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1065ME/1120S-ME

2005

MAINE INFORMATION RETURN

0500800

PARTNERSHIPS/LLCs/S CORPORATIONS

Check here if your entity name or address has changed:

01/01/05

12/31/05

For tax period

0 5

Federal Employer ID Number

M M

STATE OF INCORPORATION

DATE INCORPORATED

Name of Partnership / S Corporation

PRINCIPAL PLACE OF ACTIVITY IN MAINE

Address of Partnership / S Corporation

City, Town or Post Office

State

ZIP Code

CITY/STATE WHERE RECORDS ARE MAINTAINED

BUSINESS CODE

IDENTIFYING NUMBER OF TAX MATTERS PERSON

TAX MATTERS PARTNER/PERSON

TELEPHONE NUMBER

TYPE OF ENTITY:

CHECK ANY OF THE FOLLOWING IF APPLICABLE:

S Corporation

Partnership

LLC

First filing

Amended return

Final return

Change of Name

Do not submit photocopies of this form; photocopies cannot be processed by the Maine Revenue Services scanning system. Do not use red ink.

1. Number of partners, shareholders or members who are:

a. _______ Residents (of Maine)

b. _______ Nonresidents

c. ________ Total

For 100 or fewer partners/shareholders - complete Schedule PSI for all partners/shareholders not included in a composite

return.

For entities with more than 100 members - do not complete Schedule PSI.

All entities, regardless of the number of partners/shareholders, are required to send pages 1 - 4 of federal Form 1065 or

Form 1120S with this return. DO NOT SEND FEDERAL K-1s.

2. Are you filing a composite return for nonresident

2a. If yes, indicate how many nonresident partners/

partners/shareholders (MRS Rule No. 805)?

Yes

shareholders are included in the composite filing. ______________

If yes, see Schedule 1040C for composite filing instructions.

THIS SECTION MUST BE COMPLETED BY ALL FILERS

. LOCATION OF DOING BUSINESS:

Business activity entirely within Maine; this includes making out-of-state sales that are not taxable in other states (complete only line 4e

below and enter that amount on line 4f).

Business has no Maine resident partners/shareholders and business activity is entirely outside Maine, with no payroll, sales or property

in Maine (STOP – do not file this return).

Business is engaged in interstate commerce, including doing business in Maine (complete lines 4a through 4f below).

Business has Maine resident partners/shareholders and business activity is entirely outside Maine, with no payroll, property or sales

in Maine (except as exempted by P.L. 86-272) (complete line 4e below). If entity has 100 or fewer members, complete Schedule

PSI for Maine residents only.

Check here if the taxpayer is a mutual fund service provider electing to use the special apportionment formula under 36 M.R.S.A. §

5212(2) (complete lines 4a, 4d, 4e and 4f; on line 4a, change the weighting factor from .50 to 1.00).

(C)

Maine Factors:

(A)

(B)

Col.A/Col.B x statutory weighting

Totals within Maine

Totals within and outside of Maine

rounded to 6 decimals

a. Total SALES net

of returns and

x .50 =

allowances

b. Total PAYROLL

x .25 =

c. Total PROPERTY

x .25 =

d. MAINE APPORTIONMENT FACTOR (total of Column C) ...................................................................................................................... 4d.

e. Enter ENTITY INCOME OR LOSS (see instructions) .............................................................................. 4e.

.00

f. TOTAL MAINE INCOME OR LOSS (line 4d multiplied by line 4e) ........................................................... 4f.

.00

Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements and to the best of my knowledge and belief they are true,

correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Officer’s signature

Title

Date

Preparer’s signature

Date

Office use only

PSI

File return with:

Maine Revenue Services, PO Box 9117, Augusta, ME 04332-9117

1065ME/1120S-ME Rev. 09/05