Schedule M (Form 9 UBTI Calculation Form Unrelated Trade or Business

SCHEDULE M
(Form 990-T)

Unrelated Business Taxable Income from an
Unrelated Trade or Business

OMB No. 1545-0047

2019

For calendar year 2019 or other tax year beginning
, 2019, and ending
, 20
.
▶ Go to www.irs.gov/Form990T for instructions and the latest information.
Department of the Treasury
Open to Public Inspection for
▶ Do not enter SSN numbers on this form as it may be made public if your organization is a 501(c)(3).
Internal Revenue Service
501(c)(3) Organizations Only
Employer identification number

Name of the organization

Unrelated Business Activity Code (see instructions) ▶
Describe the unrelated trade or business ▶

Part I
1a
b
2
3
4a
b
c
5
6
7
8
9
10
11
12
13

Gross receipts or sales
Less returns and allowances
c Balance ▶
Cost of goods sold (Schedule A, line 7) . . . . . . .
Gross profit. Subtract line 2 from line 1c . . . . . . .
Capital gain net income (attach Schedule D) . . . . .
Net gain (loss) (Form 4797, Part II, line 17) (attach Form 4797)
Capital loss deduction for trusts . . . . . . . . .
Income (loss) from a partnership or an S corporation (attach
statement) . . . . . . . . . . . . . . . .
Rent income (Schedule C) . . . . . . . . . . .
Unrelated debt-financed income (Schedule E) . . . . .
Interest, annuities, royalties, and rents from a controlled
organization (Schedule F) . . . . . . . . . . .
Investment income of a section 501(c)(7), (9), or (17)
organization (Schedule G) . . . . . . . . . . .
Exploited exempt activity income (Schedule I) . . . . .
Advertising income (Schedule J) . . . . . . . . .
Other income (See instructions; attach schedule) . . . . .
Total. Combine lines 3 through 12
. . . . . . . .

Part II
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31

Unrelated Trade or Business Income

(A) Income

(B) Expenses

(C) Net

1c
2
3
4a
4b
4c
5
6
7
8
9
10
11
12
13

Deductions Not Taken Elsewhere (See instructions for limitations on deductions.) (Deductions must be directly
connected with the unrelated business income.)

Compensation of officers, directors, and trustees (Schedule K) . . . . . . . . . . . .
Salaries and wages . . . . . . . . . . . . . . . . . . . . . . . . . .
Repairs and maintenance . . . . . . . . . . . . . . . . . . . . . . . .
Bad debts
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Interest (attach schedule) (see instructions) . . . . . . . . . . . . . . . . . . .
Taxes and licenses . . . . . . . . . . . . . . . . . . . . . . . . . . .
Depreciation (attach Form 4562) . . . . . . . . . . . . .
20
Less depreciation claimed on Schedule A and elsewhere on return . .
21a
Depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Contributions to deferred compensation plans
. . . . . . . . . . . . . . . . .
Employee benefit programs . . . . . . . . . . . . . . . . . . . . . . . .
Excess exempt expenses (Schedule I) . . . . . . . . . . . . . . . . . . . .
Excess readership costs (Schedule J) . . . . . . . . . . . . . . . . . . . .
Other deductions (attach schedule) . . . . . . . . . . . . . . . . . . . . .
Total deductions. Add lines 14 through 27
. . . . . . . . . . . . . . . . . .
Unrelated business taxable income before net operating loss deduction. Subtract line 28 from line 13
Deduction for net operating loss arising in tax years beginning on or after January 1, 2018 (see
instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Unrelated business taxable income. Subtract line 30 from line 29 . . . . . . . . . . .

For Paperwork Reduction Act Notice, see instructions.

Cat. No. 71329Y

14
15
16
17
18
19
21b
22
23
24
25
26
27
28
29
30
31
Schedule M (Form 990-T) 2019