Form 4h - Wisconsin Corporation Declaration Of Inactivity - 2015
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Form
Wisconsin Corporation
4H
Declaration of Inactivity
2015
For 2015 or taxable year beginning
and ending
.
M
M
D
D
Y
Y
Y
Y
M
M
D D
Y
Y
Y
Y
Due Date: 15th day of 3rd month following close of taxable year.
Complete form using BLACK INK .
Corporation Name
A1 Federal Employer ID Number (FEIN)
Number and Street
Suite Number
A2 Wisconsin Tax Number (WTN)
City
State
ZIP (+ 4 digit suffix if known) B State of Incorporation
and
Year
Enter abbrevia-
tion of state in
box, or if a
Y
Y
Y
Y
Enter
if you have an extension of time to file. Enter extended due date
.
C
foreign country,
M
D
D
Y
Y
Y
Y
M
enter below.
Corporation Balance Sheets
–1000
ENTER NEGATIVE NUMBERS LIKE THIS
(a) Beginning of
(b) End of
(1000)
Taxable Year
Taxable Year
NOT LIKE THIS
NO COMMAS; NO CENTS
1 Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
00
.
00
1
.
00
.
00
2 Net trade notes and accounts receivable . . . . . . . . . . . . . . .
2
.
00
3 Inventories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
00
3
4 Government obligations . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
00
.
00
4
5 Other current assets (attach schedule) . . . . . . . . . . . . . . . .
.
00
.
00
5
.
00
6 Loans to stockholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
00
6
.
00
7 Mortgage and real estate loans . . . . . . . . . . . . . . . . . . . . . .
.
00
7
8 Other investments (attach schedule) . . . . . . . . . . . . . . . . . .
.
00
.
00
8
9 Net buildings and other fixed depreciable assets . . . . . . . . .
.
00
.
00
9
10 Net depletable assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
.
00
.
00
11 Land (net of any amortization) . . . . . . . . . . . . . . . . . . . . . . . 11
.
00
.
00
.
00
12 Intangible assets (amortizable only) . . . . . . . . . . . . . . . . . . . 12
.
00
13 Other assets (attach schedule) . . . . . . . . . . . . . . . . . . . . . . 13
.
00
.
00
.
00
.
00
14 Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
.
00
15 Accounts payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
.
00
16 Mortgages, notes, bonds payable in less than 1 year . . . . . 16
.
00
.
00
.
00
.
00
17 Other current liabilities (attach schedule) . . . . . . . . . . . . . . . 17
18 Loans from stockholders . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
.
00
.
00
.
00
19 Mortgages, notes, bonds payable in 1 year or more . . . . . . 19
.
00
.
00
.
00
20 Other liabilities (attach schedule) . . . . . . . . . . . . . . . . . . . . . 20
21 Capital stock:
.
00
.
00
a Preferred stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21a
.
00
.
00
b Common stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21b
22 Paid-in or capital surplus . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
.
00
.
00
23 Retained earnings — Appropriated . . . . . . . . . . . . . . . . . . . 23
.
00
.
00
24 Retained earnings — Unappropriated . . . . . . . . . . . . . . . . . 24
.
00
.
00
25 Adjustments to shareholders’ equity . . . . . . . . . . . . . . . . . . 25
.
00
.
00
26 Less: Cost of treasury stock . . . . . . . . . . . . . . . . . . . . . . . . . 26
.
00
.
00
.
00
.
00
27 Total liabilities and stockholders’ equity . . . . . . . . . . . . . 27
IC-046
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