunng the year, contributions totaling $s,oog or more (in money or
<br />property) from any one contributor. Complete Parts I and ll. See instructions for determining a contributor,s total contributions.
<br />Special Rules
<br />For an organization described in section 501(c)(3) filing Form g90 or 990-EZ that met the 33 i/3%osupport test of the regulations under
<br />sections509(aX1)and 170(b)(1)(A)(vi), that checked ScheduleA(Form 990), Part ll, tine 13, 16a, or 16b, and that received from anyone
<br />contributor, during the year, total contributions of the greater of ( 1) g5,OOO; or (2) 2yo of the amount on (i) Form 990, part Vlll, line t h;
<br />or (ii) Form 99O.EZ,line 1. Complete parts I and ll.
<br />For an organization described in section 501(c)(7), (B), or (10) filing Form 990 or 990.E2 that received from any one
<br />contributor, during the year, total contributions of more than $i,000 exclusively for religious, charitable, scientific,
<br />literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete parls I (entering
<br />"N/A" in column (b) instead of the contributor name and address), ll, and lll.
<br />f_] ror an organization described in section 501 (cX7), (B), or (1 o) filing Form 990 or 990-EZ that received from any one contributor, during the
<br />year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $i,000. lf this box
<br />is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc.,purpose Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively
<br />religious, charitable, etc., contributions totaling $5,000 or more during the year > $
<br />caution: An organization that isn't covered by the General Bule and/or the Special Rules doesn,t file schedule B (Form gg0), but it must
<br />answer "No" on Part lV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on its Form 99O,pF, part I, line 2, to certify
<br />that it doesn't meet the filing requirements of Schedule B (Form 990).
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<br />123451 11-11-21
<br />Schedule B (Form 99O) (2021)LHA For Paperwork Reduction Act Notice, see the instructions for Form ggo, 990-Ez, or 99o-pF.
<br />DocuSign Envelope ID: 3B3ED7CA-61F5-4E47-87CD-95256B532A12
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