Schedule A

Schedule A Noncash Contributions Worksheet 2017 Line 17 ► Keep for your records Name(s) Shown on Return Social Security Number Part I Name of Charity and Donation Value 1 Name 2 a Value of charity of contribution Part II Type of Donated Property 3 Check one: Tangible personal property Intangible property a Household items & clothing Stock. Publicly traded Motor vehicle. boat. or airplane Stock, Other than publicly traded Art. Other than self-created k Securities. Other than stock Art. Self-created Intellectual property e Collectibles m Other Business equipment Real property Business inventory n Real property, Conservation property h Other 0 Real property, Other than conservation Part III Additional Information If total noncash contributions are more than $500, complete Part III 4 a Street address of charity b Charity City or Town . . 5 Unique description of donated property State . . ZIP. 6 Date of donation (mm/dd/yyyy or Various) 7 Method used to determine the fair market value . . Part IV Acquisition Information If the value of this contribution is more than $500, complete Part IV Only enter 'various' for date acquired, if the property was held more than one year. 8 Date the donated property was acquired (mm/dd/yyyy) 9 How the donated property was acquired 10 Cost or adjusted basis in the donated property 11 If business equipment, enter accumulated depreciation Part V Deduction 12 Amount claimed as a deduction EFTA01222041 Page 2 Part VI Type of Charitable Organization 13 Check one: ri (a) 50% charity n(b) Other than 50% charity Part VII Charity's Use of Certain Appreciated Property Complete when value is greater than cost. 14 Is the charity's use of property related to its exempt purpose? ►n Yes Q No Check 'No' if the charity sold the donated property. Part VIII Motor vehicle, boat, airplanes 15 a Was a Form 1098-C received? ► b If no, did you receive other written acknowledgment? ► c Vehicle Identification Number ir• Yes Yes No No Part IX Additional Information for Contributions of Property More than $5,000 Complete Part IX for a contribution of property that has a value of more than $5,000. Generally, you must have a written appraisal for these contributions. 16 Was an appraisal required for this property? 17 Appraiser Information: a Date of Appraisal b Appraiser Title c Appraiser Identifying Number d Appraiser Business Address (including room or suite number) in Yes ni No e Appraiser City or Town State ZIP Code 18 Charity Information: a Charity Date of Receipt of Gift b Charity Representative Title c Charity Identifying Number d Charity Street Address (including room or suite number) • Charity City or Town State ZIP Code 19 Other Information: a If a group of items were donated, describe any items which were appraised at $500 or less b For tangible property, give a brief summary of its overall physical condition on the date it was donated c For stock and securities (checkboxes 31-3j), enter average trading price d For bargain sales, enter the amount received Part X Partial Interest Donations If entire interest in the property was not donated, complete Part X. Complete Part X for a contribution of property that has a value of $5,000 or less and for publicly traded stock donations. 20 Was the entire Interest donated for this property? In Yes In No If no, complete line 21 21 Partial interest donation information: a Amount claimed as a deduction on 2017 tax return b Deduction claimed for this property on prior years' tax returns c Location of tangible property donated d Name of the person, other than the charity on line 1, who has possession of the donated property Complete lines 21e through 21g only if different from the charity on line 1: d If a partial interest in this property was donated to a different charity in a prior year, enter the name of the charity • • • • f Street address of prior charity g City of prior charity State ZIP Code EFTA01222042 Page 3 Part XI Restricted Use Property If restrictions were attached to the charity's right to use or dispose of the property. then complete Part XI. 22 Were restrictions attached to the charity's right to use or dispose of this property? ▪ Yes No If yes, complete line 23. 23 Restriction information: a Describe the restriction: b Did you give to anyone other than the charity on line 1 the right to income from the donated property or to possession of the donated property? ►Q Yes [T] No c If you checked Yes on line 23b, describe the right to income: d Were restrictions attached limiting the donated property to a specific use? ►0 Yes n No e If you checked Yes on line 23d, describe the use limitation: EFTA01222043