Form 355sc - Domestic Or Foreign Security Corporation Return - 2004
ADVERTISEMENT
1
22004
Form 355SC
Massachusetts
Domestic or Foreign Security
Department of
Corporation Return
Revenue
For calendar year 2004 or taxable year beginning
ending
❿!
U.S. Business Activity Code
Federal Identification number (FID)
Check if corporation is a Regulated Investment Company
❿
❿
Name of corporation: ❿ __________________________________________________________________________________________________________________________
Principal business address: _______________________________________________________________________________________________________________________
Principal business address in Massachusetts: _________________________________________________________________________________________________________
Check appropriate box
:
(see instructions)
11. Is the corporation incorporated within Massachusetts? ❿
2. Date of charter ❿______________________________________________
Yes
No
13. ❿
❿
Class 1 security corporation
Class 2 security corporation
4. Date corporation first classified as security corporation _________________
15. Date business began in Massachusetts ❿ _______________________________
6. State or country of incorporation __________________________________
17. Average number of employees in Massachusetts ❿ ________________________
18. Has the U.S. government changed your taxable income for any prior year which has not yet been reported to Massachusetts? ❿
Yes
No
19. Corporation’s books are in the care of ______________________________________________ Title ________________________________________________________
10. If first return: ❿
11. If final return: ❿
new business
business had predecessor
business terminated
business has successor
If applicable, enter name, address, state of incorporation (if any) and Federal Identification number of predecessor or successor.
_________________________________________________________________________________________________________________________________________
12. Has there been any significant change in your corporate activities since you were last granted security corporation status? ❿
Yes
No
If “Yes”, please attach a statement explaining these changes.
13. Has this corporation elected to file or participate in the filing of a U.S. consolidated return? ❿
Yes
No. FID of parent ________________________________________
14. U.S. form(s) and schedule(s) filed for this tax year:
1120
1120-A
1120RIC
851
5471
1120S
Computation of Excise
Use whole dollar method
11. Total U.S. income (from U.S. Form 1120 or 1120-A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❿1
12. State and municipal bond interest not included in line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❿2
13. Adjustments to income. See instructions (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❿3
14. Massachusetts gross income. Add lines 1 through 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
× .0033 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
15. Class 1 excise, if applicable (line 4) $ _____________________
16. Class 2 excise, if applicable (line 4) $ _____________________ × .0132 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
17. Excise before credits (line 5 or 6, whichever applies) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
18. Vanpool Credit (Schedule H, line 11b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❿8
19. Vanpool Credit carryover (Schedule H, line 27b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❿9
10. Full Employment Credit (Schedule FEC, line 22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❿10
11. Total credits. Add lines 8 through 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❿11
12. Excise after credits. Subtract line 11 from line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
456
13. Minimum excise (cannot be prorated). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
14. Excise due before voluntary contribution (line 12 or line 13, whichever is larger) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
15. Voluntary contribution for endangered wildlife conservation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❿15
16. Excise due plus voluntary contribution. Add lines 14 and 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❿16
17. 2003 overpayment applied to 2004 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❿17
18. 2004 estimated tax payments (do not include amount in line 17) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❿18
19. Payments made with extension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❿19
20. Amount overpaid. Subtract line 16 from total of lines 17 through 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
21. Amount of line 20 to be credited to 2005 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❿21
22. Amount of line 20 to be refunded. Subtract line 21 from line 20. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❿22
23. Balance due. Subtract total of lines 17 through 19 from line 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
24. M-2220 penalty ❿! ________________________
Other penalties ❿ ________________________ . . . . . . . . . . . . . . . Total penalty ❿24
25. Interest on unpaid balance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total due ❿25
26. Total payment due at time of filing. Make remittance payable to Commonwealth of Massachusetts . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❿26
Under penalties of perjury, I declare that to the best of my knowledge and belief, this return and enclosures are true, correct and complete.
Signature of appropriate officer (see instructions)
Date
Social Security number
Title
Signature of paid preparer
Date
Employer Identification number
Address
If you are signing as an authorized delegate of the appropriate corporate officer, check here
and attach Mass. Form M-2848, Power or Attorney. Privacy act notice
available upon request. This return, together with payment in full, is due on or before the fifteenth of the third month after the close of the taxable year, calendar or fiscal.
Mail to: Massachusetts Department of Revenue, PO Box 7067, Boston, MA 02204.
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