*236651*

2023 M4NP, Unrelated Business Income Tax (UBIT) Return
For tax-exempt organizations, cooperatives, homeowners associations, and political organizations with unrelated business 
income. Refer to 2023 Unrelated Business Income Tax Return Instructions on our website at www.revenue.state.mn.us.

Tax year beginning (MM/DD/YYYY)              /                    /   , and ending (MM/DD/YYYY)                                      /                               /        (required)

Name of Organization                                                                                     FEIN                                                                     Minnesota Tax ID (Required)

Mailing Address                                                      Check if New Address                This Organization Files Federal Form (Check one)
                                                                                                                990-T                  1120-C                                1120-H       1120-POL
City                            County                        State  ZIP Code                            Exempt Under IRS Section (Check one)
Check All         Amended                Filing Under               Final Return (refer to inst., pg. 4)        501(c)(                )                                     528          Other:
That Apply:       Return                 an Extension               Enter Close Date:                    Enter your NAICS Codes (Refer to inst., pg. 4)   
                                                                                                                                                                       /   
Are you filing a combined income return?  Yes                   No
                                                                                                         Was any business conducted outside of Minnesota?
Check if reporting Tax Position Disclosure (Enclose Form TPD)                                                   Yes (Complete and attach schedule M4NPA)                                    No

  1  Federal taxable income before net operating loss and specific deduction                                                                You must round amounts to nearest whole dollar.
     (total from all federal Form 990-T Schedule As, Part II line 16; 1120-C, line 25c; 
     1120-H, line 17; or 1120-POL, line 17c)  . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . .  . . . . . .  . . . .  1 

  2  Total additions to federal taxable income (from Form M4NPI, line 1)   . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  .                          2 

  3  Federal taxable income after additions (add lines 1 and 2)  . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . .  . . . . .  .                3 

  4  Total subtractions from federal taxable income (from Form M4NPI, line 2)   . . . . .  . . . . .  . . . . . . .  . . . . .  4 

 5   Federal taxable income (loss) after subtractions (refer to instructions). If you conducted business both 
     within and outside Minnesota, complete Form M4NPA (refer to to instructions, pg. 4). If 100% of your 
     activities were conducted in Minnesota, do not complete Form M4NPA. Enter line 5 on line 6.                                      . . .  . .  5 

  6  Minnesota taxable net income (loss) (from Form M4NPA, line 10.) If 100% of your activities 
     were conducted in Minnesota, enter amount from line 5 above.   . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . . .  6 

  7  Minnesota net operating loss deduction (from Form M4NP NOL)  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . .  . .  7 

  8  Subtract line 7 from line 6 (if zero or less, enter zero)  . . . . .  . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . .8.  .  .  

 9  Total deductions from taxable net income (from Form M4NPI, line 3)                   . . .  . . . . . .  . . . . .  . . . . . .  . . . . . . 9.  .  

 10  Taxable income (subtract line 9 from line 8; if zero or less, enter zero)   .  . . . . .  . . . . . .  . . . . . .  . . . . . .  .  .10 

 11   Regular tax (multiply line 10 by 9.8% [0.098]; if zero or less, enter zero)  . . .  . . . . . .  . . . . .  . . . . . .  . . . .  .11 

 12  Proxy tax (refer to instructions, pg. 4)  . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  . . . .  12 

 13  Tax before credits (add lines 11 and 12)  . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  . .  13 

 14  Total credits against tax (from Form M4NPI, line 4)  . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . .  14 

 15  Minnesota tax liability (subtract line 14 from line 13; if zero or less, enter zero)   . . . .  . . . . . . .  . . . . .  .  15 

                                                                                                                                                                    Continued next page
                                                                                      9995

2023 M4NP, UBIT Return Page 2 (continued)

Name of Organization                                                                                                 FEIN                                                        Minnesota Tax ID
 16  Minnesota Nongame Wildlife Fund donation (refer to instructions, pg. 4)                                          . . .  . . . . . .  . . . . . .  . . . . . .  .  16 

 17  Add lines 15 and 16   . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . . .  .  . . . .  . . . . . .  . . . . . .  . . . . . .  17 
 
 18  Total refundable credits (from Form M4NPI, line 5)   . . . .  . . . . . .  . . .  . 18 

 19  Amount credited from your 2022 Form M4NP, line 32    .  . . . . . .  . . .  . 19 

 20  2023 estimated tax payments    . . .  . . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . .  . 20 

 21  2023 extension payment        . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . .  . 21 

 22  Total refundable credits and payments (add lines 18, 19, 20, and 21)   .  . . . . . .  . . . . . .  . . . . .  . . . . .  . .  22 

 23  Subtract line 22 from line 17  . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  23 

 24  Penalty (determine from worksheet in the instructions, pg. 5)    . . .  . . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . .  24 

 25  Interest (determine from worksheet in the instructions, pg. 5)   .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . .  25 

 26  Additional charge for underpayment of estimated tax (from Form M15NP, line 17)  . . .  . . . . . .  . . . . .  26 
 27  Tax, Nongame Wildlife Fund donation, penalty, interest and additional  
   charge for underpayment of estimated tax (add lines 17, 24, 25, and 26)   . . .  . . . . . .  . . . . . .  . . . . . .  .  27 

 28  Amount from line 27   . . . .  . . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . .  28 

 29  Amount from line 22   . . . .  . . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . .  29 

 30  AMOUNT DUE. If line 28 is more than or equal to line 29, subtract line 29 from 28  . . .  . . . . . .  . . . . .  30 

   Payment method:                Electronic                        Check                                                                                               Amended Return Payment by Check  
   (Refer to instructions, page 2.)                                                                                                                                             

  31 OVERPAYMENT. If line 29 is more than line 28,  
   subtract line 28 from line 29  . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . 31 

 32  Amount of line 31 to be credited to your 2024 estimated tax    . . .  . .  . 32 

 33  Refund (subtract line 32 from line 31)   . . .  . . . . . .  . . . . .  . . . . . . .  . . .  . 33 

To have your refund direct deposited, enter your banking information below.
 Account Type:  
     Checking             Savings 
                                  Routing Number                   Account Number (use an account not associated with any foreign banks)                                                          
 I declare that this return is correct and complete to the best of my knowledge and belief.  
                                                                                                                           /  /
Authorized Signature                             Title                                                               Date (MM/DD/YYYY)                                              Daytime Phone
                                                                                                                           /  /
Signature of Preparer                            PTIN                                                                Date (MM/DD/YYYY)                                              Prepayer’s Daytime Phone

Email Address for Correspondence, if Desired                                                                         This email address belongs to (check one)                        Employee      Paid Preparer

Attach a complete copy of your federal Form 990-T, 1120-C, 1120-H or 1120-POL and all supporting schedules.                                                                         I authorize the Minnesota      
Mail to: Minnesota Department of Revenue, Mail Station 1257, 600 N. Robert St., St. Paul, MN 55146-1257                                                                             Department of Revenue          
                                                                                                                                                                                    to discuss this tax return with  
                                                                    9995                                                                                                            the paid preparer listed here.

                                                                                                                                                                        *236651*

2023 M4NPI, Income Adjustments, Deductions and Credits
For tax-exempt organizations, cooperatives, homeowners associations, and political organizations with unrelated business 
income. Refer to 2023 Unrelated Business Income Tax Return Instructions on our website at www.revenue.state.mn.us.

Name of Organization                                                                                                      FEIN                                          Minnesota Tax ID

                                                                                                                                                                      You must round amounts 
 1  Additions to federal taxable income due to changes not adopted by Minnesota                                                                                       to nearest whole dollar.
  Enter on Form M4NP, line 2 (you must provide a brief explanation below)
                                                                                                      . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . 1 

 2   Subtractions from federal taxable income
  a  Advertising revenues from a newspaper published by a  
      section 501(c)(4) organization   . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . .  . 2a 
  b   Lawful gambling expenditures under Minnesota Statutes, Chapter 349, 
      not deducted on federal return (refer to instructions, pg. 7)                . . .  . . . . . .  . . . .  . 2b 
    c  Charitable contributions (refer to instructions, pg. 7)    .  . . . . . .  . . . . . .  . . . . .  .  2c 
    d  Subtractions due to federal changes not adopted by Minnesota  
      (you must provide a brief explanation below)  . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  . 2d 
    
    e Other subtractions from income (you must provide a brief explanation below)  
                                                                                                           .  . 2e           
 
  Total subtractions (add lines 2a through 2e) Enter on Form M4NP, line 4.   . . .  . . . . . .  . . . . .  . . . . . . .  . . . . . 2.  .    

 3  Deductions from taxable net income
    a  Federal specific or special deductions   . . . . .  . . . . . . .  . . . . . .  . . . . .  . . . . .  . .3a.  . 
    b  Other deductions (you must provide a brief explanation below)  
                                                                                                           .  . 3b           
 
    Total deductions from taxable net income (add lines 3a and 3b)  . . .  . . . . . .  . . . . .  . . . . . . .  . . . . .  . . . . . .  . . . .  .  3                                        
  Enter on Form M4NP, line 9.
 4  Credits against tax 
  a  Employer Transit Pass Credit (from Form ETP, line 4)  . . .  . . . . . .  . . . . .  . . . . .  . 4a 
 
  b   SEED Capital Investment Credit (refer to instructions, pg. 7)   . .  . . . . . . .  . . . .  . 4b 

    c  Tax Credit for Owners of Agricultural Assets  . . . .  . . . . . .  . . . . .  . . . . . .  . . . . . .            4c 

    d  Manufactured Home Park Credit (from Form MHP, part 2, line 2)... ...... . 4d 
    e  Other credits against tax (you must provide a brief explanation below)  
                                                                                                           .  . 4e 
 
    Total credits against tax (add lines 4a through 4e)   . . .  . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . .  .  4                          
  Enter on Form M4NP, line 14.
 5  Refundable credits
  a  Historic Structure Rehabilitation Credit (attach credit certificate)                    
      and enter NPS project number                                           . . .  . . . . . .  . . . . .  . .  . 5a 
    b  Other refundable credits (you must provide a brief explanation below)  
                                                                                                           .  . 5b           
 
    Total refundable credits (add lines 5a and 5b)   . .  . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . .  . . . .  .  5                        
  Enter on Form M4NP, line 18.
                                                                                    9995

                                                                                                                                                                        *236651*

2023 M4NPA, Apportionment Calculation
For tax-exempt organizations, cooperatives, homeowners associations, and political organizations with unrelated business 
income. Refer to 2023 Unrelated Business Income Tax Return Instructions on our website at www.revenue.state.mn.us.

If you conducted business both within and outside Minnesota during the year, complete Schedule M4NPA to determine your  
Minnesota source income. Do not complete this schedule if you conducted all your business in Minnesota during the tax year.  

Name of Organization                                                                                                                 FEIN                               Minnesota Tax ID
                                                                                                                                                              You must round amounts  
                                                                                                                                                              to nearest whole dollar.
                                                                                                                                                              A                         B
                                                                                                                                                              Minnesota                 Total

 1  Federal taxable income (loss)           (from Form M4NP, line 5) ... ... 1                              

 2  Total nonapportionable income . . .  . . . . . .  . . . . .  . . . . . . .  . . .2. .  

 3  Total apportionable income 
    (subtract line 2 from line 1)  .  . . . . . . .  . . . . . .  . . . . .  . . . . .  . . .3. .  

  4  Sales or receipts  .  . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . . .  . . . . .  . . . . . .  . . . . . .  . . . . .4.  . . .  

 5  Sales of non-filing entities (refer to inst., pg. 10) ... ...... ..... ....... ..... ...... ...                                               5 
 
  6   Total sales or receipts (add lines 4 and 5) (Financial institutions: refer to inst., pg. 11)  . . .  .                                      6 

 7  Minnesota apportionment factor (divide line 6A  
   amount by line 6B; carry to six decimal places) . ...... ..... . 7 
 
  8  Net income apportioned to Minnesota  
    (multiply line 3 by line 7)   . . .  . . . . . .  . . . . .  . . . . .  . . . . . . .  . . .8. .  

 9  Minnesota nonapportionable income . . .  . . . . . .  . . . . .  . . . . . . .  9                                                                   

 10 Minnesota taxable income  
     (add lines 8 and 9) Enter on Form M4NP, line 6  .. ..... .... 10 
 
                                                                                                         9995