Form 109 - California Exempt Organization Business Income Tax Return - 2010

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California 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Surrendered (Withdrawn)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
  2 Multiply line 1 by the average apportionment percentage ________% from the Schedule R,
Corpora-
tion
Apportionment Formula Worksheet, line 6 . See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 
00
  3  Enter the lesser amount from line 1 or line 2 . If line 2 is zero, enter the amount from line 1 . . . . . . . . . . . . .
3 
00
Taxable
  4  Unrelated business taxable income from Side 2, Part II, line 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 
00
Trust
  5  Unrelated business taxable income from line 3 or line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5 
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
  8 Add line 6 and line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8 
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
12 Balance . Subtract line 11d from line 10 . If line 11d is greater than line 10, enter -0- . . . . . . . . . . . . . . . . . . .
12 
00
Total
13 Alternative minimum tax . See General Information Q . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13 
00
Tax
14 Total tax . Add line 12 and line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14 
00
15 Overpayment from a prior year allowed as a credit . . . . . . . . . . . . . .
15 
00
16 2010 estimated tax payments . See instructions . . . . . . . . . . . . . . . . .
16 
00
Payments
17 2010 withholding (Form 592-B and/or 593 .) See instructions . . . . . .
17 
00
18 Amount paid with extension (form FTB 3539) . . . . . . . . . . . . . . . . . .
18 
00
19 Total payments and credits . Add line 15 through line 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19 
00
20 Tax due . Subtract line 19 from line 14 . Pay entire amount with return . See instructions . . . . . . . . . . . . . . . .
20 
00
21 Overpayment . Subtract line 14 from line 19 . See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21 
00
22 Enter amount of line 21 to be applied to 2011 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22 
00
23 Use tax . See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23 
00
Refund
(Direct
24 Refund . If the sum of line 22 and line 23 is less than line 21, then subtract the total from line 21 . . . . . . . .
24 
00
Deposit of
Refund) or
a  Fill in the account information to have the refund directly deposited . Routing number . . . . . . . .
24a
Amount
Due
b Type: Checking
Savings
c  Account Number . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
24c
25 Penalties and interest . See General Information M . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
25 
00
26
Check if estimate penalty computed using Exception B or C and attach form FTB 5806 .
27 Total amount due . Add line 20, line 22, line 23, and line 25, then subtract line 21 from the result . . . . . . . . . . 27 
00
Form 109
2010  Side 1
For Privacy Notice, get form FTB 1131.
3641103
C1

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