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2.

A foundation manager;
Department of the Treasury 3. A person who owns more than 20%
Internal Revenue Service of a corporation, partnership, trust, or
unincorporated enterprise, which is itself
a substantial contributor;

Instructions for Form 5227 4. A member of the family of an


individual in the first three categories; or
5. A corporation, partnership, trust, or
estate in which persons described in 1,
Split-Interest Trust Information Return 2, 3, or 4 above own a total beneficial
interest of more than 35%.
Section references are to the Internal Revenue Code, unless otherwise noted. 6. For purposes of section 4943
(excess business holdings), a
disqualified person also includes:
Paperwork Reduction Act Notice Who Must File a. A private foundation which is
We ask for the information on this form All charitable remainder trusts described effectively controlled (directly or
to carry out the Internal Revenue laws of in section 664, pooled income funds indirectly) by the same persons who
the United States. You are required to described in section 642(c)(5), and control the trust in question, or
give us the information. We need it to charitable lead trusts (see “Exception” b. A private foundation substantially all
ensure that you are complying with below) must file Form 5227. of the contributions to which were made
these laws and to allow us to figure and Exception.—Generally, a split-interest (directly or indirectly) by the same
collect the right amount of tax. trust created before May 27, 1969, is not person or persons described in 1, 2, or
The time needed to complete and file required to file Form 5227. However, if 3 above, or members of their families,
this form will vary depending on any amounts were transferred to the within the meaning of section 4946(d),
individual circumstances. The estimated trust after May 26, 1969, for which a who made (directly or indirectly)
average time is: deduction was allowed under any of the substantially all of the contributions to
sections listed under section 4947(a)(2), the trust in question.
Recordkeeping 46 hr., 52 min.
Form 5227 must be filed for the year of 7. For purposes of section 4941
Learning about the law the transfer and all subsequent years (self-dealing), a disqualified person also
or the form 3 hr., 30 min. regardless of whether additional includes certain government officials.
Preparing the form 10 hr. transfers are made in subsequent years. (See section 4946(c) and the related
Charitable lead trusts and charitable regulations.)
Copying, assembling,
remainder trusts whose charitable
and sending the form Additional Information
interests involve only war veterans’
to the IRS 1 hr., 37 min.
posts or cemeteries described in For additional information on private
If you have comments concerning the sections 170(c)(3) and 170(c)(5), foundations and foundation managers,
accuracy of these time estimates or respectively, are not required to see Pub. 578, Tax Information for
suggestions for making this form complete Parts VI and VII of Form 5227. Private Foundations and Foundation
simpler, we would be happy to hear from Managers, available free at most IRS
you. You can write to both the Internal Definitions offices. To order publications and forms,
Revenue Service, Attention: Tax Forms A split-interest trust is a trust that: call our toll-free number
Committee, PC:FP, Washington, DC 1-800-TAX-FORM (1-800-829-3676).
● Is not exempt from tax under section
20224; and the Office of Management
501(a); Additional Forms You May Have
and Budget, Paperwork Reduction
Project (1545-0196), Washington, DC ● Has some unexpired interests that are To File
20503. DO NOT send the tax form to devoted to purposes other than
religious, charitable, or similar purposes You may also be required to file one or
either of these offices. Instead, see more of the following forms:
Where To File on page 2. described in section 170(c)(2)(B); and
● Has amounts transferred in trust after ● Form 56, Notice Concerning Fiduciary
May 26, 1969, for which a deduction Relationship.
was allowed under one of the Code ● Form 1041, U.S. Income Tax Return
General Instructions sections listed in section 4947(a)(2). for Estates and Trusts.
Purpose of Form A split-interest trust is subject to many ● Form 1041-A, U.S. Information
of the same requirements and Return—Trust Accumulation of
Use Form 5227 to report the financial
restrictions that are imposed on private Charitable Amounts.
activities of a split-interest trust
described in section 4947(a)(2); and to foundations. ● Form 1041-ES, Estimated Income Tax
determine whether the trust is treated as A recipient is a beneficiary who for Estates and Trusts.
a private foundation and is subject to receives the possession or beneficial ● Form 4720, Return of Certain Excise
the excise taxes under Chapter 42. enjoyment of the unitrust or annuity Taxes on Charities and Other Persons
A charitable remainder annuity trust or amount. Under Chapters 41 and 42 of the
unitrust is exempt from Federal income A foundation manager is an officer, Internal Revenue Code.
tax for any tax year if it: director, or trustee (or an individual who ● Form 8822, Change of Address.
● Was created after July 31, 1969, and has powers or responsibilities similar to
those of officers, directors, or trustees). Period To Be Covered by Return
● Has no unrelated business taxable In the case of any act or failure to act,
income for the tax year. File Form 5227 for each calendar year.
the term “foundation manager” may also This revision of the form is for the 1994
Even though the trust is exempt from include an employee of the trust who calendar year.
Federal income tax, it must file Form has the authority to act.
5227 each year. A disqualified person is:
1. A substantial contributor;

Cat. No. 13228E


Accounting Methods For sample forms of trusts that meet B. Type of Entity
the requirements of a charitable
Trust income must be computed using Charitable lead trust.—This is a trust
remainder unitrust, see Rev. Proc. 89-20,
the method of accounting regularly used that pays a fixed annuity or unitrust
1989-1 C.B. 841, Rev. Proc. 90-30,
in keeping the trust’s books and records. amount to a charitable organization for a
1990-1 C.B. 534, and Rev. Proc. 90-31,
Generally, permissible methods include fixed number of years. Upon termination
1990-1 C.B. 539.
the cash method, the accrual method, or of the payments, the remainder interest
any other method authorized by the For sample forms of a trust that meet is transferred to a noncharitable
Internal Revenue Code. The method the requirements of a charitable beneficiary.
used must clearly reflect income. remainder annuity trust, see Rev. Proc.
Charitable remainder annuity trust.—
89-21, 1989-1 C.B. 842, and Rev. Proc.
Unless otherwise allowed by law, the This is a trust under section 664(d)(1)
90-32, 1990-1 C.B. 546.
trust may not change the accounting that pays a fixed dollar amount, at least
method used to report income (for Rounding Off to Whole Dollars annually, to one or more beneficiaries, at
income as a whole or for any material least one of which is not a charitable
item) without first getting consent on You may show the money items on the organization, for life, or for a specified
Form 3115, Application for Change in return and accompanying schedules as number of years (not to exceed 20).
Accounting Method. See Pub. 538, whole-dollar amounts. To do so, drop Upon termination of the payments, the
Accounting Periods and Methods, for amounts less than 50 cents and remainder interest is transferred to a
more information. increase any amounts from 50 to 99 charitable organization described in
cents to the next dollar. section 170(c).
When To File Charitable remainder unitrust.—This is
Attachments
File Form 5227 for calendar year 1994 a trust under section 664(d)(2) similar to
on or before April 17, 1995. If you need more space, attach separate a charitable remainder annuity trust,
sheets showing the same information in except that it pays, at least annually, a
Extension of Time To File the same order as on the printed forms. fixed percentage (not less than 5%) of
Show the totals on the printed forms. the net fair market value of the trust’s
Use Form 2758, Application for
Extension of Time To File Certain Excise, Enter the trust’s employer assets.
Income, Information, and Other Returns, identification number on each sheet. Pooled income fund.—This is a trust
to request an extension of time to file. Also, use sheets that are the same size under section 642(c)(5) created and
as the forms and indicate clearly the line maintained by a charitable organization
Where To File of the printed form to which the described in section 170(b)(1)(A)(i)-(iv).
information relates. Donors to the fund receive a lifetime
If the principal Use the following
office of the Internal Revenue income interest and the charitable
trust Service Center organization receives the remainder
is located in
Ä
address
Ä
Specific Instructions interest.
Alabama, Arkansas, Florida, Identification Area E. Initial Return, Final Return,
Georgia, Louisiana, Amended Return; or Change of
Atlanta, GA 39901 If you received a Form 5227 from the
Mississippi, North Carolina,
South Carolina, Tennessee IRS with a pre-addressed label, attach Name or Address
the label to the name and address area Initial Return.—Check this box if this is
Arizona, Colorado, Kansas,
New Mexico, Oklahoma, Austin, TX 73301 of the return. If the name or address on the initial return for the split-interest trust
Texas, Utah, Wyoming the label is wrong, draw a line through and enter the date that the entity was
the incorrect portion and enter the created.
Indiana, Kentucky,
correct information.
Michigan, Ohio, Cincinnati, OH 45999 Final Return.—Check this box if this is
West Virginia If you did not receive a pre-addressed a final return because the trust has
Alaska, California, Hawaii,
label, complete the information called for terminated. Also, check the “Final K-1”
Idaho, Nevada, Oregon, Fresno, CA 93888 at the top of the form as it appears on box at the top of the Schedule K-1
Washington Form SS-4, Application for Employer (Form 1041).
Identification Number.
Connecticut, Maine, Amended Return.—If you are filing an
Massachusetts, New amended 1994 Form 5227, check the
Hampshire, New York,
Holtsville, NY 00501 Address
“Amended return” box. Complete the
Rhode Island, Vermont Include the suite, room, or other unit entire return and correct the appropriate
Illinois, Iowa, Minnesota, number after the street address. line(s) with the new information. On an
Missouri, Montana, If the postal service does not deliver attachment, explain the reason for the
Kansas City, MO 64999
Nebraska, North Dakota, mail to the street address and the
South Dakota, Wisconsin
change(s) and identify the line(s) and
trustee has a P.O. box, show the box amount(s) being changed.
Delaware, District of number instead of the street address. If the amended return results in a
Columbia, Maryland,
New Jersey, Pennsylvania, A. Employer Identification Number change to income, or a change in
Philadelphia, PA 19255 distribution of any income or other
Virginia, any U.S.
possession, or foreign (EIN) information provided to a recipient, an
country Every trust must have an employer amended Schedule K-1 (Form 1041)
identification number (EIN). To apply for must be filed with the amended Form
Trust Instrument one, use Form SS-4. You may get this 5227 and also given to each recipient.
When you file the first return for a form from the IRS or the Social Security Check the “Amended K-1” box at the
charitable remainder annuity trust or Administration. Form SS-4 contains top of the Schedule K-1 (Form 1041).
unitrust, include: instructions on how to obtain a number Change of Name or Address.—If there
immediately by telephone. If applying by has been a change in the trustee’s name
1. A copy of the trust instrument; and
mail, send in the Form SS-4 at least 4 to or address, check the appropriate box.
2. A written declaration under 5 weeks before you need the number.
penalties of perjury that it is a true and
complete copy.

Page 2
F. Unrelated Business Taxable Line 4—Rents, Royalties, tax-exempt income, see the instructions
Income (section 664 trusts only) Partnerships, Other Estates and for Form 1041.
Trusts, etc. All Federal income taxes for which the
If the charitable remainder trust has any
unrelated business taxable income Use Schedule E (Form 1040), split-interest trust is liable because it has
(within the meaning of section 512 and Supplemental Income and Loss, to unrelated business taxable income, and
related regulations) for 1994, all of the report the trust’s income or (losses) from all taxes imposed by Chapter 42 of the
trust’s income is subject to the same rents, royalties, partnerships, S Internal Revenue Code (relating to
taxes (including estimated tax payments) corporations, other estates and trusts, private foundations), are allocated to
that are imposed on complex trusts and REMICs. Enter the net profit or corpus.
under subchapter J of the Internal (loss) from Schedule E on line 4. See the
Revenue Code. The trust cannot be instructions for Schedule E (Form 1040) Part II—Accumulation
taxed as a grantor trust. for reporting requirements. If the trust Schedule
If you answer “Yes,” in addition to received a Schedule K-1 from a
partnership, S corporation, or other Report the income (both current and
Form 5227, file Form 1041 (if a domestic cumulative undistributed income) of the
trust). Use Form 1041 to report all the flow-through entity, use the
corresponding lines on Form 5227 to trust for purposes of determining the
trust’s income (not just the unrelated character of distributions in three
business income) and its deductions report the interest, dividends, capital
gains, etc., from the flow-through entity. categories:
(including the deduction for distributions
to beneficiaries) and to compute any tax 1. Ordinary income,
Line 5—Farm Income or (Loss)
due. Use the regular trust rules 2. Capital gains and losses, and
contained in the Instructions for Form If the trust operated a farm, use 3. Nontaxable income.
1041. You must also complete Schedule Schedule F (Form 1040), Profit or Loss
From Farming, to report farm income A loss in any one of the three
H of Form 1041 to determine whether categories may not be used to reduce a
the trust is subject to any alternative and expenses. Enter the net profit or
(loss) from Schedule F on line 5. gain in any other category. For example,
minimum tax. See the instructions for a capital loss may not be used to reduce
Part III to determine the amount of the Line 6—Ordinary Gain or (Loss) ordinary income. However, a loss in any
current distribution to report to each one category may be used to reduce
beneficiary on Forms 1041, Schedule Enter from Form 4797, Sales of
Business Property, the gain or loss from undistributed gain for earlier years within
K-1. that same category, and any excess may
the sale or exchange of property other
Part I—Ordinary Income than capital assets and also from be carried forward to reduce gain in
involuntary conversions (other than future years within that same category.
Line 1—Interest Income casualty or theft). For more information,
Report all taxable interest income that see the instructions for Form 4797. Part III—Current
was received by the trust. Examples of
Deductions
Distributions Schedule
taxable interest include interest from:
You must give each recipient listed in
● Accounts (including certificates of Deductions are to be allocated in the Part III a Schedule K-1 (Form 1041) that
deposit and money market accounts) following manner: reflects his or her respective current
with banks, credit unions, and thrifts. 1. Allowable deductions directly distribution. Also, attach a copy of each
● Notes, loans, and mortgages. attributable to one or more classes of Schedule K-1 to Form 5227. See the
● U.S. Treasury bills, notes, and bonds. income items (i.e., interest, dividends, or Specific Instructions for Schedule K-1
rents) or corpus are allocated to such (Form 1041) for more information.
● U.S. savings bonds. income classes or corpus.
● Original issue discount. 2. Allowable deductions not allocated Beneficiary’s Identifying Number
● Income received as a regular interest under 1 above are allocated on the basis As a payer of income, the trust is
holder of a Real Estate Mortgage of gross income after directly required under section 6109 to request
Investment Conduit (REMIC). attributable deductions, to the extent of and provide a proper identifying number
For taxable bonds acquired after such income. for each recipient of income. Enter the
December 31, 1987, amortizable bond 3. Deductions not allocated under recipient’s number on the respective
premium is treated as an offset to the either 1 or 2 above may be allocated in Schedule K-1. Individuals and business
interest income instead of as a separate any manner. recipients are responsible for giving you
interest deduction. See Pub. 550, No deduction is ever allowed for: their taxpayer identification numbers
Investment Income and Expenses. upon request. You may use Form W-9,
● The personal exemption under section
Request for Taxpayer Identification
Line 2—Dividends 642(b).
Number and Certification, to request the
Report all taxable dividends received by ● Charitable contributions under section beneficiary’s identifying number.
the trust. 642(c).
Penalty.—Under section 6723, the payer
● Net operating losses under section is charged a $50 penalty for each failure
Line 3—Business Income or (Loss) 642(d). to provide a required taxpayer
If the trust operated a business, report ● Income distribution deductions under identification number, unless reasonable
the income and expenses on Schedule section 661. cause is established for not providing it.
C, Profit or Loss From Business (or ● Capital loss carryforwards under Explain any reasonable cause in a
Schedule C-EZ, Net Profit From section 1212. signed affidavit and attach it to this
Business) of Form 1040. See the return.
instructions for F. Unrelated Business ● Federal income taxes.
Taxable Income above. Enter the net ● Federal excise taxes under Substitute Forms
profit or (loss) from Schedule C or C-EZ Chapter 42.
You do not need prior IRS approval for
on line 3. Any expense that is not deductible in substitute Schedules K-1 that follow the
determining taxable income and not specifications in Pub. 1167, Substitute
allocated to nontaxable income must be Printed, Computer-Prepared, and
allocated to corpus. For a discussion on Computer-Generated Tax Forms and
the allocation of deductions to
Page 3
Schedules, or that are an exact copy of income (but not loss) in each of the Line 30—Receivables Due From
an IRS Schedule K-1. Other substitute above categories. Officers, Directors, Trustees, and
Schedules K-1 require approval. You The accumulation distribution rules do Other Disqualified Persons
may apply for approval of a substitute not apply to charitable remainder trusts. Enter here (and in an attached schedule
form by writing to: Internal Revenue See Regulations section 1.664-1(d). described below) all receivables due
Service; Attention: Substitute Forms from officers, directors, trustees, and
Program Coordinator, PC:FP:FS, 1111
Constitution Avenue, N.W., Washington,
Part IV—Balance Sheet other disqualified persons and all
secured and unsecured loans (including
DC 20224. Complete the balance sheet using the
advances) to such persons.
accounting method the trust uses in
Inclusion of Amounts in keeping its books and records. All filers Attached Schedule.—
Recipients’ Income must complete columns (a) and (b). All 1. In the required schedule, report
If there are two or more recipients, each unitrusts must also complete column (c). each loan separately, even if more than
will be treated as receiving his or her pro When space is provided to the left of one loan was made to the same person,
rata share of the various classes of column (a) for reporting receivables and or the same terms apply to all loans
income or corpus. the related allowance for doubtful made.
Amounts distributed by a charitable accounts or depreciable assets and Salary advances and other advances
remainder annuity trust or a charitable accumulated depreciation, enter the for personal use and benefit, and
remainder unitrust have the following end-of-year figures. receivables subject to special terms or
characteristics in the hands of the Column (c) arising from transactions not functionally
recipients: related to the trust’s charitable purposes
● First, as ordinary income to the extent In computing the net fair market value must be reported as separate loans for
of current and undistributed ordinary (FMV) of the unitrust’s assets, take into each officer, director, etc.
income for prior years of the trust. account all assets and liabilities without 2. Receivables that are subject to the
Ordinary income is computed without regard to whether particular items are same terms and conditions (including
regard to any net operating loss taken into account in determining the credit limits and rate of interest) as
deductions under section 172. income of the trust. The net FMV of the receivables due from the general public
trust’s assets may be determined on any and that arose in connection with an
● Second, as capital gains to the extent one date during the taxable year of the
of the trust’s undistributed capital gains. activity functionally related to the trust’s
trust, or by taking the average of charitable purposes may be reported as
Undistributed capital gains of the trust valuations made on more than one date
are determined on a cumulative net a single total for all the officers,
during the tax year of the trust, so long directors, etc. Travel advances made in
basis under the following rules without as the same valuation date or dates and
regard to any capital loss carrybacks connection with official business of the
valuation methods are used each year. trust may also be reported as a single
and carryovers: See Regulations section 1.664-3. total.
1. If, in any tax year of the trust, the
trust has both undistributed short-term Line 27—Cash—Non-Interest Bearing For each outstanding loan or other
capital gain and undistributed long-term Enter the amount of cash on deposit in receivable that must be reported
capital gain, the short-term capital gain checking accounts, deposits in transit, separately, the attached schedule should
is deemed distributed before any change funds, petty cash funds, or any show the following information. Use
long-term capital gain. other non-interest-bearing account. Do columnar format:
2. If the trust has capital losses in not include advances to employees or ● Borrower’s name and title.
excess of capital gains for any tax year: officers or refundable deposits paid to ● Original amount.
a. The excess of the net short-term suppliers or others. ● Balance due.
capital loss over the net long-term Line 28—Savings and Temporary Cash ● Date of note.
capital gain for that year is a short-term Investments ● Maturity date.
capital loss in the next tax year.
Enter the total of cash in savings or ● Repayment terms.
b. The excess of the net long-term
capital loss over the net short-term other interest-bearing accounts and ● Interest rate.
capital gain for that year is a long-term temporary cash investments, such as ● Security provided by the borrower.
money market funds, commercial paper,
capital loss in the next tax year.
certificates of deposit, and U.S. Treasury ● Purpose of the loan.
3. If the trust has capital gains in bills or other governmental obligations ● Description and FMV of the
excess of capital losses for any tax year: that mature in less than one year. consideration furnished by the lender.
a. The excess of the net short-term The above detail is not required for
capital gain over the net long-term Line 29—Accounts Receivable receivables or travel advances that may
capital loss for that year is, to the extent Enter the total accounts receivable be reported as a single total (see
not deemed distributed, a short-term (reduced by the corresponding instruction 2 above). However, report
capital gain in the next tax year. allowance for doubtful accounts) that and identify those totals separately in
b. The excess of the net long-term arose from the sale of goods and/or the the attachment.
capital gain over the net short-term performance of services. Claims against
capital loss for that year is, to the extent vendors or refundable deposits with Line 31—Other Notes and Loans
not deemed distributed, a long-term suppliers or others may be reported here Receivable
capital gain in the next tax year. if not significant in amount. (Otherwise, Enter the combined total of notes
● Third, as nontaxable income to the report them on line 38, Other Assets.) receivable and net loans receivable.
extent of the trust’s nontaxable income Any receivables due from officers, Notes Receivable.—Enter the amount
for the current year and undistributed directors, trustees, foundation managers, of all notes receivable not listed on line
nontaxable income for prior years. or other disqualified persons must be 30 and not acquired as investments.
reported on line 30. Receivables Attach a schedule similar to that called
● Fourth, as a distribution of trust
(including loans and advances) due from for in the line 30 instructions. The
corpus. For this purpose, “trust corpus”
other employees should be reported on schedule should also identify the
means the net fair market value of the
line 38. relationship of the borrower to any
trust assets less the total undistributed
Page 4
officer, director, trustee, or other Line 36—Investments—Other For loans outstanding at the end of the
disqualified person. Enter the amount of all other investment year, attach a schedule that provides (for
For a note receivable from any section holdings not reported on line 34 or 35. each loan) the name and title of the
501(c)(3) organization, list only the name Attach a schedule describing each of lender and the information specified in
of the borrower and the balance due on these investments held at the end of the the line 30 instructions.
the required schedule. year. Show the book value for each and Line 43—Mortgages and Other Notes
Loans Receivable.—Enter the gross indicate whether the investment is listed Payable
amount of loans receivable, less the at cost or end-of-year market value. Do
allowance for doubtful accounts, arising not include program-related investments. Enter the amount of mortgages and
from the normal activities of the trust. See instructions for line 38. other notes payable at the beginning
An itemized list of these loans is not and end of the year. Attach a schedule
required, but attach a schedule Line 37—Land, Buildings, and showing, as of the end of the year, the
indicating the total amount of each type Equipment total amount of all mortgages payable
of loan outstanding. Report loans to Enter the book value (cost or other basis and, for each nonmortgage note
officers, directors, trustees, or other less accumulated depreciation) of all payable, the name of the lender and the
disqualified persons on line 30, and land, buildings, and equipment owned other information specified in the line 30
loans to other employees on line 38. by the trust and not held for investment. instructions. The schedule should also
This includes any equipment owned and identify the relationship of the lender to
Line 32—Inventories for Sale or Use used by the trust in conducting its any officer, director, trustee, or other
charitable activities. Attach a schedule disqualified person.
Enter the amount of materials, goods,
and supplies purchased or manufactured listing these fixed assets held at the end Line 44—Other Liabilities
by the trust and held for sale or use in of the year and showing for each item or
some future period. category listed, the cost or other basis, List and show the amount of each
accumulated depreciation, and book liability not reportable on lines 40
Line 33—Prepaid Expenses and value. through 43. Attach a separate schedule
Deferred Charges if more space is needed.
Line 38—Other Assets Both annuity trusts and unitrusts
Enter the amount of short-term and
long-term prepayments of future List and show the book value of each should include any advances from
expenses attributable to one or more category of assets not reportable on trustees on line 44. Unitrusts should also
future accounting periods. Examples lines 27 through 37. Attach a separate include any unitrust amounts applicable
include prepayments of rent, insurance, schedule if more space is needed. to prior periods that are unpaid as of the
and pension costs, and expenses One type of asset reportable on line valuation date, since such amounts
incurred in connection with a solicitation 38 is program-related investments made reduce the net FMV of the trust’s assets.
campaign to be conducted in a future primarily to accomplish a charitable
accounting period. purpose of the trust rather than to Part V-B—Charitable
Lines 34a, b, and c—Investments— produce income. Remainder Unitrust
Government Obligations, Corporate Liabilities Information
Stocks, and Bonds
Line 40—Accounts Payable and Line 51a
Enter the book value (which may be
Accrued Expenses Enter the unitrust fixed percentage
market value) of these investments.
Attach a schedule that lists each Enter the total accounts payable to (which may not be less than 5%).
security held at the end of the year and suppliers and others, and accrued Line 53a
shows whether the security is listed at expenses such as salaries payable,
cost (including the value recorded at the accrued payroll taxes, and interest Figure the total accrued distribution
time of receipt in the case of donated payable. deficiencies from previous years as
securities) or end-of-year market value. follows:
Do not include amounts shown on line Line 41—Revenue Designated for 1. Aggregate the unitrust’s net asset
28. Governmental obligations reported Future Periods FMV for each previous year.
on line 34a are those that mature in one Enter the amount of contributions, 2. Multiply 1 above by the unitrust’s
year or more. Debt securities of the U.S. governmental fees or grants, grants from fixed percentage.
Government may be reported as a single other organizations, other fees and 3. From the result in 2, subtract the
total rather than itemized. Obligations of support that contributors or grantors aggregate trust income that was
state and municipal governments may have designated as payable for or distributed for previous years.
also be reported as a lump-sum total. applicable to one or more future years,
Do not combine U.S. Government either by the terms of the gift or by the Line 54
obligations with state and municipal terms of the contract or other
obligations on the attached schedule. Enter the total unitrust dollar amount. If
arrangement. Do not include any
there is more than one recipient, attach
amounts restricted for future use by the
Line 35—Investments—Land, a schedule showing the percentage of
trust’s own governing instrument. Attach
Buildings, and Equipment the total unitrust dollar amount payable
a schedule that describes each
to each recipient. The sum of these
Enter the book value (cost or other basis contribution or grant designated for one
individual shares should be 100%.
less accumulated depreciation) of all or more future periods and indicate the
land, buildings, and equipment held for total amount of each item and the Line 55
investment purposes, such as rental amount applicable to each future period.
properties. Attach a schedule listing This amount is to be used in
these investment fixed assets held at Line 42—Loans From Officers, determining future accrued distribution
the end of the year and showing, for Directors, Trustees, and Other deficiencies.
each item or category listed, the cost or Disqualified Persons
other basis, accumulated depreciation, Enter the unpaid balance of loans
and book value. received from officers, directors,
trustees, and other disqualified persons.
Page 5
Part VI—Statements has not satisfied the requirements of 95%) interest in a business enterprise.
section 508(e) by the operation of that The 20-year grace period expired on
Regarding Activities state law. May 25, 1989. It applied if the combined
Answer every question in this section. If holdings were more than 95%.
a line does not apply, enter “N/A.” Line 2
In general, a “business enterprise”
Complete Part VI to determine The activities listed on lines 2a(1) means the active conduct of a trade or
whether the trust has complied with the through (6) are considered self-dealing business, including any activity that is
applicable chapter 42 rules relating to under section 4941 unless one of the regularly conducted to produce income
private foundations and whether the exceptions described in Chapter VIII of from selling goods or performing
trust, trustee, disqualified persons, or Pub. 578 applies. services, that is an unrelated trade or
some combination of these, may be The terms “disqualified person” and business under section 513.
liable for foundation excise taxes. These “foundation manager” are defined on The term “business enterprise” does
excise taxes include: page 1. not include:
● The section 4941 tax on self-dealing 1. A functionally related business,
Line 3a
between the trust and “disqualified defined in section 4942(j)(4); or
persons.” Under section 4947(b)(3)(A), a
2. A trade or business if at least 95%
● The section 4943 tax on excess split-interest trust is not subject to the
of its gross income is derived from
business holdings. excess business holdings tax (section
passive sources.
4943) or tax on investments that
● The section 4944 tax on investments See section 4943(d)(3) for additional
jeopardize the trust’s charitable purpose
that jeopardize the trust’s charitable items that are included in gross income
(section 4944) if all the income interest
purposes. from passive sources.
(and none of the remainder interest) of
● The section 4945 tax on taxable the trust is devoted solely to one or
expenditures. Line 4a
more of the charitable purposes
The split-interest trust pays these described in section 170(c)(2)(B). In A private foundation is not treated as
taxes on Form 4720. For a detailed addition, all amounts in the trust for having excess business holdings in any
explanation of each of these taxes, see which a charitable contribution enterprise if, together with related
the instructions for Form 4720. deduction was allowed under section foundations, it owns 2% or less of the
The excise taxes on private 170 (for individual taxpayers) or similar voting stock and 2% or less in value of
foundations do not apply to any Code section for personal holding all outstanding shares of all classes of
amounts: companies, foreign personal holding stock. A similar exception applies to a
companies, estates or trusts (including a beneficial or profits interest in any
1. Payable under the terms of the business enterprise that is a trust or
trust to income beneficiaries, unless a deduction for estate or gift tax
purposes), cannot have a total value of partnership.
deduction was allowed under sections
170(f)(2)(B), 2055(e)(2)(B), or more than 60% of the total FMV of all
Line 5
2522(c)(2)(B); amounts in the trust.
In general, an investment which
2. In trust for which a charitable Line 3b jeopardizes any of the charitable
contribution deduction was not allowed Under section 4947(b)(3)(B), a purposes of a trust is one in which a
under any provision of the Code, if the split-interest trust is not subject to the foundation manager did not exercise
amounts are segregated (as defined in section 4943 or 4944 taxes if a ordinary business care in making the
section 4947(a)(3)) from amounts for deduction was allowed under section investment to provide for the long- and
which a deduction was allowable; or 170 (and related provisions for other short-term financial needs of the trust in
3. Transferred in trust before May 27, entities) for amounts payable under the carrying out its charitable purposes.
1969. terms of the trust to every remainder For more information on investments
beneficiary but not to any income which jeopardize charitable purposes,
Line 1
beneficiary. see Regulations section 53.4944-1.
A split-interest trust must have a
governing instrument that requires the Line 4 Line 6
trust to act or refrain from acting so as In general, excess business holdings are Grants by a trust to a public charity are
not to engage in an act of self-dealing the amount of stock or other interest in not taxable expenditures if the grants
under section 4941 or subject it to the a business enterprise that the trust must are not earmarked for use for any of the
excise taxes under section 4943, 4944, dispose of to a person other than a activities described on lines 6a(1)
or 4945. The trust may satisfy the disqualified person in order for the through 6a(5) and there is no oral or
requirements either by express language trust’s remaining holdings in the written agreement by which the trust
in its governing instrument or by the enterprise to be permitted holdings. may cause the public charity to engage
operation of state law which imposes In general, the combined permitted in any such prohibited activity or to
the above requirements on the trust or holdings of a trust and all disqualified select the recipient to which the grant is
treats these requirements as being persons may not be more than 20% of given.
contained in the governing instrument. If the voting power (or beneficial or profits Grants made to exempt operating
a trust claims it satisfies the interest, in the case of a trust or a foundations (as defined in section
requirements of section 508(e) by partnership) in any business enterprise. 4940(d)(2)) are not subject to the
operation of state law, the provisions of
There were grace periods of 15 or 20 expenditure responsibility provisions of
state law must effectively impose the
years for certain excess business section 4945. If the trust made grants to
requirements of section 508(e) on the
holdings that the trust held on May 26, such organizations, you do not have to
trust.
1969. These holdings were considered file Form 4720 for those grants. See the
If, however, the state law does not held by disqualified persons rather than section 4945 regulations for more
apply to a governing instrument which the trust during the grace period. The information.
contains mandatory directions conflicting 15-year grace period expired on May 25,
with any of its requirements and the 1984. This period applied when a trust
trust has such mandatory directions in and all disqualified persons together
its governing instrument, then the trust held 75% or more (but not more than
Page 6
Part VII—Questionnaire for Section B—Pooled Income Funds If you, as trustee (or an employee or
officer of the trust), fill in Form 5227, the
Charitable Lead Trusts and Line 2 Paid Preparer’s space should remain
Pooled Income Funds Upon termination of the income interest blank. If someone prepares this return
retained or created by a donor, the without charge, that person should not
Section A—Charitable Lead Trusts sign the return.
trustee is required to sever from the fund
Line 1 an amount equal to the value of the Generally, anyone who is paid to
remainder interest in the property upon prepare a tax return must sign the return
The information on this line is used to which the income interest is based. The and fill in the other blanks in the Paid
determine whether sections 4943 and amount severed from the fund must Preparer’s Use Only area of the return.
4944 apply for 1994. either be paid to, or retained for the use If you have questions about whether a
Line 3 of, the designated public charity, as preparer is required to sign the return,
provided in the governing instrument. please contact an IRS office.
Enter the amount for payments See Regulations section 1.642(c)-5(b)(8)
described in sections 170(f)(2)(B), The person required to sign the return
for valuation procedures.
2055(e)(2)(B), and 2522(c)(2)(B). as the preparer must complete the
required preparer information and:
Line 4 Signature ● Sign it, by hand, in the space provided
Enter the amount for payments Form 5227 must be signed by the for the preparer’s signature. (Signature
permitted by Regulations sections trustee or by an authorized stamps and labels are not acceptable.)
1.170A-6, 20.2055-2, and 25.2522(c)-3. representative. ● Give the trustee a copy of the return
in addition to the copy to be filed with
the IRS.

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