California Corporation
FORM
TAXABLE YEAR
100
2013
Franchise or Income Tax Return
RP
For calendar year 2013 or fiscal year beginning
and ending
.
(mm/dd/yyyy)
(mm/dd/yyyy)
Corporation name
California corporation number
FEIN
Additional information. See instructions.
California Secretary of State file number
Street address (suite/room no.)
PMB no.
City (If the corporation has a foreign address, see instructions.)
State
ZIP code
Foreign country name
Foreign province/state/county
Foreign postal code
Schedule Q Questions (continued on Side 2)
A FINAL RETURN?
Dissolved
Surrendered (withdrawn)
Merged/Reorganized
IRC Section 338 sale
QSub election
Enter date (mm/dd/yyyy)
B 1. Is income included in a combined report of a unitary group? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
2. If “Yes,” indicate:
wholly within CA (R&TC 25101 .15)
within and outside of CA
3. Is there a change in the members listed in Schedule R-7 from the prior year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
4. Enter the number of members (including parent or key corporation) listed in the Schedule R-7, Part I, Section A,
subject to income or franchise tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. Is form FTB 3544 and/or 3544A attached to the return? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
00
1 Net income (loss) before state adjustments . See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
00
2 Amount deducted for foreign or domestic tax based on income or profits from Schedule A . . . . . . . . . . . . . . . .
2
00
3 Amount deducted for tax under the provisions of the Corporation Tax Law from Schedule A . . . . . . . . . . . . . . .
3
4 Interest on government obligations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
00
00
5 Net California capital gain from Side 6, Schedule D, line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
00
6 Depreciation and amortization in excess of amount allowed under California law . Attach form FTB 3885 . . . . . .
6
00
7 Net income from corporations not included in federal consolidated return . See instructions . . . . . . . . . . . . . . . .
7
00
8 Other additions . Attach schedule(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
00
9 Total . Add line 1 through line 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
00
10 Intercompany dividend deduction . Attach Schedule H (100) . . . . . . . .
10
00
11 Dividends received deduction . Attach Schedule H (100) . . . . . . . . . . .
11
00
12 Additional depreciation allowed under CA law . Attach form FTB 3885 .
12
00
13 Capital gain from federal Form 1120, line 8 . . . . . . . . . . . . . . . . . . . . .
13
14 Contributions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
00
00
15 EZ or LAMBRA business expense and EZ net interest deduction . . . . . .
15
00
16 Other deductions . Attach schedule(s) . . . . . . . . . . . . . . . . . . . . . . . . . .
16
17 Total . Add line 10 through line 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
00
00
18 Net income (loss) after state adjustments . Subtract line 17 from line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
Form 100
2013 Side 1
3601133
C1