PDF Archive

Easily share your PDF documents with your contacts, on the Web and Social Networks.

Share a file Manage my documents Convert Recover PDF Search Help Contact



EPA 2012 .pdf


Original filename: EPA_2012.pdf

This PDF 1.3 document has been generated by pdftk 2.01 - www.pdftk.com / itext-paulo-155 (itextpdf.sf.net-lowagie.com), and has been sent on pdf-archive.com on 12/03/2017 at 19:48, from IP address 47.216.x.x. The current document download page has been viewed 644 times.
File size: 2 MB (37 pages).
Privacy: public file




Download original PDF file









Document preview


Form 990-T
f memmu
E::r71::nRe:\:;'|U3 SOFVICB ry

Exempt Organization Business Income Tax Return
(and proxy tax under section 6033(e))
For calendar year 2012 or other tax year beginning
, and ending

A :1 Check box if
address changed
B Exempt under section
as,
8
N
"2
F
2
2

501(C )( 3 )
[:l 408(e) I:]220(e)
1: 408A i:530(a)
ljszeta)

Name of organization ( [__] Check box if name changed and see instructions.)
Print

ENSIGN PEAK ADVISORS ,

Tw;

Number, street, and room or suite no. If a P.O. box, see instructions.
5 0 E NORTH TEMPLE ST - COB 2 2
City or town, state, and ZIP code
SALT LAKE CITY, UT
84150-0022

C Book value of all assets F Group exemption number (see instructions)
3 ed year OVER G Check organization type D
1 , 000 , 000 .

'5
g 1e(:X:?)F6ll"3::l'ZnsllF;ef1cS"grrI|f)?r
DfE",},F;;;:,Yy;e';.=,';;,_a;;,;' "'""'
Instructions)

INC .

84-1432969
Etg:;::;t?u:::'r?se)ss mm was

525990

541900

P

501(c) corporation

|_I 501(c) trust

D 401(a) trust

1:] Other trust

H Describe the organization's primary unrelated business activity. D INVESTING
g 3 I During the tax year, was the corporation a subsidiary in an affiliated group or a parent-subsidiary controlled group?
_, 3
lf "Yes," enter the name and identifying number of the parent corporation. P
SEE STATEMENT 4
E;
J The books
in care of P
CRAIG
WHI TING
, TAX MANAGER
0- [Part
I | are
Unrelated
Trade
or Business
Income
3

1a Gross receipts or sales
b Less returns and allowances
2
3
4a
b
c
5
6
7
8
9

D LX_1 Yes

P 801
(A) lncomeTelephone number
(B) Expenses

D

1c

10
11
3/5
(S,

12
13

Other income (see instructions; attach statement)
Total. Combine lines3through 12

,/1

I Part II | Deductions Not Taken E|SeW.|1g,(s_e_e;i,rtst@or"is;>r limitations on deductions)
(except for contributions, deduction'must bjegdll'_6Ct|y-d0I12L6d.Wl}Qt|)e unrelated business income)
14
Compensation of officers, directors, and trustees (Schedule'K)/
_
\ $3\

14

15
16

15
16

3 17
E1, 18
(39 19
\'g 20
ES 21
Q9 22
23
24
25
26
27
28
29
30
31
32
33
34

Salaries and wages
Repairs and maintenance

2 4 0 - (0)
3 0Net
30
,

c Balance

Cost of goods sold (Schedule A, line 7)
Gross profit Subtract line 2 from line 1c
Capital gain net income (attach Schedule D)
Net gain (loss) (Form 4797, Part II, line 17) (attach Form 4797)
Capital loss deduction for trusts
Income (loss) from partnerships and S corporations (attach statement)
Rent income (Schedule C)
Unrelated debt-financed income (Schedule E)
Interest, annuities, royalties, and rents from controlled organizations (Sch. F)
Investment income of a section 501(c)(7), (9), or (17) organization
(Schedule G)
Exploited exempt activity income (Schedule I)
Advertising income (Schedule J)

K0
'Z

:1 No

2
3
4a
4b
4c
5
6
7
8

K0,)
\\ '

STMT

557 , 983 .
15 , 824 .

573 , 807 .

573 , 807 .

1915
\
_ __ .J J\

Bad debts
1
;_. if;
\
Interest (attach statement)
1
N}: I
Taxes and licenses
L-"/7
Charitable contributions (see instructions for limitation rules) STATEMENT 5
SEE STATEMENT
Depreciation (attach Form 4552)
_
21
Less depreciation claimed on Schedule A and elsewhere on return
_
_
22a
Depletion
Contributions to deferred compensation plans
Employee benefit programs
Excess exempt expenses (Schedule I)
Excess readership costs (Schedule J)
Other deductions (attach statement)
SEE STATEMENT
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)
SEE STATEMENT
Unrelated business taxable income before specific deduction. Subtract line 31 from line 30
Specific deduction (generally $1,000, but see instructions for exceptions)
Unrelated business taxable income. Subtract line 33 from line 32. If line 33 is greater than line 32, enter the smaller

m7o1ofzeroorIine32
01-11.13 LHA For Paperwork Reduction Act Notice, see instructions.

1

9
10
11
12
,,.13

Ln

557 , 983 .
15 , 824 .

2

3

6

17
18
19
20
22b
23
24
25
26
27
28
29
30
31
32
33

34

0 .

222 , 179 .

1 , 095 , 719 .
1 , 317 , 898 .
-744 , 091 .
-744 , O91 .
1 , 0OO .

_744,991_
Form 990-T (2012)

(236
G5

2

Form99oT12012; ENSIGN PEAK ADVISORS , INC .
FPart lllj 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):
to

Is

0-

l

(2) Is

0-

84l432969

(3) l$

0-l

b Enter organization's share of: (1) Additional 5% tax (not more than $11,750)
|$
0
(2) Additional 3% tax (not more than $100,000)
|$
0 .|
c Income tax on the amount on line 34
36 Trusts taxable at trust rates (see instructions for tax computation). Income tax on the amount on line 34 from:
|:l Tax rate schedule or [:1 Schedule 0 (Form 1041)
37 Proxy tax (see instructions)
38 Alternative minimum tax
39 Total. Add lines 37 and 3810 line 35c or 36, whichever applies
I Part IV I Tax and Payments
401:
b
c
d
e
41
42
43
44 a
b
c
d
e
1
9

D

D

35c

0 .

as
37
38
39

51 , 485 .
51 , 485 .

Foreign tax credit (corporations attach Form 1118; trusts attach Form 1116)
403
Other credits (see instructions)
40b
General business credit. Attach Form 3800
40c
25 , 218 .
Credit for prior year minimum tax (attach Form 8801 or 8827)
40d
Total credits. Add lines 40a through 40d
40a
Subtract line 40e from line 39
41
Other taxes. Check if from: 1: Form 4255 1: Form 8611 :1 Form 8697 [:1 Form 8866 :1 Other (attach statement)
42
Total tax. Add lines 41 and 42
_
43
Payments: A 2011 overpayment credited to 2012
44a
50 , 000 .
2012 estimated tax payments
44b
Tax deposited with Form 8868
44c
Foreign organizations: Tax paid or withheld at source (see instructions)
Backup withholding (see instructions)
Credit for small employer health insurance premiums (Attach Form 8941)
Other credits and payments:
[:1 Form 2439

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,

2

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. 11 "Yes," enter the name of the foreign country here P
122,=:;:31:12.14:;1:.;9:;'1:::::::.;:;.:3:t;:1:;1':e-.2'ii:5"

3 Enter the amount of tax-exernpt interes_t received or accrued during the tax year D$
Schedule A - Cost of Goods Sold. Enter method of inventory valuation D N/A
1 Inventory at beginning of year
1
6 Inventory at end of year

5

2
3
4a

25 , 218 .
26 , 2 6 7 .
26 , 267 .

44d
Me
441

Form 4136
585 . :1 Other
Total D
44g
585 . _
45 Total payments. Add lines 44a through 44g
45
46 Estimated tax penalty (see instructions). Check it Form 2220 is attached D 1:]
46
47 Tax due. 11 line 45 IS less than the total of lines 43 and 46, enter amount owed
D
47
48 Overpayment. If line 45 is larger than the total of lines 43 and 46, enter amount overpaid
D
48
49 Enter the amount of line 48 you want: Credited to 2013 estimated tax D
2 4 , 3 1 8 .1 Retunded
D
49
[ part v ] Statements Regarding Certain Activities and Other Information (see instmctions)

2 Purchases
3 Cost of labor
4a Additional section 263A costs (att statement)

Pane 2

24 , 318 .
0 .
Yes

.
lgnaPrint/Type preparer's name

} "9

",

'

Date

::_;:arer Sharon Zorbach
)4/Kabob)
use only Firms name D DELOITTE TAX LLP
/ /
2 2 5 WEST SANTA CLARA STREET
Firm's address
223711 01-11-13

D SAN JOSE ,

CA

95113

__,l
X
x

6

7 Cost of goods sold. Subtract line 6
from line 5. Enter here and in Part 1, line 2
8 Do the rules of section 263A (with respect to

3e
Preparer's signature

No

_

7
Yes

b Other costs (attach statement)
4b
property produced or acquired for resale) apply to
7
Total. Add lines 1 through 4b
5
the organization?
Under penalties of per)ury. I declare that I have examined this return. including accompanying schedules and statements. and to the best of my knowledge and belief, it is true,
correct, and complete eclaration of preparer other than taxpayer) is based on all information of which preparer has any knowledge
_

5 - _ 1 __-_Here"

1
1

50 , 585 .

No
j

the
preparer shown below
instructions)?
YES (see
I: N0
Check |_ it PTIN selt- employed

11/5/13
Firm's EIN D
Phone no.

1
3

X

P00125475
86-1065772
408-704-4020
Form 990-T (2012)

.

INC .
84l432969
Page 3
Schedule C - Rent Income (From Real Property and Personal Prgperty Leased With Real Property)(See Instructions)

Form 990-T(2012) ENS IGN PEAK ADVISORS ,
1. Description of property
(1)PASSTHROUGH
(2)
(3)
(4)

K-1

2,

PAEP

FUND

Rent received or accrued

to :;:2~.;=:.:::::;:.::=:;*:,:;'.:*;::;,:::9'
10% but not more than 50%)
(1)
(2)
(3)
(4)
Total

<i=i::s;:::::22552;::2:L:;:,p::ze2:,i:::,:'.:::a9
the rent is based on profit or income)

3:53:3;sz:r;t::rl.2:::.::::t:::.;:i;*'"'"

15 , 824 .

0 ,

Total

I

(c) Total income. Add totals of columns 2(a) and 2(b). Enter
here and on page 1, Part I, line 6, column (A)
>
Schedule? - Unrelated Debt-Financed Income (see instructions)

1. Description of debt-nanced property

,

15 , 824 .

(D) Tm dd"''2:?'i,'(.$lr.ngo?:rr?:%)1'

p

0 .

3, Deductions directly connected with or allocable
to debt-nanced property
(8) Straight line depreciation
((5) Other deductions
(attach statement)
(attach statement)

2. Gross Income from
or allocable to debtlinanced property

(1)
(2)
Q)
(4)
4, Amount of average acquisition
debt on or allocable to debt-financed
property (attach statement)

5_ Average adjusted basis
of or allocable to
debt-nanced property
(attach statement)

6. Column 4 divided
by column 5

(1)
(2)
3)
(4)

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

B_ Allocable deductions
(column 6 x total of columns
3(a) and 3(b))

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

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

Totals
P
0 .
0 .
Total dividends-received deductions included in column B
D
0 .
Schedule F - Interest, Annuities, Royalties, and Rents From Controlled Organizations (see instructions)
Exempt Controlled Organizations
3.
4
5- Part oi column 4 that is
1 . Name of controlled organization
5. Deductions directly
Net unrelated income
connected with income
Employer identication
Total at specified
included In the controlling
number
in column 5
(loss) (see instructions)
payments made
organization; gross income
(1)
12)
(3)
(4)
Nonexempt Controlled Organizations
7_ Taxable Income
B_ Net unrelated income (loss)
(see instructions)

9, Total ol specified payments
made

10 _ Part 0! column 9 that is included
in the controlling organization:
gross income

11. Deductions directly connected
with income in column 10

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

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

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

Totals
223721 01-11-18

P

0 .

0 .
Form 990-T (2012)

Form 990-T(2012) ENSIGN PEAK ADVISORS , INC .
Schedule G - Investment Income of a Section 501(c)(7), (9), or (17) Organization
(see instructions)
1_ Description of income

2 _ Amount of income

841432969

3. Deductions
directly
connected
(attach statement)

4' sehasldes
(attach statement)

Page 4

5, and
Totalset-asides
deductions
(col 3 plus col 4)

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

Totals

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

Enter here and on page 1,
Part I, line 9, column (B)

0 .

O .

>

Schedule I - Exploited Exempt Activity Income, Other Than Advertis ing Income
(see instructions)
1. Description of
exploited activity

2. Gross
unrelated business
income from
trade or business

3. Expenses
directly connected
with production
of unrelated
business income

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

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

4. Net income (loss)
from unrelated trade or
business (column 2
minus column 3) If a
gain. compute cols 5
mrough 7

5. Gross income
from activity that
is not unrelated
business income

6. Expenses
attributable to
column 5

7. Excess exempt
expenses (column
6 minus column 5.
but not more than
column 4)

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

Totals

F

O .

Enter here and
on page 1,
Part II, line 26

0 .

0 .

Schedule J - Advertising Income (see instructions)
I part | | Income From Periodicals Reported on a Consolidated Basis
2 . Gross
advertising
income

1 . Name of periodical

3. Direct
advertising costs

4. Advertising gain
or (loss) (col 2 minus
col 3) If a gain, compute
cols 5 through 7

5. Circulation
income

6. Readership
costs

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

(1)
(2)
(3)
(4)
0.
00
Totals (carry to Part II, line (5))
>
| part || | Income From Periodicals Report ed on a Separate Basis (For each periodical listed in Part II, fill in
columns 2 through 7 on a line-by-line basis.)
2 Gross
ad"Iemsm
Income 9

1- Nam 0' l3B"0dl0v3
(1)
(2)
(3)
(4)
Totals Irom Partl

0.
Enter here and on
page 1, Part I,
line 11, col (A)

3. Direct
advertising costs

4. Advertising gain
or (loss) (col 2 minus
col 3) II a gain, compute
cols 5 through 7

5. Circulation
income

0.
Enter here and on
page I, Pan l.
line 11, col (B)

6. Readership
costs

0.

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

0 .
Enter here and
on page 1,
Part II, line 27

OI
0.
Totals, Part II (lines 1-5)
>
Schedule K - Compensation of Officers, Directors, and Trustees (see instructions)
1. Name

Total. Enter here and on
223731
01-11-13

2. Title

time devoted to
business

O 0
4. Compensation attributable
to unrelated business

1 Part II line 14
Fomi 990-T (2012)

Form 4626
Department of the Treasury
Internal Revenue Service
Name

0
Alternative Minimum Tax - Corporations
D Attach to the corporation's tax return.
> Information about Form 4626 and its separate instructions is at www.irs.gov/form4626.

ENSIGN PEAK ADVISORS,

OMB No 1545-0175
2012
Employer identication number
841432969

INC.

Note: See the instructions to find out if the corporation is a small corporation exempt
from the alternative minimum tax (AMT) under section 55(e).
1

Taxable income or (loss) before net operating loss deduction
Adjustments and preferences:
Depreciation of post-1986 property
Amortization of certified pollution control facilities
Amortization of mining exploration and development costs
Amortization of circulation expenditures (personal holding companies only)
Adjusted gain or loss
Long-term contracts
Merchant marine capital construction funds
Section 833(b) deduction (Blue Cross, Blue Shield, and similar type organizations only)
Tax shelter farm activities (personal service corporations only)
Passive activities (closely held corporations and personal service corporations only)
Loss limitations
Depletion
Tax-exempt interest income from specified private activity bonds
Intangible drilling costs
=aZ-" ='@"OQ.O'D3 Other adjustments and preferences
Pre-adjustment alternative minimum taxable income (AMTI). Combine lines 1 through 20
Adjusted current earnings (ACE) adjustment:
ACE from line 10 of the ACE worksheet in the instructions

744,091.
411,191.

242,024.

STATEMENT

M

9

*

MNNNMiv
Wo=3'>rL.:reL.mnam

2,099,238.
2,324,314.

2,324,314.

Subtract line 3 from line 4a. If line 3 exceeds line 4a, enter the difference as a
a
0.
negative amount (see instructions)
Multiply line 4b by 75% (.75). Enter the result as a positive amount
Enter the excess, if any, of the corporation's total increases in AMTI from prior
year ACE adjustments over its total reductions in AMTI from prior year ACE
adjustments (see instructions). Note: You must enter an amount on line 4d
10,797.
(even if line 4b is positive)
ACE adjustment.
0 ll line 4b is zero or more, enter the amount from line 4c
0 if line 4b is less than zero, enter the smaller of line 4c or line 4d as a negative amount
l
Combine lines 3 and 4e. If zero or less, stop here; the corporation does not owe any AMT
STATEMENT 10
Alternative tax net operating loss deduction (see instructions)
Alternative minimum taxable income. Subtract line 6 from line 5. If the corporation held a residual
interest in a REMIC, see instructions
Exemption phase-out (if line 7 is $310,000 or more, skip lines 8a and 8b and enter -0- on line 8c):
Subtract $150,000 from line 7 (if completing this line for a member of a controlled
M
group, see instructions). If zero or less, enter -0M
Multiply line 8a by 25% (.25)
Exemption. Subtract line 8b from $40,000 (if completing this line for a member of a controlled
group, see instructions). if zero or less, enter -0Subtract line 8c from line 7. If zero or less, enter -0-

0.
2,324,314.
2,056,373.
267,941.

117,941.
29,485.
10,515.
257,426.
51,485.

Multiply line 9 by 20% (.20)
Alternative minimum tax foreign tax credit (AMTFTC) (see instructions)
' Tentative minimum tax. Subtract line 11 from line 10
_. _. _. 5-<.>M-c:D

51,485.
mc_. _. orv-oo

Regular tax liability before applying all credits except the foreign tax credit
Alternative minimum tax. Subtract line 13 lrom line 12. If zero or less, enter -0-. Enter here and on

51.485.

Form 1120, Schedule J, line 3, or the appropriate line of the corporation's income tax return
JWA For Paperwork Reduction Act Notice, see separate instructions.
*
217001
12-04-12

SEE ALSO

STATEMENT
STATEMENT
6

Fornt4626(2012)
7
8

ENSIGN PEAK ADVISOREC.
Adjusted Current Earnings (ACE) Worksheet
V See ACE Worksheet Instructions.
1
2

Pre-adjustment AMTI. Enter the amount from line 3 of Form 4626
ACE depreciation adjustment:
in AMT depreciation
_
b ACE depreciation:

Post-1993 property
_ 2b(1)
Post-1989, pre-1994 property
_ 2b(2)
Pre-1990 MACRS property
2b(3)
Pre-1990 original ACRS property
2b(4)
Property described in sections
168(f)(1) through (4)
2b(5)
(6) Other property
2b(6)
(7) Total ACE depreciation. Add lines 2b(1) through 2b(6)
c ACE depreciation adjustment Subtract line 2b(7) from line 2a
3 Inclusion in ACE of items included in earnings and profits (E&P):
a Tax-exempt interest income
b Death benefits from life insurance contracts

84l432969

_

1

2 , 324 , 3l4 .

2a

(1)
(2)
(3)
(4)
(5)

c All other distributions from life insurance contracts (including surrenders)
d Inside buildup of undistributed income in life insurance contracts
e Other items (see Regulations sections 1.56(g)-1(c)(6)(iii) through (ix)

r
(
(

for a partial list)

2b(7)
2c
3a
3b
3c
3d
3e

1 Total increase to ACE from inclusion in ACE of items included in E&P. Add lines 3a through 3e
4 Disallowance of items not deductible from E&P:
a Certain dividends received
4a
b Dividends paid on certain preferred stock of public utilities that are deductible
under section 247

4b

c Dividends paid to an ESOP that are deductible under section 404(k)
4c
d Nonpatronage dividends that are paid and deductible under section
1382(c)
4d
e Other items (see Regulations sections 1.56(g)-1(d)(3)(i) and (ii) for a
partial list)
4e
l Total increase to ACE because of disallowance of items not deductible from E&P. Add lines 4a through 4e
5 Other ad)ustments based on rules for figuring E&P:
a Intangible drilling costs
5a
b Circulation expenditures
5b
c Organizational expenditures
5c
d LIFO Inventory adjustments
5d
e Installment sales
5e
6
7
8
9
10

f Total other E&P adiustments. Combine lines 5a through 5e
Disallowance of loss on exchange of debt pools
Acquisition expenses of life insurance companies for qualified foreign contracts
Depletion
Basis adyustments in determining gain or loss from sale or exchange of pre1994 property
Adjusted current earnings. Combine lines 1, 2c, 3t, 4t, and 51 through 9. Enter the result here and on line 4a of
Form4626

217021
O5-O1-12

3f

4t

5f
6
7
B
9
10

2,324,314.

Credit for Prior Year Minimum Tax - Corporations

OMB No. 1545-1257

P Attach to the corporation's tax return.
D lnlormation about Form 8827 and its instructions is available at www.irs.govIlorm8827.

2012

-8827
Department ol the Treasury
Internal Revenue Service
Name

ENSIGN PEAK ADVISORS,

Employer identilication number
INC.

84-1432969

1 Alternative minimum tax (AMT) for 2011. Enter the amount lrom line 14 of the 2011 Form 4626

1

2 Minimum tax credit carrylorward from 201 1. Enter the amount from line 9 ol the 2011 Form 8827

2

3 Enter any 2011 unallowed qualified electric vehicle credit (see instructions)

3

4Add|ines1,2,and3

4

559,371.

5

O .

5 Enter the corporation's 2012 regular income tax liability minus allowable tax credits (see
instructions)
6 Is the corporation a "small corporation exempt from the AMT for 2012 (see instructions)?
0 Yes. Enter 25% of the excess of line 5 over $25,000. It line 5 is $25,000 or less, enter -00 No. Complete Form 4626 for 2012 and enter the tentative minimum tax from line 12
7a Subtract line 6 from line 5. If zero or less, enter -0bFor a corporation electing to accelerate the minimum tax credit, enter the bonus depreciation
amount attributable to the minimum tax credit (see instructions)
cAdd lines 7a and 7b
1

Ba Enter the smallerof line 4 or line 7c. ll the corporation had a post-1986 ownership change
or has pre-acquisition excess credits, see instructions
bcurrent year minimum tax credit. Enter the smaller of line 4 or line 7a here and on Form 1120, Schedule J, Part I, line 5d
(or the applicable line of your return). If the corporation had a post-1986 ownership change or has pre-acquisition
excess credits, see instructions. If you made an entry on line 7b, go to line 8c. Otherwise, skip line 8c
c Subtract line 8b from line 8a. This IS the relundable amount for a corporation electing to accelerate
the minimum tax credit. Include this amount on Form 1120, Schedule J, Part ll, line 19c (or the applicable line of
your return)
9 Minimum tax credit ciirrytorward to 2013. Subtract line 8a from line 4. Keep a record of this
amount to carry forward and use in future years

JWA
220281
12-19-12

6
7a

559 , 371 .

51 , 485 .
0 .

7b
7c
Ba

8b

0 .

8c
9

559 , 371 .

Form 8827 (2012)
17

Department of the Treasury
lntemal Revenue Service (99)
Name(s) shown on return

OMB No 1545-0895

General Business Credit

3800

2@12
> Information about Form 3800 and its separate instructions is at www.Irs.gov/form3800.
Attachment
> Attach to your tax return.
Sequence No 22
Identifying number

84-1432969
PEAK ADVISORS,INC.
Current Year Credit for Credits Not Allowed Against Tentative Minimum Tax (TMT)
(See instructions and complete Part(s) III before Parts I and ll)
General business credit from line 2 of all Parts ill with box A checked . . . . . . . . .
1

ENSIGN

1
2
3
4
5
6
7

Passive activity credits from line 2 of all Parts III with box B checked
2 I
l , 0 94
Enter the applicable passive activity credits allowed for 2012 (see instructions) .
. . . .
Carryforward of general business credit to 2012. Enter the amount from line 2 of Part III with
box C checked. See instructions for statement to attach
. . . .
Carryback of general business credit from 2013. Enter the amount from line 2 of Part III with
box D checked (see instructions)
Add|ihes1,3,4,and5
Allowable Credit
Regular tax before credits:
0 Individuals. Enter the amount from Form 1040, line 44, or Form 1040NR, line 42
0 Corporations. Enter the amount from Form 1120, Schedule J, Part I, line 2; or the
applicable line of your return .
. . . . . . . . . . . . . .
- Estates and trusts. Enter the sum of the amounts from Form 1041, Schedule G,
lines 1a and 1b; or the amount from the applicable line of your return

8

b
c

.

10a

Certain allowable credits (see instructions) .
Add lines 10a and 10b

Foreign tax credit

.

.

.

.

10b

12

Net regular tax. Subtract line 10c from line 7. If zero or less, enter -0-

13

Enter 25% (.25) of the excess, if any, of line 12 over $25,000 (see
instructions) .
. .
. . . . . . .
Tentative minimum tax:
0 Individuals Enter the amount from Form 6251, line 33
0 Corporations Enter the amount from Form 4626, line 12 .
- Estates and trusts. Enter the amount from Schedule I
(Form 1041), line 54

.

.

.

.

.

0

51 I 485

51,485

O

11

12

0

13

0

14

51 , 48 5

51 I 435

,, .
,1 ,,

',

.

.

.

.

.

.

.

.

.

C corporations: See the line 17a instructions if there has been an ownership change,
acquisition, or reorganization.
b Reserved .
c Reserved.
....
......
For Paperwork Reduction Act Notice, see separate instructions.

ISA

1,094

=5

Net income tax. Subtract line 10c from line 9. ll zero, skip lines 12 through 15 and enter -0- on line 16a

15
Enter the greater of line 13 or line 14 .
. .
16a Subtract line 15 from line 11. if zero or less, enter -0b Reserved .
cReserved.
.......
17a Enter the smaller of line 6 or line 16a
. .

5
6

g'.___
10c

11

14

4

8
il,
I.._'L;
9

Addlines7and8

10a

l , O 94

1;;
."i_
*7
i
'_-V, i

Alternative minimum tax:
- Individuals. Enter the amount from Form 6251, line 35
- Corporations. Enter the amount from Form 4626, line 14 .
. .
- Estates and trusts. Enter the amount from Schedule I (Form 1041), line 56 .

9

3

15
16a
16b
16c
17a

'
U

51 , 485 .
0
.
L
5;
r
I.3=
0

I
j
.
;
i
_ _ .__,f;,: ,;'._,;,,__-.1=,-.
17b
5'
"
"
17c'
:.~
Fonn 3800 (2012)


Related documents


epa 2012
byuh 2012
bonne 2012
byu 2012
byui 2012
pr 2012


Related keywords