Form 4580 - Michigan Business Tax Unitary Business Group Combined Filing Schedule For Standard Members - 2013 Page 2
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184580, Page 2
Designated Member FEIN or TR Number
PART 1B: MEMBER IDENTIFICATION
Complete a separate copy of Part 1B for each member listed in Part 1A.
2. Member Name
5. Organization Type
C Corporation /
3. Member FEIN or TR Number
Individual
LLC C Corporation
S Corporation /
4. Member Street Address
Fiduciary
LLC S Corporation
ZIP/Postal Code
City
State
Partnership / LLC Partnership
Beginning
Ending
Check if Nexus with Michigan
6. Federal Tax Period Included in Return
10.
(MM-DD-YYYY) ........................................
Check if Registered for MBT
7. If part-year member, enter
11.
membership dates (MM-DD-YYYY) .........
8. NAICS Code
9. If discontinued, effective date
Check if New Member
12.
13. Nature of business activities or operations resulting in a flow of value between members, or integration, dependence or contribution to other members
PART 2A: MEMBER DATA FOR COMBINED RETURN OF STANDARD TAXPAYERS
Enter data for the member listed in Part 1B. Enter whole dollars only.
00
14. Michigan sales. (If no Michigan sales enter zero) .............................................................................................
14.
00
15. Total sales..........................................................................................................................................................
15.
16. Pro forma apportionment percentage. Divide line 14 by line 15 ............
%
16.
Member Modified Gross Receipts
00
17. Gross receipts ...................................................................................................................................................
17.
18. Inventory acquired during the tax year ..............................................................................................................
00
18.
19. Depreciable assets acquired during the tax year ..............................................................................................
00
19.
20. Materials and supplies not included in inventory or depreciable property .........................................................
00
20.
21. Staffing company: Compensation of personnel supplied to customers .............................................................
00
21.
If the UBG is claiming the Small Business Alternative Credit, skip to line 23.
22. Deduction for contractors in SIC Codes 15, 16 and 17 (see instructions) .........................................................
00
22.
SIC Code:
23. Film rental or royalty payments paid by a theater owner to a film distributor and/or film producer ...................
00
23.
24. Qualified Affordable Housing Project (QAHP) deduction
a. Gross receipts attributable to residential rentals in Michigan ........... 24a.
00
b. Number of residential rent restricted units in Michigan owned
by QAHP ............................................................................................ 24b.
c. Total number of residential rental units in Michigan owned by QAHP ... 24c.
d. Divide line 24b by line 24c and enter as a percentage ..................... 24d.
%
e. Multiply line 24a by line 24d ............................................................ 24e.
00
f. Limited dividends or other distributions made to project owners ...... 24f.
00
g. QAHP Deduction. Subtract line 24f from line 24e ....................................................................................... 24g.
00
25. Payments made by member licensed under Article 25 or Article 26 of the Occupational Code to
independent contractors licensed under Article 25 or Article 26 ........................................................................
00
25.
26. Miscellaneous subtractions (see instructions) ...................................................................................................
00
26.
27. Modified gross receipts. Subtract lines 18 through 23 and 24g through 26 from line 17 ..................................
00
27.
28. Enrichment prohibition for dealer of personal watercraft or new motor vehicles. Enter amount collected
during tax year. If zero, enter zero and skip line 29. If greater than zero, enter number here, then see
00
instructions for how to complete line 29 ............................................................................................................
28.
29. Excess enrichment prohibition tax collected (see instructions) .........................................................................
00
29.
+
0000 2013 59 02 27 8
Continue on Page 3.
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