Instructions For Form 990bl (Page 3 of 6) in pdf

Paid preparer. Generally, anyone who is paid to prepare the return

Line 9. Enter the administrative expenses (including legal, accounting,

must sign the return and fill in the other blanks in the Paid Preparer Use

actuarial, and trustee expenses) for the year other than salaries and

Only area. An employee of the filing organization is not a paid preparer.

wages paid to trustees and other employees.

The paid preparer must:

Line 10. Attach a schedule, listing by type and amount, all allowable

Sign the return in the space provided for the preparer's signature,

deductions that are not deductible elsewhere on Form 990-BL. Enter the

Enter the preparer information, and

total of these deductions on line 10. See Regulations section

Give a copy of the return to the organization.

1.501(c)(21)-1 for additional information.

Part II—Balance Sheets

The paid preparer must also enter the preparer's identifying number

and the firm's EIN. The preparer's identifying number is the preparer's

taxpayer identification number (PTIN).

Complete the balance sheets on the basis of the accounting method

regularly used by the trust in keeping its books and records.

Because the Form 990-BL is a publicly disclosable document,

any information entered in this block will be publicly disclosed

Line 19. Enter only liabilities of the trust as of the first and last days of

(see Public Inspection of Completed 990-BL Returns and

the tax year of the trust. Include payments for approved black lung

CAUTION

Approved Exemption Applications). Any paid preparer whose identifying

claims that are due but not paid, accrued trustee fees, etc. Do not

number must be listed on Form 990-BL can apply for and obtain a PTIN

include amounts for black lung claims being contested, the present value

using Form W-12, IRS Paid Preparer Tax Identification Number (PTIN)

of payments for approved claims, or the estimated liability for future

Application and Renewal. For more information about applying for a

claims.

PTIN online, visit the IRS website at

Line 21. Enter the total of lines 19 and 20. That figure must equal the

figure for total assets reported on line 18 for both the beginning and end

Paid preparer authorization. On the last line of the Signature Block,

of year.

check “Yes,” if the IRS can contact the paid preparer who signed the

Part III—Questionnaire

return to discuss the return. This authorization applies only to the

individual whose signature appears in the Paid Preparer Use Only

section of Form 990-BL. It does not apply to the firm, if any, shown in that

General Instructions

section. By checking “Yes,” to this box, the organization is authorizing

the IRS to contact the paid preparer to answer any questions that arise

The Black Lung Benefits Revenue Act of 1977 imposes excise taxes and

during the processing of the return.

penalties on acts of self-dealing between trusts and disqualified persons,

The organization is also authorizing the paid preparer to:

and on taxable expenditures made by the trusts. These taxes and

Give the IRS any information missing from the return;

penalties apply to the trust (section 4952), trustees (sections 4951 and

4952), and self-dealers (section 4951). The purpose of the questions is

Call the IRS for information about processing the return; and

to determine whether there is any initial tax due under either of these two

Respond to certain IRS notices about math errors, offsets, and return

sections.

preparation.

The organization is not authorizing the paid preparer to bind the

Definitions

organization to anything or otherwise represent the organization before

the IRS.

Self-dealing (Section 4951)

The authorization will automatically end no later than the due date

Self-dealing. For purposes of section 4951, the term “self-dealing”

(excluding extensions) for filing the Form 990-BL. If the organization

means any direct or indirect:

wants to expand the paid preparer’s authorization or revoke it before it

Sale, exchange, or leasing of real or personal property between a trust

ends, see Pub. 947, Practice Before the IRS and Power of Attorney.

described in section 501(c)(21) and a disqualified person;

Check “No,” if the IRS should contact the organization or its trustee

Lending of money or other extension of credit between such a trust

rather than the paid preparer.

and a disqualified person;

Part I—Analysis of Revenue and

Furnishing of goods, services, or facilities between such a trust and a

disqualified person;

Expenses

Payment of compensation (or payment or reimbursement of

expenses) by such a trust to a disqualified person; and

Line 1. Enter the total contributions received under section 192 from the

Transfers to, or use by or for the benefit of, a disqualified person of the

coal mine operator who established the trust.

income or assets of such a trust.

Contributions to the trust must be in cash or property of the type in

Special rules. For purposes of section 4951:

which the trust is permitted to invest (i.e., public debt securities of the

The transfer of personal property by a disqualified person to such a

United States, obligations of a state or local government that are not in

trust is treated as a sale or exchange if the property is subject to a

default as to principal or interest, or time and demand deposits in a bank

mortgage or similar lien;

or insured credit union as described in section 501(c)(21)(D)(ii)).

If a bank or an insured credit union is a trustee of the trust or otherwise

Line 2. Enter the amounts received during the year from the sources

is a “disqualified person” with respect to the trust, any amount invested in

listed in 2a, b, c, and d.

checking accounts, savings accounts, certificates of deposit, or other

time or demand deposits in that bank or credit union constitutes a

Line 4. Enter the amounts contributed by the trust to the Federal Black

lending of money;

Lung Disability Trust Fund as provided for by section 3(b)(3) of Public

The furnishing of goods, services, or facilities by a disqualified person

Law 95-227.

to such a trust is not an act of self-dealing if the furnishing is without

charge and if the goods, services, or facilities so furnished are used

Line 5. Enter the amounts paid for insurance exclusively covering

exclusively for the purposes specified in section 501(c)(21)(A); and

liabilities under sections 501(c)(21)(A)(i)(I), and 501(c)(21)(A)(i)(IV). For

The payment of compensation (and the payment or reimbursement of

details, see Regulations section 1.501(c)(21)-1(d).

expenses) by such a trust to a disqualified person for personal services

Line 6. Enter the amounts paid to or for the benefit of miners or their

that are reasonable and necessary to carry out the exempt purpose of

beneficiaries other than amounts included in lines 4 or 5. Such payments

the trust is not an act of self-dealing if the compensation (or payment or

could include direct payment of medical bills, etc., authorized by the Act

reimbursement) is not excessive. See Regulations section 53.4951-1 for

and accident and health benefits for retired miners and their spouses

additional information.

and dependents.

Taxable period. The term “taxable period” means, with respect to any

Line 7. Enter the total amount of compensation for the year of all

act of self-dealing, the period beginning with the date on which the act of

trustees. See Part III, line 26.

self-dealing occurs and ending on the earliest of:

Line 8. Enter the total of the salaries and wages of all employees other

1. The date of mailing of a notice of deficiency under section 6212,

than those included in line 7.

with respect to the tax imposed by section 4951(a)(1),

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Instructions For Form 990bl Page 3

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