Schedule K (Form 990) - Supplemental Information On Tax-Exempt Bonds - 2015
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4SCHEDULE K
OMB No. 1545-0047
Supplemental Information on Tax-Exempt Bonds
(Form 990)
2015
Complete if the organization answered “Yes” on Form 990, Part IV, line 24a. Provide descriptions,
▶
explanations, and any additional information in Part VI.
Open to Public
Attach to Form 990.
▶
Department of the Treasury
Inspection
Information about Schedule K (Form 990) and its instructions is at
Internal Revenue Service
▶
Employer identification number
Name of the organization
Part I
Bond Issues
(h) On
(i) Pooled
(a) Issuer name
(b) Issuer EIN
(c) CUSIP #
(d) Date issued
(e) Issue price
(f) Description of purpose
(g) Defeased
behalf of
financing
issuer
Yes No Yes No Yes No
A
B
C
D
Part II
Proceeds
A
B
C
D
1
Amount of bonds retired .
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2
Amount of bonds legally defeased
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3
Total proceeds of issue .
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4
Gross proceeds in reserve funds .
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5
Capitalized interest from proceeds
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6
Proceeds in refunding escrows .
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7
Issuance costs from proceeds .
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8
Credit enhancement from proceeds .
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9
Working capital expenditures from proceeds .
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10
Capital expenditures from proceeds .
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11
Other spent proceeds .
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12
Other unspent proceeds .
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13
Year of substantial completion .
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Yes
No
Yes
No
Yes
No
Yes
No
14
Were the bonds issued as part of a current refunding issue? .
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15
Were the bonds issued as part of an advance refunding issue? .
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16
Has the final allocation of proceeds been made? .
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17
Does the organization maintain adequate books and records to support the
final allocation of proceeds?
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Part III
Private Business Use
A
B
C
D
1
Was the organization a partner in a partnership, or a member of an LLC,
Yes
No
Yes
No
Yes
No
Yes
No
which owned property financed by tax-exempt bonds? .
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2
Are there any lease arrangements that may result in private business use of
bond-financed property? .
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For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2015
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