Form 4918 - Annual Flow-Through Withholding Reconciliation Return - 2015 Page 2

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4918, Page 2
Taxpayer FeIn
PART 3: FlOW-THROuGH WITHHOlDING FOR OWNERS THAT ARE C CORPORATIONS AND INTERMEDIATE FTES
28.
A.
B.
Amount of Withholding
C Corporation and FTE Information
to be Distributed
Business name
FeIn
Address
Tent. Distributive share Bus. Income
City
state
zIP/Postal Code
Tax year end (MM-DD-yyyy)
Business name
FeIn
Address
Tent. Distributive share Bus. Income
City
state
zIP/Postal Code
Tax year end (MM-DD-yyyy)
Business name
FeIn
Address
Tent. Distributive share Bus. Income
City
state
zIP/Postal Code
Tax year end (MM-DD-yyyy)
Business name
FeIn
Address
Tent. Distributive share Bus. Income
City
state
zIP/Postal Code
Tax year end (MM-DD-yyyy)
Business name
FeIn
Address
Tent. Distributive share Bus. Income
City
state
zIP/Postal Code
Tax year end (MM-DD-yyyy)
Business name
FeIn
Address
Tent. Distributive share Bus. Income
City
state
zIP/Postal Code
Tax year end (MM-DD-yyyy)
Business name
FeIn
Address
Tent. Distributive share Bus. Income
City
state
zIP/Postal Code
Tax year end (MM-DD-yyyy)
Business name
FeIn
Tent. Distributive share Bus. Income
Address
City
state
zIP/Postal Code
Tax year end (MM-DD-yyyy)
+
0000 2015 50 02 27 2
Continue on Page 3

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