Instructions For Schedule A (Form 990 or 990-EZ) : Pager/Sgml

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Page 1 of 14 Instructions for Schedule A (Form 990 or 990-EZ) 15:34 - 16-JAN-2003
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2002 Department of the Treasury

Internal Revenue Service
Instructions for Schedule A

(Form 990 or 990-EZ)
Section references are to the Internal Revenue Code unless otherwise noted.
• 501(e), Cooperative Hospital Service 3. Make an entry (including a zero

Contents Organizations when appropriate) on all total lines; and
Part Page • 501(f), Cooperative Service 4. Enter “None” or “N/A” if an entire
I Compensation of the Five
Organizations of Operating Educational part does not apply.
Highest Paid Employees Other Organizations
Than Officers, Directors, and • 501(k), Child Care Organizations
Trustees . . . . . . . . . . . . . . . . 1 • 501(n), Charitable Risk Pools.
II Compensation of the Five
Who Must File
Specific Instructions
Highest Paid Independent
Contractors for Professional
• Attach separate sheets on which you
An organization described in section follow the same format and sequence
Services . . . . . . . . . . . . . . . . 2 501(c)(3) or a nonexempt charitable as on the printed form, if you need
III Statements About Activities . . . 2 trust described in section 4947(a)(1) more space for any part or line item.
IV Reason for Non-Private
must complete and attach Schedule A • Show totals on the printed form.
Foundation Status . . . . . . . . . 3 (Form 990 or 990-EZ) to its Form 990 • Put the organization’s name and
or Form 990-EZ. employer identification number (EIN) on
IV-A Support Schedule . . . . . . . . . 5
If an organization is not required to the attached separate sheets and
V Private School Questionnaire . . 7 identify the part or line that the
file Form 990, or Form 990-EZ, it is not
VI-A Lobbying Expenditures by required to file Schedule A (Form 990 attachments support.
Electing Public Charities . . . . . 9 or 990-EZ). • You may show money items as
VI-B Lobbying Activity by whole dollars. To do so, drop any
Nonelecting Public Charities . . 11 Do not use Schedule A (Form 990 or amount less than 50 cents and
990-EZ) if an organization is a private increase any amount from 50 through
VII Information Regarding foundation. Instead, file Form 990-PF, 99 cents to the next higher dollar.
Transfers To and Transactions
and Relationships With
Return of Private Foundation.
Noncharitable Exempt Part I—Compensation of
Organizations . . . . . . . . . . . . 12 Period Covered the Five Highest Paid
Index . . . . . . . . . . . . . . . . . . 14 The organization’s Schedule A (Form
990 or 990-EZ) should cover the same Employees Other Than
period as the Form 990, or Form
General Instructions 990-EZ, with which it is filed. Officers, Directors, and
Trustees
Purpose of Form Penalties Complete Part I for the five employees
Schedule A (Form 990 or 990-EZ) is Schedule A (Form 990 or 990-EZ) is with the highest annual compensation
used by: considered a part of Form 990, or Form over $50,000. Enter the number of
• Section “501(c)(3)” organizations, 990-EZ, for section 501(c)(3) other employees with annual
and organizations and section 4947(a)(1) compensation over $50,000 who are
• Section 4947(a)(1) nonexempt nonexempt charitable trusts that are not individually listed in Part I. Do not
charitable trusts. required to file either form. Therefore, include employees listed in Part V of
These organizations must use any such organization that does not Form 990 or in Part IV of Form 990-EZ
Schedule A (Form 990 or 990-EZ) to submit a completed Schedule A (Form (List of Officers, Directors, Trustees,
furnish additional information not 990 or 990-EZ) with its Form 990, or and Key Employees).
required of other types of organizations Form 990-EZ, does not satisfy its filing
that file Form 990, Return of In columns (c) through (e), show all
requirement and may be charged a $20
Organization Exempt From Income cash and noncash forms of
a day penalty ($100 a day for large
Tax, or Form 990-EZ, Short Form compensation for each listed employee
organizations). See General Instruction
Return of Organization Exempt From whether paid currently or deferred. The
K of the Instructions for Form 990 and
Income Tax. organization may also provide an
Form 990-EZ for details on this and
attachment to explain the entire year
Section 6033(b) and Rev. Proc. other penalties.
2002 compensation package for any
75-50, 1975-2 C.B. 587 require this To avoid having to respond to person listed in Part I.
additional information. requests for missing information, please
Note: For purposes of these be sure to: Column (c)
instructions, the term “section 1. Complete all applicable line Enter salary, fees, bonuses, and
501(c)(3)” includes organizations items; severance payments received by each
exempt under sections: 2. Answer “Yes” or “No” to each listed employee. Include current year
question on the return; payments of amounts reported or
Cat. No. 11294Q

reportable as deferred compensation in Show also the number of other test. Section 4911 applies only to public
any prior year. independent contractors who received charities that made a valid section
more than $50,000 for the year for 501(h) election by filing Form 5768,
Column (d) performing such services but who are Election/Revocation of Election by an
Include in column (d) all forms of not individually listed in Part II. Eligible Section 501(c)(3) Organization
deferred compensation and future To Make Expenditures To Influence
The organization may, at its Legislation.
severance payments (whether or not discretion, provide an attachment to
funded, whether or not vested, and explain the entire year 2002 Electing public charities. If the
whether or not the deferred compensation package for any person organization is an electing public
compensation plan is a qualified plan listed in Part II. charity, you must complete Part VI-A of
under section 401(a)). Include in this this form.
column payments to welfare benefit Fundraising fees exceeding $50,000
plans on behalf of the employee. Such should be reported in Part II, but not Nonelecting public charities. If the
plans provide benefits such as medical, reimbursements for amounts paid by organization checked “Yes” but is not
dental, life insurance, severance pay, the fundraiser to others for printing, an electing public charity, you must
disability, etc. Reasonable estimates paper, envelopes, postage, mailing list complete Part VI-B and attach a
may be used if precise cost figures are rental, etc. Part II is intended for the fee statement giving a detailed description
not readily available. portion of payments to contractors, not of the organization’s lobbying activities.
for any expense reimbursements.
Unless the amounts are reported in Important: All charities, both
column (c), report, as deferred electing and nonelecting, are absolutely
compensation in column (d), salaries Part III—Statements prohibited from intervening in a political
and other compensation earned during campaign for or against any candidate
the period covered by the return, but About Activities for an elective public office. If a charity
not yet paid by the date the Line 1. If you checked “Yes” on this does intervene in a political campaign,
organization files its return. line, you must complete Part VI-A or it will lose both its tax-exempt status
VI-B and provide the required additional and its eligibility to receive
Column (e) information; otherwise, the return may tax-deductible charitable contributions.
Enter in column (e) both taxable and be considered incomplete. Both the organization and its managers
nontaxable fringe benefits (other than are subject to the tax on political
de minimis fringe benefits described in Enter the total expenses paid or expenditures under section 4955.
section 132(e)). Include expense incurred in connection with the lobbying
activities described on line 1. The Line 2. See Part IV, Definitions, for
allowances or reimbursements that the the meaning of the term “family
recipients must report as income on amount of expenses you enter should
equal the amounts on line 38, Part member.”
their separate income tax returns.
Examples include: VI-A, or line i, Part VI-B. If columns (a) Lines 2a through 2e apply to both
and (b) of line 38 are both completed,
• Amounts for which the recipient did enter both amounts separately.
sides of a listed transaction. Reporting
not account to the organization, is required, for example, whether the
• Allowances that were more than the Substantial part test. In general, a exempt organization is a payer or
payee spent on serving the section 501(c)(3) organization may not payee, buyer or seller, lender or
organization, and devote a “substantial part” of its borrower.
• Payments made in connection with activities to attempts to influence
Line 2d. Compensation or
indemnification arrangements, the legislation. Under the “substantial part”
Repayment. If the only compensation
value of the personal use of housing, test, if such an organization engages in
or repayment relates to amounts the
automobiles, or other assets owned or substantial lobbying activities, the
organization reported in Part V of Form
leased by the organization (or provided organization will lose both its
990, or Part IV of Form 990-EZ, check
for the organization’s use without tax-exempt status and its ability to
“Yes” and write “See Part V, Form 990,”
charge), as well as any other taxable receive tax-deductible charitable
or “See Part IV of Form 990-EZ,” on the
and nontaxable fringe benefits. contributions. Except for churches,
dotted line to the left of the entry space.
See Pub. 525, Taxable and Nontaxable certain church affiliated organizations,
Income, for more information. and private foundations, an Line 3. Scholarships, etc. The term
organization that loses its section “qualify” in the Note for line 3 means
501(c)(3) status because it did not meet that organizations or individuals will use
Part II—Compensation the “substantial part” test will owe an the funds the organization provides for
excise tax under section 4912 on all of
of the Five Highest Paid its lobbying expenditures. Managers of
charitable purposes described in
sections 170(c)(1) and 170(c)(2).
Independent Contractors the organization may also be jointly and
severally liable for this tax. The term “qualify” also means that
for Professional individual recipients belong to a
Expenditure test. As an alternative charitable class and the payments are
Services to the “substantial part” test, eligible to aid them. Examples include:
Complete Part II for the five highest public charities may elect the • Helping the aged poor;
paid independent contractors (whether “expenditure test” of section 501(h). • Training teachers and social workers
individuals or firms) who performed The expenditure test generally permits from underdeveloped countries; and
personal services of a professional higher limits for lobbying expenditures • Awarding scholarships to individuals.
nature for the organization and, in than allowed under the “substantial
return, received over $50,000 for the part” test. Electing public charities are
year from the organization. Examples of subject to the lobbying expenditure Line 4. Section 403(b) Annuity Plan.
such contractors include attorneys, definitions of section 4911, which are Indicate whether you have a section
accountants, doctors, and professional generally more liberal than the 403(b) annuity plan available for your
fundraisers. definitions under the “substantial part” employees.
-2- Instructions for Schedule A (Form 990 or 990-EZ)
Part IV—Reason for Support from a governmental unit, by others push that person’s
with certain exceptions described contributions below the 2% figure
Non-Private Foundation below, includes: discussed above.
• Any amounts received from a • Gifts from the contributor’s spouse
Status governmental unit, including donations are treated as gifts from the contributor.
or contributions and amounts received • Gifts are generally valued at fair
Definitions in connection with a contract entered market value as of the date the
The following terms are used in more into with a governmental unit for the organization received them.
than one item in Part IV. The definitions performance of services or in 2. An officer, director, or trustee of
given below generally apply. connection with a government research the organization or any individual
grant, provided these amounts are not having powers or responsibilities similar
excluded from the term “support” as to those of officers, directors, or
“Support” (for lines 10, 11, and 12 trustees.
of Part IV), with certain qualified amounts received from exercising or
performing the organization’s charitable 3. An owner of more than 20% of
exceptions described below, means all the voting power of a corporation,
purpose or function.
forms of support including (but not profits interest of a partnership, or
limited to) — An amount paid by a governmental
beneficial interest of a trust or an
unit to an organization is not treated as
unincorporated enterprise that is a
received from exercising or performing
Part IV-A substantial contributor to the
its charitable, etc., purpose or function
Support includes — Line organization.
if the payment is to enable the
4. A family member of an individual
organization to provide a service to, or
Gifts, grants, contributions, in the first three categories. A “family
membership fees . . . . . . . . . . . . . 15 and 16 maintain a facility for, the direct benefit
member” includes only a person’s
of the public, as for example, to
spouse, ancestors, children,
Any amounts an organization receives maintain library facilities that are open
grandchildren, great grandchildren, and
from the exercise or performance of to the public.
the spouses of children, grandchildren,
its charitable, educational, or other • Tax revenues levied for the and great grandchildren.
purpose or function constituting the organization’s benefit and either paid to
basis for its exemption*. . . . . . . . . . 17 5. A corporation, partnership, trust,
or expended on its behalf.
or estate in which persons described in
*Note: The amounts on line 17 are included as
• The value of services or facilities 1 through 4 above own more than 35%
support only for those organizations that checked (exclusive of services or facilities
of the voting power, profits interest, or
the box on line 12. Otherwise, the amounts on generally furnished, without charge, to
beneficial interest. See section
line 17 are not included in support. the public) furnished by a governmental
4946(a)(1).
unit to the organization without charge.
Net income from unrelated business For example, a city pays the salaries of
activities, whether or not such Normally. An organization is
personnel to guard a museum, art considered “normally” to satisfy the
activities are carried on regularly as a
trade or business . . . . . . . . . . . . . 18 and 19 gallery, etc., or provides the use of a public support test (for lines 10, 11, and
building rent free. However, the term 12 of the Support Schedule) for its
Gross investment income, such as does not include the value of any current tax year and the tax year
interest, dividends, rents, exemption from Federal, state, or local immediately following its current tax
and royalties . . . . . . . . . . . . . . . . 18 tax or any similar benefit. year, if the organization satisfies the
Indirect contributions from the applicable support test for the 4 tax
Tax revenues levied for the benefit of
an organization and either paid to or
general public are what the years immediately before the current
expended on behalf of such organization receives from other tax year.
organization; and . . . . . . . . . . . . . 20 organizations that receive a substantial
part of their support from general public If the organization has a material
The value of services or facilities contributions. An example is the change (other than from unusual
(exclusive of those generally furnished organization’s share of the proceeds grants — see instructions for line 28) in
to the public without charge) furnished from an annual community chest drive its sources of support during the current
by a governmental unit referred to in tax year, the data ordinarily required in
Code section 170(c)(1) to an
(such as the United Way or United
Fund). These are included on line 15. the Support Schedule covering the
organization without charge . . . . . . 21
Disqualified person. A disqualified years 1998 through 2001 must be
person is: submitted for the years 1998 through
2002. Prepare and attach a 5-year
Part IV-A 1. A “substantial contributor,” who
Support does not include — Line schedule using the same format as
is — provided in the Support Schedule for
Any amounts an organization receives a. Any person who gave an lines 15 through 28.
from the exercise or performance of aggregate amount of more than $5,000,
its charitable, educational, or other if that amount is more than 2% of the Lines 5 through 14. Reason for
purpose or function constituting the total contributions the foundation or Non-Private Foundation Status.
basis for its exemption* . . . . . . . . . 17 organization received from its inception Check one of the boxes on these lines
through the end of the year in which to indicate the reason the organization
*Note: For organizations that checked the box on
that person’s contributions were is not a private foundation. The
line 12, the amounts on line 17 of the Support
received. organization’s exemption letter states
Schedule are included in support. this reason, or the local IRS office can
b. The creator of a trust (without
regard to the amount of contributions tell you.
Any gain upon the sale or exchange of property
which would be considered under any section of received by the trust from the creator Line 6. School. Check the box on line
the Code as gain from the sale or exchange of a and other persons). 6 for a school whose primary function is
capital asset. • Any person who is a substantial the presentation of formal instruction,
contributor at any time generally and which regularly has a faculty, a
Contributions of services for which a deduction is
not allowable.
remains a substantial contributor for all curriculum, an enrolled body of
future periods even if later contributions students, and a place where
Instructions for Schedule A (Form 990 or 990-EZ) -3-
educational activities are regularly These tests are discussed in In applying the 2% limitation, all
conducted. Regulations sections 1.170A-9(c)(2)(v) contributions by any person(s) related
A private school, in addition, must and (vi). Value the organization’s to the donor as described in section
have a racially nondiscriminatory policy assets as of any day in its tax year but 4946(a)(1)(C) through (G) (and related
toward its students. For details about use the same day every year. Value the regulations) will be treated as if made
these requirements, see the endowment at fair market value, using by the donor.
instructions for Part V. commonly accepted valuation methods. The 2% limitation does not apply to
(See Regulations section 20.2031.) support from governmental units
Line 7. Hospital or Cooperative
Line 10. Organization Operated for referred to in section 170(c)(1), or to
Hospital Service Organization.
the Benefit of a Governmental Unit. contributions from publicly supported
Check the box on line 7 for an
Check the box on line 10 and complete organizations (section 170(b)(1)(A)(vi)),
organization whose main purpose is to
the Support Schedule if the that check the box on line 11a or 11b.
provide hospital or medical care. A
rehabilitation institution or an outpatient organization receives and manages Example. X organization reported
clinic may qualify as a hospital, but the property for and expends funds to the following amounts in its Support
term does not include medical schools, benefit a college or university that is Schedule for the 4-year period 1998
medical research organizations, owned or operated by one or more through 2001:
convalescent homes, homes for the states or their political subdivisions. The
Line (e) Total
aged, or vocational training institutions school must be as described in the first
paragraph of the instructions for line 6. 15 Gifts, grants & contributions . . . . . . . . . $300,000
for the handicapped. 17 Gross receipts from admissions, etc. . . . . 100,000
Expending funds to benefit a college
Check the box on line 7 also for a 18 Dividends & interest . . . . . . . . . . . . . . 300,000
or university includes acquiring and
cooperative hospital service 24 Line 23 minus line 17 . . . . . . . . . . . . . 600,000
maintaining the campus, its buildings,
organization described in section 26a 2% of line 24 (2% limitation) . . . . . . . . . 12,000
and its equipment, granting
501(e). b Total of contributions exceeding the 2%
scholarships and student loans, and limitation . . . . . . . . . . . . . . . . . . . . 98,000
Line 9. Hospital Medical Research making any other payments in
Organization. Check the box on line 9 connection with the normal functions of The X organization determined
for a medical research organization colleges and universities. whether or not it met the section
operated in connection with or in 509(a)(1)/170(b)(1)(A)(vi) public
The organization must meet support test as follows:
conjunction with a hospital. The hospital
essentially the same public support test
must be described in section 501(c)(3) Total support (line 24): . . . . . . . . . . . . . . . . . $600,000
described below for line 11. See Rev.
or operated by the Federal government,
Rul. 82-132, 1982-2 C.B. 107. Direct contributions:
a state or its political subdivision, a U.S.
possession or its political subdivision, Line 11. Organization Meeting the Total direct contributions from persons
who contributed less than 2% of total
or the District of Columbia. Section 509(a)(1) Public Support support . . . . . . . . . . . . . . . . . . . . . . . . . 50,000
Test. Check either box (but not both)
“Medical research” means studies on line 11a or 11b and complete the Total direct contributions from
and experiments done to increase or Support Schedule to determine whether
six donors, each of whom gave
more than 2% ($12,000) of total
verify information about physical or the organization meets the section support . . . . . . . . . . . . . . . . . . . . . . . . . 170,000
mental diseases and disabilities and 509(a)(1)/170(b)(1)(A)(vi) public Indirect contributions from
their causes, diagnosis, prevention, support test described below. the general public:
treatment, or control. The organization
must conduct the research directly and The Support Schedule is completed United Fund . . . . . . . . . . . . . . . . . . . . . . 40,000
continuously. If it primarily gives funds for an organization that “normally” (see Grant from Y City . . . . . . . . . . . . . . . . . . . . 40,000
to other organizations (or grants and Part IV, Definitions) receives at least
scholarships to individuals) for them to 331/3% of its support (excluding income Total gifts, grants & contributions . . . . . . . . . . . $300,000
do the research, the organization is not received in exercising its charitable, Total direct contributions from six donors,
each of whom gave more than 2% of
a medical research organization. etc., function) from: total support . . . . . . . . . . . . . . . . $170,000
The organization is not required to 1. Direct or indirect contributions 2% limitation for six donors: (2% ×
from the general public; $600,000 × 6) . . . . . . . . . . . . . . . 72,000
be an affiliate of the hospital, but there
must be an understanding that there 2. Other publicly supported (section Less: Direct contributions in excess of 2%
of total support . . . . . . . . . . . . . . . 98,000
will be close and continuous 170(b)(1)(A)(vi)) organizations; or
Total public support . . . . . . . . . . . . . $202,000
cooperation in any joint-effort medical 3. A governmental unit.
Section 509(a)(1)/170(b)(1)(A)(vi) computation:
research. To determine whether the section Line 26c Total support . . . . . . . . . . . . . . . $600,000
Assets test/Expenditure test. An 509(a)(1)/170(b)(1)(A)(vi) test is met, Line 26d Less total of lines:
organization qualifies as a medical donor contributions are considered 18 . . . . $300,000
research organization if its principal support from direct or indirect 19 . . . . –0–
purpose is medical research, and it contributions from the general public 22 . . . . –0–
devotes more than half its assets, or only to the extent that the total amount
26b . . . 98,000 $398,000
spends at least 3.5% of the fair market received from any one donor during the
Line 26e Total public support . . . . . . . . . . . . $202,000
value of its endowment, in conducting 4-tax-year period is 2% or less of the
Line 26f Public support percentage (line 26e
medical research directly. organization’s total support for those 4 divided by line 26c — $202,000/$600,000) . . . 33.67%
tax years as described below.
Either test may be met based on a • Any contribution by one individual will Since X organization received more
computation period consisting of the be included in full in the total support than 331/3% of its total support for the
immediately preceding tax year or the denominator of the fraction period from public sources, it qualifies
immediately preceding 4 tax years. determining the 331/3%-of-support or as a section 509(a)(1)/170(b)(1)(A)(vi)
If an organization does not satisfy the 10%-of-support limitation. publicly supported organization. Note
either the “assets test” or the • Only the portion of each donor’s that if an organization fails the public
“expenditure test,” it may still qualify as contribution that is 2% or less of the support test for 2 consecutive years, it
a medical research organization, based total support denominator will be loses its public charity status and
on the circumstances involved. included in the numerator. becomes a private foundation.
Facts and circumstances – Public it supports a section 509(a)(2) Section 509(a)(2) computation:
Line
support test. An organization that organization; or 27c Add: Amounts from column (e),
does not qualify as publicly supported • A charitable trust, corporation, fund, lines 15, 16, 17, 20, and 21 . . . . . . . . . . $120,000
under the test described above may be or association described in section
27d Total of line 27a . . . . . . . . . . . $25,000
publicly supported on the basis of the Total of line 27b . . . . . . . . . . . 20,000 45,000
501(c)(3) (including a nonexempt
facts in its case if it receives at least 27e Public support (line 27c minus line
10% of its support from the general charitable trust described in section 27d total) . . . . . . . . . . . . . . . $75,000
public. If you believe your organization 4947(a)(1)), that is required to 27f Total support (line 23, column (e)) $200,000
27g Public support percentage (line 27e
is publicly supported according to distribute, or normally distributes, at divided by line 27f — $75,000/
applicable regulations, attach a detailed least 25% of its adjusted net income $200,000) . . . . . . . . . . . . . . . 37.50%
27h Investment income percentage (line
statement of the facts upon which you (within the meaning of section 4942(f)) 18 divided by line 27f — $80,000/
base your conclusion. to a section 509(a)(2) organization, if $200,000) . . . . . . . . . . . . . . . 40.0%
Line 12. Organization Meeting the the distribution normally comprises at

T organization received 37.50% of
Section 509(a)(2) Public Support least 5% of the distributee
its total support from the public and
Tests. Check the box on line 12 and organization’s adjusted net income. thus met the more-than-one-third test of
complete the Support Schedule to If an organization receives an public support to total support. T
determine whether an organization amount from a split-interest trust organization’s investment income
meets both of the following section described in section 4947(a)(2) that is percentage was 40.0%. Therefore, it
509(a)(2) support tests: required to distribute, or normally did not meet the second part of the
1. The organization normally distributes, at least 25% of its adjusted section 509(a)(2) test — the
receives more than one-third of its net income to a section 509(a)(2) not-more-than-one-third of total support
support for each tax year from: organization, and the distribution from gross investment income and net
• Persons other than disqualified normally comprises at least 5% of the unrelated business taxable income.
persons (see Part IV, Definitions) with distributee organization’s adjusted net Since T organization did not satisfy
respect to the organization, income, the amount retains the both of the one-third tests of section
• Governmental units (described in character of gross investment income if 509(a)(2), it failed the section 509(a)(2)
section 170(c)(1)), or it would be characterized as gross public support test for this year. An
• Organizations described in section investment income attributable to organization that fails the public support
170(b)(1)(A) (other than in clauses (vii) transfers in trust after May 26, 1969, if test for 2 consecutive years loses its
and (viii)), and public charity status and becomes a
the trust were a private foundation.
Such support is received by the private foundation.
organization from any combination of:
• Gifts, grants, contributions, or All income characterized as gross Line 13. Supporting Organization.
membership fees, and investment income in the possession of Check the box on line 13 and complete
• Gross receipts from admissions, the distributing organization is columns (a) and (b) for a supporting
sales of merchandise, performance of considered to be distributed first by the organization operated only for the
services, or furnishing of facilities, in an organization and keeps its character as benefit of and in connection with
activity that is not an unrelated trade or such in the possession of the recipient. organizations listed in lines 5 through
business (within the meaning of section 12, or with organizations described in
513). section 501(c)(4), (5), or (6) that meet
For more details, see Regulations the tests of section 509(a)(2) (described
Gross receipts, in any tax year, do section 1.509(a)-5 that covers special
not include receipts from any person, in line 12). General principles governing
rules of attribution. supporting organizations are described
bureau, or similar agency of a
government unit (described in section in Regulations section 1.509(a)-4.
170(c)(1)) to the extent such receipts If the organization received any
For column (b), identify the
exceed the greater of $5,000 or 1% of amounts from either kind of
organization supported if it is included
the organization’s support in such tax organization above, attach a statement. in lines 5 through 12. For example, if
year. Show the amounts received from each your organization supported a hospital,
2. The organization normally organization, including amounts, such enter “7” in column (b).
receives not more than one-third of its as gifts, that are not investment
support each tax year from the sum of: income. Line 14. Organization Operated to
• Gross investment income (as Test for Public Safety. Check the box
defined in section 509(e)), and on line 14 only if the organization has
Example. T organization reported
• The excess (if any) of the amount the following amounts in its Support
received a ruling from the IRS that it is
of the unrelated business taxable organized and operated primarily to test
Schedule for the 4-year period 1998 for public safety.
income (as defined in section 512) over through 2001:
the amount of the tax imposed by
section 511. Line (e) Total Part IV-A—Support
15 Gifts, grants & contributions . . . . . . . . . . $45,000
Gross investment income. When 16 Membership fees . . . . . . . . . . . . . . . . 50,000 Schedule
determining whether an organization 17 Gross receipts from admissions, merchandise, Complete the Support Schedule if a
meets the gross investment income test etc. . . . . . . . . . . . . . . . . . . . . . . . . 25,000 box on line 10, 11, or 12 was checked.
of section 509(a)(2)(B), amounts 18 Gross income from interest, dividends, etc. . . 80,000
received from the following 23 Total of lines 15 through 22 . . . . . . . . . . . $200,000 Note: The Support Schedule must
organizations retain the character of 27a Gifts from disqualified persons . . . . . . . . . $25,000 be completed on the cash method of
gross investment income (rather than b Excess gross receipts from nondisqualified
accounting.
persons . . . . . . . . . . . . . . . . . . . . . . $20,000
gifts or contributions) to the extent that For example, if a grantor makes a
these organizations characterize the T organization determined whether grant to an organization payable over a
amounts as gross investment income: or not it met the one-third tests of term of years, such grant will be
• An organization that claims to be section 509(a)(2) in the following includible in the support fraction of the
described in section 509(a)(3) because computation: grantee organization only when and to
the extent amounts payable under the contributions received, which are Disqualified Persons. For amounts
grant are received by the grantee. reported on line 15). included in lines 15, 16, and 17 that
If the organization uses the accrual were received from a “disqualified
Examples include income from: person,” prepare a list for your records
method of accounting, a worksheet • Ticket sales to performances by a to show the name of, and total amounts
such as the one that follows may be symphony orchestra received in each year from each
used to convert any revenue account • Raffles, bingo, or “disqualified person.” (Do not file this
from an accrual basis to a cash basis. • Fundraising-events, income from list with your return.) Enter the sum of
which is not taxable as unrelated such amounts for each year. An
Worksheet to convert a revenue
business income because — example of such a list for line 27a is
account from the accrual to the cash • Substantially all the work is
basis given below.
performed without compensation, or
• Carried on by the organization Line 27a Example
1. Revenue per books
(accrual basis) . . . . . . . . . . . primarily for the convenience of its (a) (b) (c) (d) (e) (f)
members, or Name 2001 2000 1999 1998 Total
2. Add: • Consists of the selling of
merchandise, substantially all of which David Smith $10,000 $6,000 $16,000
a. Beginning-of-year entry has been received by the organization
(if any) reversing accrual of as gifts or contributions (section Anne Parker $8,000 $10,000 18,000
income at the end of the prior 513(a)(1), (2), or (3)).
year; and . . . . . . . . . . . . . .
Total $10,000 $6,000 $8,000 $10,000 $34,000
b. Any amounts collected during

Line 26b. Contributions in Excess of
䊳 Enter the total for each year of columns (b) through (e) on
the year that were not credited the 2% Limitation. Prepare a list for line 27a, 2002 Schedule A (Form 990 or 990-EZ).
to the revenue account in the your files to show the name of and
䊳 Enter the total of column (f) on the line 27a entry space for
current year . . . . . . . . . . . . amount contributed by each person line 27d, 2002 Schedule A (Form 990 or 990-EZ).
(other than a governmental unit or
3. Subtotal . . . . . . . . . . . . . . . publicly supported organization) whose
total gifts for 1998 through 2001 Line 27b. Gross Receipts From Other
4. Less: exceeded the amount shown in line Than Disqualified Persons. For any
26a. (Do not file this list with your amount included in line 17 that was
Income accrued during the received from each person (other than
current year but not collected return.) Enter the total of all these
excess amounts on line 26b. An “disqualified persons”) prepare a list for
as of the end of the year . . . . your records to show the name of, and
example of such a list for line 26b is
5. Revenue on a cash basis . . . given below. amount received for each year, that
was more than the larger of:
Line 27a. Contributions, Membership 1. The amount on line 25 for the
If the organization has not existed Fees, and Gross Receipts From year, or
during the whole period the Support
Schedule covers, fill in the information Line 26b Example
for the years that apply. If the
organization’s status is based on years Amount on line 26a of 2002 Schedule A (2% limitation) . . . . . . . . . . . . . $12,000
not shown in the Support Schedule,
attach an additional schedule for the Contributors whose total gifts from 1998 through 2001 were in excess of the 2%
other years. limitation
Lines 15, 16, 17, 26, and 27. See (a) (b) (c) (d) (e) (f) (g)
Part IV, Definitions. See also Name 1998 1999 2000 2001 Total Excess
Regulations section 1.509(a)-3 for the: contri-
butions
1. Distinction between gross (col. (f) less
receipts from gifts and contributions, the
grants, and gross investment income, 2%
and limitation)
2. Definition of membership fees
and a bureau or similar agency of a
governmental unit. XYZ Foundation $59,000 $ 3,000 $62,000 $50,000
Note: Organizations completing line 26 Apple Office $12,000 3,000 15,000 3,000
should note the instructions and Supply
examples for lines 10 or 11 regarding
the public support test applicable to
their type of organization. Plum Corporation 15,000 15,000 30,000 18,000
Organizations completing line 27

should note the instructions and John Smith 5,000 $5,000 5,000 1,000 16,000 4,000
examples for line 12 for guidance in
computing their public support test. Sue Adams 10,000 10,000 20,000 8,000
Line 17. Gross Receipts From
Activities Related to Organization’s
Apple Trade 20,000 7,000 27,000 15,000
Charitable, etc., Purpose. Include Assoc.
income generated by the organization’s
exempt function activities (charitable, Total (Carry the total of column (g) to line 26(b) of the 2002 Schedule A
educational, etc.) and by its nontaxable (Form 990 or 990-EZ)). $98,000
fundraising events (excluding any
2. $5,000. line 15. An example for such a list for serves all racial segments of the
line 28 is given below. community. This publication must be
After computing the difference between
repeated at least once annually during
the amount received and the larger Line 28 Example the period of the school’s solicitation for
amount described in 1 or 2, enter the
students or, in the absence of a
sum of these differences (the excess Year 䊳2001 Description solicitation program, during the school’s
amounts) for each year. An example of
registration period. Where more than
such a list for line 27b is given below Name 䊳Mr. Disinterested Donor Undeveloped one community is served by a school,
for the year 2001 entry line. Prepare land – (Volume
the school may publish its notice in
similar lists to determine excess Date of Grant 䊳January 15, 2001
578, page xxx,
Dept. of Land those newspapers that are reasonably
amounts for the other entry lines of Records,
likely to be read by all racial segments
27b. (Do not file these lists with your Jefferson
County, Ohio) of the communities that it serves. The
return.)
Amount of Grant 䊳$6,000
notice must appear in a section of the
Line 27b Example newspaper likely to be read by
prospective students and their families
and it must occupy at least three
Year 2001
Part V—Private School column inches. It must be captioned in
(a) (b) (c) (d) (e)
Name Amount
received
Amount Enter the
on larger
Year
(2001)
Questionnaire at least 12 point boldface type as a
in line 25 of column Excess All schools that checked the box on notice of nondiscriminatory policy as to
(2001) for (2001) (c) or (column
line 6, Part IV, must complete Part V. students, and its text must be printed in
$5000 (b) less
Relevant parts of Rev. Proc. 75-50, at least 8 point type. The following
column
(d)) 1975-2 C.B. 587 are given below. The notice will be acceptable:
revenue procedure gives guidelines
Word and recordkeeping requirements for Notice Of Nondiscriminatory
Processing,
determining whether private schools
Inc. $25,000 $2,000 $5,000 $20,000
that are recognized as exempt from tax
Policy As To Students
Enter the total for column (e) on line 27b for have racially nondiscriminatory policies The (name) school admits students of any
the year (2001) entry space . . . . . . . . . . . . $20,000 toward their students. race, color, national and ethnic origin to all
4.01 Organizational requirements. the rights, privileges, programs, and
Line 28. Unusual Grants. Unusual A school must include a statement in its activities generally accorded or made
available to students at the school. It does
grants generally are substantial charter, bylaws, or other governing
not discriminate on the basis of race, color,
contributions and bequests from instrument, or in a resolution of its national and ethnic origin in administration
disinterested persons and are — governing body, that it has a racially of its educational policies, admissions
1. Attracted because of the nondiscriminatory policy as to students policies, scholarship and loan programs,
organization’s publicly supported and therefore does not discriminate and athletic and other school-administered
nature, against applicants and students on the programs.
2. Unusual and unexpected basis of race, color, and national or
because of the amount, and ethnic origin. (b) The school may use the
3. Large enough to endanger the 4.02 Statement of policy. Every broadcast media to publicize its racially
organization’s status as normally school must include a statement of its nondiscriminatory policy if this use
meeting the support test described in racially nondiscriminatory policy as to makes such nondiscriminatory policy
the instructions for lines 10, 11, and 12. students in all its brochures and known to all segments of the general
catalogues dealing with student community the school serves. If this
A grant that meets these terms may admissions, programs, and method is chosen, the school must
be treated as an unusual grant (that is scholarships. A statement substantially provide documentation that the means
disregarded entirely in the public similar to the Notice described in by which this policy was communicated
support computation) even if the paragraph (a) of subsection 1 of section to all segments of the general
organization receives the funds over a 4.03, infra, will be acceptable for this community was reasonably expected to
period of years. In the list of unusual purpose. Further, every school must be effective. In this case, appropriate
grants, show only what the organization include a reference to its racially documentation would include copies of
received during the year. nondiscriminatory policy in other written the tapes or script used and records
Do not treat gross investment advertising that it uses as a means of showing that there was an adequate
income items as unusual grants. informing prospective students of its number of announcements, that they
Instead, include all investment income programs. The following references will were made during hours when the
in support. be acceptable: announcements were likely to be
The (name) school admits students communicated to all segments of the
See Rev. Rul. 76-440, 1976-2 C.B. general community, that they were of
58 and Regulations sections of any race, color, and national or
ethnic origin. sufficient duration to convey the
1.170A-9(e)(6)(ii) and 1.509(a)-3(c)(3) message clearly, and that they were
and (4) for details about unusual 4.03 Publicity. The school must broadcast on radio or television stations
grants. make its racially nondiscriminatory likely to be listened to by substantial
policy known to all segments of the numbers of members of all racial
For an organization described in general community served by the
lines 10, 11, or 12 that received any segments of the general community.
school. Announcements must be made during
unusual grants during 1998 through
2001, prepare a list for your records to 1. The school must use one of the the period of the school’s solicitation for
show, for each year, the name of the following two methods to satisfy this students or, in the absence of a
contributor, the date and amount of the requirement: solicitation program, during the school’s
grant, and a brief description of the (a) The school may publish a notice registration period.
grant. (Do not file this list with your of its racially nondiscriminatory policy in Communication of a racially
return.) Do not include these grants in a newspaper of general circulation that nondiscriminatory policy as to students
by a school to leaders of racial groups minority groups in meaningful numbers. availability on this basis must be known
as the sole means of publicity generally The question whether a school satisfies throughout the general community
will not be considered effective to make the preceding sentence will be being served by the school and should
the policy known to all segments of the determined on the basis of the facts be referred to in the publicity required
community. and circumstances of each case. One by this section in order for that school
2. The requirements of subsection 1 of the facts and circumstances that the to be considered racially
of this section will not apply when one Service will consider is whether the nondiscriminatory as to students. . . .
of the following paragraphs applies: school’s promotional activities and [S]cholarships and loans that are made
recruiting efforts in each area were pursuant to financial assistance
(a) If for the preceding 3 years the reasonably designed to inform students programs favoring members of one or
enrollment of a parochial or other of all racial segments in the general more racial minority groups that are
church-related school consists of communities within the area of the designed to promote a school’s racially
students at least 75% of whom are availability of the school. The Service nondiscriminatory policy will not
members of the sponsoring religious recognizes that the failure by a school adversely affect the school’s exempt
denomination or unit, the school may drawing its students from local status. Financial assistance programs
make known its racially communities to enroll racial minority favoring members of one or more racial
nondiscriminatory policy in whatever group students may not necessarily groups that do not significantly
newspapers or circulars the religious indicate the absence of a racially derogate from the school’s racially
denomination or unit utilizes in the nondiscriminatory policy as to students nondiscriminatory policy similarly will
communities from which the students when there are relatively few or no not adversely affect the school’s
are drawn. These newspapers and such students in these communities. exempt status.
circulars may be those distributed by a Actual enrollment is, however, a
particular religious denomination or unit meaningful indication of a racially 4.06 Certification. An individual
or by an association that represents a nondiscriminatory policy in a community authorized to take official action on
number of religious organizations of the in which a public school or schools behalf of a school that claims to be
same denomination. If, however, the became subject to a desegregation racially nondiscriminatory as to
school advertises in newspapers of order of a federal court or otherwise students is required to certify annually,
general circulation in the community or expressly became obligated to under penalties of perjury, that to the
communities from which its students implement a desegregation plan under best of his or her knowledge and belief
are drawn and paragraphs (b) and (c) the terms of any written contract or the school has satisfied the applicable
of this subsection are not applicable to other commitment to which any Federal requirements of sections 4.01 through
it, then it must comply with paragraph agency was a party. 4.05 of the Rev. Proc. This certification
(a) of subsection 1 of this section. is line 35 in Part V.
The Service encourages schools to
(b) If a school customarily draws a satisfy the publicity requirement by the 4.07 Faculty and staff. The
substantial percentage of its students methods described in subsection 1 of existence of a racially discriminatory
nationwide or worldwide or from a large this section, regardless of whether a policy with respect to employment of
geographic section or sections of the school considers itself within subsection faculty and administrative staff is
United States and follows a racially 2, because it believes these methods to indicative of a racially discriminatory
nondiscriminatory policy as to students, be the most effective to make known a policy as to students. Conversely, the
the publicity requirement may be school’s racially nondiscriminatory absence of racial discrimination in
satisfied by complying with section policy. In this regard it is each school’s employment of faculty and
4.02, supra. Such a school may responsibility to determine whether administrative staff is indicative of a
demonstrate that it follows a racially paragraph (a), (b), or (c) of subsection racially nondiscriminatory policy as to
nondiscriminatory policy within the 2 applies to it. On audit, a school must students.
meaning of the preceding sentence be prepared to demonstrate that the
either by showing that it currently 7.01 Specific records. Except as
failure to publish its racially provided in section 7.03, each exempt
enrolls students of racial minority nondiscriminatory policy in accordance
groups in meaningful numbers or, when private school must maintain for a
with subsection 1 of this section was minimum period of three years,
minority students are not enrolled in justified by the application to it of
meaningful numbers, that its beginning with the year after the year of
paragraph (a), (b), or (c) of subsection compilation or acquisition, the following
promotional activities and recruiting 2. Further, a school must be prepared
efforts in each geographic area were records for the use of the Service on
to demonstrate that it has publicly proper request:
reasonably designed to inform students disavowed or repudiated any
of all racial segments in the general statements purported to have been 1. Records indicating the racial
communities within the area of the made on its behalf (after November 6, composition of the student body,
availability of the school. The question 1975) that are contrary to its publicity of faculty, and administrative staff for each
whether a school satisfies the a racially nondiscriminatory policy as to academic year.
preceding sentence will be determined students, to the extent that the school 2. Records sufficient to document
on the basis of the facts and or its principal official were aware of that scholarship and other financial
circumstances of each case. such statements. assistance is awarded on a racially
(c) If a school customarily draws its nondiscriminatory basis.
students from local communities and 4.04 Facilities and programs. A 3. Copies of all brochures,
follows a racially nondiscriminatory school must be able to show that all of catalogues, and advertising dealing
policy as to students, the publicity its programs and facilities are operated with student admissions, programs, and
requirement may be satisfied by in a racially nondiscriminatory manner. scholarships. Schools advertising
complying with section 4.02, supra. 4.05 Scholarship and loan nationally or in a large geographic
Such a school may demonstrate that it programs. As a general rule, all segment or segments of the United
follows a racially nondiscriminatory scholarship or other comparable States need only maintain a record
policy within the meaning of the benefits procurable for use at any given sufficient to indicate when and in what
preceding sentence by showing that it school must be offered on a racially publications their advertisements were
currently enrolls students of racial nondiscriminatory basis. Their placed.
4. Copies of all materials used by or A public charity that makes a valid purpose of attempting to influence
on behalf of the school to solicit section 501(h) election may spend up legislation:
contributions. to a certain percentage of its “exempt
purpose expenditures” to influence • Through communication with any
7.02 Limitation. legislation without incurring tax or losing member or employee of a legislative
1. For purposes of section 7.01, the its tax-exempt status. body, or with any government official or
racial composition of the student body, Expenditure test. Under the employee who may participate in the
faculty, and administrative staff may be “expenditure test,” there are limits both formulation of the legislation, and
an estimate based on the best upon the amount of the organization’s • By attempting to affect the opinions
information readily available to the grassroots lobbying expenditures and of the general public.
school, without requiring student upon the total amount of its direct To determine if an organization has
applicants, students, faculty, or lobbying and grassroots lobbying spent excessive amounts on lobbying,
administrative staff to submit expenditures. If the electing public you must know which expenditures are
information to the school that the charity does not meet this “expenditure lobbying expenditures and which are
school otherwise does not require. For test,” it will owe a section 4911 excise not lobbying expenditures. An electing
each academic year, however, a record tax on its excess lobbying expenditures. public charity’s lobbying expenditures
of the method by which racial Moreover, if over a 4-year averaging for a year are the sum of its
composition is determined must be period the organization’s average expenditures during that year for (1)
maintained. . . . annual total lobbying or grassroots direct lobbying communications (“direct
2. The Service does not require that lobbying expenditures are more than lobbying expenditures”) plus (2)
a school release personally identifiable 150% of its dollar limits, the grassroots lobbying communications
records or personal information organization will lose its exempt status. (“grassroots expenditures”).
contained therein except in accordance The following terms are used in Part Direct lobbying communications
with the requirements of the ‘‘Family VI-A. See Regulations section 56.4911 (“direct lobbying expenditures”). A
Educational Rights and Privacy Act of for details. direct lobbying communication is any
1974,’’ 20 U.S.C. section 1232g (1974). attempt to influence any legislation
Similarly, the Service does not require a Exempt purpose expenditures. The through communication with any:
school to keep records the amount an electing public charity may • Member or employee of a legislative
maintenance of which is prohibited spend on lobbying (without incurring body, or
under state or federal law. tax) is a scaled percentage of the • Government official or employee
organization’s exempt purpose (other than a member or employee of a
7.03 Exceptions. The records expenditures. In general, an legislative body) who may participate in
described in section 7.01 need not be expenditure is an exempt purpose the formulation of the legislation, but
independently maintained for Internal expenditure if it is paid or incurred by only if the principal purpose of the
Revenue Service use if: an electing public charity to accomplish communication is to influence
the organization’s exempt purpose. legislation.
1. Substantially the same
information that each of these records In general, exempt purpose A communication with a legislator or
would provide has been included in a expenditures are: government official will be treated as a
report or reports filed in accordance 1. The total amount paid or incurred direct lobbying communication, if, but
with law with an agency or agencies of for religious, charitable, scientific, only if, the communication:
Federal, state, or local government, and literary, or educational purposes, or for • Refers to specific legislation, and
this information is current within one the prevention of cruelty to children or • Reflects a view on such legislation.
year, and animals, or to foster national or Grassroots lobbying
2. The school maintains copies of international amateur sports communications (“grassroots
these reports from which this competition (not including providing expenditures”). A grassroots lobbying
information is readily obtainable. athletic facilities or equipment, other communication is any attempt to
Records described in section 7.01 than by qualified amateur sports influence any legislation through an
providing information not included in organizations described in section attempt to affect the opinions of the
reports filed with an agency or agencies 501(j)(2)), general public or any part of the
must be maintained by the school for 2. The allocable portion of general public.
Service use. administrative expenses paid or A communication is generally not a
incurred for the above purposes, grassroots lobbying communication
7.04 Failure to maintain records. 3. Amounts paid or incurred to try to
Failure to maintain or to produce upon unless (in addition to referring to
influence legislation, whether or not for specific legislation and reflecting a view
the proper request the required records the purposes described in 1 above,
and information will create a on that legislation) it encourages
4. Allowance for depreciation or recipients to take action about the
presumption that the organization has amortization, and
failed to comply with these guidelines. specific legislation.
5. Fundraising expenditures, except
that exempt purpose expenditures do A communication encourages a
Part VI-A—Lobbying not include amounts paid to or incurred recipient to take action when it:
for either the organization’s separate
Expenditures by Electing fundraising unit or other organizations, (1) States that the recipient should
if the amounts are primarily for contact legislators;
Public Charities fundraising.
Complete Part VI-A only for an eligible (2) States a legislator’s address,
organization that elected to be subject See also Regulations section phone number, etc.;
to the lobbying expenditure limitations 56.4911-4(c) for a discussion of
of section 501(h) by filing Form 5768 excluded expenditures. (3) Provides a petition, tear-off
and for which the election was valid Lobbying expenditures. The term postcard, or similar material for the
and in effect for its tax year beginning “lobbying expenditures” means recipient to send to a legislator; or
in the year 2002. expenditures paid or incurred for the
(4) Specifically identifies one or more advertisements about highly publicized Internal Revenue Service
legislators who: legislation; allocation of mixed purpose 1111 Constitution Avenue, NW
• Will vote on legislation; expenditures; certain transfers treated Washington, DC 20224
• Opposes the communication’s view as lobbying expenditures and special Attention: T:EO:RA
on the legislation; rules regarding lobbying on referenda, Members of an affiliated group
• Is undecided about the legislation; ballot initiatives, and similar procedures measure both lobbying expenditures
• Is the recipient’s representative in the (see Regulations sections 56.4911-2 and permitted lobbying expenditures on
legislature; or and -3). the basis of the affiliated group’s tax
• Is a member of the legislative Legislation. In general, the term year. If all members of the affiliated
committee that will consider the “legislation” includes Acts, bills, group have the same tax year, that
legislation. resolutions, or similar items. “Specific year is the tax year of the affiliated
A communication described in (4) legislation” includes both legislation that group.
above generally is grassroots lobbying has already been introduced in a
only if, in addition to referring to and However, if the affiliated group’s
legislative body and a specific members have different tax years, the
reflecting a view on specific legislation, legislative proposal that the
it is a communication that cannot meet tax year of the affiliated group is the
organization either supports or calendar year, unless all the members
the “full and fair exposition” test as opposes.
nonpartisan analysis, study, or of the group elect otherwise. See
research. Exceptions to the definitions of Regulations section 56.4911-7(e)(3).
direct lobbying communication and/ If the electing organization belongs
Communication with members. or grassroots lobbying to an affiliated group, complete in Part
For purposes of section 4911, communication. In general, engaging VI-A, lines 36 through 44:
expenditures for certain in nonpartisan analysis, study, or • Column (a) for the affiliated group as
communications between an research and making its results a whole, and
organization and its members are available to the general public or • Column (b) for the electing member
treated more leniently than are segment or members thereof, or to of the group.
communications to nonmembers. governmental bodies, officials, or If there are no excess lobbying
Expenditures for a communication that employees is not considered either a expenditures on either line 43 or 44 of
refers to, and reflects a view on, direct lobbying communication or a column (a), treat each electing member
specific legislation are not lobbying grassroots lobbying communication. as having no excess lobbying
expenditures if the communication Nonpartisan analysis, study, or expenditures.
satisfies the following requirements: research may advocate a particular However, if there are excess
1. The communication is directed position or viewpoint as long as there is lobbying expenditures on either line 43
only to members of the organization, a sufficiently full and fair exposition of or 44 of column (a), treat each electing
2. The specific legislation the the pertinent facts to enable the public member as having excess lobbying
communication refers to, and reflects a or an individual to form an independent expenditures. In such case, each
view on, is of direct interest to the opinion or conclusion. electing member must file Form 4720,
organization and its members, Return of Certain Excise Taxes on
3. The communication does not A communication that responds to a
governmental body’s or committee’s Charities and Other Persons Under
directly encourage the member to Chapters 41 and 42 of the Internal
engage in direct lobbying (whether written request for technical advice is
not a direct lobbying communication. Revenue Code, and must pay the tax
individually or through the on its proportionate share of the
organization), and A communication is not a direct affiliated group’s excess lobbying
4. The communication does not lobbying communication if the expenditures.
directly encourage the member to communication is an appearance
engage in grassroots lobbying (whether before, or communication with, any To find a member’s proportionate
individually or through the legislative body whose action might share, see Regulations section
organization). affect the organization’s existence, its 56.4911-8(d). Enter the proportionate
powers and duties, its tax-exempt share in column (b) on line 43 or line
Expenditures for a communication 44, or on both lines.
directed only to members that refers to, status, or the deductibility of
contributions to the organization, as Attached schedule. Attach a
and reflects a view on, specific
opposed to affecting merely the scope schedule showing each affiliated group
legislation and that satisfies the
of the organization’s future activities. member’s name, address, EIN, and
requirements of paragraphs 1, 2, and 4,
expenses. Use the format of Part VI-A
but does not satisfy the requirements of Affiliated groups. Treat members of for this schedule. Show which members
paragraph 3, are treated as an affiliated group as a single elected and which did not.
expenditures for direct lobbying. organization to measure lobbying
expenditures and permitted lobbying Include each electing member’s
Expenditures for a communication share of the excess lobbying
directed only to members that refers to, expenditures.
expenditures on the attached schedule.
and reflects a view on, specific Two organizations are affiliated if Nonelecting members do not owe tax,
legislation and satisfies the one is bound by the other but remain subject to the general rule,
requirements of paragraphs 1 and 2, organization’s decisions on legislative which provides that no substantial part
but does not satisfy the requirements of issues (control) or if enough of their activities may consist of carrying
paragraph 4, are treated as grassroots representatives of one belong to the on propaganda or otherwise trying to
expenditures, whether or not the other organization’s governing board to influence legislation.
communication satisfies the cause or prevent action on legislative
requirements of paragraph 3. Limited control. If two
issues (interlocking directorate).
organizations are affiliated because
See Regulations section 56.4911-5 If you are not sure whether your their governing instruments provide that
for details. group is affiliated, you may ask the IRS the decisions of one will control the
There are special rules regarding for a ruling letter. There is a fee for this other only on national legislation, apply
certain paid mass media ruling. Send the request to: expenditures as follows:
1. Charge the controlling Attach a schedule to show the ceiling amount reported on line 46, and
organization with its own lobbying amounts that apply to each electing whether the amount entered in column
expenditures and the national member. (e), line 50, is equal to or less than the
legislation expenditures of the affiliated In the separate returns filed by the grassroots ceiling amount calculated on
organizations. parent and by any subordinate line 49.
2. Do not charge the controlling organizations not included in the group 8. The organization does not satisfy
organization with other lobbying return, complete only column (b). both tests if either its total lobbying
expenditures (or other exempt-purpose expenditures or grassroots lobbying
expenditures) of the affiliated Lines 36 through 44. Complete expenditures exceed applicable ceiling
organizations. column (b) for any organization using amounts. When that occurs, all five
3. Treat each local organization as Part VI-A but complete column (a) only columns must be completed and a
though it were not a member of an for affiliated groups. recomputation made, unless exception
affiliated group; i.e., the local Use lines 36 through 44 to determine 1 or 2 above applies.
organization should account for its own whether any of the organization’s If the organization is not required to
expenditures only and not any of the current year lobbying expenditures are complete all five columns, attach a
national legislation expenditures subject to tax. File Form 4720 if you statement explaining why. In the
deemed as incurred by the controlling need to report and pay the excise tax. statement, show the ending date of the
organization in 1 above.
Lines 45 through 50. Lines 45 tax year in which the organization made
When this type of limited control is through 50 are used to determine if the its first section 501(h) election and state
present, each member of the affiliated organization exceeded lobbying whether or not that first election was
group should complete column (b) only. expenditure limits during the 4-year revoked before the start of the
Group returns. Although averaging period. organization’s tax year that began in
membership in a group affiliated for 2002.
Any organization for which a
lobbying does not establish eligibility to lobbying expenditure election under Note: If the organization belongs to an
file a group return, a group return can section 501(h) was in effect for its tax affiliated group, enter the appropriate
sometimes meet the filing requirements year beginning in 2002 must complete affiliated group totals from column (a),
of more than one member of an columns (a) through (e) of lines 45 lines 36 through 44, when completing
affiliated group. (General Instruction R through 50 except in the following lines 45, 47, 48, and 50.
of the Instructions for Form 990 and situations: Line 45. Lobbying nontaxable
Form 990-EZ explains who may file a 1. An organization first treated as a amount. For 1999 through 2002, enter
group return.) section 501(c)(3) organization in its tax the amount from line 41 of the
If a central or parent organization year beginning in 2002 does not have Schedule A (Form 990 or 990-EZ) filed
files a group return on behalf of two or to complete any part of lines 45 through for each year.
more members of the group, complete 50. Line 47. Total lobbying
column (a), Part VI-A, for the affiliated 2. An organization does not have to expenditures. For 1999 through 2002,
group as a whole. Include the central, complete lines 45 through 50 for any enter the amount from line 38 of the
electing, and nonelecting members. period before it is first treated as a Schedule A (Form 990 or 990-EZ) filed
section 501(c)(3) organization. for each year.
In column (b), except on lines 43 and 3. If 2002 is the first year for which
44, include the amounts that apply to all Line 48. Grassroots nontaxable
an organization’s first section 501(h) amount. For 1999 through 2002, enter
electing members of the group if they election is effective, that organization
are included in the group return. the amount from line 42 of the
must complete line 45, columns (a) and Schedule A (Form 990 or 990-EZ) filed
Attach the schedule described above (e). for each year.
under Affiliated groups. Show what 4. The organization must then
amounts apply to each group member. complete all of column (e) to determine Line 50. Grassroots lobbying
whether the amount on line 47, column expenditures. For 1999 through 2002,
If the group return includes (e), is equal to or less than the lobbying enter the amount from line 36 of the
organizations that belong to more than ceiling amount calculated on line 46 Schedule A (Form 990 or 990-EZ) filed
one affiliated group, show in column (a) and whether the amount on line 50 is for each year.
the totals for all such groups. On the equal to or less than the grassroots
attached schedule, show the amounts ceiling amount calculated on line 49. Part VI-B—Lobbying
that apply to each affiliated group and 5. The organization does not satisfy
to each group member. both tests if either its total lobbying
Activity by Nonelecting
If the parent organization has made expenditures or grassroots lobbying Public Charities
the lobbying expenditure election, its expenditures exceed the applicable The Part VI-A instructions defining
separate return must also show in ceiling amounts. When this occurs, all direct and grassroots lobbying activities
column (a) the amounts that apply to five columns must be completed and a by organizations that made the section
the affiliated group as a whole and, in recomputation made unless exception 1 501(h) election do not apply to
column (b), the amounts that apply to or 2 above applies. nonelecting organizations that complete
the parent organization only. 6. If 2002 is the second or third tax Part VI-B.
year for which the organization’s first
A subordinate organization not Part VI-B provides a reporting format
section 501(h) election is in effect, that
included in the group return would also for any organization that engaged in
organization is required to complete
complete column (a) for the affiliated lobbying activities in its 2002 tax year
only the columns for the years in which
group as a whole and column (b) for but did not make a section 501(h)
the election has been in effect, entering
itself only. lobbying expenditure election for that
the totals for those years in column (e).
However, if “limited control” (defined 7. The organization must determine, year by filing Form 5768.
above) exists, complete only column (b) for those 2 or 3 years, whether the A nonelecting public charity will
in Part VI-A of the group return for the amount entered in column (e), line 47, generally be regarded as lobbying if the
electing members in the group. is equal to or less than the lobbying organization either: (1) contacts, or
urges the public to contact, members of A noncharitable exempt organization Line 51a. Transfers. Answer “Yes” to
a legislative body for the purpose of is related to or affiliated with the lines 51a(i) and 51a(ii) if the reporting
proposing, supporting, or opposing reporting organization if: organization made any direct or indirect
legislation or the government’s budget 1. The two organizations share transfers of any value to a
process; or (2) advocates the adoption some element of common control or noncharitable exempt organization.
or rejection of legislation. 2. A historic and continuing A “transfer” is any transaction or
Nonelecting organizations must relationship exists between the two arrangement whereby one organization
complete Part VI-B to show lobbying organizations. transfers something of value (cash,
expenditures paid or incurred. other assets, services, use of property,
A noncharitable exempt
etc.) to another organization without
Note: In item g, “direct contact” means organization is unrelated to the
receiving something of more than
a personal telephone call or visit with reporting organization if:
nominal value in return. Contributions,
legislators, their staffs, or government 1. The two organizations share no gifts, and grants are examples of
officials. element of common control and transfers.
These nonelecting organizations 2. A historic and continuing
relationship does not exist between the If the only transfers between the two
must also attach a statement giving a organizations were contributions and
detailed description of their lobbying two organizations.
grants made by the noncharitable
activities. The detailed description of An “element of common control” is exempt organization to the reporting
lobbying activities should include all present when one or more of the organization, answer “No.”
lobbying activities, whether expenses officers, directors, or trustees of one
are incurred or not (e.g., even lobbying Line 51b. Other transactions. Answer
organization are elected or appointed “Yes” for any transaction described in
activities carried out by unreimbursed by the officers, directors, trustees, or
volunteers). lines 51b(i) through (vi), regardless of
members of the other. An element of its amount, if it is with a related or
For example, the activities should be common control is also present when affiliated organization.
included in the attached statement if an more than 25% of the officers,
directors, or trustees of one Unrelated organizations. Answer
organization (either through its “Yes” for any transaction between the
employees or volunteers) attempts to organization serve as officers, directors,
or trustees of the other organization. reporting organization and an unrelated
influence legislation in any of the noncharitable exempt organization,
following ways: A “historic and continuing regardless of its amount, if the reporting
• Sending letters or publications to relationship” exists when two organization received less than
government officials or legislators. organizations participate in a joint effort adequate consideration. There is
• Meeting with or calling government to work in concert toward the
attainment of one or more common
adequate consideration where the fair
market value of the goods, other
officials or legislators.
purposes on a continuous or recurring assets, or services furnished by the
• Sending or distributing letters or basis rather than on the basis of one or reporting organization is not more than
publications (including newsletters,
several isolated transactions or the fair market value of the goods,
brochures, etc.) to members or to the
activities. Such a relationship also other assets or services received from
general public.
exists when two organizations share the unrelated noncharitable exempt
• Using direct mail, placing facilities, equipment, or paid personnel organization. The “exception” described
advertisements, issuing press releases, during the year, regardless of the below does not apply to transactions for
holding news conferences, or holding length of time the arrangement is in less than adequate consideration.
rallies or demonstrations. effect. Answer “Yes” for any transaction,
Line 51. Reporting of certain including transfers for adequate
Part VII—Information transfers and transactions. Except consideration, between the reporting
Regarding Transfers To as provided below, report on line 51 organization and an unrelated
any transfer to or transaction with a noncharitable exempt organization if
and Transactions and noncharitable exempt organization the amount involved is more than $500.
even if the transfer or transaction The “amount involved” is the fair market
Relationships With constitutes the only connection with the value of the goods, services, or other
Noncharitable Exempt noncharitable exempt organization. assets furnished by the reporting
organization.
Organizations Related organizations. If the
Exception. If a transaction with an
Part VII is used to report direct and noncharitable exempt organization is
related to or affiliated with the reporting unrelated noncharitable exempt
indirect transfers to (line 51a), direct organization was for adequate
and indirect transactions with (line 51b), organization, report all direct and
indirect transfers and transactions consideration and the amount involved
and relationships with (line 52) any was $500 or less, it is not necessary to
other noncharitable exempt except for contributions and grants
received by the reporting organization. answer “Yes” for that transaction.
organization (section 6033(b)(9)).
Line 51b(iii). Answer “Yes” for
A “noncharitable exempt Unrelated organizations. All transactions in which the reporting
organization” is an organization exempt transfers from the reporting organization was either the lessor or
under section 501(c) (that is not exempt organization to an unrelated the lessee.
under section 501(c)(3)), or a political noncharitable exempt organization
must be reported on line 51a. All Line 51b(iv). Answer “Yes” if either
organization described in section 527. organization reimbursed expenses
transactions between the reporting
For purposes of these instructions, organization and an unrelated incurred by the other.
the section 501(c)(3) organization noncharitable exempt organization Line 51b(v). Answer “Yes” if either
completing this Schedule A (Form 990 must be shown on line 51b unless they organization made loans to the other or
or 990-EZ) is referred to as the meet the exception in the specific if the reporting organization guaranteed
“reporting organization.” instructions for that line. the other’s loans.
Line 51b(vi). Answer “Yes” if either separate entry for each transfer or Do not enter unrelated noncharitable
organization performed services or transaction. exempt organizations on line 52 even if
membership or fundraising solicitations Column (a). For each entry, enter you report transfers to or transactions
for the other. the line number from lines 51a through with those organizations on line 51. For
51c. For example, if you answered example, if you reported a one-time
Line 51c. Complete line 51c “Yes” to line 51b(iii), enter “b(iii)” in
regardless of whether the noncharitable transfer to an unrelated noncharitable
column (a). exempt organization on line 51a(ii), you
exempt organization is related to or
closely affiliated with the reporting Column (d). If you need more should not list the organization on line
organization. For the purposes of this space, write “see attached” in column 52.
line, “facilities” includes office space (d) and use an attached sheet for your
and any other land, building, or description. If you are making more Column (b). Enter the exempt
structure whether owned or leased by, than one entry on line 51d, specify, on category of the organization; for
or provided free of charge to, the the attached sheet, which transfer or example, “501(c)(4).”
reporting organization or the transaction you are describing.
noncharitable exempt organization. Line 52. Reporting of certain Column (c). In most cases, a
relationships. Enter on line 52 each
simple description, such as “common
Line 51d. Use this schedule to noncharitable exempt organization to or
describe the transfers and transactions with which the reporting organization is directors” or “auxiliary of reporting
for which you entered “Yes” on lines related, or affiliated, as defined above. organization” will be sufficient. If you
51a through 51c above. You must If the control factor or the historic and need more space, write “see attached”
describe each transfer or transaction for continuing relationship factor (or both) in column (c) and use a separate sheet
which you answered “Yes.” You may is present at any time during the year, to describe the relationship. If you list
combine all of the cash transfers (line you must identify the organization on more than one organization on line 52,
51a(i)) to each organization into a line 52 even if neither factor is present identify which organization you are
single entry. Otherwise, make a at the end of the year. describing on the attached sheet.

Index
A G Noncharitable exempt Returns, group . . . . . . . . . . . . . 11

Accrual to cash basis, worksheet for General Instructions . . . . . . . . . . 1 organization . . . . . . . . . . . . . 12 Ruling letter request . . . . . . . . . . 10
conversion to . . . . . . . . . . . . . 5 Grassroots expenditures . . . . . 9-10 Normally . . . . . . . . . . . . . . . . 3, 4
Address, for ruling letter . . . . . . . 10 Grassroots lobbying
Affiliated groups . . . . . . . . . . 10-11 communications . . . . . . . . . 9-10 S
O Scholarships, etc. . . . . . . . . . . . 2
Assets test . . . . . . . . . . . . . . . 4 Gross receipts from activities
related to organization’s Organization operated for the School . . . . . . . . . . . . . . . . . . 3
charitable, etc., purpose. . . . . . 6 benefit of a governmental unit. . . 4 Section 403(b) annuity plan. . . . . . 2
C Gross receipts from other than Organization operated to test for Specific Instructions . . . . . . . . . . 1
Communication with members . . . 10 disqualified persons . . . . . . . . 6 public safety . . . . . . . . . . . . . 5 Statements About Activities . . . . . 2
Communication, direct lobbying Group returns . . . . . . . . . . . . . . 11 Organizations, related . . . . . . . . . 12 Substantial contributor . . . . . . . . 3
and/or grassroots lobbying . . . . 10 Groups, affiliated . . . . . . . . . . 10-11 Organizations, unrelated . . . . . . . 12 Substantial part test . . . . . . . . . . 2
Compensation of the Five Highest Support . . . . . . . . . . . . . . . . . 3
Paid Employees Other Than Support from a governmental
Officers, Directors, and Trustees . . H P
Part I . . . . . . . . . . . . . . . . . . . 1 unit . . . . . . . . . . . . . . . . . . . 3
. . . . . . . . . . . . . . . . . . . . . 1 Hospital medical research
Part II . . . . . . . . . . . . . . . . . . . 2 Support Schedule . . . . . . . . . . . 5
Compensation of the Five Highest organization . . . . . . . . . . . . . 4
Paid Independent Contractors Part III . . . . . . . . . . . . . . . . . . 2 Supporting organization . . . . . . . 5
Hospital or cooperative hospital
for Professional Services . . . . . 2 service organization . . . . . . . . 4 Part IV . . . . . . . . . . . . . . . . . . 3
Compensation or repayment . . . . . 2 Part IV-A . . . . . . . . . . . . . . . . . 5 T
Contributions in excess of the 2% Part V . . . . . . . . . . . . . . . . . . 7 Test, assets . . . . . . . . . . . . . . . 4
limitation . . . . . . . . . . . . . . . 6 I Part VI-A . . . . . . . . . . . . . . . . . 9
Indirect contributions . . . . . . . . . 3 Test, expenditure . . . . . . . . 2, 4, 9
Contributions, membership fees, Part VI-B . . . . . . . . . . . . . . . . . 11 Test, full and fair exposition . . . . . 10
and gross receipts from Information Regarding Transfers Part VII . . . . . . . . . . . . . . . . . . 12
disqualified persons . . . . . . . . 6 To and Transactions and Test, public support, facts and
Relationships With Noncharitable Penalties . . . . . . . . . . . . . . . . . 1 circumstances, . . . . . . . . . . . . 5
Control, common, element of . . . . 12 Period covered . . . . . . . . . . . . . 1
Exempt Organizations . . . . . . . 12 Test, public support, section
Control, limited . . . . . . . . . . 10, 11 Private School Questionnaire . . . 7-9 509(a)(1) . . . . . . . . . . . . . . . 4
Pub. 525, Taxable and Nontaxable Test, substantial part . . . . . . . . . 2
D L Income . . . . . . . . . . . . . . . . 2 Tests, public support, section
Definitions . . . . . . . . . . . . . . . . 3 Legislation . . . . . . . . . . . . . . . . 10 Public charities, electing . . . . . . . 2 509(a)(2) . . . . . . . . . . . . . . . 5
Direct lobbying communications . . 9 Legislation, attempting to Public charities, nonelecting . . . . . 2 Transfers . . . . . . . . . . . . . . . . 12
influence . . . . . . . . . . . . . . . 9 Public support test, facts and
Direct lobbying expenditures . . . . . 9
Legislation, specific . . . . . . . . . . 10 circumstances . . . . . . . . . . . . 5
Disqualified person . . . . . . . . . . 3 U
Limited control . . . . . . . . . . . . . 10 Public support test, section
Lobbying Activity by Nonelecting 509(a)(1) . . . . . . . . . . . . . . . 4 Unrelated organizations . . . . . . . 12
E Public Charities . . . . . . . . . . . 11 Public support tests, section Unusual grants . . . . . . . . . . . . . 7
Exempt organization, Lobbying Expenditures by Electing 509(a)(2) . . . . . . . . . . . . . . . 5
noncharitable . . . . . . . . . . . . 12 Public Charities . . . . . . . . . . . 9 Purpose of form . . . . . . . . . . . . 1 W
Expenditure test . . . . . . . . . 2, 4, 9 Who must file . . . . . . . . . . . . . . 1
Expenditures, exempt purpose . . . 9 M Worksheet — accrual to cash
Q
Expenditures, lobbying . . . . . . . . 9 Medical research . . . . . . . . . . . . 4 basis, conversion to . . . . . . . . 5
Qualify . . . . . . . . . . . . . . . . . . 2
F N R
■
Family members . . . . . . . . . . . . 3 Non-Private Foundation Status, Related organizations . . . . . . . . . 12
Form 4720 . . . . . . . . . . . . . . . . 10 Reason for . . . . . . . . . . . . . . 3 Relationship, historic and
Form 5768 . . . . . . . . . . . . . . . . 2 continuing . . . . . . . . . . . . . . . 12
Full and fair exposition test . . . . . . 10
-14- Index

Instructions For Schedule A (Form 990 or 990-EZ) : Pager/Sgml

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PAGER/SGML Fileid: I990SA.cvt (16-Jan-2003) (Init. & date)

Page 1 of 14 Instructions for Schedule A (Form 990 or 990-EZ) 15:34 - 16-JAN-2003

2002 Department of the Treasury

Instructions for Schedule A

• 501(e), Cooperative Hospital Service 3. Make an entry (including a zero

Cat. No. 11294Q

Line 12. Organization Meeting the the distribution normally comprises at

b. Any amounts collected during

Organizations completing line 27

Instructions for Schedule A (Form 990 or 990-EZ) -13-

A G Noncharitable exempt Returns, group . . . . . . . . . . . . . 11

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