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2003-253T
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2003-253T
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Last modified
11/22/2016 1:07:57 PM
Creation date
9/30/2015 6:56:02 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Report
Approved Date
09/23/2003
Control Number
2003-253T.
Agenda Item Number
7.O.
Entity Name
Substance Abuse Council of IRC
Subject
Continuation of Exhibit A for all three contracts
Financial Statements with Auditors Report.
Archived Roll/Disk#
3207
Supplemental fields
SmeadsoftID
3429
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8010 02/07/2003 1 2' 12 PM <br /> Schedule Form 990 or 990-EZ 2001 SUBSTANCE ABUSE COUNCIL 65 - 0202835 Pa e2 <br /> f?arlt 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, including any <br /> attempt to influence public opinion on a legislative matter or referendum? If "Yes," enter the total expenses paid 1 X <br /> or incurred in connection with the lobbying activities ►$ (Must equal amount on line 38, <br /> Part VI-A, or line i of Part VI-B .) <br /> Organizations that made an election under section 501 (h) by filing Form 5768 must complete Part VI-A. Other <br /> organizations checking "Yes," must complete Part VI-B AND attach a statement giving a detailed description of <br /> the lobbying activities. <br /> 2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any <br /> substantial contributors, trustees, directors, officers, creators, key employees, or members of their families, of <br /> with any taxable organization with which any such person is affiliated as an officer, director, trustee, majority <br /> owner, or principal beneficiary? (If the answer to any question is "Yes," attach a detailed statement explaining the <br /> transactions.) <br /> a Sale, exchange, or leasing of property? X <br /> b Lending of money or other extension of credit? 2b X <br /> c Furnishing of goods, services, or facilities? <br /> 2c X . <br /> d Payment of compensation (or payment or reimbursement of exp. if more than $1 ,000)? 2d X <br /> e . Transfer of any part of its income orassets? <br /> 2e X <br /> 3 Does the organization make grants for scholarships, fellowships, student bans, etc.? (See Note below.) 3 X <br /> 4 Do you have a section <br /> 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 bans from it in furtherance of its charitable programs "qualifyw to receive <br /> Reason for Non-Private 'Foundation Status (See pages 3 through 6 of the instructions.) <br /> The o anization is not a _private foundation because it:is: .(Please check only ONE applicable box.) <br /> 5 A church, convention of churches, or association of churches. Section 170(b)(1 )(A)CQ. <br /> 6 A school. Section 170(b)(1 )(A)Cx). (Also complete Part V.) <br /> 7 A hospital or a cooperative hospital service organization. Section 170(b)(1 )(A)(w). <br /> 8 A Federal, state, or local government or govemmental unit. Section 170(b)(1 )(A)(v). <br /> 9 A medical research organization operated in conjunction with a hospital. Section 170(b)(1 )(A)(ru). Enter the hospitars name, city, <br /> and .state <br /> 10 0 An organization operated for the bereft' of a col ental . . . . . . . . <br /> lege or university owned or operated by a governmental unit. Sedan 170(b)(1 )(A)Crv). <br /> (Also complete the Support Schedule in Part IV-A.) . <br /> 11a ® 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)(vi). (Also complete the Support Schedule in Part IV-A.) <br /> 11b a A community trust. Section 170(b)(1 )(A)(w). (Also complete the Support Schedule in Part IV-A.) <br /> 12 An organization that normally receives: (1 ) more than 33 1/3% 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% of <br /> its support from gross investment income and unrelated business taxable income (less 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 An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations <br /> described in: (1 ) lines 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 page 5 of the instructions. <br /> (a) Name(s) of supported organization (b) Line numbers) 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 /> DAA <br /> Schedule A (Form 990 or 990-EZ) 2001 <br />
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