Return of Organization Exempt From Income Tax

Transcription

1 OMB No Return of Organization Exept Fro noe Tax For 990 Under setion 501(), 57, or 4947(a)(1) of the nternal Revenue Code (exept private foundations) À¾µ» Do not enter soial seurity nuers on this for as it ay e ade puli. Open to Puli Departent of the Treasury nternal Revenue Servie Go to for instrutions and the latest inforation. nspetion A For the 017 alendar year, or tax year eginning, 017, and ending, 0 B J Chek if appliale: Address hange Nae hange nitial return C Nae of organization Doing usiness as Nuer and street (or P.O. ox if ail is not delivered to street address) Roo/suite D Eployer identifiation nuer E Telephone nuer Final return/ City or town, state or provine, ountry, and ZP or foreign postal ode terinated Aended return ALSO VEJO, CA 9656 G Gross reeipts $,90,46. Appliation F Nae and address of prinipal offier: H(a) s this a group return for Yes No pending TM RCHTHAMMER suordinates? 1700 EAST PUTNAM AVE-5TH FLOOR OLD GREENWCH, CT 068 H() Are all suordinates inluded? Yes No Tax-exept status: 501()() 501() ( ) (insert no.) 4947(a)(1) or 57 f "No," attah a list. (see instrutions) J Wesite: H() Group exeption nuer K For of organization: Corporation Trust Assoiation Other L Year of foration: M State of legal doiile: Suary Ativities & Governane Revenue Expenses Net Assets or Fund Balanes 0 1 Part CARRNGTON CHARTABLE FOUNDATON, NC ENTERPRSE, 5TH FL (0) CA Part 1 Briefly desrie the organization's ission or ost signifiant ativities: CCF'S MSSON S TO PROVDE A PLATFORM FOR FAMLY OF CARRNGTON COMPANES TO SUPPORT RECOGNZE CHARTABLE ORGAN- ZATONS PRESENTED TO FOUNDATON BY CARRNGTON EMPLOYEES. Chek this ox if the organization disontinued its operations or disposed of ore than 5% of its net assets. Nuer of voting eers of the governing ody (Part V, line 1a) 4 Nuer of independent voting eers of the governing ody (Part V, line 1) 4 5 Total nuer of individuals eployed in alendar year 017 (Part V, line a) 5 6 Total nuer of volunteers (estiate if neessary) 6 7a Total unrelated usiness revenue fro Part V, olun (C), line 1 7a Net unrelated usiness taxale inoe fro For 990-T, line 4 7 Prior Year 8 Contriutions and grants (Part V, line 1h) 9 Progra servie revenue (Part V, line g) 10 nvestent inoe (Part V, olun (A), lines, 4, and 7d) 11 Other revenue (Part V, olun (A), lines 5, 6d, 8, 9, 10, and 11e) 1 Total revenue - add lines 8 through 11 (ust equal Part V, olun (A), line 1) 1 Grants and siilar aounts paid (Part, olun (A), lines 1-) 14 Benefits paid to or for eers (Part, olun (A), line 4) 15 Salaries, other opensation, eployee enefits (Part, olun (A), lines 5-10) 16 a Professional fundraising fees (Part, olun (A), line 11e) Total fundraising expenses (Part, olun (D), line 5) 41,9. 17 Other expenses (Part, olun (A), lines 11a-11d, 11f-4e) 18 Total expenses. Add lines 1-17 (ust equal Part, olun (A), line 5) 19 Revenue less expenses. Sutrat line 18 fro line 1 Total assets (Part, line 16) Total liailities (Part, line 6) Net assets or fund alanes. Sutrat line 1 fro line 0 Signature Blok Beginning of Current Year Current Year End of Year Under penalties of perjury, delare that have exained this return, inluding aopanying shedules and stateents, and to the est of y knowledge and elief, it is true, orret, and oplete. Delaration of preparer (other than offier) is ased on all inforation of whih preparer has any knowledge... 70,811,78.,917,50. 7,95 6, ,57. -1,9,8.,09,701. 1,69,68. 76,10 1,085,50 549,497. 1,6,486. 1,1,597.,447, , ,04. 4,19,151.,17, ,04 97,096.,776,111.,00,007. Sign Here Paid M Signature of offier Date M Type or print nae and title Print/Type preparer's nae Preparer's signature Date Chek if PTN self-eployed Preparer Fir's nae Use Only Fir's EN Fir's address Phone no. May the RS disuss this return with the preparer shown aove? (see instrutions) Yes No For Paperwork Redution At Notie, see the separate instrutions. For 990 (017) 7E EC A1U PAGE 1

2 For 990 (017) Page Part Stateent of Progra Servie Aoplishents Chek if Shedule O ontains a response or note to any line in this Part 1 Briefly desrie the organization's ission: ATTACHMENT 1 CARRNGTON CHARTABLE FOUNDATON, NC f "Yes," desrie these new servies on Shedule O. Did the organization undertake any signifiant progra servies during the year whih were not listed on the prior For 990 or 990-EZ? Yes No Did the organization ease onduting, or ake signifiant hanges in how it onduts, any progra servies? Yes No f "Yes," desrie these hanges on Shedule O. 4 Desrie the organization's progra servie aoplishents for eah of its three largest progra servies, as easured y expenses. Setion 501()() and 501()(4) organizations are required to report the aount of grants and alloations to others, the total expenses, and revenue, if any, for eah progra servie reported. 4a (Code: ) (Expenses $,,556. inluding grants of $ 96,089. ) (Revenue $ ) ATTACHMENT 4 (Code: ) (Expenses $ 149,411. inluding grants of $ 149,411. ) (Revenue $ ) THE FOUNDATON SUPPORTS CHARTES THROUGH THE COLLECTVE EFFORTS OF THE CCF BOARD OF DRECTORS AND ASSOCATES OF THE CARRNGTON FAMLY OF COMPANES N AN EFFORT TO ENCOURAGE ASSOCATE PARTCPATON AND MAMZE CONTRBUTONS TO THOSE CHARTES. CCF SEEKS TO PROMOTE GVNG BACK TO THE COMMUNTY THROUGH SUPPORT OF THE CHOSEN CHARTES WHCH REFLECT THE NTERESTS AND PASSONS OF CARRNGTON ASSOCATES. 4 (Code: ) (Expenses $ inluding grants of $ ) (Revenue $ ) 4d Other progra servies (Desrie in Shedule O.) (Expenses $ inluding grants of $ ) (Revenue $ ) 4e Total progra servie expenses,8,967. 7E For 990 (017) 075EC A1U PAGE

3 For 990 (017) Page Part V Cheklist of Required Shedules s the organization required to oplete Shedule B, Shedule of Contriutors (see instrutions)? Did the organization engage in diret or indiret politial apaign ativities on ehalf of or in opposition to andidates for puli offie? f "Yes," oplete Shedule C, Part Setion 501()() organizations. Did the organization engage in loying ativities, or have a setion 501(h) eletion in effet during the tax year? f "Yes," oplete Shedule C, Part s the organization desried in setion 501()() or 4947(a)(1) (other than a private foundation)? f "Yes," oplete Shedule A 1 s the organization a setion 501()(4), 501()(5), or 501()(6) organization that reeives eership dues, assessents, or siilar aounts as defined in Revenue Proedure 98-19? f "Yes," oplete Shedule C, Part Did the organization aintain any donor advised funds or any siilar funds or aounts for whih donors have the right to provide advie on the distriution or investent of aounts in suh funds or aounts? f "Yes," oplete Shedule D, Part Did the organization reeive or hold a onservation easeent, inluding easeents to preserve open spae, the environent, histori land areas, or histori strutures? f "Yes," oplete Shedule D, Part Did the organization aintain olletions of works of art, historial treasures, or other siilar assets? f "Yes," oplete Shedule D, Part Did the organization report an aount in Part, line 1, for esrow or ustodial aount liaility, serve as a ustodian for aounts not listed in Part ; or provide redit ounseling, det anageent, redit repair, or det negotiation servies? f "Yes," oplete Shedule D, Part V Did the organization, diretly or through a related organization, hold assets in teporarily restrited endowents, peranent endowents, or quasi-endowents? f "Yes," oplete Shedule D, Part V 11 f the organization's answer to any of the following questions is "Yes," then oplete Shedule D, Parts V, V, V,, or as appliale. a Did the organization report an aount for land, uildings, and equipent in Part, line 10? f "Yes," d e f oplete Shedule D, Part V Did the organization report an aount for investents-other seurities in Part, line 1 that is 5% or ore of its total assets reported in Part, line 16? f "Yes," oplete Shedule D, Part V Did the organization report an aount for investents-progra related in Part, line 1 that is 5% or ore of its total assets reported in Part, line 16? f "Yes," oplete Shedule D, Part V Did the organization report an aount for other assets in Part, line 15 that is 5% or ore of its total assets reported in Part, line 16? f "Yes," oplete Shedule D, Part Did the organization report an aount for other liailities in Part, line 5? f "Yes," oplete Shedule D, Part Did the organization's separate or onsolidated finanial stateents for the tax year inlude a footnote that addresses the organization's liaility for unertain tax positions under FN 48 (ASC 740)? f "Yes," oplete Shedule D, Part 1a Did the organization otain separate, independent audited finanial stateents for the tax year? f "Yes," oplete a CARRNGTON CHARTABLE FOUNDATON, NC Shedule D, Parts and Was the organization inluded in onsolidated, independent audited finanial stateents for the tax year? f "Yes," and if the organization answered "No" to line 1a, then opleting Shedule D, Parts and is optional s the organization a shool desried in setion 170()(1)(A)(ii)? f "Yes," oplete Shedule E Did the organization aintain an offie, eployees, or agents outside of the United States? Did the organization have aggregate revenues or expenses of ore than $10,000 fro grantaking, fundraising, usiness, investent, and progra servie ativities outside the United States, or aggregate foreign investents valued at $100,000 or ore? f "Yes," oplete Shedule F, Parts and V Did the organization report on Part, olun (A), line, ore than $5,000 of grants or other assistane to or for any foreign organization? f "Yes," oplete Shedule F, Parts and V Did the organization report on Part, olun (A), line, ore than $5,000 of aggregate grants or other assistane to or for foreign individuals? f "Yes," oplete Shedule F, Parts and V Did the organization report a total of ore than $15,000 of expenses for professional fundraising servies on Part, olun (A), lines 6 and 11e? f "Yes," oplete Shedule G, Part (see instrutions) Did the organization report ore than $15,000 total of fundraising event gross inoe and ontriutions on Part V, lines 1 and 8a? f "Yes," oplete Shedule G, Part Did the organization report ore than $15,000 of gross inoe fro gaing ativities on Part V, line 9a? f "Yes," oplete Shedule G, Part a d 11e 11f 1a a Yes No For 990 (017) 7E EC A1U PAGE

4 For 990 (017) Page 4 Part V 0 a 1 4 a d 5 a a a 7E CARRNGTON CHARTABLE FOUNDATON, NC Cheklist of Required Shedules (ontinued) Did the organization operate one or ore hospital failities? f "Yes," oplete Shedule H f "Yes" to line 0a, did the organization attah a opy of its audited finanial stateents to this return? Did the organization report ore than $5,000 of grants or other assistane to any doesti organization or doesti governent on Part, olun (A), line 1? f "Yes," oplete Shedule, Parts and Did the organization report ore than $5,000 of grants or other assistane to or for doesti individuals on Part, olun (A), line? f "Yes," oplete Shedule, Parts and Did the organization answer "Yes" to Part V, Setion A, line, 4, or 5 aout opensation of the organization's urrent and forer offiers, diretors, trustees, key eployees, and highest opensated eployees? f "Yes," oplete Shedule J Did the organization have a tax-exept ond issue with an outstanding prinipal aount of ore than $100,000 as of the last day of the year, that was issued after Deeer 1, 00? f "Yes," answer lines 4 through 4d and oplete Shedule K. f "No," go to line 5a Did the organization invest any proeeds of tax-exept onds eyond a teporary period exeption? Did the organization aintain an esrow aount other than a refunding esrow at any tie during the year to defease any tax-exept onds? Did the organization at as an "on ehalf of" issuer for onds outstanding at any tie during the year? Setion 501()(), 501()(4), and 501()(9) organizations. Did the organization engage in an exess enefit transation with a disqualified person during the year? f "Yes," oplete Shedule L, Part s the organization aware that it engaged in an exess enefit transation with a disqualified person in a prior year, and that the transation has not een reported on any of the organization's prior Fors 990 or 990-EZ? f "Yes," oplete Shedule L, Part Did the organization report any aount on Part, line 5, 6, or for reeivales fro or payales to any urrent or forer offiers, diretors, trustees, key eployees, highest opensated eployees, or disqualified persons? f "Yes," oplete Shedule L, Part Did the organization provide a grant or other assistane to an offier, diretor, trustee, key eployee, sustantial ontriutor or eployee thereof, a grant seletion oittee eer, or to a 5% ontrolled entity or faily eer of any of these persons? f "Yes," oplete Shedule L, Part Was the organization a party to a usiness transation with one of the following parties (see Shedule L, Part V instrutions for appliale filing thresholds, onditions, and exeptions): A urrent or forer offier, diretor, trustee, or key eployee? f "Yes," oplete Shedule L, Part V A faily eer of a urrent or forer offier, diretor, trustee, or key eployee? f "Yes," oplete Shedule L, Part V An entity of whih a urrent or forer offier, diretor, trustee, or key eployee (or a faily eer thereof) was an offier, diretor, trustee, or diret or indiret owner? f "Yes," oplete Shedule L, Part V Did the organization reeive ore than $5,000 in non-ash ontriutions? f "Yes," oplete Shedule M Did the organization reeive ontriutions of art, historial treasures, or other siilar assets, or qualified onservation ontriutions? f "Yes," oplete Shedule M Did the organization liquidate, terinate, or dissolve and ease operations? f "Yes," oplete Shedule N, Part Did the organization sell, exhange, dispose of, or transfer ore than 5% of its net assets? f "Yes," oplete Shedule N, Part Did the organization own 100% of an entity disregarded as separate fro the organization under Regulations setions and ? f "Yes," oplete Shedule R, Part Was the organization related to any tax-exept or taxale entity? f "Yes," oplete Shedule R, Part,, or V, and Part V, line 1 Did the organization have a ontrolled entity within the eaning of setion 51()(1)? f "Yes" to line 5a, did the organization reeive any payent fro or engage in any transation with a ontrolled entity within the eaning of setion 51()(1)? f "Yes," oplete Shedule R, Part V, line Setion 501()() organizations. Did the organization ake any transfers to an exept non-haritale related organization? f "Yes," oplete Shedule R, Part V, line Did the organization ondut ore than 5% of its ativities through an entity that is not a related organization and that is treated as a partnership for federal inoe tax purposes? f "Yes," oplete Shedule R, Part V Did the organization oplete Shedule O and provide explanations in Shedule O for Part V, lines 11 and 19? Note. All For 990 filers are required to oplete Shedule O. 0a 0 1 4a 4 4 4d 5a a a Yes No For 990 (017) 075EC A1U PAGE 4

5 For 990 (017) Page 5 Part V Stateents Regarding Other RS Filings and Tax Copliane Chek if Shedule O ontains a response or note to any line in this Part V Yes 1a 1a 1 Did the organization oply with akup withholding rules for reportale payents to vendors and reportale gaing (galing) winnings to prize winners? 1 a Enter the nuer of eployees reported on For W-, Transittal of Wage and Tax Stateents, filed for the alendar year ending with or within the year overed y this return a f at least one is reported on line a, did the organization file all required federal eployent tax returns? 4a See instrutions for filing requireents for FinCEN For 114, Report of Foreign Bank and Finanial Aounts (FBAR). 5a Was the organization a party to a prohiited tax shelter transation at any tie during the tax year? Did any taxale party notify the organization that it was or is a party to a prohiited tax shelter transation? f "Yes" to line 5a or 5, did the organization file For 8886-T? 6a Does the organization have annual gross reeipts that are norally greater than $100,000, and did the 7 a d 7d e Did the organization reeive any funds, diretly or indiretly, to pay preius on a personal enefit ontrat? f Did the organization, during the year, pay preius, diretly or indiretly, on a personal enefit ontrat? g f the organization reeived a ontriution of qualified intelletual property, did the organization file For 8899 as required? h f the organization reeived a ontriution of ars, oats, airplanes, or other vehiles, did the organization file a For 1098-C? 8 Sponsoring organizations aintaining donor advised funds. Did a donor advised fund aintained y the 9 Sponsoring organizations aintaining donor advised funds. a Did the sponsoring organization ake any taxale distriutions under setion 4966? Did the sponsoring organization ake a distriution to a donor, donor advisor, or related person? a a a a Enter the nuer reported in Box of For Enter -0- if not appliale Enter the nuer of Fors W-G inluded in line 1a. Enter -0- if not appliale Note. f the su of lines 1a and a is greater than 50, you ay e required to e-file (see instrutions) Did the organization have unrelated usiness gross inoe of $1,000 or ore during the year? f "Yes," has it filed a For 990-T for this year? f "No" to line, provide an explanation in Shedule O At any tie during the alendar year, did the organization have an interest in, or a signature or other authority over, a finanial aount in a foreign ountry (suh as a ank aount, seurities aount, or other finanial aount)? f "Yes," enter the nae of the foreign ountry: organization soliit any ontriutions that were not tax dedutile as haritale ontriutions? f "Yes," did the organization inlude with every soliitation an express stateent that suh ontriutions or gifts were not tax dedutile? Organizations that ay reeive dedutile ontriutions under setion 170(). Did the organization reeive a payent in exess of $75 ade partly as a ontriution and partly for goods and servies provided to the payor? f "Yes," did the organization notify the donor of the value of the goods or servies provided? Did the organization sell, exhange, or otherwise dispose of tangile personal property for whih it was required to file For 88? f "Yes," indiate the nuer of Fors 88 filed during the year sponsoring organization have exess usiness holdings at any tie during the year? Setion 501()(7) organizations. Enter: nitiation fees and apital ontriutions inluded on Part V, line 1 10a Gross reeipts, inluded on For 990, Part V, line 1, for puli use of lu failities 10 Setion 501()(1) organizations. Enter: Gross inoe fro eers or shareholders 11a Gross inoe fro other soures (Do not net aounts due or paid to other soures against aounts due or reeived fro the.) 11 Setion 4947(a)(1) non-exept haritale trusts. s the organization filing For 990 in lieu of For 1041? f "Yes," enter the aount of tax-exept interest reeived or arued during the year 1 Setion 501()(9) qualified nonprofit health insurane issuers. s the organization liensed to issue qualified health plans in ore than one state? 1 a Note. See the instrutions for additional inforation the organization ust report on Shedule O. Enter the aount of reserves the organization is required to aintain y the states in whih the organization is liensed to issue qualified health plans 1 Enter the aount of reserves on hand 1 14 a Did the organization reeive any payents for indoor tanning servies during the tax year? f "Yes," has it filed a For 70 to report these payents? f "No," provide an explanation in Shedule O 7E CARRNGTON CHARTABLE FOUNDATON, NC a 4a 5a 5 5 6a 6 7a 7 7 7e 7f 7g 7h 8 9a 9 1a 1a 14a 14 No For 990 (017) 075EC A1U PAGE 5

6 For 990 (017) Page 6 Part V Governane, Manageent, and Dislosure For eah "Yes" response to lines through 7 elow, and for a "No" response to line 8a, 8, or 10 elow, desrie the irustanes, proesses, or hanges in Shedule O. See instrutions. Chek if Shedule O ontains a response or note to any line in this Part V Setion A. Governing Body and Manageent 1a a Enter the nuer of voting eers of the governing ody at the end of the tax year 1a f there are aterial differenes in voting rights aong eers of the governing ody, or if the governing ody delegated road authority to an exeutive oittee or siilar oittee, explain in Shedule O. Enter the nuer of voting eers inluded in line 1a, aove, who are independent 1 any other offier, diretor, trustee, or key eployee? supervision of offiers, diretors, or trustees, or key eployees to a anageent opany or other person? Did the organization ake any signifiant hanges to its governing douents sine the prior For 990 was filed? Did the organization eoe aware during the year of a signifiant diversion of the organization's assets? Did the organization have eers or stokholders? one or ore eers of the governing ody? stokholders, or persons other than the governing ody? Did any offier, diretor, trustee, or key eployee have a faily relationship or a usiness relationship with Did the organization delegate ontrol over anageent duties ustoarily perfored y or under the diret Did the organization have eers, stokholders, or other persons who had the power to elet or appoint Are any governane deisions of the organization reserved to (or sujet to approval y) eers, 8 Did the organization onteporaneously douent the eetings held or written ations undertaken during the year y the following: a The governing ody? Eah oittee with authority to at on ehalf of the governing ody? 9 s there any offier, diretor, trustee, or key eployee listed in Part V, Setion A, who annot e reahed at the organization's ailing address? f "Yes," provide the naes and addresses in Shedule O 9 Setion B. Poliies (This Setion B requests inforation aout poliies not required y the nternal Revenue Code.) Yes 10a 11a 1a a 16a Did the organization have loal hapters, ranhes, or affiliates? f "Yes," did the organization have written poliies and proedures governing the ativities of suh hapters, affiliates, and ranhes to ensure their operations are onsistent with the organization's exept purposes? Has the organization provided a oplete opy of this For 990 to all eers of its governing ody efore filing the for? Desrie in Shedule O the proess, if any, used y the organization to review this For 99 Did the organization have a written onflit of interest poliy? f "No," go to line 1 rise to onflits? desrie in Shedule O how this was done Did the organization have a written whistlelower poliy? Did the organization have a written douent retention and destrution poliy? Were offiers, diretors, or trustees, and key eployees required to dislose annually interests that ould give Did the organization regularly and onsistently onitor and enfore opliane with the poliy? f "Yes," Did the proess for deterining opensation of the following persons inlude a review and approval y independent persons, oparaility data, and onteporaneous sustantiation of the delieration and deision? The organization's CEO, Exeutive Diretor, or top anageent offiial Other offiers or key eployees of the organization f "Yes" to line 15a or 15, desrie the proess in Shedule O (see instrutions). Did the organization invest in, ontriute assets to, or partiipate in a joint venture or siilar arrangeent with a taxale entity during the year? f "Yes," did the organization follow a written poliy or proedure requiring the organization to evaluate its partiipation in joint venture arrangeents under appliale federal tax law, and take steps to safeguard the organization's exept status with respet to suh arrangeents? List the states with whih a opy of this For 990 is required to e filed CA,CT,N,NY, Setion C. Dislosure CARRNGTON CHARTABLE FOUNDATON, NC Setion 6104 requires an organization to ake its Fors 10 (or 104 if appliale), 990, and 990-T (Setion 501()()s only) availale for puli inspetion. ndiate how you ade these availale. Chek all that apply. Own wesite Another's wesite Upon request Other (explain in Shedule O) Desrie in Shedule O whether (and if so, how) the organization ade its governing douents, onflit of interest poliy, and finanial stateents availale to the puli during the tax year. State the nae, address, and telephone nuer of the person who possesses the organization's ooks and reords: TANA RADCLFF 1700 E PUTNAM AVE, 5TH FLOOR OLD GREENWCH, CT For 990 (017) 7E EC A1U PAGE a 7 8a 8 10a 10 11a 1a a 15 16a 16 Yes No No

7 CARRNGTON CHARTABLE FOUNDATON, NC Copensation of Offiers, Diretors, Trustees, Key Eployees, Highest Copensated Eployees, and ndependent Contrators For 990 (017) Page 7 Part V Chek if Shedule O ontains a response or note to any line in this Part V Setion A. Offiers, Diretors, Trustees, Key Eployees, and Highest Copensated Eployees 1a Coplete this tale for all persons required to e listed. Report opensation for the alendar year ending with or within the organization's % tax year. List all of the organization's urrent offiers, diretors, trustees (whether individuals or organizations), regardless of aount of opensation. Enter -0- in oluns (D), (E), and (F) if no opensation was paid. % List all of the organization's urrent key eployees, if any. See instrutions for definition of "key eployee." List the organization's five urrent highest opensated eployees (other than an offier, diretor, trustee, or key eployee) who reeived reportale opensation (Box 5 of For W- and/or Box 7 of For 1099-MSC) of ore than $100,000 fro the organization and any related organizations. % List all of the organization's forer offiers, key eployees, and highest opensated eployees who reeived ore than $100,000 of reportale opensation fro the organization and any related organizations. % List all of the organization's forer diretors or trustees that reeived, in the apaity as a forer diretor or trustee of the organization, ore than $10,000 of reportale opensation fro the organization and any related organizations. List persons in the following order: individual trustees or diretors; institutional trustees; offiers; key eployees; highest opensated eployees; and forer suh persons. Chek this ox if neither the organization nor any related organization opensated any urrent offier, diretor, or trustee. (C) (A) (B) Position (D) (E) (F) Nae and Title Average hours per week (list any hours for related organizations elow dotted line) (do not hek ore than one ox, unless person is oth an offier and a diretor/trustee) Reportale opensation fro the organization (W-/1099-MSC) Reportale opensation fro related organizations (W-/1099-MSC) ndividual trustee or diretor nstitutional trustee Offier Key eployee Highest opensated eployee Forer Estiated aount of other opensation fro the organization and related organizations (1) ROSEMARY ROSE CHARPERESON & DRECTOR () LORNA GORDON DRECTOR () SHELLEY CLOYD DRECTOR 100 (4) LOUS J GARDAY, CPA 1.00 TREASURER (5) LOR GRGG VCE PRESDENT (6) MCHELLE LAWRENCE EECUTVE DR OF COMMUNTY REL (7) (8) (9) (10) (11) (1) (1) (14) 7E For 990 (017) 075EC A1U PAGE 7

8 CARRNGTON CHARTABLE FOUNDATON, NC For 990 (017) Page 8 Part V Setion A. Offiers, Diretors, Trustees, Key Eployees, and Highest Copensated Eployees (ontinued) (A) (B) (C) (D) (E) (F) Nae and title Average hours per week (list any hours for related organizations elow dotted line) Position (do not hek ore than one ox, unless person is oth an offier and a diretor/trustee) ndividual trustee or diretor nstitutional trustee Offier Key eployee Highest opensated eployee Forer Reportale opensation fro the organization (W-/1099-MSC) Reportale opensation fro related organizations (W-/1099-MSC) Estiated aount of other opensation fro the organization and related organizations 1 Su-total Total fro ontinuation sheets to Part V, Setion A d Total (add lines 1 and 1) Total nuer of individuals (inluding ut not liited to those listed aove) who reeived ore than $100,000 of reportale opensation fro the organization Did the organization list any forer offier, diretor, or trustee, key eployee, or highest opensated eployee on line 1a? f "Yes," oplete Shedule J for suh individual 4 For any individual listed on line 1a, is the su of reportale opensation and other opensation fro the organization and related organizations greater than $150,000? f Yes, oplete Shedule J for suh individual 4 5 Did any person listed on line 1a reeive or arue opensation fro any unrelated organization or individual for servies rendered to the organization? f Yes, oplete Shedule J for suh person 5 Setion B. ndependent Contrators 1 Coplete this tale for your five highest opensated independent ontrators that reeived ore than $100,000 of opensation fro the organization. Report opensation for the alendar year ending with or within the organization's tax year. Yes No ATTACHMENT (A) Nae and usiness address (B) Desription of servies (C) Copensation Total nuer of independent ontrators (inluding ut not liited to those listed aove) who reeived ore than $100,000 in opensation fro the organization 1 7E For 990 (017) 075EC A1U PAGE 8

9 CARRNGTON CHARTABLE FOUNDATON, NC Stateent of Revenue For 990 (017) Page 9 Part V Contriutions, Gifts, Grants and Other Siilar Aounts Progra Servie Revenue Other Revenue 1a Chek if Shedule O ontains a response or note to any line in this Part V Federated apaigns Meership dues Fundraising events d Related organizations e Governent grants (ontriutions) f All other ontriutions, gifts, grants, and siilar aounts not inluded aove 1f g Nonash ontriutions inluded in lines 1a-1f: $ h Total. Add lines 1a-1f a d 6a 1a 1 1 1d 1e Business Code e f All other progra servie revenue g Total. Add lines a-f and other siilar aounts) ATTACHMENT 4 noe fro investent of tax-exept ond proeeds Royalties (i) Real (ii) Personal Gross rents Less: rental expenses Rental inoe or (loss) d Net rental inoe or (loss) nvestent inoe (inluding dividends, interest, 4 5 7a Gross aount fro sales of assets other than inventory Less: ost or other asis (i) Seurities (ii) Other and sales expenses Gain or (loss) d Net gain or (loss) 8a of ontriutions reported on line 1). See Part V, line 18 a Less: diret expenses Net inoe or (loss) fro fundraising events Gross inoe fro gaing ativities. See Part V, line 19 a Less: diret expenses Net inoe or (loss) fro gaing ativities Gross sales of inventory, less returns and allowanes a Less: ost of goods sold Net inoe or (loss) fro sales of inventory 9a 10a 11a Gross inoe fro fundraising events (not inluding $ Misellaneous Revenue,475, ,56. Business Code d All other revenue e Total. Add lines 11a-11d 1 Total revenue. See instrutions. 7E (A) Total revenue,917,50. (B) Related or exept funtion revenue CARRNGTON HOUSE ,00 6,00,475,147. ATCH 5 1,6,78 6,00 (C) Unrelated usiness revenue (D) Revenue exluded fro tax under setions ATCH 6-1,6,78-1,6,78 OTHER NCOME ,957. 6,957. 6,957. 1,69,68. 1, ,6,778. For 990 (017) 075EC A1U PAGE 9

10 CARRNGTON CHARTABLE FOUNDATON, NC Part Stateent of Funtional Expenses Setion 501()() and 501()(4) organizations ust oplete all oluns. All other organizations ust oplete olun (A). For 990 (017) Page 10 Chek if Shedule O ontains a response or note to any line in this Part Do not inlude aounts reported on lines 6, 7, 8, 9, and 10 of Part V. 1 Grants and other assistane to doesti organizations and doesti governents. See Part V, line 1 Grants and other assistane to doesti individuals. See Part V, line Grants and other assistane to foreign organizations, foreign governents, and foreign individuals. See Part V, lines 15 and 16 4 Benefits paid to or for eers 5 Copensation of urrent offiers, diretors, trustees, and key eployees 6 Copensation not inluded aove, to disqualified persons (as defined under setion 4958(f)(1)) and persons desried in setion 4958()()(B) 7 Other salaries and wages 8 Pension plan aruals and ontriutions (inlude 9 setion 401(k) and 40() eployer ontriutions) Other eployee enefits Payroll taxes Fees for servies (non-eployees): a Manageent Legal Aounting d Loying e Professional fundraising servies. See Part V, line 17 f g a d nvestent anageent fees Other. (f line 11g aount exeeds 10% of line 5, olun (A) aount, list line 11g expenses on Shedule O.) Advertising and prootion Offie expenses nforation tehnology Royalties Oupany Travel Payents of travel or entertainent expenses for any federal, state, or loal puli offiials Conferenes, onventions, and eetings nterest Payents to affiliates Depreiation, depletion, and aortization nsurane Other expenses. teize expenses not overed aove (List isellaneous expenses in line 4e. f line 4e aount exeeds 10% of line 5, olun (A) aount, list line 4e expenses on Shedule O.) e All other expenses 5 Total funtional expenses. Add lines 1 through 4e 6 Joint osts. Coplete this line only if the organization reported in olun (B) joint osts fro a oined eduational apaign and fundraising soliitation. Chek here if following SOP 98- (ASC ) (A) (B) (C) (D) Total expenses Progra servie Manageent and Fundraising expenses general expenses expenses 1,080,0. 1,080,0. For 990 (017) 7E ,98. 5,98. 4,98. 4,98.,16,16 5,007. 5,007. 9,77. 9,77. 8,781. 8,781. STATE & CTY REGSTRATON FE 1,848. 1,848. CREDT CARD MERCHANT PROC. F 8,18. 8,18. CARRNGTON HOUSE EPENSES 9,9. 9,9. SUPPLES,156.,156. ATCH 7 1,79,94. 1,79,94.,447,986.,8,967.,68 41,9. 075EC A1U PAGE 10

11 CARRNGTON CHARTABLE FOUNDATON, NC For 990 (017) Page 11 Part Balane Sheet Assets Liailities Net Assets or Fund Balanes a Chek if Shedule O ontains a response or note to any line in this Part Cash - non-interest-earing Savings and teporary ash investents Pledges and grants reeivale, net Aounts reeivale, net Loans and other reeivales fro urrent and forer offiers, diretors, trustees, key eployees, and highest opensated eployees. Coplete Part of Shedule L Loans and other reeivales fro other disqualified persons (as defined under setion 4958(f)(1)), persons desried in setion 4958()()(B), and ontriuting eployers and sponsoring organizations of setion 501()(9) voluntary eployees' enefiiary organizations (see instrutions). Coplete Part of Shedule L Notes and loans reeivale, net nventories for sale or use Prepaid expenses and deferred harges Land, uildings, and equipent: ost or other asis. Coplete Part V of Shedule D 10a Less: auulated depreiation 10 nvestents - pulily traded seurities nvestents - other seurities. See Part V, line 11 nvestents - progra-related. See Part V, line 11 ntangile assets Other assets. See Part V, line 11 Total assets. Add lines 1 through 15 (ust equal line 4) Aounts payale and arued expenses Grants payale Deferred revenue Tax-exept ond liailities Esrow or ustodial aount liaility. Coplete Part V of Shedule D Loans and other payales to urrent and forer offiers, diretors, trustees, key eployees, highest opensated eployees, and disqualified persons. Coplete Part of Shedule L Seured ortgages and notes payale to unrelated third parties Unseured notes and loans payale to unrelated third parties Other liailities (inluding federal inoe tax, payales to related third parties, and other liailities not inluded on lines 17-4). Coplete Part of Shedule D Total liailities. Add lines 17 through 5 Organizations that follow SFAS 117 (ASC 958), hek here and oplete lines 7 through 9, and lines and 4. Unrestrited net assets Teporarily restrited net assets Peranently restrited net assets Organizations that do not follow SFAS 117 (ASC 958), hek here and oplete lines 0 through 4. Capital stok or trust prinipal, or urrent funds Paid-in or apital surplus, or land, uilding, or equipent fund Retained earnings, endowent, auulated inoe, or other funds Total net assets or fund alanes Total liailities and net assets/fund alanes (A) Beginning of year (B) End of year,849,6. 15, , ,98, , , , ATCH 8 94,6. 5, ,199., , ,58. 4,19, ,4. 19, ,17,10. 97, , ,096.,9,1 7,00,007. 1,446, ,776,111. 4,19, ,00,007.,17,10. For 990 (017) 7E EC A1U PAGE 11

12 For 990 (017) Page 1 Part Reoniliation of Net Assets Chek if Shedule O ontains a response or note to any line in this Part Total revenue (ust equal Part V, olun (A), line 1) 1 Total expenses (ust equal Part, olun (A), line 5) Revenue less expenses. Sutrat line fro line 1 Net assets or fund alanes at eginning of year (ust equal Part, line, olun (A)) 4 Net unrealized gains (losses) on investents 5 Donated servies and use of failities 6 nvestent expenses 7 Prior period adjustents 8 Other hanges in net assets or fund alanes (explain in Shedule O) 9, olun (B)) 10 Finanial Stateents and Reporting Chek if Shedule O ontains a response or note to any line in this Part 10 Net assets or fund alanes at end of year. Coine lines through 9 (ust equal Part, line Part CARRNGTON CHARTABLE FOUNDATON, NC Aounting ethod used to prepare the For 990: Cash Arual Other f the organization hanged its ethod of aounting fro a prior year or heked "Other," explain in Shedule O. a Were the organization's finanial stateents opiled or reviewed y an independent aountant? f "Yes," hek a ox elow to indiate whether the finanial stateents for the year were opiled or reviewed on a separate asis, onsolidated asis, or oth: Separate asis Consolidated asis Both onsolidated and separate asis Were the organization's finanial stateents audited y an independent aountant? f "Yes," hek a ox elow to indiate whether the finanial stateents for the year were audited on a separate asis, onsolidated asis, or oth: Separate asis Consolidated asis Both onsolidated and separate asis f "Yes" to line a or, does the organization have a oittee that assues responsiility for oversight of the audit, review, or opilation of its finanial stateents and seletion of an independent aountant? f the organization hanged either its oversight proess or seletion proess during the tax year, explain in Shedule O. a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit At and OMB Cirular A-1? f "Yes," did the organization undergo the required audit or audits? f the organization did not undergo the required audit or audits, explain why in Shedule O and desrie any steps taken to undergo suh audits. 1,69,68.,447, ,04.,776, , ,844.,00,007. a a Yes No For 990 (017) 7E EC A1U PAGE 1

13 Puli Charity Status and Puli Support OMB No SCHEDULE A (For 990 or 990-EZ) Coplete if the organization is a setion 501()() organization or a setion 4947(a)(1) nonexept haritale trust. À¾µ» Attah to For 990 or For 990-EZ. Departent of the Treasury Open to Puli nternal Revenue Servie Go to for instrutions and the latest inforation. nspetion Nae of the organization Eployer identifiation nuer CARRNGTON CHARTABLE FOUNDATON, NC Part Reason for Puli Charity Status (All organizations ust oplete this part.) See instrutions. The organization is not a private foundation eause it is: (For lines 1 through 1, hek only one ox.) 1 A hurh, onvention of hurhes, or assoiation of hurhes desried in setion 170()(1)(A)(i). A shool desried in setion 170()(1)(A)(ii). (Attah Shedule E (For 990 or 990-EZ).) A hospital or a ooperative hospital servie organization desried in setion 170()(1)(A)(iii). 4 A edial researh organization operated in onjuntion with a hospital desried in setion 170()(1)(A)(iii). Enter the hospital's nae, ity, and state: 5 An organization operated for the enefit of a ollege or university owned or operated y a governental unit desried in setion 170()(1)(A)(iv). (Coplete Part.) 6 A federal, state, or loal governent or governental unit desried in setion 170()(1)(A)(v). 7 An organization that norally reeives a sustantial part of its support fro a governental unit or fro the general puli desried in setion 170()(1)(A)(vi). (Coplete Part.) 8 A ounity trust desried in setion 170()(1)(A)(vi). (Coplete Part.) 9 An agriultural researh organization desried in setion 170()(1)(A)(ix) operated in onjuntion with a land-grant ollege or university or a non-land-grant ollege of agriulture (see instrutions). Enter the nae, ity, and state of the ollege or university: 10 An organization that norally reeives: (1) ore than 1/ % of its support fro ontriutions, eership fees, and gross reeipts fro ativities related to its exept funtions - sujet to ertain exeptions, and () no ore than 1/ %of its support fro gross investent inoe and unrelated usiness taxale inoe (less setion 511 tax) fro usinesses aquired y the organization after June 0, See setion 509(a)(). (Coplete Part.) 11 An organization organized and operated exlusively to test for puli safety. See setion 509(a)(4). 1 An organization organized and operated exlusively for the enefit of, to perfor the funtions of, or to arry out the purposes of one or ore pulily supported organizations desried in setion 509(a)(1) or setion 509(a)(). See setion 509(a)(). Chek the ox in lines 1a through 1d that desries the type of supporting organization and oplete lines 1e, 1f, and 1g. (A) a d e f g Type. A supporting organization operated, supervised, or ontrolled y its supported organization(s), typially y giving the supported organization(s) the power to regularly appoint or elet a ajority of the diretors or trustees of the supporting organization. You ust oplete Part V, Setions A and B. Type. A supporting organization supervised or ontrolled in onnetion with its supported organization(s), y having ontrol or anageent of the supporting organization vested in the sae persons that ontrol or anage the supported organization(s). You ust oplete Part V, Setions A and C. Type funtionally integrated. A supporting organization operated in onnetion with, and funtionally integrated with, its supported organization(s) (see instrutions). You ust oplete Part V, Setions A, D, and E. Type non-funtionally integrated. A supporting organization operated in onnetion with its supported organization(s) that is not funtionally integrated. The organization generally ust satisfy a distriution requireent and an attentiveness requireent (see instrutions). You ust oplete Part V, Setions A and D, and Part V. Chek this ox if the organization reeived a written deterination fro the RS that it is a Type, Type, Type funtionally integrated, or Type non-funtionally integrated supporting organization. Enter the nuer of supported organizations Provide the following inforation aout the supported organization(s). (i) Nae of supported organization (ii) EN (iii) Type of organization (desried on lines 1-10 aove (see instrutions)) (iv) s the organization listed in your governing douent? Yes No (v) Aount of onetary support (see instrutions) (vi) Aount of other support (see instrutions) (B) (C) (D) (E) Total For Paperwork Redution At Notie, see the nstrutions for For 990 or 990-EZ. Shedule A (For 990 or 990-EZ) 017 7E EC A1U PAGE 1

14 Shedule A (For 990 or 990-EZ) 017 Page Part Support Shedule for Organizations Desried in Setions 170()(1)(A)(iv) and 170()(1)(A)(vi) (Coplete only if you heked the ox on line 5, 7, or 8 of Part or if the organization failed to qualify under Part. f the organization fails to qualify under the tests listed elow, please oplete Part.) Setion A. Puli Support Calendar year (or fisal year eginning in) 1 Gifts, grants, ontriutions, and eership fees reeived. (Do not inlude any "unusual grants.") Tax revenues levied for the organization's enefit and either paid to or expended on its ehalf The value of servies or failities furnished y a governental unit to the organization without harge 4 Total. Add lines 1 through 5 The portion of total ontriutions y eah person (other than a governental unit or pulily supported organization) inluded on line 1 that exeeds % of the aount shown on line 11, olun (f) 6 Puli support. Sutrat line 5 fro line 4 7 Aounts fro line 4 8 Gross inoe fro interest, dividends, payents reeived on seurities loans, rents, royalties, and inoe fro siilar soures Setion B. Total Support Calendar year (or fisal year eginning in) 9 Net inoe fro unrelated usiness ativities, whether or not the usiness is regularly arried on 10 Other inoe. Do not inlude gain or loss fro the sale of apital assets (a) 01 () 014 () 015 (d) 016 (e) 017 (f) Total (a) 01 () 014 () 015 (d) 016 (e) 017 (f) Total (Explain in Part V.) 11 Total support. Add lines 7 through 10 1 Gross reeipts fro related ativities, et. (see instrutions) 1 organization, hek this ox and stop here Setion C. Coputation of Puli Support Perentage 14 Puli support perentage for 017 (line 6, olun (f) divided y line 11, olun (f)) Puli support perentage fro 016 Shedule A, Part, line a ox and stop here. The organization qualifies as a pulily supported organization this ox and stop here. The organization qualifies as a pulily supported organization 1 First five years. f the For 990 is for the organization's first, seond, third, fourth, or fifth tax year as a setion 501()() 17a CARRNGTON CHARTABLE FOUNDATON, NC ,74,116.,10,597.,5,16.,80,094.,917,50. 1,5,66. 1,74,116.,10,597.,5,16.,80,094.,917,50. 1,5,66. 1/ % support test f the organization did not hek the ox on line 1, and line 14 is 1/ % or ore, hek this 1/ % support test f the organization did not hek a ox on line 1 or 16a, and line 15 is 1/ % or ore, hek 10%-fats-and-irustanes test f the organization did not hek a ox on line 1, 16a, or 16, and line 14 is 10% or ore, and if the organization eets the "fats-and-irustanes" test, hek this ox and stop here. Explain in Part V how the organization eets the "fats-and-irustanes" test. The organization qualifies as a pulily supported organization 10%-fats-and-irustanes test f the organization did not hek a ox on line 1, 16a, 16, or 17a, and line 15 is 10% or ore, and if the organization eets the "fats-and-irustanes" test, hek this ox and stop here. Explain in Part V how the organization eets the "fats-and-irustanes" test. The organization qualifies as a pulily supported organization 18 Private foundation. f the organization did not hek a ox on line 1, 16a, 16, 17a, or 17, hek this ox and see instrutions % 74.0 %,964,84. 10,567,784. 1,74,116.,10,597.,5,16.,80,094.,917,50. 1,5, ,5,641. Shedule A (For 990 or 990-EZ) 017 7E EC A1U PAGE 14

15 Shedule A (For 990 or 990-EZ) 017 Page Part Support Shedule for Organizations Desried in Setion 509(a)() (Coplete only if you heked the ox on line 10 of Part or if the organization failed to qualify under Part. f the organization fails to qualify under the tests listed elow, please oplete Part.) Setion A. Puli Support Calendar year (or fisal year eginning in) 1 Gifts, grants, ontriutions, and eership fees reeived. (Do not inlude any "unusual grants.") Gross reeipts fro adissions, erhandise sold or servies perfored, or failities furnished in any ativity that is related to the organization's tax-exept purpose Gross reeipts fro ativities that are not an unrelated trade or usiness under setion 51 4 Tax revenues levied for the organization s enefit and either paid to or expended on its ehalf 5 The value of servies or failities CARRNGTON CHARTABLE FOUNDATON, NC (a) 01 () 014 () 015 (d) 016 (e) 017 (f) Total furnished y a governental unit to the organization without harge 6 Total. Add lines 1 through 5 7a Aounts inluded on lines 1,, and reeived fro disqualified persons Aounts inluded on lines and reeived fro other than disqualified persons that exeed the greater of $5,000 or 1% of the aount on line 1 for the year Add lines 7a and 7 8 Puli support. (Sutrat line 7 fro line 6.) Setion B. Total Support Calendar year (or fisal year eginning in) 9 Aounts fro line 6 10 a Gross inoe fro interest, dividends, payents reeived on seurities loans, rents, royalties, and inoe fro siilar soures Unrelated usiness taxale inoe (less setion 511 taxes) fro usinesses aquired after June 0, 1975 Add lines 10a and Net inoe fro unrelated usiness ativities not inluded in line 10, whether or not the usiness is regularly arried on 1 Other inoe. Do not inlude gain or loss fro the sale of apital assets (Explain in Part V.) 1 Total support. (Add lines 9, 10, 11, and 1.) 14 First five years. f the For 990 is for the organization's first, seond, third, fourth, or fifth tax year as a setion 501()() organization, hek this ox and stop here Setion C. Coputation of Puli Support Perentage 15 Puli support perentage for 017 (line 8, olun (f) divided y line 1, olun (f)) Puli support perentage fro 016 Shedule A, Part, line Setion D. Coputation of nvestent noe Perentage 17 nvestent inoe perentage for 017 (line 10, olun (f) divided y line 1, olun (f)) nvestent inoe perentage fro 016 Shedule A, Part, line a 1/ % support tests f the organization did not hek the ox on line 14, and line 15 is ore than 1/ %, and line 17 is not ore than 1/ %, hek this ox and stop here. The organization qualifies as a pulily supported organization 1/ % support tests f the organization did not hek a ox on line 14 or line 19a, and line 16 is ore than 1/ %, and line 18 is not ore than 1/ %, hek this ox and stop here. The organization qualifies as a pulily supported organization 0 Private foundation. f the organization did not hek a ox on line 14, 19a, or 19, hek this ox and see instrutions (a) 01 () 014 () 015 (d) 016 (e) 017 (f) Total Shedule A (For 990 or 990-EZ) 017 7E EC A1U PAGE 15 % % % %

16 Shedule A (For 990 or 990-EZ) 017 Page 4 Part V Supporting Organizations (Coplete only if you heked a ox in line 1 on Part. f you heked 1a of Part, oplete Setions A and B. f you heked 1 of Part, oplete Setions A and C. f you heked 1 of Part, oplete Setions A, D, and E. f you heked 1d of Part, oplete Setions A and D, and oplete Part V.) Setion A. All Supporting Organizations Yes No 1 a 4a 5a 9a Are all of the organization's supported organizations listed y nae in the organization's governing douents? f "No," desrie in Part V how the supported organizations are designated. f designated y lass or purpose, desrie the designation. f histori and ontinuing relationship, explain. 1 Did the organization have any supported organization that does not have an RS deterination of status under setion 509(a)(1) or ()? f "Yes," explain in Part V how the organization deterined that the supported organization was desried in setion 509(a)(1) or (). Did the organization have a supported organization desried in setion 501()(4), (5), or (6)? f "Yes," answer () and () elow. Did the organization onfir that eah supported organization qualified under setion 501()(4), (5), or (6) and satisfied the puli support tests under setion 509(a)()? f "Yes," desrie in Part V when and how the organization ade the deterination. Did the organization ensure that all support to suh organizations was used exlusively for setion 170()()(B) purposes? f "Yes," explain in Part V what ontrols the organization put in plae to ensure suh use. Was any supported organization not organized in the United States ("foreign supported organization")? f "Yes," and if you heked 1a or 1 in Part, answer () and () elow. Did the organization have ultiate ontrol and disretion in deiding whether to ake grants to the foreign supported organization? f "Yes," desrie in Part V how the organization had suh ontrol and disretion despite eing ontrolled or supervised y or in onnetion with its supported organizations. Did the organization support any foreign supported organization that does not have an RS deterination under setions 501()() and 509(a)(1) or ()? f "Yes," explain in Part V what ontrols the organization used to ensure that all support to the foreign supported organization was used exlusively for setion 170()()(B) purposes. Did the organization add, sustitute, or reove any supported organizations during the tax year? f "Yes," answer () and () elow (if appliale). Also, provide detail in Part V, inluding (i) the naes and EN nuers of the supported organizations added, sustituted, or reoved; (ii) the reasons for eah suh ation; (iii) the authority under the organization's organizing douent authorizing suh ation; and (iv) how the ation was aoplished (suh as y aendent to the organizing douent). Type or Type only. Was any added or sustituted supported organization part of a lass already designated in the organization's organizing douent? Sustitutions only. Was the sustitution the result of an event eyond the organization's ontrol? 6 Did the organization provide support (whether in the for of grants or the provision of servies or failities) to a anyone other than (i) its supported organizations, (ii) individuals that are part of the haritale lass enefited y one or ore of its supported organizations, or (iii) other supporting organizations that also support or enefit one or ore of the filing organization s supported organizations? f "Yes," provide detail in Part V. Did the organization provide a grant, loan, opensation, or other siilar payent to a sustantial ontriutor (defined in setion 4958()()(C)), a faily eer of a sustantial ontriutor, or a 5% ontrolled entity with regard to a sustantial ontriutor? f "Yes," oplete Part of Shedule L (For 990 or 990-EZ). Did the organization ake a loan to a disqualified person (as defined in setion 4958) not desried in line 7? f "Yes," oplete Part of Shedule L (For 990 or 990-EZ). Was the organization ontrolled diretly or indiretly at any tie during the tax year y one or ore disqualified persons as defined in setion 4946 (other than foundation anagers and organizations desried in setion 509(a)(1) or ())? f "Yes," provide detail in Part V. Did one or ore disqualified persons (as defined in line 9a) hold a ontrolling interest in any entity in whih the supporting organization had an interest? f "Yes," provide detail in Part V. Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal enefit fro, assets in whih the supporting organization also had an interest? f "Yes," provide detail in Part V. Was the organization sujet to the exess usiness holdings rules of setion 494 eause of setion 494(f) (regarding ertain Type supporting organizations, and all Type non-funtionally integrated supporting organizations)? f "Yes," answer 10 elow. Did the organization have any exess usiness holdings in the tax year? (Use Shedule C, For 470, to deterine whether the organization had exess usiness holdings.) Shedule A (For 990 or 990-EZ) 017 7E CARRNGTON CHARTABLE FOUNDATON, NC EC A1U PAGE 16 a 4a 4 4 5a a a 10