Form Nh-1120-We - Combined Business Profits Tax Return 2001 Page 2

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2001
NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION
FORM
COMBINED BUSINESS PROFITS TAX AFFILIATION SCHEDULE
NH-1120-WE
This page must be completed in its entirety as part of the NH-1120-WE. This page identifies the principal New Hampshire business organization, as
defined in Rev. 301.24, other members of the Water’s Edge Combined Group, as defined in RSA 77-A:1 and those affiliates excluded from the group
as non-unitary or qualified Overseas Business Organizations as defined by RSA 77-A:1.
A
PRINCIPAL NH BUSINESS ORGANIZATION
FEDERAL EMPLOYER IDENTIFICATION NUMBER
NUMBER & STREET ADDRESS
STREET ADDRESS (CONTINUED)
CITY/TOWN, STATE & ZIP CODE
B
NH BUSINESS ACTIVITY
For sections C, D, E, and F, in the nexus column please indicate with an X those members which have nexus with New Hampshire.
Attach additional sheets for the following, if necessary
C. Other members included in the Water’s Edge Combined Group. Please check off those members who have nexus with NH.
Name of Business Organization
FEIN
Nexus
1
2
3
4
5
6
7
8
D. Parent Company of this Combined Group
FEIN
Nexus
E. Name and federal employer identification numbers of the domestic affiliated business organizations who are excluded from the NH Water’s
Edge Combined Group as non-unitary members. Please check off those members who have nexus in NH.
Name of Business Organization
FEIN
Nexus
1
2
3
4
5
6
7
8
F. Name, location, and federal employer identification number, if applicable, of the affiliates excluded from the group as qualified Overseas
Business Organizations, as defined by RSA 77-A:1, XIX. Please check off those members who have nexus in NH.
Name and Location of Business Organization
FEIN
Nexus
1
2
3
4
5
6
7
8
G. Optional Information
Taxpayer Contact (Name and Title)
Telephone Number
NH-1120-WE
Rev. 12/01

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