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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)
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