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|Part I Fundraising Activities. Complete if the organization answered “Yes” on Form 990, Part IV, line 17.|
Form 990-EZ filers are not required to complete this part.
|1||Indicate whether the organization raised funds through any of the following activities. Check all that apply.|
|2a||Did the organization have a written or oral agreement with any individual (including officers, directors, trustees, or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?||Yes No|
|b||If “Yes,” list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to be compensated at least $5000 by the organization.|
|Part II Fundraising Events. Complete if the organization answered “Yes” on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.|
|Part III Gaming. Complete if the organization answered “Yes” on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.|
|Revenue||(a) Bingo||(b) Pull tabs/instant bingo/progressive bingo||(c) Other gaming||(d) Total gaming (add col. (a) through col. (c))|
|6|| Yes %|
| Yes %|
| Yes %|
|13||Indicate the percentage of gaming activity conducted in:|
|14||Enter the name and address of the person who prepares the organization’s gaming/special events books and records:|
|c||If “Yes,” enter name and address of the third party:|
|16||Gaming manager information:|
|Part IV Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions|
Tip: use the US Tax Calculator to edit your refundable and non-refundable tax credits including Form 990sg: Supplemental Information Regarding Fundraising or Gaming Activities. Complete, Calculate, print and or save your tax calculation for later use.