FORM N-35 (REV. 2014)
Page 2
Name as shown on return
Federal Employer Identification Number
SBF142
00
22
a Excess net passive income tax (attach schedule(s))
22a
00
b Tax from Schedule D (Form N-35), line 23
22b
00
c Number of N-4’s attached
22c
Taxes withheld on attached N-4’s
00
d LIFO recapture tax
22d
00
e Add lines 22a, 22b, 22c, and 22d
22e
00
23
a 2013 overpayment allowed as a credit
23a
00
b 2014 estimated tax payments from N-3s_____________ and N-288s_____________ 23b
00
c Payments with extension
23c
00
00
d Amount due on attached Form N-4’s
23d
00
e Add lines 23a, 23b, 23c, and 23d
23e
00
24
24
Underpayment of estimated tax penalty (see Instructions) Check if Form N-220 is attached
00
25
25
OVERPAYMENT (If line 23e is larger than the total of lines 22e and 24), enter AMOUNT OVERPAID
00
00
26
Enter amount of line 25 you want Credited to 2015 estimated tax 26a $
Refunded 26b
00
27
27
TAX DUE (If the total of lines 22e and 24 is larger than line 23e) enter the amount due
00
28
PAYMENT DUE (Add lines 23d and 27 ) (see Instructions)
28
00
29
Amount paid (overpaid) on original return — AMENDED RETURN ONLY
29
00
30
BALANCE DUE (REFUND) with amended return (See Instructions)
30
Schedule A
Cost of Goods Sold (See Instructions for Schedule A)
00
1
1
Inventory at beginning of year
00
2
2
Purchases
00
3
3
Cost of labor
00
4
4
Additional IRC section 263A costs (see federal Instructions and attach a schedule)
00
5
5
Other costs (attach schedule)
00
6
6
Total—Add lines 1 through 5
00
7
7
Inventory at end of year
00
8
8
Cost of goods sold—Line 6 minus line 7 (Enter here and on page 1, line 2)
9
a Check all methods used for valuing closing inventory:
(i)
Cost as described in Treasury Regulations section 1 471-3
(ii)
Lower of cost or market as described in Treasury Regulations section 1 471-4 (see Instructions)
(iii)
Other (specify method used and attach explanation)
b Check if there was a writedown of subnormal goods as described in Treasury Regulations section 1 471-2(c)
c Check if the LIFO inventory method was adopted this tax year for any goods (if checked, attach federal Form 970)
d If the LIFO inventory method was used for this tax year, enter percentage (or amounts) of
9d
closing inventory computed under LIFO
e Do the rules of section 263A (with respect to property produced or acquired for resale) apply to the corporation?
Yes
No
f
Was there any change in determining quantities, cost or valuations between opening and closing inventory?
Yes
No
If “Yes,” attach explanation
Schedule B
Other Information
1
Check method of accounting: a
b
c
Other (specify)
Cash
Accrual
2
a Date of incorporation
b Date business began in Hawaii
c Under laws of
d Date of federal election as an S corporation
3
Refer to the listing of Business Activity Codes at the end of the federal Instructions for Form 1120S and state your principal:
Business Activity ___________________________________ ; Product or service _____________________________
4
Did the corporation at the end of the tax year own, directly or indirectly, 50% or more of the voting stock of a domestic
corporation? (For rules of attribution, see IRC section 267(c) ) If “Yes” attach a schedule showing: (a) name, address
and employer identification number (b) percentage owned, and (c) if 100% owned, was QSSS election made?
Yes
No
5
Enter the number of shareholders in the corporation at the end of the tax year who are:
residents of Hawaii
nonresidents of Hawaii
6
Did the corporation derive income from sources outside Hawaii which is not includable in the Hawaii return?
Yes
No
7
If the corporation: (1) was a C corporation before it elected to be an S corporation or the corporation acquired an asset with a basis
determined by reference to its basis (or the basis of any other property) in the hands of a C corporation, and (2) has net unrealized built-in gain
(defined by IRC section 1374(d)(1)) in excess of the net recognized built-in gain from prior years, enter the net unrealized built-in gain reduced
by net recognized built-in gain from prior years
$
FORM N-35