Supplemental Information Regarding Fundraising or Gaming Activities

Form 990sg: Supplemental Information Regarding Fundraising or Gaming Activities

Use Tax Form 990sg: Supplemental Information Regarding Fundraising or Gaming Activities as a stand alone tax form calculator to quickly calculate specific amounts for your 2024 tax return. Alternatively you can use one of our Combined Federal and State Tax Estimator to quickly calculate your salary, tax and take home pay.

Supplemental Information Regarding Fundraising or Gaming Activities
Name of the organization					Employer identification number
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.
a	Mail solicitations			e	Solicitation of non-government grants
b	Internet and email solicitations			f	Solicitation of government grants
c	Phone solicitations			g	Special fundraising events
d	In-person solicitations
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.
(i) Name and address of individual or entity (fundraiser)		(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(iv) Gross receipts from activity	(v) Amount paid to(or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
1			Yes	No
1
2
3
4
5
6
7
8
9
10
Total ▸
3	List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

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.
Revenue				(a) Event #1 (event type)	(b) Event #2 (event type)	(c) (c) Other events (total number)	(d) Total events (add col. (a) through col. (c))
		1	Gross receipts
		2	Less: Contributions
		3	Gross income (line 1 minus line 2)
Direct Expenses		4	Cash prizes
		5	Noncash prizes
		6	Rent/facility costs
		7	Food and beverages
		8	Entertainment
		9	Other direct expenses
		10	Direct expense summary. Add lines 4 through 9 in column (d) ▸
		11	Net income summary. Subtract line 10 from line 3, column (d) ▸
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))
Revenue		1	Gross revenue
Direct Expenses		2	Cash prizes
		3	Noncash prizes
		4	Rent/facility costs
		5	Other direct expenses
		6	Volunteer labor	Yes % No	Yes % No	Yes % No
		7	Direct expense summary. Add lines 2 through 5 in column (d) ▸
		8	Net gaming income summary. Subtract line 7 from line 1, column (d) ▸
9	Enter the state(s) in which the organization conducts gaming activities:
a	Is the organization licensed to conduct gaming activities in each of these states?						Yes No
b	If “No,” explain:
10a	Were any of the organization’s gaming licenses revoked, suspended, or terminated during the tax year?						Yes No
b	If “Yes,” explain:
11	Does the organization conduct gaming activities with nonmembers?						Yes No
12	Is the organization a grantor, beneficiary or trustee of a trust, or a member of a partnership or other entity formed to administer charitable gaming?						Yes No
13	Indicate the percentage of gaming activity conducted in:
a	The organization’s facility					13a	%
b	An outside facility					13b	%
14	Enter the name and address of the person who prepares the organization’s gaming/special events books and records:
	Name ▸
	Address ▸
15a	Does the organization have a contract with a third party from whom the organization receives gaming revenue?						Yes No
b	If “Yes,” enter the amount of gaming revenue received by the organization ▸ $ and the amount of gaming revenue retained by the third party ▸ $
c	If “Yes,” enter name and address of the third party:
	Name ▸
	Address ▸
16	Gaming manager information:
	Name ▸
	Gaming manager compensation ▸
	Description of services provided ▸ $
	Director/officer		Employee		Independent contractor
17	Mandatory distributions:
a	Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the state gaming license?						Yes No
b	Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the organization’s own exempt activities during the tax year ▸ $
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

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