Schedule Ub - Attach To Your Form Il-1120 Or Form Il-1120-St - Combined Apportionment For Unitary Business Group

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Illinois Department of Revenue
Common year ending for the
Combined Apportionment for
unitary business group
Schedule UB
Unitary Business Group
______
______
Month
Year
.
For tax years ending on or after December 31, 2012
Attach to your Form IL-1120 or Form IL-1120-ST
IL Attachment no. 5
Step 1 — Provide Your Membership Information
_______________________________________________________________________
___ ___ - ___ ___ ___ ___ ___ ___ ___
Write the name of the designated agent (see general instructions).
Write the federal employer identification number (FEIN).
_______________________________________________________________________
___ ___ - ___ ___ ___ ___ ___ ___ ___
Write the name of the designated agent last year, if it is different than above.
Write the FEIN, if it is different than above.
_______________________________________________________________________
___ ___ - ___ ___ ___ ___ ___ ___ ___
Write the name of the controlling corporation (see general instructions).
Write the FEIN, if it is different than above.
If the controlling corporation is a member of this unitary group, check the box.
Section A — List all members.
See Specific Instructions.
A
B
C
D
E
F
G
H
I
Year
Required
Appor-
ending
to file an
New
Inactive
Holding
tionment
S
Name
FEIN
(Month/Year)
IL return
member member
company
method
Corp
1
__________________________________________
__ __ - __ __ __ __ __ __ __ __ __/__ __ __ __
_____
_____
_____
_____
_____
_____
2
__________________________________________
__ __ - __ __ __ __ __ __ __ __ __/__ __ __ __
_____
_____
_____
_____
_____
_____
3
__________________________________________
__ __ - __ __ __ __ __ __ __ __ __/__ __ __ __
_____
_____
_____
_____
_____
_____
4
__________________________________________
__ __ - __ __ __ __ __ __ __ __ __/__ __ __ __
_____
_____
_____
_____
_____
_____
5
__________________________________________
__ __ - __ __ __ __ __ __ __ __ __/__ __ __ __
_____
_____
_____
_____
_____
_____
6
__________________________________________
__ __ - __ __ __ __ __ __ __ __ __/__ __ __ __
_____
_____
_____
_____
_____
_____
7
__________________________________________
__ __ - __ __ __ __ __ __ __ __ __/__ __ __ __
_____
_____
_____
_____
_____
_____
8
__________________________________________
__ __ - __ __ __ __ __ __ __ __ __/__ __ __ __
_____
_____
_____
_____
_____
_____
9
__________________________________________
__ __ - __ __ __ __ __ __ __ __ __/__ __ __ __
_____
_____
_____
_____
_____
_____
10
__________________________________________
__ __ - __ __ __ __ __ __ __ __ __/__ __ __ __
_____
_____
_____
_____
_____
_____
Section B — List any mergers with members listed in Section A.
See Specific Instructions.
A
B
Person who has merged with member
Member listed in Section A
1
_______________________
__________________________
___ ___ - ___ ___ ___ ___ ___ ___ ___
___ ___ - ___ ___ ___ ___ ___ ___ ___
Name
FEIN
Name
FEIN
2
_______________________
__________________________
___ ___ - ___ ___ ___ ___ ___ ___ ___
___ ___ - ___ ___ ___ ___ ___ ___ ___
Name
FEIN
Name
FEIN
3
_______________________
__________________________
___ ___ - ___ ___ ___ ___ ___ ___ ___
___ ___ - ___ ___ ___ ___ ___ ___ ___
Name
FEIN
Name
FEIN
Section C — List all members who left the group during this tax year.
See Specific Instructions.
A
B
Member who was sold
Entity to which member in Column A was sold
1
_______________________
__________________________
___ ___ - ___ ___ ___ ___ ___ ___ ___
___ ___ - ___ ___ ___ ___ ___ ___ ___
Name
FEIN
Name
FEIN
2
_______________________
__________________________
___ ___ - ___ ___ ___ ___ ___ ___ ___
___ ___ - ___ ___ ___ ___ ___ ___ ___
Name
FEIN
Name
FEIN
3
_______________________
__________________________
___ ___ - ___ ___ ___ ___ ___ ___ ___
___ ___ - ___ ___ ___ ___ ___ ___ ___
Name
FEIN
Name
FEIN
Section D — Provide information about your excluded members
See Specific Instructions and complete Step 5 if the answer below is 1 or greater.
1
Write the total number of members excluded.
______
Page 1 of 6
Schedule UB (R-12/12)

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