Form 990-T
Department of the Treasury
Internal Revenue Service
Exempt Organization Business Income Tax Return
(and proxy tax under section 6033(e))
For calendar year 2019 or other tax year beginning
, 2019, and ending
, 20 .
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Go to www.irs.gov/Form990T for instructions and the latest information.
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Do not enter SSN numbers on this form as it may be made public if your organization is a 501(c)(3).
OMB No. 1545-0047
2019
Open to Public Inspection for
501(c)(3) Organizations Only
Print
or
Type
Name of organization ( Check box if name changed and see instructions.)
Number, street, and room or suite no. If a P.O. box, see instructions.
City or town, state or province, country, and ZIP or foreign postal code
A
Check box if
address changed
B Exempt under section
501(
) ( )
408(e)
408A
529(a)
220(e)
530(a)
C Book value of all assets
at end of year
D Employer identification number
(Employees’ trust, see instructions.)
E
Unrelated business activity code
(See instructions.)
F Group exemption number (See instructions.)
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G Check organization type
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501(c) corporation 501(c) trust 401(a) trust Other trust
H
Enter the number of the organization’s unrelated trades or businesses.
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Describe the only (or first) unrelated
trade or business here
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.
If only one, complete Parts I–V. If more than one, describe the
first in the blank space at the end of the previous sentence, complete Parts I and II, complete a Schedule M for each additional
trade or business, then complete Parts III–V.
I
During the tax year, was the corporation a subsidiary in an affiliated group or a parent-subsidiary controlled group? . .
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Yes No
If “Yes,” enter the name and identifying number of the parent corporation.
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J The books are in care of
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Telephone number
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Part I Unrelated Trade or Business Income
(A) Income (B) Expenses (C) Net
1a Gross receipts or sales . .
b Less returns and allowances
c Balance
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1c
2 Cost of goods sold (Schedule A, line 7) . . . . . . . . . 2
3 Gross profit. Subtract line 2 from line 1c . . . . . . . . . 3
4a Capital gain net income (attach Schedule D) . . . . . . . 4a
b Net gain (loss) (Form 4797, Part II, line 17) (attach Form 4797) . 4b
c Capital loss deduction for trusts . . . . . . . . . . . 4c
5
Income (loss) from a partnership or an S corporation (attach
statement) . . . . . . . . . . . . . . . . . .
5
6 Rent income (Schedule C) . . . . . . . . . . . . . 6
7 Unrelated debt-financed income (Schedule E) . . . . . . . 7
8
Interest, annuities, royalties, and rents from a controlled organization (Schedule F)
8
9
Investment income of a section 501(c)(7), (9), or (17) organization (Schedule G)
9
10 Exploited exempt activity income (Schedule I) . . . . . . . 10
11 Advertising income (Schedule J) . . . . . . . . . . . 11
12 Other income (See instructions; attach schedule) . . . . . . 12
13 Total. Combine lines 3 through 12 . . . . . . . . . . 13
Part II
Deductions Not Taken Elsewhere (See instructions for limitations on deductions.) (Deductions must be directly
connected with the unrelated business income.)
14 Compensation of officers, directors, and trustees (Schedule K) . . . . . . . . . . . . . 14
15 Salaries and wages . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
16 Repairs and maintenance . . . . . . . . . . . . . . . . . . . . . . . . . 16
17 Bad debts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
18 Interest (attach schedule) (see instructions) . . . . . . . . . . . . . . . . . . . . 18
19 Taxes and licenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
20 Depreciation (attach Form 4562) . . . . . . . . . . . . . . . 20
21 Less depreciation claimed on Schedule A and elsewhere on return . . . . 21a 21b
22 Depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
23 Contributions to deferred compensation plans . . . . . . . . . . . . . . . . . . 23
24 Employee benefit programs . . . . . . . . . . . . . . . . . . . . . . . . . 24
25 Excess exempt expenses (Schedule I) . . . . . . . . . . . . . . . . . . . . . 25
26 Excess readership costs (Schedule J) . . . . . . . . . . . . . . . . . . . . . 26
27 Other deductions (attach schedule) . . . . . . . . . . . . . . . . . . . . . . 27
28 Total deductions. Add lines 14 through 27 . . . . . . . . . . . . . . . . . . . 28
29 Unrelated business taxable income before net operating loss deduction. Subtract line 28 from line 13 29
30
Deduction for net operating loss arising in tax years beginning on or after January 1, 2018 (see
instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
30
31 Unrelated business taxable income. Subtract line 30 from line 29 . . . . . . . . . . . . 31
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11291J
Form 990-T (2019)