Form 990-T - Exempt Organization Business Income Tax Return - Irs - 2016 Page 2
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52
Form 990-T (2016)
Page
Part III
Tax Computation
35
Organizations Taxable as Corporations. See instructions for tax computation. Controlled group
members (sections 1561 and 1563) check here
See instructions and:
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a Enter your share of the $50,000, $25,000, and $9,925,000 taxable income brackets (in that order):
(1) $
(2) $
(3) $
b Enter organization’s share of: (1) Additional 5% tax (not more than $11,750)
$
(2) Additional 3% tax (not more than $100,000)
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$
c Income tax on the amount on line 34 .
35c
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36
Trusts Taxable at Trust Rates. See instructions for tax computation. Income tax on
the amount on line 34 from:
Tax rate schedule or
Schedule D (Form 1041) .
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36
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37
Proxy tax. See instructions .
37
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38
Alternative minimum tax .
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38
39
Tax on Non-Compliant Facility Income. See instructions
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39
40
Total. Add lines 37, 38 and 39 to line 35c or 36, whichever applies .
40
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Part IV
Tax and Payments
41a Foreign tax credit (corporations attach Form 1118; trusts attach Form 1116)
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41a
b Other credits (see instructions) .
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41b
c General business credit. Attach Form 3800 (see instructions) .
41c
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d Credit for prior year minimum tax (attach Form 8801 or 8827) .
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41d
e Total credits. Add lines 41a through 41d
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41e
42
42
Subtract line 41e from line 40 .
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43
43
Other taxes. Check if from:
Form 4255
Form 8611
Form 8697
Form 8866
Other (attach schedule) .
44
Total tax. Add lines 42 and 43 .
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44
45a Payments: A 2015 overpayment credited to 2016
45a
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b 2016 estimated tax payments .
45b
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c Tax deposited with Form 8868 .
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45c
d Foreign organizations: Tax paid or withheld at source (see instructions)
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45d
e Backup withholding (see instructions)
45e
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f
Credit for small employer health insurance premiums (Attach Form 8941) .
45f
g Other credits and payments:
Form 2439
45g
Form 4136
Other
Total
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46
Total payments. Add lines 45a through 45g
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46
47
Estimated tax penalty (see instructions). Check if Form 2220 is attached .
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47
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48
Tax due. If line 46 is less than the total of lines 44 and 47, enter amount owed .
48
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49
Overpayment. If line 46 is larger than the total of lines 44 and 47, enter amount overpaid
49
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50
Credited to 2017 estimated tax
Refunded
50
Enter the amount of line 49 you want:
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Part V
Statements Regarding Certain Activities and Other Information
(see instructions)
Yes
No
51
At any time during the 2016 calendar year, did the organization have an interest in or a signature or other authority
over a financial account (bank, securities, or other) in a foreign country? If YES, the organization may have to file
FinCEN Form 114, Report of Foreign Bank and Financial Accounts. If YES, enter the name of the foreign country
here
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52
During the tax year, did the organization receive a distribution from, or was it the grantor of, or transferor to, a foreign trust? .
If YES, see instructions for other forms the organization may have to file.
53
Enter the amount of tax-exempt interest received or accrued during the tax year
$
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Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is
Sign
true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
May the IRS discuss this return
Here
with the preparer shown below
(see instructions)?
Yes
No
Title
Signature of officer
Date
Print/Type preparer’s name
Preparer’s signature
Date
PTIN
Paid
Check
if
self-employed
Preparer
Firm’s name
Firm’s EIN
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Use Only
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Firm’s address
Phone no.
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990-T
Form
(2016)
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