Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
AJO CENTER FOR SUSTAINABLE AGRICULTURE |
383909062 | 7 | No | 15,000 | 0 | |
| (B)
ALHAMBRA SCHOOL DISTRICT |
866000534 | 2 | No | 5,000 | 0 | |
| (C)
ALLIANCE OF ARIZONA NONPROFITS - AZ GIVES DAY |
202529887 | 7 | No | 30,752 | 0 | |
| (D)
AMERICAN ACADEMY OF PEDIATRICS- ARIZONA FOUNDATION |
860917603 | 7 | No | 8,000 | 0 | |
| (E)
AREA AGENCY ON AGING |
742371957 | 7 | No | 15,400 | 0 | |
| (F)
ARIZONA CENTER FOR THE BLIND AND VISUALLY IMPAIRED |
860133392 | 7 | No | 80,000 | 0 | |
| (G)
ARIZONA COMMUNITY FOUNDATION |
860348306 | 7 | No | 205,000 | 0 | |
| (H)
ARIZONA FORWARD |
237154678 | 7 | No | 7,500 | 0 | |
| (I)
ARIZONA GRANTMAKERS FORUM |
861040394 | 7 | No | 6,000 | 0 | |
| (J)
ARIZONA HISPANIC CHAMBER OF COMMERCE |
860445372 | 10 | No | 10,000 | 0 | |
| (K)
ARIZONA HOUSING COALITION |
860909029 | 7 | No | 6,000 | 0 | |
| (L)
ARIZONA HOUSING INC |
860811431 | 7 | No | 30,000 | 0 | |
| (M)
ARIZONA PUBLIC HEALTH ASSOCIATION |
510198821 | 7 | No | 5,000 | 0 | |
| (N)
ARIZONA SUSTAINABILITY ALLIANCE |
821664765 | 7 | No | 31,000 | 0 | |
| (O)
BANNER ALZHEIMER'S FOUNDATION |
204862361 | 7 | No | 2,100 | 0 | |
| (P)
CASA DE LA LUZ FOUNDATION |
861004321 | 7 | No | 7,400 | 0 | |
| (Q)
CATHOLIC CHARITIES |
860223999 | 1 | No | 3,000 | 0 | |
| (R)
CITY OF PHOENIX |
866000256 | 6 | No | 9,000 | 0 | |
| (S)
CROSSROADS INC |
860182987 | 10 | No | 17,000 | 0 | |
| (T)
DUET PARTNERS IN HEALTH & AGING |
860136925 | 7 | No | 4,340 | 0 | |
| (U)
EAR FOUNDATION OF ARIZONA |
860822784 | 7 | No | 85,000 | 0 | |
| (V)
FLAGSTAFF SHELTER SERVICES |
204921369 | 7 | No | 15,000 | 0 | |
| (W)
FOUNDATION FOR BLIND CHILDREN |
860129981 | 7 | No | 50,000 | 0 | |
| (X)
FOUNDATION FOR SENIOR LIVING |
860298945 | 7 | No | 10,000 | 0 | |
| (Y)
GRANTMAKERS IN HEALTH |
133206571 | 7 | No | 9,435 | 0 | |
| (Z)
HOME MATTERS |
834639423 | 7 | No | 5,000 | 0 | |
| (AA)
INTERNATIONAL RESCUE COMMITTEE |
135660870 | 7 | No | 3,000 | 0 | |
| (AB)
KEOGH HEALTH CONNECTION |
200251176 | 7 | No | 40,500 | 0 | |
| (AC)
LOCAL FIRST ARIZONA |
202626253 | 7 | No | 29,450 | 0 | |
| (AD)
MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH |
866000472 | 6 | No | 73,316 | 0 | |
| (AE)
NALEO EDUCATIONAL FUND |
521212849 | 7 | No | 10,000 | 0 | |
| (AF)
NEIGHBORS WHO CARE INC |
860966061 | 7 | No | 3,333 | 0 | |
| (AG)
PHOENIX REVITALIZATION CORPORATION |
860663748 | 7 | No | 10,000 | 0 | |
| (AH)
PINNACLE PREVENTION |
464574172 | 7 | No | 180,948 | 0 | |
| (AI)
SOMALI AMERICAN UNITED COUNCIL OF ARIZONA |
010876916 | 7 | No | 3,000 | 0 | |
| (AJ)
SONORAN PREVENTION WORKS |
300760098 | 7 | No | 55,000 | 0 | |
| (AK)
SOUTHWEST BEHAVIORAL & HEALTH SERVICES |
860290033 | 7 | No | 135,000 | 0 | |
| (AL)
ST JOSEPH'S FOUNDATION |
942941245 | 7 | No | 50,000 | 0 | |
| (AM)
TAPAZ |
860975231 | 7 | Yes | 170,350 | 0 | |
| (AN)
UNIFIED PROGRESS INTERNATIONAL EDUCATION |
311835495 | 7 | No | 13,000 | 0 | |
| (AO)
VALLEY LEADERSHIP |
860373283 | 7 | No | 12,500 | 0 | |
| (AP)
YWCA |
860098937 | 7 | No | 2,500 | 0 | |
| (AQ)
PAYSON SENIOR CENTER |
742378900 | 7 | No | 208 | 0 | |
| (AR)
ARIZONA COALITION TO END SEXUAL & DOMESTIC VIOLENCE |
860593601 | 7 | No | 2,000 | 0 | |
| (AS)
ARIZONA TOWN HALL |
860177876 | 7 | No | 35,000 | 0 | |
| (AT)
ARIZONA PIRG |
352259362 | 7 | No | 250 | 0 | |
| (AU)
LISC PHOENIX |
133030229 | 7 | No | 29,800 | 0 | |
| (AV)
ST VINCENT DE PAUL |
860096789 | 7 | No | 10,000 | 0 | |
| (AW)
SUN CITY AREA INTERFAITH SERVICES |
860404687 | 7 | No | 10,000 | 0 | |
| (AX)
ONE ARIZONA |
371782220 | 7 | No | 50,000 | 0 | |
| (AY)
ASIAN CORPORATE & ENTREPRENEUR |
205567184 | 7 | No | 250 | 0 | |
| (AZ)
CENTRAL ARIZONA SHELTER SERVICES INC |
860500753 | 7 | No | 2,000 | 0 | |
| (BA)
CONFERENCE AND MEETING PLANNING SERVICES LLC |
208022425 | 7 | No | 1,000 | 0 | |
| (BB)
INSTITUTO LAB |
832887275 | 7 | No | 1,000 | 0 | |
| (BC)
ONE COMMUNITY FOUNDATION |
460716958 | 7 | No | 250 | 0 | |
| (BD)
ARIZONA CENTER FOR EMPOWERMENT |
272366780 | 7 | No | 1,500 | 0 | |
| (BE)
CIRCLE THE CITY |
262420730 | 7 | No | 1,550 | 0 | |
| (BF)
SCHOOL CONNECT |
823762263 | 7 | No | 750 | 0 | |
| (BG)
EQUALITY ARIZONA |
954124382 | 7 | No | 25,000 | 0 | |
| (BH)
HUGER MERCY LIVING CENTER |
721561134 | 7 | No | 1,600 | 0 | |
| (BI)
SOCIAL ROOTS |
831263959 | 7 | No | 500 | 0 | |
| (BJ)
SOUTHERN ARIZONA GENDER ALLIANCE |
472419543 | 7 | No | 1,000 | 0 | |
| (BK)
ALZHEIMER'S ASSOCIATION |
133039601 | 7 | No | 11,333 | 0 | |
| (BL)
1N10 INC |
860728990 | 7 | No | 24,000 | 0 | |
| (BM)
ALIENTO - PHOENIX CENTER ASSOCIATION |
860728990 | 7 | No | 3,500 | 0 | |
| (BN)
ALLIANCE FOR JUST SOCIETY |
911635554 | 7 | No | 29,590 | 0 | |
| (BO)
ARIZONA CAREGIVER ASSOCIATION |
465295415 | 7 | No | 10,250 | 0 | |
| (BP)
AT STILL UNIVERSITY OF HEALTH |
430356250 | 5 | No | 37,500 | 0 | |
| (BQ)
AUNT RITA'S FOUNDATION |
412176501 | 7 | No | 2,500 | 0 | |
| (BR)
BHUTANESE COMMUNITY IN ARIZONA |
264149604 | 7 | No | 3,000 | 0 | |
| (BS)
BLACK MOTHERS FORUM INC |
820711275 | 7 | No | 15,500 | 0 | |
| (BT)
CENTER FOR FUTURE OF ARIZONA |
820538372 | 7 | No | 10,000 | 0 | |
| (BU)
CHILDREN'S ACTION ALLIANCE |
860594785 | 7 | No | 25,000 | 0 | |
| (BV)
CHRISTIAN HOPE MINISTRIES INTERNATIONAL CHURCH |
020768383 | 1 | No | 3,000 | 0 | |
| (BW)
COHOOTS FOUNDATION |
464741046 | 7 | No | 7,500 | 0 | |
| (BX)
COMMUNITY FOUNDAITON FOR SOUTHERN ARIZONA |
942681765 | 7 | No | 50,000 | 0 | |
| (BY)
COTTONWOOD-OAK CREEK SCHOOL DISTRICT #6 |
866000563 | 2 | No | 30,000 | 0 | |
| (BZ)
CRISIS RESPONSE NETWORK |
260446321 | 7 | No | 50,000 | 0 | |
| (CA)
EAST VALLEY HISPANIC CHAMBER OF COMMERCE |
275501336 | 7 | No | 7,500 | 0 | |
| (CB)
EMPOWERING LATINA LEADERS IN ARIZONA |
831869816 | 7 | No | 2,500 | 0 | |
| (CC)
FEEDING MATTERS |
208095826 | 7 | No | 12,000 | 0 | |
| (CD)
KORE PRESS |
860821144 | 7 | No | 29,888 | 0 | |
| (CE)
LUTHERAN SOCIAL SERVICES OF THE SOUTHWEST |
860252302 | 7 | No | 3,060 | 0 | |
| (CF)
ONE COMMUNITY |
261861587 | 7 | No | 4,000 | 0 | |
| (CG)
ONE-N-TEN |
860728990 | 7 | No | 2,500 | 0 | |
| (CH)
PODER IN ACTION |
462284158 | 7 | No | 21,225 | 0 | |
| (CI)
RETAIL ARTS INNOVATION AND LIVABILITY CDC |
811750552 | 7 | No | 30,000 | 0 | |
| (CJ)
SHARE OUR STRENGTH |
521367538 | 7 | No | 43,900 | 0 | |
| (CK)
TRELLIS |
510152395 | 7 | No | 5,500 | 0 | |
| (CL)
TUCSON YOUNG PROFESSIONALS |
260674445 | 7 | No | 5,000 | 0 | |
| (CM)
UNITED WAY OF TUCSON AND SOUTHERN ARIZONA |
860098932 | 7 | No | 190,000 | 0 | |
| (CN)
UNIVERSITY OF ARIZONA FOUNDATION |
866050388 | 5 | No | 15,000 | 0 | |
| (CO)
UNLIMITED POTENTIAL |
742383678 | 7 | No | 3,000 | 0 | |
| (CP)
VALLEYWISE HEALTH FOUNDATION |
860777567 | 7 | No | 53,000 | 0 | |
| (CQ)
WHITE MOUNTAIN APACHE TRIBE |
860092030 | 7 | No | 15,000 | 0 | |
| (CR)
WILDFIRE |
860311619 | 7 | No | 24,000 | 0 | |
| (CS)
ALZHIEIMERS ASSOCIATION |
133039601 | 7 | No | 200 | 0 | |
| (CT)
VALLE DE SOL INC |
860251255 | 7 | No | 2,000 | 0 | |
| (CU)
MARICOPA COUNTY COLLEGES |
860327449 | 5 | No | 500 | 0 | |
|
Total 99
|
2,419,928 | 0 | ||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2019 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| PART IV, LINES 1 AND 5 | THE ORGANIZATION DESIGNATES ITS SUPPORTED ORGANIZATIONS BY CLASS. SPECIFICALLY, THE ORGANIZATION SUPPORTS PUBLIC CHARITIES, OTHER THAN SUPPORTING ORGANIZATIONS, THAT PROMOTE HEALTH CARE, HEALTH EDUCATION, HEALTHY COMMUNITIES, HEALTH RESEARCH OR VOLUNTEERISM IN THE STATE OF ARIZONA. ALL ADDITIONS OF SUPPORTED ORGANIZATIONS DURING THE YEAR WERE PART OF THIS CLASS, ALREADY DESIGNATED IN THE ORGANIZATION'S ORGANIZING DOCUMENT. |
| PART IV, SECTION B, LINE 2: | THE ORGANIZATION SUPPORTS MULTIPLE ORGANIZATIONS, ONE OF WHICH HAS THE POWER TO APPOINT THE ORGANIZATION'S TRUSTEES. ALL OF THE OTHER SUPPORTED ORGANIZATIONS ARE PART OF THE DESIGNATED CLASS; ALL SUPPORTED ORGANIZATIONS PROMOTE HEALTH CARE, HEALTH EDUCATION, HEALTHY COMMUNITIES, HEALTH RESEARCH AND VOLUNTEERISM IN THE STATE OF ARIZONA. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 7A | AT LEAST HALF OF ALL BOARD MEMBERS MUST BE ELECTED OR APPOINTED BY TAPAZ, A SUPPORTED ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION'S AUDIT COMMITTEE AND BOARD OF DIRECTORS REVIEW AND APPROVE THE FORM 990 BEFORE IT IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY. THE POLICY REQUIRES A WRITTEN DISCLOSURE AND SIGNATURE FROM ALL MEMBERS OF THE BOARD OF TRUSTEES AND ALL EMPLOYEES ON AN ANNUAL BASIS, AND AS CONFLICTS ARISE. THE FORM REQUIRES THAT THOSE COMPLETING THE FORM DISCLOSE CONFLICTS, IF ANY. THE FORMS ARE COLLECTED AT THE TIME OF THE ANNUAL BOARD OF TRUSTEES MEETING. ANY CONFLICTS DISCLOSED ARE DISCUSSED BY THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15 | A COMMITTEE OF THE BOARD OF TRUSTEES, THE EXECUTIVE COMMITTEE, DETERMINES THE ANNUAL COMPENSATION OF THE CEO. THE EXECUTIVE COMMITTEE MAKES THE RECOMMENDATION BASED ON COMPARABILITY DATA FROM FORMS 990 OF OTHER ORGANIZATIONS AND COMPENSATION STUDIES. THEY ALSO HIRE AN INDEPENDENT CONSULTANT EVERY THREE YEARS TO ASSIST IN DETERMINING THE COMPENSATION. THE BOARD OF TRUSTEES APPROVES THE COMPENSATION ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS, FORM 990, AND ANNUAL REPORT ARE AVAILABLE ON OUR WEBSITE. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALSO MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XII, LINE 2C | THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| Software ID: | |
| Software Version: |