Form Nyc-245 - Activities Report Of Business And General Corporations - 2016

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- 245
AC T I V IT IE S R E P OR T OF BUS INE S S
NEW YORK CITY DEPARTMENT OF FINANCE
A N D GE NE R A L C OR P OR AT I ONS
TM
Department of Finance
T O B E F I L E D O N LY B Y C O R P O R AT I O N S D I S C L A I M I N G L I A B I L I T Y F O R TA X .
THE FILING OF THIS REPORT DOES NOT CONSTITUTE THE FILING OF A RETURN
n
Business Corporation - File Federal Form 1120,
n
General Corporation - File Federal Form 1120S
1120C, 1120F, 1120-rIC, 1120-rEIT or 1120H
n
n
Check box if the corporation has ceased operations
Check this box if you claim an overpayment. refund Amount: $ ___________________
For CALENDAR YEAR ____________ or FISCAL YEAR beginning _________________________________ and ending _________________________________
Name
n
Name:
TAXPAYER’S EMAIL ADDRESS
Change
In Care of
EMPLOYER IDENTIFICATION NUMBER
Address (number and street):
Address
n
Change
City and State:
Zip Code:
BUSINESS CODE NUMBER AS PER FEDERAL RETURN
Location of Executive or Main Office:
NYC PrINCIPAl BUSINESS ACTIVITY
Date incorporated ________ -________ - ________ under laws of ______________________________________
1. OFFICES AND OTHER PLACES OF BUSINESS IN NEW YORK CITY
lOCATION
NATUrE OF ACTIVITY
DATE ESTABlISHED
2. OTHER OFFICES AND PLACES OF BUSINESS
(
)
lOCATION
CITY AND STATE
NATUrE OF ACTIVITY
DATE ESTABlISHED
3. OFFICERS, AGENTS AND REPRESENTATIVES IN NEW YORK CITY
(Attach a full description of duties for each officer, agent or representative)
NAME
rESIDENCE ADDrESS
OFFICIAl TITlE
4. Number of employees in New York City ___________________
(give number, titles, and duties of each class on a rider)
5. The corporation is exempt from general Corporation Tax or Business Corporation Tax as
a)
5a.
n
n
an insurance corporation
YES
NO
(attach copy of New York State Certificate of Authority) ......................................................
n
n
b)
5b.
a nonstock, nonprofit organization
YES
NO
(see instructions).................................................................................................
6. Did the corporation:
a)
own or lease real property in New York City? .............................................................................................. 6a.
n
n
YES*
NO
n
n
b)
own or lease tangible personal property in New York City? ........................................................................ 6b.
YES*
NO
c)
n
n
employ any other assets in New York City?................................................................................................. 6c.
YES*
NO
d)
own merchandise located in New York City for sale? .................................................................................. 6d.
n
n
YES*
NO
e)
own assets located in New York City which are leased to others? .............................................................. 6e.
n
n
YES*
NO
f )
6f.
n
n
perform any construction, erection, installation or repair work or other services in New York City?............
YES*
NO
g)
file a New York State Franchise Tax report? If "Yes," attach a copy of report. ........................................... 6g.
n
n
YES
NO
n
n
h)
file a New York State Activities report (CT-245)? If "Yes," attach a copy of report. .................................... 6h.
YES
NO
i )
6i.
n
n
regularly solicit business by representatives going into New York City? .....................................................
YES*
NO
j )
6j.
n
n
participate in a partnership or joint venture doing business in New York City? ...........................................
YES*
NO
*
If "Yes," attach schedule giving full details.
C E R T I F I C AT I O N O F A N E L E C T E D O F F I C E R O F T H E C O R P O R AT I O N
I hereby certify that this report, including any accompanying rider, is, to the best of my knowledge and belief, true, correct and complete.
Signature of Officer:
Title:
Date:
ALL RETURNS EXCEPT REFUND RETURNS
RETURNS CLAIMING REFUNDS
ENTER YOUR CORRECT
EMPLOYER IDENTIFICATION
NYC DEPT. OF FINANCE, gENErAl COrPOrATION TAx
NYC DEPT. OF FINANCE, gENErAl COrPOrATION TAx
NUMBER
30811691
P.O. BOx 5564, BINgHAMTON, NY 13902-5564
P.O. BOx 5563, BINgHAMTON, NY 13902-5563

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