This form is primarily a worksheet used to determine the maximum allowable income tax deduction (under section 192) for contributions made by coal mine operators to tax-exempt black lung benefit trusts. The form is also used to determine the amount of excise tax imposed under section 4953 for contributions that are more than the maximum allowable deduction. Current revision Form 6069 PDF Recent developments None at this time. Other items you may find useful All Form 6069 revisions About Publication 557, Tax-Exempt Status for Your Organization Other current products Related items About Form 8868, Application for Extension of Time To File an Exempt Organization Return