California Exempt Organization Business Income Tax Return

Transcription

1 /16/16 1:4 PM Street address (suite/room no.) California Exempt Organization Business Income Tax Return TAABLE YEAR FORM Calendar Year or fiscal year beginning (mm/dd/yyyy), and ending (mm/dd/yyyy). Corporation/Organization name Additional information. See instructions. 7/1/ 6//16 City (If the corporation has a foreign address, see instructions.) State ZIP code California corporation number CAL POLY POMONA FOUNDATION INC WEST TEMPLE AVENUE BLDG # 55 Foreign country name Foreign province/state/county Foreign postal code A First Return Filed? Yes No H Is the organization a non-exempt charitable trust as described in IRC Section 4947(a)(1)? Yes No B Is this an education IRA within the meaning of R&TC Section 71? Yes No I Is this organization claiming any former; Enterprise Zone (EZ), Los Angeles C Is the organization under audit by the IRS or has the IRS audited Revitalization Zone (LARZ), Local Agency Military Base Recovery Area (LAMBRA), Targeted Tax Area (TTA), or Manufacturing Enhancement in a prior year? Yes No Area (MEA) tax benefits? Yes No D Final Return? Dissolved Surrendered (Withdrawn) J Is this organization a qualified pension, profit-sharing, or stock Merged/Reorganized. Enter date (mm/dd/yyyy) bonus plan as described in IRC Section 41(a)? Yes No E Amended Return Yes No K Unrelated Business Activity (UBA) Code F Accounting Method Used: (1) Cash () Accrual () Other L Is this a Hospital? Yes No G Nature of trade or business RETAIL/DINING If "Yes," attach federal Schedule H (Form 99) 1 Unrelated business taxable income from Side, Part II, line Taxable Corporation Apportionment Formula Worksheet, Part A, line or Part B, line 5. See instructions Multiply line 1 by the average apportionment percentage from the Schedule R, Enter the lesser amount from line 1 or line. If the unrelated business activity is wholly in California and Schedule R was not completed, enter the amount from line Taxable Trust 4 Unrelated business taxable income from Side, Part II, line Unrelated business taxable income from line or line Pierce's disease, EZ, LARZ, LAMBRA, or TTA NOL carryover deduction Net Operating Loss deduction. See General Information N ,674 Tax 8 Add line 6 and line ,674 Computation 9 Net unrelated business taxable income. Subtract line 8 from line ,674 1 Tax 8.84 x line 9. See General Information J a New employment credit, amount generated..... a) b) Amount claimed.. 11b c Tax credits from Schedule B. See instructions c d Total Credits. Add line 11b and 11c d 1 Balance. Subtract line 11d from line 1. If line 11d is greater than line 1, enter Total Tax 1 Alternative minimum tax. See General Information O Total tax. Add line 1 and line Overpayment from a prior year allowed as a credit estimated tax payments. See instructions Payments 17 Withholding (Form 59-B and/or 59.) See instructions Amount paid with extension (form FTB 59) Total payments and credits. Add line 15 through line Use tax. See instructions Payments balance. If line 19 is more than line, subtract line from line 19 Use Tax/ Tax Due/ Use tax balance. If line is more than line 19, subtract line 19 from line Overpayment Tax due. Subtract line 1 from line 14. Pay entire amount with return. See instructions Overpayment. Subtract line 14 from line 1. See instructions Enter amount of line 4 to be applied to 16 estimated tax FEIN POMONA CA PMB no Form 19 C1 (REV -16) Side 1

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3 /16/16 1:4 PM Schedule A Cost of Goods Sold and/or Operations. 1 Inventory at beginning of year Purchases Cost of labor a Additional IRC Section 6A costs. Attach schedule a b Other costs. Attach schedule b 5 Total. Add line 1 through line 4b Inventory at end of year Cost of goods sold and/or operations. Subtract line 6 from line 5. Enter here and on Side, Part I, line Do the rules of IRC Section 6A (with respect to property produced or acquired for resale) apply to this organization? Yes Schedule B Tax Credits. Do not claim the New Employment Credit on Schedule B. 1 Enter credit name code 1 Enter credit name code Enter credit name code 4 Total. Add line 1 through line. If claiming more than credits, enter the total of all claimed credits, except New Employment Credit, on line 4. Enter here and on Side 1, line 11c Schedule K Add-On Taxes or Recapture of Tax. See instructions. 1 Interest computation under the look-back method for completed long-term contracts. Attach form FTB Interest on tax attributable to installment: a Sales of certain timeshares or residential lots a b Method for non-dealer installment obligations b IRC Section 197(f)(9)(B)(ii) election to recognize gain on the disposition of intangibles Credit recapture. Credit name Total. Combine the amounts on line 1 through line 4. See instructions Schedule R Apportionment Formula Worksheet. Use only for unrelated trade or business amounts. Part A. Standard Method Single-Sales Factor Formula. Complete this part only if the corporation uses the single-sales factor formula CAL POLY POMONA FOUNDATION INC Method of inventory valuation (specify) Apportionment percentage. Divide total sales column (b) by total sales column (a) and multiply the result by 1. Enter the result here and on Form 19, Side 1, line Property factor: See instructions Payroll factor: Wages and other compensation of employees Sales factor: Gross sales and/or receipts less returns and allowances Total percentage: Add the percentages in column (c) Average apportionment percentage: Divide the factor on line 4 by and enter the result here and on Form 19, Side 1, line. See instructions for exceptions Schedule C Rental Income from Real Property and Personal Property Leased with Real Property For rental income from debt-financed property, use Schedule D, R&TC Section 71g, Section 71i, & Section 71n organizations. See instructions for exceptions. 1 Description of property Rent received Percentage of rent or accrued attributable to personal property 4 Complete if any item in column is more than 5, or for any item 5 Complete if any item in column is more than 1, but not more than 5 if the rent is determined on the basis of profit or income (a) Total within and outside California 1 Total Sales Part B. Three Factor Formula. Complete this part only if the corporation uses the three-factor formula. COST METHOD (a) Total within and outside California (b) Total within California (a) Deductions directly connected (b) Income includible, column (a) Gross income reportable, (b) Deductions directly connected with (c) Net income includible, column 5(a) (attach less column 4(a) column x column personal property less column 5(b) schedule) (attach schedule) No 61,45 797, ,811 59, ,5 (b) (c) Total within Percent within California California [(b) (a)] x 1 (c) Percent within California [(b) (a)] x 1 Add columns 4(b) and column 5(c). Enter here and on Side, Part I, line Form 19 C1 Side

4 /16/16 1:4 PM CAL POLY POMONA FOUNDATION INC Schedule D Unrelated Debt-Financed Income 1 Description of debt-financed property Gross income from or Deductions directly connected with or allocable to debt-financed property allocable to debt-financed (a) Straight-line depreciation (attach (b) Other deductions (attach property schedule) schedule) 4 Amount of average acquisition 5 Average adjusted basis of or 6 Debt basis 7 Gross income reportable, 8 Allocable deductions, 9 Net income (or loss) includible, indebtedness on or allocable allocable to debt-financed percentage, column x column 6 total of columns (a) and column 7 less column 8 to debt-financed property property (attach schedule) column 4 (b) x column 6 (attach schedule) column 5 Total. Enter here and on Side, Part I, line Schedule E Investment Income of an R&TC Section 71g, Section 71i, or Section 71n Organization 1 Description Amount Deductions directly connected 4 Net investment income, 5 Set-asides 6 Balance of investment income, (attach schedule) column less column (attach schedule) column 4 less column 5 Total. Enter here and on Side, Part I, line Enter gross income from members (dues, fees, charges, or similar amounts) Schedule F Interest, Annuities, Royalties and Rents from Controlled Organizations Exempt Controlled Organizations 1 Name of controlled organizations Employer Net unrelated 4 Total of specified 5 Part of column (4) that 6 Identification income (loss) payments made is included in the Number controlling organization's gross income 1 Nonexempt Controlled Organizations 7 Taxable Income 8 Net unrelated 9 Total of specified payments 1 Part of column (9) that is 11 income (loss) made included in the controlling organization's gross income 1 4 Add columns 5 and Add columns 6 and Subtract line 5 from line 4. Enter here and on Side, Part 1, line Schedule G 1 Description of exploited activity (attach schedule if more than one unrelated activity is exploiting the same exempt activity) Exploited Exempt Activity Income, other than Advertising Income Gross unrelated business income from trade or business Deductions directly connected with income in column (5) Deductions directly connected with income in column (1) Expenses directly 4 Net income from 5 Gross income from 6 Expenses 7 Excess exempt 8 Net income connected with unrelated trade or activity that is not attributable to expense, column includible, column production business, column unrelated business column 5 6 less column 5 4 less column 7 of unrelated less column income but not more than but not less than business income column 4 zero Total. Enter here and on Side, Part I, line Side 4 Form 19 C

5 /16/16 1:4 PM CAL POLY POMONA FOUNDATION INC Schedule H Advertising Income and Excess Advertising Costs Part I Income from Periodicals Reported on a Consolidated Basis 1 Name of periodical Gross Direct 4 Advertising income 5 Circulation 6 Readership 7If column 5 is greater than advertising advertising or excess advertising income costs column 6, enter the income costs costs. If column is income shown in column greater than column, 4, in Part III, column A(b). complete columns 5, If column 6 is greater than 6, and 7. If column column 5, subtract the is greater than sum of column 6 and column, enter the column from the sum of excess in Part III, column 5 and column. column B(b). Do not Enter amount in Part III, complete columns 5, column A(b). If the 6, and 7. amount is less than zero, enter --. Totals Part II Income from Periodicals Reported on a Separate Basis Part III Column A Net Advertising Income (a) Enter "consolidated periodical" and/or (b) Enter total amount from names of non-consolidated periodicals Part I, column 4 or 7, and amount listed in Part II, column 4 or 7 Part III Column B Excess Advertising Costs (a) Enter "consolidated periodical" and/or (b) Enter total amount from names of non-consolidated periodicals Part I, column 4, and amounts listed in Part II, column 4 Enter total here and on Side, Part I, line 11 Schedule I 1 Name of Officer Schedule J 1 Group and guideline class or description of property 1 Other depreciation: Compensation of Officers, Directors, and Trustees Depreciation (Corporations and Associations only. Trusts use form FTB 885F.) Buildings Furniture and fixtures Transportation equipment Machinery and other equipment Other (specify) SSN or ITIN Date acquired (dd/mm/yyyy) Title Cost or other basis Enter total here and on Side, Part II, line 7 4 Depreciation allowed or allowable in prior years 4 Percent of time devoted to business Total. Enter here and on Side, Part II, line Method of computing depreciation 5 Compensation attributable to unrelated business Total additional first-year depreciation (do not include in items below) Life or rate 6 Expense account allowances 7 Depreciation for this year SEE STATEMENT 118, Other depreciation Total Amount of depreciation claimed elsewhere on return Balance. Subtract line 5 from line 4. Enter here and on Side, Part II, line 1a ,91 118, Form 19 C1 Side 5

6 /16/16 1:4 PM TAABLE YEAR Political or Legislative Activities by CALIFORNIA FORM Section 71d Organizations 59 For calendar year or fiscal year beginning (mm/dd/yyyy) 7/1/, and ending (mm/dd/yyyy) 6//16. Attach to Form 199. FTB 199N filers see instructions. Corporation/Organization name California corporation number CAL POLY POMONA FOUNDATION INC Street address (suite, room, or PMB no.) 81 WEST TEMPLE AVENUE BLDG # 55 City Part I - Political Activities State ZIP code POMONA CA Complete if the organization supported or opposed a candidate for public office. See instructions. 1 Has the organization participated or intervened in any political campaign on behalf of any elective public office candidate? 1 Yes No If "Yes," describe the activities. Provide a summary of any published material relating to the activities. FEIN Has the organization contributed funds to support or oppose any individual public office candidate, or any organizations formed to support or oppose a public office candidate? If "Yes," describe the activities. Include the name of the individual or organization the organization contributed to, the amount paid, and date of contribution. Yes No Part II - Legislative Activities Complete if the organization attempted to influence legislation. Has the organization attempted to influence any national, state or local legislation, or ballot measure and not filed a federal Form 5768, Election/Revocation of Election by an Eligible Section 51(c)() Organization to Make Expenditures to Influence Legislation? If "Yes," See instructions. Yes No 4a Has the organization, during the taxable year, filed a federal election Form 5768? a Yes No If Yes, attach a copy of federal Form 5768 filed with the Internal Revenue Service and skip question 4b. This fulfills the organization s need to file an election for state purpose. If "No", go to question 4b and see instructions. 4b Has the organization filed a federal election Form 5768 in a prior year that has not been revoked? b Yes No Note: The organization cannot make this election if it is a church, an integrated auxiliary of a church, a private foundation, or an affiliated organization. Furnish the following financial information for the taxable year: 5 Exempt Purpose Expenditures The total amount paid or incurred to accomplish the charitable, educational, religious, etc. purpose Lobbying Expenditures The total amount expended for the purpose of influencing legislation through communication with any member or employee of a legislative body or any government official or employee who may participate in the formation of legislation Grass Roots Expenditures The amount expended to influence any legislation through attempts to affect the opinions of the general public or any segment of it $ $ $ 67,48, FTB 59 Side 1

7 TAABLE YEAR Net Operating Loss (NOL) Computation and NOL and Disaster Loss Limitations Corporations Attach to Form 1, Form 1W, Form 1S, or Form 19. Corporation name California corporation number CALIFORNIA FORM 85Q CAL POLY POMONA FOUNDATION, INC FEIN During the taxable year the corporation incurred the NOL, the corporation was a(n): C corporation S corporation Exempt organization Limited liability company (electing to be taxed as a corporation) If the corporation previously filed California tax returns under another corporate name, enter the corporation name and California corporation number: If the corporation is included in a combined report of a unitary group, see instructions, General Information C, Combined Reporting. Part I Current year NOL. If the corporation does not have a current year NOL, go to Part II. 1 Net loss from Form 1, line 18; Form 1W, line 18; Form 1S, line 15; or Form 19, line. Enter as a positive number ,61 disaster loss included in line 1. Enter as a positive number... Subtract line from line 1. If zero or less, enter -- and see instructions... 4,61 4 a Enter the amount of the loss incurred by a new business included in line... 4a b Enter the amount of the loss incurred by an eligible small business included in line... 4b c Add line 4a and line 4b...4c 5 General NOL. Subtract line 4c from line...5 4,61 6 Current year NOL. Add line, line 4c, and line 5. See instructions ,61 If the corporation is using the current year NOL to carryback to offset net income for taxable years 1 and/or 14, complete Part III, NOL carryback, on Side before completing Part I, lines 7-9 below. 7 NOL carryback used to offset 1 net income. Enter the amount from Part III, line, column (e) NOL carryback used to offset 14 net income. Enter the amount from Part III, line, column (g) NOL carryover to 16. Add line 7 and line 8, then subtract the result from line 6. See instructions ,61 Election to waive carryback Check the box if the corporation elects to relinquish the entire carryback period with respect to NOL under IRC Section 17(b)(). By making the election, the corporation is electing to carry an NOL forward instead of carrying it back in the previous two years. Once the election is made, it s irrevocable. See instructions. Continue with Part II, NOL carryover and disaster loss carryover limitations. Do not complete Part III, NOL carryback. Part II NOL carryover and disaster loss carryover limitations. See Instructions. 1 Net income Enter the amount from Form 1, line 18; Form 1W, line 18; Form 1S, line 15 less line 16; or Form 19, line ; (but not less than --)..... Prior Year NOLs (a) Year of loss (b) Code See instructions (c) Type of NOL See below* (d) Initial loss See instructions (e) Carryover from 14 (f) Amount used in (g) Available balance (h) Carryover to 16 col. (e) - col. (f) VAR GEN 567,6 567,6 Current Year NOLs DIS 4 *Type of NOL: General (GEN), New Business (NB), Eligible Small Business (ESB), or Disaster (DIS). col. (d) - col. (f) See instructions. GEN 4,61 4, FTB 85Q Side 1

8 Part III NOL carryback 1 1 Net income Enter the amount from 1 Form 1, line ; Form 1W, line ; Form 1S, line 1; or taxable income from Form 19, line 9; (but not less than --) Net income Enter the amount from 14 Form 1, line ; Form 1W, line ; Form 1S, line ; or taxable income from Form 19, line 9; (but not less than --)... (a) Year of loss (b) Code See instructions (c) Type of NOL See below* (d) Initial loss See instructions (e) Carryback used See instructions 1 14 (f) After carryback col. (d) minus col. (e) (g) Carryback used See instructions (h) After carryback col. (f) minus col. (g) (i) Carryover to 16 col. (d) minus [col. (e) plus col. (g)] *Type of NOL: General (GEN), New Business (NB), Eligible Small Business (ESB), or NOL attributable to a qualified disaster loss (DIS). Part IV NOL deduction 1 Total the amounts in Part II, line, column (f) Enter the total amount from line 1 that represents disaster loss carryover deduction here and on Form 1, line 1; Form 1W, line 1; or Form 1S, line 19. Form 19 filers enter Subtract line from line 1. Enter the result here and on Form 1, line 19; Form 1W, line 19; Form 1S, line 17; or Form 19, line Side FTB 85Q 7515

9 Cal Poly Pomona Foundation, Inc. 81 West Temple Ave. Bldg #55 Pomona, CA California Corporation Number: 557 Federal Employer Identification Number: Form 85Q Supporting information for Part II, Line Tax Year Form Carryover Period (in years) Net income/loss NOL Carryforward ,7-91, ,67-7, , , 8 9-1,61-579, ,187-64, ,6-64, ,79-716, , , , ,6 4-4,61-91,674 5 Expiration Year

10 94169 CAL POLY POMONA FOUNDATION INC 1/16/16 1:4 PM California Statements FYE: 6//16 Statement 1 - Form 19, Part I, Line 1 - Other Income Description Amount UBIT - KELLOGG HOUSE $ 7,17 UBIT - CONFER CENTER & HOTEL UBIT - LANTERMAN 1,8,47 66,5 Total $ 1,995,96 Statement - Form 19, Part II, Line 4 - Other Deductions Description Amount ADVERTISING $,898 BANK CARD FEE 7,49 GENERAL AND ADMINSTRATIVE 5,4 INSURANCE,966 MEALS AND REFRESHMENTS,76 OTHERS 1,149 POSTAGE 4, RENT 48,66 SERVICES 599,699 SUPPLIES 17, TELEPHONE 1,49 TRAVEL 8,791 UTILITIES 91,45 Total $ 1,51,88 1-

11 94169 CAL POLY POMONA FOUNDATION INC 1/16/16 1:4 PM California Statements FYE: 6//16 Statement - Form 19, Schedule J - Depreciation Detail Information Description Date Cost / Accum Life / Current Add'l Acquired Basis Depr Method Rate Depr 1st Year $ $ $ 118,91 $ Total $ $ $ 118,91 $