Nyc Schedule M (Form Nyc-3l) - Merger, Aquisition And Consolidation Information Report - 1998
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1
2NEW YORK CITY DEPARTMENT OF FINANCE
N Y C
S C H E D U L E
MERGER, ACQUISITION
AND CONSOLIDATION INFOR-
M
1 9 9 8
F I N A N C E
MATION REPORT
N Y C - 3 L
NEW
YORK
l
3
ATTACH TO FORM NYC-
L
of
Name
EMPLOYER IDENTIFICATION NUMBER
taxpayer
Õ
General Infor mation
P A R T 1
q
q
q
1.
Type of transaction: (4)
Merger
Acquisition
Consolidation
....................................................................
2.
Date transaction completed: ________/________/________
s
If this transaction was completed before July 1, 1989, stop here and attach a copy of this form to your tax return
q
q
q
3.
Indicate your role in the transaction: (4)
Target
Acquirer
Member of the affiliated group that in-
cludes the target or acquiring corporation
-
L i s t t h e n a m e s a n d E m p l o y e r I d e n t i f i c a t i o n N u m b e r s o f t h e p a r t i c i p a n t s -
Target name
EIN ç
Acquirer name
EIN ç
Affiliated group members' names
EIN ç
q
q
4.
Was this transaction between members of an affiliated group?
Yes
No
5.
Was this transaction an acquisition resulting from redemption of stock qualified under Section 303 of the
q
q
Internal Revenue Code (redemptions generally intended to pay estate taxes and administrative expenses)?
Yes
No
6.
Was this an acquisition made by an entity controlled by a majority of the employees of the target
q
q
corporation or a trust for the exclusive benefit of such employees?
Yes
No
s
If you answered Yes on line 4, 5 or 6, stop here and attach a copy of this form to your tax return.
Acquirer Infor mation
P A R T 2
A
During the taxable year or within the three immediately preceding taxable years:
.
1.
if the taxpayer was an acquiring person in a corporate acquisition, did the value (at cost) of the acquirer's total interest
q
q
Yes
No
in the target corporation (at any time during the year in which the acquisition occurred) exceed $5 million?
2.
if the taxpayer has acquired assets of the target corporation, did the value (at cost) of the assets acquired exceed
q
q
Yes
No
$5 million? (see instructions)
3.
if the taxpayer was a surviving corporation with respect to a corporate merger or consolidation, did the target
q
q
Yes
No
corporation's total business, investment and subsidiary capital exceed $5 million?
4.
is the taxpayer a member of an affiliated group which includes a corporation described
q
q
Yes
No
in A1, A2 or A3?
B.
Where the taxpayer is the acquiring person or the surviving corporation in a corporate merger or consolidation, does its total
q
q
Yes
No
interest expense and/or the interest expense of its affiliated group exceed $1 million for the tax year for which this form is filed?
C.
Did the total interest expense of the acquiring person or the surviving corporation and/or its affiliated group for the tax year in
q
q
Yes
No
which the acquisition, merger or consolidation occurred exceed $1 million?
Ratio Computation Worksheet
-
P A R T 3
(Read Instr uctions for Par t 2 before completing this par t)
- TOTAL
(COL. A)
- ACQUIRER
(COL. B)
- TARGET
(A+B)
YEAR of ACQUISITION, MERGER or CONSOLIDATION:
m
Average assets
m
Average liabilities
m
Average equity
PRIOR YEAR:
m
Average assets
m
Average liabilities
m
Average equity
TOTAL
TOTAL
DEBT/ASSET RATIO:
DEBT/EQUITY RATIO:
m
m
Prior year
Prior year
m
m
Year of Acquisition, Merger or Consolidation
Current year
%
%
m
m
Percent change
Percent change
PART 3 is continued on page 2 of this form.
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