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efile GRAPHIC print – DO NOT PROCESS | As Filed Data – | DLN: 93393135005263]
990-T Exempt Organization Business Income Tax Return |__OMB No. 1545-0047
Form .
(and proxy tax under section 6033(e)) 202 1
For calendar year 2021 or other tax year beginning 07-01-2021 and ending 06-30-2022
Department of the Treasury > Go to www.irs.gov/Form990T for instructions and the latest information. Rn Aarne
Internal Revenue Service > Do not enter SSN numbers on this form as it may be made public if your organization is a 501(c)(3). Pn ekenL
A [| Check box if Name of organization ( LT check box if name changed and see instructions.) D_ Employer identification number
address changed. ANTIOCH COLLEGE CORPORATION 26-1672457
— _ Print
B Exemptunder section] or | Number, street, and room or suite no. If a P.O. box, see instructions. E Group exemption number
501( c3 ) TyPe | ONE MORGAN PLACE (see instructions)
[1] 408(e) [[] 220(e)
[1 408a =] 530(a) City or town, state or province, and ZIP or foreign postal code F [Check box if an
YELLOW SPRINGS, OH 45387 ded
oO 529(a) oO 529A amended return.
C Book value of all assets at end of year. . . » P& 43,686,330
Check organization type > 501(c) corporation [1 501(c) trust [J 401(a) trust [J other trust
G
H_ Check if filing only to > L] claim credit from Form 8941 1] Claim a refund shown on Form 2439
I Check if a 501(c)(3) organization filing a consolidated return with a 501(c)(2) titleholding corporation. . . 1 1 1 ws w a h CL]
J) Enter the number of attached Schedules A (Form 990-T). «2 ww 8 we we we we we el el wl
K During the tax year, was the corporation a subsidiary in an affiliated group or a parent-subsidiary controlled group?. . . P» []lyes No
If “Yes,” enter the name and identifying number of the parent corporation >»
L The books are in care of ® THE ORGANIZATION Telephone number ® (937) 319-6172
ONE MORGAN PLACE
YELLOW SPRINGS, OH_ 45387
ore Total Unrelated Business Taxable Income
1 =Total of unrelated business taxable income computed from all unrelated trades or businesses (see
instructions) 28 ew ee 1 0
2 Reserved 6 0 uw we ee 2
3 Addlinestand2 . 2. uw ew ew ww we ee ee 3 0
4 Charitable contributions (see instructions for limitation rules) – eon ee 4 0
5 Total unrelated business taxable income before net operating losses. Subtract line 4 from line 3 5
6 Deduction for net operating loss. See instructions 6 0
7 Total of unrelated business taxable income before specific deduction and section 199A deduction.
Subtract line 6 from line 5 Be 7
8 Specific deduction (generally $1,000, but see instructions for exceptions) 8 1,000
9 Trusts. Section 199A deduction. See instructions Be 9
10 Total deductions. Add lines8and9 . . 1. 1 on ww we we ee 10 1,000
11. Unrelated business taxable income. Subtract line 10 from line 7. If line 10 is greater than line 7, enter
zero SC 0
eae Tax Computation
1 Organizations taxable as corporations. Multiply Part I, line 11 by 21% (0.21) . . «2 2 uw nw nw 1 0
2. =Trusts taxable at trust rates. See instructions for tax computation. Income tax on the amount on
Part I, line 11 from: L] Tax rate schedule or [1] Schedule D (Form 1041) Boe ee ee 2
3 Proxy tax. See instructions nn 3
4 Other tax amounts. See instructions soe ee 4
5 Alternative minimum tax (trusts only) er 5
6 Tax on noncompliant facility income. See instructions . . . . 6
7 Total. Add lines 3 through 6 to line 1 or 2, whichever applies. . . . 7 0
For Paperwork Reduction Act Notice, see instructions. Cat. No. 11291] Form 990-T (2021)
Form 990-T (2021)
Tax and Payments
Page 2
la Foreign tax credit (corporations attach Form 1118; trusts attach Form 1116) la
b Other credits (see instructions) . 2. 2 2 8 8 8 ew we ew we ew 1b
c General business credit. Attach Form 3800 (see instructions). . . « « ic
d Credit for prior year minimum tax (attach Form 8801 or 8827) . . . . 1d
e Total credits. Add lines 1a through 1d a le
2 Subtract line le from Part II, line 7 so – os : sono 2 0
3 Other amounts due. Check if from: L] Form 4255 OF Form 8611 OF Form 8697 Oo; Form 8866
LC other (attach statement) i 3
4 Total tax. Add lines 2 and 3 (see instructions). C1 check if includes tax previously deferred under
section 1294. Enter the tax amount here 4 0
5 Current net 965 tax liability paid from Form 965-A, Part II, column (k) ee 5 0
6a Payments: A 2020 overpayment credited to 2021 . . «. « « 2 « 6a
b 2021 estimated tax payments. Check if section 643(g) election applies > oO 6b
c Tax deposited with Form 8868 . . . « «© «© © © © «© © 8 @ 6c
d_ Foreign organizations: Tax paid or withheld at source (see instructions) . 6d
e Backup withholding (see instructions) . . . « «© © «© «© «© © © «@ 6e
f Credit for small employer health insurance premiums (attach Form 8941) . 6f
9 Other credits, adjustments, and payments: C1 Form 2439
L] Form 4136 Other —___ Total > | 6g
7 Total payments. Add lines 6a through 6g. . . . 7
8 Estimated tax penalty (see instructions). Check if Form 2220 is attached es 0:
9 Tax due. If line 7 is smaller than the total of lines 4,5, and 8, enter amount owed . . . « «© «© « D> 9
10 Overpayment. If line 7 is larger than the total of lines 4, 5, and 8, enter amount overpaid . . . . P 10
11. Enter the amount of line 10 you want: Credited to 2022 estimated tax> Refunded> 11
Statements Regarding Certain Activities and Other Information (see instructions)
1 = At any time during the 2021 calendar year, did the organization have an interest in or a signature or other authority over a Yes | No
financial account (bank, securities, or other) in a foreign country? If “Yes,” the organization may have to file FinCEN Form 114,
Report of Foreign Bank and Financial Accounts. If “Yes,” enter the name of the foreign country here >
No
2 During the tax year, did the organization receive a distribution from, or was it the grantor of, or transferor to, a foreign trust? No
If “Yes,” see instructions for other forms the organization may have to file.
3 Enter the amount of tax-exempt interest received or accrued during the tax year soe ew ee OS
4 Enter available pre-2018 NOL carryovers here. » $ 723,454. Do not include any post-2017 NOL carryover shown
on Schedule A (Form 990-T). Don’t reduce the NOL carryover shown here by any deduction reported on Part I, line 4.
5 Post-2017 NOL carryovers. Enter available Business Activity Code and post-2017 NOL carryovers. Don’t reduce the amounts
shown below by any NOL claimed on any Schedule A, Part II, line 17 for the tax year. See instructions.
Business activity code Available post-2017 NOL carryover
713940 $ 234,489
$
$
$
6a Did the organization change its method of accounting? (see instructions) No
b_ If 6a is “Yes,” has the organization described the change on Form 990, 990-EZ, 990-PF, or Form 1128? If “No,” explain i in Part V
iia Supplemental Information
Provide the explanation required by Part IV, line 6b. Also, provide any other addtional information. See instructions.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and
belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
H May the IRS discuss this return
ere LILLIAN JENNINGS 2023-05-15 CONTROLLER with the preparer shown below
Signature of officer Date Title (see instructions)? MJ Yes No
Print/Type preparer’s name Preparer’s signature Date Check CL if PTIN
. RENEA R IRICK 2023-05-09 | “Mec ‘ P01586814
Paid self-employed
Preparer Firm’s name %® CLARK SCHAEFER HACKETT & CO Firm’s EIN ® 31-0800053
Use Only Firm’s address ® 14 EAST MAIN STREET SUITE 500 Phone no. (937) 399-2000
SPRINGFIELD, OH 45502
Form 990-T (2021)
efile GRAPHIC print – DO NOT PROCESS | As Filed Data – |
DLN:
93393135005263]
SCHEDULE A
(Form 990-T)
Unrelated Business Taxable Income
From an Unrelated Trade or Business
OMB No. 1545-0047
Department of the Treasury
Internal Revenue Service
> Go to www.irs.gov/Form990T for instructions and the latest information.
> Do not enter SSN numbers on this form as it may be made public if your organization is a 501(c)(3)
fey mom lel emia ems
. 501(c)(3) Organizations Only
A Name of the organization
ANTIOCH COLLEGE CORPORATION
B Employer identification number
26-1672457
C Unrelated business activity code (see instructions) » 713940
D Sequence:
E Describe the unrelated trade or business » PUBLIC USE OF WELLNESS CENTER ON CAMPUS
| pare x | Unrelated Trade or Business Income (A) Income (B) Expenses (C) Net
1a Gross receipts or sales
b_ Less returns and allowances c Balance » | 1c
2 Cost of goods sold (Part III, line 8) 2
3 Gross profit. Subtract line 2 from line 1c . 3
4a Capital gain net income (attach Sch D D (Form i 1041 or Form
1120)) (see instructions) so. 4a
Net gain (loss) (Form 4797) (attach Form 4797) (see instructions) | 4b
c Capital loss deduction for trusts 4c
5 Income (loss) from a partnership or an S corporation (attach
statement) wo . – os 5
6 Rent income (Part IV) – os . 6 0 0
7 Unrelated debt-financed income (PartV) .« .« « « «© « « 7 0 0
8 Interest, annuities, royalties, and rents from a controlled
organization (Part VI) . 1 2 8 ew ww we 8 0 0
9 Investment income of section 501(c)(7), (9), or (17)
organizations (Part VII) . . «ow ow we w ew we we 9 0 0
10 Exploited exempt activity income (Part VIII) 10 134,857 192,361 -57,504
11 = Advertising income (Part IX) 11 0 0
12 Other income (see instructions; attach statement) 12
13 Total. Combine lines 3 through 12 13 134,857 192,361 -57,504
connected with the unrelated business income
Deductions Not Taken Elsewhere (See instructions for limitations on deductions) Deductions must be directly
1 Compensation of officers, directors, and trustees (Part X) 1 0
2 = Salaries and wages 2
3 Repairs and maintenance 3
4 Bad debts Sr 4
5 Interest (attach statement) (see instructions) 5
6 Taxes and licenses woe ee so 6
7 Depreciation (attach Form 4562) (see instructions) 7
8 Less depreciation claimed in Part III and elsewhere on return 8a 8b
9 Depletion Pe 9
10 Contributions to deferred compensation plans . 10
11. Employee benefit programs 11
12 Excess exempt expenses (Part VIII) 12 0
13 Excess readership costs (Part IX) 13 0
14 Other deductions (attach statement) 14
15 Total deductions. Add lines 1 through 14 rT 15 0
16 Unrelated business income before net operating loss deduction. Subtract line 15 from Part I, line 13, column (C) | 16 -57,504
17 Deduction for net operating loss (see instructions) so. 17 0
18 Unrelated business taxable income. Subtract line 17 from line 16 18 -57,504
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 740360
Schedule A (Form 990-T) 2021
Schedule A (Form 990-T) 2021
Geel Cost of Goods Sold
Enter method of inventory valuation >
Page 2
1 Inventory at beginning of year 1
2 Purchases 2
3 Cost of labor Sr 3
4 = Additional section 263A costs (attach statement) 4
5 Other costs (attach statement) 5
6 Total. Add lines 1 through 5 6
7 Inventory at end of year a 7
8 Cost of goods sold. Subtract line 7 from line 6. Enter here andin PartI, line2 . . .« «© 2 2 «© © @ 8
9 Do the rules of section 263A (with respect to property produced or acquired for resale) apply to the organization? C] Yes C] No
eas Rent Income (From Real Property and Personal Property Leased with Real Property)
1 Description of property (property street address, city, state, ZIP code). Check if a dual-use (see instructions)
all
BL]
cl
dU
A B Cc
2 Rent received or accrued
a From personal property (if the percentage of
rent for personal property is more than 10%
but not more than 50%)
b From real and personal property (if the
percentage of rent for personal property
exceeds 50% or if the rent is based on profit
or income) soe ee
c Total rents received or accrued by property.
Add lines 2a and 2b, columns AthroughD .
3 Total rents received or accrued. Add line 2c columns A through D. Enter here and on Part I, line 6, column (A) . > 0
4 Deductions directly connected with the income
in lines 2(a) and 2(b) (attach statement) .
5 Total deductions. Add line 4 columns A through D. Enter here and on Part I, line 6, column (B) . . . 2 « DP 0
Unrelated Debt-Financed Income (see instructions)
1 Description of debt-financed property (street address, city, state, ZIP code). Check if a dual-use (see instructions)
AL]
BL)
cU
dp
A B Cc
2 Gross income from or allocable to debt-
financed property ee
3 Deductions directly connected with or allocable
to debt-financed property
a Straight line depreciation (attach statement)
b Other deductions (attach statement) .
c Total deductions (add lines 3a and 3b, columns
A through D) oe ee
4 Amount of average acquisition debt on or
allocable to debt-financed property (attach
statement). . . .« 2 «© «© 2 2
5 Average adjusted basis of or allocable to debt-
financed property (attach statement).
6 Divideline4byline5 . . 2. «2 2 we % % % %
7 Gross income reportable. Multiply line 2 by line 6
8 Total gross income (add line 7, columns A through D). Enter here and on Part I, line 7, column (A) > 0
9 Allocable deductions. Multiply line 3c by line 6 | |
10 Total allocable deductions. Add line 9, columns A through D. Enter here and on Part I, line 7, column (B) . > 0
11 Total dividends-received deductions included in line 10 > 0
Schedule A (Form 990-T) 2021
Schedule A (Form 990-T) 2021
GEER Interest, Annuities, Royalties, and Rents from Controlled Organizations (see instructions)
Page 3
1. Name of controlled organization
Exempt Controlled Organizations
3. Net unrelated
2. Employer .
identification income (loss)
number (see instructions)
4. Total of specified
payments made
5. Part of column 4
that is included
in the controlling
organization’s
gross income
6. Deductions directly
connected with
income in column 5
(1)
(2)
(3)
(4)
Nonexempt Controlled Organizations
7. Taxable income 8. Net unrelated 9. Total of specified 10. Part of column 9 11. Deductions directly
income (loss) payments made that is included in the connected with
(see instructions) controlling organization’s income in column 10
gross income
(1)
(2)
(3)
(4)
Add columns 5 and 10. Add columns 6 and 11.
Enter here and on Part I, Enter here and on Part I,
line 8, column (A) line 8, column (B)
Totals 2.0. we 0 0
Investment Income of a Section 501(c)(7), (9), or (17) Organization (see instructions)
3. Deductions directly
1. Description of income
2. Amount of income
connected
(attach statement)
4. Set-asides
(attach statement)
5. Total deductions
and set-asides
(add columns 3 and 4)
(1)
(2)
(3)
(4)
Add amounts in column 2. Add amounts in column 5.
Enter here and on Part |, Enter here and on Part |,
line 9, column (A) line 9, column (B)
Totals woe ee ee 0 0
Geaerey Exploited Exempt Activity Income, Other Than Advertising Income (see instructions)
Description of exploited activity: PUBLIC USE OF WELLNESS C
2 Gross unrelated business income from trade or business. Enter here and on Part I, line 10, column (A) . 2 134,857
3 Expenses directly connected with production of unrelated business income. Enter here and on Part I, line 10,
column (B) 3 192,361
4 Net income (loss) from unrelated trade or business. Subtract line 3 from line 2. If a gain, complete
lines 5 through 7 sos . 4 -57,504
5 Gross income from activity that is not unrelated business income 5 0
6 Expenses attributable to income entered on line 5 Be 6 0
7 Excess exempt expenses. Subtract line 5 from line 6, but do not enter more than the amount on line 4. Enter
here and on Part II, line 12 7 0
Schedule A (Form 990-T) 2021
Schedule A (Form 990-T) 2021
GEGELY Advertising Income
1
Enter amounts for each periodical listed above in the corresponding column.
2
a
a
ie Compensation of Officers, Directors, and Trustees (see instructions)
Page 4
Name(s) of periodical(s). Check box if reporting two or more periodicals on a consolidated basis.
aul
BL
cl
|
Gross advertising income
A
Add columns A through D. Enter here and on Part I, line 11, column (A)
Direct Advertising costs by periodical
Add columns A through D. Enter here and on Part I, line 11, column (B)
Advertising gain (loss). Subtract line 3 from
line 2. For any column in line 4 showing a
gain, complete lines 5 through 8. For any
column in line 4 showing a loss or zero, do not
complete lines 5 through 7, and enter zero on
line 8
Readership costs
Circulation income ee
Excess readership costs. If line 6 is less than
line 5, subtract line 6 from line 5. If line 5 is
less than line 6, enter zero oe ew
Excess readership costs allowed as a
deduction. For each column showing a gain on
line 4, enter the lesser of line 4 or line 7
Add line 8, columns A through D. Enter the greater of the columns total or zero here and on Part II, line 13
> 0
1. Name
2. Title
3. Percentage
of time devoted
to business
4. Compensation
attributable to
unrelated business
(1)
(2)
(3)
(4)
Total. Enter here and on Part II, line 1 .
Tene Supplemental Information (see instructions)
Schedule A (Form 990-T) 2021
