Exempt Organization Business Income Tax Return OMB No. 1545-0687

Form 990-T

Instructions are separate. See page 1 for Paperwork Reductions Act Notice. Department of the Treasury

Internal Revenue Service

Name of organization C Employer identification number

(Employees’ trust, see instructions for Block C)

Please

Print or

Type

Number, street, and room or suite no. (If a P.O. box, see page 3 of instructions.)

D Unrelated business activity codes

City or town, state, and ZIP code (See instructions for Block D)

B Exempt under section

Check box if

address changed

A

E Check type of organization © Corporation

F Group exemption number (see instructions for Block F) ©

Form 990-T (1992)

Trust Section 401(a) trust Section 408(a) trust

501(c)( ) or

408(e)

Cat. No. 11291J

G

H

Describe the organization’s primary unrelated business activity. (see instructions for Block G)

During the tax year, was the corporation a subsidiary in an affiliated group or a parent-subsidiary controlled group? ©

If “Yes,” enter the name and identifying number of the parent corporation. (see instructions for Block H) ©

Yes No

Unrelated Trade or Business Income

1c

1a

Less returns and allowances c Balance ©

Gross receipts or sales

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

Net gain (loss) (Form 4797, Part II, line 20) (attach Form 4797) 4b b

c Capital loss deduction for trusts 4c

5 Income (loss) from partnerships (attach statement) 5

6 Rent income (Schedule C) 6

7 Unrelated debt-financed income (Schedule E) 7

8

Investment income of a section 501(c)(7), (9), (17), or (20)

organization (Schedule G)

8

9

Interest, annuities, royalties, and rents from controlled

organizations (Schedule F)

9

10 Exploited exempt activity income (Schedule I) 10

11 Advertising income (Schedule J) 11

12 Other income (see instructions for line 12—attach schedule) 12

13 TOTAL (add lines 3 through 12) 13

Deductions Not Taken Elsewhere (See 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 16

17 Bad debts 17

18 Interest (attach schedule) 18

19 Taxes 19

20 Charitable contributions (see instructions for limitation rules) 20

21 Depreciation (attach Form 4562) 21

22 Less depreciation claimed on Schedule A and elsewhere on return 22a 22b

23 Depletion 23

24 Contributions to deferred compensation plans 24

Employee benefit programs 25

28 Other deductions (attach schedule)

26

29 TOTAL DEDUCTIONS (add lines 14 through 28)

27

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 before specific deduction (subtract line 31 from line 30) 32

33 Specific deduction

34 Unrelated business taxable income (subtract line 33 from line 32). If line 33 is greater than line 32,

enter the smaller of zero or line 32

Part I

Part II

Excess readership costs (Schedule J)

Excess exempt expenses (Schedule I)

25

26

27

33

34

b

(A) Income (B) Expenses (C) Net

For calendar year 1992 or other tax year beginning , 1992, and ending , 19
Form 990-T (1992) Page 2

Statements Regarding Certain Activities and Other Information (See instructions on page 8.)

Yes No 1 At any time during the 1992 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)?

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 had 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 (See instructions on page 8.)

Method of inventory valuation (specify) ©

1 Inventory at beginning of year 1 6 Inventory at end of year 6

2 Purchases 2 Cost of goods sold. Subtract line 6

from line 5. (Enter here and on

line 2, Part I.)

7

3 Cost of labor 3

7 Additional section 263A costs

(attach schedule)

4a

4a Do the rules of section 263A (with respect to Yes No

property produced or acquired for resale) apply

to the organization?

8

b Other costs (attach schedule) 4b

5 TOTAL—Add lines 1 through 4b 5

The books are in care of © Telephone number © ( )

If “Yes,” the organization may have to file Form TD F 90-22.1. If “Yes,” enter the name of the foreign country

here ©

Part V

Organizations Taxable as Corporations (see instructions for tax computation)

Controlled group members (sections 1561 and 1563)—Check here and:

36

a Enter your share of the $50,000 and $25,000 taxable income bracket amounts (in that order):

(i) $ (ii) $

b Enter your share of the additional 5% tax (not to exceed $11,750) $

37

Income tax on the amount on line 35 36c

Trusts Taxable at Trust Rates (see instructions for tax computation) Income tax on the amount

on line 35 from: Tax rate schedule or Schedule D (Form 1041) 37

38a Foreign tax credit (corporations attach Form 1118; trusts attach Form 1116) 38a

b Other credits (see instructions) 38b

Form 3800 or Form (specify) ©

c General business credit—Check if from:

38c

d Credit for prior year minimum tax (attach Form 8801 or 8827) 38d

39 Total (add lines 38a through 38d) 39

40 Subtract line 39 from line 36c or line 37 40

41 Recapture taxes. Check if from: Form 4255 Form 8611 41

42a Alternative minimum tax b Environmental tax 42c

43 Total tax (add lines 40, 41, and 42c) 43

44 Payments: a 1991 overpayment credited to 1992 44a

b 1992 estimated tax payments 44b

c Tax deposited with Form 7004 or Form 2758 44c

d Foreign organizations—Tax paid or withheld at source (see instructions) 44d

e Other credits and payments (see instructions) 44e

45 Total credits and payments (add lines 44a through 44e) 45

46 Estimated tax penalty (see the instructions on page 2). Check © if Form 2220 is attached 46

47 Tax due —If line 45 is less than the total of lines 43 and 46, enter amount owed © 47

48 Overpayment —If line 45 is larger than the total of lines 43 and 46, enter amount overpaid © 48

49 Enter the amount of line 48 you want: Refunded © 49

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

Please belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Sign

Here Signature of officer or fiduciary Date Title

Check if

selfemployed ©

Date Preparer’s social security number Preparer’s Paid signature

Preparer’s

Use Only Firm’s name (or yours, 

if self-employed)

and address

E.I. No. ©

ZIP code ©

Credited to 1993 estimated tax ©

© ©

©

©

c

Part III

Part IV

Tax Computation

35 Amount from line 34 (unrelated business taxable income)

Tax and Payments

35
Form 990-T (1992) Page 3

SCHEDULE C—RENT INCOME (FROM REAL PROPERTY AND PERSONAL PROPERTY LEASED WITH REAL PROPERTY)

(See instructions on page 8.)

1 Description of property

Total Income (Add totals of columns 2a and 2b. Enter here

and on line 6, column (A), Part I, page 1.) © 

SCHEDULE E—UNRELATED DEBT-FINANCED INCOME (See instructions on page 9.)

3 Deductions directly connected with or allocable to

debt-financed property 2 Gross income from or

allocable to debt-financed

property

1 Description of debt-financed property (b) Other deductions

(attach schedule)

(a) Straight line depreciation

(attach schedule)

6

Column 4

divided by

column 5

5 Average adjusted basis of

or allocable to

debt-financed property

(attach schedule)

4 Amount of average

acquisition debt on or

allocable to debt-financed

property (attach schedule)

7 Gross income reportable

(column 2 3 column 6)

8 Allocable deductions

(column 6 3 total of columns

3(a) and 3(b))

%

%

%

%

Totals ©

Total dividends-received deductions included in column 8 ©

SCHEDULE F—INTEREST, ANNUITIES, ROYALTIES, AND RENTS FROM CONTROLLED ORGANIZATIONS

(See instructions on page 9.)

4 Exempt controlled organizations 3 Deductions of controlling

organization directly

connected with column 2

income (attach schedule)

2 Gross income

from controlled

organization(s)

(c)

column (a)

divided by

column (b)

(b) Taxable income computed

as though not exempt under

sec. 501(a), or the amount in

col. (a), whichever is larger

(a) Unrelated

business taxable

income

1 Name and address of controlled organization(s)

%

%

%

5 Nonexempt controlled organizations 6 Gross income reportable

(column 2 3 column 4(c) or

column 5(c))

7 Allowable deductions

(column 3 3 column 4(c) or

column 5(c))

(b) Taxable income, or

amount in column (a),

whichever is larger

(c) Column (a)

divided by

Column (b)

(a) Excess taxable income

%

%

%

Totals ©

(1)

(2)

(3)

(4)

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)

3 Deductions directly connected with the income in

columns 2a and 2b (attach schedule)

Total deductions. Enter

here and on line 6, column

(B), Part I, page 1 © 

Total Total

2 Rent received or accrued

(1)

(2)

(3)

(4)

Enter here and on line 7,

column (A), Part I, page 1.

Enter here and on line 7,

column (B), Part I, page 1.

(1)

(2)

(3)

(4)

(1)

(2)

(3)

(4)

(1)

(2)

(3)

(4)

(1)

(2)

(3)

(4) %

%

Enter here and on line 8,

column (A), Part I, page 1.

Enter here and on line 8,

column (B), Part I, page 1.
Form 990-T (1992) Page 4

SCHEDULE I—EXPLOITED EXEMPT ACTIVITY INCOME, OTHER THAN ADVERTISING INCOME

(See instructions on page 10.)

3 Expenses

directly

connected with

production of

unrelated

business income

7 Excess exempt

expenses

(column 6 minus

column 5, but not

more than

column 4).

4 Net income

(loss) from

unrelated trade

or business

(column 2 minus

column 3). If a

gain, compute

cols. 5 through 7.

5 Gross income

from activity that

is not unrelated

business income

2 Gross

unrelated

business income

from trade or

business

6 Expenses

attributable to

column 5

1 Description of exploited activity

SCHEDULE J—ADVERTISING INCOME (See instructions on page 10.)

Income From Periodicals Reported on a Separate Basis (For each periodical listed in Part I, be

sure to fill in columns 2 through 7 on a line-by-line basis.)

4 Advertising

gain or (loss) (col.

2 minus col. 3). If

a gain, compute

cols. 5 through 7.

6 Readership

costs

5 Circulation

income

3 Direct

advertising costs

(Enter the total of

this column on

line 11, col. (B),

Part I, page 1)

2 Gross

advertising

income

(Enter the total of

this column on

line 11, col. (A),

Part I, page 1)

1 Name of periodical

Income From Periodicals Reported on a Consolidated Basis (If you listed periodicals in Part I

above, use a separate Schedule J to report income from periodicals on a consolidated basis in

Part II and see the instructions.)

SCHEDULE K—COMPENSATION OF OFFICERS, DIRECTORS, AND TRUSTEES (See instructions on page 10.)

3 Percent of

time devoted to

business

4 Compensation attributable to

unrelated business 1 Name 2 Title

%

%

%

%

Total (enter here and on line 14, Part II, page 1) ©

Part I

Part II

Enter here and on

line 10, col. (A),

Part I, page 1.

Enter here and

on line 26, Part II,

page 1.

Enter here and on

line 10, col. (B),

Part I, page 1.

(1)

(2)

(3)

(4)

Column totals ©

7 Excess

readership costs

(column 6 minus

column 5, but not

more than

column 4).

Enter the total of

this column on

line 27, Part II,

page 1.

(1)

(2)

(3)

(4)

(1)

(2)

(3)

(4)

Column totals ©

Enter here and on

line 11, col. (A),

Part I, page 1.

Enter here and on

line 11, col. (B),

Part I, page 1.

Enter here and

on line 27, Part II,

page 1.

SCHEDULE G—INVESTMENT INCOME OF A SECTION 501(c)(7), (9), (17), OR (20) ORGANIZATION

(See instructions on page 10.)

5 Total deductions

and set-asides (col. 3

plus col. 4)

4 Set-asides

(attach schedule)

3 Deductions

directly connected

(attach schedule)

1 Description of income 2 Amount of income

(1)

(2)

(3)

(4)

Enter here and on line 9,

column (A), Part I, page 1.

Enter here and on line 9,

column (B), Part I, page 1.

Totals ©