HomeMy WebLinkAbout961510.tiffRESOLUTION
RE: APPROVAL OF SPECIAL EVENTS PERMIT ISSUED TO AMERICAN CANCER
SOCIETY, COLORADO DIVISION, INC., AND AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the American Cancer Society, Colorado Division, Inc., presented to the
Board of County Commissioners of Weld County, Colorado, an application for a Special Events
Permit for the sale of malt, vinous and spirituous liquors for consumption by the drink on the
premises only, and
WHEREAS, said applicant has paid the sum of TWENTY-FIVE DOLLARS ($25.00) to
Weld County, Colorado, pursuant to the laws providing therefore in payment for a County Retail
Permit for the sale of malt, vinous and spirituous liquors for consumption by the drink on the
premises only, for an event scheduled for one day only on September 14, 1996, from 4:00 p.m.
to 1:00 a.m. on September 15, 1996, outside the corporate limits of any town or city in the
County of Weld at the location described as follows:
27401 Weld County Road 58.5, Greeley, Colorado 80631
Being more fully described as part of the SE1/4
NE1/4 of Section 10, Township 5 North, Range 64
West of the 6th P.M., Weld County, Colorado
WHEREAS, said applicant has also paid the sum of TWENTY-FIVE DOLLARS ($25.00)
to the Colorado Department of Revenue and has exhibited a State Special Events Permit for
the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises
only.
NOW, THEREFORE, BE IT RESOLVED that the Board of County Commissioners of
Weld County, Colorado, having examined said application and the other qualifications of the
applicant, does hereby grant Special Events Permit Number 96-15 to said applicant to sell malt,
vinous and spirituous liquors for consumption by the drink on the premises only, only at retail at
said location; and the Board does hereby authorize and direct the issuance of said permit by
the Chair of the Board of County Commissioners, attested to by the Clerk to the Board of Weld
County, Colorado, which permit shall be effective from 4:00 p.m. on September 14, 1996, until
1:00 a.m. on September 15, 1996, providing that said place where the permittee is authorized
to sell malt, vinous, and spirituous liquors, for consumption by the drink on the premises only,
shall be conducted in strict conformity to all of the laws of the State of Colorado and the rules
and regulations relating thereto, heretofore passed by the Board of County Commissioners of
Weld County, Colorado, and any violations thereof shall be cause for revocation of the permit.
961510
LC Sajf1C5
LC0022
SPECIAL EVENTS PERMIT - AMERICAN CANCER SOCIETY, COLORADO DIVISION, INC.
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 26th day of August, A.D., 1996.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORAD
4447 40%i
y Clerk to the Board
eputy Cle ' to the Board
APP' s . • AS TO FORM:
Barbara J. Kirkmeyer, C it
George E. Baxter, Pro,Tem
Dale K. Hall
iii
Constance L. Harbert
�-717-1 Webster
bLiZeid
961510
LC0022
DR 8428 (07/96)
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
DENVER CO 80261
STATE OF COLORADO
DEPARTMENT OF REVENUE
VALID ONLY FOR THIS ORGANIZATION AT THIS LOCATION
AMERICAN CANCER SOCIETY COLO. DIV. INC
27401 WCR 58 1/2
GREELEY CO 80631
License Number GE 21-75480-001
SPECIAL EVENTS PERMIT
MALT, VINOUS AND SPIRITUOUS LIQUOR
VALID ONLY FOR THE FOLLOWING PERIODS
FROM
Date
SEP 14, 1996
Hour
4:00 P.M.
TO
Date
SEP 15, 1996
11:1.86 A.M.
FROM
Date
}0; { 0{
Hour
7{j{ jO{
TO
Date
)OO Cx
Hour
)OOO xxx
This permit is issued subject to the laws of the State of Colorado and especially under the provisions of Title
12, Article 48, Colorado Revised Statutes.
This permit is non -transferable. It is issued only for the specific location described above, and must be
conspicuously posted at that location. S+W
In testimony whereof, I have hereunto set my hand and seal
AUG 2 9 1996
LIQUOR ENFORCEMENT DIRE OR EXECUTIVE DIRECTOR
961510
SEPTEMBER ,./9-1 1996.
__,.-HEREBY ACKNOWLEDGE RECEIPT OF THIS DOCUMENT ON
961.510
SPECIAL EVENTS PERMIT
ON SEPTEMBER 15
THIS LICENSE EXPIRES AT 1:00
96±5±0
I C7f,t'?P�r
ON SEPTEMBER , 1996.
, HEREBY ACKNOWLEDGE RECEIPT OF THIS DOCUMENT
961510
21
DR 8411 (04/95) LIQUOR LICENSING PROCESSING DOCUMENT
COLORADO DEPARTMENT OF REVENUE RETAIL LIQUOR &
LIQUOR ENFORCEMENT DIVISION
1375 SHERMAN STREET 3.2% BEER LICENSE FEES
DENVER CO 80261
-D .3022}
DO NOT WRITE IN THIS SPACE
1. Name of Aeolicanntt{s)) (ex_ac_tly aaa{t appears on state application),
Lt Ci c�oCi2i (I.OIDm 4pbi0ision,
IVo-
2. Impq Name of Establishment (DBA) L2SS 3. fif'te1ckSt. / bender,
2.IrarName1
rui A
3. Address of Premises (as it appears on the application EV G't'F
/� Q
21401 waR_ SS'/a. & reeI ) CO 8&(p3t
State Sales Tax No
q � 61 � qo
Business Phone
Mt) 33u — 2157
• ALL ANSWERS MUST BE PRINTED IN BLACK INK OR TYPEWRITTEN
• APPLICANT MUST CHECK THE APPROPRIATE BOX(ES)
• LOCAL LICENSE FEE E v7.T OO
City in
Lime IN
County Wei e�
LlAgz
.•_ � SECTION =";;;,L1000RLICEN$EFEES
,
State ^ Q
/lam'
ZIP Code
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[[Manager's
■
•
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Application Fee for New License $450.00
Application Fee for Transfer of Ownership 450.00
Retail Liquor Store License (city) 202.50
Retail Liquor Store License (county) 287.50
Liquor Licensed Drugstore (city) 202.50
Liquor Licensed Drugstore (county) 287.50
Beer & Wine License (city) 177.50
Beer & Wine License (county) 262.50
H & R License • city • county 326.25
& R License w/opt Prem O city ■county326.25
Club License IN city • county 135.00
Tavern License • city ■ county 326.25
Arts License ❑ city_ ❑ county 135.00
Racetrack License LJ city ■ county 326.25
Optional Premises License • city • county 326.25
Retail Gaming Tavern Lic ■ city ■ county 326.25
BWS Special Event Permit each 25.00
Registration (hotel & restaurant only) 75.00
Extended Hours 170.00
Renewal - attach DR 8404 (application)
Delivery Permit (liquor store/drugstore only)
E
TEES 11
If applicant has a Beer and Wine, or Malt, Vinous
and Spirituous Liquor License, indicate your state
• Liquor License Account No.
2210-100 (999) ■ Retail Warehouse Storage Permit 50.00
2280-100 (999) ■ Request to Change, Alter or Modify Premises 75.00
1980-100 (999) • Addition of Optional Premises to Existing hoteVrestaurant
$50.00 x Total Fee
2320-100 (999) ■ Request to Change Corporation or Trade Name 25.00
2230-100 (999) ■ Request to Change Location 100.00
2320-100 (999) ■ Duplicate License 25.00
2320-100 (999) ❑ Subpoena Testimony Fees 100.00
(use license no. 21-94214)
•;._,• 44SECTWNS , :;,FEE =
If applicant has a 3.2% Beer Retail license, indicate your
• state 3.2% License Account No.
2280-100 (999) ■ Request to Change, Alter or Modify Premises 75.00
2330-100 (999) ■ Request to Change Corporate or Trade Name 25.00
2230-100-(999) ■ Request to Change I oration 100.00
2330-100-(999)0 Duplicate License 25.00
.
" - SECTION E . ' . ">«'"g3.2%BEER LICENSE FEES
2300
• o-;:
a�310
`#51`"
221
r.-;'
'212`2°
2122:'
1;
7f23
••
2123•
2170
■ Application Fee for New License $450.00
■ Application Fee for Transfer of Ownership 450.00
■ Retail 3.2% Beer On Premises - (city) 71.25
■ Retail 3.2% Beer On Premises - (county) 92.50
❑ Retail 3.2%Beer Off Premises -(city) 71.25
■ Retail 3.2% Beer Off Premises - (county) 92.50
■ Retail 3.2% Beer On/Off Premises - (city) 71.25
IIRetail 3.2% Beer On/Off Premises - (county) 92.50
❑ 3.2% Beer Special Event Permit each 10.00
O 3.2% Beer On/Off Premises Only Delivery Permit
₹+EOIUN3C :-,"T";1••--SEE ,.
If applicant has a Hotel/Restaurant liquor license and is
registering a new manager, indicate your state Liquor
• License Account No.
1970-750 (999) ■ Manager's Registration 75.00
DO NOT WRITE IN THIS SPACE - FOR DEPARTMENT OF REVENUE USE ONLY
. , ,k₹ iib 6s+,ei@• xb
ABILITY INFORMATION a r d as,tx#h$dA £fin #bv*a4 n.-:.
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,R # coj 961510
White Copy - Department of Revenue Canary Copy - Liquor Enforcement Division
Pink Copy - Local Authority Goldenrod Copy - Applicant
yawns 01pn' uJM0H BuIsn ao► noA „ue41
U. S. G. P.O. 1999-236555
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Postmark or Date
P 387 472 D45
RECEIPT FOR CERTIFIED MAIL
NO INSURANCE COVERAGE PROVIDED
NOT FOR INTERNATIONAL MAIL
(See Reverse)
Sent to
Colorado Dept. Of Revenue
Liquor Enforcement Division
1375 Sherman Street
Denver, CO 80261
Restricted Delivery Fee
Return Receipt showing
to whom and Date Delivered
Return Receipt showing to whom,
Date, and Address of Delivery
TOTAL Postage and Fees
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96151_)
DR 8439 (08/94)
COLORADO DEPARTMENT OF REVENUE
LIQUOR ENFORCEMENT DIVISION
1375 SHERMAN STREET
DENVER CO 80261
(303) 866-3741
• APPLICATION MUST FIRST BE SUBMITTED TO THE LOCAL LICENSING AUTHORITY (CITY OR COUNTY) AT LEAST THIRTY (30) DAYS PRIOR
TO THE EVENT.
• THE PREMISES TO BE LICENSED MUST BE POSTED AT LEAST TEN (10) DAYS BEFORE A HEARING CAN BE HELD.
APPLICATION MUST BE RECEIVED BY THE LIQUOR ENFORCEMENT DIVISION AT LEAST TEN (10)DAYS PRIOR TO THE EVENT.
• AN APPROVED
• APPLICANT MUST HAVE A COLORADO
IN ORDER TO QUALIFY FOR A SPECIAL EVENTS
6, CHECK ONE: • SOCIAL
• FRATERNAL
• PATRIOTIC
• POLITICAL
• ATHLETIC
SALES TAX ACCOUNT (NOT TAX EXEMPT NUMBER).
PERMIT, YOU MUST BE NONPROFIT AND ONE OF THE FOLLOWING ' (See back for details.)
CHARTERED BRANCH, LODGE OR CHAPTER OF A NATIONAL ORGANIZATION OR SOCIETY
RELIGIOUS INSTITUTION
• PHILANTHROPIC INSTITUTION
• POLITICAL CANDIDATE
■ MUNICIPALITY OWNING ARTS FACILITIES
THE FOLLOWING SUPPORTING DOCUMENTS MUST BE ATTACHED TO THIS APPLICATION FOR A PERMIT TO BE ISSUED:
❑ Processing document with appropriate fee.
❑ Diagram of the area to be licensed (not larger that 8 1/2" X 11' reflecting bars, walls, partitions, ingress, egress and
dimensions. Note: If the event is to be held outside, please submit evidence of intended control, i.e., fencing, ropes,
barriers, etc.
• Copy of deed, lease, or written permission of owner for use of the premises.
• Certificate of good corporate standing (NONPROFIT) issued by Secretary of State within last two years; or
If not incorporated, a NONPROFIT charter; or
• If a political Candidate, attach copies of reports and statements that were filed with the Secretary of State.
TYPE
OF SPECIAL EVENT APPLICANT IS APPLYING FOR:
FERMENTED MALT BEVERAGE (3.2 Beer)
KMALT, VINOUS AND SPIRITUOUS LIQUOR
DO NOT WRITE IN THIS SPACE
LIQUOR PERMIT NUMBER
1. NAME OF APPLICANT ORGANIZATION OR POLITICAL CANDIDATE
Amer; Can Cancer del, Colorado bh)ISIOn, ._!-VC.
Sales Tax Number
qg-Of -�qc)
2. MAILING ADDRESS OF ORGANIZATION OR POLITIC L CANDIDATE
2255 5ou+h One ida-Stred-
3. ADDRESS OF PLACE TO HAVE SPECIAL EVENT
2-z4oi WC2 587'/a_
CITY OR TOWN STATE ZIP
17enuer Co SO22+-
CITY OR TOWN STATE ZIP
C3lmele Co ICocP3i
NAME
DATE OF BIRTH
HOME ADDRES (Street, City, State, Zip)
PHONE NUMBER
4. PRES./SE 'Y OF ORG. or POLITICAL CANDIDATE
Lind �tP.v+neit
P o. goy 813 £cles F}�.vKiW
(a1o)5S -(aN82
5. EVENT
Colleev,
MANAG
I- facK
1
(p5TH love-,Greeley,C0rei1o)330-2167
6. HAS APPLICANT ORGANIZATION OR POLITICAL CANDIDATE BEEN
ISSUED A SPECIAL EVENT PERMIT THIS CALENDAR YEAR?
IXy1 NO u YES HOW MANY DAYS?
7. IS PREMISES
r�
I XI NO
NOW LICENSED UNDER STATE LIQUOR OR BEER CODE?
YES TO WHOM?
LIST BELOW THE EXACT DATE(S) FOR WHICH APPLICATION IS BEING MADE FOR PERMIT
Date'�)4]q(p
Hours From p .m.
To i a .m.
Date
Hours From .m.
To .m.
Date
Hours From .m.
To .m.
Date
Hours From .m.
To .m.
Date
Hours From .m.
To m.
OATH OF APPLICANT
I declare under penalty of perjury in the second degree that I have read the foregoing application and all attachments thereto, and
that all . formation therein is true, co -ct, and complete to the best of y knowledge.
SIGN
4 /// �I DATE
REP ' RT AND APPROV = -! ' L LICENSING AUTHORITY
The foregoing application has been examined and the • '� - br @, conducted and character of the applicant is satisfactory,
�•
and we do report that such permit, if granted, will co f Tit e 12, Article 48, C.R.S., as amended. � t .�J
THEREF•a ,T 1 I•� APPROVED.
LOCAL LICENSING AUTHORITY (CITY OR COUNTY)
Weld Coun y, Colorado
`qry, -`
18"' (t. ► X14 -i
TELEPHONE NUMBER OF CITY/COUNTY CLERK
(970) 356-4000 X4226
SIG AURE
a�4A2 /j,Ain1-Y,A
'
, 'd"71►� ITLE :' 1. , Weld County Board
S If'o'amissioners
DATE
08/26/96
—
APPLICATION FOR A
SPECIAL EVENTS PERMIT
ax_
SPECIAL EVENT PERMIT QUESTIONNAIRE AND AFFIDAVIT
1. What type of an event is planned (e.g., annual, quarterly, benefit, etc.)?
/annual
2. Explain in detail the nature of your organization, its function, and who or what
benefits from its operations (attach separate sheet if necessary).
S'ee attached. fY'�ssion S+a+e malt.
3. Who or what organization will be the recipient of funds derived from this event?
Te An1ertcan Cancer Socie+y
4. How many attendees are expected at this event?
5. Describe the premises at which this event will take place.
Lo0O
See attached. (V or pveviiSes.
6. What type of security will be provided at this event?
Securi+( is
Coordinated 67 ,rolkn Cooke of The Weld O)un+N chevi{c{''s ac6ce.
7. How many security personnel will be on hand?
8. How will security personnel be identified?
9. If this event is being held outdoors, how will the exterior boundaries of the
premises be marked (e.g., roped, fenced, etc.)?
-Tfie premi3cs aye eovnplete(y -('eneed
Uni-Covmed oPficevs
10. What type of entertainment will be provided, if any, for this event?
14 pvoPessior,aI en-Ler-Fain.er, a eourrhrq (Ales+ern sinter, is pwuided.
11. What method will be used in checking identification for proper age of attendees
(e.g., at the door, at the bar, etc.) and how g
ified
so as not to be served alcoholic beverages (e.g, stamp or mark on the ehand, tetc.)
The event is invi-Fation and no Rr deve9e 1p +roves R i II
be There .
961..
SS.
SPECIAL EVENT PERMIT QUESTIONNAIRE AND AFFIDAVIT
PAGE 2
12. How will the conduct and level of intoxication of attendees be monitored and by
whom?
PH I liar -fenders are fl PS trained.
13. Have volunteers or members of your organization been trained in the sale/service
of alcoholic beverages: If yes, what training have they received and by whom?
$ee above.
14. What types of alternate beverages and food/snacks will be available?
Soda aryl bot-fled water will be available.
15. Has a State Sales Tax Number been initiated by you or a member of your
organization? If so, write that number in the space provided.
oriqo
16. Explain how this event will be marketed describing what kinds of advertising
material will be distributed and the targeted recipients of such material.
SnuHfct+WnS have been serf ouf avid mere will be local
press veleaces .
I hereby certify, under penalty of perjury, that the information provided to the Board
of County Commissioners of Weld County contained in this affidavit is true and accurate
to the best of my knowledge.
ial-Applicant's Sig ature Date
A (�
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a,� .s'CATilCi oRi%DO)
f / fl l " pi': WELD )
PV® L G ' /ly day of T 19i1�
0, , iSgbg� Ibed and sworn to before me this �Q (t�
,+
''+.,, COA >S?iess m hand and official seal.
on MY COMMISSION EXPIRES MARCH 4, 1997
Notary Pvlic My commission expires
R, gegqi
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951793
961510
SLW RANCH COMPANY
27401 Weld County Road 58'/
Greeley, CO 80631
July 29, 1996
American Cancer Society
1020 9th Avenue
Greeley, Colorado 80631
Attention: Colleen Flack
Re: Cattlebaron's Ball
Dear Coleen:
With regard to your application for various permits and licenses for the Cattlebaron's Ball to be held
on September 14, 1996, this letter sets forth the position of the SLW Ranch Company.
As you are aware, the SLW Ranch Company is a Colorado corporation of which I am the President.
It owns the land upon which the event is to occur. The location is 27401 Weld County Road 58''A,
Greeley, Colorado 80631. The festivities will all be located in part of the Southeast Quarter of the
Northeast Quarter of Section 10, Township 5 North, Range 64 West of the 6th P.M., Weld County,
Colorado.
This letter confirms the consent and permission of the SLW Ranch Company to conduct the event,
however, SLW Ranch Company will have no role or liability in the activities of the event including
the licenses or permits. Should you have any questions, please advise.
Yours very truly,
SLW RANCH COMPANY
S£ow L.
President
nn
iwer, Jr.
961
AMERICAN CANCER SOCIETY MISSION STATEMENT
The American Cancer Society is the nationwide, community based,
voluntary health organization dedicated to eliminating cancer as a
major health problem by preventing cancer, saving lives, and
diminishing suffering from cancer through research, education,
advocacy and service.
961510
•
DEPARTMENT OF
STATE
CERTIFICATE
I, VICTORIA BUCKLEY, Secretary of State of the State of
Colorado hereby certify that
According to the records of this office
AMERICAN
(COLORADO ONONPROFIT CIETY, LCORPORATION)
ORADO DIVISION, INC.
file # 871234225 was filed inthis office
ce onoJJANUARY
10, 1941,
and has complied with the applicable
e
laws of the State of Colorado and on this date is in good
standing and authorized and competent to transact business
or to conduct its affairs within this state.
Dated: AUGUST 12, 1996
A-e-1+th...r J
SECRETARY OF STATE
•
9615.1)
07 -24 S8 06: 45 itriEPl'HtI (Lk ;LEE' ED,=ie.1r _ IaE�i.
° r Must collect
". ;c7U„S
,�,��;.°,,,,,, taxes tor
NISI. CO 3C1
SALES TAX
LICENSE
STATE RTD/CD/BC
COLORADO ��
USE ACCOUNT NUMBER ^LIABIL' NcORMAT!CN r
_^^ISSUE DATE
for Ell references
THIS LICENSE MUST BE POSTED AT THE FOLLOWING LOCATION
AMER CANCER SOC COLO
DIV INC
AMERICAN CANCER SOC
2255 S ONEIDA
DENVER CO 80244-0001
LICENSE VALUD
TO
DECEMBER 3,
01-08569-0000 '01006 8071 C 110186 DEC 04 95 97
LICENSEISNOI
2255 S ONEIDA TRANSFERABLE
DENVER CO
1471.44
Executive Dire or
Department of Revenue
961.519
Department of the Treasury
internal Revenue Service
Quality Review Staff
Taxpayer Assistance Group
A. 0 a10r5
Atlanta. Georgia 30370-0000
Date: MAY 16 199D
Dote Of inquiry:
05/10/90
Refer Reply To'
ORS:EO: TPA
EIN:
13-1788491
FFN:
AMERICAN CANCER SOCIETY, INC.
ATTN: ROBERT PASK - COUNSEL
1599 CLIFTON ROAD. NE
ATLANTA, GA 30329-4251
Dear Taxpayer:
This IS in response to your request for confirmation Of your exemption
from Fe0eral income Tax.
You were recognita0 as an Organization exempt from Federal income Tax
l venue untlef section t942( - Your the were ln furtnerRe oetermineae Dy not Ourletter
De aef
private ate a fOUn On within the meaning Of SeCtiOn 509(a) Of the Cede
Dec foun a
DeCeu5e you are an Organization OesCriDeO in section 170(D)<1)(A)<Vi
and 509(8)(1).
COntriDUtiOnS t0 you are deouCtiDie a5 provi0e0 in section 170 Of the
COOe.
Tne tax exempt status recogni2e0 Dy OUr letter referree to aoove 15
Currently in effect and w111 remain in effect until terminated. venue change In
your purposes, character. or l meinodl ofeoperationv l must bece. y reported to
U5 50 We may consider the effect of the change on your exempt 5tetU5.
You must also report any changes in your name and aocress.
thank you for your cooperation. .
Sincerely yours,
Exempt Organizations Coordinator
951793
961.E_0
American Cancer Society, Inc -
You and your subordinate Divisions should report anychanges
ges
in your character, method of operation, and the nature or extent
of your public support to the District Director, Manhattan, New
York, which is your key District for exempt organization matters.
Sincerely yours,
V CI. / et -d -a d
Chief, Rulings Section
Exempt Organizations Branch
951793
961210
i,i
Internal Revenue Service
JUN I " 972 T. yG.wn. p.4
American Cancer Society, Inc.
219 East 42nd Street
New York, New York 10017
Gentlemen:
This is in reply to a letter dated May 1, 1972, from your legal
representative, John C. Batty, requesting a ruling that you and your
subordinate Divisions qualify as "publicly supported" organizations
under section 170(b)(1)(A)(vi) of the Internal Revenue Code of 1954.
Our records show that in a group ruling issued by this office
under date of November 5, 1942, you and your subordinate Divisions
were recognized to be exempt from Federal o inca taxal under
Cprepredeces-
sor sections of section 501(c)(3) of
f
1954•
Based on the information furnished by Mr. Baity, we rule that
sect on 1T0(b)(1)(A)(vi) of the Code. rdinate Divisions are
Accordingly,s for described
taxablein
years beginning after December 31, 1969, individuals will be allowed
a deduction to the extent that the aggregate of their contributions
to you and your subordinate Divisions does not exceed 50 percent of
their contribution base.
Since neither you nor your subordinate Divisions are private
foundations,neither you nor they are subject to the excise taxes
under Chapter 42 of the Code. However, neither itfyou rom noreyour
r urderal
subordinate Divisions are automatically exempt
excise taxes.
951793
961519,
Hello