You are on page 1of 10
’ rom 99O0°T Exempt Organization Business Income Tax Return \ {and proxy tax under section 6033(e)) oe peeitiies edenor * LJohesk box Hae of erganzabon¢ L_] Gheck box fname ctangd and see structions) Peer cree ronew acres changed CHURCH OF SCIENTOLOGY FLAG snes Beat una seston SERVICE ORGANIZATION, INC. 59-2143308 1x3 > umber, tet ad oor e ut, 0 box sa nrucons oe Coste) (Jeane !* | 210s. FORT HARRISON AVE. toe lsz0ie}] Yay ortomn, sate or promes, county, and Por fare gn postal code (ses) CLEARWATER, FL 33756-5109 721110 © Seasemntar=n= —|F Grou exempton number (See stuns) > 27 Y6%0177. |e creccorganzaton pe soe) eaeraton Oi) wa aoa wast Oar ust i Desorbe the oganwaton’ pumary uneated busness ach. D> SEE STATEMENT 1 1 Dvxng the tx year, was the crporatona subsidiary nan afiated group ra parent-subsidary contralled group? > lve (XT wo Yes, ener he name and werting number ofthe parent corporation. D> The pooksare noeg! GLEN STILO, SECRETARY Takphore umber B 727-467-5000, Unrelated Trade or Business income. (jineome (8) Expenses Tener Ta Gros cents oss 201,274. re oe ae ae & ob Lessrewuns and atowances ebane = Le | 201,274.) 8 Fe | i i qe 2 Cost of pods Sid (Schedule Ane 7) 2 58,292. 7 tee ¥ {E82 Gloss prt. Surat ine 2 tom ine te a | 142,982. [r 142,382. S44 Capa gan net come (atch Schele 0) a a Sb nat go oss (Fer 4797, Pat ne 17) aac Form 4797) ® Caples deduction for wuss te §B & incomes om pares nd S carports tach sateen : & 6 Rentinoome (Schedule 0) 6 7 Uneltes ce rence meame (Scheu) 7 4 intaces,nnutes,ryaes, and rents rom convo cganzatons (Sch. F) [8 9 vest nome oa secton $01c),7, (8). oF (17 oroanzebon Scheie) [8 10 ples exempt acy name (Schedule) 0 14 Advris come (Schedule 3) 11 12 Other come (See mstutons; tach schedule) 2 Ea 4 19 Total. Combi nes 3 ough 12 __[s Tea ea Taz, 382. [Parl] Deductions Not Taken Elsewhere (Soonsmcvon for miatons on cesucbons) Except fr contrbutons, deductions must be directly connected with te untlgtecbgsaesiaec 14 Compensation caer, dress, nd wsies (Schedule K) ED al 15 Solanes and wages 16 29,201. Seems 3] Nov 22 aon Ste} —*2'502 17 Basdits ie 18 Irs (atch sence) |__OGDEN, UT “fs 49 Teves andtcenses 19 3,432. 20 Chartable contrbutons (See mtuctens or hmtton rls) Fa 21 Depresson (atch Form #882) 2 13,110. 22 Les depenaton camed on Shedule A and esewnere on return EN | _13,110. 2 Depeton 2 24 Conibvtonso deere compensation pans 28 25 Employee bene programs 28 28 Bessexemplemenses (Sebel) 26 27 Exess readers cot (Sedu J) 2 28 Other edutons (tach schedule) SEE STATEMENT 2 59,918. 29° Total deductions. hd ines 14 1ough 28 | 210,563. 30 Unrest busmess table meome before net operat ns detuchon. Subtract hr 28 from ine 13 20 32,419. 21, Net opting lose deduction (nt tothe amount on ine 30) it 32 Unebsed buses table eome bore spect deduct, Sua ie 1 tor he 30 [232,419 48 Spetic easton (Geely $000, bu 68 he 33 msructons for exceptions) 38 1,000. u 48 taxable inom, SUIGEhne 33 rom ne 32. ne 3 greater tan he 32, er the sal eo or stig, Tier ores7 HA For Paperron Redoston Act Nate, see nations Foam 890-T (2015 4 CHURCH OF SCIENTOLOGY FLAG ranwiorgom SERVICE ORGANIZATION, INC. 59-2143308 re 2 Part Iir] Tax Compu ‘35 Oranzatins Taxable as Corporations. Sea rstruchons for tx computation Coftrlled group members (sactons 1564 and 1568) check here B> [_] See instructions and: 4 Err your stare of the $50.00, $25.00, and $9.25 00 tarable income rakes (tha ode wi) ts ys is___ ‘Enter organatons share of, (1) Additonal 5% tx nat mre tan $17,750) (2) Activa 3% ax not mare than $100,000) is 1 «nce tax on the amount on ne 34 > [ase 4,713. 6 Tass Tanabe at Tst Rates, See nstuctons or tx compan. Income taxon the amaunt one 34 om: Ly (1 Taxrate schedule or [Schedule 0 (Form 1041) > | 36 57 Provytax See msrucons > [ar 38 Alternate minum tax 8 38 Taxon Non-Compliant Facility Income, Ste nstucons ra Ja ate ad na ae tas Partiv| Tax and Payments ‘a, Foreign fx te0 (coporatios atch Farm 116; st aieh For 1716) a 1 Other rect (se mstruchons) tb General busness crest. Attach Form 3800 ate} 4 rei opr ear minum xan Ferm 880% 8827) aid 2 Totaeceits Ad ines 4a through 418 4 42 Subrat ine te trom ine 40 a Tis. 48. Othr tes. hack rom [_—] Form 4265 (} Fox 2611 [—] Form 8697 (] Ferm 2866 (ott misnscmsi, [49 44 Totaltax,Aioas 42 and 43 “a 73. 45 a Payments; A2015 overpayment cade to 2016 os 19,583. 'b 2016 estimated tax payments Faso | 3, 557+ « Taxdeposted wih Frm 8888 5c 4 Foregn erganzaons: Tax pad owned at source (se sttuctons) rm «Bacup wtholdg (se structions) 5 {tet fr smal employer heath insurance premums (tach Fo 8941) [ast] 0 Or ced and payments: Crom aes Crem a1a6 __ Dotter Total > Las 48 Total payments. Ad hres 45a through 459 47 Estimated tax penalty (see mstructons). Check f Form 2220s attached D> CX] 48 Texdue, Mine 41s ess than te otal of nes 48 and 47, enter amount owed 49 Overpayment fine 46 age han the total of nes 44 and 47, enter amount overpaid Enter he amount of ine 49 vou want: Cre¢ 17 est i, 18,427.| Retundes PartV | Statements Regarding Certain Activites and Other Information. Goonaructors) 1 Any ne ding e201 caer year, dee panto Rave an mts mora sige o te euhory 7 ove atnarelaceaurt (bank, secures, o ater na axon county? YE, te orgencatan may have fie Fn Farm 14 Repertof ergn Bank and Fnaneal Aout. HES, eter he eect he oe cout, here x 52 Dung etx yar, te orpanaaton recevea dtton om oF was te grantor of Wanlrr 6a foregn a? x HME, encontrar fms the cganaan may ae te aETAe) Eee snot pt ers es cu ng ea CRE Gy a ee See eT $s Sietran Sou Pas eed yon e FAG Prant/Type preparer's name Preparer’s GPF Date rat ee naman GIEC Sinai 1925 CENTURY PARK E FL 16 fum's aduess Bb LOS ANGELES, CA_90067 310) 273-2501 ‘Form 990-T (2016) heck salt employed - __| P00109165 [femsem > 95-2399533 ‘ CHURCH OF SCIENTOLOGY FLAG Fom 990-1 (2016) SERVICE ORGANIZATI! ‘ON, INC. 59-2143308 rove 8 ‘Schedule K- Cost of Goods Sold. cnier method of nventory valuaton be ALLOCATED. 1 veiory at bepaning of yar 1 Qs] 6 Inventory at end ot yar s o. 2 Puchaies 5B,292.| 7 costotgoode sol. Subtract ines 3 Costof ater a from ine 5 Enter here and in Pat ‘4, tnd seston 2654 costs tne 2 58,292. (atch schedule) a 1 otherules ot secon 26 wth respect to ‘Yes | No Other costs tach schedule) o broperty produced or acqured or resale) apply to as] saa] 5 Total Aisles {trough 5 58,292.| neoaneston? a ‘Schedule C - Rent Income (From Real Property and {G90 mstructons) sonal Property Leased With Real Property) a 2 a oN 2 Renrecnna neo Cad o 2) 8 my {Gr Total income Aad cals of columns 2a) and 20). Ener hee and on page 1, Part | ne 6 column (A) ‘Schedule E - Unrelated Det O. [e T inanced Income ees natructons). (0) Total deductions. > 0. 2, cima rcava ton o 2 8. A araoeeaeae, "Gober atach ache 7 Serene a % 2 % a % a cy Pantie cau Parivar coun) ta > o. Total dividends receive eduetions cused m conn 8 fe For 990-T (2076) : * CHURCH OF SCIENTOLOGY FLAG Form 990-J (2016, SERVICE ORGANIZATION, INC. 59-2143308 Page 4 ‘SESIEF interest: Annuities, Royalties, ahd Rents From Controlled Organteations eee Exempt Controle Organations 1. nan tert Stetina nears | 4 oul oaonetes Secon ray 7 fesgicewsesaay | “orcs Somat ere a 2 a Nonexompt Contoled Organzatons 7 Yelena 9 Toulstemctcsormns | 10, Restatgm aeaacctaw | 11 Oracmns ecemenns a 2 o « ee ees cur te esto ta Oo. 0 ‘Schedule G- Investment Income of a Section 501(€)(7), (@), or (17) Organization (eee instructions) ——— t= | Se =a a 2 8 a 3 » % tan » } a Schedule | - Exploited Exempt Activity Income, Other Than Advertising Income Darnsnenn eo a 9 obtemtne | mieten” | Remeee | teomm | laser Ee, | Sats | SEs ‘sen o 2 @ @ yu > 0. o fale J- Kdveriising Mcome (ess natuctona) Income From Periodicals Reported on a Consolidated Basis, = Soe a 1. nana tp! iow) | Ceaescrece ede reece | ra crcmeeaye P creercee || eee geriiaen a @ 8 o Totals (carry to Part It, tine (5)) | oO. 0. Oo. Form 990-T (2016) ‘ * CHURCH OF SCIENTOLOGY FLAG Fou 990-7 (2016) SERVICE ORGANIZATION, INC. [Part it] Income From Periodicals Reporte column 2 through 7 ona tine byline basis) 59-2143308 Page § ‘on a Separate Basis (For cach penodical listed m Part I, lm 4. soomanan en ek tag [PMREEES,| Smee | eenaene | Sebemtatens a ao . a eT : ae oO. 2, To ‘cena a 2 a rz} ota Eoter her and on page i, Past ne 14 o. Ferm 990-1 (2016) 2016 Depreciation and Amortization (including Information on Listed Property) 990-T Attach to your tax return .. A562 Ines Revense See) nd its ‘Sequence Xo 179, CHURCH OF SCIENTOLOGY FLAG SERVICE ORGANIZATION, INC. 9-2143308 ata Proper Unde Secon 179 Raley Wyou have any tsted propery, complete Part VBeloe you compete Pat ‘+ Maximum amount (ee instructons) 1 500,000. 2 Tota cost of secton 179 property placed m serce (See nsructons) 2 23. Trvashol cost of scton 179 property before reduction n kaon 3 | 2,010, 000- 4 Raducton nimtaton Subtract ine 3 rom ine 2 20 oss, enter-0 Cet 5 Osteen ye tna net Hoes: testing muy nents = ‘ deci et ret) 15 cot anes ae 7 Usted propery Enter the amaunt rom ine 28 z #8 ok 2 Total lected cost of secton 179 property. Add amounts column (nes 6 and 7 2 9 Tentative deduction. Ener the smaller of tne Sor tne 2 10 Carryover of dsalowed deducton fom ine 18 of you 2015 Form 4562 10 11 Business come hmtaton Enter he smaler of business ncom (ot es han er) ot ine 5 Cu 12 Secton 179 expense deducton. Add nes @ and 10, But dont enter more than ine 11 2 439_Camyover of disallowed deduction to 2017, Add tes 9 and 10, tess ine 12 > (ss T i= Note: Don" vse Pat or Pat Ii below or sted property nstoad, use Pant V [Park IT] speci Depreciation Alowence and Other Depreciation (Dont nude led propety ) “6 Special depreciation alowance for quatted property (ahr than ited property) placed n sence dung the taxyear 1“ 45 Property subject to section 1684) elton 15 16 Oth deprecation incuding AAS) 6 30. [Bartll{siacns Depreciation Dont notde lated propaty (See mamucnona) Section A {7 MAGRS deductions for asses placed n service ax yeas bogenung befor 2016 7 12 nm mencne rnp merienmasrmitemrenmcnmpmimnomcete pT Ts ‘Section B - Assets Placed in Service During 2016 Tax Year Using the General Depreciauon System Tinos | Guesbemeee | toremer (ecmmteon perry same | GREE | easy Jecomnen] omnes | omen ceien $oa__Syear papery 'b Sear property 4+ > ¢ 7 yea proper é_1Dyea: propery 2 15yea: propery 1 2Oyea propery, 25 year roparty 25 ye a n 2rsys | ww [st th escent rental property 7 em wat 7 oy, | wm] st | Nowesdetal rea property 7 wae Section © Asaots Placed in Service Dring 2016 Tax Year Using the Alternative Depreciation System aCe ie A bb s2year ys st e 40year z ays [wes [Pat] ‘summay Gennaio] 24 Usted property Enter anu om ine 28 zi 22 Total. Add amounts fom ine 12, hes 14 through 17, nes 19 and 20.m column (and ine 21 Enternere an onthe approprate nes of your retun. Pannerships and S corporations see nt 2 13,110. 23 For assets shown above an paced in servce dunng the curet yer, enter the poron of he bass attibtabe to secton 265A costs Tass ate LIA For Paperwork Reduction Act Notice, see separate instructions Form 4562 2016) 4 a CHURCH OF SCIENTOLOGY FLAG . 201 SERVICE ORGANIZATION, INC. 59-2143308 page TSE Reep a gag am cre os SN SEE RACERS POET a Meare yas thc ae arg fst niger cnrtg ie peace eth mre SSEEOUSTEGR s yeraaeaee rhae t rcetcra ae ern comity ety 240,20 cb ‘Section A - Depreciation and Other Information (Caution: See the instructions for ls for passenger automobiles) ‘24a_Do you have evidence to support the business/investment use ciamed? [| Yes | | No | 24b if "Yes," 1s the ewdence wntten? |_| Yes No (a) 2, elas @ suurte Seenen | (a) © 0 ‘ype of property neat, | Busmessl | contar |esmne.sermmer lrecovay| method | Osprecaton | cid, CREE, | outdo | ara | oi, |e |e] atm, | apse | tn Ba Spon oreo Bowater uated tnd rope Dane nes Ging year an at asd mas an Sn a led bane wo 5 A 3 Peony nd now ha Sins quid beso 1 : rm 3 Rpt ed Sitor nea pated aoe %. a Li? ¥ * et he * rm ue {at amoara n column, nes 2 tough 27 Enter Fre ad on ine 27. page T La fit 29. Add amounts in column (), line 26. Enter here and on line 7, page 1 La ‘Section B- Information on Use of Vehicles ‘Complete thi section for vehicle used by @ sole propnetor, partner, or other “mora than 5% owner, or elated person it you provided vehicles to your employees. frst answer the questions Section C to see f you meet an exception to completing this section for those vehicles @ ro) © @ © o 90 Toa busnessinvestment miles dewen dung he Vetule Vetuco Vehule Venile Vehicle Vehicle yr (dont ned commuting mies) 31 Total commuting mies drwen dung the year ‘32 Total other personal (noncommuting) miles ‘ewer ‘89 Total les driven dunng the year ‘Add ines 30 through 22 ‘94 Was the vehicle avaliable for personal use ‘yes | No | ves | wo | ves | No | ves | No | Yes | No | ves | No dunng off duty hours? 95. Was the velcle used pamanly by a more ‘than 5% owner or related person? 26 le another vehicle avalabe for personal ‘Section G - Questions for Employers Who Provide Vehicles for Use by Their Employees ‘Answer these questions to determine f you meet an exception to completing Section B for vehicles used by employees who aren't more than 5% ‘owners of related persons. 837 Doyou martan a witten polcy statement that prohibis all pereonal use of vehicles, meluding commuting, By your Yes [No employees? 38 Do you manta a wntten polcy statement that prohibits personal use of vehicles, except commuting, by your ‘employous? See tho instructions for vehicles used by corporate officars, directors, or 1% or more awners 39 Do you treat all use of vehicles by employees as porsonal use? 40 Do you provide more than five vehicles to your employees, obtan information from your employees about the use ofthe vehicles, and retan the information recowed? 41, Do you meet the requirements concerning qualified automobile demonstration use? Note: you answer to 37,36, 39, 40,or 415 “Yes, dont complete Section Bor the covered vehicles Part Vi [Amortization nro tone oestaie| se & nm saan > = ce tenes ‘¢2_Amortzavon of costs that bagine dunng your 2016 tax year “43 Amortzation of costs that began betore your 2016 tx year 44 Total Add amounts n column () Seo the wstructions for where to report nse teat Form 4562 (2016) le |8 CHURCH OF’ SCIENTOLOGY FLAG SERVICE ORGAN 59-2143308 FORM 990-T DESCRIPTION OF ORGANIZATION'S PRIMARY UNRELATED STATEMENT 1 BUSINESS ACTIVITY LIMITED USE OF FACILITIES THAT MAY NOT BE SUBSTANTIALLY RELATED TO ITS ‘TAX-EXEMPT PURPOSES. TO FORM 990-T, PAGE 1 FORM 990-T OTHER DEDUCTIONS STATEMENT 2 DESCRIPTION AMOUNT CLEANING & LAUNDRY 2,943. EQUIPMENT RENTAL 491. PROPERTY INSURANCE 2,310. STAFF WELFARE 18,959. TRANSPORTATION EXPENSE 1,420. UTILITIES EXPENSE 4,172. WORKERS COMPENSATION INSURANCE 2,517. SUPPLIES FOR USE OF FACILITIES 17,291. EVENTS EXPENSE 3,408. OFFICE EXPENSE 473. ACCOUNTING FEES 5,934. TOTAL TO FORM 990-T, PAGE 1, LINE 28 59,918. STATEMENT(S) 1, 2 2u07 09 ‘vouonpag uoneneyRey fraieMLeD ‘sruOG '@BENES ‘OL. pesodsip easy -(a) Toute TRIG T ba 0 TRIAD [xwaNtHOWH TWI0G T 94 3-066 «| "wid ssamiia nostra) 6¢ biog - “arabe ssawaza ‘ERENaTADG * ANSNIHOOR 0] Nosiwavir auox ~ snratinal sot 0 | noaiwivar swou - onreninal oc sonraaine WRHEO THEOL T bd 3-06 =| Tuamarava © wanuiwns] St BINGE — WaEnaROS| VT sisvoanvs -“araba_ssanzra| Tavs E068 WOM 4NodgH NOLWZILYOWY ONY NOLLVIDaWaaa 9102 .28u07 09 ‘vonanpea uoneareNeY !EUNED ‘srUOE '>BENES ‘OL. Fa pesodsip wessy (a) "waa 1 9a 4-066 TwH0u anes «| 7 AIOE T 9d 4-066 «| Jsontanzaa rws0u 1 94 3-066 «| "oT ver a7ta7eo ‘aizevoanvs ~ oxravznel & Fe rserers a7o7co | NosTwmer awou ~ ouTaTinel @ SoRTaTINA| Taperasse ~ aan T 8a T0668 =| Tv VeEs, [soutantng awzos 1 94 4-066 «| "ere o/t07t0 wuisvoanvs - onratiaa] v2 a5 artoreo wiusvoawvsl 02 = “anovent “oare za0z| Toe “as | snorava raceme = ‘anouant ‘oats c66t-1s0a| eTtart wsvoaws] ¢ peanboy TaOa E066 Wa ANOd3E NOLLYZLLUOWY ONY NoLLvIoaudaa 902

You might also like