Form 109 Draft - California Exempt Organization Business Income Tax Return - 2010
ADVERTISEMENT
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5California Exempt Organization
TAXABLE YEAR
FORM
2010
109
Business Income Tax Return
Calendar Year 2010 or fiscal year beginning month _______ day _______ year ______, and ending month _______ day _______ year ______ .
B Is this an education IRA within the meaning of
A First Return Filed?
CORP #
Yes
No
Yes
No
R&TC Section 23712?
Corporation/Organization Name
FEIN
-
Address
City
State
ZIP Code
H Is the organization a non-exempt charitable trust as described
C Is the organization under audit by the IRS or has the IRS audited
in IRC Section 4947(a)(1)? . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
in a prior year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
I Is this organization claiming any Enterprise Zone (EZ), Los Angeles
D Final Return?
Revitalization Zone (LARZ), Local Agency Military Base Recovery Area
Dissolved
Surrendered (Withdrawn)
(LAMBRA), Targetd Tax Area (TTA), or Manufacturing Enhancement
Merged/Reorganized (attach explanation)
Area (MEA) tax benefits? . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
If a box is checked, enter date
_____________________
J Is this organization a qualifed pension, profit-sharing, or stock
E Amended Return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
bonus plan as described in IRC Section 401(a)? . . . . . . . . .
Yes
No
F Accounting Method Used: (1)
Cash (2)
Accrual (3)
Other
K Unrelated Business Activity (UBA) Code
G Nature of trade or business ________________________________
1 Unrelated business taxable income from Side 2, Part II, line 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
00
Taxable
Multiply line 1 by the average apportionment percentage ________% from the Schedule R,
Corpora-
tion
Apportionment Formula Worksheet, line 6. See instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
Enter the lesser amount from line 1 or line 2 . If line 2 is zero, enter the amount from line 1. . . . . . . . . . . . .
00
Taxable
Unrelated business taxable income from Side 2, Part II, line 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
Trust
Unrelated business taxable income from line 3 or line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
6 Enterprise zone, LAMBRA, LARZ, TTA, or Pierce’s disease losses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
00
7 Net Operating Loss deduction. See General Information N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
00
Add line 6 and line 7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
Tax
9 Net unrelated business taxable income. Subtract line 8 from line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
00
Computa-
10 Tax ________% x line 9. See General Information J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
00
tion
11 a New jobs credit, amount generated.
a) ____________ 11 b) Amount claimed. . . . . . . . . . . . . . . . .
11b
00
c Tax credits from Schedule B. See instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11c
00
d Total Credits. Add line 11b and 11c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11d
00
1 Balance. Subtract line 11d from line 10. If line 11d is greater than line 10, enter -0-. . . . . . . . . . . . . . . . . . .
1
00
Total
1 Alternative minimum tax. See General Information Q. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
00
Tax
1 Total tax. Add line 12 and line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
00
1 Overpayment from a prior year allowed as a credit . . . . . . . . . . . . . .
1
00
16 2010 estimated tax payments. See instructions. . . . . . . . . . . . . . . . .
16
00
Payments
17 2010 withholding (Form 592-B and/or 593.) See instructions . . . . . .
17
00
1 Amount paid with extension (form FTB 3539) . . . . . . . . . . . . . . . . . .
1
00
19 Total payments and credits. Add line 15 through line 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19
00
0 Tax due. Subtract line 19 from line 14. Pay entire amount with return. See instructions . . . . . . . . . . . . . . . .
0
00
1 Overpayment. Subtract line 14 from line 19. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
00
Enter amount of line 21 to be applied to 2011 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
Use tax. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
Refund
(Direct
Refund. If the sum of line 22 and line 23 is less than line 21, then subtract the total from line 21 . . . . . . . .
00
Deposit of
Refund) or
a Fill in the account information to have the refund directly deposited. Routing number . . . . . . . .
a
Amount
Due
b Type: Checking
Savings
c Account Number . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c
Penalties and interest. See General Information M. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
6
Check if estimate penalty computed using Exception B or C and attach form FTB 5806.
7 Total amount due. Add line 20, line 22, line 23, and line 25, then subtract line 21 from the result . . . . . . . . . . 7
00
Form 109
2010 Side 1
For Privacy Notice, get form FTB 1131.
3641103
C1
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