Form 990-T - Exempt Organization Business Income Tax Return - 2012 Page 4
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Form 990-T (2012)
Page
Schedule G—Investment Income of a Section 501(c)(7), (9), or (17) Organization
(see instructions)
3. Deductions
5. Total deductions
4. Set-asides
1. Description of income
2. Amount of income
directly connected
and set-asides (col. 3
(attach statement)
(attach statement)
plus col. 4)
(1)
(2)
(3)
(4)
Enter here and on page 1,
Enter here and on page 1,
Part I, line 9, column (A).
Part I, line 9, column (B).
Totals
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▶
Schedule I—Exploited Exempt Activity Income, Other Than Advertising Income
(see instructions)
4. Net income
3. Expenses
(loss) from
7. Excess exempt
2. Gross
5. Gross income
directly
unrelated trade or
expenses
unrelated
6. Expenses
connected with
business (column
from activity that
(column 6 minus
1. Description of exploited activity
business income
attributable to
production of
2 minus column
is not unrelated
column 5, but not
from trade or
column 5
unrelated
3). If a gain,
business income
more than
business
business income
compute cols. 5
column 4).
through 7.
(1)
(2)
(3)
(4)
Enter here and on
Enter here and on
Enter here and
page 1, Part I,
page 1, Part I,
on page 1,
line 10, col. (A).
line 10, col. (B).
Part II, line 26.
Totals
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▶
Schedule J—Advertising Income
(see instructions)
Part I
Income From Periodicals Reported on a Consolidated Basis
4. Advertising
7. Excess readership
2. Gross
gain or (loss) (col.
costs (column 6
3. Direct
5. Circulation
6. Readership
1. Name of periodical
advertising
2 minus col. 3). If
minus column 5, but
advertising costs
income
costs
income
a gain, compute
not more than
cols. 5 through 7.
column 4).
(1)
(2)
(3)
(4)
Totals (carry to Part II, line (5))
.
.
▶
Part II
Income From Periodicals Reported on a Separate Basis
(For each periodical listed in Part II, fill in columns 2
through 7 on a line-by-line basis.)
4. Advertising
7. Excess readership
2. Gross
gain or (loss) (col.
costs (column 6
3. Direct
5. Circulation
6. Readership
1. Name of periodical
advertising
2 minus col. 3). If
minus column 5, but
advertising costs
income
costs
income
a gain, compute
not more than
cols. 5 through 7.
column 4).
(1)
(2)
(3)
(4)
Totals from Part I
Enter here and on
Enter here and on
Enter here and
page 1, Part I,
page 1, Part I,
on page 1,
line 11, col. (A).
line 11, col. (B).
Part II, line 27.
Totals, Part II (lines 1-5)
.
.
.
.
▶
Schedule K—Compensation of Officers, Directors, and Trustees
(see instructions)
3. Percent of
4. Compensation attributable to
1. Name
2. Title
time devoted to
unrelated business
business
(1)
%
(2)
%
%
(3)
(4)
%
Total. Enter here and on page 1, Part II, line 14
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990-T
Form
(2012)
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