Professional Documents
Culture Documents
OMB No 1545-0687
Exempt Organization Business Income Tax Return
(and proxy tax under section 6033(e))
Fer calendar year 2013 or other tax year beginning
, and ending
2013
D Information about Form 990-T and its instructions is available at WW "5 gov/formggm.
0 en to Public inspection for
5 1(cx3) Organizations Only
D Do not enter SSN numbers on this form as it may be made public it your organization is a 501(c)(3).
ogpglggfgggffsg um
Name 01 organization ( 1:] Check box 11 name changed and see Instructions.)
501(C )( 3 )
[34mm [:|220(e)
r
""9
Number, street, and room or sude no. It a P.0. box, see instructions.
2 1 0 s. FORT HARRI SON AVE.
Instructions)
59-2143308
E,gg;::;?uggj'::,ss WW ng
[:14OBA D530(a)
City or town, state or provmce, country, and ZIP or foreign postal code
1:1529(a)
CLEARWATER, FL
337565109
721110
Book value of all assets
F Group exemption number (See instructions.)
P
at end of year
2 l 8 1 5 4 3 1 9 . G Check organization type P
LXJ 501(c) corporation
LJ 501(c) trust
|_| 401(a) trust
L] Other trust
SEE STATEMENT 1
H Describe the organizations primary unrelated busmess actIVIty. b
l During the tax year, was the corporation a subSIdIary in an affiliated group or a parent-subsndlary controlled group?
D Ll Yes
No
If 'Yes, enter the name and identifying number of the parent corporation. P
J The books are in care of P GLEN STILO , SECRETARY
Telephone number F 727467-5000
Wart l | Unrelated Trade or Business Income
(A) Income
(B) Expenses
(0) Ne!
154 , 927 .
1a Gross receipts or sales
b Less returns and allowances
c Balance
b
1c
154 , 927 .
46 , 440 .
2
2 Cost of goods sold (Schedule A, Ilne 7)
1O8 , 487
108 , 487 .
3
3 Gross profit. Subtract line 2 from line 1c
4a Capltal galn net Income (attach Form 8949 and Schedule D)
4a
"
4b
b Net galn (loss) (Form 4797, Part II, line 17) (attach Form 4797)
c Capital loss deduction for trusts
4c
5 Income (loss) from partnerships and S corporations (attach statement)
5
6 Rent income (Schedule C)
6
7 Unrelated debt-financed income (Schedule E)
7
8
8 Interest, annurties, royalties, and rents from controlled organlzatlons (Sch. F)
9 Investment income of a section 501(c)(7), (9), or (17) organization (Schedule G) 9
10 Explaited exempt activ1ty income (Schedule |)
10
11 Advertismg income (Schedule J)
11
12 Other Income (See instructions; attach schedule.)
12
~
108 , 487 .
13
13 Total. Combine llnesathroughlz
I Part II I Deductions Not Taken Elsewhere (See instnrctions for limitations on deductions.)
(Except for contributions, deductions must be directly connected With the unrelated busmess income.)
14
15
16
17
18
19
20
21
22
23
(131%in
330
17102
1; 24
25
26
27
28
29
30
31
32
33
34
E
l
i
.
108 , 487 .
l7 , 928 .
3 , 920 .
4 , 56 0 .
18 , l10 .
8l , 778 .
126 , 296 .
<1 7 , 8 0 9 . >
<1 7 , 8 0 9 . >
l , 000 .
<17,809.>
Form 990-T (2013)
Form990-Tl2013)
592143308
Page 2
0 .
0 .
0 .
0
0
e
1
9
45
46
47
48
49
[part
1
0 .
l0 , 229 .
45
46
47
48
49
b
b
b
10 , 229 .
0 .
At any time during the 2013 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 loreign country? If YES, the organization may have to file Form TD F 90-221, Report 01 Foreign Bank and Financ1al
UNITED KINGDOM AND AUSTRALIA
Accounts. ll YES, enter the name of the foreign country here >
Preparer's signature
0 D Date
Paid
WI LLIAM
Preparer WILLIAM D. ESENSTEN ESENSTEN
11/17/14
use only Firm's name DNSBN LLP
9454 WILSHIRE BLVD. , 4TH FLOOR
Flrm'SaddreSS b BEVERLY HILLS, CA 90212-2907
323711 12-12-13
Yes
No
X
X
I
6
"_
AJ
0 .
46 , 440 .
Yes No
C ___ ___l
X
w
Check I il
selt- employed
Firm's EIN b
Phoneno.
P00535334
95-2399533
(310)2732501
Form 990-T(2o13)
1. Description of property
(1)
(2)
(3)
(4)
(1)
C2)
(3)
45L
Total
0 .
Total
0 .
(c) Total income. Add totals of columns 2(a) and 2(b). Enter
here and on page 1, Part I, line 6, column (A)
p
Schedule E - Unrelated Bebt-Financed Income (see instructions)
0 .
0 .
(1)
(2)
(3)
(4)
4 _ Amount 0 i average acqursition
debt on or allocable to debt-nanced
property (attach schedule)
6 _ c olumn 4 diVided
by column 5
(1)
42)
L3)
(4)
7 . G ross income
reportable (column
2 x column 5)
8 , Alloca bl e d ed uctions
(column 6 x total 01 columns
3(a) and 3(1)
%
%
%
0/o
Enter here and on page 1,
Pan I, line 7, column (A)
Totals
b
0.
Total dividends-received deductions Included in column 8
b
Schedule F - Interest, Annuities, Royalties, and Rents From Controlled Organizations (see Instructlons)
Exempt Controlled Organizations
1. Name of controlled organization
2.
Employer identication
number
(1)
(2)
(3)
(4)
Nonexempt Controlled Organizations
7, Taxable Income
8_ Net unrelated income (loss)
(see instructions)
3.
Net unrelated income
(loss) (see instructions)
4.
Total of speCIed
payments made
0 .
0 .
6. Deductions directly
connected With income
in column 5
(1)
(2)
(3)
(4)
Totals
323721 12-12-13
0 .
0 .
Form SSO-T (2013)
(1)
(2)
(3)
(4)
4. Sel'aSIdBS
(attach schedule)
5. Total deductlons
and set-aSIdes
(col 3 plus col 4)
0 ,
0 ,
Totals
Page 4
592143308
2. Gross
unrelated busrness
Income from
trade or bustness
dlrgu$x:$ed
mm roducuon
of :melated
busmess Income
(1)
(2)
(3)
(4)
5. Gross Income
from activity that
Is not unrelated
busmess Income
5,x ~ ,
6 Expenses
atibumbla 0
column 5
, 334;;
,
ngizzzsgip
6 minus column 5
but not mow man
column 4)
0 .
0 .
b
Totals
Schedule J - Advertising Income (see ll'tStrUCthllS)
I part | | Income From PerIodIcaIs Reported on a ConsoIIdated BaSIs
2. Gross
advmlsm
mme g
3. DIrect
advertIsrng costs
4. Advemsmg gain
or (loss) (col 2 mmus
col 3) lf a 93m. 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)
Tota|s(carrylo Part II, km (5))
> _
0 .
0 .
l part || | Income From Periodicals Reported on a Separate Basis (For each perlodlcal lIsted In Part II, fIlI In
columns 2 through 7 on a lIne-by-llne baSIS)
2. Gross
advemsm
Income 9
O .
Enter here and on
page 1. Part I.
line 11. cal (A).
3. DIrect
advertising costs
4. Advemsmg 9am
or (loss) (col 2 rnInus
col 3) II a gain, compute
col: 5 through 7
5. CIrcuIatIon
Income
6. Readershlp
costs
0 .
7. Excess readershlp
costs (column 6 mInus
column 5. but not more
than column 4)
0 .
0 .
Enter here and on
page 1. Part I.
um 11. col (B)
2' ne
m9busmess
downed to
0 .
4. Compensation annbutable
to unrelated busrness
1 Panl line 14
Form 990-T (2013)
CHURCH OF
FORM
592143308
990-T
PAGE
STATEMENT
SUBSTANTIALLY
FOOTNOTES
STATEMENT
CARRYBACK PERIOD
STATEMENT(S)
l,
CHURCH OF
OTHER DEDUCTIONS
FORM 990-T
STATEMENT
AMOUNT
DESCRIPTION
3,327.
2,601.
59-2143308
990-T,
PAGE
1,
LINE
8,457.
31,067.
2,571.
7,161.
6,366.
7,992.
7,068.
32.
5,136.
28
81,778.
STATEMENT(S)
/
5~ . 31,29,0.3627.09.
23,0.312.
34,13.
469.
482.397.
50,703.
14,1,127965.519.27.
50,12
708.
14,1,97619.85.27,
5
iii 4 713,8106.1L,8709,8090.
an A
1 60,3150,8.15,s,2153,4e.4a.
g?
57,50.041.
Excl
Depreciation
Expense
41X
4-
~,M
04"A93
~K
W
newee
Basns
0r
De%
Basus
A179
Sec
xpense
c pud0rmuecultiaoetidnon
SectUnaBus
ReCurBegiYear
179
BaSI
In
For
EndidLiucdrjinuoteisniontnSetndgNECost
00:)
Dat
LPE.OTHER SANDCASFEQUI<ITNETS.3
FOSEQUIITNCE-OSLPA.
6
{$312601
111017
07/7.00
SL
FCTR.
I0T1/NE9S9l
DAND
2013
AREPORT
EMPORECTIAZTION
A33
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DeMetLife
scrhipodtion
990-1
FORM
PAGE
990TT
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90
TOTHER
167,90-OTAL
0.
47127.745.27.37.
FURNIEa
QTUUREIP-MENTS
11
07.00
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16
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13
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BUILDINGS
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,'PG
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MML7
4452135g
7a
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UAIRL0DI1/SN0OG0N09
105
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34,39.HUSL
MM16
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'91
TPG
M90-OTAL
ACHINETRY EE
QUIPMENT
FFORT
ITNES
MAE&
QCUHIPNMEREYNT HEUIP.
07/79
7.00
20003
7
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FH1/IATRN0IES9OSN
990-1
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OTAL-T
BUILDINGS pBLDG.
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P1R9OV3E. 07/11631588.
31.11311?
81.
SA0ND1/C5A9S0T2LE
F1
320m (D)
0Asset
diSalI5Bonus.
CGO
DeR"-oe0TC,
Zone
svm1uposed
d-tme1-avucl3uage,zractnlioanln,
73R?5%.1.5. .
%
NuTW
Deprpremuaonanon
DeExcl
Expense
0r
Cost
ENo
DeBaSI
179
%
cxpense
pudrmuecltuaioSetndlon
SUnaeudcnueLmeodcnulmsFYo1eorn7al9mnr dASec
CBaysRBus
Cunenl
Bewnnmg
Endmg
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32117
10,1,20.St.
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pBLDG.
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2002
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BLDG.
01a
M'39.4SL
v,21n92s6,7uous9wM06a0.4Lnl,78s790-4r1,.m9 1.
DREPORT
A2013
AND
EMPORETCIZATION
Acqifed
AW:
DeLIfe
Metscrhlpoduon
990-1
9PAGE
FORM90TT
026.'57981
BTpg
,468U90-OTAL
427IL4.0D,62I7N01T.,G261S.
29,654,20
0.
39.07/8L
MM17
SA0N91/D02C32.A037.0S2TLE
24
39.07/SBSL
1,MMl
0.
25.
AUNIDL90CDA1/0IS42.NT70LG0E3
'0921
T99
6.5790-OTAL8,469427.041,62701,.261 .
BUILDINGS
2,2,0H2117
20.56FORT
HBs0
4.7UA40,28,/RIL60-D741I.S028N/,O6G4067.2Na16,27.
BUILDING
m
033,,7'831
97B2TPG
,U82,3790-9OTALI87L.23D,37I8N97.2T9G,37S.
'9o33,1
T,PG
7.8390T
OTAL
72,382,79-e7.z3,37897.29,379. '990-1
TOTALT 18,172,3521papa
GRAND
PG
2973418065982.10.1032.
._1W4~-,
8281 1 GO
-RCdl0A'eo5TC,
SalI(0)
DeBonus.
Zone
vms-dusset0tmepuca1vl-osz1age,rat3CiloIaenld.
OMB No 1545-0172
Fm.
Department of the Treasury
lntemal Revenue Serv-ce (99)
Name(5) Show" 0" return
Attachment
Sequence No 179
Identrfyrng number
1
2
3
4
5
6
500 I 000 o
1
2
3
4
5
2 I 000 I o00 -
l
I
____ __ ~_ ____ ~___I
I 7
7 LIsted property Enter the amount from lIne 29
8 Total elected cost of sectIon 179 property Add amounts In column (0), IInes 6 and 7
_
9 TentatIve deductlon Enter the smaller of lIne 5 or lIne 8
10 Carryover of dIsallowed deductIon from lIne 13 of your 2012 Form 4562
11 Busmess Income lImItatIon Enter the smaller of busmess Income (not less than zero) or lIne 5
12 SectIon 179 expense deductron. Add lInes 9 and 10, but do not enter more than lIne 11
>I 13 I
13 Carryover of dIsallowed deductIon to 2014. Add lInes 9 and 10, less lIne 12
Note: Do not use Part II or Part III below for lIsted property. Instead, use Part V.
[Part II I Special Depreciation Allowance and Other Depreciation (Do not Include |Isted property.)
8
9
10
11
12
v " ,,
14 Specral deprecIatIon allowance for quaIIerd property (other than |Isted property) placed In servrce dunng
the tax year
15 Property subject to sectIon 168(f)(1) electron
16 Other depreCIatIon (IncludInq ACRS)
MACRS Depreciation (Do not Include |Isted property.) (See InstructIons.)
Section A
14
15
16
I. I q, em}; !)
l3 .
18 , 097 17 I
17 MACRS deductrons for assets placed In servrce In tax years begInnIng before 2013
y
if? g
I:I 3
18 It you are electrng to group any assets placed In servrce durrng the tax year Into one or more general asset accounts, check here
Section B - Assets Placed in Service During 2013 Tax Year Using the General Depreciation System
(c) Basrs for deprecratron
(b) Month and
(d) Recovery
(busIness/investment use
(a) ConventIon (1) Method
(9) Deprecratlon deductlon
year placed
(a) Classrcatron of property
perlod
only - see InstructIons)
In servrce
h
i
20a
b
c
I Part
S/L
MM
S/L
Resrdentlal rental property
MM
S/L
MM
S/L
39
Nonresrdentral real property
/
MM
S/L
Section C - Assets Placed in Service During 2013 Tax Year Using the Alternative Depreciation System
Class lIfe
12-year
40-year
IVI Summary (See InstructIons)
12 yrs.
40 yrs.
MM
S/L
S/L
S/L
21
22
18 , 1l0 .
25
%
%
%
27 Property used 50% or less in a qualied busmess use:
s/L .
%
S/L .
%
%
S/L28 Add amounts in column (h), lines 25 through 27. Enter here and on line 21, page 1
28
29 Add amounts in column (i), line 26 Enter here and on line 7. page 1
I 29
Section B - Information on Use of Vehicles
Complete this section for vehicles used by a sole propnetor, partner, or other 'more than 5% owner, or related person. If you provrded vehicles
to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles.
(a)
Vehicle
(b)
Vehicle
(C)
Vehicle
(d)
Vehicle
(e)
Vehicle
(f)
Vehicle
go (14
Form 8868
(Rev. January 2014)
watment of the Treaswy
lMondRummwSe~be
7r
V4709
0 If you are ling for an Automatic 3-Montb Extension. complete only Part I and check this box
.
> El
' 'f YOU are ling for an Additional (Not Automatic) anMenth Extension. complete only Part ii (on page 2 of this form).
Do not complete Pen ll unless you have already been granted an automatic 3-month extenSIon on a prewously led Form 8868
Electronic ling (e-le). You can electronically file Farm 8868 if you need a 8-month automatic extenSion of time to le (6 months for a corporation
required to le Form 990T). or an additional (not automatic) 3-month extension of time. You can electronically le Form 8868 to request an extensiOn
of time to le any of the forms hated in Part I or Part ll with the exception of Form 8870. information Return for Transfers Associated With Certain
Personal Benet Contracts, which must be sent to the IRS in paper format (see instructions). For mere details on the electronic ling of this form,
Visn www.irs v/efile and click on e-le for Charities & Non rots
I Partl I
Automatic 3-Month Extension of Time. Only submit original (no copies needed).
A corporation required to le Form 990T and requesting an automatic 6-month extension - check this box and complete
Part i only
F If]
All other corporations ncluding 1120-0 lers). partnerships. REM/Cs. and trusts must use Form 7004 to request an extension of time
0 "9 "mama tax mm
En
filera identi n n mber
Name of exempt organization or other ler. see instructions.
Type or
Employer identication number (EIN) or
print
CHURCH OF SCI ENTOLOGY FLAG
SERVICE ORGANI ZATION . INC .
F". by m
59 2143308
do. mm, Number. street, and room or surte no. it a P.O. box. see instructions.
Some! security number (SSN)
CjO NSBN LLP - 9454 WILSHIRE BLVD 4TH FLR
my
return
See
instructions City. town Or post ofce. state. and ZIP code. For a foreign address. see Instructions
BEVERLY HILLS, CA 90212
Enter the Return code for the return that this application is for (file a separate application tor each return)
Application
Return
Application
T
Form
4720
Form 990-T
T
LHA
For Privacy Act and Paperwork Reduction Act Notice. see instructions.