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                                                             Illinois Department of Revenue 
                                                                                                                                      *31712221W*
                                                          2022 Form IL-990-T 
                                                            Exempt Organization Income and Replacement Tax Return
                                                              Due on or before the 15th day of the 5th month (4th month for employee trusts) following the close of the tax year.
  If this return is not for calendar year 2022, enter your fiscal tax year here.                                                                               Enter the amount you are paying.
       Tax year beginning                            month       day            20year   , ending   month      day             20year
                                                   This form is for tax years ending on or after December 31, 2022, and before December 31, 2023.              $
                                                   For all other situations, see instructions to determine the correct form to use. 

 Step 1: Identify your exempt organization 
                                                                                                                                        D    Enter your federal employer identification number
  A                                             Enter your complete legal business name.                                                     (FEIN).
                                                If you have a name change,    check this box. 
                                                Name:                                                                                   E  Check if you are taxed as a corporation.
  B                                             Enter your mailing address.                                                             F  Check if you are taxed as a trust.
                                                Check this box if either of the following apply: 
                                                   this is your first return, or                                                     G  Provide the nature of your unrelated trade or      
                                                                                                                                             business. 
                                                   you have an address change.
                            C/O:                                                                                                          HCheck this box if you attached Illinois
                                                                                                                                             Schedule 1299-D, Income Tax Credits.    
                                                Mailing address:                                                                         I   Enter your North American Industry Classification  
                            City:                                                             State:               ZIP:                      System (NAICS) Code, if applicable.
                                                                                                                                             See instructions. 
  C  If this is the first or final return, check the applicable box(es).
                                                                                                                                           J Check this box if you are a 52/53 week filer.        
                                                    First return 
                                                     Final return (Enter the date of termination.   mm     dd        yyyy        ) 
 Step 2:   Figure your base income or loss                                                                                                                               (Whole dollars only)
                                1  Unrelated business taxable income or loss from U.S. Form 990-T. See instructions. 
                                                   Attach a copy of your U.S. Form 990-T.                                                                          1                                                      00
                                2  Illinois income and replacement tax and surcharge deducted in arriving at Line 1.                                               2                                                      00
                                3                  Base income or loss. Add Lines 1 and 2.                                                                         3                                                      00

                                                       A  If the amount on Line 3 is derived inside Illinois only or if you are an Illinois resident trust, check this box and enter the amount 
                                                         from Step 2, Line 3 on Step 4, Line 12. You may not complete Step 3. (You must leave Step 3, Lines 4 through 11 blank.)
                                                       B  If any portion of the amount on Line 3 is derived outside Illinois, check this box and complete all lines of Step 3. 
                                                       (Do not leave Lines 6 through 8 blank.) See instructions. 
  Step 3:   Figure your income allocable to Illinois  (Complete only if you checked the box on Line B, above.)
                                4                  Business income or loss included in Line 3 from non-unitary partnerships, partnerships included on a
                                                  Schedule UB, S corporations, trusts, or estates. See instructions.                                               4                                                      00
                                5                  Business income or loss. Subtract Line 4 from Line 3.                                                               5                                                  00
                                6  Total sales everywhere. This amount cannot be negative.                                           6 
                                7                  Total sales inside Illinois. This amount cannot be negative.                      7 
                                8  Apportionment factor. Divide Line 7 by Line 6. Round to six decimal places.                       8 
                                9                  Business income or loss apportionable to Illinois. Multiply Line 5 by Line 8.                                   9                                                      00
                          10  Business income or loss apportionable to Illinois from non-unitary partnerships, partnerships included on
                                                  a Schedule UB, S corporations, trusts, or estates. See instructions.                                             10                                                     00
                          11                       Base income or loss allocable to Illinois. Add Lines 9 and 10.                                                  11                                                     00  
        Step 4:   Figure your net replacement tax 
                                                12  Net income or loss from Line 3 or Line 11.                                                                     12                                                     00
                                                13  Replacement tax. Corporations multiply Line 12 by 2.5% (.025); Trusts multiply by 1.5% (.015).                 13                                                     00
                                                14  Recapture of investment credits. Attach Schedule 4255.                                                         14                                                     00
                                                15  Replacement tax before investment credits. Add Lines 13 and 14.                                                15                                                     00
                                                16  Investment credits. Attach Form IL-477.                                                                        16                                                     00
  Attach your payment and Form IL-990-T-V here. 17  Net replacement tax. Subtract Line 16 from Line 15. If the amount is negative, enter zero.                     17                                                     00 
                                
                                                                               IR       NS       DR 

                                                                                                                                 This form is authorized as outlined by the Illinois Income Tax Act. Disclosure of this 
                                                   IL-990-T Front (R-12/22)                                                      information is REQUIRED. Failure to provide information could result in a penalty.       



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                                                                                                 *31712222W*

Step 5:   Figure your net income tax 
18  Net income or loss from Line 12.                                                                                    18                      00
19   Income Tax.  See instructions.                                                                                     19                      00
20  Recapture of investment credits. Attach Schedule 4255.                                                              20                      00
21  Income tax before credits. Add Lines 19 and 20.                                                                     21                      00
22   Income tax credits. Attach Schedule 1299-D.                                                                        22                      00
23   Net income tax. Subtract Line 22 from Line 21. If the amount is negative, enter zero.                              23                      00

Step 6:   Figure your refund or balance due
24   Net replacement tax from Line 17.                                                                                  24                      00
25  Net income tax from Line 23.                                                                                        25                      00
26   Compassionate Use of Medical Cannabis Program Act surcharge. See instructions.                                     26                      00
  27 Sale of assets by gaming licensee surcharge. See instructions.                                                     27                      00
28   Total net income and replacement taxes and surcharges. Add Lines 24, 25, 26, and 27.                               28                      00
  29 Payments. See instructions. 
       a  Credits from previous overpayments.                                                    29a           00
       b  Total payments made before the date this return is filed.                              29b           00
       c  Pass-through withholding reported to you on Schedule(s)
          K-1-P or K-1-T. Attach Schedule(s) K-1-P or K-1-T.                                     29c           00
       d  Pass-through entity tax credit reported to you.
          Attach Schedule(s) K-1-P or K-1-T.                                                     29d           00 
       e  Illinois income tax withholding. Attach Form(s) W-2G.                                  29e           00
30  Total payments. Add Lines 29a through 29e.                                                                          30                      00 
31  Overpayment. If Line 30 is greater than Line 28, subtract Line 28 from Line 30.                                     31                      00
32   Amount to be credited forward. See instructions.                                                                    32                     00 
     Check this box and attach a detailed statement if this carryforward is going to a different FEIN. 
33   Refund. Subtract Line 32 from Line 31. This is the amount to be refunded.                                          33                      00
34   Complete to direct deposit your refund

        Routing Number                                                                  Checking or    Savings 
        Account Number  
  35  Tax Due. If Line 28 is greater than Line 30, subtract Line 30 from Line 28.  This is the amount you owe.          35                      00
  If you owe tax on Line 35, make an electronic payment at Tax.Illinois.gov. If you must mail your payment, complete a payment voucher, 
Form IL-990-T-V.  Write your FEIN, tax year ending, and "IL-990-T-V" on  your check or money order and make it payable to “Illinois 
Department of Revenue." Attach your voucher and payment to the front of this form.
                                        Enter the amount of your payment on the top of Page 1 in the space provided.

Step 7:   Sign below - Under penalties of perjury, I state that I have examined this return and, to the best of my knowledge, it is true, correct, and complete. 
Sign                                                                                                                            Check if the Department 
Here                                                                                                  (      )          may discuss this return with the 
       Signature of authorized officer     Date (mm/dd/yyyy) Title                                   Phone              paid preparer shown in this step.
                                                                                                                                Check if 
Paid      Print/Type paid preparer’s name           Paid preparer’s signature                         Date (mm/dd/yyyy)  self-employed   Paid Preparer’s PTIN
Preparer
          Firm’s name                                                                                          Firm’s FEIN
Use Only
          Firm’s address                                                                                       Firm’s phone  (      )

       If a payment is not enclosed, mail this return to: Illinois Department of Revenue, P.O. Box 19009, Springfield, IL  62794-9009 
      If a payment is enclosed, mail this return to: Illinois Department of Revenue, P.O. Box 19053,  Springfield, IL  62794-9053 

         Printed by the authority of the state of Illinois. Electronic only, one copy. Reset          Print             IL-990-T Back  (R-12/22)






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