Form Cd-418 - Cooperative Or Mutual Association - 2016
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4CD-418
Cooperative or Mutual Association 2016
Web
8-16
For calendar year 2016, or
1 6
(DOR Use
and ending
(MM-DD)
(MM-DD-YY)
Only)
other tax year beginning
Legal Name (First 35 Characters)(USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS)
Federal Employer ID Number
Address
Secretary of State ID
NAICS Code
City
State
Zip Code
Initial Return
Amended Return
NC-478 is attached
Tax Exempt (IRC § 521)
Fill in all applicable circles:
Final Return
Short Year Return
CD-479 is attached
Has Escheatable Property
N.C. Education Endowment Fund: You may contribute to the N.C. Education Endowment Fund by making a contribution or designating some or
all of your overpayment to the Fund. To make a contribution, enclose Form NC-EDU and your payment of $ _____________________________.
To designate your overpayment to the Fund, enter the amount of your designation on Page 2, Line 18. See instructions for information about the Fund.
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1. Federal Taxable Income Before NOL (From Schedule B, Line
1.
00
27 or Federal Form 1120-C, Line 25a minus Lines 26a and 26b)
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2. Adjustments to Federal Taxable Income
If amount on
2.
00
Lines 1, 2, 3, or 5
(From Schedule C, Line 5)
is negative, fill in
circle.
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3. Net Income Before Contributions
3.
00
Example:
Add Lines 1 and 2
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4. Contributions
4.
00
(From Schedule E, Line 5)
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5.
Net Taxable Income
5.
00
Line 3 minus Line 4
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6.
N.C. Net Income Tax
6.
00
Multiply Line 5 by 4.0%
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(Include $25.00 only if Form CD-479
7. Annual Report Fee
7.
00
is attached in paper form; otherwise, enter zero.)
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8.
Add Lines 6 and 7
8.
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9.
Payments and Credits
a. Income Tax Extension (From Form CD-419, Line 10)
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When filing an amended return, enter the extension payment claimed on
9a.
00
the original return on Line 9b.
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(When filing an amended return, enter
b. 2016 Estimated Tax
9b.
00
previous payments less refunds received, excluding interest.)
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c. Partnership
(If a partnership payment is claimed on Line 9c,
9c.
00
a copy of Form D-403 NC K-1 MUST be attached.)
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d. Nonresident Withholding
9d.
00
(Include copy of 1099 or W-2)
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e. Tax Credits
9e.
00
(Complete Form CD-425 and enter amount from Part 4, Line 30)
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10.
Add Lines 9a through 9e
10.
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