California Form 541-A - Trust Accumulation Of Charitable Amounts - 2015 Page 2
ADVERTISEMENT
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4Part III Distributions of Principal for Charitable Purposes
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Principal distributed in prior taxable years for charitable purposes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22
00
23
Principal distributed during the current taxable year for charitable purposes . Itemize by charitable
purpose; include payee’s name and address .
a _____________________________________________________________________ 23a
00
b _____________________________________________________________________ 23b
00
c _____________________________________________________________________
23c
00
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Total . Add line 23a through line 23c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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00
Part IV Balance Sheets . If line 9 is $25,000 or less, complete only line 38, line 42, and line 45 .
(a)
(b)
Assets
Beginning-of-Year Book Value
End-of-Year Book Value
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Cash — non-interest bearing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Savings and temporary cash investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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a Accounts receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27a
b Less: allowance for doubtful accounts . . . . . . . . . . . . . . . . . . . . 27b
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a Notes and loans receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28a
b Less: allowance for doubtful accounts . . . . . . . . . . . . . . . . . . . . 28b
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Inventories for sale or use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Prepaid expenses and deferred charges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Investments — U .S . and state government obligations . Attach schedule . . . . . . . . . . . . . . . . . . .
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Investments — corporate stock . Attach schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Investments — corporate bonds . Attach schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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a Investments — land, buildings, and equipment: basis. . . . . . . 34a
b Less: accumulated depreciation . . . . . . . . . . . . . . . . . . . . . . . . . 34b
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Investments — other . Attach schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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a Land, buildings, and equipment (trade or business): basis . . . . 36a
b Less: accumulated depreciation . . . . . . . . . . . . . . . . . . . . . . . . . 36b
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Other assets . Describe . __________________________________________________ . . . .
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Total assets . Add line 25 through line 37 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Liabilities
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Accounts payable and accrued expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Mortgages and other notes payable . Attach schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Other liabilities . Describe . ___________________________________________________ .
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Total liabilities. Add line 39 through line 41 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Net Assets
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Trust principal or corpus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Undistributed income and profits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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45
Total net assets . Add line 43 and line 44 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Total liabilities and net assets . Add line 42 and line 45 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Under penalties of perjury, I declare that I have examined this tax return, including accompanying schedules and statements, and to the best of my knowledge and belief, it
is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Sign
Here
Signature of trustee or officer representing trustee
Date
X
Preparer’s signature
Date
Check if self-
PTIN
employed
X
Paid
Firm’s name (or yours, if self-employed) and address
FEIN
Preparer’s
-
Use Only
Telephone
(
)
May the FTB discuss this tax return with the preparer shown above (see instructions)?. . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Side 2 Form 541-A
2015
C1
7012153
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