Schedule

Abstract

F Name and address of principal officer: G Gross receipts $ H(a) Is this a group return for subordinates? Yes No H(b) Are all subordinates included? Yes No If “No,” attach a list. See instructions. H(c) Group exemption number I Tax-exempt status: 501(c)(3) 501(c) ( ) (insert no.) 4947(a)(1) or 527 J Website: K Form of organization: Corporation Trust Association Other L Year of formation: M State of legal domicile: Part I Summary