Schedule Ub Draft - Combined Apportionment For Unitary Business Group - 2015
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5Combined Apportionment for
Illinois Department of Revenue
Common year ending for the
unitary business group
Unitary Business Group
2015 Schedule UB
______
______
For tax years ending on or after December 31, 2015
Month
Year
Attach to your Form IL-1120, Form IL-1120-ST, and Form IL-1065.
IL Attachment no. 5
Step 1 — Provide Your Membership Information
_______________________________________________________________________
___ ___ - ___ ___ ___ ___ ___ ___ ___
Tentative Final
Enter the name of the designated agent (see general instructions).
Enter the federal employer identification number (FEIN).
_______________________________________________________________________
___ ___ - ___ ___ ___ ___ ___ ___ ___
Enter the name of the designated agent last year, if it is different than above.
Enter the FEIN, if it is different than above.
_______________________________________________________________________
___ ___ - ___ ___ ___ ___ ___ ___ ___
Enter the name of the controlling corporation (see general instructions).
Enter the FEIN, if it is different than above.
If the controlling corporation is a member of this unitary group, check the box.
Section A — List all members.
See Specific Instructions.
08-24-15
A
B
C
D
E
F
G
H
I
Year
Required
Appor-
ending
to file an
New
Inactive
Holding
tionment Member
Name
FEIN
(Month/Year)
IL return member member company
method
Type
1
__ __ / __ __ __ __
__________________________________________
__ __ - __ __ __ __ __ __ __
_____
_____
_____
_____
_____
_____
2
__ __ / __ __ __ __
__________________________________________
__ __ - __ __ __ __ __ __ __
_____
_____
_____
_____
_____
_____
3
__ __ / __ __ __ __
__________________________________________
__ __ - __ __ __ __ __ __ __
_____
_____
_____
_____
_____
_____
4
__ __ / __ __ __ __
__________________________________________
__ __ - __ __ __ __ __ __ __
_____
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_____
5
__ __ / __ __ __ __
__________________________________________
__ __ - __ __ __ __ __ __ __
_____
_____
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_____
_____
_____
6
__ __ / __ __ __ __
__________________________________________
__ __ - __ __ __ __ __ __ __
_____
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_____
7
__ __ / __ __ __ __
__________________________________________
__ __ - __ __ __ __ __ __ __
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8
__ __ / __ __ __ __
__________________________________________
__ __ - __ __ __ __ __ __ __
_____
_____
_____
_____
_____
_____
9
__ __ / __ __ __ __
__________________________________________
__ __ - __ __ __ __ __ __ __
_____
_____
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_____
_____
_____
10
__ __ / __ __ __ __
__________________________________________
__ __ - __ __ __ __ __ __ __
_____
_____
_____
_____
_____
_____
Section B — List any mergers with members listed in Section A.
See Specific Instructions.
A
B
Person who has merged with member
Member listed in Section A
1
_______________________
__________________________
____ / ____ / ________
Name
FEIN
Name
FEIN
Date of merger
2
_______________________
__________________________
____ / ____ / ________
Name
FEIN
Name
FEIN
Date of merger
3
_______________________
__________________________
____ / ____ / ________
Name
FEIN
Name
FEIN
Date of merger
Section C — List all members who left the group during this tax year.
See Specific Instructions.
A
B
Member who was sold
Entity to which member in Column A was sold
1
_______________________
__________________________
____ / ____ / ________
Name
FEIN
Name
FEIN
Date of sale
2
_______________________
__________________________
____ / ____ / ________
Name
FEIN
Name
FEIN
Date of sale
3
_______________________
__________________________
____ / ____ / ________
Name
FEIN
Name
FEIN
Date of sale
Section D — Provide information about your excluded members
See Specific Instructions and complete Step 5 if the answer below is 1 or greater.
1
Enter the total number of members excluded.
______
*533301110*
Page 1 of 5
Schedule UB (R-12/15)
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