|
Schedule A Form 990 or990-EZ 2001 59 -2470479 as Page 3
<br /> Support Schedule (Complete only if you checked a box on line 10, 11 , or 12.) Use cash method ofaccourrtfng NOT APPLICABLE
<br /> Note: You may use the worksheet in the instructions for comertfn from the accrual to the cash method of accountin .
<br /> Calendar year or fiscal year beginning in (a) 2000 b 1999 c 1998 d 1997 a Total
<br /> 15 Gifts, grants, and contributions received. (Do
<br /> not include unusual grants. See fine 28.) -
<br /> 16 Membership fees received • •
<br /> 17 Gross receipts from admissions, merchandise
<br /> sold or services performed, or furnishing of
<br /> facilities in any activity that is related to the
<br /> organization's charitable etc. , pu ose .
<br /> 18 Gross Income from interest, dividends,
<br /> amounts received from payments on securities
<br /> loans (section 512(a)(5)), rents, royalties, and
<br /> unrelated business taxable Income (less
<br /> section 511 taxes) from businesses acquired
<br /> by the organization after June 30 1975
<br /> 19 Net income from unrelated business
<br /> activities not included in fine 18
<br /> 20 Tax revenues levied for the organization's
<br /> benefit and either paid to it or expended on
<br /> its behalf
<br /> 21 The value of services or facilities furnished to
<br /> the organization by a governmental unit
<br /> without charge. Do not Include the value of
<br /> services or facilities generally furnished to the
<br /> public without charge
<br /> 22 Other income. Attach a schedule. Do' not
<br /> Include gain or (loss) from sale of capital assets
<br /> 23 Total of lines 15 through 22 see sees as 0 a
<br /> 24 Line 23 minus line 17
<br /> . a 0 0000 . . . . . 00 . . . . . . . . . . . . . . .. . . . .. . .. ... . . . .
<br />. . . .
<br /> 25 Enter 1 % of line 23
<br /> 26 Organizations described on lines 10 or 11 : a Enter 2% of amount in column (e), line 24 VQT, AV3?4TC LP;4i 26a
<br /> b Prepare list for your records to show the name of and amount contributed by each person (other than
<br /> s
<br /> governmental unitor publicly supported organization)on) whose total gifts for 1997 through rou9
<br /> h 2
<br /> 000 exceeded the
<br /> -
<br /> 0000 .. . . . . .. . . . . ... . .. .. . . . . . . . .
<br /> amount shown in line 26a. Do not file this list with your retum. Enter the total of all these excess
<br /> amounts , , ► 26b
<br /> c Total support for section 509(a)(1 ) test: Enter line 24, column (e) 110 26c
<br /> . . . . . . . . . . . . . • . . . . . 0 . . 00
<br /> . 0 . . .
<br /> d Add: Amounts from column a for fines: 18 19
<br /> ( ) 00,0 0 ..0000 . . . . . . . . . . .. ... . .. .. . .. .. . .
<br /> 22 26b , ► 26d
<br /> e Public support (line 26c minus line 26d total) , , , , , , , , ; ► 26e
<br /> f Public support percentage (line 26e numerator divided by line 26c denominator . ► 26f %
<br /> 27 Organizations described on line 12 : a For amounts included in lines 15, 16, and 17 that were received
<br /> from a "disqualified
<br /> person," prepare a list for your records to show the name of, and total amounts received in each year from, each "disqualified person."
<br /> Do not file this list with your return, Enter the sum of such amounts for each year.
<br /> (2000) - - - - - - - - - - - - - - - - ( 1999) _ _ _ — _ — _ - - _ - - - _ - - - - _ ( 1998) _ _ — NOT APPLICABLE . ( 1997) - - - _ - - -
<br />- _ _ _ _ - -
<br /> b For any amount included in line 17 that was received from each person (other than "disqualified persons"),
<br /> prepare a list for your records to
<br /> show the name of, and amount received for each year, that was mon: than the larger of (1 ) the amount on line
<br /> 25 for the year or (2) $5 ,000.
<br /> (Include in the list organizations described in lines 5 through 11 , as well -as. individuals.) Do not file this
<br /> list with your return. After computing
<br /> the difference between the amount received and the larger amount described in (1 ) or (2), enter the
<br /> sum of these differences (the excess
<br /> amounts) for each year
<br /> (2000) - - - - - - - = - - - - - - - - ( 1999) - - - - - - - - - - - - - - - - - - _ ( 1698) - - - - - - - - - - - - - - - - - - - (1997) - - - - -
<br />- - - -
<br /> c Add: Amounts from column (e) for lines: 15 16
<br /> 17 20 21 • . . • . . • ► 2 7 c
<br /> d Add: Line 27a total and line 27b total , . . . . . . ► . 27d
<br /> e Public support (line 27c total minus line 27d total) - - - - - ► 27e
<br /> f .Total support for section 509(a) (2) test: Enter amount on line 23, column (e) . . . . . ► 27f
<br /> g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) c . . . • • . . . . .
<br /> ► 1 27 1 %
<br /> h Investment income percentage line 18 column a numerator divided by line 27f denominator 27h . %
<br /> 28 Unusual Grants: For an organization described in line 101 11 , or 12 that received any unusual grants during 1997
<br /> through 2000,
<br /> prepare a list for your records to show, for each year, the name of the contributor, the date and amount of the grant,
<br /> and a brief
<br /> description of the nature of the grant. Do not file this list with your return. Do not include these grants in line 15.
<br /> Schedule A (Form 990 or 990-FS) 2001
<br /> .MA
<br />
|