Instructions For Form 990 And Form 990-Ez - 2004 Page 41
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46Line 23 — Land and Buildings
General Instruction K. In particular, entering
• Section 501(c)(3) and (4)
the phrase on Part IV, “Information available
Enter the book value (cost or other basis less
organizations, and section
upon request,” or a similar phrase, is not
accumulated depreciation) of all land and
4947(a)(1) nonexempt charitable
acceptable.
buildings owned by the organization and not
trusts, must show the amount of
held for investment.
The organization may also provide an
grants and allocations to others and
attachment to explain the entire 2004
must enter the total expenses for
Line 24 — Other Assets
compensation package for any person listed in
each program service reported.
Part IV.
Enter the total of other assets along with a
• For all other organizations,
description of those assets. Amounts to include
Key employee. A “key employee” is any
here are (among others) receivable accounts,
completing the “Expenses” column
person having responsibilities or powers similar
inventories, and prepaid expenses.
(and the “Grants” entry) in Part III is
to those of officers, directors, or trustees. The
term includes the chief management and
optional.
Line 25 — Total Assets
administrative officials of an organization (such
as an executive director or chancellor) but
Enter the amount of total assets. If the
4
Attach a schedule that lists the
does not include the heads of separate
end-of-year total assets entered in column (B)
organization’s other program services.
departments or smaller units within an
are $250,000 or more, Form 990 must be filed
• The detailed information required
organization.
instead of Form 990-EZ.
for the three largest services is not
A chief financial officer and the officer in
necessary for this schedule.
Line 27 — Net Assets or Fund Balances
charge of administration or program operations
are both key employees if they have the
Subtract line 26 (total liabilities) from line 25
• Section 501(c)(3) and (4)
authority to control the organization’s activities,
(total assets) to determine net assets. Enter
organizations, and section
its finances, or both. The “heads of separate
this net asset amount on line 27. The amount
4947(a)(1) nonexempt charitable
departments” reference applies to persons
entered in column (B) should agree with the
trusts, however, must show the
such as the heads of the radiology department
net asset or fund balance amount on line 21.
expenses attributable to their
or coronary care unit of a hospital or the head
program services.
States that accept Form 990-EZ as their
of the chemistry or history or English
basic report form may require a separate
department at a college. These persons are
statement of changes in net assets. See
5
The organization may show the
managers within their specific areas but not for
General Instruction E.
amount of any donated services, or
the organization as a whole and, therefore, are
not key employees.
use of materials, equipment, or
facilities it received or utilized in
Column (B)
Part III —Statement of Program
connection with a specific program
In column (B), a numerical estimate of the
service.
Service Accomplishments
average hours per week devoted to the
• Disclose the applicable amounts
A program service is a major (usually ongoing)
position is required for a complete answer.
objective of an organization, such as
Statements such as “as needed” or “as
of any donated services, etc., on
adoptions, recreation for the elderly,
required,” or “40+” are unacceptable.
the lines for the narrative
rehabilitation, or publication of journals or
description of the appropriate
Column (C)
newsletters.
program service.
For each person listed, report salary, fees,
• Do not include these amounts in
bonuses, and severance payments paid.
Step
Action
Include current-year payments of amounts
the expense column in Part III.
reported or reportable as deferred
• See the instructions for line 1, B2.
1
State the organization’s primary
compensation in any prior year.
exempt purpose.
Column (D)
Part IV — List of Officers, Directors,
Include in this column all forms of deferred
2
All organizations must describe their
compensation and future severance payments
Trustees, and Key Employees
exempt purpose achievements for
(whether or not funded; whether or not vested;
each of their three largest program
List each person who was an officer, director,
and whether or not the deferred compensation
services (as measured by total
trustee, or key employee (defined below) of the
plan is a qualified plan under section 401(a)).
expenses incurred). If there were
organization at any time during the year even if
Include also payments to welfare benefit plans
three or fewer of such activities,
they did not receive any compensation from
on behalf of the officers, etc. Such plans
describe each program service
the organization.
provide benefits such as medical, dental, life
activity.
Enter a zero in columns (B), (C), (D), or (E)
insurance, severance pay, disability, etc.
if no hours were entered in column (B) and no
• Describe program service
Reasonable estimates may be used if precise
compensation, contributions, expenses, and
cost figures are not readily available.
accomplishments through
other allowances were paid during the
Unless the amounts were reported in
measurements such as clients
reporting year, or deferred for payment to a
column (C), report, as deferred compensation
served, days of care, therapy
future accounting period.
in column (D), salaries and other compensation
sessions, or publications issued.
Aid in the processing of your return by
earned during the period covered by the return,
• Describe the activity’s objective,
grouping together, preferably at the end of your
but not yet paid by the date the organization
for both this time period and the
list, those who received no compensation. Be
files its return.
careful not to repeat names.
longer-term goal, if the output is
Column (E)
intangible, such as in a research
Give the preferred address at which
Enter both taxable and nontaxable fringe
activity.
officers, etc., want the Internal Revenue
benefits (other than de minimis fringe benefits
Service to contact them.
• Give reasonable estimates for any
described in section 132(e)). Include amounts
Use an attachment if there are more than
statistical information if exact
that the recipients must report as income on
four persons to list in Part IV.
figures are not readily available.
their separate income tax returns. Examples
Show all forms of cash and noncash
Indicate that this information is
include amounts for which the recipient did not
compensation received by each listed officer,
estimated.
account to the organization or allowances that
etc., whether paid currently or deferred.
were more than the payee spent on serving the
• Be clear, concise, and complete in
organization. Include payments made under
If you pay any other person, such as a
your description. Avoid adding an
indemnification arrangements, the value of the
management services company, for the
attachment.
personal use of housing, automobiles, or other
services provided by any of your officers,
assets owned or leased by the organization (or
directors, trustees, or key employees, report
3
If part of the total expenses of any
provided for the organization’s use without
the compensation and other items in Part IV as
charge), as well as any other taxable and
program service consists of grants
if you had paid the officers, etc., directly.
nontaxable fringe benefits. See Pub. 525 for
reported on line 10, show the amount
A failure to fully complete Part IV can
more information.
of the grants in the space provided
subject both the organization and the
and include the grants in the
individuals responsible for such failure to
Form 941 must be filed to report income tax
“Expenses” column.
penalties for filing an incomplete return. See
withholding and social security and Medicare
-41-
Specific Instructions for Form 990-EZ
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