M4NP
2016 Unrelated Business Income Tax (UBIT) Return
For tax-exempt organizations, cooperatives, homeowners associations and political organizations with unrelated
business income.
(required)
Tax year beginning
, 2016, and ending
Name of Organization
FEIN
Minnesota Tax ID (required)
Mailing Address
This Organization Files Federal Form (check one)
Check if New Address
990-T
1120-C
1120-H
1120-POL
City
County
State
Zip Code
Exempt Under IRS Section (check one)
501(c)(
)
528
Other:
Enter your NAICS Codes (see instructions, pg. 3)
Check All
Amended
Filing Under
Final Return (see inst., pg. 3)
That Apply:
Return
an Extension
Enter Close Date:
/
Was 100% of the business conducted in Minnesota for this tax year?
Are you filing a combined income return?
No (complete and attach Schedule M4NPA)
Yes
No
Yes
You must round amounts
to nearest whole dollar.
1 Federal taxable income before net operating loss and specific deduction
(from federal Form 990-T, line 30; 1120-C, line 25a; 1120-H, line 17; or 1120-POL, line 17c) . . 1
2 Total subtractions from federal taxable income (from M4NPI, line 1) . . . . . . . . . . . . . . . . . . . . . . . 2
3 Federal taxable income or (loss) after subtractions (see instructions) . . . . . . . . . . . . . . . . . . . . . . . 3
If you conducted business both within and outside Minnesota, complete M4NPA (see instructions, pg. 6) .
If 100% of your activities were conducted in Minnesota, do not complete M4NPA. Enter line 3 on line 4.
4 Minnesota taxable net income or (loss) (from M4NPA, line 15, or if 100% of
your activities were conducted in Minnesota, enter amount from line 3 above) . . . . . . . . . . . . . . . 4
5 Minnesota net operating loss deduction (from NOL) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6 Subtract line 5 from line 4 (if zero or less, enter zero) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7 Total deductions from taxable net income (from M4NPI, line 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Taxable income (subtract line 7 from line 6; if zero or less, enter zero) . . . . . . . . . . . . . . . . . . . . . . 8
9 Regular tax (multiply line 8 by 9.8% [0.098]; if zero or less, enter zero) . . . . . . . . . . . . . . . . . . . . . 9
10 Proxy tax (see instructions, pg. 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
11 Tax before credits (add lines 9 and 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12 Total credits against tax (from M4NPI, line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
13 Minnesota tax liability (subtract line 12 from line 11; if zero or less, enter zero) . . . . . . . . . . . . . 13
14 Minnesota Nongame Wildlife Fund donation (see instructions, pg. 3) . . . . . . . . . . . . . . . . . . . . . . 14
15 Add lines 13 and 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
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