Form 1120me - Maine Corporate Income Tax Return

FORM 1120ME

MAINE CORPORATE INCOME TAX RETURN

0 4

*0400100*

For calendar year 2004 or tax year

Y Y

Check here if

you have filed

federal Form 990-T

Name of Corporation

Federal Business Code

Address

Federal Employer ID Number

State of

Incorporation

State

Parent Company Employer ID Number

City, Town, or Post Office

ZIP Code

Contact Person’s First Name

Contact Person’s Last Name

Telephone Number

CHECK APPLICABLE BOXES:

(1)

Initial return

(2)

Final return

(3)

Change of name/address

(4)

Combined return (Attach Form CR)

(5)

Member of an affiliated group filing a separate return.

To amend your return, you must file 2004 Form 1120X-ME

IF YOU FILE AS PART OF A FEDERAL CONSOLIDATED RETURN, ENTER

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FEDERAL FORM 1120, LINE 30 ............................................................................................................... A

FEDERAL TAXABLE INCOME

(federal Form 1120, line 30 or Form 1120A, line 26. If filing a combined

.00

report, from Maine Form CR, page 1, line 20). If negative, enter a minus sign in the box to the left of the number ........................ 1

DEDUCTIONS:

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a. NONTAXABLE INTEREST .................................................................................................................. 2a

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b. FOREIGN DIVIDEND GROSS-UP .................................................................................................... 2b

c. WORK OPPORTUNITY CREDIT AND EMPOWERMENT ZONE CREDIT

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(attach federal Form 5884 and/or Form 8844, as appropriate) ........................................................ 2c

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d. INCOME NOT TAXABLE UNDER THE CONSTITUTION OF MAINE OR THE U.S. ......................... 2d

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e. DIVIDENDS FROM CERTAIN AFFILIATED CORPORATIONS (limitations - see instructions) ......... 2e

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f. NET OPERATING LOSS DEDUCTION CARRYOVER (limitations - see instructions) ....................... 2 f

g. INCOME FROM OWNERSHIP INTEREST IN PASS-THROUGH ENTITY FINANCIAL

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INSTITUTIONS subject to Maine Franchise Tax (see instructions) ................................................. 2g

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h. STATE INCOME TAX REFUNDS included in line 1 above .................................................................. 2h

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i. NORTHERN MAINE TRANSMISSION CORPORATION ADJUSTMENT (see instructions) .................. 2i

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j. BONUS DEPRECIATION / SECTION 179 EXPENSE RECAPTURE (see instructions) ..................... 2j

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k. TOTAL DEDUCTIONS (add lines 2a through 2j) ................................................................................ 2k

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LINE 1 MINUS LINE 2k. If negative, enter a minus sign in the box to the left of the number ............ 3

ADDITIONS:

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a. INCOME TAXES imposed by Maine or any other state (attach schedule) ........................................ 4a

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b. UNRELATED EXPENSES (attach schedule) ..................................................................................... 4b

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c. INTEREST FROM STATE AND MUNICIPAL BONDS other than Maine ............................................. 4c

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d. NET OPERATING LOSS RECOVERY ADJUSTMENT ........................................................................ 4d

e. LOSS, EXPENSES, OR DEDUCTIONS FROM OWNERSHIP INTEREST IN FINANCIAL

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INSTITUTIONS subject to Maine Franchise Tax (see instructions) ................................................... 4e

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f. HIGH TECHNOLOGY CREDIT ADD-BACK (see instructions) .......................................................... 4 f

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g. BONUS DEPRECIATION / SECTION 179 EXPENSE ADD-BACK (see instructions) ....................... 4g

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h. TOTAL ADDITIONS (add lines 4a through 4g) .......................................................................... 4h

Form 1120me - Maine Corporate Income Tax Return - 2004

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