Schedule K (Form 990) 2019
Page 2
Part III Private Business Use
A B C D
1 Was the organization a partner in a partnership, or a member of an LLC,
which owned property financed by tax-exempt bonds? . . . . . . . .
Yes No Yes No Yes No Yes No
2 Are there any lease arrangements that may result in private business use of
bond-financed property? . . . . . . . . . . . . . . . . . .
3a Are there any management or service contracts that may result in private
business use of bond-financed property? . . . . . . . . . . . .
b
If “Yes” to line 3a, does the organization routinely engage bond counsel or other outside
counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of
bond-financed property? . . . . . . . . . . . . . . . . . .
d
If “Yes” to line 3c, does the organization routinely engage bond counsel or other
outside counsel to review any research agreements relating to the financed property?
4
Enter the percentage of financed property used in a private business use by entities
other than a section 501(c)(3) organization or a state or local government
. . .
▶
% % % %
5
Enter the percentage of financed property used in a private business use as a
result of unrelated trade or business activity carried on by your organization,
another section 501(c)(3) organization, or a state or local government . . .
▶
% %
% %
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . . . . .
% %
% %
7 Does the bond issue meet the private security or payment test? . . . . .
8a
Has there been a sale or disposition of any of the bond-financed property to a
nongovernmental person other than a 501(c)(3) organization since the bonds were issued?
b
If “Yes” to line 8a, enter the percentage of bond-financed property sold or
disposed of . . . . . . . . . . . . . . . . . . . . . .
% % % %
c
If “Yes” to line 8a, was any remedial action taken pursuant to Regulations
sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . . .
9
Has the organization established written procedures to ensure that all
nonqualified bonds of the issue are remediated in accordance with the
requirements under Regulations sections 1.141-12 and 1.145-2? . . . .
Part IV Arbitrage
A B C D
1
Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and
Penalty in Lieu of Arbitrage Rebate? . . . . . . . . . . . . . .
Yes No Yes No Yes No Yes No
2 If “No” to line 1, did the following apply?
a Rebate not due yet? . . . . . . . . . . . . . . . . . . .
b Exception to rebate? . . . . . . . . . . . . . . . . . . .
c No rebate due? . . . . . . . . . . . . . . . . . . . . .
If “Yes” to line 2c, provide in Part VI the date the rebate computation was
performed . . . . . . . . . . . . . . . . . . . . . .
3 Is the bond issue a variable rate issue? . . . . . . . . . . . . .
Schedule K (Form 990) 2019