Form 4580 - Michigan Business Tax Unitary Business Group Combined Filing Schedule For Standard Members - 2013 Page 6

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4580, Page 6
Designated Member FEIN or TR Number
PART 3: AFFILIATES EXCLUDED FROM THE COMBINED RETURN OF STANDARD TAXPAYERS
List every person (with or without nexus) for which the “greater than 50%” ownership test of a Michigan Unitary Business Group is satisfied, which is not
included on the combined return of standard taxpayers that is supported by this form. Using the codes below, identify in column D why each person is not
included in the combined return. If any persons listed here are part of a federal consolidated group, attach a copy of U.S. Form 851.
REASON CODES FOR EXCLUSION:
1. Lacks business activities resulting in a flow of value or integration,
6. Other.
dependence or contribution to group.
7. Insurance company. (Insurance companies always file separately.)
2. Foreign operating entity.
8. Financial institution. (Financial institutions and standard taxpayers
4. Foreign entity.
generally are not included on the same combined return.)
5. Member has no MBT tax year (as a member of this UBG) ending
with or within this filing period.
74.
A
B
C
D
E
F
Number From
Reason
Check (X) if
U.S. Form 851
Code for
Nexus with
(if applicable)
Name
FEIN or TR Number
Exclusion
NAICS Code
Michigan
PART 4: PERSONS INCLUDED IN THE PRIOR COMBINED RETURN, BUT EXCLUDED FROM CURRENT RETURN
List persons included as standard members in the immediately preceding combined return of this Designated Member that are not included as standard
members on the return supported by this form. Persons that satisfy the criteria of Part 3 and Part 4 should be listed in each part. See column C instructions.
75.
A
B
C
Name
FEIN or TR Number
Reason This Person is Not on Current Return
+
0000 2013 59 06 27 0

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