Form 990-T



Department of the Treasury
Internal Revenue Service
Exempt Organization Business Income Tax Return
(and proxy tax under section 6033(e))
For calendar year 2024 or other tax year beginning 07-01-2024 and ending 06-30-2025
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).
OMB No. 1545-0047
2024
Open to Public Inspection for 501(c)(3) Organizations Only
A Check box if address changed.
B Exempt under section
501( c3 )
408(e) 220(e)
408A530(a)
529(a)529A
Print or Type
Name of organization ( Check box if name changed and see instructions.)
CHRISTIANA CARE HEALTH SERVICES INC
 
Number, street, and room or suite no. If a P.O. box, see instructions.
4000 NEXUS DRIVE NW3-100
 
City or town, state or province, and ZIP or foreign postal code
WILMINGTON, DE19803
C Book value of all assets at end of year .....2,807,952,808
D   Employer identification number
51-0103684
E   Group exemption number
    (see instructions)
 
F Check box if an amended return.
G
Check organization type
501(c) corporation 501(c) trust 401(a) trust Other trust State college/university
6417(d)(1)(A) Applicable entity
H
Check if filing only to claim
Credit from Form 8941 Refund shown on Form 2439 Elective payment amount from Form 3800
I
Check if a 501(c)(3) organization filing a consolidated return with a 501(c)(2) titleholding corporation .........
J
Enter the number of attached Schedules A (Form 990-T) Click to see list of attachments
List of Attached Documents:
// Content
...............3
K
During the tax year, was the corporation a subsidiary in an affiliated group or a parent-subsidiary controlled group? ...
Yes No
 
If "Yes," enter the name and identifying number of the parent corporation
CHRISTIANA CARE HEALTH SYSTEMLine K - Parent Corporation Name Control: CHRI
52-1479538
L
The books are in care of
SR VP'S OFFICE
4000 NEXUS DRIVE AVENUE NORTH
WILMINGTON,DE19803
Telephone number (302) 428-2441
Part I
Total Unrelated Business Taxable Income
1
Total of unrelated business taxable income computed from all unrelated trades or businesses (see instructions) ..............................

1

0
2
Reserved ..............................
2
 
3
Add lines 1 and 2 ............................
3
0
4
Charitable contributions (see instructions for limitation rules) ..............
4
 
5
Total unrelated business taxable income before net operating losses. Subtract line 4 from line 3 ....
5
0
6
Deduction for net operating loss. See instructions .................
6
 
7
Total of unrelated business taxable income before specific deduction and section 199A deduction.
Subtract line 6 from line 5 .........................

7

0
8
Specific deduction (generally $1,000, but see instructions for exceptions) ..........
8
 
9
Trusts. Section 199A deduction. See instructions .................
9
 
10
Total deductions. Add lines 8 and 9 ......................
10
 
11
Unrelated business taxable income. Subtract line 10 from line 7. If line 10 is greater than line 7, enter zero ................................

11

0
Part II
Tax Computation
1
Organizations taxable as corporations. Multiply Part I, line 11 by 21% (0.21) .......
1
0
2
Trusts taxable at trust rates. See instructions for tax computation. Income tax on the amount on
Part I, line 11 from: Tax rate schedule or Schedule D (Form 1041) ........

2

 
3
Proxy tax. See instructions .......................
3
 
4a
Amount from Form 4255, Part l, line 3, column (q) ..................
4a
 
4b
Other tax amounts. See instructions ....................
4b
 
5
Alternative minimum tax .........................
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
Part III
Tax and Payments
1a
Foreign tax credit (corporations attach Form 1118; trusts attach Form 1116)
1a
 
 
 
b
Other credits (see instructions) ..............
1b
 
 
 
c
General business credit. Attach Form 3800 (see instructions) .....
1c
 
 
 
d
Credit for prior year minimum tax (attach Form 8801 or 8827) ....
1d
 
 
 
e
Total credits. Add lines 1a through 1d .....................
1e
 
2
Subtract line 1e from Part II, line 7 .......................
2
0
3a
Amount from Form 4255, Part l, line 3, column (r) (see instructions) ..
3a
 
 
 
b
Amount due from Form 8611 ...............
3b
 
 
 
c
Amount due from Form 8697 ...............
3c
 
 
 
d
Amount due from Form 8866 ...............
3d
 
 
 
e
Other amounts due (see instructions) ............
3e
 
 
 
f
Total amounts due. Add lines 3a through 3e ..................
3f
 
4
Total tax. Add lines 2 and 3f (see instructions). Check if includes tax previously deferred under
section 1294. Enter the tax amount here  

4

0
For Paperwork Reduction Act Notice, see instructions.Cat. No. 11291JForm 990-T (2024)
Form 990-T (2024)
Page 2
Part III
Tax and Payments (continued)
5
Current net 965 tax liability paid from Form 965-A, Part II, column (k) ...........
5
 
6a
Payments: Preceding year's overpayment credited to the current year ..
6a
0
 
 
b
Current Year's estimated tax payments. Check if section 643(g) election applies
6b
 
 
 
c
Tax deposited with Form 8868 ..............
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
 
 
 
g
Elective payment election amount from Form 3800 ........
6g
 
 
 
h
Payment from Form 2439 ................
6h
 
 
 
i
Credit from Form 4136 .................
6i
627
 
 
j
Other (see instructions) ................
6j
 
 
 
7
Total payments. Add lines 6a through 6j .....................
7
627
8
Estimated tax penalty (see instructions). Check if Form 2220 is attached ........
8
 
9
Tax due. If line 7 is smaller than the total of lines 4, 5, and 8, enter amount owed .......
9
 
10
Overpayment. If line 7 is larger than the total of lines 4, 5, and 8, enter amount overpaid ....
10
627
11
Enter the amount of line 10 you want: Credited to 2025 estimated tax0Refunded
11
627
Part IV
Statements Regarding Certain Activities and Other Information (see instructions)
1
At any time during the 2024 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 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
Yes
No
 
 
 
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 ..... $  
 
 
4
Enter available pre-2018 NOL carryovers here. $ 0. 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 the Business Activity Code and available 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    
450000 $0    
560000 $0    
620000 $0    
  $    
6a
Reserved for future use .................................
b
Reserved for future use .................................
Part V
Supplemental Information
Provide any additional information. See instructions.
 
 
Sign Here
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.
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Signature of officer

Date
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Title
May the IRS discuss this return with the preparer shown below (see instructions)? YesNo
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
Form 990-T (2024)
Additional Data


Software ID:  
Software Version:  
Line K - Parent Corporation Name Control: CHRI

SCHEDULE A
(Form 990-T)


Department of the Treasury
Internal Revenue Service
Unrelated Business Taxable Income
From an Unrelated Trade or Business


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).
OMB No. 1545-0047
2024
Open to Public Inspection for 501(c)(3) Organizations Only
A Name of the organization
CHRISTIANA CARE HEALTH SERVICES INC
 
BEmployer identification number
51-0103684

C Unrelated business activity code (see instructions) 450000

D Sequence: 1 of 3

E Describe the unrelated trade or business RETAIL PHARMACY
Part I
Unrelated Trade or Business Income
 
(A) Income
(B) Expenses
(C) Net
1a
Gross receipts or sales   0
 
 
 
 
b
Less returns and allowances     c Balance
1c
0
 
 
2
Cost of goods sold (Part III, line 8) .........
2
 
 
 
3
Gross profit. Subtract line 2 from line 1c .......
3
0
 
0
4a
Capital gain net income (attach Sch D (Form 1041 or Form
1120)) (see instructions) ............

4a

 
 

 
b
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) ................

5

 
 

 
6
Rent income (Part IV) .............
6
 
 
 
7
Unrelated debt-financed income (Part V) .......
7
 
 
 
8
Interest, annuities, royalties, and rents from a controlled
organization (Part VI) .............

8

 

 

 
9
Investment income of section 501(c)(7), (9), or (17)
organizations (Part VII) ............

9

 

 

 
10
Exploited exempt activity income (Part VIII) ......
10
 
 
 
11
Advertising income (Part IX) ...........
11
 
 
 
12
Other income (see instructions; attach statement) ....
12
Click to see attachment
List of Attached Documents:
// Content
13,940
 
13,940
13
Total. Combine lines 3 through 12 .........
13
0
0
0
Part II
Deductions Not Taken Elsewhere (See instructions for limitations on deductions) Deductions must be directly connected with the unrelated business income
1
Compensation of officers, directors, and trustees (Part X) .................
1
 
2
Salaries and wages ............................
2
9,618
3
Repairs and maintenance ..........................
3
 
4
Bad debts ...............................
4
 
5
Interest (attach statement) (see instructions) ...................
5
 
6
Taxes and licenses .............................
6
 
7
Depreciation (attach Form 4562) (see instructions) .........
7
 
 
 
8
Less depreciation claimed in Part III and elsewhere on return .....
8a
 
8b
 
9
Depletion ...............................
9
 
10
Contributions to deferred compensation plans .....................
10
 
11
Employee benefit programs ..........................
11
4,322
12
Excess exempt expenses (Part VIII) .......................
12
 
13
Excess readership costs (Part IX) ........................
13
 
14
Other deductions (attach statement) ......................
14
 
15
Total deductions. Add lines 1 through 14 .....................
15
13,940
16
Unrelated business income before net operating loss deduction. Subtract line 15 from Part I, line 13, column (C)
16
0
17
Deduction for net operating loss (see instructions) Click to see attachment
List of Attached Documents:
// Content
..................
17
0
18
Unrelated business taxable income. Subtract line 17 from line 16 .............
18
0
For Paperwork Reduction Act Notice, see instructions.Cat. No. 74036OSchedule A (Form 990-T) 2024
Schedule A (Form 990-T) 2024 Page 2
Part III
Cost of Goods Sold Enter method of inventory valuation  
1
Inventory at beginning of year ........................
1
 
2
Purchases ...............................
2
 
3
Cost of labor ..............................
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 ...........................
7
 
8
Cost of goods sold. Subtract line 7 from line 6. Enter here and in Part I, line 2 ..........
8
 
9
Do the rules of section 263A (with respect to property produced or acquired for resale) apply to the organization?
YesNo
Part IV
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)
A
 
B
 
C
 
D
 
 
 
A
B
C
D
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) ..........
 
 
 
 
c
Total rents received or accrued by property. Add lines 2a and 2b, columns A through D .
 
 
 
 
3
Total rents received or accrued. Add line 2c columns A through D. Enter here and on Part I, line 6, column (A) .
 
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) .....
 
Part V
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)
A
 
B
 
C
 
D
 
 
 
A
B
C
D
2
Gross income from or allocable to debt-financed property ........
 
 
 
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) ..........
 
 
 
 
4
Amount of average acquisition debt on or allocable to debt-financed property (attach statement) ...........
 
 
 
 
5
Average adjusted basis of or allocable to debt-financed property (attach statement) ...
 
 
 
 
6
Divide line 4 by line 5 .......
%
%
%
%
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) ....
 
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) ..
 
11
Total dividends-received deductions included in line 10 .................
 
Schedule A (Form 990-T) 2024
Schedule A (Form 990-T) 2024 Page 3
Part VI
Interest, Annuities, Royalties, and Rents from Controlled Organizations (see instructions)
1. Name of controlled organization 2. Employer identification number Exempt Controlled Organizations
3. Net unrelated income (loss)
(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
income (loss)
(see instructions)
9. Total of specified payments made 10. Part of column 9
that is included in the
controlling organization's
gross income
11. Deductions directly connected with
income in column 10
(1)        
(2)        
(3)        
(4)        
 
Add columns 5 and 10.
Enter here and on Part I,
line 8, column (A)
Add columns 6 and 11.
Enter here and on Part I,
line 8, column (B)
Totals.........................
 
 
Part VII
Investment Income of a Section 501(c)(7), (9), or (17) Organization (see instructions)
1. Description of income 2. Amount of income 3. Deductions directly connected
(attach statement)
4. Set-asides
(attach statement)
5. Total deductions and set-asides
(add columns 3 and 4)
(1)        
(2)        
(3)        
(4)        



Totals.........
Add amounts in column 2.
Enter here and on Part I,
line 9, column (A)
 



 



 
Add amounts in column 5.
Enter here and on Part I,
line 9, column (B)
 
Part VIII
Exploited Exempt Activity Income, Other Than Advertising Income (see instructions)
1
Description of exploited activity:  
 
 
2
Gross unrelated business income from trade or business. Enter here and on Part I, line 10, column (A) ...
2
 
3
Expenses directly connected with production of unrelated business income. Enter here and on Part I, line 10, column (B) ...............................

3

 
4
Net income (loss) from unrelated trade or business. Subtract line 3 from line 2. If a gain, complete
lines 5 through 7 .............................

4

 
5
Gross income from activity that is not unrelated business income ..............
5
 
6
Expenses attributable to income entered on line 5 ...................
6
 
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

 
Schedule A (Form 990-T) 2024
Schedule A (Form 990-T) 2024 Page 4
Part IX
Advertising Income
1
Name(s) of periodical(s). Check box if reporting two or more periodicals on a consolidated basis.
A
 
B
 
C
 
D
 
Enter amounts for each periodical listed above in the corresponding column.
 
 
A
B
C
D
2
Gross advertising income ......
 
 
 
a
Add columns A through D. Enter here and on Part I, line 11, column (A) .............
 
3
Direct advertising costs by periodical ..
 
 
 
 
a
Add columns A through D. Enter here and on Part I, line 11, column (B) .............
 
4
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 ............
 
 
 
 
5
Readership costs ........
 
 
 
 
6
Circulation income ........
 
 
 
 
7
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 .....
 
 
 
 
8
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 .
 
 
 
 
a
Add line 8, columns A through D. Enter the greater of the line 8a, columns total or zero here and on Part II, line 13 MediumBullet
 
Part X
Compensation of Officers, Directors, and Trustees (see instructions)
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 .........................
 
Part XI
Supplemental Information (see instructions)
 
 
 
 
 
 
 
 
 
Schedule A (Form 990-T) 2024
Additional Data


Software ID:  
Software Version:  

SCHEDULE A
(Form 990-T)


Department of the Treasury
Internal Revenue Service
Unrelated Business Taxable Income
From an Unrelated Trade or Business


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).
OMB No. 1545-0047
2024
Open to Public Inspection for 501(c)(3) Organizations Only
A Name of the organization
CHRISTIANA CARE HEALTH SERVICES INC
 
BEmployer identification number
51-0103684

C Unrelated business activity code (see instructions) 450000

D Sequence: 1 of 3

E Describe the unrelated trade or business RETAIL PHARMACY
Part I
Unrelated Trade or Business Income
 
(A) Income
(B) Expenses
(C) Net
1a
Gross receipts or sales   0
 
 
 
 
b
Less returns and allowances     c Balance
1c
0
 
 
2
Cost of goods sold (Part III, line 8) .........
2
 
 
 
3
Gross profit. Subtract line 2 from line 1c .......
3
0
 
0
4a
Capital gain net income (attach Sch D (Form 1041 or Form
1120)) (see instructions) ............

4a

 
 

 
b
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) ................

5

 
 

 
6
Rent income (Part IV) .............
6
 
 
 
7
Unrelated debt-financed income (Part V) .......
7
 
 
 
8
Interest, annuities, royalties, and rents from a controlled
organization (Part VI) .............

8

 

 

 
9
Investment income of section 501(c)(7), (9), or (17)
organizations (Part VII) ............

9

 

 

 
10
Exploited exempt activity income (Part VIII) ......
10
 
 
 
11
Advertising income (Part IX) ...........
11
 
 
 
12
Other income (see instructions; attach statement) ....
12
Click to see attachment
List of Attached Documents:
// Content
13,940
 
13,940
13
Total. Combine lines 3 through 12 .........
13
0
0
0
Part II
Deductions Not Taken Elsewhere (See instructions for limitations on deductions) Deductions must be directly connected with the unrelated business income
1
Compensation of officers, directors, and trustees (Part X) .................
1
 
2
Salaries and wages ............................
2
9,618
3
Repairs and maintenance ..........................
3
 
4
Bad debts ...............................
4
 
5
Interest (attach statement) (see instructions) ...................
5
 
6
Taxes and licenses .............................
6
 
7
Depreciation (attach Form 4562) (see instructions) .........
7
 
 
 
8
Less depreciation claimed in Part III and elsewhere on return .....
8a
 
8b
 
9
Depletion ...............................
9
 
10
Contributions to deferred compensation plans .....................
10
 
11
Employee benefit programs ..........................
11
4,322
12
Excess exempt expenses (Part VIII) .......................
12
 
13
Excess readership costs (Part IX) ........................
13
 
14
Other deductions (attach statement) ......................
14
 
15
Total deductions. Add lines 1 through 14 .....................
15
13,940
16
Unrelated business income before net operating loss deduction. Subtract line 15 from Part I, line 13, column (C)
16
0
17
Deduction for net operating loss (see instructions) Click to see attachment
List of Attached Documents:
// Content
..................
17
0
18
Unrelated business taxable income. Subtract line 17 from line 16 .............
18
0
For Paperwork Reduction Act Notice, see instructions.Cat. No. 74036OSchedule A (Form 990-T) 2024
Schedule A (Form 990-T) 2024 Page 2
Part III
Cost of Goods Sold Enter method of inventory valuation  
1
Inventory at beginning of year ........................
1
 
2
Purchases ...............................
2
 
3
Cost of labor ..............................
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 ...........................
7
 
8
Cost of goods sold. Subtract line 7 from line 6. Enter here and in Part I, line 2 ..........
8
 
9
Do the rules of section 263A (with respect to property produced or acquired for resale) apply to the organization?
YesNo
Part IV
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)
A
 
B
 
C
 
D
 
 
 
A
B
C
D
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) ..........
 
 
 
 
c
Total rents received or accrued by property. Add lines 2a and 2b, columns A through D .
 
 
 
 
3
Total rents received or accrued. Add line 2c columns A through D. Enter here and on Part I, line 6, column (A) .
 
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) .....
 
Part V
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)
A
 
B
 
C
 
D
 
 
 
A
B
C
D
2
Gross income from or allocable to debt-financed property ........
 
 
 
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) ..........
 
 
 
 
4
Amount of average acquisition debt on or allocable to debt-financed property (attach statement) ...........
 
 
 
 
5
Average adjusted basis of or allocable to debt-financed property (attach statement) ...
 
 
 
 
6
Divide line 4 by line 5 .......
%
%
%
%
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) ....
 
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) ..
 
11
Total dividends-received deductions included in line 10 .................
 
Schedule A (Form 990-T) 2024
Schedule A (Form 990-T) 2024 Page 3
Part VI
Interest, Annuities, Royalties, and Rents from Controlled Organizations (see instructions)
1. Name of controlled organization 2. Employer identification number Exempt Controlled Organizations
3. Net unrelated income (loss)
(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
income (loss)
(see instructions)
9. Total of specified payments made 10. Part of column 9
that is included in the
controlling organization's
gross income
11. Deductions directly connected with
income in column 10
(1)        
(2)        
(3)        
(4)        
 
Add columns 5 and 10.
Enter here and on Part I,
line 8, column (A)
Add columns 6 and 11.
Enter here and on Part I,
line 8, column (B)
Totals.........................
 
 
Part VII
Investment Income of a Section 501(c)(7), (9), or (17) Organization (see instructions)
1. Description of income 2. Amount of income 3. Deductions directly connected
(attach statement)
4. Set-asides
(attach statement)
5. Total deductions and set-asides
(add columns 3 and 4)
(1)        
(2)        
(3)        
(4)        



Totals.........
Add amounts in column 2.
Enter here and on Part I,
line 9, column (A)
 



 



 
Add amounts in column 5.
Enter here and on Part I,
line 9, column (B)
 
Part VIII
Exploited Exempt Activity Income, Other Than Advertising Income (see instructions)
1
Description of exploited activity:  
 
 
2
Gross unrelated business income from trade or business. Enter here and on Part I, line 10, column (A) ...
2
 
3
Expenses directly connected with production of unrelated business income. Enter here and on Part I, line 10, column (B) ...............................

3

 
4
Net income (loss) from unrelated trade or business. Subtract line 3 from line 2. If a gain, complete
lines 5 through 7 .............................

4

 
5
Gross income from activity that is not unrelated business income ..............
5
 
6
Expenses attributable to income entered on line 5 ...................
6
 
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

 
Schedule A (Form 990-T) 2024
Schedule A (Form 990-T) 2024 Page 4
Part IX
Advertising Income
1
Name(s) of periodical(s). Check box if reporting two or more periodicals on a consolidated basis.
A
 
B
 
C
 
D
 
Enter amounts for each periodical listed above in the corresponding column.
 
 
A
B
C
D
2
Gross advertising income ......
 
 
 
a
Add columns A through D. Enter here and on Part I, line 11, column (A) .............
 
3
Direct advertising costs by periodical ..
 
 
 
 
a
Add columns A through D. Enter here and on Part I, line 11, column (B) .............
 
4
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 ............
 
 
 
 
5
Readership costs ........
 
 
 
 
6
Circulation income ........
 
 
 
 
7
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 .....
 
 
 
 
8
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 .
 
 
 
 
a
Add line 8, columns A through D. Enter the greater of the line 8a, columns total or zero here and on Part II, line 13 MediumBullet
 
Part X
Compensation of Officers, Directors, and Trustees (see instructions)
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 .........................
 
Part XI
Supplemental Information (see instructions)
 
 
 
 
 
 
 
 
 
Schedule A (Form 990-T) 2024
Additional Data


Software ID:  
Software Version:  

SCHEDULE A
(Form 990-T)


Department of the Treasury
Internal Revenue Service
Unrelated Business Taxable Income
From an Unrelated Trade or Business


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).
OMB No. 1545-0047
2024
Open to Public Inspection for 501(c)(3) Organizations Only
A Name of the organization
CHRISTIANA CARE HEALTH SERVICES INC
 
BEmployer identification number
51-0103684

C Unrelated business activity code (see instructions) 450000

D Sequence: 1 of 3

E Describe the unrelated trade or business RETAIL PHARMACY
Part I
Unrelated Trade or Business Income
 
(A) Income
(B) Expenses
(C) Net
1a
Gross receipts or sales   0
 
 
 
 
b
Less returns and allowances     c Balance
1c
0
 
 
2
Cost of goods sold (Part III, line 8) .........
2
 
 
 
3
Gross profit. Subtract line 2 from line 1c .......
3
0
 
0
4a
Capital gain net income (attach Sch D (Form 1041 or Form
1120)) (see instructions) ............

4a

 
 

 
b
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) ................

5

 
 

 
6
Rent income (Part IV) .............
6
 
 
 
7
Unrelated debt-financed income (Part V) .......
7
 
 
 
8
Interest, annuities, royalties, and rents from a controlled
organization (Part VI) .............

8

 

 

 
9
Investment income of section 501(c)(7), (9), or (17)
organizations (Part VII) ............

9

 

 

 
10
Exploited exempt activity income (Part VIII) ......
10
 
 
 
11
Advertising income (Part IX) ...........
11
 
 
 
12
Other income (see instructions; attach statement) ....
12
Click to see attachment
List of Attached Documents:
// Content
13,940
 
13,940
13
Total. Combine lines 3 through 12 .........
13
0
0
0
Part II
Deductions Not Taken Elsewhere (See instructions for limitations on deductions) Deductions must be directly connected with the unrelated business income
1
Compensation of officers, directors, and trustees (Part X) .................
1
 
2
Salaries and wages ............................
2
9,618
3
Repairs and maintenance ..........................
3
 
4
Bad debts ...............................
4
 
5
Interest (attach statement) (see instructions) ...................
5
 
6
Taxes and licenses .............................
6
 
7
Depreciation (attach Form 4562) (see instructions) .........
7
 
 
 
8
Less depreciation claimed in Part III and elsewhere on return .....
8a
 
8b
 
9
Depletion ...............................
9
 
10
Contributions to deferred compensation plans .....................
10
 
11
Employee benefit programs ..........................
11
4,322
12
Excess exempt expenses (Part VIII) .......................
12
 
13
Excess readership costs (Part IX) ........................
13
 
14
Other deductions (attach statement) ......................
14
 
15
Total deductions. Add lines 1 through 14 .....................
15
13,940
16
Unrelated business income before net operating loss deduction. Subtract line 15 from Part I, line 13, column (C)
16
0
17
Deduction for net operating loss (see instructions) Click to see attachment
List of Attached Documents:
// Content
..................
17
0
18
Unrelated business taxable income. Subtract line 17 from line 16 .............
18
0
For Paperwork Reduction Act Notice, see instructions.Cat. No. 74036OSchedule A (Form 990-T) 2024
Schedule A (Form 990-T) 2024 Page 2
Part III
Cost of Goods Sold Enter method of inventory valuation  
1
Inventory at beginning of year ........................
1
 
2
Purchases ...............................
2
 
3
Cost of labor ..............................
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 ...........................
7
 
8
Cost of goods sold. Subtract line 7 from line 6. Enter here and in Part I, line 2 ..........
8
 
9
Do the rules of section 263A (with respect to property produced or acquired for resale) apply to the organization?
YesNo
Part IV
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)
A
 
B
 
C
 
D
 
 
 
A
B
C
D
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) ..........
 
 
 
 
c
Total rents received or accrued by property. Add lines 2a and 2b, columns A through D .
 
 
 
 
3
Total rents received or accrued. Add line 2c columns A through D. Enter here and on Part I, line 6, column (A) .
 
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) .....
 
Part V
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)
A
 
B
 
C
 
D
 
 
 
A
B
C
D
2
Gross income from or allocable to debt-financed property ........
 
 
 
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) ..........
 
 
 
 
4
Amount of average acquisition debt on or allocable to debt-financed property (attach statement) ...........
 
 
 
 
5
Average adjusted basis of or allocable to debt-financed property (attach statement) ...
 
 
 
 
6
Divide line 4 by line 5 .......
%
%
%
%
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) ....
 
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) ..
 
11
Total dividends-received deductions included in line 10 .................
 
Schedule A (Form 990-T) 2024
Schedule A (Form 990-T) 2024 Page 3
Part VI
Interest, Annuities, Royalties, and Rents from Controlled Organizations (see instructions)
1. Name of controlled organization 2. Employer identification number Exempt Controlled Organizations
3. Net unrelated income (loss)
(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
income (loss)
(see instructions)
9. Total of specified payments made 10. Part of column 9
that is included in the
controlling organization's
gross income
11. Deductions directly connected with
income in column 10
(1)        
(2)        
(3)        
(4)        
 
Add columns 5 and 10.
Enter here and on Part I,
line 8, column (A)
Add columns 6 and 11.
Enter here and on Part I,
line 8, column (B)
Totals.........................
 
 
Part VII
Investment Income of a Section 501(c)(7), (9), or (17) Organization (see instructions)
1. Description of income 2. Amount of income 3. Deductions directly connected
(attach statement)
4. Set-asides
(attach statement)
5. Total deductions and set-asides
(add columns 3 and 4)
(1)        
(2)        
(3)        
(4)        



Totals.........
Add amounts in column 2.
Enter here and on Part I,
line 9, column (A)
 



 



 
Add amounts in column 5.
Enter here and on Part I,
line 9, column (B)
 
Part VIII
Exploited Exempt Activity Income, Other Than Advertising Income (see instructions)
1
Description of exploited activity:  
 
 
2
Gross unrelated business income from trade or business. Enter here and on Part I, line 10, column (A) ...
2
 
3
Expenses directly connected with production of unrelated business income. Enter here and on Part I, line 10, column (B) ...............................

3

 
4
Net income (loss) from unrelated trade or business. Subtract line 3 from line 2. If a gain, complete
lines 5 through 7 .............................

4

 
5
Gross income from activity that is not unrelated business income ..............
5
 
6
Expenses attributable to income entered on line 5 ...................
6
 
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

 
Schedule A (Form 990-T) 2024
Schedule A (Form 990-T) 2024 Page 4
Part IX
Advertising Income
1
Name(s) of periodical(s). Check box if reporting two or more periodicals on a consolidated basis.
A
 
B
 
C
 
D
 
Enter amounts for each periodical listed above in the corresponding column.
 
 
A
B
C
D
2
Gross advertising income ......
 
 
 
a
Add columns A through D. Enter here and on Part I, line 11, column (A) .............
 
3
Direct advertising costs by periodical ..
 
 
 
 
a
Add columns A through D. Enter here and on Part I, line 11, column (B) .............
 
4
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 ............
 
 
 
 
5
Readership costs ........
 
 
 
 
6
Circulation income ........
 
 
 
 
7
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 .....
 
 
 
 
8
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 .
 
 
 
 
a
Add line 8, columns A through D. Enter the greater of the line 8a, columns total or zero here and on Part II, line 13 MediumBullet
 
Part X
Compensation of Officers, Directors, and Trustees (see instructions)
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 .........................
 
Part XI
Supplemental Information (see instructions)
 
 
 
 
 
 
 
 
 
Schedule A (Form 990-T) 2024
Additional Data


Software ID:  
Software Version:  

Form 4136
Department of the Treasury
Internal Revenue Service (99)
Credit for Federal Tax Paid on Fuels
Right pointing arrowhead Go to www.irs.gov/Form4136 for instructions and the latest information.
Complete and attach the Worksheet Fuel Tax Credit-1 to your return (see instructions)
OMB No. 1545-0162
2024
Attachment
Sequence No. 79
Name (as shown on your income tax return)
CHRISTIANA CARE HEALTH SERVICES INC
Taxpayer identification number
51-0103684
Caution:
The person(s) signing the return with which this form is filed are declaring, under penalty of perjury, that the return and accompanying schedules, statements, and any other attachments are true, correct, and complete to the best of the signer’s knowledge and belief. That declaration includes all amounts reported and all credits claimed on this form. It also includes certifying that all the statements with respect to certain lines below as well.
You have the name and address of the person who sold the fuel to you and the dates of purchase. For claims on lines 1c and 2b (type of use 13 or 14), 3d, 4c, and 5, you haven't waived the right to make the claim. For claims on lines 1c and 2b (type of use 13 or 14), a certificate hasn't been provided to the credit card issuer. For type of use 2, the equipment or vehicle used wasn't a highway vehicle, which generally means that it wasn't registered or required to be registered for use on public highways.
1Nontaxable Use of Gasoline Note. CRN is credit reference number.
(a) Type of use (b) Rate (c) Gallons (d) Amount of credit (e) CRN
a Off-highway business use $ .183   bracket $   362
b Use on a farm for farming purposes .183  
c Other nontaxable use (see Caution above line 1) .183
d Exported .184     411
2Nontaxable Use of Aviation Gasoline
(a) Type of use (b) Rate (c) Gallons (d) Amount of credit (e) CRN
a Use in commercial aviation (other than foreign trade) $ .15   $   354
b Other nontaxable use (see Caution above line 1)   .193     324
c Exported .194     412
d LUST tax on aviation fuels used in foreign trade .001     433
3Nontaxable Use of Undyed Diesel Fuel
You certify the following. The diesel fuel did not contain visible evidence of dye.
Exception. If any of the diesel fuel included in this claim did contain visible evidence of dye, attach an explanation and check here
(a) Type of use (b) Rate (c) Gallons (d) Amount of credit (e) CRN
a Nontaxable use 02 $ .243 2582 bracket
b Use on a farm for farming purposes .243   $627 360
c Use in trains .243     353
d Use in certain intercity and local buses (see Caution above line 1) .17     350
e Exported .244     413
4Nontaxable Use of Undyed Kerosene (Other Than Kerosene Used in Aviation)
You certify the following. The kerosene did not contain visible evidence of dye.
Exception. If any of the kerosene included in this claim did contain visible evidence of dye, attach an explanation and check here
(a) Type of use (b) Rate (c) Gallons (d) Amount of credit (e) CRN
a Nontaxable use taxed at $.244 $ .243 bracket
b Use on a farm for farming purposes .243   $   346
c Use in certain intercity and local buses (see Caution above line 1) .17     347
d Exported .244     414
e Nontaxable use taxed at $.044 .043   377
f Nontaxable use taxed at $.219 .218   369
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 12625R Form 4136 (2024)

Form 4136 (2024)
Page 2

5Kerosene Used in Aviation
(a) Type of use (b) Rate (c) Gallons (d) Amount of credit (e) CRN
a Kerosene used in commercial aviation (other than foreign trade) taxed at $.244 $ .200   $   417
b Kerosene used in commercial aviation (other than foreign trade) taxed at $.219 .175     355
c Nontaxable use (other than use by state or local government) taxed at $.244   .243     346
d Nontaxable use (other than use by state or local government) taxed at $.219   .218     369
e LUST tax on aviation fuels used in foreign trade .001     433
6Sales by Registered Ultimate Vendors of Undyed Diesel Fuel Registration No.  
If you don't have the registration number, STOP; you're not eligible to make Form 4136 claims
if you haven't yet filed Form 637 and received your registration number and placed it on this line.
You certify the following. You sold the diesel fuel at a tax-excluded price, repaid the amount of tax to the buyer, or have obtained the written consent of the buyer to make the claim, and that the diesel fuel didn't contain visible evidence of dye.
Exception. If any of the diesel fuel included in this claim did contain visible evidence of dye, attach an explanation and check here
(b) Rate (c) Gallons (d) Amount of credit (e) CRN
a Use by a state or local government $ .243   $   360
b Use in certain intercity and local buses .17     350
7Sales by Registered Ultimate Vendors of Undyed Kerosene (Other
Than Kerosene For Use in Aviation) Registration No.  
If you don't have the registration number, STOP; you're not eligible to make Form 4136 claims
if you haven't yet filed Form 637 and received your registration number and placed it on this line.
You certify the following. You sold the kerosene at a tax-excluded price, repaid the amount of tax to the buyer, or have obtained the written consent of the buyer to make the claim, and that the kerosene didn't contain visible evidence of dye.
Exception. If any of the kerosene included in this claim did contain visible evidence of dye, attach an explanation and check here
(b) Rate (c) Gallons (d) Amount of credit (e) CRN
a Use by a state or local government $ .243   bracket $   346
b Sales from a blocked pump .243  
c Use in certain intercity and local buses .17     347
8Sales by Registered Ultimate Vendors of Kerosene For Use in AviationRegistration No.  
If you don't have the registration number, STOP; you're not eligible to make Form 4136 claims
if you haven't yet filed Form 637 and received your registration number and placed it on this line.
You certify the following. You sold the kerosene for use in aviation at a tax-excluded price and you haven't collected the amount of tax from the buyer, repaid the amount of tax to the buyer, or you've obtained the written consent of the buyer to make the claim. See the instructions for additional information to be submitted.
(a) Type of use (b) Rate (c) Gallons (d) Amount of credit (e) CRN
a Use in commercial aviation (other than foreign trade) taxed at $.219 $ .175   $   355
b Use in commercial aviation (other than foreign trade) taxed at $.244 .200     417
c Nonexempt use in noncommercial aviation .025     418
d Other nontaxable uses taxed at $.244   .243     346
e Other nontaxable uses taxed at $.219   .218     369
f LUST tax on aviation fuels used in foreign trade .001     433
Form 4136 (2024)

Form 4136 (2024)
Page 3
9Reserved for future use Registration No.  
(b) Rate (c) Gallons of alcohol (d) Amount of credit (e) CRN
a Reserved for future use
b Reserved for future use
10Biodiesel, Renewable Diesel, or Sustainable Aviation Fuel Mixture
Credit Registration No.  
If you haven't attached the appropriate certificates and, if applicable, appropriate reseller statements,
STOP; you're not eligible to make Form 4136 claims.
You certify the following.
Biodiesel or renewable diesel mixtures. You produced a mixture by mixing biodiesel with diesel fuel or renewable diesel with liquid fuel (other than renewable diesel). The biodiesel used to produce the biodiesel mixture met ASTM D6751 and met EPA’s registration requirements for fuels and fuel additives. The renewable diesel used to produce the renewable diesel mixture was derived from biomass, met EPA’s registration requirements for fuels and fuel additives, and met ASTM D975, D396, or other equivalent standard approved by the IRS. Sustainable aviation fuel (SAF) mixtures. You produced a qualified mixture by mixing SAF with kerosene. The qualified mixture was produced by you in the United States, such mixture was used by you (or sold by you for use) in an aircraft, such sale or use was in the ordinary course of your trade or business, and the transfer of such mixture to the fuel tank of such aircraft occurred in the United States. The SAF used to produce the qualified mixture is the portion of liquid fuel that is not kerosene that (i) either (A) meets the specifications of one of the ASTM D7566 Annexes, or (B) meets the specifications of ASTM D1655 Annex A1, (ii) is not derived from coprocessing an applicable material (or materials derived from an applicable material) with a feedstock that is not biomass, (iii) isn't derived from palm fatty acid distillates or petroleum, and (iv) has been certified in accordance with section 40B(e) as having a lifecycle greenhouse gas emissions reduction percentage of at least 50 percent. For all claims. You've attached the appropriate certificates and, if applicable, appropriate reseller statements. You have no reason to believe that the information in the certificate or statement is false. See the instructions for additional information and requirements.
(b) Rate (c) Number of gallons sold or used (d) Amount of credit (e) CRN
a Biodiesel (other than agri-biodiesel) mixtures $ 1.00   $   388
b Agri-biodiesel mixtures $ 1.00     390
c Renewable diesel mixtures $ 1.00     307
d Sustainable aviation fuel mixture (see instructions) $       440
11Nontaxable Use of Alternative Fuel
Caution. There is a reduced credit rate for use in certain intercity and local buses (type of use 5) (see instructions).
(a) Type of use (b) Rate (c) Gallons, or gasoline or diesel gallon equivalents (d) Amount of credit (e) CRN
a Liquefied petroleum gas (LPG) (see instructions)   .183     419
b "P Series" fuels   .183     420
c Compressed natural gas (CNG) (see instructions)   .183     421
d Liquefied hydrogen   .183     422
e Fischer–Tropsch process liquid fuel from coal (including peat)   .243     423
f Liquid fuel derived from biomass   .243     424
g Liquefied natural gas (LNG) (see instructions)   .243     425
h Liquefied gas derived from biomass   .183     435
Form 4136 (2024)

Form 4136 (2024)
Page 4
12Alternative Fuel Credit Registration No.  
If you don't have the registration number, STOP; you're not eligible to make Form 4136 claims
if you haven't yet filed Form 637 and received your registration number and placed it on this line.
(b) Rate (c) Gallons, or gasoline or diesel gallon equivalents (d) Amount of credit (e) CRN
a Liquefied petroleum gas (LPG) (see instructions) $ .50   $   426
b "P Series" fuels .50     427
c Compressed natural gas (CNG) (see instructions) .50     428
d Reserved for future use
e Fischer–Tropsch process liquid fuel from coal (including peat) .50     430
f Liquid fuel derived from biomass .50     431
g Liquefied natural gas (LNG) (see instructions) .50     432
h Liquefied gas derived from biomass .50     436
i Compressed gas derived from biomass .50     437
13Registered Credit Card Issuers Registration No.  
If you don't have the registration number, STOP; you're not eligible to make Form 4136 claims
if you haven't yet filed Form 637 and received your registration number and placed it on this line.
(b) Rate (c) Gallons (d) Amount of credit (e) CRN
a Diesel fuel sold for the exclusive use of a state or local government $ .243   $   360
b Kerosene sold for the exclusive use of a state or local government .243     346
c Kerosene for use in aviation sold for the exclusive use of a state or local government taxed at $.219 .218     369
14Nontaxable Use of a Diesel-Water Fuel Emulsion
Caution. There is a reduced credit rate for use in certain intercity and local buses (type of use 5) (see instructions).
(a) Type of use (b) Rate (c) Gallons (d) Amount of credit (e) CRN
a Nontaxable use   .197     309
b Exported .198     306
15Diesel-Water Fuel Emulsion Blending Registration No.  
If you don't have the registration number, STOP; you're not eligible to make Form 4136 claims
if you haven't yet filed Form 637 and received your registration number and placed it on this line.
(b) Rate (c) Gallons (d) Amount of credit (e) CRN
Blender credit $ .046   $   310
16Exported Dyed Fuels and Exported Gasoline Blendstocks
(b) Rate (c) Gallons (d) Amount of credit (e) CRN
a Exported dyed diesel fuel and exported gasoline blendstocks taxed at $.001 $ .001   $   415
b Exported dyed kerosene .001     416
17
Total income tax credit claimed. Add lines 1 through 16, column (d). Enter here and on Schedule 3 (Form 1040), line 12; Form 1120, Schedule J, line 20b; Form 1120-S, line 24c; Form 1041, Schedule G, line 17; or the proper line of other returns .................
17
$627
Form 4136 (2024)
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