Fillable Transactions With Interested Persons Schedul L Form 990 or 990-Z

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Transactions With Interested Persons Schedul L Form 990 or 990-Z

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The Transactions With Interested Persons Schedul L Form 990 or 990-Z form is 2 pages long and contains:

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SCHEDULE L
(
Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions With Interested Persons
▶
Complete if the organization answered “Yes” on Form 990, Part IV, line 25a, 25b, 26, 27, 28a,
28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
▶
Attach to Form 990 or Form 990-EZ.
▶
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open To Public
Inspection
Name of the organization Employer identification number
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered “Yes” on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1
(a) Name of disqualified person
(b) Relationship between disqualified person and
organization
(c) Description of transaction
(d) Corrected?
Yes No
(1)
(2)
(3)
(4)
(5)
(6)
2 Enter the amount of tax incurred by the organization managers or disqualified persons during the year
under section 4958 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
▶
$
3 Enter the amount of tax, if any, on line 2, above, reimbursed by the organization . . . . . . . .
▶
$
Part II
Loans to and/or From Interested Persons.
Complete if the organization answered “Yes” on Form 990-EZ, Part V, line 38a or Form 990, Part IV, line 26; or if the
organization reported an amount on Form 990, Part X, line 5, 6, or 22.
(a) Name of interested person (b) Relationship
with organization
(c) Purpose of
loan
(d) Loan to or
from the
organization?
(e) Original
principal amount
(f) Balance due
(g) In default? (h) Approved
by board or
committee?
(i) Written
agreement?
To From Yes No Yes No Yes No
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total . . . . . . . . . . . . . . . . . . . . . . . . .
▶
$
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered “Yes” on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested
person and the organization
(c) Amount of assistance
(d) Type of assistance (e) Purpose of assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A Schedule L (Form 990 or 990-EZ) 2018
Schedule L (Form 990 or 990-EZ) 2018
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered “Yes” on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between
interested person and the
organization
(c) Amount of
transaction
(d) Description of transaction
(e) Sharing of
organization’s
revenues?
Yes No
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Part V
Supplemental Information.
Provide additional information for responses to questions on Schedule L (see instructions).
Schedule L (Form 990 or 990-EZ) 2018
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Transactions With Interested Persons Schedul L Form 990 or 990-Z

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Completed 21 May 2019

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