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SCHEDULE O                  Supplemental Information to Form 990 or 990-EZ                         OMB No. 1545-0047
(Form 990)                  Complete to provide information for responses to specific questions on 
                            Form 990 or 990-EZ or to provide any additional information.                                    2021
                                   ▶
Department of the Treasury            Attach to Form 990 or Form 990-EZ.                           Open to Public 
Internal Revenue Service      ▶ Go towww.irs.gov/Form990 for the latest information                                       . Inspection
Name of the organization                                                                 Employer identification number 

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Cat. No. 51056K   Schedule O (Form 990) 2021



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Schedule O (Form 990) 2021                                Page  2 
Name of the organization   Employer identification number 

                           Schedule O (Form 990) 2021



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Schedule O (Form 990) 2021                                                                                                        Page  3 
General Instructions                          Form 990, Parts III, V, VI, VII, IX, XI, and  6. Explanation for Part IX, Statement of 
                                              XII. Use Schedule O (Form 990) to provide     Functional Expenses, line 24e (all other 
Section references are to the Internal        any narrative information required for the    expenses), including the type and amount 
Revenue Code unless otherwise noted.          following questions in the Form 990.          of each expense included in line 24e, if the 
Future developments. For the latest           1. Part III, Statement of Program Service     amount on line 24e exceeds 10% of the 
information about developments related to     Accomplishments.                              amount in Part IX, line 25 (total functional 
Schedule O (Form 990), such as legislation                                                  expenses).
enacted after the schedule and its               a. “Yes” response to line 2. 
                                                                                            7. Part XI, Reconciliation of Net Assets. 
instructions were published, go to               b. “Yes” response to line 3.               Explain any other changes in net assets or 
www.irs.gov/Form990.                             c. Other program services on line 4d.      fund balances reported on line 9.
Purpose of Schedule                           2. Part V, Statements Regarding Other         8. Part XII, Financial Statements and  
An organization should use Schedule O         IRS Filings and Tax Compliance.               Reporting. 
(Form 990), rather than separate                 a. “No” response to line 3b.                  a. Change in accounting method or  
                                                                                            description of other accounting method  
attachments, to provide the IRS with             b. “Yes” or “No” response to line 13a.     used on line 1. 
narrative information required for  
responses to specific questions on Form          c. “No” response to line 14b.                 b. Change in committee oversight  
990 or 990-EZ, and to explain the             3. Part VI, Governance, Management,           review from prior year on line 2c. 
organization’s operations or responses to     and Disclosure.                                  c. “No” response to line 3b. 
various questions. It allows organizations 
to supplement information reported on            a. Material differences in voting rights   Form 990-EZ, Parts I, II, III, and V. Use 
Form 990 or 990-EZ.                           among members of the governing body in        Schedule O (Form 990) to provide any 
                                              line 1a. 
Don’t use Schedule O to supplement                                                          narrative information required for the 
responses to questions in other schedules        b. Delegation of governing board’s         following questions.
of the Form 990 or 990-EZ. Each of the        authority to executive committee in line 1a.  1. Part I, Revenue, Expenses, and 
other schedules includes a separate part         c. “Yes” responses to lines 2 through      Changes in Net Assets or Fund Balances.
for supplemental information.                 7b.                                              a. Description of other revenue, in 
Who Must File                                    d. “No” responses to lines 8a, 8b, and     response to line 8.
                                              10b. 
All organizations that file Form 990 and                                                       b. List of grants and similar amounts 
certain organizations that file Form 990-EZ      e. “Yes” response to line 9.               paid, in response to line 10.
must file Schedule O (Form 990). At a            f. Description of process for review of       c. Description of other expenses, in 
minimum, the schedule must be used to         Form 990, if any, in response to line 11b.    response to line 16.
answer Form 990, Part VI, lines 11b and                                                        d. Explanation of other changes in net 
19. If an organization isn’t required to file    g. “Yes” response to line 12c. 
                                                                                            assets or fund balances, in response to line 
Form 990 or 990-EZ but chooses to do so,         h. Description of process for              20.
it must file a complete return and provide    determining compensation, in response to 
all of the information requested, including   lines 15a and 15b.                            2. Part II, Balance Sheets.
the required schedules.                          i. If applicable, in response to line 18,     a. Description of other assets, in 
                                              an explanation as to why the organization     response to line 24.
Specific Instructions                         checked the Other box or didn’t make any         b. Description of total liabilities, in 
Use as many continuation sheets of            of Forms 1023, 1024, 1024-A, 990, or          response to line 26.
Schedule O (Form 990) as needed.              990-T publicly available. 
                                                                                            3. Description of other program services, 
Complete the required information on             j. Description of public disclosure of     in response to Part III, Statement of 
the appropriate line of Form 990 or 990-EZ    documents, in response to line 19.            Program Service Accomplishments, line 31.
prior to using Schedule O (Form 990).         4. Part VII, Compensation of Officers,        4. Part V, Other Information.
Identify clearly the specific part and        Directors, Trustees, Key Employees,  
line(s) of Form 990 or 990-EZ to which        Highest Compensated Employees, and               a. “Yes” response to line 33.
each response relates. Follow the part and    Independent Contractors.                         b. “Yes” response to line 34.
line sequence of Form 990 or 990-EZ.             a. Explain if reporting of compensation       c. Explanation of why organization 
Late return. If the return isn’t filed by the paid by a related organization is provided    didn’t report unrelated business gross 
due date (including any extension             only for the period during which the related  income of $1,000 or more to the IRS on 
granted), attach a separate statement         organization was related, not the entire      Form 990-T, in response to line 35b.
giving the reasons for not filing on time.    calendar year ending with or within the tax 
Don’t use this schedule to provide the        year, and state the period during which the      d. “No” response to line 44d.
late-filing statement.                        related organization was related.             Other. Use Schedule O (Form 990) to 
Amended return. If the organization              b. Description of reasonable efforts       provide narrative explanations and 
checked the Amended return box on Form        undertaken to obtain information on           descriptions in response to other specific 
990, Heading, item B, or Form 990-EZ,         compensation paid by related                  questions. The narrative provided should 
Heading, item B, use Schedule O (Form         organizations, if the organization is unable  refer and relate to a particular line and 
990) to list each part or schedule and line   to obtain such information to report in       response on the form. 
item of the Form 990 or 990-EZ that was       column (E).                                              Don’t include on Schedule O 
amended.                                      5. Explanation for Part IX, Statement of                 (Form 990) any social security 
Group return. If the organization             Functional Expenses, line 11g (other fees     !         number(s), because this 
answered “Yes” to Form 990, line H(a), but    for services), including the type and         CAUTION    schedule will be made available 
“No” to line H(b), use a separate             amount of each expense included in line       for public inspection. 
attachment to list the name, address, and     11g, if the amount in Part IX, line 11g, 
EIN of each affiliated organization included  exceeds 10% of the amount in Part IX, line 
in the group return. Don’t use this           25 (total functional expenses).
schedule. See the instructions for Form 
990, I. Group Return. 






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