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efta-efta01362367DOJ Data Set 10CorrespondenceEFTA Document EFTA01362367
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Form 990-PF (2016)
Part XVI-A
Analysis of Income-Producing Activities
Page 12
Enter gross amounts unless otherwise indicated
1 Program service revenue
a
Unrelated business income
Excluded by section 512, 513, or 514
Related
(e
or) exempt
function income
(See instructions )
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
b
c
d
e
f
g Fees and contracts from government agencies
2 Membership dues and assessments.
.
.
.
3 Interest on savings and temporary cash
investments
.
.
.
.
.
.
.
.
.
.
.
4 Dividends and interest from securities.
.
.
5 Net rental income or (loss) from real estate
a Debt-financed property
b Not debt-financed property
6 Net rental income or (loss) from personal property
7 Other investment income
8 Gain or (loss) from sales of assets other than
inventory
.
•
•
•
•
•
•
•
•
•
•
•
9 Net income or (less) from special events
10 Gross profit or (loss) from sales of inventory
11 Other revenue a
14
54,367
14
21,576
18
58,235
b
c
d
e
12 Subtotal Add columns (b), (d), and (e). .
134,178
13 Total. Add line 12, columns (b), (d), and (e)
rSee worksheet in line 13 instructions to verify calculations )
Relationship of Activities to the Accomplishment of Exempt Purposes
13
134,178
Line No.
V
Explain below how each activity for which income is reported in column (e) of Part XVI-A contnbuted importantly to
the accomplishment of the foundation's exempt purposes (other than by providing funds for such purposes) (See
instructions )
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL
Form 990-PF (2016)
DB-SDNY-0051755
SDNY_GM_00197939
EFTA01362367
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