Part I. Identification of Disregarded Entities
Enter the details of each disregarded entity on a separate line of Part I. If there are more disregarded entities to report
in Part I than space available, use as many duplicate copies of Part I as needed, and number each page.
Column (a) Name, address, and EIN.
Enter the full legal name and mailing address of the
disregarded entity. Enter also the
employer identification number (EIN) of the disregarded entity, if it has one.
A disregarded entity generally must use the EIN of its sole member. An exception applies to employment taxes: for wages paid
to
employees of a disregarded entity on or after January 1, 2009, the disregarded entity must file separate employment tax returns and
use its own EIN on such returns. See Regulations sections 301.6109-1(h) and 301.7701-2(c)(2)(iv).
Column (b) Primary activity.
Briefly describe the primary activity of the
disregarded entity.
Column (c) Legal domicile.
List the U.S. state (or
U.S. possession) or foreign country in which the
disregarded entity is organized (the state or foreign country whose law governs the disregarded entity's internal affairs).
Column (d) Total income.
Enter the amount of the filing organization's total revenue reported in Form 990, Part VIII, line 12, column (A),
attributable to the
disregarded entity.
Column (e) End-of-year assets.
Enter the amount of the organization's
total assets reported in Form 990, Part X, line 16, column (B), attributable to the
disregarded entity.
Column (f) Direct controlling entity.
Enter the name of the entity that directly controls the disregarded entity. If the filing organization directly controls,
enter its name.
Part II. Identification of Related Tax-Exempt Organizations
For purposes of Schedule R, treat governmental units and instrumentalities and foreign governments as tax-exempt organizations.
Enter the details of each related organization on a separate line of Part II. If there are more related organizations to report in Part II than space available, use as
many duplicate copies of Part II as needed, and number each page.
Column (a) Name, address, and EIN.
Enter the related organization's full legal name, mailing address, and
EIN.
Column (b) Primary activity.
Briefly describe the primary activity of the
related organization.
Column (c) Legal domicile.
List the U.S. state (or
U.S. possession) or foreign country in which the
related organization is organized. For a corporation, enter the state of incorporation (or the country of incorporation for a foreign corporation
formed outside the U.S.). For a trust or other entity, enter the state whose law governs the organization's internal affairs
(or the foreign country whose law governs for a
foreign organization other than a corporation).
Column (d) Exempt Code section.
Enter the section under which the related organization is exempt (for example, section 501(c)(3), 501(c)(6), or 527).
For purposes of Schedule R, an organization that claims exemption is treated as exempt. Also for purposes of Schedule R, treat
as a section 501(c)(3) organization a related foreign organization recognized as a charity by the foreign country, or for
which the filing organization has made a reasonable judgment (or has an opinion of U.S. counsel) that the foreign organization
is described in section 501(c)(3). The filing organization is not required to make or obtain such a determination for purposes
of Schedule R. For
governmental units, instrumentalities, and
foreign governments that do not have a section 501(c) determination letter, leave blank.
Column (e) Public charity status.
For a related section 501(c)(3) organization, report its
public charity status, using the appropriate line number (line 1 through 11d) corresponding to the public charity status checked on Schedule
A (Form 990), Public Charity Status and Public Support, Part I. If the related organization is a
private foundation, use the designation “
PF.” If the related organization is a section 509(a)(3)
supporting organization, also indicate its type: I, II, III-FI, or III-O (for Type I, Type II, Type III functionally integrated, or Type III other,
respectively).
For purposes of Schedule R, treat as a public charity a related foreign organization that has not been recognized
as section 501(c)(3) by the IRS but for which the filing organization has made a good faith determination, based on an affidavit
from the foreign organization or the opinion of counsel, that the foreign organization is the equivalent of a public charity.
The filing organization is not required to make or obtain such a determination for purposes of Schedule R; if it has not,
leave Column (e) blank.
Column (f) Direct controlling entity.
Enter the name of the entity (if any) that directly controls the related organization. Otherwise, enter “
N/A”. If the filing organization directly controls, enter its name.
Column (g) Section 512(b)(13) controlled entity.
Check “
Yes” if the related organization is a
controlled entity of the filing organization under section 512(b)(13). If not, check “
No.”
Part III. Identification of Related Organizations Taxable as a Partnership
In this part, identify any related organization treated as a partnership for federal tax purposes. If the partnership is related to the filing organization by reason of
being its parent or brother/sister and the filing organization is not a partner or member in the partnership, then complete
only columns (a), (b), and (c), and enter “N/A” in columns (d), (e), (f), (g), (h), (i), (j), and (k).
Enter the details of each related organization on a separate line of Part III. If there are more related organizations to
report in Part III than space available, use as many duplicate copies of Part III as needed, and number each page.
Some of the information requested in this part is derived from Schedule K-1 (Form 1065) issued to the organization. If the
Schedule K-1 (Form 1065) is not available, provide a reasonable estimate of the required information.
Column (a) Name, address, and EIN.
Enter the related partnership's full legal name, mailing address, and
EIN.
Column (b) Primary activity.
Briefly describe the primary business activity conducted, or product or service provided, by the related partnership
(for example, investment in other entities, low-income housing, etc.).
Column (c) Legal domicile.
List the U.S. state (or
U.S. possession) or foreign country in which the related partnership is organized (the state or foreign country whose law governs the related
partnership's internal affairs).
Column (d) Direct controlling entity.
Enter the name of the entity (if any) that directly controls the related partnership. Otherwise, enter “
N/A.” If the filing organization directly controls, enter its name.
Column (e) Predominant income.
Classify the predominant type of partnership income as:
In other words, enter which of the three types listed above is more prevalent than the others.
For classification purposes, use the definitions of columns (B), (C), and (D) set forth in the instructions to the
Statement of Revenue in Form 990, Part VIII.
Column (f) Share of total income.
Enter the dollar amount of the filing organization's distributive share of the related partnership's total income,
in accordance with the organization's profits interest as specified by the partnership or LLC agreement, for the related partnership's
tax year ending with or within the filing organization's tax year. Use the total amount reported by the related partnership on Schedule
K-1 (Form 1065) for the partnership's tax year ending with or within the filing organization's tax year (total of Schedule
K-1, Part III, lines 1 through 11 and 18, tax-exempt income).
Column (g) Share of end-of-year assets.
Enter the dollar amount of the filing organization's distributive share of the related partnership's end-of-year total
assets, in accordance with the organization's capital interest as specified by the partnership or LLC agreement, for the related
partnership's
tax year ending with or within the filing organization's tax year. Use Schedule K-1 (Form 1065) for the partnership's year ending
with or within the organization's tax year to determine this amount by adding the organization's ending capital account to
the organization's share of the partnership's liabilities at year end reported on the Schedule K-1.
Column (h) Disproportionate allocations.
Check “
Yes” if the interest of the filing organization as a partner of the partnership (or as a member of the LLC) in any item of income,
gain, loss, deduction, or credit, or any right to distributions was disproportionate to the filing organization's investment
in such partnership or LLC at any time during the filing organization's
tax year. Otherwise, check “
No.”
Column (i) Code V—UBI amount in box 20 of Schedule K-1 (Form 1065).
Enter the dollar amount, if any, listed as the Code V amount (
unrelated business taxable income) in box 20 of Schedule K-1 (Form 1065) received from the related partnership for the partnership's
tax year ending with or within the filing organization's tax year. If no Code V amount is listed in box 20, enter “
N/A.”
If the organization has reason to believe that the stated amount in box 20 is incorrect, it should consult with the partnership.
The stated amount in box 20 is not controlling with respect to the organization's unrelated business income tax liability.
Column (j) General or managing partner.
Check “
Yes” if the filing organization was at any time during its
tax year a general partner of a related limited partnership, or a managing partner or managing member of a related general partnership,
LLC, or other entity taxable as a partnership. Otherwise, check “
No.”
Column (k) Percentage ownership.
Enter the filing organization's percentage interest in the profits or in the capital of the related partnership, whichever
is greater.
Part IV. Identification of Related Organizations Taxable as a Corporation or Trust
In this part, identify any related organization treated as a C or S corporation or trust for federal tax purposes (such as a charitable remainder trust), other than a related
organization reported as a tax-exempt organization in Part II. If the corporation or trust is related to the filing organization
as its parent or as a brother/sister organization, and the filing organization does not have an ownership interest in the
corporation or trust, then complete only columns (a), (b), (c), and (e), and enter “N/A” in columns (d), (f), (g), and (h). Do not report trusts described within section 401(a).
Enter the details of each related organization on a separate line of Part IV. If there are more related organizations to report
in Part IV than space available, use as many duplicate copies of Part IV as needed, and number each page.
Some of the information requested in this part is derived from Schedule K-1 (Form 1041) or Schedule K-1 (Form 1120S) issued
to the organization. If the Schedule K-1 is not available, provide a reasonable estimate of the required information.
Add an additional copy of this page if you have more than 11 unrelated organizations to report. Fill in the page as needed.
Column (a) Name, address, and EIN.
Enter the related organization's full legal name, mailing address, and
EIN.
Column (b) Primary activity.
Briefly describe the primary business activity conducted, or product or service provided, by the
related organization (for example, holding company,
management company).
Column (c) Legal domicile.
List the U.S. state (or
U.S. possession) or foreign country in which the
related organization is organized. For a corporation, enter the state of incorporation (or the country of incorporation for a foreign corporation
formed outside the U.S.). For a trust or other entity, enter the state whose law governs the organization's internal affairs
(or the foreign country whose law governs for a
foreign organization other than a corporation).
Column (d) Direct controlling entity.
Enter the name of the entity (if any) that directly controls the related organization. Otherwise, enter “
N/A.” If the filing organization directly controls, enter its name.
Column (e) Type of entity.
Use one of the following codes to indicate the tax classification of the related organization: C (corporation or association
taxable under subchapter C), S (corporation or association taxable under subchapter S), or T (trust taxable under subchapter
J).
Column (f) Share of total income.
For a
related
organization that is a C corporation, enter the dollar amount of the organization's share of the C corporation's total income. To calculate
this share, multiply the total income by the following fraction: the value of the filing organization's shares of all classes
of stock in the C corporation, divided by the value of all outstanding shares of all classes of stock in the C corporation.
The total income is for the related organization's
tax year ending with or within the filing organization's tax year.
For a related organization that is an S corporation, enter the filing organization's allocable share of the S corporation's
total income. Use the amount on Schedule K-1 (Form 1120S) for the S corporation's tax year ending with or within the filing
organization's tax year (Schedule K-1, Part III, lines 1 through 10).
For a related organization that is a trust, enter the total income and gains reported on Part III, lines 1 through
8 of Schedule K-1 (Form 1041) issued to the filing organization for the trust's tax year ending with or within the filing
organization's tax year.
A section 501(c)(3) organization that is an S corporation shareholder must treat all allocations of income from the S corporation
as
unrelated business income, including gain on the disposition of stock.
Column (g) Share of end-of-year assets.
Enter the dollar amount of the filing organization's allocable share of the
related organization's total assets as of the end of the related organization's
tax year ending with or within the filing organization's tax year. For related C and S corporations, this amount is determined by
multiplying the corporation's end-of-year total assets by the fraction described in column (f). For related trusts, this amount
corresponds to the filing organization's percentage ownership in the trust.
Column (h) Percentage ownership.
For a
related organization taxable as a corporation, enter the filing organization's percentage of stock ownership in the corporation (total combined
voting power or total value of all outstanding shares, whichever is greater). For a related S corporation, use the percentage
reported on Schedule K-1 (Form 1120S) for the year ending with or within the filing organization's
tax year. For a related organization taxable as a trust, enter the filing organization's percentage of beneficial interest. In each
case, enter the percentage interest as of the end of the related organization's tax year ending with or within the filing
organization's tax year.
Split-interest trusts.
If the related organization is a split-interest trust described in section 4947(a)(2), the organization may enter
in column (a) the term, “
Charitable remainder trust,”
“
Charitable lead trust,” or “
Pooled income fund,” as appropriate, instead of the trust's name, EIN, or address. If the organization was related to more than one of a certain
type of related split-interest trust during the tax year, it should enter the number of that type of trust in parentheses
after the name. For instance, if the organization had two related charitable remainder trusts and three related charitable
lead trusts, it should enter “
Charitable remainder trusts (2)” on one line of column (a) and “
Charitable lead trusts (3)” on another line in column (a). The organization may leave columns (f), (g), and (h) blank for these lines. Use Part VII
if the organization needs space to provide additional information for columns (b), (c), (d), or (e).
Part V. Transactions With Related Organizations
Line 1.
Check “
Yes” in the appropriate boxes of Line 1 if the filing organization engaged in any of the transactions listed in Part V with any
of the
related organizations listed in Parts II through IV. A single transaction may be described by and reported in more than one line. A “
transfer” includes any conveyance of funds or property not described in lines 1a through 1p, whether or not for consideration, such
as a merger with a related organization.
Line 2.
All organizations filing Schedule R must report the following transactions with a
controlled entity of the filing organization as defined in section 512(b)(13).
-
All transactions described in line 1a, which includes all receipts or accruals of interest, annuities, royalties, or rent
from a controlled entity under section 512(b)(13), regardless of amount.
-
Any other type of transaction described in lines 1b through 1r with controlled entities, if the amounts involved during the
tax year between the filing organization and a particular controlled entity exceed $50,000 for that type of transaction.
Section 501(c)(3) organizations must also report on line 2 transactions described in Part V, lines 1b through 1r with related
tax-exempt organizations not described in section 501(c)(3) (including section 527 political organizations), if the amounts
involved during the tax year between the filing organization and a particular related tax-exempt organization exceed $50,000.
Enter the details of each related organization and each transaction type on a separate line of the table. If there
are more related organizations or transaction types to report than space available, use as many duplicate copies of Part V
as needed, and number each page. Transactions of a specified type described in lines 1b through 1r with a particular organization
do not need to be reported if the total amount of transactions of such type during the tax year did not exceed $50,000.
Column (a) Name.
Enter the full legal name of the
related organization.
Column (b) Transaction type.
Enter the transaction type (lines 1a through 1r). Aggregate all transactions of the same type with the same related
organization.
Column (c) Amount involved.
The amount involved in a transaction is the
fair market value of the services, cash, and other assets provided by the filing organization during its
tax year, or the fair market value received by the filing organization, whichever is higher, regardless of whether the transaction
was entered into by the parties in a prior year. Any reasonable method for determining such amount is acceptable.
Column (d) Method of determining amount involved.
Describe the method used to determine the value of the services, cash, and other assets reported in column (c).
Split-interest trusts.
If the organization engaged in a type of transaction reportable in Part V, line 2 with one or more split-interest
trusts described in section 4947(a)(2), the organization may enter in column (a) the term, “
Charitable remainder trust,”
“
Charitable lead trust,” or “
Pooled income fund,” as appropriate, instead of the trust's name. For instance, if the organization carried a $100,000 liability for a loan it
received from a related charitable lead trust, it should enter “
Charitable remainder trust” in column (a), transaction type “
e” in column (b), and “
$100,000” in column (c). Multiple transactions of the same type with the same type of split-interest trust may be aggregated on the
same line, with the number of each type of trust listed in parentheses. For instance, if the organization received $60,000
from one related charitable remainder trust as payment for investment services and $70,000 from another related charitable
remainder trust as payment for investment services during the tax year, it may enter “
Charitable remainder trusts (2)” in column (a), transaction type “
k” in column (b), and “
$130,000” in column (c).
Part VI. Unrelated Organizations Taxable as a Partnership
In this part, provide information on any unrelated organization (an organization that is not a related organization with respect to the filing organization) that meets all of the following
conditions.
-
The unrelated organization is treated as a partnership for federal tax purposes (S corporations are excluded).
-
The filing organization was a partner or member of the unrelated partnership at any time during the filing organization's
tax year.
-
The filing organization conducted more than 5% of its activities, based on the greater of its total assets at the end of its tax year or its total revenue for its tax year, through the unrelated partnership.
In determining the percentage of the filing organization's activities as measured by its total assets, use the amount reported
on Form 990, Part X, line 16, column (B) as the denominator, and the filing organization's ending capital account balance
for the partnership tax year ending with or within the filing organization's tax year as the numerator (the amount reported
on Schedule K-1 can be used). In determining the percentage of the filing organization's activities as measured by its total
revenue, use the amount reported on Form 990, Part VIII, line 12, as the denominator, and the filing organization's proportionate
share of the partnership's gross revenue for the partnership tax year ending with or within the filing organization's tax
year as the numerator.
Example.
X, a section 501(c)(3) organization, is a partner of Y, an unrelated partnership, which conducts an activity that constitutes
an unrelated trade or business with respect to X. X's proportionate share of Y's gross revenue is $60,000 for Y's tax year ending with or within X's tax year. X has an ending capital account balance in Y of $120,000 as reported on Schedule K-1.
X's gross revenue and total assets for its tax year are $1,000,000 and $1,200,000, respectively. Because X's total assets
exceed X's gross revenue for its tax year, X must consider total assets in determining whether X conducted more than 5% of
its activities through Y for X's tax year. X conducted 10% of its activities through Y, as measured by X's total assets ($120,000/$1,200,000),
and thus must identify Y in Schedule R, Part VI, and provide the required information. If, instead, X's gross revenue for
its tax year were $1,300,000, then gross revenue would be considered rather than total assets; X's activities conducted through
Y, as measured by X’s gross revenue ($60,000/$1,300,000) would not be greater than 5% of X's total activities, and therefore
X would not be required to identify Y in Schedule R, Part VI.
Disregard unrelated partnerships that meet both of the following conditions.
-
95% or more of the filing organization's gross revenue from the partnership for the partnership's tax year ending with or
within the organization's tax year is described in sections 512(b)(1)–(3) and (5), such as interest, dividends, royalties,
rents, and capital gains (including unrelated debt-financed income).
-
The primary purpose of the filing organization's investment in the partnership is the production of income or appreciation
of property and not the conduct of a section 501(c)(3) charitable activity such as program-related investing.
Enter the details of each organization on a separate line of Part VI. If there are more organizations to report in Part VI
than space available, use as many duplicate copies of Part VI as needed, and number each page.
Some of the information requested in this part is derived from Schedule K-1 (Form 1065) issued to the organization. If the
Schedule K-1 is not available, provide a reasonable estimate of the required information.
Column (a) Name, address, and EIN.
Enter the unrelated partnership's full legal name, mailing address, and
EIN.
Column (b) Primary activity.
Briefly describe the primary business activity conducted, or product or service provided, by the unrelated partnership.
Column (c) Legal domicile.
List the U.S. state (or
U.S. possession) or foreign country in which the unrelated partnership is organized (the state or foreign country whose law governs the unrelated
partnership's internal affairs).
Column (d) Predominant income.
Classify the predominant type of income as:
In other words, enter one of the three types of income listed above that is more prevalent than the others. For classification
purposes, use the definitions set forth in the instructions to the Statement of Revenue in Form 990, Part VIII, columns (B),
(C), and (D).
Column (e) Section 501(c)(3) partners.
Check “
Yes” if all the partners of the unrelated partnership (or members of the LLC) are section 501(c)(3) organizations or
governmental units (or wholly-owned subsidiaries of either). Otherwise, check “
No.”
Column (f) Share of total income.
Enter the dollar amount of the filing organization's distributive share of the related partnership's total income,
in accordance with the organization's profits interest as specified by the partnership or LLC agreement, for the related partnership's
tax year ending with or within the filing organization's tax year. Use the total amount reported by the related partnership
on Schedule K-1 (Form 1065) for the partnership's tax year ending with or within the filing organization's tax year (total
of Schedule K-1, Part III, lines 1 through 11 and line 18, tax-exempt income).
Column (g) Share of end-of-year assets.
Enter the dollar amount of the filing organization's distributive share of the unrelated partnership's total assets,
in accordance with the filing organization's capital interest as specified by the partnership or LLC agreement, as of the
end of the unrelated partnership's tax year ending with or within the filing organization's
tax year. Use the ending capital account reported on Schedule K-1 (Form 1065) for the year ending with or within the filing organization's
tax year.
Column (h) Disproportionate allocations.
Check “
Yes” if the interest of the filing organization as a partner of the partnership (or as a member of the LLC) in any item of income,
gain, loss, deduction, or credit, or any right to distributions was disproportionate to the organization's investment in such
partnership or LLC at any time during the filing organization's
tax year. Otherwise, check “
No.”
Column (i) Code V—UBI amount in box 20 of Schedule K-1 (Form 1065).
Enter the dollar amount, if any, listed as the Code V amount (
unrelated business taxable income) in box 20 of Schedule K-1 (Form 1065) received from the unrelated partnership for the partnership's
tax year ending with or within the filing organization's tax year. If no Code V amount is listed in box 20, enter “
N/A.”
Column (j) General or managing partner.
Check “
Yes” if the filing organization was at any time during its
tax year a general partner of an unrelated limited partnership, or a managing partner or managing member of an unrelated general partnership,
LLC, or other entity taxable as a partnership. Otherwise, check “
No.”
Column (k) Percentage ownership.
Enter the filing organization's percentage interest in the profits or in the capital of the related partnership, whichever
is greater.
Use Part VII if the organization needs space to provide additional information in response to questions in Schedule R (Form
990). In Part VII, identify the specific part and line number that each response supports, in the order in which those parts
and lines appear on Schedule R (Form 990). Part VII can be duplicated if more space is needed.
