DAVIS, Justice:
Davis Memorial Hospital (hereinafter referred to as “Davis Memorial”), Appellant and petitioner below, appeals from a decision of the Circuit Court of Randolph County that affirmed the denial of its claim for a refund of West Virginia consumers sales tax and West Virginia use tax paid for the year 2002. The circuit court affirmed the decision of the West Virginia State Tax Commissioner, respondent below and appellee (hereinafter referred to as “Tax Commissioner”), which interpreted the term “support,” as defined in W. Va.Code § ll-15-9(a)(6)(F)(i)(II) (2007) (Supp.2008), as including Davis Memorial’s receipts from patient revenues, also referred to as “exempt purpose income.”
With its exempt purpose income included in the calculation of its “support,” Davis Memorial does not qualify for an exemption from West Virginia sales tax and use tax. We agree with the Tax Commissioner’s interpretation of the relevant statutes. Therefore, we affirm the circuit court's ruling upholding that interpretation.
I.
FACTUAL AND PROCEDURAL HISTORY
Davis Memorial is an Internal Revenue Code § 501(c)(3) not-for-profit healthcare provider.
As such, Davis Memorial is ex
empt from West Virginia sales tax and use tax
if it passes the “support test” set out in W. Va.Code § ll-15-9(a)(6)(C) (2007) (Supp. 2008),
i.e.,
if it “annually receives more than one half of its
support
from any combination of gifts, grants, direct or indirect charitable contributions or membership fees.” (Emphasis added). The issue presented in this case is the meaning of the term “support” as that term is described in W. Va.Code § 11-15-9(a)(6)(F)(i)(II).
W. Va.Code § ll-15-9(a) states in relevant part:
(а) .... The following sales of tangible personal property and services are exempt as provided in this subsection:
(б) Sales of tangible personal property oi' services to a corporation or organization which has a current registration certifícate issued under article twelve [§§ 11-12-1 et seq.] of this chapter, which is exempt from federal income taxes under Section 501(c)(3) or (e)(4) of the Internal Revenue Code of 1986, as amended, and which is:
(C) A corporation or organization which annually receives more than one half of its
support
from any combination of gifts, grants, direct or indirect charitable contributions or membership fees;
(F) For purposes of this subsection:
(i)
The tem “support" includes, but is not limited to:
(I) Gifts, grants, contributions or membership fees;
(II)
Gross receipts from fundraisers luhich include receipts from admissions, sales of merchandise, performance of services or furnishing of facilities in any activity which is not an unrelated trade or business within the meaning of Section 513 of the Internal Revenue Code of 1986, as amended;
(III) Net income from unrelated business activities, whether or not the activities are carried on regularly as a trade or business;
(IV) Gross investment income as defined in Section 509(e) of the Internal Revenue Code of 1986, as amended;
(V) Tax revenues levied for the benefit of a corporation or organization either paid to or expended on behalf of the organization; and
(VI) The value of services or facilities (exclusive of services or facilities generally furnished to the public without charge) furnished by a governmental unit referred to in Section 170(c)(1) of the Internal Revenue Code of 1986, as amended, to an organization without charge. This term does not include any gain from the sale or other disposition of property which would be considered as gain from the sale or exchange of a capital asset or the value of an exemption from any federal, state or local tax or any similar benefit;
W. Va.Code § 11-15-9 (2007) (Supp 2008) (emphasis added).
On May 9, 2005, Davis Memorial filed a claim for a refund of West Virginia consumers sales tax and West Virginia use tax paid during the calendar1 year 2002. Davis Memorial sought the refund based upon its claim that it met the “support test” and, therefore, was exempt from paying State sales and use taxes. The amount of the refund sought for the calendar- year 2002 is $799,501.16. The Tax Commissioner denied the claimed refund and Davis Memorial filed a timely appeal to the West Virginia Office of Tax Appeals (hereinafter referred to as “the OTA”). Following an administrative hearing, the OTA affirmed the Tax Commissioner’s denial of the refund. The Administrative Law Judge presiding over the case
concluded that Davis Memorial was required to include receipts from patient revenues, i.e., its exempt purpose income, in calculating its support for purposes of claiming the tax exemptions set forth in W. Va.Code § ll-15-9(a)(6), and therefore, Davis Memorial did not meet the “support test” in that less than one-half of its support was received from “gifts, grants, direct or indirect charitable contributions or membership fees.” It is undisputed that if Davis Memorial’s exempt purpose income was not included in the calculation of its “support,” then it would meet the support test and would be exempt from State sales and use taxes.
Davis Memorial appealed the OTA decision to the Circuit Court of Randolph County. The circuit court affirmed the OTA decision upholding the Tax Department’s denial of the requested refund. Davis Memorial then appealed to this Court, and we now affirm.
II.
STANDARD OF REVIEW
Determining what is meant by the term “support,” as that term is used in W. Va.Code § ll-15-9(a)(6)(F), presents a pure question of law. Therefore, this Court’s review is
de novo.
“Where the issue on an appeal from the circuit court is clearly a question of law or involving an interpretation of a statute, we apply a
de novo
standard of review.” Syl. pt. 1,
Chrystal R.M. v. Charlie A.L.,
194 W.Va. 138, 459 S.E.2d 415 (1995).
III.
DISCUSSION
The sole issue presented for resolution in this case is the meaning of W. Va. Code 11 — 15—9(a)(6)(f)(i)(II), which states:
(F) For purposes of this subsection:
(i) The term “support” includes, but is not limited to:
(II) Gross receipts from fundraisers which include receipts from admissions, sales of merchandise, performance of services or furnishing of facilities in any activity which is not an unrelated trade or business within the meaning of Section 513 of the Internal Revenue Code of 1986, as amended[.]
Davis Memorial argues that the Legislature plainly limited the foregoing definition of support to “fundraisers,” and then provided four specific types of funds obtained from
“fundraisers,” namely: (1) admissions, (2) sales of merchandise, (3) performance of services, or (4) furnishing of facilities, all of which must be done in connection with an activity that is not an unrelated trade or business within the meaning of Section 513 of the Internal Revenue Code of 1986, as amended.
Because Davis Memorial’s exempt purpose income is not a fundraiser, it reasons, exempt purpose income cannot possibly be included in the state-law support test.
To the contrary, the Tax Commissioner contends that the statute provides that the term “support” includes, but is not limited to, the six enumerated categories that follow,
ie.
those appearing in W. Va.Code § 11 — 15— 9(a)(6)(F)(i)(I) through (VI), and that the “gross receipts” specifically referred to in W. Va.Code § ll-15-9(a)(6)(F)(i)(II) include: (1) Receipts from admissions in any activity that is not an unrelated trade or business; (2) Receipts from sales, of merchandise in any activity that is not an unrelated trade or business; (3) Receipts from the performance of services in any • activity that is not an unrelated trade or business; and (4) Receipts from furnishing of facilities in any activity that is not an unrelated trade or business. Under this interpretation, Davis Memorial’s exempt purpose income would be included within the meaning of support as receipts from the performance of services in any activity that is not an unrelated trade or business.
In deciding the meaning of a statutory provision, “[w]e look first to the statute’s language. If the text, given its plain meaning, answers the interpretive question, the language must prevail and further inquiry is foreclosed.”
Appalachian Power Co. v. State Tax Dep’t,
195 W.Va. 573, 587, 466 S.E.2d 424, 438 (1995).
See also
Syl. pt. 2,
Crockett v. Andrews,
153 W.Va. 714, 172 S.E.2d 384 (1970) (“[w]here the language of a statute is free from ambiguity, its plain meaning is to be accepted and applied without resort to interpretation.”); Syl. pt. 2,
State v. Epperly,
135 W.Va. 877, 65 S.E.2d 488 (1951) (“[a] statutory provision which is clear and unambiguous and plainly expresses the legislative intent will not be interpreted by the courts but will be given full force and effect.”).
Indeed, this Court has held that “[a] statute is open to construction only where
the language used requires interpretation because of ambiguity which renders it susceptible of two or more constructions or of such doubtful or obscure meaning that reasonable minds might be uncertain or disagree as to its meaning.”
Sizemore v. State Farm Gen. Ins. Co.,
202 W.Va. 591, 596, 505 S.E.2d 654, 659 (1998) (internal quotations and citation omitted).
Both Davis Memorial and the Tax Commissioner contend that W. Va.Code 11-15 — 9(a)(6)(f)(i)(II) is a plainly worded statute. Therefore, they contend, its plain provisions should be applied. We disagree.
An examination of that section of the code reveals that the “language used requires interpretation because of ambiguity which renders it susceptible of two or more constructions” and that the provision is “of such doubtful or obscure meaning that reasonable minds might be uncertain or disagree as to its meaning.”
Sizemore,
202 W.Va. at 596, 505 S.E.2d at 659. Accordingly, we find that W. Va.Code 11 — 15—9(a)(6)(f)(i)(II) is ambiguous. “A statute that is ambiguous must be construed before it can be applied.” Syl. pt. 1,
Farley v. Buckalew,
186 W.Va. 693, 414 S.E.2d 454 (1992).
See also United Bank, Inc. v. Stone Gate Homeowners Ass’n, Inc.,
220 W.Va. 375, 379, 647 S.E.2d 811, 815 (2007) (“statutory language that is ambiguous must be construed before it can be applied.”).
When endeavoring to construe the meaning of an ambiguous statute, we must be mindful that “[t]he primary object in construing a statute is to ascertain and give effect to the intent of the Legislature.” Syl. pt. 1,
Smith v. State Workmen’s Comp. Comm’r,
159 W.Va. 108, 219 S.E.2d 361 (1975).
See also
Syl. pt. 1,
Ohio County Comm’n v. Manchin,
171 W.Va. 552, 301 S.E.2d 183 (1983) (“Judicial interpretation of a statute is warranted only if the statute is ambiguous and the initial step in such interpretative inquiry is to ascertain the legislative intent.”).
In ascertaining the legislative intent behind W. Va.Code ll-15-9(a)(6)(f)(i)(II), we first consider what the Legislature has stated its intent to be with respect to the general law of which this provision is a part:
“[a] statute should be so read and applied as to make it accord with the spirit, purposes, and objects of the general system of law of which it is intended to form a part; it being presumed that the legislators who drafted and passed it were familiar with all existing law applicable to the subject-matter, whether constitutional, statutory, or common, and intended the statute to harmonize completely with the same and aid in the effectuation of the general purpose and design thereof, if its terms are consistent therewith.” Syllabus Point 5,
State v. Snyder,
64 W.Va. 659, 63 S.E. 385 (1908).
Syl. pt. 3,
Buda v. Town of Masontown,
217 W.Va. 284, 617 S.E.2d 831 (2005). Thus, we find it pertinent that, in W. Va.Code § 11-15-1 (1939) (Repl.Vol.2005), the Legislature has expressly stated that “[t]he purpose of this article is to
impose
a general consumers sales and service tax.” (Emphasis added). Furthermore, the Legislature has stated that “[t]o prevent evasion, it shall be presumed that
all
sales and services are subject to the tax until the contrary is
clearly established.”
W. Va.Code § 11-15-6 (1987) (Repl.Vol.2002) (emphasis added).
We believe the foregoing provisions clearly reflect the legislative intent that presumptions are to be made in favor of taxability, and exemptions must be clearly established.
See, e.g., Wooddell v. Dailey,
160 W.Va. 65, 66-67, 230 S.E.2d 466, 468 (1976) (“W. Va.Code, 11-15-6, provides that
all sales and services are presumed to be subject to the tax until the contrary is clearly established. In the face of such a presumption, the taxpayer has the burden of establishing that she is not subject to the tax.”). Therefore, examining the specific language of W. Va.Code § 1 l-15-9(a)(6)(F)(i)(II) in light of the statutory scheme of which it is a part, we believe the Legislature intended the term “support” to have a broad meaning so that the organizations who could qualify as exempt by virtue of the § ll-15-9(a)(6)(C) support test would be limited.
Our conclusion is supported by the rule that “ ‘[wjhere a person claims an exemption from a law imposing a license or tax, such law is strictly construed against the person claiming the exemption’ Syllabus Point 4,
Shawnee Bank, Inc. v. Paige,
200 W.Va. 20, 488 S.E.2d 20 (1997) (citations omitted).” Syl. pt. 1,
RGIS Inventory Specialists v. Palmer,
209 W.Va. 152, 544 S.E.2d 79 (2001).
Accord
Syl. pt. 5,
CB&T Operations Co., Inc. v. Tax Comm’r of State,
211 W.Va. 198, 564 S.E.2d 408 (2002); Syl. pt. 2,
Tony P. Sellitti Constr. Co. v. Caryl,
185 W.Va. 584, 408 S.E.2d 336 (1991); Syl. pt. 5,
Pennsylvania & West Virginia Supply Corp. v. Rose,
179 W.Va. 317, 368 S.E.2d 101 (1988); Syl. pt. 2,
State ex rel. Lambert v. Carman, State Tax Comm’r,
145 W.Va. 635, 116 S.E.2d 265 (1960).
The legislative intent to assign a broad meaning to the term “support,” and to thereby limit those charitable organizations who are able to claim the related exemption, is further demonstrated by the express language of W. Va.Code § ll-15-9(a)(6)(F)(i) stating: “[tjhe term ‘support’ includes,
but is not limited to.”
In this regal'd, this Court has recognized that “[tjhe term ‘includ[esj’ in a statute is to be dealt with as a word of enlargement and this is especially so where ... such word is followed by ‘but not limited to’ the illustrations given.”
State Human Rights Comm’n v. Pauley,
158 W.Va. 495, 501, 212 S.E.2d 77, 80 (1975) (citations omitted). Davis Memorial argues that, under the doctrines of
ejusdem
generis
and
noscitur a sociis,
the phrase “includes, but is not limited to” as used in W. Va.Code § 11 — 15— 9(a)(6)(F)(i) must be read in connection with the list that follows and therefore W. Va. Code § 11 — 15—9(a)(6)(F)(i)(II) must be read to mean “includes but is not limited to” additional types of fundraisers not expressly listed. We reject this analysis. The phrase “includes, but is not limited to” appears in subsection W. Va.Code § ll-15-9(a)(6)(F)(i) and applies broadly to all those types of support listed thereunder in subsections (I) through (VI), which include items, such as “[njet income from unrelated business activities”
and “[gjross investment income,”
that plainly do not refer to fundraisers.
To determine the intent of the Legislature with respect to what income should be included as “support” for purposes of calculating whether more than half of that amount derives from “any combination of gifts, grants, direct or indirect charitable contributions or membership fees,” W. Va.Code § ll-15-9(a)(6)(C), we think it is also useful to look at earlier versions of the exemption section to see how such exemptions have been historically addressed.
See, e.g., Carter-Hubbard Pub. Co., Inc. v. WRMC Hosp. Operating Corp.,
178 N.C.App. 621, 625, 633 S.E.2d 682, 685 (2006) (“ ‘Other indicia considered by this Court in determining legislative intent are the legislative history of an act and the circumstances surrounding its adoption[.]’ ” (citations omitted));
Smith v. Com.,
32 Va.App. 228, 235, 527 S.E.2d 456, 460 (2000) (“A statute should, if possible, be construed to “ ‘effect rather than defeat a legislative purpose evident from the history of the legislation.” ’ ” (citations omitted)).
The consumer sales tax statute was first codified at Chapter 11, Article 15, in 1937.
See
Acts of the Legislature, Reg. Sess., ch. 108 (1937). That early version of the statute did not contain any exemption for charitable organizations; although, it did contain a section outlining certain sales that were not included.
See
Acts of the Legislature, Reg. Sess., ch. 108, § 9, at 444 (1937).
Thus, charitable organizations received no exemptions by virtue of their status as charitable organizations, but rather were entitled to an exception from consumer sales tax only to the extent that they engaged in certain types of sales transactions. Thereafter, W. Va. Code § 11-15-9 was amended several times;
and in 1955 an exclusion for charitable organizations was added. Acts of the Legislature, Reg. Sess., ch. 1169, § 9, at 506 (1955). However, the charitable organization exclusion, which appeared at subsection 6, applied only to those organizations that made “no charge whatever for the services they render.”
Id.
Accordingly, charitable organizations began to receive an exclusion by virtue of their status as charitable organizations, but this exclusion applied only to those charitable organizations that did not charge for the services they rendered. This language remained in subsection 6 through amendments to § 11-15-9 that occurred in 1957,
1963,
and 1969.
In 1974, § 11-15-9 was once again substantively changed. In 1974, an exemption for § 501(c)(3) organizations was granted, but such organizations were exempt only if they made “casual and occasional sales not conducted in a repeated manner.” W. Va.Code § ll-15-9(6).
The “casual and occasional sales not conducted in a repeated manner” qualification remained in
W. Va.Code § 11-15-9(6) until 1989, when the Legislature again re-wrote section 9, and first used the languagé we are asked to interpret in the case sub judice.
Given this history of gradual change and narrowly defined groups of charitable organizations to which a sales tax exclusion would apply, we find it difficult to believe that the Legislature intended such a dramatic change in the law, as advocated by Davis Memorial, from allowing the exemption only to § 501(c)(3) organizations who made only “casual and occasional sales not conducted in a repeated manner,” to allowing the exemption to be claimed by a § 501(c)(3) organization that earned more than $64,000,000.00 in fees charged to patients receiving health care services.
Furthermore, the Tax Department has persuasively explained that the tax exemption at issue specifically states that the calculation for the term “support” must include gross receipts from any activity which is
not an unrelated trade or business income:
(II) Gross receipts from fundraisers which include receipts from admissions, sales of merchandise, performance of services or furnishing of facilities in any activity
which is not an unrelated trade or business
within the meaning of Section 513 of the Internal Revenue Code of 1986, as amended;
(Emphasis added). Clearly then, the Tax Department submits, the Legislature intended that gross receipts from business activities which are not unrelated business activities must be included in the calculation of support. Davis Memorial’s receipts from activities which are “not an unrelated trade or business” necessarily refers to Davis Memorial’s provision of health care services. Thus, those funds must be.included in the calculation of its “support.” Notably, under Davis Memorial’s interpretation of the statute as limiting “support” to include only fundraising activities, the phrase “in any activity which is not an unrelated trade or business_” is essentially rendered meaningless. Such a result is contrary to our rules of statutory interpretation. “A cardinal rule of statutory construction is that significance and effect must, if possible, be given to every section, clause, word or part of the statute.” Syllabus Point 3,
Meadows v. Wal-Mart Stores, Inc.,
207 W.Va. 203, 530 S.E.2d 676 (1999).
See also State ex rel. Johnson v. Robinson,
162 W.Va. 579, 582, 251 S.E.2d 505, 508 (1979) (“It is a well known rule of statutory construction that the Legislature is presumed to intend that every word used in a statute has a specific purpose and meaning.”):
We note that Davis Memorial engages in an in depth grammatical analysis of W. Va.Code § l'l-15-9(a)(6)(F)(i)(II), arguing that it contains a restrictive clause, as indicated, inter alia, by the use of the term “which” without a comma;
that use of the plural verb “include” in W. Va.Code § 11 — 15— 9(a)(6)(F)(i)(II) indicates that it modifies the term “fundraisers”;
and that the list contained in W. Va.Code § 11 — 15— 9(a)(6)(F)(i)(II) is joined with the conjunctive “or,” which indicates a restrictive clause. We reject these arguments. While a grammatical analysis may be a useful tool in inter-
preting a statute, it is not controlling, and it will not justify an interpretation that is contrary to the intent of the Legislature. “In ascertaining the intent of the Legislature in the enactment of a statute and determining whether it is unambiguous, the grammatical construction,
ivhile not controlling,
is an important aid.” Syl. pt. 4,
Pond Creek Pocahontas Co. v. Alexander,
137 W.Va. 864, 74 S.E.2d 590 (1953) (emphasis added).
Finally, we note that Davis Memorial argues that, because W. Va.Code § 11-15-9(a)(6)(F)(i)(II) is modeled after its federal counterpart
but fails to use identical language, it is presumed that the Legislature desired a standard different than that established in the federal statute.
One court has described the rule thusly:
We note initially that the federal courts’ interpretations of a federal statute are not binding upon the Illinois courts or legislature although when the state legislature passes a state statute based upon a federal statute, the statute can presumably be interpreted in conformity with the decisions of the federal courts rendered prior to the adoption of the statute. Further, it may be presumed that the legislature adopted the language it did with knowledge of the construction previously enunciated in the federal courts.
(See, Commonwealth Life & Accident Insurance Co. v. Bd. of Rev. of Dept. of Labor
(1953), 414 Ill. 475, 481-82, 111 N.E.2d 345, 348;
see also,
34 I.L.P. Statutes, § 135, p. 129 (1958).) However, the converse of these principles of statutory construction is also true. Since it may be presumed that the legislature had knowledge of the federal court’s construction of the federal statute, the intent of the state legislature can be derived not only from the language actually adopted, but also from the language which was changed or not adopted. The fact that the state legislature specifically declined to adopt a certain section of the model federal statute, evidences an intent to achieve a result different from that announced by the decisions of the federal courts.
Laborer’s Int’l Union of North America, Local 1280 v. State Labor Relations Bd.,
154 Ill.App.3d 1045, 1050, 507 N.E.2d 1200, 1204, 107 Ill.Dec. 831, 835 (1987).
This Court has not expressly embraced the foregoing doctrine in the context of the Legislature’s adoption of a modified version of another jurisdiction’s statute.
Notably, though, the adoption of a modified version of another jurisdiction’s statute
merely creates a
presumption
that a change was intended. Moreover, it appears that minor changes to a statutory scheme do not carry the same weight as more significant changes:
“ “where
material and substantive changes
are made by the Legislature in adopting a federal statute the presumption that the Legislature intended to accomplish the same purposes and objectives,.as the Congress is no longer valid. Substantive changes can easily, and probably do, indicate different purposes and objectives than those intended by the Congress when it initially enacted the law.’ ”
State v. Wells,
276 N.W.2d 679, 691 (N.D., 1979) (quoting
State v. Wells,
265 N.W.2d 239, 247 (N.D.1978)). When comparing the language used in W. Va.Code § 11-15-9(a)(6)(F)(i)(II) with its federal counterpart, we simply do not find the change in language to be “material and substantive.” Rather, given our determination that the Legislature intended the term “support” to have a broad meaning so that the organizations who could qualify as exempt by virtue of the § 11 — 15— 9(a)(6)(C) support test would be limited, we conclude that the change merely reflected the Legislature’s desire to clarify the federal statute and more specifically define what was meant by the term “admissions.”
Based upon the foregoing analysis, we now hold that the term “support,” as defined in W. Va.Code § 11-15-9(a)(6)(F)(i)(II) (2007) (Supp.2008), includes, but is not limited to, gross receipts from: (1) fundraisers, which include receipts from admissions; (2) sales of merchandise; (3) performance of services; or (4) furnishing of facilities, in any activity which is not an unrelated trade or business within the meaning of Section 513 [26 USCS § 513] of the Internal Revenue Code of 1986, as amended. Applying this definition of support, the $64,180,500.00 in exempt purpose income earned by Davis Memorial for the year 2002 is included. Therefore, Davis Memorial received less than one half of its support from gifts, grants, direct or indirect charitable contributions or membership fees during the year 2002, and its claim for a refund was properly denied.
IV.
CONCLUSION
The Circuit Court of Randolph County did not err in affirming the Tax Commissioner’s denial of Davis Memorial’s claim for a refund of sales and use tax for the year 2002. Consequently, the circuit court’s order of June 27, 2007, is affirmed.
Affirmed.
Justice ALBRIGHT not participating.
Senior Status Justice McHUGH sitting by temporary assignment.
Senior Status Justice McHUGH disqualified.
Judge HUTCHISON sitting by temporary assignment.