Instructions:
Prepare this worksheet using the attached 1996 instructions
for Form 990-T Exempt Organization Business Income Tax Return
and the following information:
Submit worksheet and schedules no
later than October 15, 1997 to:
| C | Book value of all assets at end of year | $ |
| PART I Unrelated Business Income | |||||
| 1a | Gross receipts or sales $______________ | ||||
| b | Less returns and allowances $______________ | 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 20) (attach Form 4797) | b | |||
| c | Capital loss deduction for trusts | c | |||
| 5 | Income (loss) from partnerships (attach statement) | 5 | |||
| 6 | Rent Income (Schedule C) | 6 | |||
| 7 | Unrelated debt-financed income (Schedule E) | 7 | |||
| 8 | Interest, annuities, royalties, and rents from controlled organizations (Schedule F) | 8 | |||
| 10 | Exploited exempt activity income (Schedule I) | 10 | |||
| 11 | Advertising Income (Schedule J) | 11 | |||
| 12 | Other income (see page 6 of instructions-attach schedule | 12 | |||
| 13 | TOTAL (combine lines 3 through 12) | 13 |
| PART II Deductions Not Taken Elsewhere (See page 6 of the instructions for limitations on deductions.) (Except for contributions, 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). | 18 | |
| 19 | Taxes and licenses | 19 | |
| 20 | Charitable contributions (see page 8 of instructions for limitation rules) | 20 | |
| 21
22 | Depreciation (attach Form 4562) 21
Less depreciation claimed on Schedule A or elsewhere on return 22a | 22b | |
| 23 | Depletion | 23 | |
| 24 | Contributions to deferred compensation plans | 24 | |
| 25 | Employee benefit programs | 25 | |
| 26 | Excess exempt expenses (Schedule I) | 26 | |
| 27 | Excess readership costs (Schedule J) | 27 | |
| 28 | Other deductions (attach schedule) | 28 | |
| 29 | TOTAL DEDUCTIONS (add lines 14 through 28) | 29 | |
| 30 | Unrelated business taxable income before net operating loss deduction (subtract line 29 from line 13) | 30 | |
| 31 | Net operating loss deduction | 31 | |
| 32 | Unrelated business taxable income (subtract line 31 from line 30) | 32 |
| PART IV Tax and Payments | |||
| 39a | Foreign tax credit (corporations attach Form 1118; trusts attach Form 1116) | ||
| b | Other Credits. (see page 10 of the instructions) | ||
| c | General business credit-Check if from:
|
| PART V Statements Regarding Certain Activities and Other Information
(See Instructions on page 11.) |
| ||
| 1 | At any time during the 1995 calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country ( such as a bank account, securities account, or other financial account)? If "Yes," enter the name of the foreign country here ® | ||
| 2 | Was the organization the grantor of , or transferor to, a foreign trust that existed during the current tax year, whether or not the organization any beneficial interest in it?
If "Yes," the organization may have to file Forms 3520, 3520-A, or 926. | ||
| 3 | Enter the amount of tax-exempt interest received or accrued during the tax year
® $ |
| SCHEDULE A- COST OF GOODS SOLD | |||
| Method of inventory valuation: Lower of cost or market | |||
| Inventory at beginning of year | |||
| Purchases | |||
| Cost of Labor | |||
| Additional section 263A costs (attach schedule) | |||
| Other costs (attach schedule) | |||
| TOTAL-Add lines 1 through 4b | |||
| Inventory at end of year | |||
| Cost of goods sold. Subtract line 6 from line 5. (enter here and on line 2, Part I.) | |||
| Do the rules of section 263A (with respect to property produced or acquired for resale) apply to the organization? Yes No |
| Under penalties of perjury, I declare that I have examined this worksheet, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete.
Signature of Campus President Date | |
Unrelated Business Income Summary:
Campus should summarize unrelated
business income by category (i.e., corporate sponsorships, film
fees, stadium rentals).
Source: Amount
$
TOTAL
$