Form Clt-4 - Montana Corporation License Tax Return - 2012 Page 7
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10M M D D Y Y Y Y
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Form CLT-4, Page 7
Period End Date
FEIN
Schedule M - Affi liated Entities
Complete the schedules below if your corporation has an affi liated relationship with another business entity. Please note
that both schedules must be completed if your corporation is a member of a U.S. consolidated group and has affi liated
relationships with other business entities.
1. Members of a U.S. Consolidated Group
Please include your information in the following schedule for all members of your U.S. consolidated group. Include a
separate sheet if necessary.
A
B
C
D
E
F
Federal
Name of affi liate/subsidiary/parent
Percentage
Included
Doing
Mark if fi ling
Employer
corporation
of ownership
in this
business in
Montana
Identifi cation
Montana
Montana?
Form CLT-4
Number
unitary
separate from
fi ling?
this unitary
fi ling
Yes
No
Yes
No
2. Affi liated Entities
Please include information in the following schedule for all business entities that are not included in the U.S. consolidated
group; i.e., partnerships, limited liability companies, foreign subsidiaries owned greater than 50%, or unconsolidated
subsidiaries owned greater than 50%. Please include entities that are owned by your corporation and entities that are
owned by all members of your U.S. consolidated group. Include a separate sheet if necessary.
A
B
C
D
E
F
Federal
Name of entity
Percentage
Included
Doing
Type of entity,
Employer
of ownership
in this
business in
i.e. foreign
Identifi cation
Montana
Montana?
subsidiary,
Number
unitary
unconsolidated
fi ling?
subsidiary,
partnership,
Yes
No
Yes
No
LLC, LLP
*12EP0701*
*12EP0701*
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