Fillable 2019 M4NP Unrelated Business Income Tax (UBIT) Return (Minnesota Department of Revenue)

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2019 M4NP Unrelated Business Income Tax (UBIT) Return (Minnesota Department of Revenue)

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9995
1 Federal taxable income before net operang loss and specic deducon (from federal
Form 990-T, line 29 or total of line 29 from all 990-T schedule Ms; 1120-C, line 25c;
1120-H, line 17; or 1120-POL, line 17c) ................................................... 1
2 Total addions to federal taxable income (from M4NPI, line 1) .................................2
3 Federal taxable income aer addions (add lines 1 and 2) .....................................3
4 Total subtracons from federal taxable income (from M4NPI, line 2) ........................... 4
5 Federal taxable income (loss) aer subtracons. (See instrucons.) If you conducted business both
within and outside Minnesota, complete M4NPA. (See instrucons, pg. 4.) If 100% of your
acvies were conducted in Minnesota, do not complete M4NPA. Enter line 5 on line 6. .......... 5
6 Minnesota taxable net income (loss) (from M4NPA, line 10.) If 100% of your acvies
were conducted in Minnesota, enter amount from line 5 above. .............................. 6
7 Minnesota net operang loss deducon (from M4NP NOL) ................................... 7
8 Subtract line 7 from line 6 (if zero or less, enter zero) .........................................8
9 Total deducons from taxable net income (from M4NPI, line 3).................................9
10 Taxable income (subtract line 9 from line 8; if zero or less, enter zero) ..........................10
11 Regular tax (mulply line 10 by 9.8% [0.098]; if zero or less, enter zero) .........................11
12 Proxy tax (see instrucons, pg. 4) ....................................................... 12
13 Tax before credits (add lines 11 and 12) .................................................. 13
14 Total credits against tax (from M4NPI, line 4) ............................................. 14
15 Minnesota tax liability (subtract line 14 from line 13; if zero or less, enter zero) ................. 15
2019 M4NP Unrelated Business Income Tax (UBIT) Return
For tax-exempt organizaons, cooperaves, homeowners associaons, and polical organizaons with unrelated
business income.
FEIN Minnesota Tax ID (required)
This Organizaon Files Federal Form (check one)
990-T
1120-C
1120-H
1120-POL
Exempt Under IRS Secon (check one)
501(c)( )
528
Other:
Enter your NAICS Codes (see instrucons, pg. 4)
/
Was 100 percent of the business conducted in Minnesota for this tax year?
Yes
No (complete and aach Schedule M4NPA)
Name of Organizaon
Mailing Address
Check if New Address
City County State ZIP Code
Check All Amended Filing Under Final Return (see inst., pg. 4)
That Apply: Return an Extension Enter Close Date:
Are you ling a combined income return?
Yes No
Tax year beginning , 2019, and ending (required)
You must round amounts
to nearest whole dollar.
Connued next page
9995
16 Minnesota Nongame Wildlife Fund donaon (see instrucons, pg. 4) ......................... 16
17 Add lines 15 and 16 ............................................ ...................... 17
18 Total refundable credits (from M4NPI, line 5) . . . . . . . . . . . . . . . . . . . 18
19 Amount credited from your 2018 Form M4NP, line 32 ........... 19
20 2019 esmated tax payments ................................ 20
21 2019 extension payment .................................... 21
22 Total refundable credits and payments (add lines 18, 19, 20, and 21) ......................... 22
23 Subtract line 22 from line 17 ........................................................... 23
24 Penalty (determine from worksheet in the instrucons, pg. 5) ............................... 24
25 Interest (determine from worksheet in the instrucons, pg. 5) ............................... 25
26 Addional charge for underpayment of esmated tax (from M15NP, line 17) ................... 26
27 Tax, Nongame Wildlife Fund donaon, penalty, interest and addional
charge for underpayment of esmated tax (add lines 17, 24, 25, and 26) ...................... 27
28 Amount from line 27 ................................................................. 28
29 Amount from line 22 ................................................................. 29
30 AMOUNT DUE. If line 28 is more than or equal to line 29, subtract line 29 from 28 .............. 30
Payment method: Electronic (see inst., pg. 2) Check (see inst., pg.2)
31 OVERPAYMENT. If line 29 is more than line 28,
subtract line 28 from line 29 ................................. 31
32 Amount of line 31 to be credited to your 2020 esmated tax ...... 32
33 Refund (subtract line 32 from line 31) ......................... 33
To have your refund direct deposited, enter your banking informaon below.
Account type: Roung number Account number (use an account not associated with any foreign banks)
Checking
Savings
Name of Organizaon FEIN Minnesota Tax ID
2019 M4NP UBIT Return, Page 2 (connued)
I declare that this return is correct and complete to the best of my knowledge and belief.
Aach a complete copy of your federal Form 990-T, 1120-C, 1120-H or 1120-POL and all supporng schedules.
Mail to: Minnesota Revenue, Mail Staon 1257, St. Paul, MN 55146-1257
Authorized Signature Title Date Dayme Phone
Paid Preparer’s Signature PTIN Date Dayme Phone
Email Address for Correspondence, if Desired This email address belongs to (check one):
Employee Paid Preparer
I authorize the
Minnesota Depart-
ment of Revenue to
discuss this tax return
with the paid preparer
listed here.
Amended return payment by check
(see inst., pg. 2)
9995
1 Addions to federal taxable income due to changes not adopted by Minnesota
Enter on Form M4NP, line 2 (you must provide a brief explanaon below)
............................ 1
2 Subtracons from federal taxable income
a Adversing revenues from a newspaper published by a
secon 501(c)(4) organizaon ...................................... 2a
b
Lawful gambling expenditures under Minnesota Statutes, Chapter 349,
not deducted on federal return (see instrucons, pg. 7)
................. 2b
c Charitable contribuons from federal form 990-T line 34
................ 2c
d Subtracons due to federal changes not adopted by Minnesota
(you must provide a brief explanaon below) .......................... 2d
e
Other subtracons from income (you must provide a brief explanaon below)
.. 2e
Total subtracons (add lines 2a through 2e) Enter on Form M4NP, line 4. ............................ 2
3 Deducons from taxable net income
a Federal specic or special deducons ................................ 3a
b Other deducons (you must provide a brief explanaon below)
.. 3b
Total
deducons from taxable net income (add lines 3a and 3b)
..................................... 3
Enter on Form M4NP, line 9.
4 Credits against tax
a Employer Transit Pass Credit (from ETP, line 4) ......................... 4a
b
SEED Capital Investment Credit (see instrucons, pg. 7)
.................. 4b
c Tax Credit for Owners of Agricultural Assets ........................... 4c
d Other credits against tax (you must provide a brief explanaon below)
.. 4d
Total
credits against tax
(add lines 4a through 4d) ................................................ 4
Enter on Form M4NP, line 14.
5 Refundable credits
a Historic Structure Rehabilitaon Credit (aach credit cercate)
and enter NPS project number ................. 5a
b Other refundable credits (you must provide a brief explanaon below)
.. 5b
Total refundable
credits
(add lines 5a and 5b) ................................................... 5
Enter on Form M4NP, line 18.
Name of Organizaon FEIN Minnesota Tax ID
2019 M4NPI Income Adjustments, Deducons and Credits
For tax-exempt organizaons, cooperaves, homeowners associaons, and polical organizaons with unrelated
business income.
See instrucons on page 7.
You must round amounts to nearest whole dollar.
9995
2019 M4NPA Apporonment Calculaon
For tax-exempt organizaons, cooperaves, homeowners associaons, and polical organizaons with unrelated
business income.
If you conducted business both within and outside Minnesota during the year, complete Schedule M4NPA to determine your
Minnesota source income. Do not complete this schedule if you conducted all your business in Minnesota during the tax year.
See instrucons beginning on page 9.
Name of Organizaon FEIN Minnesota Tax ID
You must round amounts
to nearest whole dollar.
1 Federal taxable income (loss) (from M4NP, line 5)...........1
2 Total nonapporonable income..........................2
3 Total apporonable income
(subtract line 2 from line 1) .............................3
4 Sales or receipts .............................................................4
5 Sales of non-ling enes (see inst., pg. 10) ...................................... 5
6 Total sales or receipts (add lines 4 and 5) (Financial instuons: see inst., pg. 11) ....... 6
7 Minnesota apporonment factor (divide line 6A
amount by line 6B; carry to six decimal places) .............7
8 Net income apporoned to Minnesota
(
mulply line 3 by line 7) ...............................8
9 Minnesota nonapporonable income.....................9
10 Minnesota taxable income
(add lines 8 and 9) Enter on Form M4NP, line 6 ...........10
A B
Minnesota Total
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2019 M4NP Unrelated Business Income Tax (UBIT) Return (Minnesota Department of Revenue)

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Completed 27 July 2021

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