Form N-35 - S Corporation Income Tax Return - 2011 Page 3
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4FORM N-35 (REV. 2011)
Page 3
Name as shown on return
Federal Employer Identification Number
SBF113
b. Attributable
c. Attributable
Schedule K
Shareholders’ Pro Rata Share Items
to Hawaii
Elsewhere
1
1
Ordinary income (loss) from trade or business activities (page 1, line 21) . . . . .
2
2
Net income (loss) from rental real estate activities (attach federal Form 8825) . .
3 a Gross income from other rental activities . . . . . . . . . . . . . . . . . . . . .
3a
b Expenses from other rental activities (attach schedule) . . . . . . . . . . . . . .
3b
c Net income (loss) from other rental activities. Line 3a minus line 3b . . . . . . . .
3c
4
4
Interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
5
Ordinary dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
6
Royalty income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
7
Net short-term capital gain (loss) (Schedule D (Form N-35)) . . . . . . . . . . .
8
8
Net long-term capital gain (loss) (Schedule D (Form N-35)) . . . . . . . . . . . .
9
Net gain (loss) under IRC section 1231
9
(other than due to casualty or theft) (attach Schedule D-1) . . . . . . . . . . . .
10
10
Other income (loss) (attach schedule) . . . . . . . . . . . . . . . . . . . . . . .
11
11
Charitable contributions (attach schedule) . . . . . . . . . . . . . . . . . . . . .
12
12
IRC section 179 expense deduction (attach federal Form 4562) . . . . . . . . . .
13
13
Deductions related to portfolio income (loss) (attach schedule) . . . . . . . . . .
14
14
Other deductions (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . .
15 a Interest expense on investment debts paid or accrued in 2010 . . . . . . . . . .
15a
b (1) Investment income included on lines 4, 5, and 6, above . . . . . . . . . . . .
15b(1)
(2) Investment expenses included on line 13, above . . . . . . . . . . . . . . . .
15b(2)
16 a Fuel Tax Credit for Commercial Fishers (attach Form N-163) . . . . . . . . . . .
16a
b Total cost of property qualifying for the Capital Goods Excise Tax Credit (See Instructions) . . . .
16b
c Amounts needed to claim the Enterprise Zone Tax Credit (attach Form N-756) . .
16c
d Hawaii Low-Income Housing Tax Credit (attach Form N-586) . . . . . . . . . . .
16d
See Instructions
e Credit for Employment of Vocational Rehabilitation Referrals (attach Form N-884) . .
16e
f Motion Picture, Digital Media, and Film Production Income Tax Credit (attach Form N-340) . . . .
16f
g Technology Infrastructure Renovation Tax Credit (attach Form N-326) . . . . . .
16g
h High Technology Business Investment Tax Credit (attach Form N-318) . . . . . .
16h
i Tax Credit for Research Activities (attach Form N-319) . . . . . . . . . . . . . .
16i
j Credit for School Repair and Maintenance (attach Form N-330). . . . . . . . . .
16j
k Ethanol Facility Tax Credit (attach Form N-324) . . . . . . . . . . . . . . . . . .
16k
l Renewable Energy Technologies Income Tax Credit (attach Form N-342) . . . . .
16l
m Important Agricultural Land Qualified Agricultural Cost Tax Credit (attach Form N-344) . . . . . .
16m
n Hawaii income tax withheld on Forms N-288 (See Instructions) . . . . . . . . . .
16n
o Total Hawaii income tax withheld on Forms N-4 . . . . . . . . . . . . . . . . . .
16o
p Net income tax paid by the S corporation to states which do not recognize the
16p
corporation’s “S” status. Identify state(s) . . . . . . . . . . . . . . . . . . . . . .
(Attach a separate schedule if more space is needed for any item.)
17
Total property distributions (including cash) other than dividend distributions
17
reported on line 22, below. Date of Distribution __________________________
18
18
Tax exempt interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19
19
Other tax exempt income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20
20
Non-deductible expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21
Other items and amounts not included on lines 1 through 20, above, that are
21
required to be reported separately to shareholders (attach schedule) . . . . . . .
22
22
Total dividend distributions paid from accumulated earnings and profits . . . . . .
23
Income (loss) — Combine lines 1 through 10. From the result, subtract the sum
23
of lines 11 through 15a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
24
24
Corporate adjustments to income attributable to Hawaii (attach schedule) . . . .
25
25
Interest penalty on early withdrawal of savings . . . . . . . . . . . . . . . . . .
FORM N-35
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