Form CLT-4, Page 2
FEIN________________________
Part III - continued
h.
Was your corporation included as a member of a consolidated group for Internal Revenue Service fi ling
purposes? ...............................................................................................................................................................
Yes
No
If “Yes,” you will need to provide support for your consolidated taxable income by attaching pages 1 through
4 of the consolidated federal Form 1120 that you fi led with the Internal Revenue Service.
Enter the ultimate U.S. parent’s FEIN: _____________________
and Name: _____________________________________
i.
Did an individual at the end of the taxable year own, directly or indirectly, 50% or more of the voting stock of
this corporation?
Name: _______________________________________ % of ownership: __________
Yes
No
j.
Did a partnership, corporation, estate or trust at the end of the taxable year own, directly or indirectly, 50%
or more of the voting stock of this corporation? ......................................................................................................
Yes
No
k.
If the answer to question (i) or (j) is “Yes,” did the same individual, partnership, corporation, estate or trust
at the end of the taxable year also own, directly or indirectly, 50% or more of the voting stock of another
(brother-sister) corporation? ...................................................................................................................................
Yes
No
l.
Did this corporation or any member of the consolidated group own, directly or indirectly, 50% or more of the
outstanding voting stock of a domestic corporation that is not included in the consolidated group referenced
in (h) above? ...........................................................................................................................................................
Yes
No
m. Did this corporation or any member of the consolidated group own, directly or indirectly, 50% or more of the
outstanding voting stock of a controlled foreign corporation? .................................................................................
Yes
No
If you answered “Yes” to any of the above questions (j - m), you will need to complete Schedule M.
Part IV - Reporting of Special Transactions.
Check “Yes” if you fi led any of the following forms with the Internal Revenue Service.
You will need to attach to your Montana return a complete copy of any of these applicable forms.
a.
I fi led federal Form 8264 – Application for Registration of a Tax Shelter with the Internal Revenue
Service.
Yes
No
Form 8264 is required to be fi led to register a tax shelter.
b. I fi led federal Form 8271 – Investor Reporting of Tax Shelter Registration Number with the Internal
Revenue Service.
Yes
No
Form 8271 is used to report the tax shelter registration number that the Internal Revenue Service assigns to
certain tax shelters required to be registered under 26 USC 6111 and to report the name and identifying
number of the tax shelter.
c.
I fi led federal Form 8824 – Like-Kind Exchanges with the Internal Revenue Service.
Yes
No
Check “Yes” if your like-kind exchange includes Montana property.
Form 8824 is used to report each exchange of business or investment property for property of a like-kind.
d. I fi led federal Form 8865 – Return of U.S. Persons With Respect to Certain Foreign Partnerships with
the Internal Revenue Service.
Yes
No
Form 8865 is used to report the information required under 26 USC 6038 (reporting with respect to controlled
foreign partnerships), section 6038B (reporting of transfers to foreign partnerships), or section 6046A
(reporting of acquisitions, dispositions, and changes in foreign partnership interest.)
e.
I fi led federal Form 8886 – Reportable Transaction Disclosure Statement with the Internal
Revenue Service.
Yes
No
Form 8886 is used to disclose information for each reportable transaction in which you participated.
f.
I fi led federal Form 13657 - Notice of Election by Corporation to Participate in Announcement
2005-19 Settlement Initiative with the Internal Revenue Service.
Yes
No
Form 13657 is an election to participate in the settlement initiative as described in Announcement 2005-19
and as contained in Internal Revenue Bulletin 2005-11 dated March 14, 2005.
g. I fi led federal Form 13750 – Election to Participate in Announcement 2005-80 Settlement Initiative
with the Internal Revenue Service.
Yes
No
Form 13750 is an election to participate in the settlement initiative as described in Announcement 2005-80
and as contained in Internal Revenue Bulletin 2005-46 dated November 14, 2005.
Declaration - Under penalties of perjury, I, the undersigned offi cer of the corporation, declare that to the best of my knowledge and belief,
this return and accompanying schedules are a true, correct, and complete return made in good faith for the income period stated above,
pursuant to Montana corporation license tax law and regulations.
Signature of offi cer
Date
Print name
Title
Telephone number, ext.
Name of person or fi rm preparing return
Date
Preparer’s identifi cation number
Telephone number
.
Check here to authorize the Montana Department of Revenue to discuss your return with the individual/preparer listed above