OMB No. 1545-0047 Schedule of Contributors

Department of the Treasury

Internal Revenue Service

Cat. No. 30613X Schedule B (Form 990 or 990-EZ) (2000)

Employer identification number

Organization type (check one)—Section:

(Form 990 or 990-EZ)

Supplementary Information for line 1d of Form 990 or

line 1 of Form 990-EZ (see instructions)

Schedule B

2000

Name of organization

Note: This form is generally not open to public inspection except for section 527

organizations.

Section 501(c)(7), (8), or (10) organizations—

Check this box if the organization had no charitable contributors who contributed more than $1,000 during the year. (But see General

rule below.) 

501(c)( ) (enter number) 527 or 4947(a)(1) nonexempt charitable trust

Enter here the total gifts received during the year for a religious, charitable, etc., purpose  $

General Instructions

Purpose of Form

Schedule B (Form 990 or 990-EZ) is used by

organizations required to file Form 990, Return of

Organization Exempt From Income Tax, or Form

990-EZ, Short Form Return of Organization Exempt

From Income Tax, to provide the information regarding

their contributors that is required for line 1d of Form

990 (or line 1 of Form 990-EZ).

Attach the Schedule B (Form 990 or 990-EZ) to

Form 990 or 990-EZ. Attach Schedule B after

Schedule A (Form 990 or 990-EZ), Organization

Exempt Under Section 501(c)(3), if that return is

required for the organization.

Who Must File Schedule B (Form 990 or

990-EZ)

All organizations must file Schedule B (Form 990 or

990-EZ) unless they certify that they do not meet the

filing requirements of Schedule B (Form 990 or 990-EZ)

by checking the box in item L of the heading of their

Form 990 or Form 990-EZ.

Caution: Schedule B (Form 990 or 990-EZ) is not a

substitute for the list of “contributors” required for Part

IV-A, Support Schedule, of Schedule A (Form 990 or

990-EZ).

Public Inspection

Schedule B (Form 990 or 990-EZ) is:

● Open to public inspection for a section 527 political

organization.

● Generally not open to public inspection for the other

organizations that must file this form.

If a non-section 527 organization files a copy of

Form 990, or Form 990-EZ, and attachments with any

state, it should not include its Schedule B (Form 990

or 990-EZ) in the attachments for the state unless a

schedule of contributors is specifically required by the

state. States that do not require the information might

make the schedule available for public inspection

along with the rest of the Form 990 or Form 990-EZ.

See the Instructions for Form 990 and Form 990-EZ

for phone help and the public inspection rules for

those forms and their attachments, which include

Schedule B (Form 990 or 990-EZ).

Contributors Required To Be Listed on

Part I

“Contributor” includes individuals, fiduciaries,

partnerships, corporations, associations, trusts, and

exempt organizations.

General rule. Unless the organization is covered by

one of the special rules below, it must list on Part I

every contributor who, during the year, gave the

organization directly or indirectly, money, securities, or

any other type of property totaling $5,000 or more for

the year. Also complete Part II for a noncash

contribution. In determining the $5,000 amount, total

all of the contributor’s gifts of $1,000 or more for the

year.

Section 501(c)(3) organizations. For an organization

described in section 501(c)(3) that meets the 331⁄3%

support test of the Regulations under sections

509(a)(1)/170(b)(1)(A)(vi) (whether or not the

organization is otherwise described in section

170(b)(1)(A))—

List in Part I only those contributors whose

contribution of $5,000 or more is greater than 2% of

the amount reported on line 1d of Form 990 (or line 1

of Form 990-EZ) (Regulations section

1.6033-2(a)(2)(iii)(a)).

Example. A section 501(c)(3) organization, of the type

described above, reported $700,000 in total

contributions, gifts, grants, and similar amounts

received on line 1d of its Form 990. The organization is

only required to list in Parts I and II of its Schedule B

(Form 990 or 990-EZ) each person who contributed

more than the greater of $5,000 or $14,000 (2% of

$700,000). Thus, a contributor who gave a total of

$11,000 would not be reported in Parts I and II for this

section 501(c)(3) organization. Even though the

$11,000 contribution to the organization exceeded

$5,000, it did not exceed $14,000.

Section 501(c)(7), (8), or (10) organizations. For

noncharitable contributions to one of these

organizations, list in Part I contributors who gave

$5,000 or more as described in the General rule

discussed above.

A

See the instructions for item L in the Instructions for

Form 990 and Form 990-EZ.
Schedule B (Form 990 or 990-EZ)(2000) Page 2

Schedule B (Form 990 or 990-EZ) (2000)

Part III. Section 501(c)(7), (8), or (10) organizations that

received contributions or bequests for use exclusively

for religious, charitable, etc., purposes must complete

Parts I through III for those persons whose gifts totaled

more than $1,000 during the year. Show also, in the

heading of Part III, total gifts that were $1,000 or less

and were for a religious, charitable, etc., purpose.

Complete this information only on the first Part III

page.

If an amount is set aside for a religious, charitable,

etc., purpose, show in column (d) how the amount is

held (e.g., whether it is mingled with amounts held for

other purposes). If the organization transferred the gift

to another organization, show the name and address

of the transferee organization in column (e) and explain

the relationship between the two organizations.

List in Part I each contributor whose contributions

total more than $1,000 during the year that were for a

religious, charitable, etc., purpose. To determine the

$1,000, aggregate all of a contributor’s gifts for the

year (regardless of amount). For a noncash

contribution, complete Part II.

All section 501(c)(7), (8), or (10) organizations that

received any charitable contributions and listed any

charitable contributors on Part I must also complete

Part III.

If a section 501(c)(7), (8), or (10) organization

received charitable gifts, but is not required to list any

charitable contributors on Part I, check the box on line

A at the top of Schedule B (Form 990 or 990-EZ) and

enter the amount of charitable contributions received in

the space provided. The organization need not

complete and attach Part III.

Specific Instructions

Note: You may duplicate Parts I, II, and III if more

copies are needed. Number each page of each Part.

Part I. In column (a), identify the first contributor listed

as no.1 and the second contributor as no. 2, etc.

Number consecutively. Show the contributor’s name,

address, aggregate contributions for the year; and the

type of contribution (e.g., whether an individual,

payroll, or noncash contribution). Report payroll

contributions by listing the employer’s name, address,

and total amount given (unless an employee gave

enough to be listed individually).

Part II. In column (a), show the number that

corresponds to the contributor’s number in Part I.

Describe the noncash contribution fully. Report on

property with readily determinable market value (i.e.,

market quotations for securities) by listing its fair

market value (FMV). For marketable securities

registered and listed on a recognized securities

exchange, measure market value by the average of the

highest and lowest quoted selling prices (or the

average between the bona fide bid and asked prices)

on the contribution date. See Regulations section

20.2031-2 to determine the value of contributed stocks

and bonds. When market value cannot be readily

determined, use an appraised or estimated value. To

determine the amount of a noncash contribution that is

subject to an outstanding debt, subtract the debt from

the property’s fair market value.

If a section 501(c)(7), (8), or (10) organization

received contributions or bequests for use exclusively

for religious, charitable, etc., purposes (sections

170(c)(4), 2055(a)(3), or 2522(a)(3))—
Schedule B (Form 990 or 990-EZ)(2000) Page _____ to _____ of Part I

Part I

(a)

No.

(b)

Name, address and zip code

(c)

Aggregate contributions

(d)

Type of contribution

Individual

Payroll

Noncash

(Complete Part II if a

noncash contribution.)

(a)

No.

(b)

Name, address and zip code

(c)

Aggregate contributions

(d)

Type of contribution

Individual

Payroll

Noncash

(Complete Part II if a

noncash contribution.)

(a)

No.

(b)

Name, address and zip code

(c)

Aggregate contributions

(d)

Type of contribution

Individual

Payroll

Noncash

(Complete Part II if a

noncash contribution.)

(a)

No.

(b)

Name, address and zip code

(c)

Aggregate contributions

(d)

Type of contribution

Individual

Payroll

Noncash

(Complete Part II if a

noncash contribution.)

(a)

No.

(b)

Name, address and zip code

(c)

Aggregate contributions

(d)

Type of contribution

Individual

Payroll

Noncash

(Complete Part II if a

noncash contribution.)

$

$

$

$

$

Contributors

(a)

No.

(b)

Name, address and zip code

(c)

Aggregate contributions

(d)

Type of contribution

Individual

Payroll

Noncash

(Complete Part II if a

noncash contribution.)

$

Schedule B (Form 990 or 990-EZ) (2000)

Name of organization Employer identification number
Schedule B (Form 990 or 990-EZ)(2000) Page _____ to _____ of Part I

Part I

(a)

No.

(b)

Name, address and zip code

(c)

Aggregate contributions

(d)

Type of contribution

Individual

Payroll

Noncash

(Complete Part II if a

noncash contribution.)

(a)

No.

(b)

Name, address and zip code

(c)

Aggregate contributions

(d)

Type of contribution

Individual

Payroll

Noncash

(Complete Part II if a

noncash contribution.)

(a)

No.

(b)

Name, address and zip code

(c)

Aggregate contributions

(d)

Type of contribution

Individual

Payroll

Noncash

(Complete Part II if a

noncash contribution.)

(a)

No.

(b)

Name, address and zip code

(c)

Aggregate contributions

(d)

Type of contribution

Individual

Payroll

Noncash

(Complete Part II if a

noncash contribution.)

(a)

No.

(b)

Name, address and zip code

(c)

Aggregate contributions

(d)

Type of contribution

Individual

Payroll

Noncash

(Complete Part II if a

noncash contribution.)

$

$

$

$

$

Contributors

(a)

No.

(b)

Name, address and zip code

(c)

Aggregate contributions

(d)

Type of contribution

Individual

Payroll

Noncash

(Complete Part II if a

noncash contribution.)

$

Schedule B (Form 990 or 990-EZ) (2000)

Name of organization Employer identification number
Schedule B (Form 990 or 990-EZ)(2000)

Part II

(a) No.

from

Part I

(b)

Description of noncash property given

(c)

FMV (or estimate)

(see instructions)

(d)

Date received

(a) No.

from

Part I

(b)

Description of noncash property given

(c)

FMV (or estimate)

(see instructions)

(d)

Date received

(a) No.

from

Part I

(b)

Description of noncash property given

(c)

FMV (or estimate)

(see instructions)

(d)

Date received

(a) No.

from

Part I

(b)

Description of noncash property given

(c)

FMV (or estimate)

(see instructions)

(d)

Date received

(a) No.

from

Part I

(b)

Description of noncash property given

(c)

FMV (or estimate)

(see instructions)

(d)

Date received

Page _____ to _____ of Part II

$ / /

$ / /

$ / /

$ / /

$ / /

Noncash Property

(a) No.

from

Part I

(b)

Description of noncash property given

(c)

FMV (or estimate)

(see instructions)

(d)

Date received

$ / /

Schedule B (Form 990 or 990-EZ) (2000)

Name of organization Employer identification number
Schedule B (Form 990 or 990-EZ)(2000)

Part II

(a) No.

from

Part I

(b)

Description of noncash property given

(c)

FMV (or estimate)

(see instructions)

(d)

Date received

(a) No.

from

Part I

(b)

Description of noncash property given

(c)

FMV (or estimate)

(see instructions)

(d)

Date received

(a) No.

from

Part I

(b)

Description of noncash property given

(c)

FMV (or estimate)

(see instructions)

(d)

Date received

(a) No.

from

Part I

(b)

Description of noncash property given

(c)

FMV (or estimate)

(see instructions)

(d)

Date received

(a) No.

from

Part I

(b)

Description of noncash property given

(c)

FMV (or estimate)

(see instructions)

(d)

Date received

Page _____ to _____ of Part II

$ / /

$ / /

$ / /

$ / /

$ / /

Noncash Property

(a) No.

from

Part I

(b)

Description of noncash property given

(c)

FMV (or estimate)

(see instructions)

(d)

Date received

$ / /

Schedule B (Form 990 or 990-EZ) (2000)

Name of organization Employer identification number
Schedule B (Form 990 or 990-EZ)(2000)

Part III

(a) No.

from

Part I

(b)

Purpose of gift

(c)

Use of gift

(d)

Description of how gift is held

Section 501(c)(7), (8), or (10) orgs. that received more than $1,000 in charitable gifts during the year—

● Enter the total gifts that were from contributors who gave $1,000 or less during the year for a

religious, charitable, etc., purpose (see instructions)  $

(e)

Transfer of gift

Relationship of transferor to transferee

Page _____ to _____ of Part III

Transferee’s name, address, and zip code

(a) No.

from

Part I

(b)

Purpose of gift

(c)

Use of gift

(d)

Description of how gift is held

(e)

Transfer of gift

Transferee’s name, address, and zip code Relationship of transferor to transferee

(a) No.

from

Part I

(b)

Purpose of gift

(c)

Use of gift

(d)

Description of how gift is held

(e)

Transfer of gift

Transferee’s name, address, and zip code Relationship of transferor to transferee

(a) No.

from

Part I

(b)

Purpose of gift

(c)

Use of gift

(d)

Description of how gift is held

(e)

Transfer of gift

Transferee’s name, address, and zip code Relationship of transferor to transferee

Schedule B (Form 990 or 990-EZ) (2000)

Name of organization Employer identification number
Schedule B (Form 990 or 990-EZ)(2000)

Part III

(a) No.

from

Part I

(b)

Purpose of gift

(c)

Use of gift

(d)

Description of how gift is held

Section 501(c)(7), (8), or (10) orgs. that received more than $1,000 in charitable gifts during the year—

● Enter the total gifts that were from contributors who gave $1,000 or less during the year for a

religious, charitable, etc., purpose (see instructions)  $

(e)

Transfer of gift

Relationship of transferor to transferee

Page _____ to _____ of Part III

Transferee’s name, address, and zip code

(a) No.

from

Part I

(b)

Purpose of gift

(c)

Use of gift

(d)

Description of how gift is held

(e)

Transfer of gift

Transferee’s name, address, and zip code Relationship of transferor to transferee

(a) No.

from

Part I

(b)

Purpose of gift

(c)

Use of gift

(d)

Description of how gift is held

(e)

Transfer of gift

Transferee’s name, address, and zip code Relationship of transferor to transferee

(a) No.

from

Part I

(b)

Purpose of gift

(c)

Use of gift

(d)

Description of how gift is held

(e)

Transfer of gift

Transferee’s name, address, and zip code Relationship of transferor to transferee

Schedule B (Form 990 or 990-EZ) (2000)

Name of organization Employer identification number