Form 8879-Eo - Irs E-File Signature Authorization For An Exempt Organization Sample - 2015 Page 34

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Exempt Organization Business Income Tax Return
990-T
OMB No. 1545-0687
Form
(and proxy tax under section 6033(e))
2015
For calendar year 2015 or other tax year beginning
, and ending
.
| Information about Form 990-T and its instructions is available at
Department of the Treasury
Open to Public Inspection for
| Do not enter SSN numbers on this form as it may be made public if your organization is a 501(c)(3).
Internal Revenue Service
501(c)(3) Organizations Only
D
Employer identification number
A
Check box if
Name of organization (
Check box if name changed and see instructions.)
(Employees' trust, see
address changed
instructions.)
CANCER SUPPORT COMMUNITY MONTANA
81-0542266
B
Exempt under section
Print
X
c 3
or
E
Unrelated business activity codes
501( )(
)
Number, street, and room or suite no. If a P.O. box, see instructions.
(See instructions.)
Type
102 S 11TH AVE
220(e)
408(e)
408A
530(a)
City or town, state or province, country, and ZIP or foreign postal code
BOZEMAN, MT
59715
541800
531120
529(a)
Book value of all assets
|
C
F
Group exemption number (See instructions.)
at end of year
1,345,569.
X
|
G
Check organization type
501(c) corporation
501(c) trust
401(a) trust
Other trust
SALE OF MUGS & BRACELETS
H
Describe the organization's primary unrelated business activity. |
X
I
During the tax year, was the corporation a subsidiary in an affiliated group or a parent-subsidiary controlled group?
~~~~~~ |
Yes
No
|
If "Yes," enter the name and identifying number of the parent corporation.
BECKY FRANKS
406-582-1600
|
|
J
The books are in care of
Telephone number
Part I
Unrelated Trade or Business Income
(A) Income
(B) Expenses
(C) Net
4,931.
1
a
Gross receipts or sales
4,931.
b
Less returns and allowances
c
Balance ~~~ |
1c
5,551.
2
Cost of goods sold (Schedule A, line 7)
~~~~~~~~~~~~~~~~~
2
-620.
3
Gross profit. Subtract line 2 from line 1c
~~~~~~~~~~~~~~~~
3
4
a
Capital gain net income (attach Schedule D)
~~~~~~~~~~~~~~~
4a
b
Net gain (loss) (Form 4797, Part II, line 17) (attach Form 4797) ~~~~~~
4b
c
Capital loss deduction for trusts ~~~~~~~~~~~~~~~~~~~~
4c
5
Income (loss) from partnerships and S corporations (attach statement)
~~~
5
6
Rent income (Schedule C)
~~~~~~~~~~~~~~~~~~~~~~
6
7
Unrelated debt-financed income (Schedule E) ~~~~~~~~~~~~~~
7
8
Interest, annuities, royalties, and rents from controlled organizations (Sch. F)~
8
9
Investment income of a section 501(c)(7), (9), or (17) organization (Schedule G)
9
10
Exploited exempt activity income (Schedule I)
~~~~~~~~~~~~~~
10
11
Advertising income (Schedule J)
~~~~~~~~~~~~~~~~~~~~
11
12
Other income (See instructions; attach schedule)
~~~~~~~~~~~~
12
-620.
-620.
13
Combine lines 3 through 12•••••••••••••••••••
13
Total.
Part II
Deductions Not Taken Elsewhere
(See instructions for limitations on deductions.)
(Except for contributions, deductions must be directly connected with the unrelated business income.)
14
Compensation of officers, directors, and trustees (Schedule K)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
14
15
Salaries and wages
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
15
16
Repairs and maintenance
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
16
17
Bad debts
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
17
18
Interest (attach schedule)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
18
19
Taxes and licenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
19
20
Charitable contributions (See instructions for limitation rules)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
20
21
Depreciation (attach Form 4562)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
21
22
Less depreciation claimed on Schedule A and elsewhere on return
~~~~~~~~~~~~~
22a
22b
23
Depletion
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
23
24
Contributions to deferred compensation plans
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
24
25
Employee benefit programs ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
25
26
Excess exempt expenses (Schedule I)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
26
27
Excess readership costs (Schedule J)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
27
28
Other deductions (attach schedule)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
28
0.
29
Add lines 14 through 28 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
29
Total deductions.
-620.
30
Unrelated business taxable income before net operating loss deduction. Subtract line 29 from line 13 ~~~~~~~~~~~~
30
31
Net operating loss deduction (limited to the amount on line 30)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
31
-620.
32
Unrelated business taxable income before specific deduction. Subtract line 31 from line 30
~~~~~~~~~~~~~~~~~
32
1,000.
33
Specific deduction (Generally $1,000, but see line 33 instructions for exceptions)
~~~~~~~~~~~~~~~~~~~~~
33
34
Unrelated business taxable income.
Subtract line 33 from line 32. If line 33 is greater than line 32, enter the smaller of zero or
-620.
line 32 •••••••••••••••••••••••••••••••••••••••••••••••••••••
34
523701
990-T
For Paperwork Reduction Act Notice, see instructions.
Form
(2015)
LHA
01-06-16
35
13340919 792194 141677
2015.04020 CANCER SUPPORT COMMUNITY MO 141677_1

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