PDF document
- 1 -
                                 Exempt Organization Business Income Tax Return                                                      OMB No. 1545-0047
Form  990-T                                       (and proxy tax under section 6033(e))
                           For calendar year 2022 or other tax year beginning              , 2022, and ending              , 20      2022
Department of the Treasury           Go to www.irs.gov/Form990T for instructions and the latest information.                      Open to Public Inspection 
Internal Revenue Service   Do not enter SSN numbers on this form as it may be made public if your organization is a 501(c)(3).         for 501(c)(3)  
                                                                                                                                     Organizations Only
A     Check box if                 Name of organization   (      Check box if name changed and see instructions.)            D  Employer identification number 
      address changed.
                           Print 
                                   Number, street, and room or suite no. If a P.O. box, see instructions.
B Exempt under section     or                                                                                                E  Group exemption number 
    501(   ) (      )      Type                                                                                                 (see instructions)
    408(e)     220(e)              City or town, state or province, country, and ZIP or foreign postal code
    408A       530(a)                                                                                                        F    Check box if  
    529(a)     529A        C  Book value of all assets at end of year . . . . .      . .   . .           .                        an amended return.
G Check organization type                501(c) corporation             501(c) trust   401(a) trust          Other trust        State college/university
H Check if filing only to                Claim credit from Form 8941                   Claim a refund shown on Form 2439
I Check if a 501(c)(3) organization filing a consolidated return with a 501(c)(2) titleholding corporation  .                 . . .  . .          . . .
J Enter the number of attached Schedules A (Form 990-T)                   . . .      . .   . .           . . .    . . . .  .  . . .
K During the tax year, was the corporation a subsidiary in an affiliated group or a parent-subsidiary controlled group?                  Yes           No
  If “Yes,” enter the name and identifying number of the parent corporation 
L The books are in care of                                                                                 Telephone number 
Part I     Total Unrelated Business Taxable Income
  1   Total of unrelated business taxable income computed from all unrelated trades or businesses (see 
      instructions)  .     .  .    . .   .      . .    .  .   .  .    . . . . .      . .   . .           . . .    . . . .  .  .   1
  2   Reserved  .        . .  .    . .   .      . .    .  .   .  .    . . . . .      . .   . .           . . .    . . . .  .  .   2
  3   Add lines 1 and 2  .         . .   .      . .    .  .   .  .    . . . . .      . .   . .           . . .    . . . .  .  .   3
  4   Charitable contributions (see instructions for limitation rules)  .            . .   . .           . . .    . . . .  .  .   4
  5   Total unrelated business taxable income before net operating losses. Subtract line 4 from line 3  .                     .   5
  6   Deduction for net operating loss. See instructions                . . . .      . .   . .           . . .    . . . .  .  .   6
  7   Total of unrelated business taxable income before specific deduction and section 199A deduction. 
      Subtract line 6 from line 5        .      . .    .  .   .  .    . . . . .      . .   . .           . . .    . . . .  .  .   7
  8   Specific deduction (generally $1,000, but see instructions for exceptions) .                       . . .    . . . .  .  .   8
  9   Trusts. Section 199A deduction. See instructions                  . . . .      . .   . .           . . .    . . . .  .  .   9
10    Total deductions. Add lines 8 and 9  .              .   .  .    . . . . .      . .   . .           . . .    . . . .  .  .   10
11    Unrelated business taxable income.                  Subtract line 10 from line 7. If line 10 is greater than line 7,    
      enter zero .       . .  .    . .   .      . .    .  .   .  .    . . . . .      . .   . .           . . .    . . . .  .  .   11
Part II    Tax Computation
  1   Organizations taxable as corporations. Multiply Part I, line 11 by 21% (0.21)  .                       .    . . . .  .  .   1
  2   Trusts taxable at trust rates.            See instructions for tax computation. Income tax on the             amount on
      Part I, line 11 from:          Tax rate schedule or             Schedule D (Form 1041)  .            . .    . . . .  .  .   2
  3   Proxy tax. See instructions  .            . .    .  .   .  .    . . . . .      . .   . .           . . .    . . . .  .  .   3
  4   Other tax amounts. See instructions  .              .   .  .    . . . . .      . .   . .           . . .    . . . .  .  .   4
  5   Alternative minimum tax (trusts only)  .            .   .  .    . . . . .      . .   . .           . . .    . . . .  .  .   5
  6   Tax on noncompliant facility income. See instructions  .                .      . .   . .           . . .    . . . .  .  .   6
  7   Total. Add lines 3 through 6 to line 1 or 2, whichever applies  .              . .   . .           . . .    . . . .  .  .   7
For Paperwork Reduction Act Notice, see instructions.                                      Cat. No. 11291J                             Form 990-T (2022)



- 2 -
Form 990-T (2022)                                                                                                                                             Page 2
Part III Tax and Payments 
1a   Foreign tax credit (corporations attach Form 1118; trusts attach Form 1116)        1a
b    Other credits (see instructions)  .   . . . . .   . . .  .       .   . .     . .   1b
c    General business credit. Attach Form 3800 (see instructions)  .      . .     . .   1c
d    Credit for prior year minimum tax (attach Form 8801 or 8827) .       . .     . .   1d
e    Total credits. Add lines 1a through 1d  .   . .   . . .  .       .   . .     . . . . .  .  . . . .    1e
2    Subtract line 1e from Part II, line 7 . . . . .   . . .  .       .   . .     . . . . .  .  . . . .    2
3    Other amounts due. Check if from:       Form 4255     Form 8611              Form 8697     Form 8866
                                             Other (attach statement)     . .     . . . . .  .  . . . .    3
4    Total tax. Add lines 2 and 3 (see instructions).    Check if includes tax previously deferred under
     section 1294. Enter tax amount here  .    . . .   . . .  .       .   . .     . .                    . 4 
5    Current net 965 tax liability paid from Form 965-A, Part II, column (k)  .     . . . .  .  . . . .    5
6a   Payments: A 2021 overpayment credited to 2022       . .  .       .   . .     . .   6a
b    2022 estimated tax payments. Check if section 643(g) election applies              6b
c    Tax deposited with Form 8868  .       . . . . .   . . .  .       .   . .     . .   6c
d    Foreign organizations: Tax paid or withheld at source (see instructions)  .        6d
e    Backup withholding (see instructions)     . . .   . . .  .       .   . .     . .   6e
f    Credit for small employer health insurance premiums (attach Form 8941)  .          6f
g    Other credits, adjustments, and payments:     Form 2439
         Form 4136                           Other                            Total     6g
7    Total payments. Add lines 6a through 6g  .    .   . . .  .       .   . .     . . . . .  .  . . . .    7
8    Estimated tax penalty (see instructions). Check if Form 2220 is attached  .      . . .  .  . .        8
9    Tax due. If line 7 is smaller than the total of lines 4, 5, and 8, enter amount owed  . .  . . . .    9
10   Overpayment. If line 7 is larger than the total of lines 4, 5, and 8, enter amount overpaid  . . .    10
11   Enter the amount of line 10 you want: Credited to 2023 estimated tax                         Refunded 11
Part IV  Statements Regarding Certain Activities and Other Information (see instructions)
1    At any time during the 2022 calendar year, did the organization have an interest in or a signature or other authority                                    Yes No
     over a financial account (bank, securities, or other) in a foreign country? If “Yes,” the organization may have to file
     FinCEN Form 114, Report of Foreign Bank and Financial Accounts. If “Yes,” enter the name of the foreign country 
     here
2    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.
3    Enter the amount of tax-exempt interest received or accrued during the tax year  .      .  . . $
4    Enter available pre-2018 NOL carryovers here      $                    . Do not include any post-2017 NOL carryover 
     shown on Schedule A (Form 990-T). Don’t reduce the NOL carryover shown here by any deduction reported on
     Part I, line 6.
5    Post-2017 NOL carryovers. Enter the Business Activity Code and available post-2017 NOL carryovers. Don’t reduce 
     the amounts shown below by any NOL claimed on any Schedule A, Part II, line 17 for the tax year. See instructions.
                                Business Activity Code                                 Available post-2017 NOL carryover
                                                                                      $
                                                                                      $
                                                                                      $
                                                                                      $
6a   Did the organization change its method of accounting? (see instructions)  .      . . .  .  . . . .  . .    .      .    .
b    If 6a is “Yes,” has the organization described the change on Form 990, 990-EZ, 990-PF, or Form 1128? If “No,”
     explain in Part V .    . . .   . .    . . . . .   . . .  .       .   . .     . . . . .  .  . . . .  . .    .      .    .
Part V   Supplemental Information
Provide the explanation required by Part IV, line 6b. Also, provide any other additional information. See instructions.

     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 
                                                                                                           May the IRS discuss this return 
Here                                                                                                       with the preparer shown below 
                                                                                                           (see instructions)?
       Signature of officer                              Date               Title                                                                             Yes No 
         Print/Type preparer’s name              Preparer’s signature                       Date
Paid                                                                                                     Check          if  PTIN
                                                                                                         self-employed 
Preparer 
         Firm’s name                                                                                  Firm’s EIN
Use Only Firm’s address                                                                               Phone no. 
                                                                                                                            Form 990-T (2022)






PDF file checksum: 3844618452

(Plugin #1/9.12/13.0)