Orange County NC Website
Browse       Search
SChEdUIEG(FOTM99O)2021 REBUIIJDING TOGETHER OF THE TRIANGLE 55_1955529 PAqEs <br />12 ls the organization a grantor, beneficiary or trustee of a trust, or a member of a partnership or other entity formed fl y"r E ruo <br />13 lndicate the percentage of gaming activity conducted in: <br />a The organization's facility <br />14 Enter the name and address of the person who prepares the organization's gaming/special events books and records: <br />Name ) <br />Address )> <br />15a Does the organization have a contract with a third pady from whom the organization receives gaming revenue? f-l y"" [l fto <br />b If "Yes," enter the amount of gaming revenue received by the organization )> g and the amount <br />of gaming revenue retained by the third party > $ <br />c lf "Yes," enter name and address of the third parly: <br />Name ) <br />Address ) <br />'16 Gaming manager information: <br />Name ) <br />Gaming manager compensation <br />Description of services provided <br />f-l Director/officer f l Employee <br />17 Mandatorydistributions: <br />fl lndependent contractor <br />a ls the organization required under state law to make charitable distributions from the gaming proceeds to <br />b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the <br />'15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions. <br />1320A3 10-21-21 Schedule G (Form 990) 2021 <br />DocuSign Envelope ID: 3B3ED7CA-61F5-4E47-87CD-95256B532A12