990-T Exempt Organization Business Income Tax Return (and prox

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Form

990-T

Exempt Organization Business Income Tax Return
For calendar year 2022 or other tax year beginning

Department of the Treasury
Internal Revenue Service
A

B Exempt under section

G
H
I
J
K
L

)(

, 2022, and ending

2022

, 20

Go to www.irs.gov/Form990T for instructions and the latest information.
Do not enter SSN numbers on this form as it may be made public if your organization is a 501(c)(3).

Open to Public Inspection
for 501(c)(3)
Organizations Only

DRAFT AS OF
June 30, 2022
DO NOT FILE

Check box if
address changed.

501(

OMB No. 1545-0047

(and proxy tax under section 6033(e))

)

408(e)

220(e)

408A

530(a)

529(a)

529A

Name of organization (

Print
or
Type

D Employer identification number

Check box if name changed and see instructions.)

E Group exemption number
(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

F

C Book value of all assets at end of year

.

.

.

.

.

.

.

.

.

.

Check box if
an amended return.

Check organization type
501(c) corporation
501(c) trust
401(a) trust
Other trust
State college/university
Claim credit from Form 8941
Claim a refund shown on Form 2439
Check if filing only to
Check if a 501(c)(3) organization filing a consolidated return with a 501(c)(2) titleholding corporation . . . . . . . . .
Enter the number of attached Schedules A (Form 990-T) . . . . . . . . . . . . . . . . . .
During the tax year, was the corporation a subsidiary in an affiliated group or a parent-subsidiary controlled group?
Yes
No
If “Yes,” enter the name and identifying number of the parent corporation
The books are in care of
Telephone number

Part I

Total Unrelated Business Taxable Income

1

Total of unrelated business taxable income computed from all unrelated trades or businesses (see
instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2
3
4
5
6
7

Reserved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Charitable contributions (see instructions for limitation rules) . . . . . . . . . . . . . .
Total unrelated business taxable income before net operating losses. Subtract line 4 from line 3 . .
Deduction for net operating loss. See instructions . . . . . . . . . . . . . . . . .
Total of unrelated business taxable income before specific deduction and section 199A deduction.
Subtract line 6 from line 5 . . . . . . . . . . . . . . . . . . . . . . . . .

8
9
10
11

Specific deduction (generally $1,000, but see instructions for exceptions) .
Trusts. Section 199A deduction. See instructions . . . . . . . .
Total deductions. Add lines 8 and 9 . . . . . . . . . . . . .
Unrelated business taxable income. Subtract line 10 from line 7. If line
enter zero . . . . . . . . . . . . . . . . . . . . . .

Part II
1
2
3
4
5
6
7

. .
. .
. .
10 is
. .

. . .
. . .
. . .
greater
. . .

. . . .
. . . .
. . . .
than line 7,
. . . .

1
2
3
4
5
6

7
8
9
10
11

Tax Computation

Organizations taxable as corporations. Multiply Part I, line 11 by 21% (0.21)
Trusts taxable at trust rates. See instructions for tax computation. Income
Part I, line 11 from:
Tax rate schedule or
Schedule D (Form 1041) .
Proxy tax. See instructions . . . . . . . . . . . . . . . . .
Other tax amounts. See instructions . . . . . . . . . . . . . .
Alternative minimum tax (trusts only) . . . . . . . . . . . . . .
Tax on noncompliant facility income. See instructions . . . . . . .
Total. Add lines 3 through 6 to line 1 or 2, whichever applies . . . . . .

For Paperwork Reduction Act Notice, see instructions.

. . . . . . .
tax on the amount
. . . . . . .
. . . . . . .
. . . . . . .
. . . . . . .
. . . . . . .
. . . . . . .

Cat. No. 11291J

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on
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2
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Form 990-T (2022)

Page 2

Form 990-T (2022)

Part III
1a
b
c
d
e
2
3
4
5
6a
b
c
d
e
f
g
7
8
9
10
11

Part
1

Tax and Payments

Foreign tax credit (corporations attach Form 1118; trusts attach Form 1116) 1a
Other credits (see instructions) . . . . . . . . . . . . . . .
1b
General business credit. Attach Form 3800 (see instructions) . . . . .
1c
Credit for prior year minimum tax (attach Form 8801 or 8827) . . . . .
1d
Total credits. Add lines 1a through 1d . . . . . . . . . . . . . . . . . . . .
1e
Subtract line 1e from Part II, line 7 . . . . . . . . . . . . . . . . . . . . . .
2
Other amounts due. Check if from:
Form 4255
Form 8611
Form 8697
Form 8866
Other (attach statement) . . . . . . . . . . . .
3
Total tax. Add lines 2 and 3 (see instructions).
Check if includes tax previously deferred under
section 1294. Enter tax amount here . . . . . . . . . . . . .
.
4
Current net 965 tax liability paid from Form 965-A, Part II, column (k) . . . . . . . . . .
5
Payments: A 2021 overpayment credited to 2022
. . . . . . . .
6a
2022 estimated tax payments. Check if section 643(g) election applies
6b
Tax deposited with Form 8868 . . . . . . . . . . . . . . .
6c
Foreign organizations: Tax paid or withheld at source (see instructions) .
6d
Backup withholding (see instructions) . . . . . . . . . . . .
6e
Credit for small employer health insurance premiums (attach Form 8941) .
6f
Other credits, adjustments, and payments:
Form 2439
Form 4136
Other
Total 6g
Total payments. Add lines 6a through 6g . . . . . . . . . . . . . . . . . . .
7
Estimated tax penalty (see instructions). Check if Form 2220 is attached . . . . . . .
8
Tax due. If line 7 is smaller than the total of lines 4, 5, and 8, enter amount owed . . . . . .
9
Overpayment. If line 7 is larger than the total of lines 4, 5, and 8, enter amount overpaid
. . .
10
Enter the amount of line 10 you want: Credited to 2023 estimated tax
Refunded 11
IV
Statements Regarding Certain Activities and Other Information (see instructions)
At any time during the 2022 calendar year, did the organization have an interest in or a signature or other authority
over a financial account (bank, securities, or other) in a foreign country? If “Yes,” the organization may have to file
FinCEN Form 114, Report of Foreign Bank and Financial Accounts. If “Yes,” enter the name of the foreign country
here

2
3
4

5

DRAFT AS OF
June 30, 2022
DO NOT FILE

Yes

No

During the tax year, did the organization receive a distribution from, or was it the grantor of, or transferor to, a foreign trust?
If “Yes,” see instructions for other forms the organization may have to file.
Enter the amount of tax-exempt interest received or accrued during the tax year . . . . $
Enter available pre-2018 NOL carryovers here $
. Do not include any post-2017 NOL carryover
shown on Schedule A (Form 990-T). Don’t reduce the NOL carryover shown here by any deduction reported on
Part I, line 6.
Post-2017 NOL carryovers. Enter the Business Activity Code and available post-2017 NOL carryovers. Don’t reduce
the amounts shown below by any NOL claimed on any Schedule A, Part II, line 17 for the tax year. See instructions.
Business Activity Code

Available post-2017 NOL carryover
$
$
$
$
6a Did the organization change its method of accounting? (see instructions) . . . . . . . . . . . . . .
b If 6a is “Yes,” has the organization described the change on Form 990, 990-EZ, 990-PF, or Form 1128? If “No,”
explain in Part V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Part V

Supplemental Information

Provide the explanation required by Part IV, line 6b. Also, provide any other additional information. See instructions.

Sign
Here

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and
belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Signature of officer

Paid
Preparer
Use Only

Print/Type preparer’s name

Date
Preparer’s signature

May the IRS discuss this return
with the preparer shown below
(see instructions)? Yes No

Title
Date

Check
if
self-employed

Firm’s name

Firm’s EIN

Firm’s address

Phone no.

PTIN

Form 990-T (2022)