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Form 990 (2013) CABARRUS COUNTY TOURISM AUTHORITY 26-2726341 Pane5 <br />Part V Statements Regarding Other IRS Filings and Tax Compliance <br />Check if Schedule 0 contains a response or note to any line in this Part V <br />Yes <br />No <br />is Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ................................. la 3 <br />b Enter the number of Forms W-2G included in line 1 a. Enter -0- if not applicable ...................... lb 0 <br />c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming <br />(gambling) winnings to prize winners? .... ........................... ........... .................. -------- _ ................................ _ .................... <br />10 <br />2a Enter the number of employees reported on Form W3, Transmittal of Wage and Tax Statements, <br />I <br />filed for the calendar year ending with or within the year covered by this return .............................. 2a 23 <br />b If at least one is reported on line 2a, did the organization file all required federal employment tax returns?., ... ........ <br />2b <br />X <br />Note. It the sum of lines 1 a and 2a is greater than 250, you may be required to e-file (see instructions) .................... <br />3a Did the organization have unrelated business gross income of $1,000 or more during the year? ................................. <br />33 <br />X <br />3b <br />b If "Yes," has it filed a Form 990-T for this year? If "No," to line 3b, provide an explanation in Schedule 0 ­­ .................... <br />4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a <br />financial account in a foreign country (such as a bank account, securities account, or other financial account)? ................... <br />4a; <br />X <br />b If "Yes," enter the name of the foreign country: Illi- <br />See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts, <br />5a Was the organization a party to a prohibited tax shelter transaction at anytime during the tax year? ...... ........ .. ........ <br />5a <br />X <br />5b <br />X <br />b Did any taxable party notify the organization that A was or is a party to a prohibited tax shelter transaction? ......... ...... .... _ .... <br />ISO <br />a If "Yes," to line 5a or 5b, did the organization file Form 8886•T? ', 4­1 - ­ I ...... "I" ........................ * ......... ­ ...... * ......... * ...... ...... <br />6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit <br />any contributions that were not tax deductible as charitable contributions? ....... .......... ­­ ............................................ <br />63 <br />X <br />b If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts <br />were not tax deductible? . . . <br />. ....... .. . .. .. . ..... ...... . . ... . ...... .... .......... <br />. . . . . . . . .. ............................................................... <br />6b <br />7 Organizations that may receive deductible. <br />contributions ion <br />unde sect 170(0), <br />a Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? <br />7a <br />7b <br />b If "Yes." did the organization notify the donor of the value of the goods or services provided? ...... ...... <br />c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required <br />to file Form 0282? ... ........ ........... - .............. _,__ ....... ....................... .... ___ ................................. i .................. <br />7c <br />d If "Yes," indicate the number of Forms 8282 filed during t In a year .............. ................. ............... I 7d I <br />e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? .................. <br />7e <br />7f <br />f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ............. _•._ „,.... <br />7a <br />g If the organization received a contribution of qualified intellectual property, did the organization file Form 6899 as required?... <br />7h <br />h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? <br />8 Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting <br />organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year? <br />a <br />9 Sponsoring organizations maintaining donor advised funds. <br />a Did the organization make any taxable distributions under section 4966? .,..,,.• ........ _ ....... ............................ <br />9a <br />9b <br />b Did the organization make a distribution to a donor, donor advisor, or related person? ....... ____ ....... ...... ................ <br />10 Section 501(c)(7) organizations. Enter: <br />a Initiation fees and capital contributions included on Part VIII, line 12 ............................................. 10a <br />b Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities .......... I 10b <br />11 Section 501(c)(12) organizations. Enter: <br />a Gross income from members or shareholders 11a <br />b Gross Income from other sources (Do not not amounts due or paid to other sources against <br />amounts due or received from them.) .......................................................................................... 11b <br />12a Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? <br />12a <br />b It "Yes,” enter the amount of tax-exempt interest received or accrued during the year ............ I 12b <br />13 Section 501(c)(29) qualified nonprofit health insurance issuers. <br />130 <br />a Is the organization licensed to issue qualified health plans in more than one state? .................................... * ...... ................... <br />Note. See the instructions for additional information the organization must report on Schedule 0. <br />b Enter the amount of reserves the organization is required to maintain by the states in which the <br />organization is licensed to issue qualified health plans ... ................................ . ................ .. 1b <br />c Enter the amount of reserves on hand 13c <br />14a <br />X <br />14a Did the organization receive any payments for indoor tanning services during the tax year? ................... ......................... <br />14b <br />b If "Yes." has it filed a Form 720 to report these Davments? It *No.' provide an exo1anation in Schedule 0 ------------ _ ---------------- <br />Form 990 (2013) <br />332005 <br />10-29-12 <br />Attachment number 2 <br />1-1 Page 409 <br />