Form Ct-12 - Charitable Activities Section - 2001 Page 2
Download a blank fillable Form Ct-12 - Charitable Activities Section - 2001 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 Ct-12 - Charitable Activities Section - 2001 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
2Section I.
General Information (continued)
Yes
No
9.
During the reporting period, was Total Revenue less than $25,000?
10.
At the end of the reporting period, were Net Assets or Fund Balances (i.e., assets minus liabilities) less than $50,000?
Yes
No
→
S
Complete Section II and sign below. Submit NO fee.
11.
If YES to BOTH Line 9 AND Line 10
Attach a copy of any tax forms submitted to the IRS.
T
Complete Section III, submit fee as calculated and sign
O
→
If NO to EITHER Line 9 OR Line 10
below. Attach a copy of any tax forms submitted to the IRS
P
or specially completed for Oregon purposes.
Section II.
Fee Exempt Organizations
(complete this section ONLY if you answered YES to BOTH Line 9 AND Line 10)
12.
Net Assets or Fund Balances at the beginning of the reporting period .................................................................................
12.
13.
Total Revenue .....................................................................................................................................................................
13.
14.
Total Expenses....................................................................................................................................................................
14.
15.
Other changes in Net Assets or Fund Balances (attach explanation)...................................................................................
15.
16.
Net Assets or Fund Balances at the end of the reporting period...........................................................................................
16.
(Line 12 plus Line 13 minus Line 14 plus/minus Line 15)
Section III. Fee Calculation
(complete this section ONLY if you answered NO to EITHER Line 9 OR Line 10)
17.
Total Revenue .......................................................................................................................
17.
(Line 12 on Form 990; Line 9 on Form 990-EZ; Part I, Line 12a on Form 990-PF; Line 9 on Form 1041 or Form 1041-A.)
18.
Revenue Fee.......................................................................................................................................................................
18.
(See chart below. Minimum fee is $10,even if total revenue is a negative amount.)
Amount on Line 17
Revenue Fee
$0
-
$24,999
$10
$25,000
-
$49,999
$25
$50,000
-
$99,999
$45
$100,000
-
$249,999
$75
$250,000
-
$499,999
$100
$500,000
-
$749,999
$135
$750,000
-
$999,999
$170
$1,000,000
or
more
$200
19.
Net Assets or Fund Balances at End of the Reporting Period ......
19.
(Line 21 on Form 990 or Form 990-EZ, or Part III, Line 6 on Form 990-PF.)
20.
Net Fixed Assets Used to Conduct Charitable Activities ...........
20.
(Generally, Line 57c on Form 990, Line 23B on Form 990-EZ or Part II, Line 14b on
Form 990-PF. See instructions if organization owns income-producing assets.)
21.
Amount Subject to Net Assets or Fund Balances Fee.............................................................
21.
(Line 19 minus Line 20. If Line 19 minus Line 20 is less than $50,000, write $0.)
22.
Net Assets or Fund Balances Fee .......................................................................................................................................
22.
(Line 21 multiplied by .0001. If the fee is less than $5, enter $0. Not to exceed $1,000. Round cents to the nearest whole dollar.)
23.
Delinquency Penalty............................................................................................................................................................
23.
(If report is submitted after the due date, the delinquency penalty is $20.)
24.
Total Amount Due ...............................................................................................................................................................
24.
(Add Lines 18, 22, and 23. Make check payable to the Oregon Department of Justice.)
25.
Attach a copy of the organization’s federal tax returns and all supporting schedules and attachments except any schedule of contributors. Also, see
the instructions as the organization may be required to complete certain IRS Forms for Oregon purposes.
Under penalties of perjury, I declare that I have examined this return, including all accompanying forms, schedules, and attachments, and
Please
to the best of my knowledge and belief, it is true, correct, and complete.
Sign
⇒
Here
_______________________________________
_____________________
_____________________
Signature of officer
Date
Title
⇒
Paid
Preparer’s
_______________________________________
_____________________
_____________________
Use Only
Preparer’s signature
Date
Phone
_______________________________________
___________________________________________________
Preparer’s name
Address
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial