Form 1125-E - Compensation Of Officers
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11125-E
Compensation of Officers
Form
(Rev. December 2013)
OMB No. 1545-2225
Attach to Form 1120, 1120-C, 1120-F, 1120-REIT, 1120-RIC, or 1120S.
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Department of the Treasury
Information about Form 1125-E and its separate instructions is at
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Internal Revenue Service
Employer identification number
Name
Note. Complete Form 1125-E only if total receipts are $500,000 or more. See instructions for definition of total receipts.
(c) Percent of
Percent of stock owned
(b) Social security number
(f) Amount of
(a) Name of officer
time devoted to
(see instructions)
compensation
(d) Common
(e) Preferred
business
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Total compensation of officers .
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Compensation of officers claimed on Form 1125-A or elsewhere on return
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Subtract line 3 from line 2. Enter the result here and on Form 1120, page 1, line 12 or the
appropriate line of your tax return .
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1125-E
For Paperwork Reduction Act Notice, see separate instructions.
Form
(Rev. 12-2013)
Cat. No. 55989C
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