Form 1120-POL U.S. Income Tax Return OMB No. 1545-0129 Department of the Treasury Internal Revenue Service for Certain Political Organizations 2011 For calendar year 2011 or other tax year beginning , 2011, and ending , 20 Check the box if this is a section 501(c) organization . . . . . . . . . . . . . . . . . . . . . . . . . . ▶ Check if: Name of organization Employer identification number Final return Name change Number, street, and room or suite no. (If a P.O. box, see instructions.) Candidates for U.S. Congress Only If this is a principal campaign committee, and it is the Address change ONLY political committee, check here . . . . Amended return City or town, state, and ZIP code If this is a principal campaign committee, but is NOT the only political committee, check here and attach a copy of designation (See instructions.) . . . 1 Dividends (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . 1 2 Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3 Gross rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Income 4 Gross royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 5 Capital gain net income (attach Schedule D (Form 1120)) . . . . . . . . . . . . . . 5 6 Net gain or (loss) from Form 4797, Part II, line 17 (attach Form 4797) . . . . . . . . . . 6 7 Other income and nonexempt function expenditures (see instructions) . . . . . . . . . . 7 8 Total income. Add lines 1 through 7 . . . . . . . . . . . . . . . . . . . . 8 9 Salaries and wages . . . . . . . . . . . . . . . . . . . . . . . . . . 9 10 Repairs and maintenance . . . . . . . . . . . . . . . . . . . . . . . . 10 11 Rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 12 Taxes and licenses . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Deductions 13 Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 14 Depreciation (attach Form 4562) . . . . . . . . . . . . . . . . . . . . . . 14 15 Other deductions (attach schedule) . . . . . . . . . . . . . . . . . . . . . 15 16 Total deductions. Add lines 9 through 15 . . . . . . . . . . . . . . . . . . 16 17 Taxable income before specific deduction of $100 (see instructions). Section 501(c) organizations show: a Amount of net investment income . . . . . . . . . . . . . ▶ b Aggregate amount expended for an exempt function (attach schedule) . . ▶ 17c 18 Specific deduction of $100 (not allowed for newsletter funds defined under section 527(g)) . . . 18 19 Taxable income. Subtract line 18 from line 17c. (If line 19 is zero or less, see the instructions.) . . 19 20 Income tax. (see instructions) . . . . . . . . . . . . . . . . . . . . . . 20 21 Tax credits. (Attach the applicable credit forms.) (see instructions) . . . . . . . . . . . 21 22 Total tax. Subtract line 21 from line 20 . . . . . . . . . . . . . . . . . . . . 22 23 Payments: a Tax deposited with Form 7004 . . . . . . . . 23a Tax b Credit for tax paid on undistributed capital gains (attach Form 2439) 23b c Credit for federal tax on fuels (attach Form 4136) . . . 23c d Total payments. Add lines 23a through 23c . . . . . . . . . . . 23d . . 24 Tax due. Subtract line 23d from line 22. See instructions for depository method of payment . 24 . . 25 Overpayment. Subtract line 22 from line 23d . . . . . . . . . . . . . . . 25 . . 1 At any time during the 2011 calendar year, did the organization have an interest in or a signature or other authority over a financial account (such as a bank account, securities account, or other financial account) in a foreign country? (see instructions) . . . . . . . . . . . . . . . . . Yes No Information Additional If “Yes,” enter the name of the foreign country ▶ 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,” the organization may have to file Form 3520 . . . . . . . . . . Yes No 3 Enter the amount of tax-exempt interest received or accrued during the tax year . . . ▶ $ 4 Date organization formed ▶ 5a The books are in care of ▶ b Enter name of candidate ▶ c The books are located at ▶ d Telephone No. ▶ 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, Sign correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. May the IRS discuss this return with Here the preparer shown below (see ▲ ▲ instructions)? Yes No Signature of officer Date Title Print/Type preparer’s name Preparer's signature Date Check if PTIN Paid self-employed Preparer Firm’s name Firm's EIN ▶ Use Only ▶ Firm's address ▶ Phone no. For Paperwork Reduction Act Notice, see instructions. Cat. No. 11523K Form 1120-POL (2011) Form 1120-POL (2011) Page 2 Section references are to the Internal • The candidate’s name and address, exempt function income (including Revenue Code unless otherwise noted. • The candidate’s identifying number, contributions received, membership dues, and political fundraising receipts), • The candidate’s party affiliation and General Instructions office sought, minus any deductions directly connected with the production of that income. The Purpose of Form • The district and state in which the organization may not deduct its exempt office is sought, and function expenditures because section Political organizations and certain 162(e) denies a deduction for political exempt organizations file Form 1120- • The name and address of the principal campaign committee. campaign expenditures. POL to report their political organization taxable income and income tax liability Note. If the candidate for U.S. Congress Exempt Function and Exempt under section 527. has a designation in effect from an Function Income earlier year, attach a copy of the earlier Phone Help year’s designation to this year’s Form The exempt function of a political 1120-POL and check the appropriate organization includes all activities that If you have questions and/or need help are related to and support the process of completing Form 1120-POL, please call box on the form. See Regulations section 1.527-9. If a candidate for U.S. influencing or attempting to influence the 1-877-829-5500. This toll-free telephone selection, nomination, election, or service is available Monday through Congress has only one political campaign committee, no designation is appointment of any individual to any Friday. federal, state, or local public office, or required. However, be sure to check the office of a political organization, or the Who Must File appropriate box on Form 1120-POL. election of Presidential or Vice A political organization, whether or not it 2. Newsletter fund, if it is a fund Presidential electors, whether or not the is tax-exempt, must file Form 1120-POL established and maintained by an individuals or electors are selected, if it has any political organization taxable individual who holds, has been elected nominated, elected, or appointed. The income. to, or is a candidate (as defined in term “exempt function” also means the section 527(g)(3)) for nomination or making of expenditures relating to the An exempt organization that is not a election to any federal, state, or local individual’s office, once selected, political organization must file Form elective public office. The fund must be nominated, elected, or appointed, but 1120-POL if it is treated as having maintained exclusively for the only if the expenditures would be political organization taxable income preparation and circulation of the deductible by an individual under under section 527(f)(1). individual’s newsletter. section 162(a). Political Organizations 3. Separate segregated fund, if it is Exempt function income is the total of A political organization is a party, maintained by a section 501(c) all amounts received from the following committee, association, fund (including a organization (exempt from tax under sources (to the extent that they are separate segregated fund described in section 501(a)). For more information, separately segregated only for use for an section 527(f)(3) set up by a section see section 527(f)(3) and Regulations exempt function): 501(c) organization), or other section 1.527-6(f). • Contributions of money and property; organization, organized and operated primarily for the purpose of accepting Taxable Income • Membership dues, fees, or assessments paid by a member of a contributions or making expenditures, or Political organization taxable income political party; both, to influence the selection, (line 19) is the excess of (a) gross nomination, election, or appointment of • Proceeds from a political fundraising or income for the tax year (excluding any individual to any public office or entertainment event, or from the sale of exempt function income (defined later)) office in a political organization, or the political campaign materials, if those over (b) deductions directly connected election of Presidential or Vice amounts are not received in the active with the earning of gross income Presidential electors. Political conduct of a trade or business; and (excluding exempt function income). organizations include a: Taxable income is figured with the • Proceeds from the conduct of a bingo following adjustments. game, as described in section 513(f)(2). 1. Principal campaign committee, if it is the political committee designated by 1. A specific deduction of $100 is Specified Taxable Income a candidate for U.S. Congress as his or allowed (but not for newsletter funds), Newsletter fund. Taxable income of a her principal campaign committee for 2. The net operating loss deduction is newsletter fund is figured in the same purposes of section 302(e) of the Federal not allowed, and manner as taxable income of a political Election Campaign Act of 1971 and 3. The dividends-received deduction organization except that the specific section 527(h). and other special deductions for deduction of $100 is not allowed. If a candidate for U.S. Congress elects corporations are not allowed. See Exempt organization that is not a to make a designation under section section 527(c)(2)(C). political organization. Taxable income 527(h), he or she must designate the for an exempt organization described in principal campaign committee by Effect of failure to file Form 8871. Unless excepted (see Other Reports and section 501(c) that is not a political attaching a copy of the Statement of organization is the smaller of: Candidacy to Form 1120-POL. This can Returns That May Be Required), every be either the Federal Election political organization, in order to be Commission’s Form 2 or an equivalent considered a tax-exempt organization, statement filed with the Federal Election must file Form 8871, Political Commission. The designation may also Organization Notice of Section 527 be made by attaching a signed Status. An organization that is required statement with all of the following to file Form 8871, but fails to file it when information. due, must include in taxable income for the period before Form 8871 is filed, its Form 1120-POL (2011) Page 3 1. The net investment income of the • Give the IRS any information that is The private delivery service can tell organization for the tax year, or missing from its return, you how to get written proof of the 2. The amount spent for an exempt • Call the IRS for information about the mailing date. function during the tax year either processing of its return or the status of Extension. File Form 7004, Application directly or indirectly through another any refund or payment(s), and for Automatic Extension of Time To File organization. • Respond to certain IRS notices that the Certain Business Income Tax, Net investment income, for this organization may have shared with the Information, and Other Returns, to purpose, is the excess of: preparer about math errors, offsets, and request a 6-month extension of time to return preparation. The notices will not file. 1. The gross amount of interest, be sent to the preparer. dividends, rents, and royalties, plus the Other Reports and Returns excess, if any, of gains from the sale or The organization is not authorizing the exchange of assets, over the losses from paid preparer to receive any refund That May Be Required the sale or exchange of assets, over check, bind the organization to anything An organization that files Form 1120- 2. The deductions directly connected (including any additional tax liability), or POL may also be required to file the with the production of this income. otherwise represent it before the IRS. If following forms. the organization wants to expand the 1. Form 8871, Political Organization Taxable income is figured with the paid preparer’s authorization, see Pub. adjustments shown in 1, 2, and 3 under Notice of Section 527 Status. 947, Practice Before the IRS and Power Taxable Income, earlier. of Attorney. Generally, in order to be tax-exempt, a political organization must file this form Who Must Sign However, the authorization will within 24 hours of the date it is automatically end no later than the due established and within 30 days of any The return must be signed and dated by: date (excluding extensions) for filing the material change in the organization. • The president, vice president, 2012 tax return. If you want to revoke the However, do not file this form if the treasurer, assistant treasurer, chief authorization before it ends, see Pub. organization is: accounting officer, or 947. • An organization that reasonably • Any other officer (such as tax officer) authorized to sign. When and Where To File expects its annual gross receipts to always be less than $25,000, Receivers, trustees, and assignees In general, an organization must file Form 1120-POL by the 15th day of the • A political committee required to report must also sign and date any return filed under the Federal Election Campaign Act on behalf of an organization. 3rd month after the end of the tax year. of 1971 (2 U.S.C. 431 et seq.), If an employee of the organization If the due date falls on a Saturday, Sunday, or legal holiday, the • A political committee of a state or completes Form 1120-POL, the Paid local candidate, Preparer Use Only area should remain organization may file on the next blank. In addition, anyone who prepares business day. • A state or local committee of a Form 1120-POL but does not charge the File Form 1120-POL with the: political party, or organization should not complete that Department of the Treasury • A tax-exempt organization described section. Generally, anyone who is paid to Internal Revenue Service Center in section 501(c) that is treated as prepare the return must sign it and fill in Ogden, UT 84201 having political organization taxable the Paid Preparer Use Only area. If the organization’s principal business, income under section 527(f)(1). The paid preparer must complete the office or agency is located in a foreign 2. Form 8872, Political Organization required preparer information and: country or a U.S. possession, the Report of Contributions and • Sign the return in the space provided address for mailing their return should Expenditures (periodic reports are for the preparer’s signature. be: required during the calendar year). • Give a copy of the return to the Internal Revenue Service Center Generally, a political organization that taxpayer. P.O. Box 409101 files Form 8871 and accepts a Ogden, UT 84409 contribution or makes an expenditure for Note. A paid preparer may sign original an exempt function during the calendar or amended returns by rubber stamp, Private delivery services. In addition to the United States mail, the organization year must file this form. However, this mechanical device, or computer form is not required to be filed by an software program. Also, facsimile can use certain private delivery services designated by the IRS to meet the organization excepted from filing Form signatures are authorized. 8871 (see above), or a qualified state or “timely mailing as timely filing/payment” Paid Preparer Authorization rule for tax returns and payments. These local political organization (QSLPO) (see private delivery services include only the the Instructions for Form 8871 and Rev. If the organization wants to allow the IRS Rul. 2003-49, 2003-20 I.R.B. 903, for the following. to discuss its 2011 tax return with the definition of a QSLPO). paid preparer who signed it, check the • DHL Express (DHL): DHL Same Day Service; 3. Form 990, Return of Organization “Yes” box in the signature area of the Exempt From Income Tax, or Form 990- return. This authorization applies only to • Federal Express (FedEx): FedEx EZ, Short Form Return of Organization the individual whose signature appears Priority Overnight, FedEx Standard Exempt From Income Tax. in the Paid Preparer Use Only section of Overnight, FedEx 2Day, FedEx the return. It does not apply to the firm, if International Priority, and FedEx An exempt political organization must any, shown in that section. International First; and also file one of these forms if its annual gross receipts are $25,000 or more If the “Yes” box is checked, the • United Parcel Service (UPS): UPS Next ($100,000 or more for a QSLPO). organization is authorizing the IRS to call Day Air, UPS Next Day Air Saver, UPS the paid preparer to answer any 2nd Day Air, UPS 2nd Day Air A.M., UPS questions that may arise during the Worldwide Express Plus, and UPS processing of its return. The organization Worldwide Express. is also authorizing the paid preparer to: Form 1120-POL (2011) Page 4 The following political organizations If two or more amounts must be may apply if the organization does not are not required to file Form 990. added to figure the amount to enter on a file its tax return by the due date, • Any political organization excepted line, include cents when adding the including extensions. from the requirement to file Form 8871, amounts and round off only the total. Late filing of return. The organization and may be charged a penalty of 5% of the Depository Method of Tax unpaid tax for each month or part of a • Any caucus or association of state or local officials. Payment month the return is late, up to a The organization must pay the tax due in maximum of 25% of the unpaid tax. The See the instructions for Form 990 or minimum penalty for a return that is Form 990-EZ. full no later than the 15th day of the 3rd month after the end of the tax year. The more than 60 days late is the smaller of Accounting Methods two methods of depositing organization the tax due or $135. The penalty will not income taxes are discussed below. be imposed if the organization can show Figure taxable income using the method that the failure to file on time was due to of accounting regularly used in keeping Electronic Deposit Requirement reasonable cause. Organizations that file the organization’s books and records. The IRS has issued final regulations late must attach a statement explaining Generally, permissible methods include: under section 6302 that provide the reasonable cause. • Cash, beginning January 1, 2011, the Late payment of tax. An organization • Accrual, or organization must deposit all depository that does not pay the tax when due taxes (such as employment tax, excise generally may have to pay a penalty of • Any other method authorized by the tax, and corporate income tax) 1/2 of 1% of the unpaid tax for each Internal Revenue Code. electronically using the Electronic month or part of a month the tax is not In all cases, the method used must Federal Tax Payment System (EFTPS). paid, up to a maximum of 25% of the clearly show taxable income. Under these final regulations, Forms unpaid tax. The penalty will not be Change in accounting method. 8109 and 8109-B, Federal Tax Deposit imposed if the organization can show Generally, the organization may only Coupon, cannot be used after December that the failure to pay on time was due change the method of accounting used 31, 2010. For more information about to reasonable cause. to report taxable income (for income as EFTPS or to enroll in EFTPS, visit the Other penalties. Other penalties can be a whole or for any material item) by EFTPS website at www.eftps.gov, or call imposed for negligence, substantial getting consent on Form 3115, 1-800-555-4477. You can also get Pub. understatement of tax, and fraud. See Application for Change in Accounting 966, The Secure Way to Pay Your sections 6662 and 6663. Method. For more information, see Pub. Federal Taxes. 538, Accounting Periods and Methods. Depositing on time. For deposits made Assembling the Return by EFTPS to be on time, the Attach Form 4136, Credit for Federal Accounting Period organization must initiate the deposit by Tax Paid on Fuels, after page 1 of Form The organization must figure its taxable 8 p.m. Eastern time the day before the 1120-POL. Attach schedules in income on the basis of a tax year. The date the deposit is due. If the alphabetical order and other forms in tax year is the annual accounting period organization uses a third party to make numerical order after Form 4136. the organization uses to keep its records deposits on its behalf, they may have different cutoff times. Complete every applicable entry and report its income and expenses if space on Form 1120-POL. Do not write that period is a calendar year or a fiscal For more information on deposits, see “See attached” instead of completing year. However, an organization that does Pub. 583, Starting a Business and the entry spaces. If you need more not keep books or does not have an Keeping Records. space on the forms or schedules, attach annual accounting period must use the If the organization owes tax separate sheets using the same size and calendar year as its tax year. A new organization must adopt its tax year by the due date (not including extensions) of its first income tax return. ▲ ! CAUTION when it files Form 1120-POL, do not include the payment with the tax return. Instead, format as on the printed forms. Show the totals on the printed forms. Attach these separate sheets after all the schedules use EFTPS. and forms. Be sure to put the Change of tax year. After the organization’s name and EIN on each organization has adopted a tax year, it Interest and Penalties sheet. must get the consent of the IRS to change its tax year by filing Form 1128, Interest Application To Adopt, Change, or Retain Interest is charged on taxes paid late Specific Instructions a Tax Year. See Regulations section even if an extension of time to file is Period covered. File the 2011 return for 1.442-1 and Pub. 538. granted. Interest is also charged on calendar year 2011 and fiscal years that penalties imposed for failure to file, begin in 2011 and end in 2012. For a Rounding Off to Whole negligence, fraud, gross valuation fiscal year, fill in the tax year space at Dollars overstatements, and substantial the top of the form. The organization may round off cents to understatement of tax from the due date Note. The 2011 Form 1120-POL may whole dollars on the return and (including extensions) to the date of also be used if: accompanying schedules. If the payment. The interest charge is figured at a rate determined under section 6621. • The organization has a tax year of less organization does round to whole than 12 months that begins and ends in dollars, it must round all amounts. To Penalties 2012, and round, drop amounts under 50 cents and increase amounts from 50 to 99 Penalties may be imposed if the • The 2012 Form 1120-POL is not cents to the next dollar. For example, organization is required to file Form available at the time the organization is $1.39 becomes $1 and $2.50 becomes 1120-POL and it fails to file the form by required to file its return. The $3. the due date. The following penalties organization must show its 2012 tax year Form 1120-POL (2011) Page 5 on the 2011 Form 1120-POL and take are not deductible. To be deductible in Line 19. Taxable income. If the taxable into account any tax law changes that computing political organization taxable income on line 19 is zero or less, the are effective for tax years beginning after income, expenses must be directly Form 1120-POL is not required to be December 31, 2011. connected with the production of filed, but it may be filed to start the Address. Include the suite, room, or political organization taxable income. In statute of limitations period. other unit number after the street those cases where expenses are Line 20. Income tax. The rate of tax address. If the Post Office does not attributable to the production of both imposed depends on whether the deliver mail to the street address and the exempt function income and political political organization is a principal organization has a P.O. box, show the organization taxable income, the campaign committee as defined in box number instead of the street expenses should be allocated on a section 527(h). The tax rate is lower for a address. reasonable and consistent basis. Only principal campaign committee. the portion allocable to the production of Final return, name change, address Political organization not a principal political organization taxable income change, amended return. If the campaign committee. An organization may be deducted. No deduction is organization ceases to exist, check the that is not a principal campaign allowed for general administrative or “Final return” box. committee computes its tax by indirect expenses. If the organization has changed its multiplying line 19 by 35% and enters Line 7. Other income and nonexempt the result on line 20. name since it last filed a return, check function expenditures. Enter the the “Name change” box. Principal campaign committee income from other sources, such as: If the organization has changed its (section 527(h)). A political organization • Exempt function income that was not that is a principal campaign committee address since it last filed a return, check properly segregated for exempt of a candidate for U.S. Congress the “Address change” box. functions. computes its tax in the same manner as Note. If a change in address occurs • Income received in the ordinary course provided in section 11(b) for after the return is filed, the organization of a trade or business. corporations. Compute the tax as should use Form 8822, Change of • Ordinary income from the trade or follows: Address, to notify the IRS of the new address. business activities of a partnership 1. Enter taxable income (line (from Schedule K-1 (Form 1065), Part III, 19, Form 1120-POL) . . Amended return. If you are filing an box 1). 2. Enter line 1 or $50,000, amended Form 1120-POL: • Exempt function income (minus any whichever is less . . . • Check the “Amended return” box, deductions directly connected with the 3. Subtract line 2 from line 1 • Complete the entire return, production of that income) taxable under 4. Enter line 3 or $25,000, • Correct the appropriate lines with the section 527(i)(4) for failure to timely file whichever is less . . . new information, and Form 8871. Include amounts whether or 5. Subtract line 4 from line 3 • Refigure the tax liability. not segregated for use for an exempt 6. Enter line 5 or $9,925,000, function. whichever is less . . . Attach a sheet that explains the reason for the amendments and Also include on this line: 7. Subtract line 6 from line 5 identifies the lines and amounts being • Expenditures that were made from 8. Multiply line 2 by 15% . . changed on the amended return. exempt function income that were not 9. Multiply line 4 by 25% . . Generally, the amended return must be for an exempt function and resulted in direct or indirect financial benefit to the 10. Multiply line 6 by 34% . . filed within 3 years after the date the original return was due or 3 years after political organization (see Regulations 11. Multiply line 7 by 35% . . the date the organization filed it, section 1.527-5 for examples) and 12. If line 1 is greater than whichever is later. • Illegal expenditures. $100,000, enter the smaller of: 5% of taxable income Employer identification number (EIN). Attach a schedule listing all income in excess of $100,000, or Enter the nine-digit EIN assigned to the and expenditures included on line 7. $11,750 . . . . . organization. If the organization does not Line 17. Taxable income before 13. If line 1 is greater than $15 have an EIN, it must apply for one. An million, enter the smaller of: specific deduction of $100. Political EIN can be applied for: 3% of taxable income in organizations, newsletter funds, and excess of $15 million or • Online by clicking the Employer ID separate segregated funds compute $100,000 . . . . . Numbers (EINs) link at www.irs.gov/ their tax by subtracting line 16 from line businesses/small. The EIN is issued 14. Add lines 8 through 13. 8 and enter the result on line 17(c). Enter here and on line 20, immediately once the application Exempt organizations (section Form 1120-POL . . . information is validated. 501(c)) that are not political Note. Estimated tax and alternative • By telephone at 1-800-829-4933. organizations. Complete lines 17a and minimum tax do not apply to political The online application process is not 17b if the organization made exempt organizations. yet available for organizations with function expenditures that were not from addresses in foreign countries. a separate segregated fund. Enter on If the organization has not received its line 17c the smaller of line 17a or 17b. EIN by the time the return is due, write See Exempt organization that is not a “Applied for” in the space provided for political organization, earlier, for an the EIN. See Pub. 583 for details. explanation of the amounts to enter on these lines. Income and deductions. Campaign contributions and other exempt function income are generally not includible in income; likewise, campaign expenditures and other exempt function expenditures Form 1120-POL (2011) Page 6 Line 21. Tax credits. The organization 2. The organization owns more than Paperwork Reduction Act Notice. We may qualify for the following credits: 50% of the stock in any corporation that ask for the information on this form to • Foreign tax credit. See Form 1118, would answer “Yes” to item 1 above. carry out the Internal Revenue laws of Foreign Tax Credit—Corporations. See Form TD F 90-22.1, Report of the United States. You are required to Foreign Bank and Financial Accounts, to give us the information. We need it to • Qualified electric vehicle credit. See ensure that you are complying with these Form 8834, Qualified Plug-in Electric and find out if the organization is considered to have an interest in or signature or laws and to allow us to figure and collect Electric Vehicle Credit, and section 30. the right amount of tax. other authority over a financial account • General business credit (excluding in a foreign country. You are not required to provide the the small employer health insurance information requested on a form that is premium credit, the Indian employment If “Yes” is checked for this question, file Form TD F 90-22.1 by June 30, 2012, subject to the Paperwork Reduction Act credit, the work opportunity credit, the unless the form displays a valid OMB welfare-to-work credit, the with the Department of the Treasury at the address shown on the form. Do not control number. Books or records empowerment zone and renewal relating to a form or its instructions must community employment credit, the attach it to Form 1120-POL. be retained as long as their contents differential wage payment, and the If the due date falls on Saturday, may become material in the employee retention credit). See Form Sunday, or legal holiday, the administration of any Internal Revenue 3800, General Business Credit. organization must file on the next law. Generally, tax returns and return Enter the total amount of qualified business day. information are confidential, as required credits on line 21 and attach the You can get Form TD F 90-22.1 by by section 6103. applicable credit forms. calling 1-800-TAX-FORM The time needed to complete and file Line 22. Total tax. If the political (1-800-829-3676) or you can download it this form will vary depending on organization must recapture any of the from IRS.gov. individual circumstances. The estimated qualified electric vehicle credit, include Also, if “Yes” is checked for this average time is: the amount of the recapture in the total question, enter the name of the foreign Recordkeeping . . . 17 hr., 13 min. for line 22. On the dotted line next to the country or countries. Attach a separate entry space, write “QEV recapture” and sheet if more space is needed. Learning about the the amount. See Regulations section law or the form . . . . 5 hr., 15 min. 1.30-1 for details on how to figure the Question 2 Preparing the form. . 12 hr., 17 min. recapture. If you checked “Yes,” to Question 2, the Copying, assembling, organization may be required to file Form and sending the form Additional Information 3520, Annual Return To Report to the IRS . . . . . . 1 hr., 52 min. Transactions With Foreign Trusts and Question 1 Receipt of Certain Foreign Gifts. For If you have comments concerning the Foreign financial accounts. Check the details, see Form 3520. accuracy of these time estimates or “Yes” box if either 1 or 2 below applies suggestions for making this form Note. An owner of a foreign trust must simpler, we would be happy to hear to the organization. Otherwise, check the ensure that the trust files an annual “No” box. from you. You can write to: information return on Form 3520-A, 1. At any time during the 2011 Annual Information Return of Foreign Internal Revenue Service calendar year the organization had an Trust With a U.S. Owner. For details, see Tax Products Coordinating Committee interest in or signature or other authority the instructions for Form 3520-A. SE:W:CAR:MP:T:T:SP over a bank, securities, or other financial 1111 Constitution Ave. NW, IR-6526 account in a foreign country; Question 3 Washington, DC 20224 • The combined value of the accounts In the space provided, show any tax- Do not send the tax form to this was more than $10,000 at any time exempt interest income received or address, see When and Where To File on during the calendar year; and accrued. Include any exempt-interest page 3. dividends received as a shareholder in a • The account was not with a U.S. mutual fund or other regulated military banking facility operated by a investment company. U.S. financial institution.
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