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 26

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See regulations under section 4942 for
unsolicited applications for funds, check
enter in column (b) any income earned
the meaning of “directly for the active
the box on line 2.
that is unrelated business income (see
conduct” of exempt activities for purposes
section 512). In column (d), enter any
Line 3. If necessary, attach a schedule
of these tests.
income earned that is excluded from the
for lines 3a and 3b that lists separately
computation of unrelated business
amounts given to individuals and amounts
Complying with these tests. A
taxable income by Code section 512, 513,
given to organizations.
foundation may meet the income test and
or 514. In column (e), enter any related or
either the assets, endowment, or support
Purpose of grant or contribution.
exempt function income; that is, any
Entries under this column should reflect
test by satisfying the tests for any 3 years
income earned that is related to the
during a 4-year period consisting of the
the grant’s or contribution’s purpose and
organization’s purpose or function which
should be in greater detail than merely
tax year in question and the 3
constitutes the basis for the organization’s
immediately preceding tax years. It may
classifying them as charitable,
exemption.
also meet the tests based on the total of
educational, religious, or scientific
Also enter in column (e) any income
activities.
all related amounts of income or assets
specifically excluded from gross income
held, received, or distributed during that
For example, use an identification
other than by Code section 512, 513, or
4-year period. A foundation may not use
such as:
514, such as interest on state and local
one method for satisfying the income test
Payments for nursing service,
bonds that is excluded from tax by section
and another for satisfying one of the three
For fellowships, or
103. You must explain in Part XVI-B any
alternative tests. Thus, if a foundation
For assistance to indigent families.
amount shown in column (e).
meets the income test on the
Entries such as “grant” or
3-out-of-4-year basis for a particular tax
Comparing Part XVI-A with Part I. The
!
“contribution” under the column
year, it may not use the 4-year
sum of the amounts entered on each line
titled Purpose of grant or
aggregation method for meeting one of
CAUTION
of lines 1 – 11 of columns (b), (d), and (e)
contribution are unacceptable. See
the three alternative tests for that same
of Part XVI-A should equal corresponding
Completed Example of Form 990-PF
year.
amounts entered on lines 3 – 11 of Part I,
found in Package 990-PF, Returns for
column (a), and on line 5b as shown
In completing line 3c(3) of Part XIV
Private Foundations, for additional
below:
under the aggregation method, the largest
examples that describe the purpose of a
amount of support from an exempt
Amounts in
Correspond to
grant or contribution.
Part XVI-A
Amounts in Part I,
organization will be based on the total
Line 3a — Paid during year. List all
on line . . .
column (a), line . . .
amount received for the 4-year period
contributions, grants, etc., actually paid
from any one exempt organization.
during the year, including grants or
1a – g . . . . . . . . . . . . . . . 11
A new private foundation must use the
contributions that are not qualifying
2 . . . . . . . . . . . . . . . . . . 11
aggregation method to satisfy the tests for
distributions under section 4942(g).
3 . . . . . . . . . . . . . . . . . . 3
Include current year payments of
its first tax year in order to be treated as a
4 . . . . . . . . . . . . . . . . . . 4
private operating foundation from the
set-asides treated as qualifying
5 and 6 . . . . . . . . . . . . . . 5b (description
column)
distributions in the current tax year or any
beginning of that year. It must continue to
7 . . . . . . . . . . . . . . . . . . 11
prior year.
use the aggregation method for its 2nd
8 . . . . . . . . . . . . . . . . . . 6
and 3rd tax years to maintain its status for
Line 3b — Approved for future
9 . . . . . . . . . . . . . . . . . . 11 minus any special
those years.
payment. List all contributions, grants,
event expenses
included on lines 13
etc., approved during the year but not
through 23 of Part I,
Part XV—Supplementary
paid by the end of the year, including the
column (a)
unpaid portion of any current year
Information
10 . . . . . . . . . . . . . . . . . 10c
set-aside.
11a – e . . . . . . . . . . . . . . 11
Complete this part only if the foundation
Part XVI-A—Analysis of
Line 1 — Program service revenue. On
had assets of $5,000 or more at any time
during the year. This part does not apply
lines 1a – g, list each revenue-producing
Income-Producing
program service activity of the
to a foreign foundation that during its
organization. For each program service
entire period of existence received
Activities
substantially all (85% or more) of its
activity listed, enter the gross revenue
In Part XVI-A, analyze revenue items that
earned for each activity, as well as
support (other than gross investment
are also entered in Part I, column (a),
identifying business and exclusion codes,
income) from sources outside the United
lines 3 – 11, and on line 5b. Contributions
States.
in the appropriate columns. For line 1g,
reported on line 1 of Part I are not entered
enter amounts that are payments for
Line 2. In the space provided (or in an
in Part XVI-A. For information on
services rendered to governmental units.
attachment, if necessary), furnish the
unrelated business income, see the
Do not include governmental grants that
required information about the
Instructions for Form 990-T and Pub. 598.
are reportable on line 1 of Part I.
organization’s grant, scholarship,
Columns (a) and (c). In column (a),
Report the total of lines 1a – g on line
fellowship, loan, etc., programs. In
enter a 6-digit business code, from the list
11 of Part I, along with any other income
addition to restrictions or limitations on
in the Instructions for Form 990-T, to
reportable on line 11.
awards by geographical areas, charitable
identify any income reported in column
fields, and kinds of recipients, indicate
Program services are mainly those
(b). In column (c), enter an exclusion
any specific dollar limitations or other
activities that the reporting organization
code, from the list on page 29, to identify
restrictions applicable to each type of
was created to conduct and that, along
any income reported in column (d). If
award the organization makes. This
with any activities begun later, form the
more than one exclusion code is
information benefits the grant seeker and
basis of the organization’s current
applicable to a particular revenue item,
the foundation. The grant seekers will be
exemption from tax.
select the lowest numbered exclusion
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.
-26-
Form 990-PF Instructions

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