Form 990-T Draft - Exempt Organization Business Income Tax Return - Internal Revenue Service - 2009 Page 3

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2
Form 990-T (2009)
Page
Part III
Tax Computation
35
Organizations Taxable as Corporations. See instructions for tax computation on page 15.
See instructions and:
Controlled group members (sections 1561 and 1563) check here
a
Enter your share of the $50,000, $25,000, and $9,925,000 taxable income brackets (in that order):
$
$
$
(1)
(2)
(3)
$
b
Enter organization’s share of: (1) Additional 5% tax (not more than $11,750)
$
(2) Additional 3% tax (not more than $100,000)
35c
c
Income tax on the amount on line 34
36
Trusts Taxable at Trust Rates. See instructions for tax computation on page 16. Income tax on
36
the amount on line 34 from:
Tax rate schedule or
Schedule D (Form 1041)
37
37
Proxy tax. See page 16 of the instructions
38
38
Alternative minimum tax
39
Total. Add lines 37 and 38 to line 35c or 36, whichever applies
39
Tax and Payments
Part IV
40a
40a
Foreign tax credit (corporations attach Form 1118; trusts attach Form 1116)
40b
b
Other credits (see page 17 of the instructions)
40c
c
General business credit. Attach Form 3800
40d
d
Credit for prior year minimum tax (attach Form 8801 or 8827)
40e
e
Total credits. Add lines 40a through 40d
41
41
Subtract line 40e from line 39
42
42
Other taxes. Check if from:
Form 4255
Form 8611
Form 8697
Form 8866
Other (attach schedule)
43
43
Total tax. Add lines 41 and 42
44a
44a
Payments: A 2008 overpayment credited to 2009
44b
b
2009 estimated tax payments
44c
c
Tax deposited with Form 8868
44d
d
Foreign organizations: Tax paid or withheld at source (see instructions)
44e
e
Backup withholding (see instructions)
f
Other credits and payments:
Form 2439
44f
Form 4136
Other
Total
45
45
Total payments. Add lines 44a through 44f
46
46
Estimated tax penalty (see page 4 of the instructions). Check if Form 2220 is attached
47
47
Tax due. If line 45 is less than the total of lines 43 and 46, enter amount owed
48
48
Overpayment. If line 45 is larger than the total of lines 43 and 46, enter amount overpaid
49
Enter the amount of line 48 you want: Credited to 2010 estimated tax
Refunded
49
Statements Regarding Certain Activities and Other Information
Part V
(see instructions on page 18)
Yes
No
1
At any time during the 2009 calendar year, did the organization have an interest in or a signature
or other authority over a financial account (bank, securities, or other) in a foreign country?
If YES, the organization may have to file Form TD F 90-22.1, Report of Foreign Bank and
Financial Accounts. If YES, enter the name of the foreign country here
2
During the tax year, did the organization receive a distribution from, or was it the grantor of, or transferor to, a foreign trust?
If YES, see page 5 of the instructions for other forms the organization may have to file.
3
Enter the amount of tax-exempt interest received or accrued during the tax year
$
Schedule A—Cost of Goods Sold. Enter method of inventory valuation
1
6
1
Inventory at beginning of year
6
Inventory at end of year
2
2
Purchases
7
Cost of goods sold. Subtract line
3
3
Cost of labor
6 from line 5. Enter here and in
7
Part I, line 2
4a
Additional section 263A costs
4a
Yes
No
8
Do the rules of section 263A (with respect to
(attach schedule)
4b
property produced or acquired for resale) apply
b
Other costs (attach schedule)
5
Total. Add lines 1 through 4b
to the organization?
5
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 preparer has any knowledge.
Sign
May the IRS discuss this return with
Here
the preparer shown below (see
instructions)?
Yes
No
Signature of officer
Date
Title
Date
Preparer’s SSN or PTIN
Preparer’s
Paid
Check if
signature
self-employed
Preparer’s
Firm’s name (or
EIN
Use Only
yours if self-employed),
Phone no.
(
)
address, and ZIP code
990-T
Form
(2009)

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