California Corporation
FORM
TAXABLE YEAR
100
2009
Franchise or Income Tax Return
For calendar year 2009 or fiscal year beginning month ____ day ____ year _____, and ending month ____ day ____ year _____ .
Corporation name
California corporation number
Address (suite, room, or PMB no.)
FEIN
-
City
State
ZIP Code
Schedule Q Questions
(continued on Side 2)
B 1. Is income included in a combined report of a
unitary group?
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
A 1. FINAl reTurN?
Dissolved
Surrendered (withdrawn)
2. If “Yes,” indicate:
wholly within CA (R&TC 25101.15)
Merged/Reorganized
IRC Section 338 sale
QSub election
within and outside of CA
Enter date
_________________________________________
3. Is there a change in the members listed in
2. DeFerreD INCOMe. Did this corporation elect to defer
Schedule R-7 from the prior year? . . . . . . . . . . . . . .
Yes
No
income from the discharge of indebtedness as described
4. Enter the number of members (including parent
in IRC Section 108(i) for federal purposes? . . . . . . .
Yes
No
or key corporation) listed in the Schedule R-7,
If “Yes,” enter the federal deferred income from
Part I, Section A, subject to income or franchise tax . .
___________
discharge of indebtedness. . . . . . . . . . . . . . . . . . . . .
$___________
5. Is form FTB 3544 attached to the return? . . . . . . . . .
Yes
No
Net income (loss) before state adjustments. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
00
2 Amount deducted for foreign or domestic tax based on income or profits from Schedule A . . . . . . . . . . . . . . . .
2
00
3 Amount deducted for tax under the provisions of the Corporation Tax Law from Schedule A . . . . . . . . . . . . . . .
3
00
4 Interest on government obligations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
00
5 Net California capital gain from Side 5, Schedule D, line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
00
6 Depreciation and amortization in excess of amount allowed under California law. Attach form FTB 3885 . . . . . .
6
00
7 Net income from corporations not included in federal consolidated return. See instructions. . . . . . . . . . . . . . . .
7
8 Other additions. Attach schedule(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
00
00
9 Total. Add line 1 through line 8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
00
0 Intercompany dividend deduction. Attach Schedule H (100) . . . . . . . .
0
Dividends received deduction. Attach Schedule H (100) . . . . . . . . . . .
00
00
2 Additional depreciation allowed under CA law. Attach form FTB 3885 .
2
00
3 Capital gain from federal Form 1120, line 8 . . . . . . . . . . . . . . . . . . . . .
3
00
4 Contributions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
00
5 EZ, LAMBRA, or TTA business expense and EZ net interest deduction. .
5
00
6 Other deductions. Attach schedule(s). . . . . . . . . . . . . . . . . . . . . . . . . .
6
00
7 Total. Add line 10 through line 16. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
00
8 Net income (loss) after state adjustments. Subtract line 17 from line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
00
9 Net income (loss) for state purposes. Complete Schedule R if apportioning income. See instructions . . . . . . . .
9
00
20 Net operating loss (NOL) carryover deduction. See instructions . . . . .
20
2 Pierce’s disease, EZ, LARZ, TTA, or LAMBRA NOL carryover deduction.
00
See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
00
22 Disaster loss carryover deduction. See instructions. . . . . . . . . . . . . . .
22
23 Net income for tax purposes. Combine line 20 through line 22. Then, subtract from line 19 . . . . . . . . . . . . . . . .
23
00
00
24 Tax. __________% x line 23 (not less than minimum franchise tax, if applicable) . . . . . . . . . . . . . . . . . . . . . . .
24
25 New jobs credit. . . . . . . . a) amount generated
___________________ b) amount claimed . . . . . . . . . . . . . .
25b
00
26a Credit name _______________________code no. __ __ __ amount . 26a
00
00
b Credit name _______________________code no. __ __ __ amount . 26b
00
27 To claim more than two credits, see instructions . . . . . . . . . . . . . . . . .
27
00
28 Add line 25b through line 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
28
29 Balance. Subtract line 28 from line 24 (not less than minimum franchise tax, if applicable) . . . . . . . . . . . . . . . .
29
00
00
30 Alternative minimum tax. Attach Schedule P (100). See instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
30
00
3 Total tax. Add line 29 and line 30. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
32 Overpayment from prior year allowed as a credit . . . . . . . . . . . . . . . . .
32
00
00
33 2009 estimated tax payments. See instructions . . . . . . . . . . . . . . . . .
33
00
34 2009 Resident/nonresident or real estate withholding. See instructions .
34
00
35 Amount paid with extension of time to file tax return . . . . . . . . . . . . . .
35
00
36 Total payments. Add line 32 through line 35 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
36
Form 100
2009 Side
3601093
C1