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Schedule A Forrn 990 or 990- 2001 59 - 2470479 Pwe2
<br /> Statements About Activities (See page 2 of the instructions . ) Yes No
<br /> 1 During the year, has the organization attempted to influence national, state, or local legislation,
<br /> including any
<br /> attempt to influence public opinion on legislative matter or referendum? If "Yes," enter the total
<br />expenses paid
<br /> or incurred in connection with the lobbying activities ► $ (Must equal amount on line 38,
<br /> Part VI A, or line 1 or Part VI-B.) 1 _ X
<br /> Organizations that made an election under section 501 (h) by filing Form 5768 must complete Part VI-A.
<br /> Other
<br /> organizations checking "Yes," must complete Part NA-B AND attach a statement giving a detailed description
<br /> of
<br /> the lobbying activities.
<br /> 2 During the year, has the organization, either directly or indirectly, engaged In any of the following acts
<br /> with any -
<br /> substantial contributorstrustees directors officers creators k employees,
<br /> , key or members of their famlies, or
<br /> with any taxable organization with which any such person Is affiliated as an officer, director,
<br /> trustee, majority
<br /> owner, or principal beneficiary? Of the answer to any question is "Yes, " attach a detailed statement
<br /> explaining
<br /> the transactions.)
<br /> a Sale, exchange, or leasing of propel . . . . . . . . . . . . . . . . . . . .
<br /> . . . . . . . . . . . . . . . 2 a : X
<br /> b Lending of money or other extension of credit? , „ , 2b X
<br /> c Furnishing of goods, services, or facili ies? , ow , , , , , , , , , , , , , , ,
<br /> , , , , , , , , , , , , , , 2 c X
<br /> STMT 22
<br /> d Payment of compensation (or payment or reimbursement of expenses if more than $1 ,000)? , 2 d X
<br /> e Transfer of any part of its income or assets? , , , , , , , , , , , , , , , , ,
<br /> , , , , , , , , , , a 0 2 e X
<br /> - - -_ —
<br /> 3 Does the organization make grants for scholarships, fellowships, student loans, etc.? (See Note below.) , 3 X
<br /> 4 Do you have a section 403(b) annuity plan for your employees? . . . . . . . . . . . . .
<br />. . . . . . . . . . . . . . 4 : X
<br /> Note: Attach a statement to explain how the organization determines that individuals or organizations receiving grants
<br /> or loans from it In furtherance of its charitable programs 0quafiV to receive pavments. -
<br /> Reason for Non-Private Foundation Status (See pages 3 through 6 of the instructions.)
<br /> The or anlzation is not a private foundation because it is: (Please check only ONE applicable box.)
<br /> 5 X A church, convention of churches, or association of churches. Section 170(b)(1 )(A)O.
<br /> 6 A school. Section 170(b)(1)(A)@ . (Also complete Part V.)
<br /> 7 A hospital or a cooperative hospital service organization. Section 170(b)(1 )(A)(ii).
<br /> B . A Federal, state, or local government or governmental unit. Section 170(b)(1 )(A)(v).
<br /> 9 L..J A medical research organization operated in conjunction with a hospital. Section 170(b)(1)(A)(i). Enter the hospWs name, city,
<br /> and state ►
<br /> . . . . . . . .. . .. ... ---- - -
<br /> 1 o F"I An organiiation operated for the benefit of a college or university owned or operated by a governmental unit. Section 170(b)(1 )(A)('iv).
<br /> (Also complete the Support Schedule In Part IV-A.)
<br /> 11 . F-1 An organization that normally receives a substantial part of its support from a governmental unit or from the general public.
<br /> Section 170(b)(1 )(A)(vl). (Also complete the Support Schedule in Part IV-A.)
<br /> 11 b 8 A community trust. Section 170(b)(1 ) (A)(wl). (Also complete the Support Schedule in Part IV-A.)
<br /> 12 An organization that normally receives: (1 ) more than 33 113% of its support from contributions, membership fees, and gross
<br /> receipts from activities related to its charitable, etc. , functions - subject to certain exceptions, and (2) no more than 33 1 /3%
<br /> of
<br /> its support from gross investment income and unrelated business taxable income gess section 511 tax) from businesses acquired
<br /> by the organization after June 30, 1975. See section 509(a)(2). (Also complete the Support Schedule in Part IV-A.)
<br /> 13 Q An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations
<br /> described in: (1 ) fines 5 through 12 above; or (2) section 501 (c)(4), (5) , or (6), If they meet the test of section 509(a)(2). (See
<br /> section 509(a)(3).)
<br /> Provide the following information about the supported organizations. See pacle 5 of the instructions.
<br /> (b) Line number
<br /> (a) Name(s) of supported organization(s)
<br /> from above -
<br /> 14 An organization organized and operated to test for public safety. Section 509(a)(4) . (See page 6 of the instructions.)
<br /> Schedule A (Form 990 or 9904E4 2001
<br />
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