TA RETURN FILING INSTRUCTIONS FORM 0-T FOR THE YEAR ENDING ~~~~~~~~~~~~~~~~~ June 0, 014 Prepared for Prepared by Amount due or refund Make hek payable to Mail tax return and hek (if appliable) to Susquehanna University 514 University Avenue Selinsgrove, PA 17870-1164 BAKER TILLY VIRCHOW KRAUSE, LLP 777 E Wisonsin Avenue, nd Floor Milwaukee, WI 50 No amount is due. No amount is due. Department of the Treasury Internal Revenue Servie Center Ogden, UT 8401-007 Return must be mailed on or before May 15, 015 Speial Instrutions 0041 05-01-1
Form For alendar year 01 or other tax year beginning, and ending. 4 Unrelated business taxable inome. Subtrat line from line. If line is greater than line, enter the smaller of zero or line 701 1-1-1 LHA For Paperwork Redution At Notie, see instrutions. OMB No. 1545-0687 Information about Form 0-T and its instrutions is available at Department of the Treasury www.irs.gov/form0t. Open to Publi Inspetion for Internal Revenue Servie Do not enter SSN numbers on this form as it may be made publi if your organization is a 501()(). 501()() Organizations Only Employer identifiation number A Chek box if Name of organization ( Chek box if name hanged and see instrutions.) D (Employees trust, see address hanged instrutions.) B Exempt under setion Print SUSQUEHANNA UNIVERSITY -1585 501( )( ) or E Unrelated business ativity odes Number, street, and room or suite no. If a P.O. box, see instrutions. (See instrutions.) Type 408(e) 0(e) 514 UNIVERSITY AVENUE Book value of all assets C at end of year F Group exemption number (See instrutions.) 40564. G Chek organization type 501() orporation 501() trust 401(a) trust Other trust H Desribe the organization s primary unrelated business ativity. PRINT-SHOP AND RECREATION CENTER I During the tax year, was the orporation a subsidiary in an affiliated group or a parent-subsidiary ontrolled group? ~~~~~~ Yes No If "Yes," enter the name and identifying number of the parent orporation. J The books are in are of MICHAEL A COYNE Telephone number (570)7-418 Part I Unrelated Trade or Business Inome (A) Inome (B) Expenses (C) Net 1a Gross reeipts or sales 101,46. b Less returns and allowanes Balane ~~~ 1 101,46. 5 6 7 8 10 11 b 1 Other inome (See instrutions; attah shedule.) ~~~~~~~~~~~~ 1 1 Total. Combine lines through 1 1 101,46. 101,46. Part II Dedutions Not Taken Elsewhere (See instrutions for limitations on dedutions.) (Exept for ontributions, dedutions must be diretly onneted with the unrelated business inome.) 14 15 16 17 18 1 0 1 4 5 6 7 8 0 1 0-T 408A 50(a) City or town, state or provine, ountry, and ZIP or foreign postal ode 5(a) SELINSGROVE, PA 17870-1164 8100 Cost of goods sold (Shedule A, line 7) ~~~~~~~~~~~~~~~~~ Gross profit. Subtrat line from line 1 ~~~~~~~~~~~~~~~~ Capital gain net inome (attah Form 84 and Shedule D) ~~~~~~~~ Net gain (loss) (Form 477, Part II, line 17) (attah Form 477) ~~~~~~ Capital loss dedution for trusts ~~~~~~~~~~~~~~~~~~~~ Inome (loss) from partnerships and S orporations (attah statement) ~~~ Rent inome (Shedule C) ~~~~~~~~~~~~~~~~~~~~~~ Unrelated debt-finaned inome (Shedule E) ~~~~~~~~~~~~~~ Interest, annuities, royalties, and rents from ontrolled organizations (Sh. F)~ Investment inome of a setion 501()(7), (), or (17) organization (Shedule G) Exploited exempt ativity inome (Shedule I) ~~~~~~~~~~~~~~ Advertising inome (Shedule J) ~~~~~~~~~~~~~~~~~~~~ Compensation of offiers, diretors, and trustees (Shedule K) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Salaries and wages ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Repairs and maintenane Bad debts ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Interest (attah shedule) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Taxes and lienses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Charitable ontributions (See instrutions for limitation rules.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Depreiation (attah Form 456) Less depreiation laimed on Shedule A and elsewhere on return Depletion Contributions to deferred ompensation plans ETENSION GRANTED TO 05/15/15 Exempt Organization Business Inome Tax Return (and proxy tax under setion 60(e)) JUL 1, 01 JUN 0, 014 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Total dedutions. Add lines 14 through 8 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Unrelated business taxable inome before net operating loss dedution. Subtrat line from line 1 ~~~~~~~~~~~~ Net operating loss dedution (limited to the amount on line 0) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SEE STATEMENT 4b 4 5 6 7 8 10 11 ~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Employee benefit programs ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Exess exempt expenses (Shedule I) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Exess readership osts (Shedule J) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other dedutions (attah shedule) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SEE STATEMENT 1 Unrelated business taxable inome before speifi dedution. Subtrat line 1 from line 0 ~~~~~~~~~~~~~~~~~ Speifi dedution (Generally $1,000, but see instrutions for exeptions.) ~~~~~~~~~~~~~~~~~~~~~~~~ 1 a 14 15 16 17 18 1 0 b 4 5 6 7 8 0 1 4 01 101,46. 101,46. 67,481. 5,8,18. 8,61.,6. 14,76. -,0 -,0 1,00 -,0 Form 0-T (01)
Form 0-T (01) SUSQUEHANNA UNIVERSITY -1585 Part III Tax Computation 5 Organizations Taxable as Corporations. See instrutions for tax omputation. 6 7 8 Controlled group members (setions 1561 and 156) hek here See instrutions and: a Enter your share of the $50,000, $5,000, and $,5,000 taxable inome brakets (in that order): b Enter organization s share of: Additional 5 tax (not more than $11,750) $ $ () $ () $ () Additional tax (not more than $100,000) ~~~~~~~~~~~~~ $ Trusts Taxable at Trust Rates. See instrutions for tax omputation. Inome tax on the amount on line 4 from: Proxy tax. See instrutions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Total. Add lines 7 and 8 to line 5 or 6, whihever applies Part IV Tax and Payments 40a Foreign tax redit (orporations attah Form 1118; trusts attah Form 1116) ~~~~~~~~ 40a 41 4 b Other redits (see instrutions) d Credit for prior year minimum tax (attah Form 8801 or 887) ~~~~~~~~~~~~~~ e Total redits. Add lines 40a through 40d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other taxes. Chek if from: Form 455 Form 8611 Form 867 Form 8866 Other (attah shedule) 4 Total tax. Add lines 41 and 4 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 44 a Payments: A 01 overpayment redited to 01 ~~~~~~~~~~~~~~~~~~~ 4 b 01 estimated tax payments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 44b Tax deposited with Form 8868 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 44 d Foreign organizations: Tax paid or withheld at soure (see instrutions) ~~~~~~~~~~ 44d e Bakup withholding (see instrutions) ~~~~~~~~~~~~~~~~~~~~~~~~ 44e f Credit for small employer health insurane premiums (Attah Form 841) ~~~~~~~~ 44f g Other redits and payments: Form 4 45 46 47 48 Total payments. Add lines 4 through 44g ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 45 Tax due. If line 45 is less than the total of lines 4 and 46, enter amount owed ~~~~~~~~~~~~~~~~~~~ Overpayment. If line 45 is larger than the total of lines 4 and 46, enter amount overpaid ~~~~~~~~~~~~~~ 4 Enter the amount of line 48 you want: Credited to 014 estimated tax Refunded 4 Part V Statements Regarding Certain Ativities and Other Information (see instrutions) 1 At any time during the 01 alendar year, did the organization have an interest in or a signature or other authority over a finanial aount (bank, Yes No seurities, or other) in a foreign ountry? If YES, the organization may have to file Form TD F 0-.1, Report of Foreign Bank and Finanial Aounts. If YES, enter the name of the foreign ountry here During the tax year, did the organization reeive a distribution from, or was it the grantor of, or transferor to, a foreign trust? If YES, see instrutions for other forms the organization may have to file. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Enter the amount of tax-exempt interest reeived or arued during the tax year $ Shedule A - Cost of Goods Sold. Enter method of inventory valuation 1 b Inome tax on the amount on line 4 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Tax rate shedule or Shedule D (Form 1041) ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Alternative minimum tax Inventory at beginning of year ~~~ 1 6 Inventory at end of year ~~~~~~~~~~~~ Cost of labor~~~~~~~~~~~ from line 5. Enter here and in Part I, line ~~~~ Additional setion 6A osts (att. shedule) 5 Total. 5 Sign Here ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~ General business redit. Attah Form 800 ~~~~~~~~~~~~~~~~~~~~~~ Subtrat line 40e from line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Form 416 Other Total Estimated tax penalty (see instrutions). Chek if Form 0 is attahed ~~~~~~~~~~~~~~~~~~~ Purhases ~~~~~~~~~~~ 7 Cost of goods sold. Subtrat line 6 Other osts (attah shedule) ~~~ 4b 8 Add lines 1 through 4b the organization? Under penalties of perjury, I delare that I have examined this return, inluding aompanying shedules and statements, and to the best of my knowledge and belief, it is true, orret, and omplete. Delaration of preparer (other than taxpayer) is based on all information of whih preparer has any knowledge. = = 40b 40 40d 44g Do the rules of setion 6A (with respet to property produed or aquired for resale) apply to VP FOR FIN & ADMIN Signature of offier Date Title 5 6 7 8 40e 41 4 4 46 47 48 6 7 May the IRS disuss this return with the preparer shown below (see instrutions)? Print/Type preparer s name Preparer s signature Date Chek if PTIN TROY E. MARINE, self- employed Paid TROY E. MARINE, CPA CPA 05/06/15 P0018786 Preparer Firm s name BAKER TILLY VIRCHOW KRAUSE, LLP Firm s EIN -08510 Use Only 777 E WISCONSIN AVENUE, ND FLOOR Firm s address MILWAUKEE, WI 50 Phone no. (414)777-5500 711 1-1-1 Form 0-T (01) N/A Yes Yes Page No No
Form 0-T (01) SUSQUEHANNA UNIVERSITY -1585 Page Shedule C - Rent Inome (From Real Property and Personal Property Leased With Real Property) (see instrutions) 1. Desription of property () () () () (a). From personal property (if the perentage of rent for personal property is more than 10 but not more than 50) Rent reeived or arued (b) From real and personal property (if the perentage of rent for personal property exeeds 50 or if the rent is based on profit or inome) (a) Dedutions diretly onneted with the inome in olumns (a) and (b) (attah shedule) Total Total () Total inome. Add totals of olumns (a) and (b). Enter (b) Total dedutions. here and on line 6, olumn (A) Part I, line 6, olumn (B) Shedule E - Unrelated Debt-Finaned Inome (see instrutions). Dedutions diretly onneted with or alloable. Gross inome from to debt-finaned property 1. Desription of debt-finaned property or alloable to debtfinaned property (a) Straight line depreiation (b) Other dedutions (attah shedule) (attah shedule) () () () () 4. Amount of average aquisition 5. Average adjusted basis 6. Column 4 divided 7. Gross inome 8. Alloable dedutions debt on or alloable to debt-finaned of or alloable to by olumn 5 reportable (olumn (olumn 6 x total of olumns property (attah shedule) debt-finaned property x olumn 6) (a) and (b)) (attah shedule) Part I, line 7, olumn (A). Part I, line 7, olumn (B). Totals ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Total dividends-reeived dedutions inluded in olumn 8 Shedule F - Interest, Annuities, Royalties, and Rents From Controlled Organizations (see instrutions) Exempt Controlled Organizations 1. Name of ontrolled organization.. 4. 5. Part of olumn 4 that is 6. Dedutions diretly Employer identifiation Net unrelated inome Total of speified inluded in the ontrolling onneted with inome number (loss) (see instrutions) payments made organization s gross inome in olumn 5 () () Nonexempt Controlled Organizations 7. Taxable Inome 8. Net unrelated inome (loss). Total of speified payments 1 Part of olumn that is inluded 11. Dedutions diretly onneted (see instrutions) made in the ontrolling organization s with inome in olumn 10 gross inome () () Totals J 71 1-1-1 Add olumns 5 and 1 Part I, line 8, olumn (A). Add olumns 6 and 11. Part I, line 8, olumn (B). Form 0-T (01)
Form 0-T (01) SUSQUEHANNA UNIVERSITY -1585 Shedule G - Investment Inome of a Setion 501()(7), (), or (17) Organization (see instrutions) () () 1. Desription of exploited ativity 1. Desription of inome. Amount of inome. Gross unrelated business inome from trade or business line 10, ol. (A).. Expenses diretly onneted with prodution of unrelated business inome line 10, ol. (B). Part I, line, olumn (A). 4. Net inome (loss) from unrelated trade or business (olumn minus olumn ). If a gain, ompute ols. 5 through 7.. Dedutions Total dedutions diretly onneted 4. Set-asides 5. and set-asides (attah shedule) (attah shedule) (ol. plus ol. 4) 5. Gross inome 6. Expenses from ativity that attributable to is not unrelated olumn 5 business inome Part I, line, olumn (B). Totals Shedule I - Exploited Exempt Ativity Inome, Other Than Advertising Inome (see instrutions) () () 7. Exess exempt expenses (olumn 6 minus olumn 5, but not more than olumn 4). Enter here and on page 1, Part II, line 6. Totals Shedule J - Advertising Inome (see instrutions) Part I Inome From Periodials Reported on a Consolidated Basis Page 4 1. Name of periodial. Gross. Diret advertising advertising osts inome 4. Advertising gain or (loss) (ol. minus ol. ). If a gain, ompute ols. 5 through 7. 5. Cirulation 6. Readership inome osts 7. Exess readership osts (olumn 6 minus olumn 5, but not more than olumn 4). () () Totals (arry to Part II, line (5)) Part II Inome From Periodials Reported on a Separate Basis (For eah periodial listed in Part II, fill in olumns through 7 on a line-by-line basis.) () () Totals from Part I 71 1-1-1 1. Name of periodial. Gross. Diret advertising advertising osts inome line 11, ol. (A). line 11, ol. (B). 4. Advertising gain or (loss) (ol. minus ol. ). If a gain, ompute ols. 5 through 7. 5. Cirulation 6. Readership inome osts 7. Exess readership osts (olumn 6 minus olumn 5, but not more than olumn 4). Enter here and on page 1, Part II, line 7. Totals, Part II (lines 1-5) Shedule K - Compensation of Offiers, Diretors, and Trustees (see instrutions). Perent of 4. Compensation attributable Title time devoted to 1. Name. to unrelated business business () () Total. Part II, line 14 Form 0-T (01)
SUSQUEHANNA UNIVERSITY -1585 }}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-T OTHER DEDUCTIONS STATEMENT 1 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} DESCRIPTION AMOUNT }}}}}}}}}}} }}}}}}}}}}}}}} MISCELLANEOUS,6. }}}}}}}}}}}}}} TOTAL TO FORM 0-T, PAGE 1, LINE 8,6. ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-T NET OPERATING LOSS DEDUCTION STATEMENT }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} LOSS PREVIOUSLY LOSS AVAILABLE TA YEAR LOSS SUSTAINED APPLIED REMAINING THIS YEAR }}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}} 06/0/1 7,104. 7,104. }}}}}}}}}}}}}} 7,104. }}}}}}}}}}}}}} NOL CARRYOVER AVAILABLE THIS YEAR 7,104. 7,104. ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~ STATEMENT(S) 1,
Form (Rev. January 014) Department of the Treasury Internal Revenue Servie File by the due date for filing your return. See instrutions. File a separate appliation for eah return. Information about Form 8868 and its instrutions is at www.irs.gov/form8868. If you are filing for an Automati -Month Extension, omplete only Part I and hek this box ~~~~~~~~~~~~~~~~~~~ If you are filing for an Additional (Not Automati) -Month Extension, omplete only Part II (on page of this form). Do not omplete Part II unless you have already been granted an automati -month extension on a previously filed Form 8868. Eletroni filing (e-file). You an eletronially file Form 8868 if you need a -month automati extension of time to file (6 months for a orporation required to file Form 0-T), or an additional (not automati) -month extension of time. You an eletronially file Form 8868 to request an extension Personal Benefit Contrats, whih must be sent to the IRS in paper format (see instrutions). For more details on the eletroni filing of this form, visit www.irs.gov/efile and lik on e-file for Charities & Nonprofits. Part I Automati -Month Extension of Time. Only submit original (no opies needed). A orporation required to file Form 0-T and requesting an automati 6-month extension - hek this box and omplete Part I only ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ All other orporations (inluding 110-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of time to file inome tax returns. Enter filer s identifying number Type or print 8868 Appliation for Extension of Time To File an Exempt Organization Return OMB No. 1545-170 of time to file any of the forms listed in Part I or Part II with the exeption of Form 8870, Information Return for Transfers Assoiated With Certain Name of exempt organization or other filer, see instrutions. Number, street, and room or suite no. If a P.O. box, see instrutions. 514 UNIVERSITY AVENUE City, town or post offie, state, and ZIP ode. For a foreign address, see instrutions. SELINSGROVE, PA 17870-1164 Employer identifiation number (EIN) or SUSQUEHANNA UNIVERSITY -1585 Soial seurity number (SSN) Enter the Return ode for the return that this appliation is for (file a separate appliation for eah return) ~~~~~~~~~~~~~~~~~ 0 1 Appliation Is For Form 0 or Form 0-EZ Form 0-BL Form 470 (individual) Form 0-PF Form 0-T (se. 401(a) or 408(a) trust) 1 Return Code 01 0 0 04 05 Appliation Form 0-T (trust other than above) 06 Form 8870 MICHAEL A COYNE The books are in the are of 514 UNIVERSITY AVE - SELINSGROVE, PA 17870-1164 Telephone No. (570)7-418 Fax No. Is For Return Code Form 0-T (orporation) 07 Form 1041-A Form 470 (other than individual) Form 57 Form 606 If the organization does not have an offie or plae of business in the United States, hek this box~~~~~~~~~~~~~~~~~ If this is for a Group Return, enter the organization s four digit Group Exemption Number (GEN). If this is for the whole group, hek this box. If it is for part of the group, hek this box and attah a list with the names and EINs of all members the extension is for. I request an automati -month (6 months for a orporation required to file Form 0-T) extension of time until FEBRUARY 15, 015, to file the exempt organization return for the organization named above. The extension is for the organization s return for: alendar year or tax year beginning JUL 1, 01, and ending JUN 0, 014. 08 0 10 11 1 a b If the tax year entered in line 1 is for less than 1 months, hek reason: Initial return Final return Change in aounting period If this appliation is for Forms 0-BL, 0-PF, 0-T, 470, or 606, enter the tentative tax, less any nonrefundable redits. See instrutions. If this appliation is for Forms 0-PF, 0-T, 470, or 606, enter any refundable redits and estimated tax payments made. Inlude any prior year overpayment allowed as a redit. Balane due. Subtrat line b from line a. Inlude your payment with this form, if required, by using EFTPS (Eletroni Federal Tax Payment System). See instrutions. Caution. If you are going to make an eletroni funds withdrawal (diret debit) with this Form 8868, see Form 845-EO and Form 887-EO for payment instrutions. LHA For Privay At and Paperwork Redution At Notie, see instrutions. Form 8868 (Rev. 1-014) 841 1-1-1 a b $ $ $