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" " , Form 1023 (Rev, 9-90) IimIID1 Technical Requirements (Continued) 10 If you checked box (h), (i), or (j) in question 9, have you completed a tax year of at least 8 months? DYes-Indicate whether you are requesting: , o A definitive ruling (Answer questions 11 through 14.) o An advance ruling (Answer questions 11 and 14 and attach 2 Forms 872-C completed and signed.) IX] No-You must request an advance ruling by completing and 51gnlnl2 Forms 872-C and attaching them to your application. 11 If the organization received any unusual grants during any of the tax years shown in Part IV.A, attach a list for each year showing the name of the contributor; the date and the amount of the grant; and a brief description of the nature of the grant. Page 7 12 If you are requesting a definitive ruling under section 170(bX1XAXiv) or (vi), check here ~ 0 and: a Enter 296 of line 8, column (e) of Part IV-A b Attach a list showing the name and amount contributed by each person (other than a governmental unit or "publicly supported" organization) whose total gifts, grants, contributions, etc., were more than the amount you entered on line 12a above. 13 If you are requesting a definitive ruling under section 509(aX2), check here ~ IX] and: . For each of the y,ears included on lines 1, 2, and 9 of Part IV.A, attach a list showing the name of and amount received from each "disqualified person." NQne b For each of the years included on line 9 of Part IV-A, attach a list showing the name of and amount received from each payer (other than a -disqualified person") whose payments to the organization were more than $5,000, For this purpose, "payer" includes, but is not limited to, an 0 nization described in sections 17 b 1 A i throu vi and an ovemmental a en or bureau. None 14 Indicate if your organization is one of the following. If so, complete the required schedule. (Submit only If "Ves," those schedules that apply to your organization. Do not submit blank schedules.) Ves No complete Schedule: Is the organization an operating foundation? . . . . . . . A B C D E' X F G H Is the organization a church? . . . . . Is the organization, or any part of it, a school? Is the organization, or any part of it, a hospital or medical research organization? . Is the organization a section 509(aX3) supporting organization? Is the organization, or any part of it,' a home for the aged or handicapped? Is the organization, or any part of it, a child care organization? , . . Does the organization provide or administer any scholarship benefits, student aid, etc.? Has the 0 nization taken over, or will it take over, the facilities of a "for rofit" institution?