Instructions For Schedule A (Form 990 Or 990-Ez) - Public Charity Status And Public Support - 2014 Page 9

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Line 7a. Example—List of amounts received from disqualified persons
Disqualified Person
(a) 2010
(b) 2011
(c) 2012
(d) 2013
(e) 2014
(f) Total
David Smith
$7,000
$6,000
$2,000
$15,000
Anne Parker
$5,000
$7,000
$4,000
$16,000
Total
$7,000
$6,000
$5,000
$7,000
$6,000
$31,000
Line 7b. Example—List of amounts received from other than disqualified persons
Year 2014
(a) Name
(b) Amount received in
(c) 1% of amount on
(d) Enter the larger of
(e) 2014 excess
2014
line 13 in 2014
column (c) or $5,000
(column (b) minus
column (d))
Word Processing, Inc.
$25,000
$2,000
$5,000
$20,000
Enter on Schedule A, column (e), line 7b
$20,000
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
revenue in Part VIII or assets in Part X,
The distribution of certain low cost
person in the Glossary of the Instructions
explain the basis for characterizing the
for Form 990.
articles incidental to the solicitation of
property as contributions but not as
charitable contributions (except to the
For amounts included on lines 1, 2, and
revenue or assets.
extent such gross receipts are properly
3 that were received from a disqualified
treated as charitable contributions
person, the organization should keep for
Line 2. Include gross receipts from
reportable on line 1 rather than as
its records a list showing the name of, and
admissions, merchandise sold, services
proceeds of a sale or exchange), and
total amounts received in each year from,
performed, or facilities furnished in any
exchange and rental of members lists.
each disqualified person. Enter the total of
activity that is related to the organization's
See section 513(h).
such amounts for each year on line 7a.
tax-exempt purpose (such as charitable,
While the activity of soliciting and
See an example of this list above.
educational, etc.).
receiving qualified sponsorship payments
To the extent that membership fees are
Do not file this list with the
is also excluded from unrelated business
payments to purchase admissions,
organization's Form 990 or
(see section 513(i)), the qualified
!
merchandise, services, or the use of
990-EZ because it may be made
sponsorship payments themselves are
facilities in a related activity, include the
CAUTION
available for public inspection.
treated as charitable contributions
membership fees on this line 2. See
reportable on line 1.
Regulations section 1.509(a)-3(h).
Line 7b. For any gross receipts included
Line 4. Enter tax revenue levied for the
on lines 2 and 3 from related activities
Line 3. Include gross receipts from
organization's benefit by a governmental
received from a person or from a bureau
activities that are not an unrelated trade or
unit and either paid to the organization or
or similar agency of a governmental unit,
business under section 513, such as:
expended on its behalf. Report this
other than from a disqualified person,
A trade or business in which
amount whether or not the organization
that exceed the greater of $5,000 or 1% of
substantially all work is performed by
includes this amount as revenue on its
the amount on line 13 for the applicable
volunteers (such as book fairs and sales
financial statements or elsewhere on
year, enter the excess on line 7b. The
of gift wrap paper). See section 513(a)(1).
Form 990 or 990-EZ.
organization should keep for its records a
A trade or business carried on by the
list showing, for each year, the name of
Line 5. Enter the value of services or
organization primarily for the convenience
the person or government agency, the
facilities furnished by a governmental unit
of its members, students, patients,
amount received during the applicable
to the organization without charge. Do not
officers, or employees. See section
year, the larger of $5,000 or 1% of the
include the value of services or facilities
513(a)(2).
amount on line 13 for the applicable year,
generally furnished to the public without
A trade or business which is the selling
and the excess, if any. See an example of
charge. For example, include the fair
of merchandise, substantially all of which
this list above.
rental value of office space furnished by a
the organization received as gifts or
governmental unit to the organization
contributions. See section 513(a)(3).
Do not file this list with the
without charge, but only if the
“Qualified public entertainment
organization's Form 990 or
!
governmental unit does not generally
activities” or “qualified convention and
990-EZ because it may be made
CAUTION
furnish similar office space to the public
trade show activities” of certain
available for public inspection.
without charge. Report these amounts
organizations. See section 513(d).
whether or not the organization includes
Furnishing certain hospital services.
Line 10a. Include the gross income from
these amounts as revenue on its financial
See section 513(e).
interest, dividends, payments received on
statements or elsewhere on Form 990 or
A trade or business consisting of
securities loans (section 512(a)(5)), rents,
990-EZ.
conducting bingo games, but only if the
royalties, and income from similar
conduct of such games is lawful. See
Line 7a. Enter the amounts that are
sources. Do not include on this line
section 513(f).
included on lines 1, 2, and 3 that the
payments that result from activities of the
Qualified pole rentals by a mutual or
organization received from disqualified
organization that further its exempt
cooperative telephone or electric
persons. See the definition of disqualified
purpose. Instead, report these amounts on
company. See section 513(g).
line 2.
Instructions for Schedule A (Form 990 or 990-EZ)
-9-

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