Form 4752 - 2009 Michigan Business Tax Unitary Business Group Combined Filing Schedule For Financial Institutions Page 4

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4752, Page 4
Designated Member FEIN or TR Number
PART 3: AFFILIATeS exCLUDeD FROM THIS COMBINeD ReTURN
List every person (with or without nexus) for which the “greater than 50 percent” ownership test of a Michigan Unitary Business Group is satisfied, which
is not included on this combined return. Using the codes below, identify in column D why each person is not included in this combined return. If any
persons listed here are part of a federal consolidated group, attach a copy of U.S. Form 851.
ReASON CODeS FOR exCLUSION:
1. Lacks business activities resulting in a flow of value or integration,
4. Foreign entity
dependence or contribution to group.
5. Member has no MBT tax year (as a member of this UBG)
2. Foreign operating entity
ending with or within this filing period.
3. Incompatible tax base
6. Other
(Insurance companies always file separately; Financial institutions and
“standard” taxpayers are not included on the same combined return)
40.
A
B
C
D
e
F
Number From
Reason
Check (X) if
U.S. Form 851
Code for
Nexus with
(if applicable)
Name
FEIN or TR Number
Exclusion
Michigan
NAICS Code
PART 4: AFFILIATeS INCLUDeD IN THe PRIOR COMBINeD ReTURN, BUT exCLUDeD FROM THIS ReTURN
List persons included in the immediately preceding combined return of this Designated Member that are not included on this return. Do not repeat
persons here that are in Part 3. See column C instructions for a list of reason codes.
41.
A
B
C
Name
FEIN or TR Number
Reason This Person Is Not on This Return
+
0000 2009 85 04 27 8

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