Payroll Tax Biotechnology Exclusion Worksheet - City And County Of San Francisco - 2006

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Cert #____________
CITY AND COUNTY OF SAN FRANCISCO
Office of the Treasurer & Tax Collector
2006 Payroll Tax
Biotechnology Exclusion Worksheet
(This worksheet applies only to the 2006 calendar year)
Section 1: Business Information
1.
Enter Federal Employer Identification number:
2.
Enter Business Tax Certificate number:
3.
Enter name of business:
4.
Enter principal San Francisco business location: (Street address)
5.
Does your company engage in biotechnology business in more than one location in San
Yes
No
Francisco? Circle one.
If yes, list each location address below:
(a)
(b)
Section 2: Payroll Tax Exemption Information
6.
Enter total number of employees:
7.
Enter total number of employees working outside of San Francisco:
8.
Enter total Payroll Expense paid to employees for work performed outside of San Francisco:
Section 3: Biotech Exclusion Information
9.
Enter total number of San Francisco employees:
10. Enter total number of San Francisco biotechnology-exempt employees on January 1, 2006:
11. Enter total number of San Francisco biotechnology-exempt employees on December 31, 2006:
12. Enter total number of San Francisco employees for which the biotechnology exemption is
claimed:
13. Enter total Payroll Expense paid to employees for biotechnology work performed in San
Francisco:
Section 4: Calculation of Total Exclusion
14. Enter the sum of Lines 8 and 13 above. Enter this amount also on your 2006
$
Payroll Tax Statement (Long Form), Line 2. Attached this worksheet to your 2006
Payroll Tax statement and file both by the February 28, 2007 deadline.
Qualifying for the Biotechnology Exclusion
The biotechnology exclusion applies to all San Francisco Businesses that engage in Biotechnology enterprises.
To qualify the business must be engaged in business operations that use cell fusion, recombinant DNA and
bioprocesses. For purposes of this exclusion, “bioprocesses” means a process that alters the genome of an
organism.
Employees for which the exclusion may be claimed include any employee whose work is substantially in
support of the taxpayer’s biotechnology business. If your business qualifies as a biotechnology business and
also engages in other non-biotechnology business enterprises, then the compensation paid to employees that do
not spend at least 50% of their time in support of the biotechnology business do not qualify for the exclusion.
I understand that the facts supporting my application for the Biotechnology Exclusion, as set forth on this
worksheet, are subject to audit by the San Francisco Tax Collector.
Under the laws of the State of California, I declare under penalty of perjury that I have read the foregoing and
that it is true, correct, and complete to the best of my knowledge and belief.
Signed:
Date:_____/_____/_____
Print Name:
Contact Number: (
)
Title:
Fax Number: (
)
2006 Biotechnology Exclusion
Rev. 8/9/06

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