Form 109 - California Exempt Organization Business Income Tax Return - 2010 Page 3

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Schedule A Cost of Goods Sold and/or Operations. Method of inventory valuation (specify) _______________________________________________

1 Inventory at beginning of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

2 Purchases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

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3 Cost of labor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4 a Additional IRC Section 263A costs . Attach schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4a

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b Other costs . Attach schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5 Total . Add line 1 through line 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

6 Inventory at end of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

7 Cost of goods sold and/or operations . Subtract line 6 from line 5 . Enter here and on Side 2, Part I, line 2 . . . . . . . . . . . . . 7

Do the rules of IRC Section 263A (with respect to property produced or acquired for resale) apply to this organization?  Yes  No

Schedule B Tax Credits. Do not complete if you must file Schedule P (100 or 541) . Do not claim the New Jobs Credit on Schedule B .

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1 Enter credit name__________________________code no .__________ . . . . . .

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2 Enter credit name__________________________code no .__________ . . . . . .

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3 Enter credit name__________________________code no .__________ . . . . . .

4 Total . Add line 1 through line 3 . Enter here and on Side 1, line 11c

Schedule K Add-On Taxes or Recapture of Tax. See instructions .

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1 Interest computation under the look-back method for completed long-term contracts . Attach form FTB 3834 . . . . . . . .

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2 Interest on tax attributable to installment: a Sales of certain timeshares or residential lots . . . . . . . . . . . . . . . . . . . . .

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b Method for non-dealer installment obligations . . . . . . . . . . . . . . . . . . . .

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3 IRC Section 197(f)(9)(B)(ii) election to recognize gain on the disposition of intangibles . . . . . . . . . . . . . . . . . . . . . . . . .

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4 Credit recapture . Credit name___________________________________________ . . . . . . . . . . . . . . . . . . . . . . . . . . .

5 Total . Combine the amounts on line 1 through line 4 . See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Schedule R Apportionment Formula Worksheet

Use only for unrelated trade or business amounts

(a) Total within and

(b) Total within California

outside California

California (b) ÷ (a)

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1 Property factor: See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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2 Payroll factor: Wages and other compensation of employees . . . . . . . . . . . . . . . . . . . . . . .

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3 Sales factor: Gross sales and/or receipts less returns and allowances . . . . . . . . . . . . . . . .

4 Multiply the factor on line 3, column (c) by 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5 Total percentage: Add the percentages in column (c), line 1, line 2, and line 4 . . . . . . . . . .

6 Average apportionment percentage: Divide the factor on line 5 by 4 and enter the

result here and on Form 109, Side 1, line 2 . See instructions for exceptions . . . . . . . . . . . .

Schedule C Rental Income from Real Property and Personal Property Leased with Real Property

For rental income from debt-financed property, use Schedule D, R&TC Section 23701g, Section 23701i, and Section 23701n organizations . See instructions for exceptions .

1 Description of property

2 Rent received

3 Percentage of rent attributable

or accrued

to personal property

4 Complete if any item in column 3 is more than 50%, or for any item

5 Complete if any item in column 3 is more than 10%, but not more than 50%

if the rent is determined on the basis of profit or income

(a) Deductions directly connected

(b) Income includible, column 2

(a) Gross income reportable,

(b) Deductions directly connected with

(attach schedule)

less column 4(a)

column 2 x column 3

personal property (attach schedule)

less column 5(b)

Add columns 4(b) and column 5(c) . Enter here and on Side 2, Part I, line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Form 109

2010 Side 3

3643103