Form 355sc Draft - Domestic Or Foreign Security Corporation Return

Computation of Excise

(cont’d.)

22 2013 overpayment applied to 2014 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 22

23 2014 estimated tax payments (do not include amount in line 22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 23

24 Payments made with extension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 24

25 Amount overpaid. Subtract line 21 from total of lines 22 through 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

26 Amount of line 25 to be credited to 2015 estimated tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 26

27 Amount of line 25 to be refunded. Subtract line 26 from line 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 27

28 Balance due. Subtract total of lines 22 through 24 from line 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

29 M-2220 penalty 3 _____________________ Other penalties 3 _____________________ . . . . . . . . . . . . Total penalty

30 Interest on unpaid balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total due 3 30

31 Total payment due at time of filing. Make remittance payable to Commonwealth of Massachusetts . . . . . . . . . . . . . . . . 3 31

Schedule A

Balance sheet as of

Assets

a. Beginning of tax year

b. End of tax year

11 Cash. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

12 Federal and state government obligations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

13 Other current assets (enclose schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

14 Other investments (enclose schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

15 Buildings and other fixed depreciable assets (enclose schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

16 Accumulated depreciation of fixed depreciable assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

17 Net value of depreciable assets Subtract line 6 from line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

18 Land (net of any amortization) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

19 Intangible assets (amortizable only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

10 Accumulated amortization of intangible assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

11 Net value of intangible assets Subtract line 10 from line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

12 Other assets (enclose schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

13 Total assets. Add lines 1 through 4, 7, 8, 11 and 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Liabilities and Capital

14 Accounts Payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

15 Mortgages, notes, bonds payable in less than 1 year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

16 Other current liabilities (enclose schedule). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

17 Mortgages, notes, bonds payable in 1 year or more . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

18 Other liabilities (enclose schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

19 Preferred capital stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

20 Common capital stock. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

21 Paid-in or capital surplus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

22 Appropriated retained earnings (enclose statement) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

23 Unappropriated retained earnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

24 Total liabilities and capital before treasury stock deduction. Add lines 14 through 23 . . . . . . . . . . . . 24

25 Cost of treasury stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

26 Total liabilities and capital. Subtract line 25 from line 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Ownership Information

11 At any time during the taxable year, was more than 50% of the voting stock:

a of another corporation owned by your corporation?

Yes

No. If Yes, enclose an ownership schedule (see instructions).

b of your corporation owned by any single entity?

Yes

No. If Yes, enclose an ownership schedule (see instructions).

Note: For rules of attribution, see Section 267(c) of the Internal Revenue Code.

12 At any time during the taxable year:

a Was any amount owed by your corporation during the taxable year?