Schedule M-3 (Form 1120-Pc) - Net Income (Loss) Reconciliation For U.s. Property And Casualty Insurance Companies With Total Assets Of 10 Million Dollars Or More - 2016 Page 3

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Schedule M-3 (Form 1120-PC) 2016
Page
Employer identification number
Name of corporation (common parent, if consolidated return)
Check applicable box(es).
(1)
Consolidated group
(2)
Parent corp
(3)
Consolidated eliminations
(4)
Subsidiary corp
(5)
Mixed 1120/L/PC group
Check if a sub-consolidated:
(6)
1120-PC group
(7)
1120-PC eliminations
Name of subsidiary (if consolidated return)
Employer identification number
Part III
Reconciliation of Net Income (Loss) per Income Statement of Includible Corporations With Taxable
Income per Return—Expense/Deduction Items (see instructions)
(a)
(b)
(c)
(d)
Expense/Deduction Items
Expense per
Temporary
Permanent
Deduction per
Income Statement
Difference
Difference
Tax Return
1
U.S. current income tax expense .
.
.
.
.
.
.
2
U.S. deferred income tax expense
.
.
.
.
.
.
3
State and local current income tax expense
.
.
.
4
State and local deferred income tax expense .
.
.
5
Foreign current income tax expense (other than
foreign withholding taxes)
.
.
.
.
.
.
.
.
.
6
Foreign deferred income tax expense
.
.
.
.
.
7
Foreign withholding taxes
.
.
.
.
.
.
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8
Stock option expense .
.
.
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9
Other equity-based compensation .
.
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10
Meals and entertainment .
.
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11
Fines and penalties
.
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12
Judgments, damages, awards, and similar costs .
.
13
Parachute payments .
.
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14
Compensation with section 162(m) limitation .
.
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15
Pension and profit-sharing .
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16
Other post-retirement benefits .
.
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17
Deferred compensation .
.
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.
.
18
Charitable contribution of cash and tangible property
19
Charitable contribution of intangible property .
.
.
20
Charitable contribution limitation/carryforward .
.
.
21
Write-off of premium receivables .
.
.
.
.
.
.
22
Guarantee fund assessments
.
.
.
.
.
.
.
.
23
Current year acquisition or reorganization investment
banking fees .
.
.
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.
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.
.
.
24
Current year acquisition or reorganization legal and
accounting fees .
.
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.
.
.
.
.
.
.
.
.
25
Current year acquisition/reorganization other costs .
26
Amortization of acquisition, reorganization, and start-up costs
27
Amortization/impairment of goodwill, insurance in
force, and ceding commissions
.
.
.
.
.
.
.
28
Other amortization or impairment write-offs .
.
.
.
29
Discounting of unpaid losses (section 846) (attach statement)
30
Reduction of loss deduction (section 832(b)(5)(B))
.
31
Depreciation .
.
.
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.
.
.
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32
Bad debt expense and/or agency balances written off
33
Deduction from a special loss discount account .
.
34
Corporate owned life insurance premiums .
.
.
.
35
Purchase versus lease (for purchasers and/or lessees)
36
Interest expense (attach Form 8916-A) .
.
.
.
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37
Domestic production activities deduction
.
.
.
.
38
Research and development costs .
.
.
.
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39
Section 118 exclusion (attach statement)
.
.
.
.
40
Other expense/deduction items with differences
(attach statement) .
.
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.
.
.
.
.
.
.
.
41
Total expense/deduction items. Combine lines 1 through
40. Enter here and on Part II, line 27, reporting positive
amounts as negative and negative amounts as positive
.
Schedule M-3 (Form 1120-PC) 2016

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