Form 990-T - Exempt Organization Business Income Tax Return - Irs - 2016 Page 4

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4
Form 990-T (2016)
Page
Schedule F—Interest, Annuities, Royalties, and Rents From Controlled Organizations
(see instructions)
Exempt Controlled Organizations
1. Name of controlled
2. Employer
5. Part of column 4 that is
6. Deductions directly
3. Net unrelated income
4. Total of specified
organization
identification number
included in the controlling
connected with income
(loss) (see instructions)
payments made
organization’s gross income
in column 5
(1)
(2)
(3)
(4)
Nonexempt Controlled Organizations
10. Part of column 9 that is
11. Deductions directly
8. Net unrelated income
9. Total of specified
7. Taxable Income
included in the controlling
connected with income in
(loss) (see instructions)
payments made
organization’s gross income
column 10
(1)
(2)
(3)
(4)
Add columns 5 and 10.
Add columns 6 and 11.
Enter here and on page 1,
Enter here and on page 1,
Part I, line 8, column (A).
Part I, line 8, column (B).
Totals
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Schedule G—Investment Income of a Section 501(c)(7), (9), or (17) Organization
(see instructions)
3. Deductions
5. Total deductions
4. Set-asides
1. Description of income
2. Amount of income
directly connected
and set-asides (col. 3
(attach schedule)
(attach schedule)
plus col. 4)
(1)
(2)
(3)
(4)
Enter here and on page 1,
Enter here and on page 1,
Part I, line 9, column (A).
Part I, line 9, column (B).
Totals
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Schedule I—Exploited Exempt Activity Income, Other Than Advertising Income
(see instructions)
3. Expenses
4. Net income (loss)
7. Excess exempt
2. Gross
directly
from unrelated trade
5. Gross income
expenses
unrelated
6. Expenses
connected with
or business (column
from activity that
(column 6 minus
1. Description of exploited activity
business income
attributable to
production of
2 minus column 3).
is not unrelated
column 5, but not
from trade or
column 5
unrelated
If a gain, compute
business income
more than
business
business income
cols. 5 through 7.
column 4).
(1)
(2)
(3)
(4)
Enter here and on
Enter here and on
Enter here and
page 1, Part I,
page 1, Part I,
on page 1,
line 10, col. (A).
line 10, col. (B).
Part II, line 26.
Totals
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Schedule J—Advertising Income
(see instructions)
Part I
Income From Periodicals Reported on a Consolidated Basis
4. Advertising
7. Excess readership
2. Gross
gain or (loss) (col.
costs (column 6
3. Direct
5. Circulation
6. Readership
1. Name of periodical
advertising
2 minus col. 3). If
minus column 5, but
advertising costs
income
costs
income
a gain, compute
not more than
cols. 5 through 7.
column 4).
(1)
(2)
(3)
(4)
Totals (carry to Part II, line (5))
.
.
990-T
Form
(2016)

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