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 - 2004 Page 15

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5. The organizational status of donee
Do not include current year’s write-offs
reduced by the corresponding allowance
(e.g., public charity — an organization
of prior years’ program-related
for doubtful accounts). Claims against
described in section 509(a)(1), (2), or (3)).
investments. All program-related
vendors or refundable deposits with
investments are included in qualifying
suppliers or others may be reported here
You do not have to give the name of
distributions (Part XII, line 1b) in the year
if not significant in amount. (Otherwise,
any indigent person who received one or
the investment is made.
report them on line 15, Other assets.) Any
more gifts or grants from the foundation
Do not include any payments that are
receivables due from officers, directors,
unless that individual is a disqualified
not qualifying distributions as defined in
trustees, foundation managers, or other
person or one who received a total of
section 4942(g)(1).
disqualified persons must be reported on
more than $1,000 from the foundation
line 6. Report receivables (including loans
Net Amounts
during the year.
and advances) due from other employees
Line 27a — Excess of revenue over
on line 15.
Activities should be classified
expenses. Subtract line 26, column (a),
Line 4 — Pledges receivable. On the
according to purpose and in greater detail
from line 12, column (a). Enter the result.
dashed lines to the left of column (a),
than merely classifying them as
Generally, the amount shown in column
enter the year-end figures for total
charitable, educational, religious, or
(a) on this line is also the amount by
pledges receivable and allowance for
scientific activities. For example, use
which net assets (or fund balances) have
doubtful accounts (pledges estimated to
identification such as: payments for
increased or decreased for the year. See
be uncollectable). In columns (a), (b), and
nursing service, for fellowships, or for
the instructions for Part III, Analysis of
(c), enter net amounts (total pledges
assistance to indigent families.
Changes in Net Assets or Fund Balances.
receivable reduced by the corresponding
Foundations may include, as a single
Line 27b — Net investment income.
allowance for doubtful accounts).
entry on the schedule, the total of
Domestic organizations, subtract line 26
Line 5 — Grants receivable. Enter the
amounts paid as grants for which the
from line 12. Enter the result. Exempt
total grants receivable from governmental
foundation exercised expenditure
foreign organizations, enter the amount
agencies, foundations, and other
responsibility. Attach a separate report for
shown on line 12. However, if the
organizations as of the beginning and end
each grant.
organization is a domestic organization
of the year.
and line 26 is more than line 12 (i.e.,
When the fair market value of the
Line 6 — Receivables due from officers,
expenses exceed income), enter zero
property at the time of disbursement is
directors, trustees, and other
(not a negative amount).
the measure of a contribution, the
disqualified persons. Enter here (and
schedule must also show:
Line 27c — Adjusted net income.
on an attached schedule described
A description of the contributed
Subtract line 26, column (c) from line 12,
below) all receivables due from officers,
property,
column (c) and enter the result.
directors, trustees, foundation managers,
The book value of the contributed
and other disqualified persons and all
Part II—Balance Sheets
property,
secured and unsecured loans (including
The method used to determine the
For column (b), show the book value at
advances) to such persons. Disqualified
book value,
the end of the year. For column (c), show
person is defined in General
The method used to determine the fair
the fair market value at the end of the
Instruction C.
market value, and
year. Attached schedules must show the
Attached schedules. (a) On the
The date of the gift.
end-of-year value for each asset listed in
required schedule, report each loan
columns (b) and (c).
The difference between fair
separately, even if more than one loan
Foundations whose books of account
TIP
market value and book value
was made to the same person, or the
included total assets of $5,000 or more at
should be shown in the books of
same terms apply to all loans made.
any time during the year must complete
account and as a net asset adjustment in
Salary advances and other advances
all of columns (a), (b), and (c).
Part III.
for the personal use and benefit of the
Foundations with less than $5,000 of
In column (d). Enter on line 25 all
recipient and receivables subject to
total assets per books at all times during
contributions, gifts, and grants the
special terms or arising from transactions
the year must complete all of columns (a)
foundation paid during the year.
not functionally related to the foundation’s
and (b), and only line 16 of column (c).
Do not include contributions to
charitable purposes must be reported as
Line 1 — Cash — Non-interest-bearing.
organizations controlled by the foundation
separate loans for each officer, director,
Enter the amount of cash on deposit in
or by a disqualified person (see General
etc.
checking accounts, deposits in transit,
Instruction C for definitions). Do not
(b) Receivables that are subject to the
change funds, petty cash funds, or any
include contributions to nonoperating
same terms and conditions (including
other non-interest-bearing account. Do
private foundations unless the donees are
credit limits and rate of interest) as
not include advances to employees or
exempt from tax under section 501(c)(3),
receivables due from the general public
officers or refundable deposits paid to
they redistribute the contributions, and
from an activity functionally related to the
suppliers or others.
they maintain sufficient evidence of
foundation’s charitable purposes may be
Line 2 — Savings and temporary cash
redistributions according to the
reported as a single total for all the
investments. Enter the total of cash in
regulations under section 4942(g).
officers, directors, etc. Travel advances
savings or other interest-bearing accounts
Do not reduce the amount of grants
made for official business of the
and temporary cash investments, such as
paid in the current year by the amount of
organization may also be reported as a
money market funds, commercial paper,
grants paid in a prior year that was
single total.
certificates of deposit, and U.S. Treasury
returned or recovered in the current year.
bills or other governmental obligations
For each outstanding loan or other
Report those repayments in column (c),
that mature in less than 1 year.
receivable that must be reported
line 9, and in Part XI, line 4a.
separately, the attached schedule should
Do not include any payments of
Line 3 — Accounts receivable. On the
show the following information (preferably
set-asides (see instructions for Part XII,
dashed lines to the left of column (a),
in columnar form):
line 3) taken into account as qualifying
enter the year-end figures for total
distributions in the current year or any
accounts receivable and allowance for
1. Borrower’s name and title,
prior year. All set-asides are included in
doubtful accounts from the sale of goods
2. Original amount,
qualifying distributions (Part XII, line 3) in
and/or the performance of services. In
3. Balance due,
the year of the set-aside regardless of
columns (a), (b), and (c), enter net
4. Date of note,
when paid.
amounts (total accounts receivable
5. Maturity date,
-15-
Form 990-PF Instructions

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