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2003-253H
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2003-253H
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Entry Properties
Last modified
11/22/2016 11:57:59 AM
Creation date
9/30/2015 6:47:47 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
09/23/2003
Control Number
2003-253H
Agenda Item Number
7.D.
Entity Name
Boys & Girls Club of IRC Inc.
Subject
Children's Home Society of Florida Independent Living Program
Children's Services Advisories Grant Contract
Archived Roll/Disk#
3207
Supplemental fields
SmeadsoftID
3409
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Schedule A (Form 990 or 990 EZI 2000 59 _ 0192430 3 <br /> Support Schedule (Complete only If you checked a box on line 10 11 or 12 ) tlseash method of&=undng <br /> Note You mav use the worksheet fn the rnstruchons for convertor from the accrual to the cash method o/ eccountin <br /> Calendar year or fiscal year beginning m a 1999 b 1998 c 1997 d 1996 a Total <br /> 15 Gifts grants and contributions received (Do <br /> not include unusual arents See line 28 54113008 43058169 4_6232612 39951156 183354945 <br /> 16 Membership fees received <br /> 17 Gross receipts from admissions <br /> merchandise sold or services performed or <br /> furnishing of facilities in any activity that is <br /> not a business unrelated to the organizations <br /> chantable , etc , purpose <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 2s101 , 326 1v719r152 laS46v872 906r554 6 273 904 <br /> 19 Net income from unrelated business <br /> activities not included in line 18 <br /> 20 Tax revenues levied for the organizations <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 STMT 17 <br /> include gain or (loss) from sale of capital assets . 9 , 712 , 162 8 , 746m003 1 368 978 lo432 , 645 21259788 <br /> 23 Total of lines 15throu h22 65926496 53523324 49148462 42290355 210888637 <br /> 24 Line 23 minus line 17 65926496 53523324 49148462 42290355 210888637 <br /> 25 Enter l /aofline 23 659 , 265 535 233 491A85 422 904 <br /> 26 Organizations described in lines 10 or 11 a Enter 2 A of amount in column (e) line 24 ► 26a 4 217 • <br /> 773 <br /> b Attach a list (which is not open to public inspection) showing the name of and amount contributed by each <br /> person (other than a governmental unit or publicly supported organization) whose total gifts for 19% through <br /> 1999 exceeded the amount shown in line 26a Enter the sum of all these excess amounts ► 26b <br /> c Total support for section 509(a)(1 ) test Enter line 24 column (e) <br /> ► 26c 210888637 <br /> d Add Amounts from column (e) for lines 18 6t , 904 19 <br /> 22 21259788 26b ► 26d 27533692 <br /> e Public support (line 26c minus line 26d total) ► 26e 183354945 <br /> f Public support percentage line 26e numerator divided by line 26c denominator ► 26f 86 9440 A <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 attach a list (which is not open to public inspection) to show the name of and total amounts received in each year from <br /> each disqualified person Enter the sum of such amounts for each year NOT APPL I CABLE <br /> ( 1999) - - - - - - - - - - - - - - - - <br /> ( 1998) - - - - - - - - - - - - - - - - - - - <br /> ( 1997 <br /> ) - - - - - - - - - - - - - - - - - - - ( 1996) - - - - - - - - - - - - - - <br /> b For any amount included in line 17 that was received from a nondisqualified person attach a list to show the name of and amount <br /> received for each year that was more than the larger of ( 1 ) the amount on line 25 for the year or (2 ) $5 000 (Include in <br /> the list <br /> organizations described in lines 5 through 11 as well as individuals ) After computing the difference between the amount received <br /> and the larger amount described in (1 ) or (2) enter the sum of these differences (the excess amounts) for each year <br /> ( 1999) - - - - - ( 1998) - - - - - - - - - - - - - - - - - - - ( 1997) - - - - - - - - - - - - - - - - - - - ( <br />1996) - - - - - - - - - - - - - - - <br /> c Add Amounts from column (e) for lines 15 16 <br /> 17 20 21 ► 27c <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) jo. 1 27f <br /> g Public support percentage (line 27e (numerator) divided by line 27f (denominator)) ► L27o ,6 <br /> h Investment income ercenta a line 18 column a numerator divided by line 27f denominator 27h 6 <br /> 28 Unusual Grants For an organization described in line 10 11 or 12 that received any unusual grants during 1996 through <br /> 1999 <br /> attach a list (which is not ooen to oubhe intenortinn I fnr oarh uaar ahnwinn fhe noma M the Ar & _- � <br />
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