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pdfSCHEDULE R
(Form 990)
▶
Department of the Treasury
Internal Revenue Service
OMB No. 1545-0047
Related Organizations and Unrelated Partnerships
2021
Complete if the organization answered “Yes” on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
▶ Attach to Form 990.
▶ Go to www.irs.gov/Form990 for instructions and the latest information.
Open to Public
Inspection
Employer identification number
Name of the organization
Part I
Identification of Disregarded Entities. Complete if the organization answered “Yes” on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
(1)
(2)
(3)
(4)
(5)
(6)
Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered “Yes” on Form 990, Part IV, line 34, because it had
one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13)
controlled
entity?
Yes
No
(1)
(2)
(3)
(4)
(5)
(6)
(7)
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Page 2
Schedule R (Form 990) 2021
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered “Yes” on Form 990, Part IV, line 34,
because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or
foreign
country)
(d)
Direct controlling
entity
(e)
Predominant
income (related,
unrelated,
excluded from
tax under
sections 512—514)
(f)
Share of total
income
(g)
(h)
(i)
Share of end-of- Disproportionate
Code V—UBI
year assets
allocations? amount in box 20
of Schedule K-1
(Form 1065)
Yes
No
(j)
General or
managing
partner?
Yes
(k)
Percentage
ownership
No
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered “Yes” on Form 990, Part IV,
line 34, because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile
(state or foreign country)
(d)
Direct controlling
entity
(e)
(f)
Type of entity
Share of total
(C corp, S corp, or trust)
income
(i)
(g)
(h)
Share of
Percentage Section 512(b)(13)
controlled
end-of-year assets ownership
entity?
Yes
No
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Schedule R (Form 990) 2021
Page 3
Schedule R (Form 990) 2021
Part V
Transactions With Related Organizations. Complete if the organization answered “Yes” on Form 990, Part IV, line 34, 35b, or 36.
Note: Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
1
During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II–IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . .
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c Gift, grant, or capital contribution from related organization(s)
. . . . . . . . . . . . . . . . . . . . . . . . . . .
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f
g
h
i
j
Dividends from related organization(s) . . . . . . . . . . .
Sale of assets to related organization(s) . . . . . . . . . . .
Purchase of assets from related organization(s) . . . . . . . .
Exchange of assets with related organization(s) . . . . . . . .
Lease of facilities, equipment, or other assets to related organization(s)
k
l
m
n
o
Lease of facilities, equipment, or other assets from related organization(s) . . . . . .
Performance of services or membership or fundraising solicitations for related organization(s)
Performance of services or membership or fundraising solicitations by related organization(s)
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . .
Sharing of paid employees with related organization(s) . . . . . . . . . . . . .
p Reimbursement paid to related organization(s) for expenses .
q Reimbursement paid by related organization(s) for expenses .
r
s
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Yes
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1a
1b
1c
1d
1e
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1f
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1i
1j
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1k
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1n
1o
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1p
1q
No
Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
If the answer to any of the above is “Yes,” see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a—s)
(c)
Amount involved
(d)
Method of determining amount involved
(1)
(2)
(3)
(4)
(5)
(6)
Schedule R (Form 990) 2021
Page 4
Schedule R (Form 990) 2021
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered “Yes” on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets
or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
(d)
(e)
Legal domicile
Predominant
Are all partners
(state or foreign
income (related,
section
country)
unrelated, excluded 501(c)(3)
organizations?
from tax under
sections 512—514)
Yes
No
(f)
Share of
total income
(g)
Share of
end-of-year
assets
(h)
(i)
Code V—UBI
Disproportionate
allocations? amount in box 20
of Schedule K-1
(Form 1065)
Yes
No
(j)
General or
managing
partner?
Yes
(k)
Percentage
ownership
No
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
Schedule R (Form 990) 2021
Page 5
Schedule R (Form 990) 2021
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Schedule R (Form 990) 2021
File Type | application/pdf |
File Title | 2021 Schedule R (Form 990) |
Subject | Fillable |
Author | SE:W:CAR:MP |
File Modified | 2021-11-16 |
File Created | 2021-11-16 |