Form 100 - California Corporation Franchise Or Income Tax Return - 2009 Page 2
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37 Franchise or income tax due. If line 31 is more than line 36, subtract line 36 from line 31. Go to line 40
37
00
38 Overpayment. If line 36 is more than line 31, subtract line 31 from line 36 . . . . . . . . . . . . . . . . . . . . . . . .
38
00
39 Amount of line 38 to be credited to 2010 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
39
00
40 use tax. This is not a total line. See instructions . . . . . . . . . . . .
40
00
4 refund. If the sum of line 39 and line 40 is less than line 38, then subtract the result from line 38. . . . . .
4
00
See instructions to have the refund directly deposited.
a Routing number . . . . . . . . . . . . . . . .
4a
b Type: Checking
Savings
c Account number . . . . . . . . . . . . . . . . . . . . . . . .
4c
42 a Penalties and interest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
42a
00
b
Check if estimate penalty computed using Exception B or C. See instructions.
43 Total amount due. Add line 37, line 39, line 40, and line 42a. Then, subtract line 38 from the result. . . . .
43
00
Schedule Q Questions (continued from Side 1)
C If the corporation filed on a water’s-edge basis pursuant to R&TC
3. Of this and one or more other corporations owned or
Sections 25110 and 25113 in previous years, enter the
controlled, directly or indirectly, by the same interests?
Yes
No
date the water’s-edge election ended
/ /
If 1 or 3 is “Yes,” enter the country of the ultimate parent
D Was the corporation’s income included in a
_______________________________________________
consolidated federal return? . . . . . . . . . . . . . . . . . . . . . .
Yes
No
If 1, 2, or 3 is “Yes,” furnish a statement of ownership indicating
pertinent names, addresses, and percentages of stock owned.
E Principal business activity code.
If the owner(s) is an individual, provide the SSN/ITIN.
(Do not leave blank): . . . . . . . . . . . . . . . . . . . . .
L Has the corporation included a reportable transaction
Business activity _____________________________________________
or listed transaction within this return?
Product or service____________________________________________
(See instructions for definitions) . . . . . . . . . . . . . . . . . . . .
Yes
No
F Date incorporated: / /
If “Yes,” complete and attach federal Form 8886 for each transaction.
Where:
State
Country _______________________________
M Is this corporation apportioning income to California
G Date business began in California or date income was first derived from
using Schedule R?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
N How many affiliates in the combined report are claiming
California sources
/ /
immunity from taxation in California under
H First return?
Yes
No If “Yes” and this corporation is a
Public Law 86-272?
______________________________________
successor to a previously existing business, check the appropriate box.
O Corporation headquarters are:
(1)
Within California
(1)
sole proprietorship (2)
partnership (3)
joint venture
(2)
Outside of California, within the U.S. (3)
Outside of the U.S.
(4)
corporation (5)
other
P Location of principal accounting records ________________________
(attach statement showing name, address, and FEIN/SSN/ITIN of
________________________________________________________
previous business)
Q Accounting method:
(1)
Cash (2)
Accrual (3)
Other
I “Doing business as” name. See instructions:
____________________
R Does this corporation or any of its subsidiaries have a
__________________________________________________________
Deferred Intercompany Stock Account (DISA)? . . . . . . .
Yes
No
J 1. For this taxable year, was there a change in control
If “Yes,” enter the total balance of all DISAs
$___________________
or majority ownership for this corporation or any of
S Is this corporation or any of its subsidiaries a RIC? . . . .
Yes
No
its subsidiaries that owned or (under certain
T Is this corporation treated as a REMIC for
circumstances) leased real property in California? . . . . .
Yes
No
California purposes? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
2. For this taxable year, did this corporation or any of its
U Is this corporation a REIT for California purposes? . . . . .
Yes
No
subsidiaries acquire control or majority ownership of
V Is this corporation an LLC or limited partnership
any other legal entity that owned or (under certain
electing to be taxed as a corporation for federal
circumstances) leased real property in California? . . . . .
Yes
No
purposes? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
3. If this corporation or any of its subsidiaries owned or
W Is this corporation to be treated as a credit union? . . . . .
Yes
No
(under certain circumstances) leased real property in
X Is the corporation under audit by the IRS or has it
California, has more than 50% of the voting stock of any
been audited by the IRS in a prior year? . . . . . . . . . . . . .
Yes
No
one of them cumulatively transferred in one or more
Y Have all required information returns (e.g. federal
transactions since March 1, 1975, which was not
Forms 1099, 5471, 5472, 8300, 8865, etc.) been
reported on a previous year’s tax return? . . . . . . . . . . . .
Yes
No
filed with the Franchise Tax Board? . . . . . . . . . . . .
N/A
Yes
No
(Penalties may apply – see instructions.)
Z Does the taxpayer (or any corporation of the
K At any time during the taxable year, was more than
taxpayer’s combined group, if applicable) own 80%
50% of the voting stock:
or more of the stock of an insurance company? . . . . . . . . .
Yes
No
1. Of the corporation owned by any single interest? . . . . . .
Yes
No
AA Did this corporation file the federal
2. Of another corporation owned by this corporation? . . . .
Yes
No
Schedule M-3 (Form 1120 /1120-F)? . . . . . . . . . . . . .
Yes
No
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is
Sign
true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Here
Telephone
Title
Date
Signature
( )
of officer
Date
Preparer’s SSN/PTIN
Check if self-
Preparer’s
employed
Paid
signature
Preparer’s
FEIN
-
Use Only
Firm’s name (or yours,
if self-employed)
and address
Telephone
( )
May the FTB discuss this return with the preparer shown above? See instructions . . . . . . . . . . . . . . . . . .
Yes
No
Side 2 Form 100
2009
3602093
C1
For Privacy Notice, get form FTB 1131.
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