Instructions For Form 990 And Form 990-Ez - 2004 Page 27

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accordance with SFAS 117 will be acceptable
Line 72 — Retained earnings or
Give the preferred address at which
to IRS.
officers, etc., want the Internal Revenue
accumulated income, endowment, or
Service to contact them.
other funds
Organizations that follow SFAS 117. If the
organization follows SFAS 117, check the box
Use an attachment if there are more
For corporations, enter the balance in the
above line 67. Classify and report net assets in
persons to list in Part V.
retained earnings, or similar account, minus
three groups — unrestricted, temporarily
the cost of any corporate treasury stock. For
Show all forms of cash and noncash
restricted, and permanently restricted — based
trusts, enter the balance per books in the
compensation received by each listed officer,
on the existence or absence of donor-imposed
accumulated income or similar account. For
etc., whether paid currently or deferred.
restrictions and the nature of those restrictions.
those organizations using fund accounting,
If you pay any other person, such as a
Show the sum of the three classes of net
enter the total of the fund balances for the
management services company, for the
assets on line 73. On line 74, add the amounts
permanent and term endowment funds as well
services provided by any of your officers,
on lines 66 and 73 to show total liabilities and
as balances of any other funds not reported on
directors, trustees, or key employees, report
net assets. This figure should be the same as
lines 70 and 71.
the compensation and other items in Part V as
the figure for Total assets on line 59.
if you had paid the officers, etc., directly.
Line 73 — Total net assets or fund
Line 67 — Unrestricted
A failure to fully complete Part V can
balances
Enter the balances per books of the
subject both the organization and the
For organizations that follow SFAS 117, enter
unrestricted class of net assets. Unrestricted
individuals responsible for such failure to
the total of lines 67 through 69. For all other
net assets are neither permanently restricted
penalties for filing an incomplete return. See
organizations, enter the total of lines 70
nor temporarily restricted by donor-imposed
General Instruction K. In particular, entering
through 72. Enter the beginning-of-the-year
stipulations. All funds without donor-imposed
the phrase on Part V, “Information available
figure on line 73, column (A), in Part I, line 19.
restrictions must be classified as unrestricted,
upon request,” or a similar phrase, is not
The end-of-the-year figure on line 73, column
regardless of the existence of any board
acceptable.
(B) must agree with the figure on line 21 of
designations or appropriations.
The organization may also provide an
Part I.
Line 68 — Temporarily restricted
attachment to explain the entire 2004
Line 74 — Total liabilities and net
compensation package for any person listed in
Enter the balance per books for the temporarily
assets/fund balances
Part V.
restricted class of net assets. Donors’
Enter the total of lines 66 and 73. This amount
Each person listed in Part V should report
temporary restrictions may require that
must equal the amount for total assets reported
resources be used in a later period or after a
the listed compensation on his or her income
on line 59 for both the beginning and end of the
tax return unless the Code specifically
specified date (time restrictions), or that
year.
excludes any of the payments from income tax.
resources be used for a specified purpose
See Pub. 525 for details.
(purpose restrictions), or both.
A “key employee” is any person having
Line 69 — Permanently restricted
Parts IV-A and IV-B —
responsibilities or powers similar to those of
Enter the total of the balances for the
Reconciliation Statements
officers, directors, or trustees. The term
permanently restricted class of net assets.
includes the chief management and
Use these reconciliation statements to
Permanently restricted net assets are (a)
administrative officials of an organization (such
reconcile the differences between the revenue
assets, such as land or works of art, donated
as an executive director or chancellor) but
and expenses shown on the organization’s
with stipulations that they be used for a
does not include the heads of separate
audited financial statements prepared in
specified purpose, be preserved, and not be
departments or smaller units within an
accordance with SFAS 117 and the revenue
sold or (b) assets donated with stipulations that
organization.
and expenses shown on the organization’s
they be invested to provide a permanent
Form 990.
A chief financial officer and the officer in
source of income. The latter result from gifts
charge of administration or program operations
and bequests that create permanent
If the organization did not receive an
are both key employees if they have the
endowment funds.
audited financial statement for 2004 (or the
authority to control the organization’s activities,
fiscal year for which it is completing this Form
Organizations that do not follow SFAS 117.
its finances, or both. The “heads of separate
990) and prepared the return in accordance
If the organization does not follow SFAS 117,
departments” reference applies to persons
with SFAS 117, it does not need to complete
check the box above line 70 and report
such as the head of the radiology department
Parts IV-A or IV-B and should instead enter
account balances on lines 70 through 72.
or coronary care unit of a hospital or the head
“N/A” on line a of each Part.
Report net assets or fund balances on line 73.
of the chemistry, history, or English department
Complete line 74 to report the sum of the total
These two Parts do not have to be
at a college. These persons are managers
liabilities and net assets.
completed on group returns.
within their specific areas but not for the
Some states that accept Form 990, or Form
organization as a whole and, therefore, are not
On line d(1) of Parts IV-A and IV-B, include
990-EZ, as their basic reporting form may
key employees.
only those investment expenses netted against
require a separate statement of changes in net
investment income in the revenue portion of
Column (B)
assets/fund balances. See General
the organization’s audited financial statements.
In column (B), a numerical estimate of the
Instruction E.
Do not include program-related investment
average hours per week devoted to the
Line 70 — Capital stock, trust principal,
expenses or other expenses reported as
position is required for a complete answer.
program service expenses in the audited
or current funds
Statements such as “as needed,” “as required,”
statement of activities.
For corporations, enter the balance per books
or “40+” are unacceptable.
for capital stock accounts. Show par or stated
Column (C)
value (or for stock with no par or stated value,
Part V —List of Officers, Directors,
For each person listed, report salary, fees,
total amount received upon issuance) of all
Trustees, and Key Employees
bonuses, and severance payments paid.
classes of stock issued and, as yet,
Include current-year payments of amounts
uncancelled. For trusts, enter the amount in the
List each person who was an officer, director,
reported or reportable as deferred
trustee, or key employee (defined below) of the
trust principal or corpus account. For
compensation in any prior year.
organization or disregarded entity described in
organizations continuing to use the fund
method of accounting, enter the fund balances
Regulations sections 301.7701-1 through
Column (D)
301.7701-3 at any time during the year even if
for the organization’s current restricted and
Include in this column all forms of deferred
they did not receive any compensation from
unrestricted funds.
compensation and future severance payments
the organization.
Line 71 — Paid-in or capital surplus, or
(whether or not funded; whether or not vested;
Enter a zero in columns (B), (C), (D), or (E)
land, bldg., and equipment fund
and whether or not the deferred compensation
if no hours were entered in column (B) and no
plan is a qualified plan under section 401(a)).
Enter the balance per books for all paid-in
compensation, contributions, expenses and
Include also payments to welfare benefit plans
capital in excess of par or stated value for all
other allowances were paid during the
on behalf of the officers, etc. Such plans
stock issued and uncancelled. If stockholders
reporting year, or deferred for payment to a
provide benefits such as medical, dental, life
or others gave donations that the organization
future accounting period.
insurance, severance pay, disability, etc.
records as paid-in capital, include them here.
Reasonable estimates may be used if precise
Report any current-year donations you
Aid in the processing of your return by
cost figures are not readily available.
included on line 71 in Part I, line 1. Enter the
grouping together, preferably at the end of your
fund balance for the land, building, and
list, those who received no compensation. Be
Unless the amounts were reported in
equipment fund on this line.
careful not to repeat names.
column (C), report, as deferred compensation
-27-
Specific Instructions for Form 990

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