Form 355sc - Domestic Or Foreign Security Corporation Return - 1999
ADVERTISEMENT
1
21999
Form 355SC
Massachusetts
Domestic or Foreign Security
Department of
Corporation Return
Revenue
For calendar year 1999 or taxable year beginning
1999, ending
U.S. Business Activity Code
Federal Identification number (FID)
Check if corporation is a Regulated Investment Company (RIC)
¨
¨
Name of corporation: ¨ __________________________________________________________________________________________________________________________
Principal business address: _______________________________________________________________________________________________________________________
Principal business address in Massachusetts: _________________________________________________________________________________________________________
Check appropriate box (see instructions):
Domestic Corporation ¨
Foreign Corporation ¨
1a. Date of charter ¨____________________________________________
11.
Class 1 Security Corporation ¨
Class 2 Security Corporation ¨
12.
3.
Date corporation was first classified as a security corporation__________
14. Date business began in Massachusetts ¨ _______________________________
5.
State or country of incorporation ________________________________
16. Average number of employees in Massachusetts ¨ ________________________
17. Has the U.S. government changed your taxable income for any prior year which has not yet been reported to Massachusetts? ¨
Yes
No.
If “Yes”, report such changed on Form 355FC within three months after the final U.S. determination.
18. Corporation’s books are in the care of ______________________________________________ Title ________________________________________________________
19. If first return: ¨ (a)
10. If final return: ¨ (a)
new business or (b)
business had predecessor
business terminated or (b)
business has successor
If 9(b) or 10(b) is checked, enter name, address, state of incorporation (if any) and federal identification number of such other business organization.
_________________________________________________________________________________________________________________________________________
11. Has there been any significant change in your corporate activities since you were last granted security corporation status? ¨
Yes
No.
If “Yes”, please attach a statement explaining these changes.
12. Has this corporation elected to file or participate in the filing of a U.S. consolidated return? ¨
Yes
No.
13. U.S. form(s) and schedule(s) filed for this tax year:
1120
1120-A
1120RIC
851
5471
1120S
Computation of Excise
Use whole dollar method
11. Total U.S. income (from U.S. Form 1120 or 1120-A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ¨1
$
12. State and municipal bond interest not included in line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ¨2
$
13. Adjustments to income. See instructions (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ¨3
$
14. Massachusetts gross income.
Combine lines 1, 2 and 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
$
15. Class 1 excise, if applicable (line 4) $ ________________________________ x .0033 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
$
16. Class 2 excise, if applicable (line 4) $ ________________________________ x .0132 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
$
17. Excise before credits (line 5 or 6, whichever applies) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
$
18. Vanpool Credit (Schedule H, line 14B). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ¨8
$
19. Vanpool Credit carryover (Schedule H, line 26B). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ¨9
$
10. Full Employment Credit (Schedule FEC, line 21) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ¨10
$
11. Total credits. Add lines 8, 9 and 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ¨11
$
12. Excise after credits. Subtract line 11 from line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
$
456
13. Minimum excise (cannot be prorated) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
$
14. Excise due before voluntary contribution (line 12 or line 13,
whichever is larger) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
$
15. Voluntary contribution for endangered wildlife conservation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ¨15
$
16. Excise due plus voluntary contribution. Add lines 14 and 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ¨16
$
17. 1998 overpayment applied to 1999 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ¨17
$
18. 1999 estimated tax payments (do not include amount in line 17) . . . . . . . . . . . . . . . . . . . . ¨18
$
19. Payments made with extension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ¨19
$
20. Amount overpaid. Subtract line 16 from the total of lines 17, 18 and 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
$
21. Amount of line 20 to be credited to 2000 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ¨21
$
22. Amount of line 20 to be refunded. Subtract line 21 from line 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ¨22
$
23. Balance due. Subtract the total of lines 17, 18 and 19 from line 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
$
24. M-2220 penalty ¨ ________________________ ; Other penalties ¨ _________________________ Total penalty. . . . . . . . . . . 24
$
25. Interest on unpaid balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ¨25
$
26. Total payment due at time of filing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ¨26
$
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my
knowledge and belief, it is true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which he/she
has knowledge.
Mail to: Mass.
Signature of appropriate officer (see instructions)
Date
Social Security number
Title
Dept. of
Revenue,
Individual or firm signature of preparer
Date
Employer Identification number
Address
PO Box 7067,
Boston, MA
If you are signing as an authorized delegate of the appropriate corporate officer, check here
and attach Mass. Form M-2848, Power or Attorney.
02204.
This return, together with payment in full, is due on or before the fifteenth of the third month after the close of the taxable year, calendar or fiscal.
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