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Field Title |
Code List |
Notes |
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Employer ID No. |
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Name of organization |
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State |
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Editor Code |
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Er. Res. Clerk Code |
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S.C./Cycle/Page/L.C. |
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Sample Code |
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Admin. Expense Rtn. Code |
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Return Year |
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Accounting Period |
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Foreign Organization Code |
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Type of Fdn. Code |
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Condition Code |
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Reject Code |
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507(b) (1) (B) Termination |
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507(b) (1) (A) Termination |
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Section 4940 Code |
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Part VII Question 4(A) |
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Part VII Question 5 |
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Part VII Question 9 |
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Part XV Op. Fdn. Code |
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Fair market value of assets |
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Contributions, Gifts, Grants, Etc. |
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Interest |
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Dividends |
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Gross Rents |
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Net Gain (Loss) from Sale of Assets |
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Gross Profit (Loss) from Bus. Activ. |
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Other income (Loss) |
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Total Income (Loss): Revenue and expenses per books |
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Compensation of officers: Revenue and expenses per books |
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Other salaries and wages: Revenues and expenses per books |
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Pension plans and employee benefits: Revenues and expenses per books |
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Legal fees: Revenues and expenses per books |
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Accounting fees: Revenue and expenses per books |
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Other Professional Fees: Revenue and expenses per books |
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Interest: Revenues and expenses per books |
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Taxes: Revenues and expenses per books |
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Depreciation & Depletion |
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Occupancy: Revenues and expenses per books |
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Travel, Confs., Mtgs: Revenue and Expenses per books |
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Printing and Publications: Revenue and expenses per books |
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Other expenses: Revenue and expenses per books |
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Contributions, Gifts, Grants: Revenue and expenses per books |
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Total expenses: Revenue and expenses per books |
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Excess of revenue over expenses |
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Total Income (Loss): New investment income |
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Total expenses: Net investment income |
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Net investment income |
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Compensation of officers: Disbursements for charitable purpose |
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Other salaries and wages: Disbursements for charitable purpose |
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Pension plans, employee benefits: Disbursements for charitable purpose |
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Legal Fees: Disbursements for charitable purpose |
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Accounting Fees: Disbursements for charitable purpose |
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Other Professional Fees: Disbursements for charitable purpose |
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Interest: Disbursements for charitable purpose |
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Taxes: Disbursements for charitable purpose |
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Occupancy: Disbursements for charitable purpose |
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Travel, Confs., Mtgs: Disbursements for charitable purpose |
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Printing and Publications: Disbursements for charitable purpose |
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Other expenses: Disbursements for charitable purpose |
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Contributions, Gifts, Grants: Disbursements for charitable purpose |
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Total expenses: Disbursements for charitable purpose |
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Investments-Securities: Revenue and expenses per books |
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Total Assets: Revenue and expenses per books |
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Total Liabilities: Revenue and expenses per books |
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Total Fund Bal./Net Worth: Revenue and expenses per books |
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Cash: Net investment income |
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Savings: Net investment income |
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Accounts Receivable: Net investment income |
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Pledges Receivable: Net investment income |
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Grants Receivable: Net investment income |
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Receivables Due from Officers: Net investment income |
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Other notes & loans Recvble.: Net investment income |
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Inventories: Net investment income |
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Prepaid Expenses: Net investment income |
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Investments-Securities: Computation of net investment income |
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Invest.-Land, Bldgs, and Equip.: Computation of net investment income |
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Investments-Mortgage Loans: Net investment income |
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Investments-Other: Net investment income |
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Land, Bldgs, and Equipment: Net investment income |
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Other assets: Net investment income |
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Total Assets: Computation of net investment income |
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Total Liabilities: Computation of net investment income |
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Total Fund bal./Net Worth: Net investment income |
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Cash-:Adjusted net income |
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Savings: Adjusted net income |
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Accounts Receivable: Adjusted net income |
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Pledges Receivable: Adjusted net income |
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Grants Receivable: Adjusted net income |
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Recvbls. Due from Offcrs.: Adjusted net income |
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Other Notes and Loan Recvble.: Adjusted net income |
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Inventories: Adjusted net income |
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Prepaid Expenses: Adjusted net income |
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Investments-Securities: Adjusted net income |
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Invest.-Land, Bldgs., Equip.: Adjusted net income |
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Investments-Mortgage Loans: Adjusted net income |
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Investments-Other: Adjusted net income |
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Land, Bdgs., Equip.: Adjusted net income |
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Other Assets: Adjusted net income |
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Total Assets: Adjusted net income |
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Other Net Worth Increases |
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Net Worth Decreases |
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Average Payout Ratio |
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Net Investment Assets (Part V) |
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Multiply Line 4 by Line 3 |
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Tax on Investment Income |
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Line 3 Minus Line 4 |
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Enter 5% of Line 5 |
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Tax on Investment Income |
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Income Tax Under Subtitle A |
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Recoveries |
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Trust Income Distributions |
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Deductions from Distributable Amount |
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Distributable Amount as Adjusted |
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Multiply Line 1 by .0065 |
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Grant Adm. Exp. Trtd. as QDs -- Preceding Yrs |
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Grant Adm. Exp. Treated as QDs -- Current Yr |
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Compensation of Officers-Part XII |
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Other Salaries and Wages-Part XII |
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Pension Plans, Empl. Bnfts.- Part XII |
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Legal Fees-Part XII |
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Accounting Fees-Part XII |
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Other Professional Fees- Part XII |
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Interest- Part XII |
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Taxes- Part XII |
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Occupancy- Part XII |
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Travel, Confs., and Meetings- Part XII |
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Printing and Publications- Part XII |
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Other Expenses- Part XII |
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Total Grant Admin. Expenses |
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Expenses, Contributions, Gifts, Etc. |
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Program Related Investments |
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Amount Paid to Acquire Assets |
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Suitability Test |
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Cash Distribution Test |
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Excess Grant Admin. Expenses |
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Total Qualifying Distributions |
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Prior Excess Distributions Carryover |
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Distributions Out of Corpus |
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Remaining Amount Distributed |
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Total Net Corpus |
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Amts. Treated as Distributions |
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Excess Dist. Carryover Not Applied |
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Excess Dist. Carryover To Next Year |
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Distributable Amount |
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Qualifying Distributions Applied |
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Excess Dist. Carryover Applied |
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Undistributed Income |
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Direct Charit. Activities, line 2(a) |
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Direct Charit. Activities, line 2(b) |
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Direct Tech. and Other Assistance |
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All Other Direct |
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Total Direct Char. Activities |
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Total -Program-Related Investments |
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Total Program-Related Admin. Exps. |
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Total Program-Related Inv. & Admin. Exps. |
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Other Qualifying Distributions |
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Other Expenses Not in Lines 1-4 |
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Status Code |
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Generated Sample Code |
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Population Count |
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Sample Count |
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Weight |
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