California Form 568 - Limited Liability Company Return Of Income - 1999
ADVERTISEMENT
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4TAXABLE YEAR
CALIFORNIA FORM
1999
Limited Liability Company Return of Income
568
For calendar year 1999 or fiscal year beginning month ________ day _______ year 1999, and ending month ________ day ________ year ________ .
D Secretary of State file number
Limited liability company name (type or print)
A Principal business activity name
(same as federal)
E Date business started
DBA
B Principal product or service
(same as federal)
F Enter total assets at end of year.
Number and street (or PO Box number if mail is not delivered to street address)
PMB no.
See instructions.
C Principal business code
City or town
State
ZIP Code
$
(same as federal)
I Check applicable box
(1)
Initial return
G Check accounting method:
H FEIN
(2)
Final
(3)
Amended
(1)
Cash
(2)
Accrual
(3)
Other (attach explanation)
return
return
Yes No
J J J J J Enter the maximum number of members in the LLC at any time during the
Q Q Q Q Q Are any members in this LLC also LLCs or partnerships? .
year. Attach a California Schedule K-1 (568) for each of these members .
R R R R R Does the LLC meet all the requirements shown in the
Yes No
Yes No
K K K K K Is this LLC an investment partnership? See instructions . . . . . . . . . . . . . .
instructions for Question R? . . . . . . . . . . . . . . . . . . . . . . . .
Yes No
L L L L L Is this LLC apportioning income to California using Schedule R? . . . . . . .
S S S S S Is this LLC a member or partner in another LLC
Yes No
M M M M M Was there a distribution of property or a transfer (for example,
or partnership? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes No
by sale or death) of an LLC interest during the taxable year? . . . . . . . . . .
T T T T T Is this LLC a publicly traded partnership as defined in
Yes No
Yes No
N N N N N Is this LLC under audit by the IRS or has it been audited in a prior year? . . .
IRC Section 469(k)(2)? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
O O O O O Did this LLC or its subsidiary(ies) have a transfer or acquisition
U U U U U Is this LLC a business entity disregarded for tax
Yes No
of more than 50% in control or ownership? (See Instructions – Penalties
purposes? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes No
May Apply.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If yes, see instructions and only complete Side 1.
Yes No
P P P P P (1) Does the LLC have an foreign nonresident members? . . . . . . . . . . . .
Are there credits or credit carryovers attributable to
Yes No
Yes No
(2) Does the LLC have any nonresident members? . . . . . . . . . . . . . . . . . .
the disregarded entity? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(3) Were Form 592, Form 592-A, and Form 592-B filed for these
V V V V V Is the LLC required to complete federal Form 8271?
Yes No
Yes No
members? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If ‘’Yes’’, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . .
1 Total income from Limited Liability Company Income Worksheet, line 19 . . . . . . . . . . . . . . . . . . . . . . . . .
1
2 Limited Liability Company fee. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
3 1999 annual LLC tax. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
4 Nonconsenting nonresident members’ tax liability from Schedule T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
Attach
check
5 Total tax and fee. Add line 2, line 3, and line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
or
6 Amount paid with form FTB 3537 and 1999 form FTB 3522 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
money
7 Overpayment from prior year allowed as a credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
order
here.
8 1999 Nonresident Withholding Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
9 Total payments. Add line 6, line 7, and line 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
10 Tax and fee due. If line 5 is more than line 9, subtract line 9 from line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
11 Overpayment. If line 9 is more than line 5, subtract line 5 from line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
12 Amount of line 11 to be credited to 2000 tax or fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
13 Amount to be refunded. Subtract line 12 from line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
14 Penalties and interest. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
15 Amount due. Add line 10 and line 14. Pay this amount with this return . . . . . . . . . . . . . . . . . . . . . . . . .
15
Single Member LLC Information and Consent — Complete only if the LLC has elected to be disregarded.
Federal TIN
Sole Owner’s Name (as shown on individual’s return)
SOS File No.
Return filed with the FTB by the Owner
Street Address, City, State, and ZIP Code
Form 540
Form 541
Consent statement: I consent to the jurisdiction of the State of California to tax my LLC income and agree to file returns
Form 100
Form 100S
and pay tax as may be required by the Franchise Tax Board.
Form 565
Form 568
Signature
Date
Title
Other _________________
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
Please
true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Sign
Telephone
Here
(
)
Signature of officer
Date
Date
Preparer’s SSN/FEIN/PTIN
Check if
Preparer’s
self-employed
signature
Paid
FEIN
Preparer’s
-
Firm’s name (or yours,
Use Only
if self-employed)
Telephone
and address
(
)
56899109
Form 568
1999 Side 1
C1
For Privacy Act Notice, get form FTB 1131.
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