Form Ct-34-Sh - New York S Corporation Shareholders' Information Schedule - 2014 Page 4

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Page 4 of 4 CT-34-SH (2014)
Schedule B – Shareholders’ identifying information
(see instructions)
Photocopy Schedule B, as needed, attach additional sheets, and mark an X in the box.
A
B
C
D
E
For each shareholder,
Identifying number
Percentage
Shareholder
Shareholder
enter last name, first name, middle initial on first line;
(SSN or EIN)
of ownership residency status entity status
enter home address on second and third lines.
(make only one entry) (make only one entry)
1 for New York State I for individual
(attach federal Schedule K-1 for each shareholder)
2 for New York City
F for estate or trust
3 for Yonkers
E for exempt
organization
4 for NYS nonresident
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10
11
11
433004140094

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