SCHEDULE A 

(Form 990-T)

Department of the Treasury 

Internal Revenue Service 

Unrelated Business Taxable Income 

From an Unrelated Trade or Business

▶ 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). 

OMB No. 1545-0047

2021

Open to Public Inspection for 

501(c)(3) Organizations Only

A Name of the organization B Employer identification number

C Unrelated business activity code (see instructions) ▶ D Sequence: of

E Describe the unrelated trade or business ▶

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 ▶ 1c

2 Cost of goods sold (Part III, line 8) . . . . . . . . . 2

3 Gross profit. Subtract line 2 from line 1c . . . . . . . 3

4a Capital gain net income (attach Sch D (Form 1041 or Form 

1120)). See instructions . . . . . . . . . . . . 4a

b Net gain (loss) (Form 4797) (attach Form 4797). See 

instructions . . . . . . . . . . . . . . . . 4b

c Capital loss deduction for trusts . . . . . . . . . 4c

5 Income (loss) from a partnership or an S corporation (attach 

statement) . . . . . . . . . . . . . . . . 5

6 Rent income (Part IV) . . . . . . . . . . . . . 6

7 Unrelated debt-financed income (Part V) . . . . . . 7

8 Interest, annuities, royalties, and rents from a controlled 

organization (Part VI) . . . . . . . . . . . . . 8

9 Investment income of section 501(c)(7), (9), or (17) 

organizations (Part VII) . . . . . . . . . . . . 9

10 Exploited exempt activity income (Part VIII) . . . . . . 10

11 Advertising income (Part IX) . . . . . . . . . . . 11

12 Other income (see instructions; attach statement) . . . . 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

1 Compensation of officers, directors, and trustees (Part X) . . . . . . . . . . . . . . 1

2 Salaries and wages . . . . . . . . . . . . . . . . . . . . . . . . . . 2

3 Repairs and maintenance . . . . . . . . . . . . . . . . . . . . . . . . 3

4 Bad debts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

5 Interest (attach statement). See instructions . . . . . . . . . . . . . . . . . . 5

6 Taxes and licenses . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

7 Depreciation (attach Form 4562). See instructions . . . . . . . . 7

8 Less depreciation claimed in Part III and elsewhere on return . . . . . 8a 8b

9 Depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

10 Contributions to deferred compensation plans . . . . . . . . . . . . . . . . . 10

11 Employee benefit programs . . . . . . . . . . . . . . . . . . . . . . . . 11

12 Excess exempt expenses (Part VIII) . . . . . . . . . . . . . . . . . . . . . 12

13 Excess readership costs (Part IX) . . . . . . . . . . . . . . . . . . . . . . 13

14 Other deductions (attach statement) . . . . . . . . . . . . . . . . . . . . . 14

15 Total deductions. Add lines 1 through 14 . . . . . . . . . . . . . . . . . . . 15

16 Unrelated business income before net operating loss deduction. Subtract line 15 from Part I, line 13, 

column (C) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

17 Deduction for net operating loss. See instructions . . . . . . . . . . . . . . . . 17

18 Unrelated business taxable income. Subtract line 17 from line 16 . . . . . . . . . . 18

For Paperwork Reduction Act Notice, see instructions. Cat. No. 74036O Schedule A (Form 990-T) 2021
Schedule A (Form 990-T) 2021 Page 2

Part III Cost of Goods Sold Enter method of inventory valuation ▶

1 Inventory at beginning of year . . . . . . . . . . . . . . . . . . . . . . . 1

2 Purchases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

3 Cost of labor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

4 Additional section 263A costs (attach statement) . . . . . . . . . . . . . . . . . 4

5 Other costs (attach statement) . . . . . . . . . . . . . . . . . . . . . . . 5

6 Total. Add lines 1 through 5 . . . . . . . . . . . . . . . . . . . . . . . . 6

7 Inventory at end of year . . . . . . . . . . . . . . . . . . . . . . . . . 7

8 Cost of goods sold. Subtract line 7 from line 6. Enter here and in Part I, line 2 . . . . . . . 8

9 Do the rules of section 263A (with respect to property produced or acquired for resale) apply to the organization? Yes No

Part IV Rent Income (From Real Property and Personal Property Leased with Real Property)

1 Description of property (property street address, city, state, ZIP code). Check if a dual-use. See instructions.

A

B

C

D

A B C D

2 Rent received or accrued

a From personal property (if the percentage of 

rent for personal property is more than 10% 

but not more than 50%) . . . . . . . .

b From real and personal property (if the 

percentage of rent for personal property exceeds 

50% or if the rent is based on profit or income) .

c Total rents received or accrued by property. 

Add lines 2a and 2b, columns A through D . .

3 Total rents received or accrued. Add line 2c columns A through D. Enter here and on Part I, line 6, column (A) ▶ 

4 Deductions directly connected with the income 

in lines 2(a) and 2(b) (attach statement) . . .

5 Total deductions. Add line 4 columns A through D. Enter here and on Part I, line 6, column (B) . . ▶

Part V Unrelated Debt-Financed Income (see instructions) 

1 Description of debt-financed property (street address, city, state, ZIP code). Check if a dual-use. See instructions.

A

B

C

D

A B C D

2 Gross income from or allocable to debt‐

financed property . . . . . . . . . .

3 Deductions directly connected with or allocable 

to debt-financed property 

a Straight line depreciation (attach statement) .

b Other deductions (attach statement) . . . .

c Total deductions (add lines 3a and 3b, 

columns A through D) . . . . . . . . .

4 Amount of average acquisition debt on or allocable 

to debt‐financed property (attach statement) . .

5 Average adjusted basis of or allocable to debtfinanced property (attach statement) . . . .

6 Divide line 4 by line 5 . . . . . . . . . % % % %

7 Gross income reportable. Multiply line 2 by line 6 

8 Total gross income (add line 7, columns A through D). Enter here and on Part I, line 7, column (A) . ▶ 

9 Allocable deductions. Multiply line 3c by line 6 

10 Total allocable deductions. Add line 9, columns A through D. Enter here and on Part I, line 7, column (B) ▶

11 Total dividends‐received deductions included in line 10 . . . . . . . . . . . . . . ▶

Schedule A (Form 990-T) 2021
Schedule A (Form 990-T) 2021 Page 3

Part VI Interest, Annuities, Royalties, and Rents from Controlled Organizations (see instructions)

1. Name of controlled

organization

2. Employer

identification 

number

Exempt Controlled Organizations

 

3. Net unrelated 

income (loss) 

(see instructions)

4. Total of specified

payments made

5. Part of column 4 

that is included in the 

controlling organization’s 

gross income

6. Deductions directly

connected with 

income in column 5

(1)

(2)

(3)

(4)

Nonexempt Controlled Organizations

7. Taxable income 8. Net unrelated 

income (loss) 

(see instructions)

9. Total of specified

payments made

10. Part of column 9 

that is included in the 

controlling organization’s 

gross income

11. Deductions directly

connected with 

income in column 10

(1)

(2)

(3)

(4)

Totals . . . . . . . . . . . . . . . . . . . . . . . . ▶

Add columns 5 and 10. 

Enter here and on Part I, 

line 8, column (A)

Add columns 6 and 11. 

Enter here and on Part I, 

line 8, column (B)

Part VII Investment Income of a Section 501(c)(7), (9), or (17) Organization (see instructions)

1. Description of income 2. Amount of income 3. Deductions

directly connected

(attach statement)

4. Set-asides

(attach statement)

5. Total deductions 

and set-asides

(add columns 3 and 4)

(1)

(2)

(3)

(4)

Totals . . . . . . . ▶

Add amounts in column 2. 

Enter here and on Part I, 

line 9, column (A)

Add amounts in column 5. 

Enter here and on Part I, 

line 9, column (B)

Part VIII Exploited Exempt Activity Income, Other Than Advertising Income (see instructions)

1 Description of exploited activity:

2 Gross unrelated business income from trade or business. Enter here and on Part I, line 10, column (A) 2

3 Expenses directly connected with production of unrelated business income. Enter here and on Part I, 

line 10, column (B) . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

4 Net income (loss) from unrelated trade or business. Subtract line 3 from line 2. If a gain, complete 

lines 5 through 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

5 Gross income from activity that is not unrelated business income . . . . . . . . . . . 5

6 Expenses attributable to income entered on line 5 . . . . . . . . . . . . . . . . 6

7 Excess exempt expenses. Subtract line 5 from line 6, but do not enter more than the amount on line

4. Enter here and on Part II, line 12 . . . . . . . . . . . . . . . . . . . . . 7

Schedule A (Form 990-T) 2021
Schedule A (Form 990-T) 2021 Page 4

Part IX Advertising Income

1 Name(s) of periodical(s). Check box if reporting two or more periodicals on a consolidated basis.

A

B

C

D

Enter amounts for each periodical listed above in the corresponding column.

A B C D

2 Gross advertising income . . . . . . .

a Add columns A through D. Enter here and on Part I, line 11, column (A) . . . . . . . . . . ▶ 

3 Direct advertising costs by periodical . . .

a Add columns A through D. Enter here and on Part I, line 11, column (B) . . . . . . . . . . ▶ 

4 Advertising gain (loss). Subtract line 3 from line 

2. For any column in line 4 showing a gain, 

complete lines 5 through 8. For any column in 

line 4 showing a loss or zero, do not complete 

lines 5 through 7, and enter zero on line 8 . .

5 Readership costs . . . . . . . . . .

6 Circulation income . . . . . . . . . .

7 Excess readership costs. If line 6 is less than 

line 5, subtract line 6 from line 5. If line 5 is less 

than line 6, enter zero . . . . . . . . .

8 Excess readership costs allowed as a 

deduction. For each column showing a gain on 

line 4, enter the lesser of line 4 or line 7 . . .

a Add line 8, columns A through D. Enter the greater of the line 8a, columns total or zero here and on

Part II, line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶

Part X Compensation of Officers, Directors, and Trustees (see instructions)

1. Name 2. Title

3. Percentage 

of time devoted 

to business

4. Compensation 

attributable to 

unrelated business

(1) %

(2) %

(3) %

(4) %

Total. Enter here and on Part II, line 1 . . . . . . . . . . . . . . . . . . . . ▶

Part XI Supplemental Information (see instructions)

Schedule A (Form 990-T) 2021