Completing Form 4720, Specific Instructions

Note: The instructions below are specific to reporting excess benefit transactions under Section 4958 and do not necessarily apply to other Chapter 42 taxes. See Instructions for Form 4720, Return of Certain Excise Taxes on Charities and Other Persons Under Chapters 41 and 42 of the IRC, for full instructions on completing the Form 4720.

(1) On the top of page 1 of the Form 4720, the disqualified person or manager must

complete the name, address, SSN, type of return and questions A and B.

a. A disqualified person or manager filing a separate Form 4720 enters his or

her name, address, and taxpayer identification number at the top of the form. The name and address of the related tax-exempt organization is not entered here, instead it is entered in Part II as discussed below.

b. The person must also check “Other” in the box for type of annual return filed.

c. In answering Question A, the person answers “Yes” or “No” depending on

whether the related organization, identified in Part II, is a foreign private foundation under Section 4948(b).

d. Finally, the person must check “Yes” to Question B if the person is reporting

and paying excise tax relating to more than one organization on the Form 4720. If “Yes,” the person must attach a list with the name and EIN for each organization.

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(2) On Part II, Taxes on a Manager, Self-Dealer, Disqualified Person, Donor, Donor

Advisor, or Related Person, the disqualified person or manager reports information on the related tax-exempt organization and the amount of tax due under Section 4958(a)(1) and (a)(2).

a. The person enters the name, address, and employer identification number of

the tax-exempt organization with respect to the tax owed under Section 4958 as a disqualified person.

b. On Line 6, the person enters the tax on the excess benefit transactions under