Form 199 - California Exempt Organization Annual Information Return - 2014
Download a blank fillable Form 199 - California Exempt Organization Annual Information Return - 2014 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 199 - California Exempt Organization Annual Information Return - 2014 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2California Exempt Organization
TAXABLE YEAR
FORM
199
2014
Annual Information Return
Calendar Year 2014 or fiscal year beginning (mm/dd/yyyy)
, and ending (mm/dd/yyyy)
.
Corporation/Organization name
California corporation number
Additional information. See instructions.
FEIN
Street address (suite or room)
PMB no.
City
State
Zip code
Foreign country name
Foreign province/state/county
Foreign postal code
J If exempt under R&TC Section 23701d, has the organization
A First Return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
engaged in political activities? See instructions. . . . . . . . . .
Yes
No
B Amended Return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
K Is the organization exempt under R&TC Section 23701g?
Yes
No
C IRC Section 4947(a)(1) trust . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
If “Yes,” enter the gross receipts from nonmember sources. .
$ ____________
D Final Information Return?
Dissolved
Surrendered (Withdrawn)
L If organization is exempt under R&TC Section 23701d and
Merged/Reorganized
meets the filing fee exception, check box.
Enter date: (mm/dd/yyyy)
____ / _____ / _______
No filing fee is required. . . . . . . . . . . . . . . . . . . . . . . . . . . .
E Check accounting method: (1)
Cash (2)
Accrual (3)
Other
M Is the organization a Limited Liability Company? . . . . . . . .
Yes
No
F Federal return filed? (1)
990T (2)
990-PF (3)
Sch H (990)
N Did the organization file Form 100 or Form 109 to report
G Is this a group filing? See instructions . . . . . . . . . . . . . . . .
Yes
No
taxable income? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
H Is this organization in a group exemption? . . . . . . . . . . . . . .
Yes
No
O Is the organization under audit by the IRS or has the
If “Yes,” what is the parent’s name?
IRS audited in a prior year?. . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
________________________________________________
P Is an IRS Form 1023/1024 pending?. . . . . . . . . . . . . . . . . . . .
Yes
No
I Did the organization have any changes to its guidelines not
Date filed with IRS
reported to the FTB? See instructions. . . . . . . . . . . . . . . . .
Yes
No
Part I Complete Part I unless not required to file this form. See General Instructions B and C.
00
1 Gross sales or receipts from other sources. From Side 2, Part II, line 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
00
2 Gross dues and assessments from members and affiliates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
Receipts
00
3 Gross contributions, gifts, grants, and similar amounts received. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
and
4 Total gross receipts for filing requirement test. Add line 1 through line 3.
Revenues
00
This line must be completed. If the result is less than $50,000, see General Instruction B. . . . . . . . . . . . . . . . .
4
00
5 Cost of goods sold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
6 Cost or other basis, and sales expenses of assets sold . . . . . . . . . . . . . . . . . .
6
00
00
7 Total costs. Add line 5 and line 6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
00
8 Total gross income. Subtract line 7 from line 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
00
9 Total expenses and disbursements. From Side 2, Part II, line 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
Expenses
00
10 Excess of receipts over expenses and disbursements. Subtract line 9 from line 8 . . . . . . . . . . . . . . . . . . . . . . . .
10
00
11 Filing fee $10 or $25. See General Instruction F . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
00
12 Total payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
Filing
Fee
00
13 Penalties and Interest. See General Instruction J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
14 Use tax. See General Instruction K . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
00
00
15 Balance due. Add line 11, line 13, and line 14. Then subtract line 12 from the result . . . . . . . . . . . . . . . . . . . .
15
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is
Sign
true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Here
Title
Date
Telephone
Signature
(
)
of officer
Date
PTIN
Check if self-
Preparer’s
employed
Paid
signature
Preparer’s
FEIN
-
Use Only
Firm’s name (or yours,
if self-employed)
Telephone
and address
(
)
May the FTB discuss this return with the preparer shown above? See instructions . . . . . . . . . . . . . . . . . .
Yes No
Form 199
2014 Side 1
3651143
C1
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial