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                                                                                                                                                                                  OMB No. 1545-0047
SCHEDULE N                             Liquidation, Termination, Dissolution, or Significant Disposition of Assets
                                       ▶
(Form 990)                                Complete if the organization answered “Yes” on Form 990, Part IV, lines 31 or 32, or Form 990-EZ, line 36.  
                                       ▶  Attach certified copies of any articles of dissolution, resolutions, or plans.                                                          2021
                                       ▶
Department of the Treasury                Attach to Form 990 or Form 990-EZ.                                                                                                      Open to Public 
Internal Revenue Service               ▶  Go to www.irs.gov/Form990 for the latest information.                                                                                   Inspection
Name of the organization                                                                                                                                Employer identification number

Part I Liquidation, Termination, or Dissolution. Complete this part if the organization answered “Yes” on Form 990, Part IV, line 31, or Form 990-EZ, line 36. 
       Part I can be duplicated if additional space is needed.
1          (a) Description of asset(s)          (b) Date of  (c) Fair market value of   (d) Method of           (e) EIN of recipient        (f) Name and address of recipient     (g) IRC section of 
           distributed or transaction           distribution asset(s) distributed or  determining FMV for                                                                         recipient(s) (if 
               expenses paid                                 amount of transaction    asset(s) distributed or                                                                     tax-exempt) or type 
                                                                    expenses          transaction expenses                                                                            of entity

                                                                                                                                                                                        Yes No
2    Did or will any officer, director, trustee, or key employee of the organization:
a    Become a director or trustee of a successor or transferee organization?  .       . .   .   . .   .       . . .       . . . .    .    . .   . . . . . . . .               . .     2a
b    Become an employee of, or independent contractor for, a successor or transferee organization?  .             .       . . . .    .    . .   . . . . . . . .               . .     2b
c    Become a direct or indirect owner of a successor or transferee organization?  .        .   . .   .       . . .       . . . .    .    . .   . . . . . . . .               . .     2c
d    Receive, or become entitled to, compensation or other similar payments as a result of the organization’s liquidation, termination, or dissolution?  .                    . .     2d
e    If the organization answered “Yes” to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III.  ▶
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.                                          Cat. No. 50087Z                                     Schedule N (Form 990) 2021



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Schedule N (Form 990) 2021                                                                                                                                                                              Page  2
Part I  Liquidation, Termination, or Dissolution (continued)
   Note: If  the  organization  distributed  all  of  its  assets  during  the  tax  year,  then  Form  990,  Part  X,  column  (B),  line  16  (Total  assets),  and  line  26 
                                                                                                                                                                                                 Yes No
   (Total liabilities), should equal -0-.
3  Did the organization distribute its assets in accordance with its governing instrument(s)? If “No,” describe in Part III .        . .   . . . . . .     . .           . .                   3
4a Is the organization required to notify the attorney general or other appropriate state official of its intent to dissolve, liquidate, or terminate?  .  . .           . .                   4a
b  If “Yes,” did the organization provide such notice?  . . . . .    . .          . . .   . . .     .       . . . . . . .          . . .   . . . . . .     . .           . .                   4b
5  Did the organization discharge or pay all of its liabilities in accordance with state laws?  .   .       . . . . . . .          . . .   . . . . . .     . .           . .                   5
6a Did the organization have any tax-exempt bonds outstanding during the year?  .         . . .     .       . . . . . . .          . . .   . . . . . .     . .           . .                   6a
b  If “Yes” to line 6a, did the organization discharge or defease all of its tax-exempt bond liabilities during the tax year in accordance with the Internal Revenue Code and state laws?      6b
c  If “Yes” on line 6b, describe in Part III how the organization defeased or otherwise settled these liabilities. If “No” on line 6b, explain in Part III.
Part II Sale, Exchange, Disposition, or Other Transfer of More Than 25% of the Organization’s Assets. Complete this part if the organization answered 
        “Yes” on Form 990, Part IV, line 32, or Form 990-EZ, line 36. Part II can be duplicated if additional space is needed.
1       (a) Description of asset(s)      (b) Date of  (c) Fair market value of        (d) Method of           (e) EIN of recipient     (f) Name and address of recipient                   (g) IRC section of 
        distributed or transaction       distribution     asset(s) distributed or   determining FMV for                                                                                    recipient(s) (if 
            expenses paid                                 amount of transaction     asset(s) distributed or                                                                  tax-exempt) or type 
                                                            expenses                transaction expenses                                                                                       of entity

                                                                                                                                                                                                 Yes No
2  Did or will any officer, director, trustee, or key employee of the organization:
a  Become a director or trustee of a successor or transferee organization?  .       . .   . . .     .       . . . . . . .          . . .   . . . . . .     . .           . .                   2a
b  Become an employee of, or independent contractor for, a successor or transferee organization?  .             . . . . .          . . .   . . . . . .     . .           . .                   2b
c  Become a direct or indirect owner of a successor or transferee organization?  .        . . .     .       . . . . . . .          . . .   . . . . . .     . .           . .                   2c
d  Receive, or become entitled to, compensation or other similar payments as a result of the organization’s significant disposition of assets?  .          . .           . .                   2d
e  If the organization answered “Yes” to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III .                  ▶
                                                                                                                                                                         Schedule N (Form 990) 2021



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Schedule N (Form 990) 2021                                                                                        Page 3
Part III Supplemental Information. Provide the information required by Part I, lines 2e and 6c, and Part II, line 2e. 
         Also complete this part to provide any additional information.

                                                                                                Schedule N (Form 990) 2021



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Schedule N (Form 990) 2021                                                                                                                         Page 4
General Instructions                                           An organization must support any       limited liability companies (LLCs). Report 
                                                               claim to have liquidated,              “individual” if the recipient isn’t an entity.
Section references are to the Internal Revenue                 terminated, dissolved, or merged       Line 2. Report whether any officer, director, 
Code unless otherwise noted.                       !
                                                   CAUTION     by attaching a certified copy of its   trustee,  orkey employee    listed in Form 990, 
Future developments. For the latest                            articles of dissolution or merger.     Part VII, Section A, is (or is expected to 
information about developments related to          If a certified copy of its articles of dissolution become) involved in a successor or transferee 
Schedule N (Form 990), such as legislation         or merger isn’t available, the organization may    organization by governing, controlling, or 
enacted after the schedule and its instructions    submit resolutions of its governing board          having a financial interest in that organization. 
were published, go to www.IRS.gov/Form990.         approving dissolution or merger, and/or plans      “Having a financial interest” includes  
Note: Terms in bold are defined in the             of liquidation or merger approved by its           receiving payments from a successor or 
Glossary of the Instructions for Form 990.         governing board. An organization filing            transferee organization as an employee, 
                                                   Schedule N shouldn’t report its liquidation,       independent contractor, or in any other 
Purpose of Schedule                                termination, or dissolution in a letter to IRS     capacity. 
                                                   Exempt Organizations, Determinations (“EO 
Schedule N (Form 990) is used by an                Determinations”). EO Determinations no             Line 2a. Check “Yes” if any officer, director, 
organization that files Form 990 or Form 990-      longer issues letters confirming that the          trustee, or key employee listed in Form 990, 
EZ to report going out of existence or             organization’s tax-exempt status was               Part VII, Section A, is (or is expected to 
disposing of more than 25% of its net assets       terminated upon its liquidation, termination, or   become) a director or trustee of a successor 
through sale, exchange, or other disposition.      dissolution.                                       or transferee organization.
   An organization that completely liquidated,     Line 1. List assets transferred in the             Line 2b. Check “Yes” if any officer, 
terminated, or dissolved and ceased                liquidation, termination, dissolution, or          director, trustee, or key employee listed in 
operations during the tax year must complete       merger.                                            Form 990, Part VII, Section A, is (or is 
Part I. An organization that was still in the                                                         expected to become) an employee of, or 
process of winding up its affairs at the end of    If there are more transactions to report in        independent contractor for, a successor or 
the tax year, but hadn’t completely liquidated,    Part I than space available, Part I can be         transferee organization.
terminated, or dissolved and ceased                duplicated to report the additional 
operations, shouldn’t complete Part I, but         transactions.                                      Line 2c. Check “Yes” if any officer, director, 
                                                                                                      trustee, or key employee listed on Form 990, 
may need to complete Part II. An organization      Column (a). Assets should be aggregated            Part VII, Section A, is (or is expected to 
that has made a significant disposition of         into categories and should be sufficiently         become) an owner, whether direct or indirect, 
net assets must complete Part II. For an           described. Separately list related transaction     in a successor or transferee organization.
organization filing Form 990-EZ, see the           expenses of at least $10,000. A transaction 
Instructions for Form 990-EZ, line 36, for Part    expense consists of a payment to a                 Line 2d.Check “Yes” if any officer,       director, 
II reporting requirements. An organization that    professional or other third party for services     trustee, or key employee listed on  Form 990, 
has terminated its operations and has no           rendered to assist in the transaction or in the    Part VII, Section A, has received or   is expected 
plans for future activities must complete only     winding down of the organization’s activities,     to receive “compensation or other      similar 
Part I and not Part II of this schedule.           such as attorney or accountant fees.               payment” as a result of the liquidation, 
   If there are more transactions to report in     Brokerage fees shouldn’t be included as            termination, or dissolution of the organization, 
Parts I and II than space available, those parts   transaction expenses in column (a), but            whether paid by the organization or a 
can be duplicated to report the additional         should be included in the fair market value        successor or transferee organization. For this 
transactions. Use Part III to report additional    (FMV) amount in column (c).                        purpose, “compensation or other similar 
                                                                                                      payment” includes a severance payment, a 
narrative information. See Part III instructions   Column (b). Enter the date the assets were         “change in control” payment, or any other 
later.                                             distributed or the date when the transaction       payment that wouldn’t have been made to        the 
                                                   expense was paid.                                  individual if the dissolution, liquidation, or 
Who Must File                                      Column (c). Enter the FMV   of the asset           termination of the organization hadn’t    occurred.
Any organization that answered “Yes” to Form       distributed or the amount of transaction           Line 2e. If the organization checked “Yes” 
990, Part IV,Checklist of Required Schedules,      expense paid.                                      to any of the other questions on lines 2a 
line 31 or 32, or Form 990-EZ, line 36, must       Column (d). Enter the method of valuation          through 2d, provide the name of the person 
complete and attach Schedule N to Form 990         for the asset being distributed. Methods of        involved, and explain in Part III the nature of 
or Form 990-EZ, as applicable.                     valuation include appraisals, comparables,         the listed person’s relationship with the 
   If an organization isn’t required to file Form  book value, actual cost (with or without           successor or transferee organization and the 
990 or Form 990-EZ but chooses to do so, it        depreciation), and outstanding offers (among       type of benefit received or to be received by 
must file a complete return and provide all of     other methods). For transaction expenses,          the person.
the information requested, including the           provide the method for determining the             Line 3. Check “Yes” if the organization’s 
required schedules.                                amount of the expense, such as an hourly rate      assets were distributed in accordance with its 
                                                   or fixed fee.                                      governing instrument.
Specific Instructions                              Columns (e) and (f). Enter the EIN, name,          Line 4a. Check “Yes” if the organization is 
                                                   and address of each recipient of assets            required to notify a state attorney general or 
Part I. Liquidation, Termination, or               distributed or transaction expenses paid.          other appropriate state official of the 
Dissolution                                        Don’t enter social security numbers of             organization’s intent to dissolve, liquidate, or 
                                                   individual recipients. For membership              terminate.
If the organization answered “Yes” to Form         organizations that transfer assets to individual 
990, Part IV, line 31, it must complete Part I. If members, the names of individual members           Line 4b. Check “Yes” if the organization 
the organization answered “Yes” to Form            needn’t be reported. Rather, the members           provided the notice described in line 4a.
990-EZ, line 36, because it fully liquidated,      may be aggregated into specific classes of         Line 5. Check “Yes” if the organization 
dissolved, or terminated during the tax year, it   membership, or they may be aggregated into         discharged or paid all of its liabilities in 
must complete Part I. An organization must         one group, if there is only one class of           accordance with state law.
answer “Yes” to either of these lines if it has    membership.                                        Line 6a. Check “Yes” and complete line 6b if 
ceased operations and has no plans to              Column (g).Enter the section of the       Internal the organization had any tax-exempt bonds 
continue any activities or operations in the       Revenue Code under which the      transferee       outstanding during the year.
future. This includes an organization that has     organization is tax-exempt (for instance, section  Line 6b. Check “Yes” and complete line 6c if 
dissolved, liquidated, terminated, or merged       501(c)(3) or 501(c)(4)), if it is exempt. For      the organization discharged or defeased all of 
into a successor organization.                     recipients that aren’t tax-exempt under a          its tax-exempt bond liabilities during the tax 
                                                   particular section of the Code, enter the type of  year. Leave line 6b blank if the answer to 
                                                   entity. Examples of types of entities are          line 6a is “No.”
                                                   government   agencies orgovernmental units,or 



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Schedule N (Form 990) 2021                                                                                                              Page 5
Line 6c. If the organization checked “Yes” on   2. One of a series of related dispositions or   • Asset sales made in the ordinary course of 
line 6b, explain in Part III how the bond       events commenced in a prior year that, when     the organization’s exempt activities to 
liabilities were discharged, defeased, or       combined, comprise more than 25% of the         accomplish the organization’s exempt 
otherwise settled during the year. Also         FMV of the organization’s net assets as of the  purposes; for instance, gross sales of 
provide an explanation if any bond liabilities  beginning of the tax year when the first        inventory.
were discharged, defeased, or otherwise         disposition in the series was made. Whether a   • Grants or other assistance made in the 
settled other than in accordance with the       significant disposition occurred through a      ordinary course of the organization’s exempt 
Code or applicable state law, or if the         series of related dispositions or events        activities to accomplish the organization’s 
organization did not discharge or defease any   depends on the facts and circumstances in       exempt purposes; for instance, the regular 
of its bond liabilities. If the organization    each case.                                      charitable distributions of a United Way or 
avoided the need for a defeasance of bonds,     A significant disposition of net assets may     other federated fundraising organization.
such as through the transfer of assets to       result from either an expansion or a            • A decrease in the value of net assets due to 
another section 501(c)(3) organization, provide contraction of operations. Examples of the      market fluctuation in the value of assets held 
the name of the transferees of such assets,     types of transactions required to be reported   by the organization.
the CUSIP number of the bond issue, and a       in Part II as significant dispositions of net 
description of the terms of such arrangements   assets include the following.                   • Transfers to a disregarded entity of which 
in Part III.                                                                                    the organization is the sole member.
                                                • Taxable or tax-free sales or exchanges of 
             An organization that completes     exempt assets for cash or other consideration     For purposes of Schedule N, “net assets” 
             Part I doesn’t complete Part II.   (such as a social club described in section     means total assets less total liabilities. The 
TIP                                             501(c)(7) selling land or assets it had used to determination of a significant disposition of 
                                                further its exempt purposes).                   net assets is made by reference to the FMV of 
                                                                                                the organization’s net assets at the beginning 
Part II. Sale, Exchange,                        • Sales, contributions, or other transfers of   of the tax year (in the case of a series of 
Disposition, or Other Transfer of               assets to establish or maintain a partnership,  related dispositions that commenced in a 
                                                joint venture, or corporation (for-profit or    prior year, at the beginning of the tax year 
More Than 25% of the                            nonprofit) regardless of whether such sales or  during which the first disposition was made).
Organization’s Assets                           transfers are governed by section 721 or 
If an organization answered “Yes” to Form       section 351, and whether or not the transferor  Line 1. Refer to the instructions for Part I, line 
990, Part IV, line 32 or Form 990-EZ, line 36,  receives an ownership interest in exchange      1, columns (a)–(g), earlier.
because it made a significant disposition of    for the transfer.                                 If there are more transactions to report in 
net assets during the tax year, it must         • Sales of assets by a partnership or joint     Part II than space available, Part II can be 
complete Part II. A significant disposition of  venture in which the organization has an        duplicated to report the additional 
the organization’s net assets includes a sale,  ownership interest.                             transactions.
exchange, disposition, or other transfer of     • Transfers of assets pursuant to a             Line 2. Refer to the instructions for Part I, line 
more than 25% of the FMV of its net assets      reorganization in which the organization is a   2, earlier.
during the tax year, regardless of whether the  surviving entity.                               Part III. Supplemental Information
organization received full and adequate 
consideration. A significant disposition of net The following types of situations aren’t 
assets involves:                                required to be reported in Part II.             Use Part III to provide the narrative 
                                                                                                information required in Part I, lines 2e, 3, and 
1. One or more dispositions during the          • The change in composition of publicly         6c, and Part II, line 2e. Also use Part III to 
organization’s tax year amounting to more       traded securities held in an exempt             provide additional narrative explanations and 
than 25% of the FMV of the organization’s net   organization’s passive investment portfolio.    descriptions as necessary to support or 
assets as of the beginning of its tax year; or                                                  supplement any responses in Part I or II. 
                                                                                                Identify the specific part and line(s) that the 
                                                                                                response supports. Part III may be duplicated 
                                                                                                if more space is needed.






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