Form N-304 - Affiliations Schedule

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FORM
Affiliations Schedule
N-304
(To be filed with each consolidated income tax return)
(Consolidated returns are allowed for domestic (Hawaii) corporations only.)
(REV. 2004)
Taxable Year Ended
,
Common parent corporation
F.E.I.N.
Address (Number and street)
City or town, State, and ZIP Code
PREPAYMENT
FEDERAL EMPLOYER
CREDITS
NO.
NAME AND ADDRESS OF CORPORATION
IDENTIFICATION
Portion of estimated tax
NUMBER
credits
Common Parent Corporation
1
Subsidiary Corporations:
2
3
4
5
6
7
8
9
10
Totals (Must equal amount shown on Form N-30)
Did the subsidiary
Capital Stock
make any nondividend
Outstanding at
Stock Holdings at Beginning of Year
distributions?
Beginning of Year
NO.
PRINCIPAL BUSINESS ACTIVITY
Percent
Owned by
Number of shares
Number
voting
Percent
corporation
Yes
No
Voting
Nonvoting
of shares
power
of value
number—
Common Parent Corporation:
1
Subsidiary Corporations:
2
3
4
5
6
7
8
9
10
Nonvoting stock which is limited and preferred as to dividends should not be shown, but information relative to the nature of the limitation and preference as to dividends should be furnished on back under
“Remarks” regarding all classes of nonvoting stock not shown.
If more than one class of nonvoting stock is outstanding, the number of shares of each class should be shown.
List all corporations which at any time during the taxable year were members of the affiliated group. If any corporation was not in existence at the beginning of the year, show the stock outstanding at date issued.
FORM N-304

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