Free 2008 Form 990 (Schedule K) - Federal


File Size: 357.4 kB
Pages: 2
Date: December 18, 2008
File Format: PDF
State: Federal
Category: Tax Forms
Author: SE:W:CAR:MP
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URL

http://www.irs.gov/pub/irs-pdf/f990sk.pdf

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SCHEDULE K (Form 990)
Department of the Treasury Internal Revenue Service Name of the organization

Supplemental Information on Tax-Exempt Bonds
Attach to Form 990. To be completed by organizations that answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions, explanations, and any additional information on Schedule O (Form 990).

OMB No. 1545-0047

2008
Open to Public Inspection
Employer identification number

Part I

Bond Issues (Required for 2008)
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On behalf of issuer

Yes No Yes No

A B C D E

Part II
1 2 3 4 5 6 7 8 9 10 11 12

Proceeds (Optional for 2008)
A B C D E

Total proceeds of issue Gross proceeds in reserve funds Proceeds in refunding or defeasance escrows Other unspent proceeds Issuance costs from proceeds Working capital expenditures from proceeds Capital expenditures from proceeds Year of substantial completion
Yes No Yes No Yes No Yes No Yes No

Were the bonds issued as part of a current refunding issue? Were the bonds issued as part of an advance refunding issue? Has the final allocation of proceeds been made? Does the organization maintain adequate books and records to support the final allocation of proceeds?

Part III
1

Private Business Use (Optional for 2008)
A B
No Yes No Yes

C
No Yes

D
No Yes

E
No

Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? Are there any lease arrangements with respect to the financed property which may result in private business use?

Yes

2

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2008

Schedule K (Form 990) 2008

Page

2

Part III

Private Business Use (Continued)
A B
No Yes No Yes

C
No Yes

D
No Yes

E
No

3a Are there any management or service contracts with respect to the financed property which may result in private business use? b Are there any research agreements with respect to the financed property which may result in private business use? c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or 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 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 Total of lines 4 and 5 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities?

Yes

%

%

%

%

%

5

6 7

% %

% %

% %

% %

% %

Part IV
1

Arbitrage (Optional for 2008)
A B
No Yes No Yes

C
No Yes

D
No Yes

E
No

Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? Is the bond issue a variable rate issue?

Yes

2

3a Has the organization or the governmental issuer identified a hedge with respect to the bond issue on its books and records? b Name of provider c Term of hedge 4a Were gross proceeds invested in a GIC? b Name of provider c Term of GIC d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? 5 Were any gross proceeds invested beyond an available temporary period? Did the bond issue qualify for an exception to rebate?
Schedule K (Form 990) 2008

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