Form 109 Draft - California Exempt Organization Business Income Tax Return - 2010 Page 4

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Schedule D Unrelated Debt-Financed Income
1 Description of debt-financed property
 Gross income from or
 Deductions directly connected with or allocable to debt-financed property
allocable to debt-financed
(a) Straight-line depreciation
(b) Other deductions (attach
property
(attach schedule)
schedule)
 Amount of average acquisition
 Average adjusted basis of or
6 Debt basis
7 Gross income reportable,
 Allocable deductions,
9 Net income (or loss) includible,
indebtedness on or allocable
allocable to debt-financed
percentage,
column 2 x column 6
total of columns 3(a) and
column 7 less column 8
to debt-financed property
property (attach schedule)
column 4 ÷
3(b) x column 6
(attach schedule)
column 5
%
%
%
Total. Enter here and on Side 2, Part I, line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule E Investment Income of an R&TC Section 701g, Section 701i, or Section 701n Organization
1 Description
 Amount
 Deductions directly connected
 Net investment income,
 Set-asides
6 Balance of investment income,
(attach schedule)
column 2 less column 3
(attach schedule)
column 4 less column 5
Total. Enter here and on Side 2, Part I, line 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Enter gross income from members (dues, fees, charges, or similar amounts). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F Interest, Annuities, Royalties and Rents from Controlled Organizations
Exempt Controlled Organizations
1 Name of controlled organizations
 Employer
 Net unrelated income
 Total of specified
 Part of column (4) that is
6 Deductions directly
Identification
(loss)
payments made
included in the controlling
connected with income in
Number
organization’s gross
column (5)
income
1
2
3
Nonexempt Controlled Organizations
7 Taxable Income
 Net unrelated income (loss) 9 Total of specified payments
10 Part of column (9) that is
11 Deductions directly
made
included in the controlling
connected with income in
organization’s gross
column (10)
income
1
2
3
4 Add columns 5 and 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5 Add columns 6 and 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Subtract line 5 from line 4. Enter here and on Side 2, Part 1, line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule G Exploited Exempt Activity Income, other than Advertising Income
1 Description of exploited activity (attach schedule if
 Gross unrelated
 Expenses directly
 Net income from
 Gross income from
6 Expenses
7 Excess exempt
 Net income
more than one unrelated activity is exploiting the
business income
connected with
unrelated trade or
activity that is not
attributable to
expense, column
includible, column
same exempt activity)
from trade or
production
business, column 2
unrelated business
column 5
6 less column 5
4 less column 7
business
of unrelated
less column 3
income
but not more than
but not less than
business income
column 4
zero
Total. Enter here and on Side 2, Part I, line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Side  Form 109
2010
3644103
C1

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