Instructions For Form 990-Pf - Return Of Private Foundation Or Section 4947(A)(1) Nonexempt Charitable Trust Treated As A Private Foundation - Internal Revenue Service - 2003 Page 26
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30restrictions applicable to each type of
any income reported in column (d). If
was created to conduct and that, along
award the organization makes. This
more than one exclusion code is
with any activities begun later, form the
information benefits the grant seeker and
applicable to a particular revenue item,
basis of the organization’s current
the foundation. The grant seekers will be
select the lowest numbered exclusion
exemption from tax.
aware of the grant eligibility requirements
code that applies. Also, if nontaxable
Program services can also include the
and the foundation should receive only
revenues from several sources are
organization’s unrelated trade or business
applications that adhere to these grant
reportable on the same line in column (d),
activities. Program service revenue also
application requirements.
use the exclusion code that applies to the
includes income from program-related
largest revenue source.
If the foundation only makes
investments (such as interest earned on
contributions to preselected charitable
Columns (b), (d), and (e). For amounts
scholarship loans) as defined in the
organizations and does not accept
reported in Part XVI-A on lines 1 – 11,
instructions for Part IX-B.
unsolicited applications for funds, check
enter in column (b) any income earned
Line 11. On lines 11a – e, list each “Other
the box on line 2.
that is unrelated business income (see
revenue” activity not reported on lines 1
section 512). In column (d), enter any
Line 3. If necessary, attach a schedule
through 10. Report the sum of the
income earned that is excluded from the
for lines 3a and 3b that lists separately
amounts entered for lines 11a – e,
computation of unrelated business
amounts given to individuals and amounts
columns (b), (d), and (e), on line 11,
taxable income by Code section 512, 513,
given to organizations.
Part I.
or 514. In column (e), enter any related or
Purpose of grant or contribution.
exempt function income; that is, any
Line 13. On line 13, enter the total of
Entries under this column should reflect
income earned that is related to the
columns (b), (d), and (e) of line 12.
the grant’s or contribution’s purpose and
organization’s purpose or function which
should be in greater detail than merely
You may use the following worksheet
constitutes the basis for the organization’s
classifying them as charitable,
to verify your calculations.
exemption.
educational, religious, or scientific
Also enter in column (e) any income
Line 13, Part XVI-A . . . . . . . . . . .
activities.
specifically excluded from gross income
For example, use an identification
Minus:
Line 5b, Part I . . . . . . . . .
other than by Code section 512, 513, or
such as:
Note: If line 5b, Part I,
•
514, such as interest on state and local
Payments for nursing service,
reflects a loss, add that
•
bonds that is excluded from tax by section
For fellowships, or
amount here instead of
•
103. You must explain in Part XVI-B any
For assistance to indigent families.
subtracting.
amount shown in column (e).
Entries such as “grant” or
Plus:
Line 1, Part I . . . . . . . . . .
Comparing Part XVI-A with Part I. The
!
“contribution” under the column
sum of the amounts entered on each line
Plus:
Line 5a, Part I . . . . . . . . .
titled Purpose of grant or
CAUTION
of lines 1 – 11 of columns (b), (d), and (e)
contribution are unacceptable. See
Plus:
Expenses of special events
of Part XVI-A should equal corresponding
Completed Example of Form 990-PF
deducted in computing line
amounts entered on lines 3 – 11 of Part I,
9 of Part XVI-A . . . . . . . .
found in Package 990-PF, Returns for
column (a), and on line 5b as shown
Private Foundations, for additional
Equal:
Line 12, column (a), of Part I
below:
examples that describe the purpose of a
Amounts in
Correspond to
grant or contribution.
Part XVI-A
Amounts in Part I,
Line 3a — Paid during year. List all
Part XVI-B—Relationship
on line . . .
column (a), line . . .
contributions, grants, etc., actually paid
of Activities to the
during the year, including grants or
1a – g . . . . . . . . . . . . . . . 11
contributions that are not qualifying
Accomplishment of
2 . . . . . . . . . . . . . . . . . . 11
distributions under section 4942(g).
3 . . . . . . . . . . . . . . . . . . 3
Include current year payments of
Exempt Purposes
4 . . . . . . . . . . . . . . . . . . 4
set-asides treated as qualifying
5 and 6 . . . . . . . . . . . . . . 5b (description
To explain how each amount in column
column)
distributions in the current tax year or any
(e) of Part XVI-A was related or exempt
7 . . . . . . . . . . . . . . . . . . 11
prior year.
function income, show the line number of
8 . . . . . . . . . . . . . . . . . . 6
Line 3b — Approved for future
9 . . . . . . . . . . . . . . . . . . 11 minus any special
the amount in column (e) and give a brief
payment. List all contributions, grants,
event expenses
description of how each activity reported
etc., approved during the year but not
included on lines 13
in column (e) contributed importantly to
through 23 of Part I,
paid by the end of the year, including the
the accomplishment of the organization’s
column (a)
unpaid portion of any current year
exempt purposes (other than by providing
10 . . . . . . . . . . . . . . . . . 10c
set-aside.
funds for such purposes). Activities that
11a – e . . . . . . . . . . . . . . 11
generate exempt-function income are
Part XVI-A—Analysis of
Line 1 — Program service revenue. On
activities that form the basis of the
lines 1a – g, list each revenue-producing
Income-Producing
organization’s exemption from tax.
program service activity of the
Activities
Also, explain any income entered in
organization. For each program service
column (e) that is specifically excluded
activity listed, enter the gross revenue
In Part XVI-A, analyze revenue items that
from gross income other than by Code
earned for each activity, as well as
are also entered in Part I, column (a),
section 512, 513, or 514. If no amount is
identifying business and exclusion codes,
lines 3 – 11, and on line 5b. Contributions
entered in column (e), do not complete
in the appropriate columns. For line 1g,
reported on lines 1 and 2 of Part I are not
Part XVI-B.
enter amounts that are payments for
entered in Part XVI-A. For information on
services rendered to governmental units.
unrelated business income, see the
Example. M, a performing arts
Do not include governmental grants that
Instructions for Form 990-T and Pub. 598.
association, is primarily supported by
are reportable on line 1 of Part I.
Columns (a) and (c). In column (a),
endowment funds. It raises revenue by
Report the total of lines 1a – g on line
enter a 6-digit business code, from the list
charging admissions to its performances.
11 of Part I, along with any other income
in the Instructions for Form 990-T, to
These performances are the primary
reportable on line 11.
identify any income reported in column
means by which the organization
(b). In column (c), enter an exclusion
Program services are mainly those
accomplishes its cultural and educational
code, from the list on page 29, to identify
activities that the reporting organization
purposes.
-26-
Form 990-PF Instructions
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