1120-FSC
U.S. Income Tax Return of a Foreign Sales Corporation
Form
For calendar year 20
or other tax year beginning
, 20
,
OMB No. 1545-0935
(Rev. December 2010)
and ending
, 20
Department of the Treasury
Internal Revenue Service
See separate instructions. Please type or print.
▶
Name
C Employer identification number
A Foreign country or U.S.
possession of incorporation
(see instructions)
D Date incorporated
B
Number, street, and room or suite no. (see instructions)
Check type of election made:
E Total assets (see instructions)
FSC
Small FSC
Enter the effective date of
City or town, state, and ZIP code
$
the election:
F Check applicable boxes:
(1)
(2)
(3)
(4)
Final return
Name change
Address change
Amended return
FSC Information
1 Principal shareholder. Complete for the shareholder that was the principal shareholder at the beginning of the FSC’s tax year. If two or more shareholders
own equal amounts of stock, complete for the shareholder that has the same tax year as the FSC (see instructions).
a Name
b Identification number
c Address (number, street, and room or suite no., city or town, state, ZIP code, or country)
d Total assets (corporations only)
$
e Percentage of voting stock of the
f Tax year ends (month and year)
g Service Center where tax return is filed
h Foreign owner? (check one)
principal shareholder
%
Yes
No
2 Parent-subsidiary controlled group. Is the FSC a subsidiary in a parent-subsidiary controlled group? .
.
.
.
.
.
Yes
No
▶
If “Yes,” and the principal shareholder (described in 1 above) is not the common parent of the group, complete
lines 2a through 2g below for the common parent (see instructions).
a Name of common parent
b Identification number
c Address (number, street, and room or suite no., city or town, state, ZIP code, or country)
d Total assets (consolidated, if applicable)
$
e Percentage of voting stock of the common parent
f Tax year ends (month and year)
g Service Center where tax return is filed
%
3 Administrative pricing rules
a Check the applicable box(es) to show the pricing rule(s) used to determine taxable income on transactions resulting in foreign trading gross receipts.
(1)
(2)
(3)
1.83% of foreign trading gross receipts
23% of combined taxable income
Marginal costing
(4)
Section 482 method
(5)
Transactions at arm’s length with unrelated supplier(s)
b If the FSC and the related supplier(s) meet the payment rules of Temporary Regulations section 1.925(a)-1T(b)(2)(ii) and elect to use the administrative
pricing rules, check here
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
▶
Tax and Payments (see instructions)
1
Total tax (Schedule J, line 6)
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
2
Payments:
a Overpayment from prior year allowed
as a credit
.
.
.
.
.
.
.
.
2a
b Current year estimated tax payments
2b
c Less refund of overpaid estimated
2c (
) d Bal
2d
tax applied for on Form 4466
.
.
▶
e Tax deposited with Form 7004 .
.
.
.
.
.
.
.
.
.
.
.
.
.
2e
f
Credit for Federal tax paid on fuels (attach Form 4136) .
.
.
.
.
.
2f
g U.S. income tax paid or withheld at source (attach Form 1042-S)
.
.
2g
h Add lines 2d through 2g .
2h
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
3
3
Estimated tax penalty. Check if Form 2220 is attached .
.
.
.
.
.
.
.
.
.
.
.
.
▶
4
Tax due. If line 2h is smaller than the total of lines 1 and 3, enter amount owed .
.
.
.
.
.
.
4
5
Overpayment. If line 2h is larger than the total of lines 1 and 3, enter amount overpaid .
.
.
.
5
6
Enter amount of line 5 you want: Credited to next year’s estimated tax
Refunded
6
▶
▶
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true,
Sign
correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
May the IRS discuss this return
Here
with the preparer shown below
Yes
No
(see instructions)?
Title
Signature of officer
Date
Print/Type preparer’s name
Preparer’s signature
Date
PTIN
Paid
Check
if
self-employed
Preparer
Firm’s name
Firm's EIN
Use Only
▶
▶
Firm’s address
Phone no.
▶
1120-FSC
For Paperwork Reduction Act Notice, see instructions.
Form
(Rev. 12-2010)
Cat. No. 11531K