Instructions For Form 1120-Pc - 2010 Page 19

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Item 11
the other corporations (except for the
C.F.R. 158.150) in the section 833 MLR
common parent) must be owned directly
numerator.
If the corporation has an NOL, it generally
by one or more of the other includible
can elect under section 172(b)(3) to waive
See section 833(c)(5) and Notice
corporations.
the entire carryback period for the NOL
2010-79 for more information.
and instead carry the NOL forward to
Check the “Yes” box if the corporation
For this purpose, the term “stock”
future tax years. To do so, check the box
is a Blue Cross or Blue Shield
generally does not include any stock that
on line 11 and file the tax return by its due
organization described in section
(a) is nonvoting, (b) is nonconvertible, (c)
date, including extensions. Do not attach
833(c)(2), or other organization described
is limited and preferred as to dividends
the statement described in Temporary
in section 833(c)(3), that has satisfied the
and does not participate significantly in
Regulations section 301.9100-12T. Once
medical loss ratio (MLR) requirements of
corporate growth, and (d) has redemption
made, the election is irrevocable.
section 833(c)(5).
and liquidation rights that do not exceed
the issue price of the stock (except for a
Corporations filing a consolidated
If you checked “No” enter zero on
reasonable redemption or liquidation
return that elect to waive the entire
Schedule H, line 6, and Schedule A, line
premium). See section 1504(a)(4).
carryback period for the group must also
34a. You cannot take the special
attach the statement required by
deduction. See the instructions for
Question 6
Regulations section 1.1502-21(b)(3) or
Schedule H.
Check the “Yes” box if one foreign person
the election will not be valid.
Also, if you checked “No” your
owned at least 25% of (a) the total voting
Item 12
deduction of unearned premiums is
power of all classes of stock of the
limited. See the instructions for Schedule
corporation entitled to vote, or (b) the total
Enter the amount of the NOL carryover to
E for more information.
value of all classes of stock of the
the tax year from prior years, even if
corporation.
some of the loss is used to offset income
on this return. The amount to enter is the
The constructive ownership rules of
Schedule L—Balance
total of all NOLs generated in prior years
section 318 apply in determining if a
Sheets per Books
but not used to offset income (either as a
corporation is foreign owned. See section
carryback or carryover) in a tax year prior
6038A(c)(5) and the related regulations.
Note. All insurance companies required
to 2010. Do not reduce the amount by
to file Form 1120-PC must complete
Enter on line 6a the percentage owned
any NOL deduction reported on Schedule
Schedule L.
by the foreign person specified in
A, line 36b.
question 6. On line 6b, enter the name of
The balance sheets should agree with
Question 13
the owner’s country.
the corporation’s books and records.
A corporation that files Form 1120-PC
Note. If there is more than one
If filing a consolidated return, report
must file Schedule UTP (Form 1120) with
25%-or-more foreign owner, complete
total consolidated assets, liabilities, and
its income tax return if:
lines 6a and 6b for the foreign person with
shareholder’s equity for all corporations
The corporation has assets that equal
the highest percentage of ownership.
joining in the return. See Consolidated
or exceed $100 million;
Return on page 5.
Foreign person. The term “foreign
The corporation or a related party
person” means:
Corporations with total assets
issued audited financial statements
A foreign citizen or nonresident alien,
(non-consolidated or consolidated for all
reporting all or a portion of the
An individual who is a citizen of a U.S.
corporations included within the tax
corporation’s operations for all or a
possession (but who is not a U.S. citizen
consolidation group) of $10 million or
portion of the corporation’s tax year; and
or resident),
more on the last day of the tax year must
The corporation has one or more tax
A foreign partnership,
complete Schedule M-3 (Form 1120-PC)
positions that must be reported on
A foreign corporation,
instead of Schedule M-1. See the
Schedule UTP.
Any foreign estate or trust within the
separate instructions for Schedule M-3
For details, see the Instructions for
meaning of section 7701(a)(31), or
(Form 1120-PC) for provisions that also
Schedule UTP.
A foreign government (or one of its
affect Schedule L.
agencies or instrumentalities) to the
Attach Schedule UTP to the
Line 1. Cash. Include certificates of
extent that it is engaged in the conduct of
corporation’s income tax return. Do not
deposit as cash on this line.
a commercial activity as described in
file it separately. A taxpayer that files a
Line 5. Tax-exempt securities. Include
section 892.
protective Form 1120-PC must also file
on this line:
Schedule UTP if it satisfies the
Owner’s country. For individuals, the
State and local government obligations,
requirements set forth above.
term “owner’s country” means the country
the interest on which is excludable from
of residence. For all others, it is the
gross income under section 103(a), and
Question 14
country where incorporated, organized,
Stock in a mutual fund or other RIC that
Section 833(c)(5) provides that section
created, or administered.
distributed exempt-interest dividends
833 does not apply to a Blue Cross or
Requirement to file Form 5472. If the
during the tax year of the corporation.
Blue Shield organization described in
corporation checked “Yes” it may have to
Line 18. Insurance liabilities. Include
section 833(c)(2), or other organization
file Form 5472, Information Return of a
on this line:
described in section 833(c)(3), unless it
25% Foreign-Owned U.S. Corporation or
Undiscounted unpaid losses.
has a medical loss ratio of 85% or more
a Foreign Corporation Engaged in a U.S.
Loss adjustment expenses.
for the tax year. For purposes of section
Trade or Business. Generally, a 25%
Unearned premiums.
833(c)(5), the medical loss ratio is equal
foreign-owned corporation that had a
to the amount expended on
See section 846 for more information.
reportable transaction with a foreign or
reimbursement for clinical services
Line 27. Adjustments to shareholders’
domestic related party during the tax year
provided to enrollees (as defined in 45
equity. Some examples of adjustments
must file Form 5472. See Form 5472 for
C.F.R. 158.140) under its policies during
to report on this line include:
filing instructions and penalties for failure
the tax year (section 833 MLR
Unrealized gains and losses on
to file.
Numerator) divided by the total premium
securities held “available for sale.”
Item 10
revenue (section 833 MLR Denominator).
Foreign currency translation
Show any tax-exempt interest received or
Note. For 2010, the IRS will not
adjustments.
accrued. Include any exempt-interest
challenge the inclusion of amounts
The excess of additional pension
dividends received as a shareholder in a
expended for activities that improve
liability over unrecognized prior service
mutual fund or other RIC.
health care quality (as defined in 45
cost.
-19-
Instructions for Form 1120-PC (2010)

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