Form Il-990-T - Exempt Organization Income And Replacement Tax Return - 2011
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Illinois Department of Revenue
*131701110*
2011 Form IL-990-T
Exempt Organization Income and Replacement Tax Return
Due on or before the 15th day of the 5th month (4th month for employee trusts) following the close of the tax year.
If this return is not for calendar year 2011, write your fiscal tax year here.
Write the amount you are paying.
Tax year beginning _____ _____ 2011, ending _____ _____ 20_____
$_________________________
month
day
month
day
year
D
Write your federal employer identification no. (FEIN).
Step 1: Identify your exempt organization
___ ___ - ___ ___ ___ ___ ___ ___ ___
A
Write your complete legal business name.
If you have a name change check this box.
E
Check if you are taxed as a corporation.
_____________________________________________________
Name:
F
Check if you are taxed as a trust.
B
If you have an address change or this is a first return, check this box and
complete the following information.
G
Provide the nature of your unrelated trade or
business. _______________________________
_____________________________________________________
C/O:
_________________________________________________
H
Mailing address:
Check the box if you attached Illinois
Schedule 1299-D, Income Tax Credits.
_________________________
______
__________
City:
State:
ZIP:
I
Write your North American Industry Classification
C
Check the box if one of the following apply.
System Code (NAICS), if applicable. See instructions.
first return
final return (If final, write the date. ____ ____ ________)
_____ _____ _____ ______ _____ _____
mm
dd
yyyyy
Step 2: Figure your base income or loss
1
Unrelated business taxable income or loss from U.S. Form 990-T, Line 34.
1
Attach a copy of Page 1 of your U.S. Form 990-T.
_______________ 00
2
2
Illinois income and replacement tax deducted in arriving at Line 1.
_______________ 00
3
3
Base income or loss. Add Lines 1 and 2.
_______________ 00
If the amount on Line 3 is derived only from inside Illinois or if you are an Illinois resident trust,
skip Step 3 and go to Step 4; otherwise complete Step 3.
Step 3: Figure your income allocable to Illinois
4
4
Trust, estate, or non-unitary partnership business income or loss included in Line 3.
_______________ 00
5
5
Business income or loss. Subtract Line 4 from Line 3.
_______________ 00
6
6
Total sales everywhere. This amount cannot be negative.
____________________
7
7
Total sales inside Illinois. This amount cannot be negative.
____________________
.
8
8
Apportionment factor. Divide Line 7 by Line 6 (carry to six decimal places).
___
________________
9
9
Business income or loss apportionable to Illinois. Multiply Line 5 by Line 8.
_______________ 00
10
10
Trust, estate, or non-unitary partnership business income or loss apportionable to Illinois.
_______________ 00
11
11
Net income or loss allocable to Illinois. Add Lines 9 and 10.
_______________ 00
Step 4: Figure your net replacement tax
12
12
Base income or net loss from Line 3 or Line 11.
_______________ 00
13
13
Replacement tax. Corporations multiply Line 12 by 2.5% (.025); trusts multiply by 1.5% (.015).
_______________ 00
14
14
Recapture of investment credits. Attach Schedule 4255.
_______________ 00
15
15
Replacement tax before investment credits. Add Lines 13 and 14.
_______________ 00
16
16
Investment credits. Attach Form IL-477.
_______________ 00
17
17 Net replacement tax. Subtract Line 16 from Line 15. If the amount is negative, write "0."
_______________ 00
NS
DR________
Form IL-990-T front
(R-12/11)
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