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Form 480.30(II)DT Rev. 06.12

Tourism Development

Incentives - Page 3

Questionnaire

Yes

If a foreign corporation, indicate if the trade or business in Puerto Rico was

10.

Have you been audited by the Federal Internal Revenue Service? .......

(10)

held as a branch .............................................................................

(1)

Which years?_________________________________________________

If a branch, indicate the percent that represents the income from sources

11.

Did the exempt business distribute dividends other than stock dividends or

within Puerto Rico from the total income of the exempt business:_______%

distributions in liquidation in excess of the current and accumulated earnings

Did the exempt business keep any part of its records on a computerized

during this year?.............................................................................

(11)

system during this year? .................................................................

(3)

12.

Is the exempt business a partner in a special partnership? (If more than one,

The exempt business books are in care of:

submit detail) ......................................................................................

(12)

Name ______________________________________________________

Name of the Special Partnership__________________________________

Address ____________________________________________________

Employer identification number ___________________________________

____________________________________________________________

13.

Did the corporation at the end of the taxable year own, directly or indirectly,

E-mail _______________________________________________________

50% or more of the voting stocks of a corporation who is engaged in trade

Telephone____________________________________________________

or business in Puerto Rico? .............................................................

(13)

Indicate accounting method used:

If “Yes”, attach a schedule showing: (a) name and employer identification

Cash

Accrual

number, (b) percentage owned, and (c) taxable income (or loss) before net

Other (specify): _____________________________________

operating loss and special deductions of the corporation for the taxable year

Did the exempt business file the following documents?

(even when such taxable year does not coincide with the one of the

(a)

Informative Return (Forms 480.5, 480.6A, 480.6B) ........................

(6a)

corporation or partnership for which this return is filed).

(b)

Withholding Statement (Form 499R-2/W-2PR) ...............................

(6b)

14.

Did any individual, partnership, corporation, estate or trust at the end of the

If the gross income of the entity or controlled group exceeds $3,000,000,

taxable year own, directly or indirectly, 50% or more of the corporation's

did you submit financial statements audited by a CPA licensed in Puerto

voting stocks? If “Yes”, attach a schedule showing the name and employer

(14)

Rico?...............................................................................

(7)

identification number.

Number of employees during the year: ___________________________

Enter the percentage owned:

(a)

Exempt activity:______________ (b) Other:____________________

15.

Enter the amount of exempt interest: ________________________________

Did the corporation claim expenses connected to the ownership, use,

16.

Does the exempt business have other exempt activities not covered under

maintenance and depreciation of:

the Tourism Incentives Acts? (Attach schedule) ....................................

(16)

(a) Vehicles? ...................................................................................

(9a)

Under which Act? _____________________________________________

(b) Vessels? ...................................................................................

(9b)

17.

Have you made a timely election under:

(1) Did more than 80% of the total income was derived from activities

Section 5(b) Act No. 52 of 1983

exclusively related to fishing or transportation of passengers or

Section 3(a)(1)(D) Act 78-1993

cargo or lease? .................................................................

(9b1)

Section 3(a)(1)(D) Act 74-2010

(9c)

18.

Enter the total amount of charitable contributions to

(1) Did more than 80% of the total income was derived from activities

municipalities claimed during the taxable year: ______________________

exclusively related to transportation of passengers or cargo

19.

Indicate if your books reflect premiums paid by unauthorized insurers ....

(19)

or lease? .........................................................................

(9c1)

20.

Employer number assigned by the Department of Labor and

(d) Residential property outside of Puerto Rico? ....................................

(9d)

Human Resources ______________________________________________

(1) Did more than 80% of the total income was derived from activities

exclusively related to the lease of property to non related persons?

(9d1)

(e) Housing? (except business employees) .....................................

(9e)

(f) Employees attending conventions or meetings outside Puerto

Rico or the United States? .......................................................

(9f)

Compensation to officers

Percentage of

Percentage of time

Compensation

stocks owned

Name of officer

Social security number

devoted to business

Common

Preferred

Total compensation to officers ..........................................................................................................................................................

Retention Period: Ten (10) years

Form 480.30(Ii)dt - Income Tax Return For Exempt Businesses Under The Puerto Rico Incentives Programs Tourism Development Page 3

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