Form 8916-A - Supplemental Attachment To Schedule M-3 - 2017
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48916-A
OMB No. 1545-0123
Supplemental Attachment to Schedule M-3
Form
2017
Attach to Schedule M-3 for Form 1065, 1120, 1120-L, 1120-PC, or 1120S.
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Department of the Treasury
Go to for the latest information.
Internal Revenue Service
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Name of common parent
Employer identification number
Employer identification number
Name of subsidiary
Part I
Cost of Goods Sold
(a)
(b)
(c)
(d)
Cost of Goods Sold Items
Expense per
Temporary
Permanent
Deduction per Tax
Income Statement
Difference
Difference
Return
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Amounts attributable to cost flow assumptions
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Amounts attributable to:
a Stock option expense .
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b Other equity-based compensation .
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c Meals and entertainment .
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d Parachute payments .
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e Compensation with section 162(m) limitation .
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f
Pension and profit sharing
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g Other post-retirement benefits .
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h Deferred compensation .
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Reserved .
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Amortization .
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k Depletion .
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l
Depreciation .
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m Corporate-owned life insurance premiums .
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n Other section 263A costs .
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Inventory shrinkage accruals.
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Excess inventory and obsolescence reserves .
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Lower of cost or market write-downs .
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Other items with differences (attach statement)
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Other items with no differences .
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Total cost of goods sold. Add lines 1 through 7 in
columns a, b, c, and d. Enter totals on the
applicable Schedule M-3. See instructions .
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8916-A
For Paperwork Reduction Act Notice, see instructions.
Form
(2017)
Cat. No. 48657X
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