EXTENSION GRANTED TO 05/15/1 OMB No. 1545-0687 Form 0-T Exempt Organization Business Income Tax Return Department of the Treasury (and proxy tax under section 60(e)) 011 Open to Public Inspection for Internal Revenue Service For calendar year 011 or other tax year beginning JUL 1, 011, and ending JUN 0, 01 501(c)() Organizations Only DEmployer identification number A Check box if Name of organization ( Check box if name changed and see instructions.) (Employees trust, see address changed instructions.) B Exempt under section Print SUSQUEHANNA UNIVERSITY -1585 X 501( c )( ) or E Unrelated business activity codes Number, street, and room or suite no. If a P.O. box, see instructions. (See instructions.) Type 408(e) 0(e) 514 UNIVERSITY AVENUE C Book value of all assets F Group exemption number (See instructions.) at end of year G Check organization type X 501(c) corporation 501(c) trust 401(a) trust Other trust 11575156. H Describe the organization s primary unrelated business activity. PRINT-SHOP AND RECREATION CENTER I During the tax year, was the corporation a subsidiary in an affiliated group or a parent-subsidiary controlled group? ~~~~~~ Yes X No If "Yes," enter the name and identifying number of the parent corporation. J The books are in care of MICHAEL A COYNE Telephone number 570-7-418 Part I Unrelated Trade or Business Income (A) Income (B) Expenses (C) Net 1a Gross receipts or sales 108,15. b Less returns and allowances c Balance ~~~ 1c 108,15. 5 6 7 8 10 11 b c 1 Other (See instructions; attach schedule.) ~~~~~~~~~~~~ 1 1 Total. Combine lines through 1 1 108,15. 108,15. Part II Deductions Not Taken Elsewhere (See instructions for limitations on deductions.) (Except for contributions, deductions must be directly connected with the unrelated business.) 14 15 16 17 18 1 0 1 4 5 6 7 8 0 1 408A 50(a) City or town, state, and ZIP code 5(a) SELINSGROVE, PA 17870-1164 8100 Cost of goods sold (Schedule A, line 7) ~~~~~~~~~~~~~~~~~ Gross profit. Subtract line from line 1c ~~~~~~~~~~~~~~~~ 4a Capital gain net (attach Schedule D) ~~~~~~~~~~~~~~~ Net gain (loss) (Form 477, Part II, line 17) (attach Form 477) ~~~~~~ Capital loss deduction for trusts ~~~~~~~~~~~~~~~~~~~~ Income (loss) from partnerships and S corporations (attach statement) ~~~ Rent (Schedule C) ~~~~~~~~~~~~~~~~~~~~~~ Unrelated debt-financed (Schedule E) ~~~~~~~~~~~~~~ Interest, annuities, royalties, and rents from controlled organizations (Sch. F)~ Investment of a section 501(c)(7), (), or (17) organization (Schedule G) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Exploited exempt activity (Schedule I) ~~~~~~~~~~~~~~ Advertising (Schedule J) ~~~~~~~~~~~~~~~~~~~~ Compensation of officers, directors, and trustees (Schedule K) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Salaries and wages ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Repairs and maintenance Bad debts ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Interest ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Taxes and licenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Charitable contributions (See instructions for limitation rules.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Depreciation (attach Form 456) Less depreciation claimed on Schedule A and elsewhere on return Depletion Contributions to deferred compensation plans ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Total deductions. Add lines 14 through 8 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Unrelated business taxable before net operating loss deduction. Subtract line from line 1 ~~~~~~~~~~~~ 4 Unrelated business taxable. Subtract line from line. If line is greater than line, enter the smaller of zero or line 1701 0-4-1 LHA For Paperwork Reduction Act Notice, see instructions. 4a 4b 4c 5 6 7 8 10 11 ~~~~~~~~~~~~~ 108,15. 108,15. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Employee benefit programs ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Excess exempt expenses (Schedule I) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Excess readership costs (Schedule J) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other deductions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SEE STATEMENT Net operating loss deduction (limited to the amount on line 0) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Unrelated business taxable before specific deduction. Subtract line 1 from line 0 ~~~~~~~~~~~~~~~~~ Specific deduction (Generally $1,000, but see instructions for exceptions.) ~~~~~~~~~~~~~~~~~~~~~~~~ 1 a 14 15 16 17 18 1 0 b 4 5 6 7 8 0 1 4 6,866. 1,48. 0,86. 108,44. -1-1 1,00-1 Form 0-T (011)
Form 0-T (011) SUSQUEHANNA UNIVERSITY -1585 Part III Tax Computation 5 Organizations Taxable as Corporations. See instructions for tax computation. 6 7 8 Controlled group members (sections 1561 and 156) check here See instructions and: a Enter your share of the $50,000, $5,000, and $,5,000 taxable brackets (in that order): b Enter organization s share of: Additional 5 tax (not more than $11,750) $ c $ () $ () $ () Additional tax (not more than $100,000) ~~~~~~~~~~~~~ $ Trusts Taxable at Trust Rates. See instructions for tax computation. Income tax on the amount on line 4 from: Proxy tax. See instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Total. Add lines 7 and 8 to line 5c or 6, whichever applies Part IV Tax and Payments 40a Foreign tax credit (corporations attach Form 1118; trusts attach Form 1116) ~~~~~~~~ 40a 41 4 b Other credits (see instructions) c d Credit for prior year minimum tax (attach Form 8801 or 887) ~~~~~~~~~~~~~~ e Total credits. Add lines 40a through 40d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other taxes. Check if from: Form 455 Form 8611 Form 867 Form 8866 Other 4 Total tax. Add lines 41 and 4 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 44 a Payments: A 010 overpayment credited to 011 ~~~~~~~~~~~~~~~~~~~ 44a b 011 estimated tax payments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 44b c Tax deposited with Form 8868 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 44c d Foreign organizations: Tax paid or withheld at source (see instructions) ~~~~~~~~~~ 44d e Backup withholding (see instructions) ~~~~~~~~~~~~~~~~~~~~~~~~ 44e f Credit for small employer health insurance premiums (Attach Form 841) ~~~~~~~~ 44f g Other credits and payments: Form 4 45 46 47 48 Total payments. Add lines 44a 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 01 estimated tax Refunded 4 Part V Statements Regarding Certain Activities and Other Information (see instructions) 1 At any time during the 011 calendar year, did the organization have an interest in or a signature or other authority over a financial account Yes No (bank, securities, or other) in a foreign country? If YES, the organization may have to file Form TD F 0-.1, Report of Foreign Bank and Financial Accounts. If YES, enter the name of the foreign country here 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 $ Schedule A - Cost of Goods Sold. Enter method of inventory valuation N/A 1 4a b Income tax on the amount on line 4 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Tax rate schedule or Schedule D (Form 1041) ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Alternative minimum tax ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~ General business credit. Attach Form 800 ~~~~~~~~~~~~~~~~~~~~~~ Subtract line 40e from line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Form 416 Other Total Estimated tax penalty (see instructions). Check if Form 0 is attached ~~~~~~~~~~~~~~~~~~~ Inventory at beginning of year ~~~ 1 6 Inventory at end of year ~~~~~~~~~~~~ Purchases ~~~~~~~~~~~ 7 Cost of goods sold. Subtract line 6 Cost of labor~~~~~~~~~~~ from line 5. Enter here and in Part I, line ~~~~ Additional section 6A costs ~~~ 4a 8 Do the rules of section 6A (with respect to Other costs ~~~ 4b 40b 40c 40d 44g property produced or acquired for resale) apply to 5 Total. Add lines 1 through 4b 5 the organization? 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. Sign VP FOR FINANCE AND May the IRS discuss this return with Here ADMINISTRAT the preparer shown below (see Signature of officer Date Title instructions)? X Yes No = = Print/Type preparer s name Preparer s signature Date Check if PTIN TROY E. MARINE, self- employed Paid TROY E. MARINE, CPA CPA 05/07/1 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 1711 0-4-1 Form 0-T (011) 5c 6 7 8 40e 41 4 4 46 47 48 6 7 Yes Page X X No
Form 0-T (011) SUSQUEHANNA UNIVERSITY -1585 Page Schedule C - Rent Income (From Real Property and Personal Property Leased With Real Property) (see instructions) 1. Description of property () () () () (a). From personal property (if the percentage of rent for personal property is more than 10 but not more than 50) Rent received or accrued (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 ) (a) Deductions directly connected with the in columns (a) and (b) Total Total (c) Total. Add totals of columns (a) and (b). Enter (b) Total deductions. here and on line 6, column (A) Part I, line 6, column (B) Schedule E - Unrelated Debt-Financed Income (see instructions). Deductions directly connected with or allocable. Gross from to debt-financed property 1. Description of debt-financed property or allocable to debtfinanced property (a) Straight line depreciation (b) Other deductions () () () () 4. Amount of average acquisition 5. Average adjusted basis 6. Column 4 divided 7. Gross 8. Allocable deductions debt on or allocable to debt-financed of or allocable to by column 5 reportable (column (column 6 x total of columns property debt-financed property x column 6) (a) and (b)) Part I, line 7, column (A). Part I, line 7, column (B). Totals ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Total dividends-received deductions included in column 8 Schedule F - Interest, Annuities, Royalties, and Rents From Controlled Organizations (see instructions) Exempt Controlled Organizations 1. Name of controlled organization.. 4. 5. Part of column 4 that is 6. Deductions directly Employer identification Net unrelated Total of specified included in the controlling connected with number (loss) (see instructions) payments made organization s gross in column 5 () () Nonexempt Controlled Organizations 7. Taxable Income 8. Net unrelated (loss). Total of specified payments 1 Part of column that is included 11. Deductions directly connected (see instructions) made in the controlling organization s with in column 10 gross () () Totals J 171 0-4-1 Add columns 5 and 1 Part I, line 8, column (A). Add columns 6 and 11. Part I, line 8, column (B). Form 0-T (011)
Form 0-T (011) SUSQUEHANNA UNIVERSITY -1585 Schedule G - Investment Income of a Section 501(c)(7), (), or (17) Organization (see instructions) () () 1. Description of exploited activity 1. Description of. Amount of. Gross unrelated business from trade or business line 10, col. (A).. Expenses directly connected with production of unrelated business line 10, col. (B). Part I, line, column (A). 4. Net (loss) from unrelated trade or business (column minus column ). If a gain, compute cols. 5 through 7.. Deductions Total deductions directly connected 4. Set-asides 5. and set-asides (col. plus col. 4) 5. Gross 6. Expenses from activity that attributable to is not unrelated column 5 business Part I, line, column (B). Totals Schedule I - Exploited Exempt Activity Income, Other Than Advertising Income (see instructions) () () 7. Excess exempt expenses (column 6 minus column 5, but not more than column 4). Enter here and on page 1, Part II, line 6. Totals Schedule J - Advertising Income (see instructions) Part I Income From Periodicals Reported on a Consolidated Basis Page 4 1. Name of periodical. Gross. Direct advertising advertising costs 4. Advertising gain or (loss) (col. minus col. ). If a gain, compute cols. 5 through 7. 5. Circulation 6. Readership costs 7. Excess readership costs (column 6 minus column 5, but not more than column 4). () () Totals (carry to Part II, line (5)) Part II Income From Periodicals Reported on a Separate Basis (For each periodical listed in Part II, fill in columns through 7 on a line-by-line basis.) () () (5) 171 0-4-1 1. Name of periodical Totals from Part I. Gross. Direct advertising advertising costs line 11, col. (A). line 11, col. (B). 4. Advertising gain or (loss) (col. minus col. ). If a gain, compute cols. 5 through 7. 5. Circulation 6. Readership costs 7. Excess readership costs (column 6 minus column 5, but not more than column 4). Enter here and on page 1, Part II, line 7. Totals, Part II (lines 1-5) Schedule K - Compensation of Officers, Directors, and Trustees (see instructions). Percent of 4. Compensation attributable Title time devoted to 1. Name. to unrelated business business () () Total. Part II, line 14 Form 0-T (011)
SUSQUEHANNA UNIVERSITY -1585 }}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FOOTNOTES STATEMENT 1 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} NOL CARRYOVER NOL CARRYOVER FROM PRIOR YEARS -7,67. NOL CARRYOVER FROM 00-75. NOL CARRYOVER FROM 010-7. }}}}}}}}}}}}} NOL CARRYOVER AVAILABLE THIS YEAR -7, ~~~~~~~~~~~~~ STATEMENT(S) 1
SUSQUEHANNA UNIVERSITY -1585 }}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 0-T OTHER DEDUCTIONS STATEMENT }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} DESCRIPTION AMOUNT }}}}}}}}}}} }}}}}}}}}}}}}} MISCELLANEOUS 0,86. }}}}}}}}}}}}}} TOTAL TO FORM 0-T, PAGE 1, LINE 8 0,86. ~~~~~~~~~~~~~~ STATEMENT(S)