Form 3m - Income Tax Return For Clubs And Other Organizations Not Engaged In Business For Profit - 2012

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2012
Form 3M
Income Tax Return for Clubs and Other
Massachusetts
Organizations not Engaged in Business for Profit
Department of
Revenue
(Organizations whose gross income is $100 or less are not required to file a return)
For calendar year 2012 or taxable year beginning
, 2012 and ending
Name of organization
Federal identification number
Street address
City or town
State
Zip
Date of organization
If using the whole-dollar method,
check box
3
3
Organization’s books are in care of
Principal organization activity
Street address
City or town
State
Zip
Has the federal government changed your taxable income for any prior year which you have not yet reported to Massachusetts? 3
Yes
No. If “Yes,”
complete a new Form 3M for that year and mark “Amended” across the top of the form. This must be done within one year after final U.S. determination.
Computation of Tax
11 5.25% income, including interest from Mass. banks.* List sources and amounts _____________________________
3 1
12 Interest and dividend income (from Massachusetts Schedule B, line 28) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2
13 Total 5.25% income. Add line 1 and line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
14 Tax on 5.25% income. Multiply line 3 by .0525 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 4
25 Taxable 12% capital gains (from Massachusetts Schedule B, line 29). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 5
16 Tax on 12% capital gains. Multiply line 5 by .12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 6
27 Tax on long-term capital gains (from Massachusetts Schedule D, line 17; not less than “0”) . . . . . . . . . . . . . . . . . . . . . . . 3 7
18 Additional tax on installment sales. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 8
19 Total tax. Add lines 4, 6, 7 and 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 9
10 2011 overpayment applied to your 2012 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 10
11 2012 Massachusetts estimated tax payments (do not include amount in line 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 11
12 Payments made with extension. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 12
13 Total payments. Add lines 10 through 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
14 Overpayment. If line 9 is smaller than line 13, subtract line 9 from line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
15 Amount of overpayment to be credited to your 2013 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 15
16 Amount of your refund. Subtract line 15 from line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 16
17 Amount of tax due. If line 13 is smaller than line 9, subtract line 13 from line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
18 M-2210 penalty 3 $ ______________ ; Late file/pay penalties* 3 $ ______________ . . . . . . . . . . . . . . . . Total penalty
18
19 Interest on unpaid balance*. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 19
20 Total payment due at time of filing. Add lines 17 through 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 20
Make check payable to: Commonwealth of Massachusetts.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of
my knowledge and belief it is true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which
he/she has any knowledge.
Your signature
Date
Paid preparer’s signature
Date
3
Title
Firm name
PTIN or SSN
Street address
City/Town
State
Zip
This return is due on or before the fifteenth day of the fourth month after the close of the taxable year, calendar or fiscal. Make check or money order
payable to Commonwealth of Massachusetts. Mail return, together with payment in full, to: Massachusetts Department of Revenue, PO Box 7018,
Boston, MA 02204.
*See Form 1 instructions.

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