ENCLOSED ARE THE ORIGINAL AND ONE COPY OF YOUR INCOME TAX RETURNS FOR THE PERIOD ENDED DECEMBER 31, 2015 FOR:

Size: px
Start display at page:

Download "ENCLOSED ARE THE ORIGINAL AND ONE COPY OF YOUR INCOME TAX RETURNS FOR THE PERIOD ENDED DECEMBER 31, 2015 FOR:"

Transcription

1 BATCHELOR, TLLERY & ROBERTS, LLP CERTFED PUBLC ACCOUNTANTS POST OFFCE BO RALEGH, NC 7619 MS. LAURA ZNK MAR UNTED WAY OF NORTH CAROLNA 875 WALNUT STREET STE 150B CARY, NC 7511 DEAR LAURA: ENCLOSED ARE THE ORGNAL AND ONE COPY OF YOUR NCOME TA RETURNS FOR THE PEROD ENDED DECEMBER 1, 015 FOR: UNTED WAY OF NORTH CAROLNA AS FOLLOWS RETURN OF ORGANZATON EEMPT FROM NCOME TA 015 SCHEDULE A - PUBLC CHARTY STATUS AND PUBLC SUPPORT 015 SCHEDULE D - SUPPLEMENTAL FNANCAL STATEMENTS 015 SCHEDULE O - SUPPLEMENTAL NFORMATON TO FORM 990 OR 990EZ EO - RS E-FLE SGNATURE AUTHORZATON EACH ORGNAL SHOULD BE DATED, SGNED AND FLED N ACCORDANCE WTH THE FLNG NSTRUCTONS. THE COPY SHOULD BE RETANED FOR YOUR FLES. WE SNCERELY APPRECATE THS OPPORTUNTY TO SERVE YOU. PLEASE CONTACT US F YOU HAVE QUESTONS CONCERNNG THE RETURNS OR F WE MAY BE OF FURTHER ASSSTANCE. VERY TRULY YOURS, MCHELLE W. LEMANSK

2 BATCHELOR, TLLERY & ROBERTS, LLP CERTFED PUBLC ACCOUNTANTS POST OFFCE BO RALEGH, NC 7619 ************************* NSTRUCTONS FOR FLNG UNTED WAY OF NORTH CAROLNA FORM 8879-EO - RS E-FLE SGNATURE AUTHORZATON FOR THE PEROD ENDED DECEMBER 1, 015 ************************* SGNATURE... THE ORGNAL RS E-FLE SGNATURE AUTHORZATON FORM SHOULD BE SGNED (USE FULL NAME) AND DATED BY THE TAPAYER. FLNG... RETURN YOUR SGNED FORM 8879-EO TO: PAYMENT OF TA... NO PAYMENT OF TA S REQURED. BATCHELOR, TLLERY & ROBERTS, LLP 605 GLENWOOD AVENUE, SUTE 50 RALEGH NC 761 FORM 8879-EO SERVES AS A REPLACEMENT FOR YOUR SGNATURE THAT WOULD BE AFFED TO FORM 990 F YOU PAPER FLED YOUR RETURN. PLEASE DO NOT SEPARATELY FLE FORM 990 WTH THE NTERNAL REVENUE SERVCE. DONG SO WLL DELAY THE PROCESSNG OF YOUR RETURN. WE MUST RECEVE YOUR SGNED FORM BEFORE WE CAN ELECTRONCALLY TRANSMT YOUR RETURN WHCH S DUE ON AUGUST 15, 016. WE WOULD APPRECATE YOUR RETURNNG THS FORM AS SOON AS POSSBLE AS THS WLL EPEDTE THE PROCESSNG OF YOUR RETURN. THE NTERNAL REVENUE SERVCE WLL NOTFY US WHEN YOUR RETURN S ACCEPTED. YOUR RETURN S NOT CONSDERED FLED UNTL THE NTERNAL REVENUE SERVCE CONFRMS THER ACCEPTANCE, WHCH MAY OCCUR AFTER THE DUE DATE OF YOUR RETURN. *************************

3

4 Cumultive E-File History 015 Federl Lotor: 5DV Txpyer Nme: UNTED WAY OF NORTH CAROLNA Return Type: 990, 990 Sumitted Dte 7/15/016 :5:19 PM Aknowledgement Dte 7/15/016 :57:06 PM Sttus Aepted Sumission D Print Close

5

6 OMB No Return of Orgniztion Exempt From nome Tx Form 990 Under setion 501(), 57, or 97()(1) of the nternl Revenue Code (exept privte foundtions) À¾µ¹ Do not enter soil seurity numers on this form s it my e mde puli. Open to Puli Deprtment of the Tresury nternl Revenue Servie nformtion out Form 990 nd its instrutions is t nspetion A For the 015 lendr yer, or tx yer eginning, 015, nd ending, 0 B J Chek if pplile: Address hnge Nme hnge nitil return C Nme of orgniztion Doing usiness s Numer nd street (or P.O. ox if mil is not delivered to street ddress) Room/suite D Employer identifition numer E Telephone numer Finl return/ City or town, stte or provine, ountry, nd ZP or foreign postl ode terminted Amended return CARY, NC 7511 G Gross reeipts $ 1,08,755. Applition F Nme nd ddress of prinipl offier: H() s this group return for Yes No pending LAURA ZNK MAR suordintes? 875 WALNUT STREET, SUTE 150B CARY, NC 7511 H() Are ll suordintes inluded? Yes No Tx-exempt sttus: 501()() 501() ( ) (insert no.) 97()(1) or 57 f "No," tth list. (see instrutions) J Wesite: H() Group exemption numer NC Prt 1 Briefly desrie the orgniztion's mission or most signifint tivities: NCREASE THE CAPABLTY OF THE UNTED WAY SYSTEM TO MPROVE THE QUALTY OF HUMAN LFE N NORTH CAROLNA. K Form of orgniztion: Corportion Trust Assoition Other L Yer of formtion: M Stte of legl domiile: Summry Ativities & Governne Revenue Expenses Net Assets or Fund Blnes 0 1 Prt Chek this ox if the orgniztion disontinued its opertions or disposed of more thn 5% of its net ssets. Numer of voting memers of the governing ody (Prt V, line 1) Numer of independent voting memers of the governing ody (Prt V, line 1) 5 Totl numer of individuls employed in lendr yer 015 (Prt V, line ) 5 6 Totl numer of volunteers (estimte if neessry) m m m m m m m m 6 7 Totl unrelted usiness revenue from Prt V, olumn (C), line 1 7 Net unrelted usiness txle inome from Form 990-T, line m m m m m m m m m m m m m m m m m m m m m m m m 7 Prior Yer m m m m m m m m m m m m m m m m m m m m m m m 8 Contriutions nd grnts (Prt V, line 1h) 9 Progrm servie revenue (Prt V, line g) 10 nvestment inome (Prt V, olumn (A), lines,, nd 7d) m m m m m 11 Other revenue (Prt V, olumn (A), lines 5, 6d, 8, 9, 10, nd 11e) m m m m m 1 Totl revenue - dd lines 8 through 11 (must equl Prt V, olumn (A), line 1) 1 Grnts nd similr mounts pid (Prt, olumn (A), lines 1-) 1 Benefits pid to or for memers (Prt, olumn (A), line ) m m m m m m m m m m 15 Slries, other ompenstion, employee enefits (Prt, olumn (A), lines 5-10) 16 Professionl fundrising fees (Prt, olumn (A), line 11e) m m m m m m m m m m m m m m m m m Totl fundrising expenses (Prt, olumn (D), line 5) 17 Other expenses (Prt, olumn (A), lines 11-11d, 11f-e) m m m m m m 18 Totl expenses. Add lines 1-17 (must equl Prt, olumn (A), line 5) m m m m m m m m m m 19 Revenue less expenses. Sutrt line 18 from line 1 Totl ssets (Prt, line 16) Totl liilities (Prt, line 6) Net ssets or fund lnes. Sutrt line 1 from line 0 Signture Blok m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Beginning of Current Yer Current Yer End of Yer Under penlties of perjury, delre tht hve exmined this return, inluding ompnying shedules nd sttements, nd to the est of my knowledge nd elief, it is true, orret, nd omplete. Delrtion of preprer (other thn offier) is sed on ll informtion of whih preprer hs ny knowledge. 07/15/016 M Signture of offier Dte Sign Here Pid M UNTED WAY OF NORTH CAROLNA WALNUT STREET STE 150B (919) LAURA Z. MAR Type or print nme nd title Print/Type preprer's nme Preprer's signture Dte Chek if PTN self-employed MCHELLE W LEMANSK PRESDENT Firm's EN Phone no. m m m m m m m m m m m m m m m m m m m m m m m m m Preprer Firm's nme BATCHELOR, TLLERY & ROBERTS, LLP Use Only Firm's ddress 605 GLENWOOD AVENUE, SUTE 50 RALEGH, NC My the RS disuss this return with the preprer shown ove? (see instrutions) Yes No For Pperwork Redution At Notie, see the seprte instrutions. Form 990 (015) ,5. 51, , , , ,579. 1,08, ,58. 8,01. 5, ,986. 1,10,086. 1,050, ,507.,78. 96,766.,97, ,58.,58,7. 5,508. 5,795. P E

7 Form 990 (015) Pge Prt UNTED WAY OF NORTH CAROLNA Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in this Prt m m m m m m m m m m m m m m m m m m m m m m m m 1 Briefly desrie the orgniztion's mission: NCREASE THE CAPABLTY OF THE UNTED WAY SYSTEM TO MPROVE THE QUALTY OF HUMAN LFE N NORTH CAROLNA. m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f "Yes," desrie these new servies on Shedule O. m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the orgniztion undertke ny signifint progrm servies during the yer whih were not listed on the prior Form 990 or 990-EZ? Yes No Did the orgniztion ese onduting, or mke signifint hnges in how it onduts, ny progrm servies? Yes No f "Yes," desrie these hnges on Shedule O. Desrie the orgniztion's progrm servie omplishments for eh of its three lrgest progrm servies, s mesured y expenses. Setion 501()() nd 501()() orgniztions re required to report the mount of grnts nd llotions to others, the totl expenses, nd revenue, if ny, for eh progrm servie reported. (Code: ) (Expenses $ 9,55. inluding grnts of $ ) (Revenue $ 6,08. ) MEMBER SERVCES-ENABLES UNTED WAY OF NORTH CAROLNA TO PROVDE TRANNG N AN EFFECTVE, TMELY MANNER. ALSO PROVDES MANAGEMENT OPPORTUNTES FOR UDATES & ECHANGE OF DEAS. NCREASES & MPROVES CAMPAGNS. (Code: ) (Expenses $ 11,1 inluding grnts of $ ) (Revenue $ 7,981. ) STATE EMPLOYEES COMBNED CAMPAGN-PROVDES EVERY STATE EMPLOYEE WTH THE OPPORTUNTY TO CONTRBUTE. (Code: ) (Expenses $ 8,9 inluding grnts of $ ) (Revenue $ ) GOVERNMENT RELATONS-BRNGS POLCY NFORMATON TO LOCAL UNTED WAY AGENCES AND ORGANZES TO BRNG COLLECTVE ACTON. d Other progrm servies (Desrie in Shedule O.) (Expenses $ 15,675. inluding grnts of $ ) (Revenue $ ) e Totl progrm servie expenses 85,09 5E Form 990 (015)

8 Form 990 (015) Pge Prt V Cheklist of Required Shedules m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m s the orgniztion required to omplete Shedule B, Shedule of Contriutors (see instrutions)?m m m m m m m m m m Did the orgniztion engge in diret or indiret politil mpign tivities on ehlf of or in opposition to ndidtes for puli offie? f "Yes," omplete Shedule C, Prt m m m m m m m m m m m m m m m m m m m m m m m m m m m Setion 501()() orgniztions. Did the orgniztion engge in loying tivities, or hve setion 501(h) eletion in effet during the tx yer? f "Yes," omplete Shedule C, Prt m m m m m m m m m m m m m m m m m m m m m m s the orgniztion desried in setion 501()() or 97()(1) (other thn privte foundtion)? f "Yes," omplete Shedule A 1 s the orgniztion setion 501()(), 501()(5), or 501()(6) orgniztion tht reeives memership dues, ssessments, or similr mounts s defined in Revenue Proedure 98-19? f "Yes," omplete Shedule C, Prt m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the orgniztion mintin ny donor dvised funds or ny similr funds or ounts for whih donors hve the right to provide dvie on the distriution or investment of mounts in suh funds or ounts? f "Yes," omplete Shedule D, Prt m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the orgniztion reeive or hold onservtion esement, inluding esements to preserve open spe, the environment, histori lnd res, or histori strutures? f "Yes," omplete Shedule D, Prt m m m m m m m m m m Did the orgniztion mintin olletions of works of rt, historil tresures, or other similr ssets? f "Yes," omplete Shedule D, Prt m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the orgniztion report n mount in Prt, line 1, for esrow or ustodil ount liility, serve s ustodin for mounts not listed in Prt ; or provide redit ounseling, det mngement, redit repir, or det negotition servies? f "Yes," omplete Shedule D, Prt V m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the orgniztion, diretly or through relted orgniztion, hold ssets in temporrily restrited endowments, permnent endowments, or qusi-endowments? f "Yes," omplete Shedule D, Prt Vm m m m m m m m 11 f the orgniztion s nswer to ny of the following questions is "Yes," then omplete Shedule D, Prts V, V, V,, or s pplile. Did the orgniztion report n mount for lnd, uildings, nd equipment in Prt, line 10? f "Yes," d e f UNTED WAY OF NORTH CAROLNA omplete Shedule D, Prt V m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the orgniztion report n mount for investments-other seurities in Prt, line 1 tht is 5% or more of its totl ssets reported in Prt, line 16? f "Yes," omplete Shedule D, Prt V m m m m m m m m m m m m m m m m m Did the orgniztion report n mount for investments-progrm relted in Prt, line 1 tht is 5% or more of its totl ssets reported in Prt, line 16? f "Yes," omplete Shedule D, Prt V m m m m m m m m m m m m m m m m m Did the orgniztion report n mount for other ssets in Prt, line 15 tht is 5% or more of its totl ssets reported in Prt, line 16? f "Yes," omplete Shedule D, Prt m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the orgniztion report n mount for other liilities in Prt, line 5? f "Yes," omplete Shedule D, Prt Did the orgniztion s seprte or onsolidted finnil sttements for the tx yer inlude footnote tht ddresses the orgniztion's liility for unertin tx positions under FN 8 (ASC 70)? f "Yes," omplete Shedule D, Prt m m m m m m Did the orgniztion otin seprte, independent udited finnil sttements for the tx yer? f "Yes," omplete Shedule D, Prts nd m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Ws the orgniztion inluded in onsolidted, independent udited finnil sttements for the tx yer? f "Yes," nd if the orgniztion nswered "No" to line 1, then ompleting Shedule D, Prts nd is optionl s the orgniztion shool desried in setion 170()(1)(A)(ii)? f "Yes," omplete Shedule E Did the orgniztion mintin n offie, employees, or gents outside of the United Sttes?m m m m m m m m m m m m m Did the orgniztion hve ggregte revenues or expenses of more thn $10,000 from grntmking, fundrising, usiness, investment, nd progrm servie tivities outside the United Sttes, or ggregte foreign investments vlued t $100,000 or more? f "Yes," omplete Shedule F, Prts nd V m m m m m m m m m m m Did the orgniztion report on Prt, olumn (A), line, more thn $5,000 of grnts or other ssistne to or for ny foreign orgniztion? f "Yes," omplete Shedule F, Prts nd V m m m m m m m m m m m m m m m m m m m m m m Did the orgniztion report on Prt, olumn (A), line, more thn $5,000 of ggregte grnts or other ssistne to or for foreign individuls? f "Yes," omplete Shedule F, Prts nd V m m m m m m m m m m m m m m m m Did the orgniztion report totl of more thn $15,000 of expenses for professionl fundrising servies on Prt, olumn (A), lines 6 nd 11e? f "Yes," omplete Shedule G, Prt (see instrutions) m m m m m m m m m m m m m Did the orgniztion report more thn $15,000 totl of fundrising event gross inome nd ontriutions on Prt V, lines 1 nd 8? f "Yes," omplete Shedule G, Prt m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the orgniztion report more thn $15,000 of gross inome from gming tivities on Prt V, line 9? f "Yes," omplete Shedule G, Prt m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m d 11e 11f Yes No Form 990 (015) 5E

9 UNTED WAY OF NORTH CAROLNA Form 990 (015) Pge Prt V Cheklist of Required Shedules (ontinued) 0 1 d E Did the orgniztion operte one or more hospitl filities? f "Yes," omplete Shedule H m m m m m m m m f "Yes" to line 0, did the orgniztion tth opy of its udited finnil sttements to this return? m m m m m Did the orgniztion report more thn $5,000 of grnts or other ssistne to ny domesti orgniztion or domesti government on Prt, olumn (A), line 1? f "Yes," omplete Shedule, Prts nd m m m m m m m m m m Did the orgniztion report more thn $5,000 of grnts or other ssistne to or for domesti individuls on Prt, olumn (A), line? f "Yes," omplete Shedule, Prts nd m m m m m m m m m m m m m m m m m m m m m m m m Did the orgniztion nswer "Yes" to Prt V, Setion A, line,, or 5 out ompenstion of the orgniztion's urrent nd former offiers, diretors, trustees, key employees, nd highest ompensted employees? f "Yes," omplete Shedule J m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the orgniztion hve tx-exempt ond issue with n outstnding prinipl mount of more thn $100,000 s of the lst dy of the yer, tht ws issued fter Deemer 1, 00? f "Yes," nswer lines through d nd omplete Shedule K. f "No," go to line 5 m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the orgniztion invest ny proeeds of tx-exempt onds eyond temporry period exeption?m m m m m m m Did the orgniztion mintin n esrow ount other thn refunding esrow t ny time during the yer to defese ny tx-exempt onds? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the orgniztion t s n "on ehlf of" issuer for onds outstnding t ny time during the yer? m m m m m m Setion 501()(), 501()(), nd 501()(9) orgniztions. Did the orgniztion engge in n exess enefit trnstion with disqulified person during the yer? f "Yes," omplete Shedule L, Prt m m m m m m m m m m m m s the orgniztion wre tht it engged in n exess enefit trnstion with disqulified person in prior yer, nd tht the trnstion hs not een reported on ny of the orgniztion's prior Forms 990 or 990-EZ? f "Yes," omplete Shedule L, Prt m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the orgniztion report ny mount on Prt, line 5, 6, or for reeivles from or pyles to ny urrent or former offiers, diretors, trustees, key employees, highest ompensted employees, or disqulified persons? f "Yes," omplete Shedule L, Prt m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the orgniztion provide grnt or other ssistne to n offier, diretor, trustee, key employee, sustntil ontriutor or employee thereof, grnt seletion ommittee memer, or to 5% ontrolled entity or fmily memer of ny of these persons? f "Yes," omplete Shedule L, Prt m m m m m m m m m m m m m m m Ws the orgniztion prty to usiness trnstion with one of the following prties (see Shedule L, Prt V instrutions for pplile filing thresholds, onditions, nd exeptions): A urrent or former offier, diretor, trustee, or key employee? f "Yes," omplete Shedule L, Prt V m m m m m m m A fmily memer of urrent or former offier, diretor, trustee, or key employee? f "Yes," omplete Shedule L, Prt V m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m An entity of whih urrent or former offier, diretor, trustee, or key employee (or fmily memer thereof) ws n offier, diretor, trustee, or diret or indiret owner? f "Yes," omplete Shedule L, Prt V m m m m m Did the orgniztion reeive more thn $5,000 in non-sh ontriutions? f "Yes," omplete Shedule M m m m m Did the orgniztion reeive ontriutions of rt, historil tresures, or other similr ssets, or qulified onservtion ontriutions? f "Yes," omplete Shedule M m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the orgniztion liquidte, terminte, or dissolve nd ese opertions? f "Yes," omplete Shedule N, Prt m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the orgniztion sell, exhnge, dispose of, or trnsfer more thn 5% of its net ssets? f "Yes," omplete Shedule N, Prt m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the orgniztion own 100% of n entity disregrded s seprte from the orgniztion under Regultions setions nd ? f "Yes," omplete Shedule R, Prt m m m m m m m m m m m m m m m m m m m m Ws the orgniztion relted to ny tx-exempt or txle entity? f "Yes," omplete Shedule R, Prt,, or V, nd Prt V, line 1 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the orgniztion hve ontrolled entity within the mening of setion 51()(1)? m m m m m m m m m m m m m m f "Yes" to line 5, did the orgniztion reeive ny pyment from or engge in ny trnstion with ontrolled entity within the mening of setion 51()(1)? f "Yes," omplete Shedule R, Prt V, line m m m m m Setion 501()() orgniztions. Did the orgniztion mke ny trnsfers to n exempt non-hritle relted orgniztion? f "Yes," omplete Shedule R, Prt V, line m m m m m m m m m m m m m m m m m m m m m m m m m m Did the orgniztion ondut more thn 5% of its tivities through n entity tht is not relted orgniztion nd tht is treted s prtnership for federl inome tx purposes? f "Yes," omplete Shedule R, Prt V m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Did the orgniztion omplete Shedule O nd provide explntions in Shedule O for Prt V, lines 11 nd 19? Note. All Form 990 filers re required to omplete Shedule O d Yes No Form 990 (015)

10 Form 990 (015) Pge 5 Prt V Sttements Regrding Other RS Filings nd Tx Compline Chek if Shedule O ontins response or note to ny line in this Prt V m m m m m m m m m m m m m m m m m m m m m Yes Did the orgniztion omply with kup withholding rules for reportle pyments to vendors nd reportle gming (gmling) winnings to prize winners? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 1 Enter the numer of employees reported on Form W-, Trnsmittl of Wge nd Tx Sttements, filed for the lendr yer ending with or within the yer overed y this return m 9 f t lest one is reported on line, did the orgniztion file ll required federl employment tx returns? See instrutions for filing requirements for FinCEN Form 11, Report of Foreign Bnk nd Finnil Aounts (FBAR). 5 Ws the orgniztion prty to prohiited tx shelter trnstion t ny time during the tx yer? m m m m m m m m m Did ny txle prty notify the orgniztion tht it ws or is prty to prohiited tx shelter trnstion? f "Yes" to line 5 or 5, did the orgniztion file Form 8886-T?m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 6 Does the orgniztion hve nnul gross reeipts tht re normlly greter thn $100,000, nd did the d e f g h Gross reeipts, inluded on Form 990, Prt V, line 1, for puli use of lu filities 11 Setion 501()(1) orgniztions. Enter: Gross inome from memers or shreholders m m m m m m m m m m m m m m m m m m m m m m m m m m m Gross inome from other soures (Do not net mounts due or pid to other soures Enter the numer reported in Box of Form Enter -0- if not pplile m Enter the numer of Forms W-G inluded in line 1. Enter -0- if not pplile m m m m m m m m m Note. f the sum of lines 1 nd is greter thn 50, you my e required to e-file (see instrutions) Did the orgniztion hve unrelted usiness gross inome of $1,000 or more during the yer? m m f "Yes," hs it filed Form 990-T for this yer? f "No" to line, provide n explntion in Shedule O m m m m m m m m At ny time during the lendr yer, did the orgniztion hve n interest in, or signture or other uthority over, finnil ount in foreign ountry (suh s nk ount, seurities ount, or other finnil ount)? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f Yes, enter the nme of the foreign ountry: orgniztion soliit ny ontriutions tht were not tx dedutile s hritle ontriutions? m m m m m m m m m m m f "Yes," did the orgniztion inlude with every soliittion n express sttement tht suh ontriutions or gifts were not tx dedutile?m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Orgniztions tht my reeive dedutile ontriutions under setion 170(). Did the orgniztion reeive pyment in exess of $75 mde prtly s ontriution nd prtly for goods nd servies provided to the pyor? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f "Yes," did the orgniztion notify the donor of the vlue of the goods or servies provided? m m m m m m m m m m m m Did the orgniztion sell, exhnge, or otherwise dispose of tngile personl property for whih it ws required to file Form 88? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f "Yes," indite the numer of Forms 88 filed during the yer m m m m m m m m m m m m m m m m 7d Did the orgniztion reeive ny funds, diretly or indiretly, to py premiums on personl enefit ontrt? Did the orgniztion, during the yer, py premiums, diretly or indiretly, on personl enefit ontrt? m m m m m f the orgniztion reeived ontriution of qulified intelletul property, did the orgniztion file Form 8899 s required? f the orgniztion reeived ontriution of rs, ots, irplnes, or other vehiles, did the orgniztion file Form 1098-C? Sponsoring orgniztions mintining donor dvised funds. Did donor dvised fund mintined y the sponsoring orgniztion hve exess usiness holdings t ny time during the yer? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 10 m m m m m 10 9 Sponsoring orgniztions mintining donor dvised funds. Did the sponsoring orgniztion mke ny txle distriutions under setion 966? Did the sponsoring orgniztion mke distriution to donor, donor dvisor, or relted person? 10 Setion 501()(7) orgniztions. Enter: nitition fees nd pitl ontriutions inluded on Prt V, line 1 ginst mounts due or reeived from them.) m m m m m m m m m m m m m m m m m m m m m m m m m m m 11 Setion 97()(1) non-exempt hritle trusts. s the orgniztion filing Form 990 in lieu of Form 101? f "Yes," enter the mount of tx-exempt interest reeived or rued during the yerm m m m m m 1 Setion 501()(9) qulified nonprofit helth insurne issuers. s the orgniztion liensed to issue qulified helth plns in more thn one stte? m m m m m m m m m m m m m m m m m m 1 Note. See the instrutions for dditionl informtion the orgniztion must report on Shedule O. Enter the mount of reserves the orgniztion is required to mintin y the sttes in whih the orgniztion is liensed to issue qulified helth plns 1 Enter the mount of reserves on hnd m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 1 1 Did the orgniztion reeive ny pyments for indoor tnning servies during the tx yer? m m m m m m m f "Yes," hs it filed Form 70 to report these pyments? f "No," provide n explntion in Shedule O m m m m m m 5E UNTED WAY OF NORTH CAROLNA e 7f 7g 7h No Form 990 (015)

11 Form 990 (015) Pge 6 Prt V Governne, Mngement, nd Dislosure For eh "Yes" response to lines through 7 elow, nd for "No" response to line 8, 8, or 10 elow, desrie the irumstnes, proesses, or hnges in Shedule O. See instrutions. Chek if Shedule O ontins response or note to ny line in this Prt V Setion A. Governing Body nd Mngement Enter the numer of voting memers of the governing ody t the end of the tx yer f there re mteril differenes in voting rights mong memers of the governing ody, or if the governing m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m ny other offier, diretor, trustee, or key employee? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m supervision of offiers, diretors, or trustees, or key employees to mngement ompny or other person? Did the orgniztion mke ny signifint hnges to its governing douments sine the prior Form 990 ws filed? m m Did the orgniztion eome wre during the yer of signifint diversion of the orgniztion's ssets? Did the orgniztion hve memers or stokholders? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m one or more memers of the governing ody? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m stokholders, or persons other thn the governing ody? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m ody delegted rod uthority to n exeutive ommittee or similr ommittee, explin in Shedule O. Enter the numer of voting memers inluded in line 1, ove, who re independent 1 Did ny offier, diretor, trustee, or key employee hve fmily reltionship or usiness reltionship with Did the orgniztion delegte ontrol over mngement duties ustomrily performed y or under the diret Did the orgniztion hve memers, stokholders, or other persons who hd the power to elet or ppoint Are ny governne deisions of the orgniztion reserved to (or sujet to pprovl y) memers, 8 Did the orgniztion ontemporneously doument the meetings held or written tions undertken during the yer y the following: The governing ody? m m m m m m m m m m m m m m m m m m m m m m m m m m m m Eh ommittee with uthority to t on ehlf of the governing ody? m m m m m m m m m m m m m m m m m m m m m m 9 s there ny offier, diretor, trustee, or key employee listed in Prt V, Setion A, who nnot e rehed t the orgniztion's miling ddress? f "Yes," provide the nmes nd ddresses in Shedule O m m m m m m m m m m m 9 Setion B. Poliies (This Setion B requests informtion out poliies not required y the nternl Revenue Code.) Yes Did the orgniztion hve lol hpters, rnhes, or ffilites? m m m m m m m m m m m m m m m m m m m m m m m m m m f "Yes," did the orgniztion hve written poliies nd proedures governing the tivities of suh hpters, ffilites, nd rnhes to ensure their opertions re onsistent with the orgniztion's exempt purposes? m m m Hs the orgniztion provided omplete opy of this Form 990 to ll memers of its governing ody efore filing the form? m Desrie in Shedule O the proess, if ny, used y the orgniztion to review this Form 99 Did the orgniztion hve written onflit of interest poliy? f "No," go to line 1 m m m m m m m m m m m m m m m m rise to onflits? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m desrie in Shedule O how this ws done m m m m m m m m Did the orgniztion hve written whistlelower poliy? m m m m m m m m m m m m Did the orgniztion hve written doument retention nd destrution poliy? m m m m m m m m m m m m m m m m m m Were offiers, diretors, or trustees, nd key employees required to dislose nnully interests tht ould give Did the orgniztion regulrly nd onsistently monitor nd enfore ompline with the poliy? f "Yes," Did the proess for determining ompenstion of the following persons inlude review nd pprovl y independent persons, omprility dt, nd ontemporneous sustntition of the deliertion nd deision? The orgniztion's CEO, Exeutive Diretor, or top mngement offiil m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Other offiers or key employees of the orgniztion f "Yes" to line 15 or 15, desrie the proess in Shedule O (see instrutions). Did the orgniztion invest in, ontriute ssets to, or prtiipte in joint venture or similr rrngement with txle entity during the yer? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f "Yes," did the orgniztion follow written poliy or proedure requiring the orgniztion to evlute its prtiiption in joint venture rrngements under pplile federl tx lw, nd tke steps to sfegurd the orgniztion's exempt sttus with respet to suh rrngements? m m m m m m m m m m m m m m m m m m m m m m m m m List the sttes with whih opy of this Form 990 is required to e filed Setion C. Dislosure Setion 610 requires n orgniztion to mke its Forms 10 (or 10 if pplile), 990, nd 990-T (Setion 501()()s only) ville for puli inspetion. ndite how you mde these ville. Chek ll tht pply. Own wesite Another's wesite Upon request Other (explin in Shedule O) Desrie in Shedule O whether (nd if so, how) the orgniztion mde its governing douments, onflit of interest poliy, nd finnil sttements ville to the puli during the tx yer. Stte the nme, ddress, nd telephone numer of the person who possesses the orgniztion's ooks nd reords: KENYA CHERRY 875 WALNUT ST, STE 150B CARY, NC Form 990 (015) 5E UNTED WAY OF NORTH CAROLNA Yes 501(C) () NOT REQURED TO FLE N NC No No

12 UNTED WAY OF NORTH CAROLNA Compenstion of Offiers, Diretors, Trustees, Key Employees, Highest Compensted Employees, nd ndependent Contrtors Form 990 (015) Pge 7 Prt V Setion A. Chek if Shedule O ontins response or note to ny line in this Prt V m m m m m m m m m m m m m m m m m m m m m m Offiers, Diretors, Trustees, Key Employees, nd Highest Compensted Employees 1 Complete this tle for ll persons required to e listed. Report ompenstion for the lendr yer ending with or within the orgniztion's % tx yer. List ll of the orgniztion's urrent offiers, diretors, trustees (whether individuls or orgniztions), regrdless of mount of ompenstion. Enter -0- in olumns (D), (E), nd (F) if no ompenstion ws pid. % List ll of the orgniztion's urrent key employees, if ny. See instrutions for definition of "key employee." List the orgniztion's five urrent highest ompensted employees (other thn n offier, diretor, trustee, or key employee) who reeived reportle ompenstion (Box 5 of Form W- nd/or Box 7 of Form 1099-MSC) of more thn $100,000 from the orgniztion nd ny relted orgniztions. % List ll of the orgniztion's former offiers, key employees, nd highest ompensted employees who reeived more thn $100,000 of reportle ompenstion from the orgniztion nd ny relted orgniztions. % List ll of the orgniztion's former diretors or trustees tht reeived, in the pity s former diretor or trustee of the orgniztion, more thn $10,000 of reportle ompenstion from the orgniztion nd ny relted orgniztions. List persons in the following order: individul trustees or diretors; institutionl trustees; offiers; key employees; highest ompensted employees; nd former suh persons. Chek this ox if neither the orgniztion nor ny relted orgniztion ompensted ny urrent offier, diretor, or trustee. (C) (A) (B) Position (D) (E) (F) Nme nd Title Averge hours per week (list ny hours for relted orgniztions elow dotted line) (do not hek more thn one ox, unless person is oth n offier nd diretor/trustee) Reportle ompenstion from the orgniztion (W-/1099-MSC) Reportle ompenstion from relted orgniztions (W-/1099-MSC) ndividul trustee or diretor nstitutionl trustee Offier Key employee Highest ompensted employee Former Estimted mount of other ompenstion from the orgniztion nd relted orgniztions (1) BRAD RSNGER PAST CHAR 1.00 () BRENDA DGGS BOARD CHARPERSON 1.00 () W. SCOTT MCBURNEY SECRETARY 1.00 () DAR CALDWELL BOARD MEMBER 1.00 (5) CNDY GORDNEER BOARD MEMBER 1.00 (6) BLL MLLETT BOARD MEMBER 1.00 (7) MARY FLAGG HAUGH BOARD MEMBER 1.00 (8) JAN HAYES BOARD MEMBER 1.00 (9) CHRS NELSON BOARD MEMBER 1.00 (10) TONY WOLFE TREASURER 1.00 (11) JOHN ANTHONY VCE CHAR 1.00 (1) BRAN USSCHON BOARD MEMBER 1.00 (1) LAURA ZNK MAR PRESDENT ,651. (1) DAVD J. MCNEL 1.00 BOARD MEMBER 5E Form 990 (015)

13 UNTED WAY OF NORTH CAROLNA Form 990 (015) Pge 8 Prt V Setion A. Offiers, Diretors, Trustees, Key Employees, nd Highest Compensted Employees (ontinued) (A) (B) (C) (D) (E) (F) Nme nd title Averge hours per week (list ny hours for relted orgniztions elow dotted line) Position (do not hek more thn one ox, unless person is oth n offier nd diretor/trustee) ndividul trustee or diretor nstitutionl trustee Offier Key employee Highest ompensted employee 1 Su-totl m m m m m m m m m m m m m m m m m m m m m m m m m Totl from ontinution sheets to Prt V, Setion A m m m m m m m m m m m m m m m m m m m m m m m m m m m m d Totl (dd lines 1 nd 1) Former Reportle ompenstion from the orgniztion (W-/1099-MSC) Reportle ompenstion from relted orgniztions (W-/1099-MSC) Totl numer of individuls (inluding ut not limited to those listed ove) who reeived more thn $100,000 of reportle ompenstion from the orgniztion Did the orgniztion list ny former offier, diretor, or trustee, key employee, or highest ompensted employee on line 1? f "Yes," omplete Shedule J for suh individul m m m m m m m m m m m m m m m m m m m m m m m m m m For ny individul listed on line 1, is the sum of reportle ompenstion nd other ompenstion from the orgniztion nd relted orgniztions greter thn $150,000? f Yes, omplete Shedule J for suh individul m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 5 Did ny person listed on line 1 reeive or rue ompenstion from ny unrelted orgniztion or individul for servies rendered to the orgniztion? f Yes, omplete Shedule J for suh person m m m m m m m m m m m m m m m m 5 Setion B. ndependent Contrtors 1 Complete this tle for your five highest ompensted independent ontrtors tht reeived more thn $100,000 of ompenstion from the orgniztion. Report ompenstion for the lendr yer ending with or within the orgniztion's tx yer. Estimted mount of other ompenstion from the orgniztion nd relted orgniztions ( 15) JENNE CONNOR 1.00 BOARD MEMBER ( 16) SARAH LANGER HALL 1.00 BOARD MEMBER ( 17) NANCY REGEL 1.00 BOARD MEMBER ( 18) GARETH MONTAGUE-SMTH 1.00 BOARD DRECTOR ( 19) MARVN PTTMAN 1.00 BOARD MEMBER ( 0) ROY WATSON, JR BOARD MEMBER ( 1) DAVD MLLER 1.00 BOARD MEMEBER ( ) ALLAN MORSE 1.00 BOARD MEMBER ( ) CNDY BRADY 1.00 BOARD MEMBER ( ) JOHN ELLER 1.00 BOARD MEMBER ( 5) LOS NGLAND 1.00 BOARD MEMBER 1,651. 1,651. Yes No (A) Nme nd usiness ddress (B) Desription of servies (C) Compenstion Totl numer of independent ontrtors (inluding ut not limited to those listed ove) who reeived more thn $100,000 in ompenstion from the orgniztion 5E Form 990 (015)

14 UNTED WAY OF NORTH CAROLNA Form 990 (015) Pge 8 Prt V Setion A. Offiers, Diretors, Trustees, Key Employees, nd Highest Compensted Employees (ontinued) (A) (B) (C) (D) (E) (F) Nme nd title Averge hours per week (list ny hours for relted orgniztions elow dotted line) Position (do not hek more thn one ox, unless person is oth n offier nd diretor/trustee) ndividul trustee or diretor nstitutionl trustee Offier Key employee Highest ompensted employee Former Reportle ompenstion from the orgniztion (W-/1099-MSC) Reportle ompenstion from relted orgniztions (W-/1099-MSC) Estimted mount of other ompenstion from the orgniztion nd relted orgniztions ( 6) MELNDA WALKER 1.00 BOARD MEMBER ( 7) MELANE MATTESON 1.00 BOARD MEMBER 1 Su-totl m m m m m m m m m m m m m m m m m m m m m m m m m Totl from ontinution sheets to Prt V, Setion A m m m m m m m m m m m m m m m m m m m m m m m m m m m m d Totl (dd lines 1 nd 1) Totl numer of individuls (inluding ut not limited to those listed ove) who reeived more thn $100,000 of reportle ompenstion from the orgniztion Did the orgniztion list ny former offier, diretor, or trustee, key employee, or highest ompensted employee on line 1? f "Yes," omplete Shedule J for suh individul m m m m m m m m m m m m m m m m m m m m m m m m m m For ny individul listed on line 1, is the sum of reportle ompenstion nd other ompenstion from the orgniztion nd relted orgniztions greter thn $150,000? f Yes, omplete Shedule J for suh individul m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 5 Did ny person listed on line 1 reeive or rue ompenstion from ny unrelted orgniztion or individul for servies rendered to the orgniztion? f Yes, omplete Shedule J for suh person m m m m m m m m m m m m m m m m 5 Setion B. ndependent Contrtors 1 Complete this tle for your five highest ompensted independent ontrtors tht reeived more thn $100,000 of ompenstion from the orgniztion. Report ompenstion for the lendr yer ending with or within the orgniztion's tx yer. Yes No (A) Nme nd usiness ddress (B) Desription of servies (C) Compenstion Totl numer of independent ontrtors (inluding ut not limited to those listed ove) who reeived more thn $100,000 in ompenstion from the orgniztion 5E Form 990 (015)

15 UNTED WAY OF NORTH CAROLNA Sttement of Revenue Form 990 (015) Pge 9 Prt V Contriutions, Gifts, Grnts nd Other Similr Amounts Progrm Servie Revenue Other Revenue 1 Chek if Shedule O ontins response or note to ny line in this Prt V m m m m m m m m m m m m m m m m m m m m m m m m Federted mpigns Memership dues m m m m m m m m m m Fundrising events d Relted orgniztions e Government grnts (ontriutions) m m f All other ontriutions, gifts, grnts, nd similr mounts not inluded ove m 1f g Nonsh ontriutions inluded in lines 1-1f: $ h Totl. Add lines 1-1f m m m m m m m m m m m m m m m m m m d d 1e Business Code e f All other progrm servie revenue g Totl. Add lines -f m m m m m m m m m m m m m m m m m m nd other similr mounts) m mattachment m m m m m m m m m1m m m m nome from investment of tx-exempt ond proeeds Roylties m m m m m m m m m m m m m m m m m m m m m m m m (i) Rel (ii) Personl Gross rents m m m m m Less: rentl expenses m Rentl inome or (loss) m d Net rentl inome or (loss) m m m m m m m m m m m m m m m m nvestment inome (inluding dividends, interest, 5 7 Gross mount from sles of ssets other thn inventory m m m m m m m Less: ost or other sis (i) Seurities (ii) Other nd sles expenses Gin or (loss) d Net gin or (loss) m m m m m m m m m m m m m m m m m m m m 8 of ontriutions reported on line 1). See Prt V, line 18 m Less: diret expenses m m m m m m m m m m Net inome or (loss) from fundrising events m m m m m m m Gross inome from gming tivities. See Prt V, line 19 m Less: diret expenses m m m m m m m m m m Net inome or (loss) from gming tivities m m m m m m m Gross sles of inventory, less returns nd llownes Less: ost of goods sold m m m m m m m m m Net inome or (loss) from sles of inventorym m m m m m m m 9 10 Gross inome from fundrising events (not inluding $ Misellneous Revenue 76,969. 1,18. Business Code (A) Totl revenue 51,151. (B) Relted or exempt funtion revenue ADMNSTRATVE FEES , ,771. MARKETNG SPONSORSHPS ,1 95,1 CONFERENCE REGSTRATON FEES , ,079. OTHER NCOME ,77. 1, ,787. (C) Unrelted usiness revenue (D) Revenue exluded from tx under setions d All other revenue m m m m e Totl. Add lines 11-11d m m m 1 Totl revenue. See instrutions. m m m m m m m m m m m m m 5E ,08, , Form 990 (015)

16 UNTED WAY OF NORTH CAROLNA Prt Sttement of Funtionl Expenses Setion 501()() nd 501()() orgniztions must omplete ll olumns. All other orgniztions must omplete olumn (A). Form 990 (015) Pge 10 Chek if Shedule O ontins response or note to ny line in this Prt m m m m m m m m m m m m m m m m m m m m m m m m Do not inlude mounts reported on lines 6, 7, 8, 9, nd 10 of Prt V. 1 Grnts nd other ssistne to domesti orgniztions nd domesti governments. See Prt V, line 1 m m m m Grnts nd other ssistne to domesti individuls. See Prt V, line m m m m m m m m m Grnts nd other ssistne to foreign orgniztions, foreign governments, nd foreign individuls. See Prt V, lines 15 nd 16 m m m m m Benefits pid to or for memers m m m m m m m m m 5 Compenstion of urrent offiers, diretors, trustees, nd key employees m m m m m m m m m m 6 Compenstion not inluded ove, to disqulified persons (s defined under setion 958(f)(1)) nd persons desried in setion 958()()(B) m m m m m m 7 Other slries nd wges m m m m m m m m m m m m 8 Pension pln ruls nd ontriutions (inlude 9 setion 01(k) nd 0() employer ontriutions) Other employee enefits Pyroll txes m m m m m m m m m m m m m m m m m m Fees for servies (non-employees): Mngement Legl Aounting d Loying e Professionl fundrising servies. See Prt V, line 17 m f g d m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m nvestment mngement fees m m m m m m m m m Other. (f line 11g mount exeeds 10% of line 5, olumn (A) mount, list line 11g expenses on Shedule O.) Advertising nd promotion m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Offie expenses nformtion tehnology Roylties Oupny Trvel Pyments of trvel or entertinment expenses for ny federl, stte, or lol puli offiils Conferenes, onventions, nd meetings nterest Pyments to ffilites Depreition, depletion, nd mortiztion nsurne m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Other expenses. temize expenses not overed ove (List misellneous expenses in line e. f line e mount exeeds 10% of line 5, olumn (A) mount, list line e expenses on Shedule O.) e All other expenses 5 Totl funtionl expenses. Add lines 1 through e 6 Joint osts. Complete this line only if the orgniztion reported in olumn (B) joint osts from omined edutionl mpign nd fundrising soliittion. Chek here if following SOP 98- (ASC ) m m m m m m m (A) (B) (C) (D) Totl expenses Progrm servie Mngement nd Fundrising expenses generl expenses expenses Form 990 (015) 5E , ,5. 66,6. 5,16. 7,1. 7,795. 8, ,5.,7. 1,1. 5,. 5,87 100,0. 68,5. 1,978. 5,1 50,78. 1,6. 5,908. 7,68. 8,6 8,59.,91. 5,661.,555.,85. 9,70. 16, ,119. 6,589. 9,78. 88,819.,59.,11.,068. 1,05. 10,99. 7,55.,58. BANK FEES 1,57. 11,08. 1,91. MEMBERSHP DUES EQUPMENT RENTAL 5,19. 8,81. 6,507. MSCELLANEOUS 1,.,0. 1,1 91,79. 90, ,050,07. 85,09 196,97.

17 Form 990 (015) Pge 11 Prt Assets Liilities Net Assets or Fund Blnes UNTED WAY OF NORTH CAROLNA Blne Sheet Chek if Shedule O ontins response or note to ny line in this Prt m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Csh - non-interest-ering Svings nd temporry sh investments Pledges nd grnts reeivle, net Aounts reeivle, net m m m m m m m m m m m m m m m m m m m m m m m m m m m m Lons nd other reeivles from urrent nd former offiers, diretors, trustees, key employees, nd highest ompensted employees. Complete Prt of Shedule L m m m m m m m m m m m m m m m m m m m m m m m m m Lons nd other reeivles from other disqulified persons (s defined under setion 958(f)(1)), persons desried in setion 958()()(B), nd ontriuting employers nd sponsoring orgniztions of setion 501()(9) voluntry employees' enefiiry orgniztions (see instrutions). Complete Prt of Shedule L Notes nd lons reeivle, net nventories for sle or use m m m m m m m m m m m m m m m m m m m m m m m m m m m m Prepid expenses nd deferred hrges Lnd, uildings, nd equipment: ost or other sis. Complete Prt V of Shedule D 10 Less: umulted depreition 10 nvestments - pulily trded seurities nvestments - other seurities. See Prt V, line 11 nvestments - progrm-relted. See Prt V, line 11 ntngile ssets Other ssets. See Prt V, line 11 Totl ssets. Add lines 1 through 15 (must equl line ) Aounts pyle nd rued expenses Grnts pyle Deferred revenue Tx-exempt ond liilities m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Esrow or ustodil ount liility. Complete Prt V of Shedule D m m m m Lons nd other pyles to urrent nd former offiers, diretors, trustees, key employees, highest ompensted employees, nd disqulified persons. Complete Prt of Shedule L m m m m m m m Seured mortgges nd notes pyle to unrelted third prties Unseured notes nd lons pyle to unrelted third prties m m m m m m m m m Other liilities (inluding federl inome tx, pyles to relted third prties, nd other liilities not inluded on lines 17-). Complete Prt of Shedule D m m m m m m m m m m m m m m Totl liilities. Add lines 17 through 5 m m m m m m m m m m m m m m m m m m m m Orgniztions tht follow SFAS 117 (ASC 958), hek here nd omplete lines 7 through 9, nd lines nd. Unrestrited net ssets m m m m m Temporrily restrited net ssets Permnently restrited net ssets m m m m m m m m m m m m m m m m m m m m m m m m Orgniztions tht do not follow SFAS 117 (ASC 958), hek here nd omplete lines 0 through. Cpitl stok or trust prinipl, or urrent funds m m m m m m m m Pid-in or pitl surplus, or lnd, uilding, or equipment fund m m m m Retined ernings, endowment, umulted inome, or other funds Totl net ssets or fund lnes m m m m m m Totl liilities nd net ssets/fund lnes m m m m m m m m m m m m m m m m m m (A) Beginning of yer (B) End of yer 898,861.,56. 1,8,6. 11, , ,5. 91,87. 8,657., ,18, , ,09. 75, , ,809.,97, ,7. 56,09,158, ,. 5 1, ,58. 6,58,7. 6,001. 7, , , , , ,795.,97,168. Form 990 (015) 5E

18 Form 990 (015) Pge 1 Prt Prt UNTED WAY OF NORTH CAROLNA Reonilition of Net Assets Chek if Shedule O ontins response or note to ny line in this Prt m m m m m m m m m m m m m m Totl revenue (must equl Prt V, olumn (A), line 1) 1 Totl expenses (must equl Prt, olumn (A), line 5) Revenue less expenses. Sutrt line from line 1 m m m m m m m m m m m m m m m m m m m m m Net ssets or fund lnes t eginning of yer (must equl Prt, line, olumn (A)) Net unrelized gins (losses) on investments 5 Donted servies nd use of filities 6 nvestment expenses m m 7 Prior period djustments m m m m m m m m m m m m m m m m m m m m m m m m 8 Other hnges in net ssets or fund lnes (explin in Shedule O) m m m m m m m m m m m m m m m m 9 Net ssets or fund lnes t end of yer. Comine lines through 9 (must equl Prt, line, olumn (B)) m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 10 Finnil Sttements nd Reporting Chek if Shedule O ontins response or note to ny line in this Prt m m m m m m m m m m m m m m m m m m m 1 Aounting method used to prepre the Form 990: Csh Arul Other f the orgniztion hnged its method of ounting from prior yer or heked "Other," explin in Shedule O. Were the orgniztion's finnil sttements ompiled or reviewed y n independent ountnt? m m m m m m f "Yes," hek ox elow to indite whether the finnil sttements for the yer were ompiled or reviewed on seprte sis, onsolidted sis, or oth: Seprte sis Consolidted sis Both onsolidted nd seprte sis Were the orgniztion's finnil sttements udited y n independent ountnt? m m m m m m m m m m m m m m f "Yes," hek ox elow to indite whether the finnil sttements for the yer were udited on seprte sis, onsolidted sis, or oth: Seprte sis Consolidted sis Both onsolidted nd seprte sis f "Yes" to line or, does the orgniztion hve ommittee tht ssumes responsiility for oversight of the udit, review, or ompiltion of its finnil sttements nd seletion of n independent ountnt? f the orgniztion hnged either its oversight proess or seletion proess during the tx yer, explin in Shedule O. As result of federl wrd, ws the orgniztion required to undergo n udit or udits s set forth in the Single Audit At nd OMB Cirulr A-1? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m f "Yes," did the orgniztion undergo the required udit or udits? f the orgniztion did not undergo the required udit or udits, explin why in Shedule O nd desrie ny steps tken to undergo suh udits. 1,08,755. 1,050,07.,78. 5, ,1. 5,795. Yes No Form 990 (015) 5E

19 SCHEDULE A Puli Chrity Sttus nd Puli Support OMB No (Form 990 or 990-EZ) Complete if the orgniztion is setion 501()() orgniztion or setion 97()(1) nonexempt hritle trust. À¾µ¹ Deprtment of the Tresury Atth to Form 990 or Form 990-EZ. Open to Puli nternl Revenue Servie nformtion out Shedule A (Form 990 or 990-EZ) nd its instrutions is t nspetion Nme of the orgniztion Employer identifition numer UNTED WAY OF NORTH CAROLNA Prt Reson for Puli Chrity Sttus (All orgniztions must omplete this prt.) See instrutions. The orgniztion is not privte foundtion euse it is: (For lines 1 through 11, hek only one ox.) 1 A hurh, onvention of hurhes, or ssoition of hurhes desried in setion 170()(1)(A)(i). A shool desried in setion 170()(1)(A)(ii). (Atth Shedule E (Form 990 or 990-EZ).) A hospitl or oopertive hospitl servie orgniztion desried in setion 170()(1)(A)(iii). A medil reserh orgniztion operted in onjuntion with hospitl desried in setion 170()(1)(A)(iii). Enter the hospitl's nme, ity, nd stte: 5 An orgniztion operted for the enefit of ollege or university owned or operted y governmentl unit desried in setion 170()(1)(A)(iv). (Complete Prt.) A federl, stte, or lol government or governmentl unit desried in setion 170()(1)(A)(v). An orgniztion tht normlly reeives sustntil prt of its support from governmentl unit or from the generl puli desried in setion 170()(1)(A)(vi). (Complete Prt.) A ommunity trust desried in setion 170()(1)(A)(vi). (Complete Prt.) An orgniztion tht normlly reeives: (1) more thn 1/ % of its support from ontriutions, memership fees, nd gross reeipts from tivities relted to its exempt funtions - sujet to ertin exeptions, nd () no more thn 1/ % of its support from gross investment inome nd unrelted usiness txle inome (less setion 511 tx) from usinesses quired y the orgniztion fter June 0, See setion 509()(). (Complete Prt.) An orgniztion orgnized nd operted exlusively to test for puli sfety. See setion 509()(). An orgniztion orgnized nd operted exlusively for the enefit of, to perform the funtions of, or to rry out the purposes of one or more pulily supported orgniztions desried in setion 509()(1) or setion 509()(). See setion 509()(). Chek the ox in lines 11 through 11d tht desries the type of supporting orgniztion nd omplete lines 11e, 11f, nd 11g. d e f g Type. A supporting orgniztion operted, supervised, or ontrolled y its supported orgniztion(s), typilly y giving the supported orgniztion(s) the power to regulrly ppoint or elet mjority of the diretors or trustees of the supporting orgniztion. You must omplete Prt V, Setions A nd B. Type. A supporting orgniztion supervised or ontrolled in onnetion with its supported orgniztion(s), y hving ontrol or mngement of the supporting orgniztion vested in the sme persons tht ontrol or mnge the supported orgniztion(s). You must omplete Prt V, Setions A nd C. Type funtionlly integrted. A supporting orgniztion operted in onnetion with, nd funtionlly integrted with, its supported orgniztion(s) (see instrutions). You must omplete Prt V, Setions A, D, nd E. Type non-funtionlly integrted. A supporting orgniztion operted in onnetion with its supported orgniztion(s) tht is not funtionlly integrted. The orgniztion generlly must stisfy distriution requirement nd n ttentiveness requirement (see instrutions). You must omplete Prt V, Setions A nd D, nd Prt V. Chek this ox if the orgniztion reeived written determintion from the RS tht it is Type, Type, Type funtionlly integrted, or Type non-funtionlly integrted supporting orgniztion. Enter the numer of supported orgniztions m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m Provide the following informtion out the supported orgniztion(s). (i) Nme of supported orgniztion (ii) EN (iii) Type of orgniztion (desried on lines 1-9 ove (see instrutions)) (iv) s the orgniztion listed in your governing doument? (v) Amount of monetry support (see instrutions) (vi) Amount of other support (see instrutions) Yes No (A) (B) (C) (D) (E) Totl For Pperwork Redution At Notie, see the nstrutions for Form 990 or 990-EZ. 5E Shedule A (Form 990 or 990-EZ) 015

9444LQ 702V V PAGE 3

9444LQ 702V V PAGE 3 Form 990 (016) Pge Prt Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in this Prt m m m m m m m m m m m m m m m m m m m m m m m m 1 Briefly desrie the orgniztion's

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection OMB No. 1545-47 Return of Orgniztion Exempt From nome Tx Form 99 Under setion 51(), 527, or 4947()(1) of the nternl Revenue Code (exept privte foundtions) À¾µ Do not enter soil seurity numers on this form

More information

UNIVERSITY OF MISSISSIPPI RESEARCH FOUNDATION FORM 990 TAX YEAR 2014

UNIVERSITY OF MISSISSIPPI RESEARCH FOUNDATION FORM 990 TAX YEAR 2014 UNVERSTY OF MSSSSPP RESEARCH FOUNDATON FORM 99 TA YEAR 1 OMB No. 1-7 Return of Orgniztion Exempt From nome Tx Form 99 Under setion 1(), 7, or 97()(1) of the nternl Revenue Code (exept privte foundtions)

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection Return of Orgniztion Exempt From nome Tx OMB No. 1545-0047 Form Under setion 501(), 527, or 4947()(1) of the nternl Revenue Code (exept privte foundtions) 990 À¾µ» Do not enter Soil Seurity numers on this

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection Return of Orgniztion Exempt From nome Tx OMB No. 1-7 Form Under setion 1(), 7, or 97()(1) of the nternl Revenue Code (exept privte foundtions) 99 À¾µ Do not enter Soil Seurity numers on this form s it

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at  Inspection Return of Orgniztion Exempt From nome Tx OMB No. 1-007 Form Under setion 01(), 7, or 97()(1) of the nternl Revenue Code (exept privte foundtions) 990 À¾µº Do not enter Soil Seurity numers on this form

More information

TOOLBANK USA, INC Form 990 (2014) Page 2

TOOLBANK USA, INC Form 990 (2014) Page 2 Form 99 (1) Pge Prt TOOLBANK USA, NC. 9-879 Sttement of Progrm Servie Aomplishments Chek if Shedule O ontins response or note to ny line in this Prt m m m m m m m m m m m m m m m m m m m m m m m m 1 Briefly

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection Return of Orgniztion Exempt From nome Tx OMB No. 1545-0047 Form Under setion 501(), 57, or 4947()(1) of the nternl Revenue Code (exept privte foundtions) 990 À¾µº Do not enter Soil Seurity numers on this

More information

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Return of Orgniztion Exempt From nome Tx OMB No. 1-007 Form Under setion 01(), 7, or 97()(1) of the nternl Revenue Code (exept privte foundtions) 990 À¾µ¹ Do not enter Soil Seurity numers on this form

More information

Public Inspection Copy Return of Organization Exempt From Income Tax

Public Inspection Copy Return of Organization Exempt From Income Tax Puli nspetion Copy Return of Orgniztion Exempt From nome Tx OMB No. 1-007 Form 990 Under setion 01(), 7, or 97()(1) of the nternl Revenue Code (exept privte foundtions) À¾µ» Do not enter soil seurity numers

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection Return of Orgniztion Exempt From nome Tx OMB No. 1545-0047 Form Under setion 501(), 57, or 4947()(1) of the nternl Revenue Code (exept privte foundtions) 990 À¾µ» Do not enter Soil Seurity numers on this

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax OMB No. 1-007 Return of Orgniztion Exempt From nome Tx Form 990 Under setion 01(), 7, or 97()(1) of the nternl Revenue Code (exept privte foundtions) À¾µ» Do not enter soil seurity numers on this form

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection OMB No. -00 Return of Orgniztion Exempt From nome Tx Form 990 Under setion 0(),, or 9()() of the nternl Revenue Code (exept privte foundtions) À¾µ¹ Do not enter soil seurity numers on this form s it my

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax OMB No. 1-007 Return of Orgniztion Exempt From nome Tx Form 990 Under setion 01(), 7, or 97()(1) of the nternl Revenue Code (exept privte foundtions) À¾µ» Do not enter soil seurity numers on this form

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection OMB No. 1-007 Return of Orgniztion Exempt From nome Tx Form 990 Under setion 01(), 7, or 97()(1) of the nternl Revenue Code (exept privte foundtions) À¾µ¹ Do not enter soil seurity numers on this form

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection Return of Orgniztion Exempt From nome Tx OMB No. 155-007 Form Under setion 501(), 57, or 97()(1) of the nternl Revenue Code (exept privte foundtions) 990 À¾µ» Do not enter Soil Seurity numers on this form

More information

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Return of Orgniztion Exempt From nome Tx OMB No. 1-007 Form Under setion 01(), 7, or 97()(1) of the nternl Revenue Code (exept privte foundtions) 990 À¾µ» Do not enter Soil Seurity numers on this form

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection Return of Orgniztion Exempt From nome Tx OMB No. 1545-0047 Form Under setion 501, 527, or 4947()(1) of the nternl Revenue Code (exept privte foundtions) 990 À¾µº Do not enter Soil Seurity numers on this

More information

PUBLIC DISCLOSURE COPY. Return of Organization Exempt From Income Tax

PUBLIC DISCLOSURE COPY. Return of Organization Exempt From Income Tax Return of Orgniztion Exempt From nome Tx OMB No. 1-007 Form Under setion 01(), 7, or 97()(1) of the nternl Revenue Code (exept privte foundtions) 990 À¾µ» Do not enter Soil Seurity numers on this form

More information

TAX RETURN FILING INSTRUCTIONS

TAX RETURN FILING INSTRUCTIONS TA RETURN FLNG NSTRUCTONS PUBLC NSPECTON COPY Prepred y Grnt Thornton LLP 2010 Corporte Ridge, Suite 400 MLen, VA 22102 Returns should e signed nd dted y the pproprite offier(s). Speil nstrutions Exempt

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection Return of Orgniztion Exempt From nome Tx OMB No. 1545-0047 Form Under setion 501(), 57, or 4947()(1) of the nternl Revenue Code (exept privte foundtions) 990 À¾µº Do not enter Soil Seurity numers on this

More information

I The organization may have to use a copy of this return to satisfy state reporting requirements. Inspection

I The organization may have to use a copy of this return to satisfy state reporting requirements. Inspection Form 99 Return of Orgniztion Exempt From ncome Tx Under section 51(c), 527, or 4947()(1) of the nternl Revenue Code (except lck lung enefit trust or privte foundtion) OMB No. 1545-47 À¾µ Open to Pulic

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection Return of Orgniztion Exempt From ncome Tx OMB No. 1545-47 Form Under section 51(c), 527, or 4947()(1) of the nternl Revenue Code (except privte foundtions) 99 À¾µ Do not enter Socil Security numers on

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection Return of Orgniztion Exempt From ncome Tx OMB No. 155-7 Form Under section 51(c), 527, or 97()(1) of the nternl Revenue Code (except privte foundtions) 99 À¾µ Do not enter Socil Security numers on this

More information

E-file Sttus https://gosystemrs.fsttx.com/gosystemrsreport.we/modl//elfcumultivehistory.s... Pge 1 of 1 9/29/2016 Cumultive E-File History 2015 Federl Loctor: 47362 Txpyer Nme: RETREES OF THE GOODYEAR

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection OMB No. 1545-0047 Return of Organization Exempt From nome Tax Form 990 Under setion 501(), 527, or 4947(a)(1) of the nternal Revenue Code (exept private foundations) À¾µ¹ Do not enter soial seurity numers

More information

I The organization may have to use a copy of this return to satisfy state reporting requirements. Inspection

I The organization may have to use a copy of this return to satisfy state reporting requirements. Inspection Form ½½ Return of Orgniztion Exempt From ncome Tx Under section 51(c), 527, or 4947()(1) of the nternl Revenue Code (except lck lung enefit trust or privte foundtion) OMB No. 1545-47 À¾µ Open to Pulic

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection Return of Organization Exempt From nome Tax OMB No. 1545-0047 Form Under setion 501(), 57, or 4947(a)(1) of the nternal Revenue Code (exept private foundations) 990 À¾µ¹ Do not enter Soial Seurity numers

More information

PUBLIC DISCLOSURE COPY UNITED STATES ANTI-DOPING AGENCY FORM 990 TAX YEAR 2016

PUBLIC DISCLOSURE COPY UNITED STATES ANTI-DOPING AGENCY FORM 990 TAX YEAR 2016 PUBLC DSCLOSURE COPY UNTED STATES ANT-DOPNG AGENCY FORM 990 TA YEAR 06 OMB No. 545-0047 Return of Organization Exempt From nome Tax Form 990 Under setion 50(), 57, or 4947(a)() of the nternal Revenue Code

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection Return of Orgniztion Exempt From ncome Tx OMB. 1545-47 Form Under section 51(c), 527, or 4947()(1) of the nternl Revenue Code (except privte foundtions) 99 À¾µ Do not enter Socil Security numers on this

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection Return of Organization Exempt From nome Tax OMB No. 1545-0047 Form Under setion 501(), 527, or 4947(a)(1) of the nternal Revenue Code (exept private foundations) 990 À¾µº Do not enter Soial Seurity numers

More information

Name of estate or trust (If a grantor type trust, see the instructions.) C Employer identification number I I

Name of estate or trust (If a grantor type trust, see the instructions.) C Employer identification number I I Form 4 À¾µº Department of the Treasury - nternal Revenue Servie U.S. nome Tax Return for Estates and Trusts OMB No. 545-0092 nformation aout Form 4 and its separate instrutions is at www.irs.gov/form4.

More information

EMBRY-RIDDLE AERONAUTICAL UNIVERSITY ASIA LTD

EMBRY-RIDDLE AERONAUTICAL UNIVERSITY ASIA LTD EMBRY-RDDLE AERONAUTCAL UNVERSTY ASA LTD OMB No. 1545-0047 Return of Organization Exempt From nome Tax Form 990 Under setion 501(), 527, or 4947(a)(1) of the nternal Revenue Code (exept private foundations)

More information

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Return of Organization Exempt From nome Tax OMB No. 1545-0047 Form Under setion 501(), 527, or 4947(a)(1) of the nternal Revenue Code (exept private foundations) 990 À¾µº Do not enter Soial Seurity numers

More information

Short Form Return of Organization Exempt From Income Tax

Short Form Return of Organization Exempt From Income Tax Form 990-EZ Short Form Return of Organization Exempt From nome Tax Under setion 501(), 57, or 4947(a)(1) of the nternal Revenue Code (exept private foundations) OMB No. 1545-1150 À¾µ¹ Open to Puli nspetion

More information

Enclosed are the original and one copy of your income tax returns for the period ended June 30, 2017 for:

Enclosed are the original and one copy of your income tax returns for the period ended June 30, 2017 for: Florida Breast Caner Coalition Researh Foundation, n. 11900 Bisayne Blvd., Suite 288 North Miami, FL 181 Dear Client, Enlosed are the original and one opy of your inome tax returns for the period ended

More information

Public Disclosure for Tax-Exempt Organizations

Public Disclosure for Tax-Exempt Organizations Puli Dislosure for Tx-Exempt Orgniztions Tx-exempt orgniztions re require to mke opy of their pplition for exemption n Form(s) 990 (n 990-T, if pplile) ville for puli inspetion n to provie opies of suh

More information

Return of Private Foundation

Return of Private Foundation Form 990-PF Return of Private Foundation OMB No. 1-00 or Setion 97(a)(1) Trust Treated as Private Foundation Do not enter soial seurity numers on this form as it may e made puli. À¾µ¹ Department of the

More information

Return of Private Foundation

Return of Private Foundation Form 990-PF Return of Private Foundation OMB No. 1545-005 or Setion 4947(a)(1) Trust Treated as Private Foundation Do not enter soial seurity numers on this form as it may e made puli. À¾µº Department

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection Return of Organization Exempt From ncome Tax OMB No. 1545-47 Form Under section 51(c), 527, or 4947(a)(1) of the nternal Revenue Code (except private foundations) 99 À¾µ Do not enter Social Security numers

More information

"COPY FOR PUBLIC INSPECTION" Return of Private Foundation

COPY FOR PUBLIC INSPECTION Return of Private Foundation Form 990-PF Department of the Treasury nternal Revenue Servie Return of Private Foundation OMB No. 1545-005 or Setion 4947(a)(1) Trust Treated as Private Foundation Do not enter Soial Seurity numers on

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection Return of Organization Exempt From ncome Tax OMB No. 1545-47 Form Under section 51, 527, or 4947(a)(1) of the nternal Revenue Code (except private foundations) 99 À¾µ Do not enter Social Security numers

More information

I The organization may have to use a copy of this return to satisfy state reporting requirements. Inspection

I The organization may have to use a copy of this return to satisfy state reporting requirements. Inspection Form ½½ Return of Organization Exempt From ncome Tax Under section 51, 527, or 4947(1) of the nternal Revenue Code (except lack lung enefit trust or private foundation) OMB 1545-47 À¾µ Open to Pulic Department

More information

Return of Private Foundation

Return of Private Foundation Form 990-PF Return of Private Foundation OMB No. 1545-005 or Setion 4947(a)(1) Trust Treated as Private Foundation Do not enter soial seurity numers on this form as it may e made puli. À¾µº Department

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection OMB No. 1545-0047 Return of Organization Exempt From ncome Tax Form 990 Under section 501(c), 527, or 4947(a)(1) of the nternal Revenue Code (except private foundations) À¾µ¹ Do not enter social security

More information

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Return of Organization Exempt From ncome Tax OMB No. 1545-0047 Form Under section 501(c), 527, or 4947(a)(1) of the nternal Revenue Code (except private foundations) 990 À¾µº Do not enter Social Security

More information

40958Z D320 3/3/2017 7:55:36 AM V TX1000 PAGE 3

40958Z D320 3/3/2017 7:55:36 AM V TX1000 PAGE 3 Form 990 (2015) Page 2 Part Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part m m m m m m m m m m m m m m m m m m m m m m m m 1 Briefly

More information

12468O D320 V PAGE 3

12468O D320 V PAGE 3 Form 99 (212) Page 2 Part CARDNAL PROPERTES, NC 2-187227 Statement of Program Service Accomplishments Check if Schedule O contains a response to any question in this Part m m m m m m m m m m m m m m m

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection OMB No. 1545-0047 Return of Organization Exempt From ncome Tax Form 990 Under section 501, 527, or 4947(1) of the nternal Revenue Code (except private foundations) À¾µº Do not enter social security numers

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Return of Organization Exempt From ncome Tax OMB No. 1545-47 Form Under section 51(c), 527, or 4947(a)(1) of the nternal Revenue Code (except private foundations) 99 À¾µ Do not enter Social Security numers

More information

Straub Foundation Form 990 Return of Organization Exempt From Income Tax For The Year Ended 6/30/17 Copy Retain For Your Records

Straub Foundation Form 990 Return of Organization Exempt From Income Tax For The Year Ended 6/30/17 Copy Retain For Your Records Strau Foundation Form 990 Return of Organization Exempt From ncome Tax For The Year Ended 6/30/17 Copy Retain For Your Records PUBLC NSPECTON COPY Ernst & Young LLP Form 990 (2016) Page 2 Part Statement

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at  Inspection OMB No. 1545-0047 Return of Organization Exempt From ncome Tax Form 990 Under section 501, 527, or 4947(a)(1) of the nternal Revenue Code (except private foundations) À¾µº Do not enter social security

More information

97658M 2YRL V F PAGE 2

97658M 2YRL V F PAGE 2 Form 99 (214) Page 2 Part III SEMPRA EMPLOYEE GIVING NETWORK 71-875246 Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part III m m m m

More information

NURSE-FAMILY PARTNERSHIP Form 990 (2012) Page 2

NURSE-FAMILY PARTNERSHIP Form 990 (2012) Page 2 Form 99 (212) Page 2 Part NURSE-FAMLY PARTNERSHP 2-234163 Statement of Program Service Accomplishments Check if Schedule O contains a response to any question in this Part m m m m m m m m m m m m m m m

More information

Pali Momi Foundation Form 990 Return of Organization Exempt From Income Tax For The Year Ended 6/30/16 Copy Retain For Your Records

Pali Momi Foundation Form 990 Return of Organization Exempt From Income Tax For The Year Ended 6/30/16 Copy Retain For Your Records Pali Momi Foundation Form 990 Return of Organization Exempt From ncome Tax For The Year Ended 6/30/16 Copy Retain For Your Records PUBLC NSPECTON COPY Return of Organization Exempt From ncome Tax OMB

More information

I The organization may have to use a copy of this return to satisfy state reporting requirements. Inspection

I The organization may have to use a copy of this return to satisfy state reporting requirements. Inspection Form ½½ Return of Organization Exempt From ncome Tax Under section 51(c), 527, or 4947(a)(1) of the nternal Revenue Code (except lack lung enefit trust or private foundation) OMB No. 1545-47 À¾µ Open to

More information

SQ2225 D320 11/7/2017 5:06:04 PM V F PAGE 3

SQ2225 D320 11/7/2017 5:06:04 PM V F PAGE 3 Form 990 (2016) Page 2 Part Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part m m m m m m m m m m m m m m m m m m m m m m m m 1 Briefly

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 99 Department of the Treasury nternal Revenue Service Return of Organization Exempt From ncome Tax Under section 51, 527, or 97(1) of the nternal Revenue Code (except lack lung enefit trust or private

More information

For calendar Iyear 2017 or other tax year beginning, 2017, and ending, 20.

For calendar Iyear 2017 or other tax year beginning, 2017, and ending, 20. Exempt Organization Business nome Tax Return OMB No. 1545-0687 Form 990-T (and proxy tax under setion 6033(e)) Department of the Treasury nternal Revenue Servie Open A Chek ox if address hanged For alendar

More information

Enclosed are the original and one copy of your income tax returns for the period ended June 30, 2014 for:

Enclosed are the original and one copy of your income tax returns for the period ended June 30, 2014 for: Taxpayer Copy Florida Breast Cancer Coalition Research Foundation, nc. 119 BSCAYNE BLVD. NORTH MAM, FL 33181 Dear Client, Enclosed are the original and one copy of your income tax returns for the period

More information

HISPANIC UNITY OF FLORIDA, INC Form 990 (2014) Page 2

HISPANIC UNITY OF FLORIDA, INC Form 990 (2014) Page 2 Form 99 (214) Page 2 Part Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part m m m m m m m m m m m m m m m m m m m m m m m m 1 Briefly

More information

COPY FOR PUBLIC INSPECTION

COPY FOR PUBLIC INSPECTION COPY FOR PUBLC NSPECTON 11/16/15 Return of Organization Exempt From ncome Tax OMB No. 1545-47 Form Under section 51(c), 527, or 4947(a)(1) of the nternal Revenue Code (except private foundations) 99 À¾µ

More information

Cumulative e-file History 2012

Cumulative e-file History 2012 Electronic Filing https://gosystemrs.fasttax.com/elfcumulativehistory.asp?acct=7p&year=212&loc=6... Page 1 of 1 2/15/214 Cumulative e-file History 212 FED Locator: 6472BS Taxpayer Name: Delaware State

More information

2339IV 701M 2/11/ :19:55 AM V PAGE 4

2339IV 701M 2/11/ :19:55 AM V PAGE 4 Form 99 (4) Page Part GLOBAL MPACT 5-7585 Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part m m m m m m m m m m m m m m m m m m m m m

More information

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Return of Organization Exempt From ncome Tax OMB No. 1545-0047 Form Under section 501(c), 527, or 4947(a)(1) of the nternal Revenue Code (except private foundations) 990 À¾µº Do not enter Social Security

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection Return of Organization Exempt From ncome Tax OMB No. 1545-47 Form Under section 51(c), 57, or 4947(a)(1) of the nternal Revenue Code (except private foundations) 99 À¾µ Do not enter Social Security numers

More information

SQ2225 D320 9/8/ :34:36 AM V 14-6F PAGE 3

SQ2225 D320 9/8/ :34:36 AM V 14-6F PAGE 3 Form 99 (214) Page 2 Part Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part m m m m m m m m m m m m m m m m m m m m m m m m 1 Briefly

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at  Inspection Return of Organization Exempt From ncome Tax OMB No. 545-0047 Form Under section 50(c), 57, or 4947(a)() of the nternal Revenue Code (except private foundations) 990 À¾µ¹ Do not enter Social Security numers

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection OMB No. 1545-0047 Return of Organization Exempt From ncome Tax Form 990 Under section 501, 527, or 4947(a)(1) of the nternal Revenue Code (except private foundations) À¾µº Do not enter social security

More information

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Return of Organization Exempt From ncome Tax OMB No. 1545-0047 Form Under section 501(c), 527, or 4947(a)(1) of the nternal Revenue Code (except private foundations) 990 À¾µº Do not enter Social Security

More information

TAX RETURN FILING INSTRUCTIONS

TAX RETURN FILING INSTRUCTIONS TA RETURN FLNG NSTRUCTONS PUBLC NSPECTON COPY Prepared y Grant Thornton LLP 1000 Wilson Boulevard, Suite 1400 Arlington, VA 22209 Returns should e signed and dated y the appropriate officer(s). Special

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection OMB No. 1545-47 Return of Organization Exempt From ncome Tax Form 99 Under section 51(c), 527, or 4947(a)(1) of the nternal Revenue Code (except private foundations) À¾µ Do not enter social security numers

More information

I The organization may have to use a copy of this return to satisfy state reporting requirements. Inspection

I The organization may have to use a copy of this return to satisfy state reporting requirements. Inspection Form ½½ Return of Organization Exempt From ncome Tax Under section 51, 527, or 4947(a)(1) of the nternal Revenue Code (except lack lung enefit trust or private foundation) OMB No. 1545-47 À¾µ Open to Pulic

More information

9603IB 700P 2/23/ :16:50 PM V PAGE 2

9603IB 700P 2/23/ :16:50 PM V PAGE 2 Form 990 (2016) Page 2 Part Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part m m m m m m m m m m m m m m m m m m m m m m m m 1 Briefly

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection Return of Organization Exempt From ncome Tax OMB No. 1545-47 Form Under section 51(c), 527, or 4947(a)(1) of the nternal Revenue Code (except private foundations) 99 À¾µ Do not enter Social Security numers

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection OMB No. 1545-47 Return of Organization Exempt From ncome Tax Form 99 Under section 51(c), 527, or 4947(a)(1) of the nternal Revenue Code (except private foundations) À¾µ Do not enter social security numers

More information

Kapi olani Medical Specialists Form 990 Return of Organization Exempt From Income Tax For The Year Ended 6/30/16 Copy Retain For Your Records

Kapi olani Medical Specialists Form 990 Return of Organization Exempt From Income Tax For The Year Ended 6/30/16 Copy Retain For Your Records Kapi olani Medical Specialists Form 990 Return of Organization Exempt From ncome Tax For The Year Ended 6/30/16 Copy Retain For Your Records PUBLC NSPECTON COPY Return of Organization Exempt From ncome

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection Return of Organization Exempt From ncome Tax OMB No. 1545-0047 Form Under section 501(c), 527, or 4947(a)(1) of the nternal Revenue Code (except private foundations) 990 À¾µ¹ Do not enter Social Security

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax OMB No. 1545-47 Return of Organization Exempt From ncome Tax Form 99 Under section 51(c), 527, or 4947(a)(1) of the nternal Revenue Code (except private foundations) À¾µ Do not enter social security numers

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at  Inspection Return of Organization Exempt From ncome Tax OMB 1545-0047 Form Under section 501, 527, or 4947(1) of the nternal Revenue Code (except private foundations) 990 À¾µº Do not enter Social Security numers

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at  Inspection Return of Organization Exempt From ncome Tax OMB No. 1545-0047 Form Under section 501(c), 527, or 4947(a)(1) of the nternal Revenue Code (except private foundations) 990 À¾µ¹ Do not enter Social Security

More information

AMERICAN BIBLE SOCIETY Form 990 (2015) Page 2

AMERICAN BIBLE SOCIETY Form 990 (2015) Page 2 2/21/2017 Form 990 (2015) Page 2 Part Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any line in this Part m m m m m m m m m m m m m m m m m m m m m m m

More information

HADASSAH FOUNDATION INC (PUBLIC INSPECTION COPY)

HADASSAH FOUNDATION INC (PUBLIC INSPECTION COPY) HADASSAH FOUNDATON NC (PUBLC NSPECTON COPY) Electronic Filing Status https://gosystemrs.fasttax.com/gosystemrsreport.we/modal//elfcumulativehistory.as... Page 1 of 1 11/4/214 Cumulative E-File History

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at  Inspection Return of Organization Exempt From ncome Tax OMB No. 545-0047 Form Under section 50(c), 57, or 4947(a)() of the nternal Revenue Code (except private foundations) 990 À¾µ¹ Do not enter Social Security numers

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax OMB No. 1545-0047 Return of Organization Exempt From ncome Tax Form 990 Under section 501(c), 527, or 4947(a)(1) of the nternal Revenue Code (except private foundations) À¾µº Do not enter social security

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection Return of Organization Exempt From ncome Tax OMB No. 1545-47 Form Under section 51(c), 527, or 4947(a)(1) of the nternal Revenue Code (except private foundations) 99 À¾µ Do not enter Social Security numers

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection Return of Organization Exempt From ncome Tax OMB No. 1545-0047 Form Under section 501, 57, or 4947(1) of the nternal Revenue Code (except private foundations) 990 À¾µº Do not enter Social Security numers

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection OMB No. 1545-0047 Return of Organization Exempt From ncome Tax Form 990 Under section 501(c), 57, or 4947(a)(1) of the nternal Revenue Code (except private foundations) À¾µº Do not enter social security

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection Return of Organization Exempt From ncome Tax OMB No. 1545-0047 Form Under section 501(c), 527, or 4947(a)(1) of the nternal Revenue Code (except private foundations) 990 À¾µº Do not enter Social Security

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at  Inspection OMB No. 1545-47 Return of Organization Exempt From ncome Tax Form 99 Under section 51(c), 527, or 4947(a)(1) of the nternal Revenue Code (except private foundations) À¾µ Do not enter social security numers

More information

Public Disclosure for Tax-Exempt Organizations

Public Disclosure for Tax-Exempt Organizations Pulic Disclosure for Tax-Exempt Organizations Tax-exempt organizations are required to make a copy of their application for exemption and Form(s) 99 (and 99-T, if applicale) availale for pulic inspection

More information

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Return of Organization Exempt From Income Tax. Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Return of Organization Exempt From ncome Tax OMB No. 1-007 Form Under section 01(c), 7, or 97(a)(1) of the nternal Revenue Code (except private foundations) 990 À¾µ¹ Do not enter Social Security numers

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection Return of Organization Exempt From ncome Tax OMB. 1545-0047 Form Under section 501(c), 57, or 4947(a)(1) of the nternal Revenue Code (except private foundations) 990 À¾µ¹ Do not enter Social Security numers

More information

HADASSAH FOUNDATION INC

HADASSAH FOUNDATION INC HADASSAH FOUNDATON NC 212 99 Returns Found in Account 2231 Total Record Count: 1 Report Date: 11/6/213 *** - Federal Only Locator Tax Type Taxpayer Name ClientCode Alerts Jurisdiction FedForm Federal Service

More information

Public Disclosure Copy. Return of Organization Exempt From Income Tax

Public Disclosure Copy. Return of Organization Exempt From Income Tax OMB No. 1545-47 Return of Organization Exempt From ncome Tax Form 99 Under section 51(c), 527, or 4947(a)(1) of the nternal Revenue Code (except private foundations) À¾µ Do not enter social security numers

More information

THE REACH HEALTHCARE FOUNDATION FORM 990 TAX YEAR 2012

THE REACH HEALTHCARE FOUNDATION FORM 990 TAX YEAR 2012 THE REACH HEALTHCARE FOUNDATON FORM 99 TA YEAR 212 Form ½½ Department of the Treasury nternal Revenue Service Return of Organization Exempt From ncome Tax Under section 51(c), 527, or 4947(a)(1) of the

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection Return of Organization Exempt From ncome Tax OMB No. 545-0047 Form Under section 50(c), 527, or 4947(a)() of the nternal Revenue Code (except private foundations) 990 À¾µ¹ Do not enter Social Security

More information

PUBLIC INSPECTION COPY

PUBLIC INSPECTION COPY PUBLC NSPECTON COPY Form 990 (2016) Page 2 Part AMERCAN NATONAL RED CROSS & TS CONSTTUENT 53-0196605 Statement of Program Service Accomplishments Check if Schedule O contains a response or note to any

More information

Return of Organization Exempt From Income Tax

Return of Organization Exempt From Income Tax Form 99 Department of the Treasury nternal Revenue Service Return of Organization Exempt From ncome Tax Under section 51(c), 527, or 4947(a)(1) of the nternal Revenue Code (except lack lung enefit trust

More information

I Information about Form 990 and its instructions is at Inspection

I Information about Form 990 and its instructions is at   Inspection OMB No. 1545-47 Return of Organization Exempt From ncome Tax Form 99 Under section 51(c), 527, or 4947(a)(1) of the nternal Revenue Code (except private foundations) À¾µ Do not enter social security numers

More information