Form 480.30(Ii)c - Income Tax Return For Exempt Businesses Under The Puerto Rico Incentives Programs Film Industry/schedule W Incentives - Income Tax Film Entity Page 3

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Form 480.30(II)C
Film Industry
Incentives
- Page 3
Rev. 05.13
Questionnaire
1.
If a foreign corporation, indicate if the trade or business in Puerto Rico was
Yes No
Yes No
10.
Have you been audited by the Federal Internal Revenue Service? .......
(10)
(1)
held as a branch .............................................................................
Which years?_________________________________________________
2.
If a branch, indicate the percent that represents the income from sources
11.
Did the exempt business distribute dividends other than stock dividends
within Puerto Rico from the total income of the exempt business:_______%
or distributions in liquidation in excess of the current and accumulated
3.
Did the exempt business keep any part of its records on a computerized
earnings during this year?...................................................................
(11)
(3)
system during this year? .................................................................
12.
Is the exempt business a partner in any a special partnership? (If more
4.
The exempt business books are in care of:
than one, submit detail) .....................................................................
(12)
Name _______________________________________________________
Name of the Special Partnership __________________________________
Address _____________________________________________________
Employer identification number __________________________________
_____________________________________________________________
Did the corporation at the end of the taxable year own, directly or indirectly,
13.
E-mail _______________________________________________________
50% or more of the voting stocks of a corporation who is engaged in trade
Telephone ____________________________________________________
or business in Puerto Rico? .............................................................
(13)
5.
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
Other (specify): _____________________________________
net operating loss and special deductions of the corporation for the taxable
6.
Did the exempt business file the following documents?
year (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)
Did any individual, partnership, corporation, estate or trust at the end of the
14.
7.
If the gross income of the entity or controlled group exceeds $3,000,000, did
taxable year own, directly or indirectly, 50% or more of the corporation's
(7)
you submit financial statements audited by a CPA licensed in Puerto Rico?
voting stocks? If “Yes”, attach a schedule showing the name and employer
(14)
8.
Number of employees during the year: ___________________________
identification number.
(a)
Production:_________ (b) Non-production:____________________
%
Enter the percentage owned:
9.
Did the corporation claim expenses connected to the ownership, use,
Enter the amount of exempt interest: _______________________________
15.
maintenance and depreciation of:
Does the exempt business have other exempt activities not covered
16.
(a)
(9a)
Vehicles? ...................................................................................
under the Film Industry Acts? (Attach schedule) ................................
(16)
(b)
Vessels? ...................................................................................
(9b)
Under which act? _____________________________________________
(1) Did more than 80% of the total income was derived from activities
17.
Enter the total amount of charitable contributions to
exclusively related to fishing or transportation of passengers or
municipalities claimed during the taxable year: ______________________
(9b1)
cargo or lease? .................................................................
18.
Indicate if your books reflect premiums paid by unauthorized insurers ....
(18)
(c)
(9c)
Aircrafts
?
.......................................................................
19.
Employer number assigned by the Department of Labor and
(1) Did more than 80% of the total income was derived from activities
Human Resources ___________________________________________
exclusively related to transportation of passengers or
cargo or lease? .................................................................
(9c1)
(d)
(9d)
Residential property outside of Puerto Rico? ..................................
(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
(9f)
or the United States? ..............................................................
Compensation to officers
Percentage of
Percentage of time
Compensation
stocks owned
Name of officer
Social security number
devoted to business
Common
Preferred
00
00
00
00
00
00
Total compensation to officers ..........................................................................................................................................................
00
Retention
Period: Ten (10) years

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