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California Corporation Franchise or

FORM

TAXABLE YEAR

2012

100W

Income Tax Return — Water’s-Edge Filers

For calendar year 2012 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

California Secretary of State file number

Schedule Q Questions

B 1. Is income included in a combined report of a

(continued on Side 2)

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unitary group? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

FINAL RETURN?

Dissolved

Surrendered (withdrawn)



2. If “Yes,” indicate:

wholly within CA (R&TC 25101 .15)

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Merged/Reorganized

IRC Section 338 sale

QSub election

within and outside of CA

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Enter date

_________________________________________

3. Is there a change in the members listed in

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Schedule R-7 from the prior year? . . . . . . . . . . . . . . . . . . .

Yes

4. Enter the number of members (including parent

or key corporation) listed in the Schedule R-7,

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Part I, Section A, subject to income or franchise tax . . . . . .

___________

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5. Is form FTB 3544 and/or 3544A attached to the return? . . .

Yes

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1 Net income (loss) before state adjustments . See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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2 Amount deducted for foreign or domestic tax based on income or profits from Schedule A . . . . . . . . . . . . . . .

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3 Amount deducted for tax under the provisions of the Corporation Tax Law from Schedule A . . . . . . . . . . . . . .

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4 Interest on government obligations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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5 Net California capital gain from Side 5, Schedule D, line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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6 Depreciation and amortization in excess of amount allowed under California law . Attach form FTB 3885 . . . . .

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7 a Net income from included CFCs from form FTB 2416, column (i) . See instructions . . . . . . . . . . . . . . . . . . .

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b Net income from corporations not included in federal consolidated return . See instructions . . . . . . . . . . . .

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8 Other additions . Attach schedule(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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9 Total . Add line 1 through line 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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10 Intercompany dividend deduction . Attach Schedule H (100W) . . . . . . .

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11 a Foreign dividend deduction . Attach Schedule H (100W) . . . . . . . . .

11a

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b Dividends received deduction . Attach Schedule H (100W) . . . . . . .

11b

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12 Additional depreciation allowed under CA law . Attach form FTB 3885 .

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13 Capital gain from federal Form 1120, line 8 . . . . . . . . . . . . . . . . . . . . .

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14 Contributions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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15 EZ, TTA, or LAMBRA business expense and EZ net interest deduction . .

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16 Other deductions . Attach schedule(s) . . . . . . . . . . . . . . . . . . . . . . . . . .

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17 Total . Add line 10 through line 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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18 Net income (loss) after state adjustments . Subtract line 17 from line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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19 Net income (loss) for state purposes . Complete Schedule R if apportioning income . See instructions . . . . . . .

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20 Net operating loss (NOL) carryover deduction . See instructions . . . . .

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Pierce’s disease, EZ, LARZ, TTA, or LAMBRA NOL carryover deduction

. . .

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22 Disaster loss carryover deduction . See instructions . . . . . . . . . . . . . . .

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23 Net income for tax purposes . Combine line 20 through line 22 . Then, subtract from line 19 . . . . . . . . . . . . . . .

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24 Tax . __________% x line 23 (not less than minimum franchise tax, if applicable) . See instructions . . . . . . . . .

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25 New jobs credit . . . . . . . . . . . a) amount generated

_____________ b) amount claimed . . . . . . . . . . . . .

25b

26a Credit name _______________________code no . __ __ __ amount  26a

b Credit name _______________________code no . __ __ __ amount  26b

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27 To claim more than two credits, see instructions . . . . . . . . . . . . . . . .

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28 Add line 25b through line 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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29 Balance . Subtract line 28 from line 24 (not less than minimum franchise tax, if applicable) . . . . . . . . . . . . . . .

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30 Alternative minimum tax . Attach Schedule P (100W) . See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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31 Total tax. Add line 29 and line 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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32 Overpayment from prior year allowed as a credit . . . . . . . . . . . . . . . .

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33 2012 Estimated tax payments. See instructions . . . . . . . . . . . . . . . .

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34 2012 Withholding (Form 592-B and/or 593) . See instructions . . . . . .

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35 Amount paid with extension of time to file tax return . . . . . . . . . . . . .

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36 Total payments . Add line 32 through line 35 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Form 100W

2012 Side 1