Form Cnf-120 - List Of Members In Unitary Combined Group - 2016 Page 2
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2
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42016
sChEduLE
Calculation of WV Business Capital for Combined group
UB-2
(§11-23-3(b)(2))
(F
CNF-120)
orm
NaME
FEIN
GrOUP 1
GrOUP 2
GrOUP 3
Regular Entities
Motor Carriers
Financial organizations
DOllAR AmOunt Of cOmmOn AnD PRefeRReD StOck
.00
.00
.00
1. Beginning Balance...............................................
.00
.00
.00
2. Ending Balance....................................................
.00
.00
.00
3. Average [(line 1 + line 2) ÷ 2]...............................
PAiD in cAPitAl SuRPluS
.00
.00
.00
4. Beginning Balance...............................................
.00
.00
.00
5. Ending Balance....................................................
.00
.00
.00
6. Average [(line 4 + line 5) ÷ 2]...............................
RetAineD eARninGS – APPROPRiAteD AnD unAPPROPRiAteD
.00
.00
.00
7. Beginning Balance...............................................
.00
.00
.00
8. Ending Balance....................................................
.00
.00
.00
9. Average [(line 7 + line 8) ÷ 2]...............................
ADjuStmentS tO ShARehOlDeRS equity
.00
.00
.00
10. Beginning Balance.............................................
.00
.00
.00
11. Ending Balance..................................................
.00
.00
.00
12. Average [(line 10 + line 11) ÷ 2].........................
.00
.00
.00
13. Add lines 3, 6, 9, and 12....................................
.00
.00
.00
14. Less cost of treasury stock (average)................
.00
.00
.00
15. Capital (Subtract line 14 from line 13)...............
L I N e
L e F T
B L a N K
I N T e N T I O N a L L y .
16.
17. Obligations/investments allowance (from
.00
.00
.00
UB-4CR).............................................................
.00
.00
.00
18. Adjusted capital (subtract line 17 from line 15)..
.00
.00
.00
19. Group adjusted capital.......................................
20. Apportionment factor (round to six [6] decimal
•
•
•
places).................................................................
.00
.00
.00
21. Business capital (line 19 multiplied by line 20)..
.00
22. Combined total business capital (add line 21 from groups 1 through 3) .......................................................................................................
Only use the UB forms & schedules when filing combined reporting.
*B30201614W*
–17–
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