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Form 990 2011 CABARRUS COUNTY TOURISM AUTHORITY 26- 2726341 Page 5 <br />#< Statements Regarding Other IRS Filings and Tax Compliance <br />Check if Schedule O contains a response to any question in this Part V <br />Yes <br />No <br />1a Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable -- -- --- --- --- -------- --- ---- - ---- 1a 3 <br />: .. <br />b Enter the number of Forms W -2G included in line 1 a. Enter -0- if not applicable „ - „ ... lb <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 />1c <br />2a Enter the number of employees reported on Form W -3, Transmittal of Wage and Tax Statements, <br />filed for the calendar year ending with or within the year covered by this return ......... ......_ ....... .. .... 2a 25 <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. If the sum of lines 1a 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 />3a <br />X <br />31b <br />b If "Yes,” has it filed a Form 990 -T for this year? If "No,” provide an explanation in Schedule O .............. ....... ........................ <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: <br />See instructions for filing requirements for Form TD F 90.22.1 Report of Foreign Bank and Financial Accounts. <br />9 q P 9 <br />...... <br />5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..... ............................... <br />5a <br />X <br />5b <br />X <br />b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?.. .... .................... <br />5c <br />c If "Yes," to line 5a or 5b, did the organization file Form 8886 -T? ........................................................... ............................... <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? ... ... .............................................. .............. .... - .................... ................ .... <br />6a <br />X <br />b If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts <br />werenot tax deductible? ----------------- _._............ ._..................................................................................... ........................ <br />6b <br />.. ............................... <br />............................... <br />. ............................... <br />........... <br />7 Organizations that may receive deductible contributions under section 170(c). <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 />tofile Form 8282? ......... . . . . .. ..... ......_................................................................_........................ ........_......--- ._...-. -. - -.. <br />7c <br />. ............................... <br />.. ............................... <br />` " <br />" '' <br />'' <br />d If "Yes," indicate the number of Forms 8282 filed during the year ................ ..... ........... _...,,..,,.,,., 7d <br />e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? ..................... <br />7e <br />f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? .............. <br />7 <br />g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 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 />. ............................... <br />............................... <br />........... <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 />8 <br />. ............................... <br />............................... <br />.. ............................... <br />.... <br />..... <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 ... ......... ...... 10b <br />11 Section 501(c)(12) organizations. Enter: <br />a Gross income from members or shareholders 11 a <br />b Gross income from other sources (Do not net 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 If "Yes," enter the amount of tax - exempt interest received or accrued during the year .................. 12b <br />13 Section 501(c)(29) qualified nonprofit health insurance issuers. <br />............ <br />13a <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 O. <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 „ ..................._---..-,.- ...,..,.._._.,,,,,_,.........._ 136 <br />i, . <br />;,;; <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 />14h <br />b If "Yes." has It filed a Form 720 to report these pavments? If "No." orovide an exolanation in Schedule O - - - -- - - -- - - -- - _ __ <br />132005 <br />01 -23 -12 <br />Form 990 (2011) <br />Attachment number 1 <br />5 <br />1 -2 Page 174 <br />