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.

\ -I

.I

(and proxy tax under section 6033(e))
For calendar year 2012 or other tax year beginning
, 2012, and
_
--------------_
ending
,_20
> See separate instructions.

DeparImentoftheTreasury
Internal Revenue Service
A El glgfelsbgllffn ed
B Exempt under sectgion
501( c )( 3 )
Cl 408(e) _|:l 22o(e)
E] 4oaA
El 530(3)
El 529(a)

e . 0
3.3?lL}EiP8?$'n'.'2Z?.oZ;13.1.,

Name of organization ( E] Check box if name changed and see instructions)
Brigham Young UniVefsiy'HaWaii

9 E.-"prover idencagn number
(Employees. trust. see instructions.)

Png Number. street, and room or suite no. If a P.0 box, see instructions.
Type BYUH Box #1955, 55-220 Kulanui Street
City or town state and ZIP code
La'ie, HI 96762

3 fg,'gg';1;eg,3'' 353 F
267,960,000 G

Group exemption number (see instructions) P
Check or9 anization t VP e >
501 c corporation

99 0083825
E '''''' '_'" '''''' "
(see Instructions)
122320
E
323100

|:| 501(c) trust

I] 401 a trust

lj Other trust

H
I

Describe the oLqanization's primary unrelated business activity. > catering, Print Services, Copy Center
During the tax year, was the corporation a subsidiary in an affiliated group or a parent-subsidiary controlled group? .

J

If Yes," enter the name and identiing number of the parent corporation. > The church of Jesus Christ of LDS 23-7300405
The books are in care of > Eric Marler
Telephone number F
808-615-3108
1a
b

6
2SQANNED
2
013

OMB No. 1545-0687

Exempt Organization Business Income Tax Return

Form" 990- T

Unrelated Trade or Business Income
Gross receipts or sales
304,700
oo
Less returns and allowances
c

(A) Income
Balance D

.> Yes

(3) Expenses

1c

304,100

00

2
3
4a
b
c
5
6
7
8

Cost of goods sold (Schedule A, line 7) .
2
Gross profit. Subtract line 2 from line 1c .
. .
3
Capital gain net income (attach Schedule D) . . . . .
4a
Net gain (loss) (Form 4797, Part II, line 17) (attach Form 4797)
4b
Capital loss deduction for trusts . . . . . . . . .
4c
Income (loss) from partnerships and S corporations (attach statement)
5
Rent income (Schedule C)
. . . . . .
6
Unrelated debt-financed income (Schedule E) . . . . .
7
Interest, annuities, royalties, and rents from controlled
organizations (Schedule F) . . . . . . . . . . .
3

135,322
169,318

00
00

9

investment income of a
organization (Schedule G)

|:|No

(6) Net

169,373

00

10
11
12

Exploited exempt activity income (Schedule I) .
Advertising income (Schedule J) . . . . .
Other income (see instructions; attach statement).

13

Total. Combine lines 3 throughg
. . . . .
13
169.373
00
169,313
Deductions Not Taken Elsewhere (see instructions for limitations on deductions) (except for contributions,
deductions must be directly connected with the unrelated business income)

00

14
15

Compensation of officers, directors, and trustees (Schedule K)
Salaries and wages

16
17

Repairs and maintenance
Bad debts
. .

18
19

Interest (attach statement)
Taxes and licenses .

20

Charitable contributions (see instructions for l

21
22
23
24
25
26
27
28

Depreciation
(attach
Form 4562)
9 .
Less
depreciation
claimed
on Schedule A. an. els
Depletion .
.
. .
Contributions to deferred compensation plans"
.
Employee benefit programs .
.
Excess exempt expenses (Schedule I)
Excess readership costs (Schedule J)
Other deductions (attach statement) .
.

29
30
31

Total deductions. Add lines 14 through 28
. . . . . . . . . . . . . . . . . .
Unrelated business taxable income before net operating loss deduction. Subtract line 29 from line 13
Net operating loss deduction (limited to the amount on line 30) . . . . . . . . . .

29
30
31

200.090 J
(o,112
00)

32
33
34

Unrelated business taxable income before specific deduction. Subtract line 31 from line 30 .
Specific deduction (generally $1,000, but see line 33 instructions for exceptions) . . . . . .
Unrelated business taxable income. Subtract line 33 from line 32. If line 33 is greater than line 32,
enter the smaller of zero or line 32 .
. .

32
33

(30,112

section
.

.

.

.

501(c)(7), (9),
. . . . .

9
10
11
12

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

.
.

For Papenivork Reduction Act Notice, see instructions.

or (17)
. .

14
15

.

.

.
.

.

.
:

.
.

.
.

.
.

.

.

.

.

.

.

.

U
.0)

ZUJ3.
.

."n
. e. um
. .

.

.

I.

.

.

.

.

.

.

.

.

16
17
.
.
.

gr'42a
E1
.__.| .
.

Cat No. 11291J

18
19
.

.

.

3,570

165,495

00

6,132

00

1,495

00

6,510

00

19,193

on

20
oo 22b
23
24
25
26
27
28

09)

34
Form 990-T (2012)

Form 990-T (2012)

Page 2

Part III
Tax Computation
35
Organizations taxable as corporations (see instructions for tax computation). Controlled group
members (sections 1561 and 1563) check here D |:] See instructions and:
a

Enter your share of the $50,000, $25,000, and $9,925,000 taxable income brackets (in that order):
(1) $
(2) $
(3) $

b

Enter organization's share of: (1 ) Additional 5% tax (not more than $11,750)
(2) Additional 3% tax (not more than $100,000) . . . . . . . . .
Income tax on the amount on line 34 .
. . . . . . . . . .

c
36

$
$
.

.

.

.

.

Trusts taxable at trust rates (see instructions for tax computation). Income
the amount on line 34 from: ('_| Tax rate schedule or El Schedule D (Form 1041) .

.

>

35c

tax

on
P

35

37
38

Proxy tax (see instructions) .
Alternative minimum tax .

.

37
38

39

Total. Add lines 37 and 38 to line 35c or 36, whichever applies

39

40a
b
c
d
e
41

Tax and Payments
Foreign tax credit (corporations attach Form 1118; trusts attach Form 1116)
Other credits (see instructions) . . . . . . . . . . .
General business credit. Attach Form 3800 (see instructions) .
Credit for prior year minimum tax (attach Form 8801 or 8827) .
Total credits. Add lines 40a through 40d
Subtract line 40e from line 39
. . . . . . . . . . . .

42
43

Other taxes. Check if from: III Form 4255 El Form 8611 III Fonn e697 [3 Form ease C] Other (attach statement).
Total tax. Add lines 41 and 42 .
. . .
. .

44a

P
.

.

.

.

.

.

.

.

.

.

0

00

o

oo

a 321

oo

3 321

oo

40a
40b
40c
40d
.

.

.

.

Payments: A 2011 overpayment credited to 2012

44a

b
c
cl

2012 estimated tax payments .
. . .
Tax deposited with Form 8868 . . . . . . . . . . . . . .
Foreign organizations: Tax paid or withheld at source (see instructions)

44b
44c
44-d

e
f
9

Backup withholding (see instructions)
. . . . . . . . . .
Credit for small employer health insurance premiums (Attach Form 8941) .
Other credits and payments:
[I Form 2439

4443
44f

.

.

.

.

40c
41

.

42
43

45
46
47

Form 4136
0 321.00
El Other
Total > 1
Total payments. Add lines 44a through 44g . . . . . . . . . . . . .
Estimated tax penalty (see instructions). Check if Form 2220 is attached .
Tax due. If line 45 is less than the total of lines 43 and 46, enter amount owed .

,3z1
oo
. . .
45
. > U 46
>
47

48
49

Overpayment. If line 45 is larger than the total of lines 43 and 46, enter amount overpaid
.
D
Enter the amount of line 48 you want: credited to 2013 estimated tax D
Refunded D

48
49

Statements Regarding Certain Activities and Other Information (see instructions)
1

At any time during the 2012 calendar year, did the organization have an interest in or a signature
or other authority over a financial account (bank, securities, or other) in a foreign country?
If "Yes," the organization may have to file Form TD F 90-22.1, 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? .

Y9

"

,/
I

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 D
Schedule ACost of Goods Sold. Enter method of inventory valuation >
1
2
3

Inventory at beginning of year
Purchases
. . . . . .
Cost of labor , _ _ _ _ _

4a

Additional section 263A costs

b
5

1
2
3

(attach Statement) -

4a

other costs (attach statement)

41;

135,322

oo

6
7

8

$

Inventory at end of year .
cost of goods sold. Subtract
line 6 from line 5. Enter here and

6

in Part I. he 2 -

7

-

-

-

135 322

Do the rules of section 263A (with respect to

V95

oo
N0

property produced or acquired for resale) apply

j

Tota|_ Add nes 1Jhmu h 4b
5
135432
00
to the organization? . . . . . . . . .
,/
Under penalties
declare that I have examined this return, Including accompanying schedules and statements. and to the best of my knowledge and belief, it Is tme,

Sign

.

arer (other thamaxpayer) IS based on all Information of which preparer has any knowledge.

Here
Paid

"'1 "13
Date
Print/Type preparer's name

Preparer
use only

Preparer's signature

} VP Adminstrative Services
Title
Date

May "1 B IRS dlSCLISS m IS return
Izztfgjgg
Check E] if

,3:

PTIN

self-employed
Fll|TI'S name >
Firm's acl_diress >

Firm's EIN >
Phone no
Form 990-T (2012)

I

\

Form 990-T (2012)

Page 3

Schedule CRent Income (l-'-7cm REI Property and gsonal |3roperty Leased With Real Property)
(see instructions)
1. Description of property
(1)
(2)
(3)
(4)
2. Rent received or accrued
(a) From personal property (if the percentage of rent
(or personal property is more than 10% but not
more than 50%)
(1)
(2)
(3)
(4)
Total

3(a) Deductions directly connected with the income
in columns 2(a) and 2(b) (attach statement)

(b) From real and personal property of the
percentage of rent for personal property exceeds
50% or if the rent is based on profit or income)

Total

(b) Total deductions.
Enter here and on page 1,
Part I, line 6, columnjg) P

(c) Total income. Add totals of columns 2(a) and 2(b). Enter
here and onEge 1, Part I, line 6, column (A)
Schedule EUnrelated Debt-Financed Income (see instructions)
2 Gross income from or
1. Description of debtfinanced property

3. Deductions ngrggcgeiptltg or allocable to

allocableptooggtrn-nanced

(3) Straight [me depreciation
(attach statement)

M other deductions
(attach statement)

C I
dieiggg
by column 5

7. Gross income reportable
(column 2 x column 6)

H
(cotnogibiggfgrgmns
3(a) an d M)

Enter here and on page 1.
Part I, line 7, column (A).

Enter here and on page 1,
Part I, line 7, column (B).

(1)
(2)
(3)
(4)
4. Amount of average
acquisition debt on or
allocable(attach
to debt-nanced
property
statement)

5. Average adjusted basis
of or allocable to
debt-financed
property
(attach statement)

(1)
(2)
(3)
(4)

%
%
%
%

Totals
Total dividends-received deductions included in-column 8'

. D
D

Schedule Flnterest, Annuities, Royalties, and Rents l=rom.cont'rol-led O-rganizations'(see instructions)
Exempt Controlled Organizations
1. Name of controlled
2. Employer
5. Part of column 4 that is
6. Deductions directly
Identication number 3. Net unrelated Income 4. Total of specled
organization
connected with income
included In the controlling
(loss) (see instructions)
payments made
in column 5
organization's gross income
(1)
(2)
(3)
(4)
Nonexempt Controlled Organizations
7. Taxable Income

8. Net unrelated income
055) (599 mstmcons)

9. Total of specied
paymems made

10. Part of column 9 that is
included in the controlling
organizations gross income

11. Deductions directly
connected with income in
column 10

Add columns 5 and 10.
Enter here and on page 1.
Part l. line 8. column (A).

Add columns 6 and 11.
Enter here and on page 1,
Part I, line 8, column (B).

(1)
(2)
(3)
(4)

Totals

. D
Fonn 990-T (2012)

Forrn 990-T (2012)

Page 4

Schedule Glnvestment Income of a Section 501(c)(7), (9), or (17) Organization (see instructions)
3. Deductions
4. Set-asides
2 Amount of income
1. Description of income
directly connected
(attach statement)
(attach statement)

5. Total deductions
plus col. 4(col. 3
and set-asides

(1)
(2)
(3)
(4)
Enter here and on page 1,
Part I, line 9, column (B).

Enter here and on page 1.
Part I, line 9. column (A).
D

Totals

Schedule I-'Exp_lo-ited Exempt Activity Income, Other Than Advertising income (see instructions)
4. Net income

1. Description of exploited activity

2_ Gross

3. Expenses

(loss) from

unrelated
business
income

conrigtcetcllywith
.

lt1>'i1.i::'\at:: (t(::):(.lel'T:\r

busmess

':::::.;'..i.*
business income

Enter here and on
page 1, Part I,
line 10, col. (A).

Enter here and on
page 1. Part I.
line 10. col. (B)

compute cols. 5
through 7.

7. Excess exempt
:ogrE1is;i\)rit$:)?:l

8' Expensesto
attributable

(col?i)rnpr?r(5s:nsinus

.::.".:;::i:':.:.;$.

'::.;*.:~.:::;"*
column 4).

(1)
(2)
(3)
(4)
Enter here and
on pa e 1,
Part II, I ne 26.

Totals.........>

.

Schedule JAdvertising Income (see instructions)
Income From Periodicals Reported on a consolidated Basis
4. Advertising
2. Gross
.
gain or (loss) (col.
1. Name of periodical
advertlslng
d :t't.D.'r:e:sts 2 minus col. 3). ll
income
a Va '5' 9
a gain, compute
cols 5 through 7.

.
5' lC|_:""na:

7. Excess readership
costs (column 6
minus column 5. but
not more than
column 4)

6' Readgsmp
cos

(1)
(2)
(3)
(4)
>
Totals (cany to Part ll. line (5))
Part II
Income From Periodicals Reported on a separate Basis (For each periodical listed in Part II, fill in columns 2
through 7 on a line-by-line basis.)
4_. Advertising
1. Name of periodical

avsrrtgg
income

advgtiggzcgosts

Enter here and on
page 1, Part I,
line 11. cal (A)

Enter here and on
page 1, Part I.
line 11, cal. (B).

ga:rriir?us([?xs:.)
a gain, compute
cols. 5 through 7.

7. Excess readership
5' (i:r::::La:"

6' Hzaaggship

m|?i:.:.t:)>:r!i$rrin gut
not more than
column 4)

(1)
(2)
(3)
(4)
Totals from Part I

Totals, Part II (lines 1-5)

.

Enter here and
on page 1,
Part ll. line 27.

P

Schedule KCompensation of Officers, Directors, and Trustees (see instructions)
3. Percent of
1. Name

2. Title

timla)l<1;\r/tgesd to

(1)

%

(2)
(3)
(4)

96
%
%

Total. Enter here and on page 1, Part II. line 14

D

-

-

4' C":]%:1|:'gr,:::$;ab|e to

Form 990-T (2012)

OMB No. 1545-0162
Credit for Federal Tax Paid on Fuels

.-4136
Department of the Treasury
Internal Revenue Service (99)

2@12
Attachment

> Information about Form 4136 and its instructions is at www.irs.gov/form-H36.

Sequence M3
Taxpayer identication number

Name (as shown on your income tax return)

99-ooaagg
Brigham Young Universig - Hawaii
caution. Claimant has the name and address of the person who sold the fuel to the claimant and the dates of purchase. For
claims on lines 1c and 2b (type of use 13 and 14), 3d, '4c, and 5, claimant has not waived the right to make the claim.
For claims on lines 1c and 2b (type of use 13 and 14), claimant certies that a certicate has not been provided to the
credit card issuer.
The alternative fuel mixture credit cannot be claimed on this form or on Schedule 3 (Form 8849). It must be taken as
a credit against your taxable fuel liability (gasoline, diesel fuel, and kerosene) reported on Form 720.
1

Nontaxable Use of Gasoline

Note. CRN is credit reference number.
(a) Type of use

3

Off-highway business use

b
C
d

Use on a fann for farming purposes
Other nontaxable use (see Caution above line 1)
Exported

2

(c) Gallons

(d) Amount of credit

(e) CRN

$ .133
13

_133
.183
.134

385
32,178

}

$

6,069

oo

I

362
411

Nontaxable Use of Aviation Gasoline
(a) Type of use

3
b

Use in commercial aviation (other than foreign trade)
Other nontaxable use (see caution above line 1)

C
d

Exported
LUST tax on aviation fuels used in foreign trade

3

(b) Rate

(b) Rate
$ .15
.193

(c) Gallons

I ((1) Amount of credit
$

.194
.001

(e) CRN
354
324
41 2
433

Nontaxable Use of Undyed Diesel Fuel
Claimant certifies that the diesel fuel did not contain visible evidence of dye.
Exception. if any of the diesel fuel included in this claim did contain vis'ib|e evidence of dye, attach an explanation and check here >
D
(a) Type of use (b) Rate
(c) Gallons
(d) Amount of credit (e) CRN
a
I3
0

Nontaxable
usefor farming purposes
Use on a fann
Use in trains

d

Use in certain intercity and local buses (see caution
above line 1)

e

Exported

4

'3

s .243
243
.243

7,993
1,213

} $

2 252

oo

360
353

_17

350

.244

41 3

Nontaxable Use of Undyed Kerosene (Other Than Kerosene Used in Aviation)
Claimant certifies that the kerosene did not contain visible evidence of dye.
Exception. If any of the kerosene included in this claim did contain visible evidence of dye, attach an explanation and check here >
E]
(a) Type of use
(b) Rate
(c) Gallons
(cl) Amount of credit (e) CRN

a
b
c

Nontaxable
at purposes
$.244
Use
on a farmuse
fortaxed
farming
Use in certain intercity and local buses (see Caution
above line 1)

d
e
f

Exported
Nontaxable use taxed at $.044
Nontaxable use taxed at $219

For Paperwork Reduction Act Notice, see the separate instructions.

$ .243
.243

} $

346

_17

347

.244
.043
213

41 4
377
359

Cat. No 12625R

Form 4136 (2012)

Form 4136 (2012)
5

lfage 2

Kerosene Used in Aviation (see Caution above line 1)
(a) Type of use

(b) Rate

(c) Gallons

(d) Amount of credit

(e) CRN

a

Kerosene used in commercial aviation (other than foreign
trade) taxed at $244

5 209

b

Kerosene used in commercial aviation (other than foreign
trade) taxed at $219

175

355

C

Nontaxable use (other than use by state or local
government) taxed at $.244

243

345

d

Nontaxable use (other than use by state or local
government) taxed at $ 219

_;_13

359

e

LUST tax on aviation fuels used in foreign trade

.001

433

6

Sales by Registered Ultimate Vendors of Undyed Diesel Fuel

$

417

Registration No. >

Claimant certifies that it sold the diesel fuel at a tax-excluded price, repaid the amount of tax to the buyer, or has obtained the written consent
of the buyer to make the claim. Claimant certifies that the diesel fuel did not contain visible evidence of dye.
Exception. if any of the diesel fuel included in this claim did contain visible evidence of dye, attach an explanation and check here
a
b

7

(b) Rate
5 243
.17

Use by a state or local government
Use in certain intercity and local buses

(c) Gallons

. F

| (d) Amount of credit
]$
I

E]

(e) CRN
350
350

Sales by Registered Ultimate Vendors of Undyed Kerosene (Other
Than Kerosene For Use in Aviation)

Registration No_ 5

Claimant certifies that it sold the kerosene at a tax-excluded price, repaid the amount of tax to the buyer, or has obtained the written consent of the
buyer to make the claim. Claimant certies that the kerosene did not contain visible evidence of dye.
Exception. If any of the kerosene included in this claim did contain visible evidence of dye, attach an explanation and check here .
. > D
(b) Rate
(c) Gallons
(d) Amount of credit (e) CRN
a
b
c

8

Use byfrom
a state
or localpump
government
Sales
a blocked
Use in certain intercity and local buses

$ .243
.243
.17

sales by Registered Ultimate Vendors of Kerosene For Use in Aviation

} $

346
347

Registration No. >

Claimant sold the kerosene for use in aviation at a tax-excluded price and has not collected the amount of tax from the buyer, repaid the
amount of tax to the buyer, or has obtained the written consent of the buyer to make the claim. See the instructions for additional information
to be submitted.
(a) Type of use
a

(b) Rate

(c) Gallons

(d) Amount of credit

(e) CRN

Use in commercial aviation (other than foreign trade) taxed
813-219

$ .175

b

Use in commercial aviation (other than foreign trade) taxed
at $244

.200

417

c
d

Nonexempt use in noncommercial aviation
Other nontaxable uses taxed at $.244

025
_243

418
346

e

Other nontaxable uses taxed at $.219

.218

369

f

LUST tax on aviation fuels used in foreign trade

.001

433

$

355

Fonn 41 36 (2012)

I
Form 41316 (2012)
9

page 3

Reserved

Registration No. >

(b) Rate
a
b
10

(cl Ga""= 0*
alcohol

(u) Amount of credit

is) cRN

Reserved
Reserved
Biodiesel or Renewable Diesel Mixture credit

Registration No. >

Biodiesel mixtures. Claimant produced a mixture by mixing biodiesel with diesel fuel. The biodiesel used to produce the mixture met ASTM
D6751 and met EPA's registration requirements for fuels and fuel additives. The mixture was sold by the claimant to any person for use as a
fuel or was used as a fuel by the claimant. Claimant has attached the Certificate for Biodiesel and, if applicable. the Statement of Biodiesel
Reseller. Renewable diesel mixtures. Claimant produced a mixture by mixing renewable diesel with liquid fuel (other than renewable diesel).
The renewable diesel used to produce the renewable dlesel mixture was derived from biomass process. met EPA's registration requirements
for fuels and fuel additives, and met ASTM D975, D396, or other equivalent standard approved by the IRS. The mixture was sold by the
claimant to any person for use as a fuel or was used as a fuel by the claimant. Claimant has attached the Certificate for Biodiesel and, if
applicable, the Statement of Biodiesel Reseller. both of which have been edited as discussed in the Instructions for Form 4136. See the
instructions for line 10 for information about renewable diesel used in aviation.
lb) Rate

a
b
c
11

Biodiesel (other than agri-biodiesel) mixtures
Agri-biodiesel mixtures
Renewable diesel mixtures

(cl Gallons of
biodiesel or
renewable
diesel

$1.00
$1.00
$1.00

(d) Amount of credit

$

(e) GRN

388
390
307

Nontaxable Use of Alternative Fuel
caution. There is a reduced _credit rate for use in certain intercity and local buses (type of use 5) (see instructions).
(a) Type of use

(b) Rate

(c) Gallons
(d) Amount of credit
or gasoline
gallon
equivalents (GGE)

a
b

Liquefied petroleum gas (LPG)
"P Series" fuels

c
d

Compressed natural gas (CNG) (GGE = 126.67 cu. ft.)
Liquefied hydrogen

.183
.183

421
422

e

Fischer-Tropsch process liquid fuel from coal (including
peat)
Liquid fuel derived from biomass
Liquefied natural gas (LNG)
Liquefied gas derived from biomass

.243
.243
.243
.183

423
424
425
435

f
g
h
12

$ .183
.183

Alternative Fuel credit

$

(e) CRN

419
420

Registration No. >
(bl 3816

$ 50
.50
.50
.50

(0) Gallons
(d) Amount of credit
or gasoline
gallon
equivalents (GGE)

a
b
c
d

Liquefied petroleum gas (LPG)
"P Series" fuels
Compressed natural gas (CNG) (GGE = 121 cu. ft.)
Liquefied hydrogen

e
f

Fischer-Tropsch process liquid fuel from coal (including peat)
Liquid fuel derived from biomass

g

Liquefied natural gas (LNG)

50

432

h
i

Liquefied gas derived from biomass
Compressed gas derived from biomass (GGE = 121 cu. ft.)

.50
.50

436
437

.50
.50

$

(9) CRN

425
427
428
429
430
431

Fonn 41 36 (2012)

Form 4136 (2012)
13

Page 4

Registered Credit Card Issuers

a
b
c

14

Registration No. D

Diesel fuel sold for the exclusive use of a state or local government
Kerosene sold for the exclusive use of a state or local government
Kerosene for use in aviation sold for the exclusive use of a state or local
government taxed at $.219

(b) Rate
$ 243
.243

(c) Gallons

| (d) Amount of credit
$

213

(e) CRN
360
346
359

Nontaxable Use of a Diesel-Water Fuel Emulsion
Caution. There is a reduced credit rate for use in certain Intercity and local buses (type of use 5) (see instructions).
(a) Type of use

a
b

15

Nontaxable use
Exported

_

Diesel-Water Fuel Emulsion Blending

(b) Rate
$ .197
.198

16

17

| (d) Amount of credit
I$
I

(9) CRN
309
306

Registration No. >
(b) Rate

Blender credit

(c) Gallons

'

(c) Gallons

$ .046

(d) Amount of credit
$

I

(9) CRN
310

Exported Dyed Fuels and Exported Gasoline Blendstocks

a

Exported dyed diesel fuel and exported gasoline blendstocks taxed at $.0O1

b

Exported dyed kerosene

(b)Rate
$ .001

(c) Gallons

.001

Total income tax credit claimed. Add lines 1 through 16, column (d). Enter here and on Form
1040, line 70; Form 1120, Schedule J, line 19b; Form 11208, line 23c; Form 1041, line 24g; or
the proper line of other returns. D

](d)Amounto1'credit
|$
I

17 $

(e) can
415
416

3_,_
321
go
_
Fonn 41 36 (2012)


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