Schedule I - Iowa Corporation - 2014

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Iowa Department of Revenue

2014 IA Corporation Schedule I

IA 851 Affiliated Group

Corporation Name:

Federal Employer Identification Number (FEIN):

Tax Period:

Filing Period

Company Name

FEIN

Principal Business Activity

Total Payments

(if different from parent)

Instructions for Schedule I - IA 851: List all companies in the affiliated group that are included in the consolidated Iowa return. List only those companies doing

business in Iowa. Give the name, FEIN, principal business activity, and filing period, if different from the parent. Also, indicate the type and total of any payments

made or recorded under each company’s name and FEIN. Include additional schedules if necessary to list all companies. This schedule only applies to filing status

42-022a (09/08/14)