Assets Transferred from Parent Corporation
TAXABLE YEAR
CALIFORNIA FORM
2011
3725
to Insurance Company Subsidiary
Attach to Form 100 or Form 100W .
Parent corporation name
California corporation number
FEIN
Part I Assets Transferred from Parent Corporation to Insurance Company Subsidiary
Section A – Information on Properties Transferred
Were appreciated properties transferred to an insurance company subsidiary? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
If “Yes,” enter the company’s name, California corporation number, and/or FEIN (see instructions), then continue with line 2 . If “No,” do not
complete this form .
Insurance company name
California corporation
FEIN
number
2 Does the insurance company use the assets it received from its parent corporation in active conduct of a trade
or business of the insurer? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
If “Yes,” continue with Section B . If “No,” go to Part II .
Section B – Deferred Capital Gains. Use additional sheets if necessary .
(a)
(b)
(c)
(d)
(e)
(f)
(g)
Taxable year
Description of
Location of
Date transferred
Fair market value at
Cost or
Amount of gain
property
property
(mo ., day, yr .)
date of transfer
other basis
deferred under R&TC
Section 24465
(e) less (f)
3
Part II Assets Transferred from Insurance Company to Other Companies
Section A – Information on Disposition of Properties
4 Does the insurance company still use the assets listed in Part l, Section B, in its active conduct of trade or business? . . . . . . . . .
Yes
No
If “Yes,” corporation is not required to complete Part II, Section B or Section C . If “No,” go to line 5 .
5 Did the insurance company dispose of any assets received from the parent corporation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
If “Yes,” go to line 6 . If “No,” gain is taxable, go to Section B or Section C .
6 Did the insurance company sell the assets to another company within the combined reporting group? . . . . . . . . . . . . . . . . . . . . .
Yes
No
If “Yes,” gain is non-taxable . If “No,” gain is taxable, go to Section B or Section C .
Section B – Short-Term Capital Gains and Losses-Assets Held One Year or Less. Use additional sheets if necessary .
(a)
(b)
(c)
(d)
(e)
(f)
Taxable year
Description of
Date of disposal
Fair market value
Cost or
Gain (loss)
property
(mo ., day, yr .)
or gross sales price
other basis
(d) less (e)
7
8 Short-term capital gains (losses). Total amounts in column (f) . Enter here and on Form 100 or Form 100W, Side 5,
Schedule D, Part I, line 1, column (f) or Schedule D (100S), Section A or Section B, Part I, line 1, column (f) .
See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FTB 3725 2011 Side
7431113