Form Ri-1120c - Business Corporation Tax Return

Schedule B - Exempt Dividends and Interest

1. Dividends received from shares of stock of any payor liable for RI taxes as outlined in Chapters 11, 13, & 14 - (attach Schedule).................

2. Amount of such dividends included in Special Deductions, Schedule A, line 2b.................................................................................................

3. Balance of Exempt Dividends - Line 1 less line 2................................................................................................................................................

Foreign Dividends included on line 13, 14 & 17 Schedule C, US 1120

4. Less than 20% owned

X 70% ..............................................................................................................................................

5. More than 20% owned

X 80%..............................................................................................................................................

6. 100% owned

X 100% ...........................................................................................................................................................

7. Interest on obligations of public service corporations liable for Rhode Island Gross Earnings Tax ....................................................................

8. Interest on certain obligations of the US - (Attach schedule)...............................................................................................................................

9. Interest on obligations of US possessions and other interest exempt under Rhode Island Law - (Attach schedule) .........................................

10. Total - Add lines 3 through 9 - Enter here and on page 1, schedule A, line 2c ...................................................................................................

10.

Schedule C - Final Determination of Net Income by Federal Government

yes

Has the Federal Government changed your taxable income for any prior year which has not yet been reported to The Tax Administrator?...................

If yes, complete Form T-70C immediately and submit to the Tax Administrator with any remittance that may be due. NOTE: Changes made by the Federal Government in

the income of any prior year which have been finally determined must be reported to the Tax Administrator within 60 days after such change.

Schedule D - General Information

Location of principal of business in Rhode Island

Location of corporation’s books and records

List states to which you are liable for income or excise taxes for the taxable year

US Business Code Number

President

State and date of incorporation

Treasurer

Number of shares of authorized stock

Par value per share

No par value (

)

Schedule E - Federal Taxable Income

(US 1120, page 1, line 28 or 1120A, page 1, line 24)

Enter amount for year that ended

2005

2004

2003

2002

2001

COLUMN A

COLUMN B

Schedule F - Apportionment

EVERYWHERE

1a.

Average net

1. a. Inventory ....................................................................................

1b.

book value

b. Depreciable assets ....................................................................

1c.

c. Land...........................................................................................

1d.

d. Rent (8 times annual net rental rate).........................................

1e.

e. Total ...........................................................................................

1f.

_._ _ _ _ _ _

f. Ratio in Rhode Island, line 1e, column A divided by line 1e, column B.............................................................................

2a.

Receipts

2. a. Gross receipts............................................................................

2b.

b. Dividends ...................................................................................

2c.

c. Interest........................................................................................

2d.

d. Rents ..........................................................................................

2e.

e. Royalties .....................................................................................

2f.

f. Net capital gains .........................................................................

2g.

g. Ordinary income .........................................................................

2h.

h. Other income ..............................................................................

2i.

i. Income exempt from federal taxation .........................................

2j.

j. Total ............................................................................................

k. Ratio in Rhode Island, Line 2j, column A divided by line 2j, column B..............................................................................

2k.

_._ _ _ _ _ _

3a.

Salaries

3. a. Salaries and wages paid or incurred - (see instructions) ..........

b. Ratio in Rhode Island, line 3a, column A divided by line 3a, column B.............................................................................

_._ _ _ _ _ _

3b.

_._ _ _ _ _ _

Ratio

4 Total of Rhode Island Ratios shown on lines 1f, 2k and 3b....................................................................................................

5. Apportionment Ratio - line 4 divided by 3 or by the number of ratios - enter here and on page 1, schedule A, line 7 ...........

_._ _ _ _ _ _

THIS RETURN WILL NOT BE COMPLETE UNLESS ALL REQUIRED SCHEDULES FROM FEDERAL 1120 OR APPLICABLE US FORM ARE ATTACHED