Schedule Vc - Wisconsin Venture Capital Credits - 2015
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VC
Wisconsin Venture Capital Credits
Schedule
2015
File with Wisconsin Form 1, 1NPR, 2, 3, 4, 4T, 5S, or 6
Wisconsin Department
Read instructions before filling in this schedule
of Revenue
Name
Identifying Number
If you qualify for the angel investment credit, complete Part I. If you qualify for the early stage seed investment credit, complete Part II.
Round Amounts to Nearest Dollar
Part I
Angel Investment Credit
1 Fill in the following information regarding your investments in qualified new business ventures that the Wisconsin Economic
Development Corporation has verified as first eligible for a tax credit in 2015 (attach separate schedules if more space is needed):
Name of Qualified
Qualified
Date Investment
Total
Made
Investment
New Business Venture
Investment
.00
.00
1a
1a
1a
1a
M
M
D
D
Y
Y
Y
Y
.00
.00
1b
1b
1b
1b
M
M
D
D
Y
Y
Y
Y
.00
.00
1c
1c
1c
1c
M
M
D
D
Y
Y
Y
Y
1d Total qualified investments (add lines 1a through 1c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1d
.00
Multiply the amount on line 1d by 25% (0.25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
.00
2
Fill in the 2015 angel investment credit passed through from angel investment networks:
3
3a Entity Name
FEIN
Amount 3a
.00
3b Entity Name
FEIN
Amount 3b
.00
.00
3c Total pass through credits from additional schedule.
3c
3d Total credits (add lines 3a through 3c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3d
.00
.00
4
Add lines 2 and 3d. This is your 2015 credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Carryover of unused angel investment credit (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . 5
5
.00
.00
6
Add lines 4 and 5. This is the available angel investment credit . . . . . . . . . . . . . . . . . . . . . . . . . 6
IC-039
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