Form 6 - Wisconsin Combined Corporation Franchise Or Income Tax Return - 2015 Page 12

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Page 12 of 14
2015 Form 6 - Wisconsin Combined Corporate Franchise or Income Tax Return
Designated Agent Name
Federal Employer ID Number
Part VI: Additional Member Information
Complete the information below for each
Corporation Name:
member of the combined group .
Street Address/PO Box:
City, State:
Zip Code:
FEIN:
NAICS:
1
Member’s state and year of incorporation . . . . . . . . . . . . . . . . . . . .
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
2
Corporation’s tax period included in this return:
Beginning
M
M
D
D
Y
Y
Y
Y
M
M
D
D
Y
Y
Y
Y
M
M
D
D
Y
Y
Y
Y
Ending
M
M
D
D
Y
Y
Y
Y
M
M
D
D
Y
Y
Y
Y
M
M
D
D
Y
Y
Y
Y
3
Member’s taxable year end . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
M
M
D
D
M
M
D
D
M
M
D
D
4
If you have an extension of time to file, enter extended due date .
4
M
M
D
D
Y
Y
Y
Y
M
M
D
D
Y
Y
Y
Y
M
M
D
D
Y
Y
Y
Y
5 If IRS adjustments became final during the year, enter the years
5
adjusted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
Go to Page 13

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