Form 5452 - Corporate Report Of Nondividend Distributions
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45452
Corporate Report of Nondividend Distributions
Form
OMB No. 1545-0205
For calendar year ending December 31,
(Rev. December 2006)
Department of the Treasury
Attach to the corporation’s income tax return.
Internal Revenue Service
Name
Employer identification number
A
Has the corporation filed a Form 5452 for a prior calendar year?
Yes
No
If “Yes,” enter the applicable year(s)
B
Are any of the distributions part of a partial or complete liquidation?
Yes
No
If “Yes,” attach explanation.
C
Earnings and Profits (See Supporting
D
Shareholders at Date of Last Dividend
Information in instructions.)
Payment
Number of individuals
Accumulated earnings and profits
Number of partnerships
(since February 28, 1913) at the
beginning of the tax year
$
Number of corporations and other
shareholders
Actual earnings and profits for the
current tax year
$
E Corporate Distributions (see instructions)
Amount Paid During
Amount Paid During Calendar Year From Earnings & Profits
Total Amount Paid
Calendar Year From
Amount
Since February 28, 1913
Percent
Percent
(Common (C),
Other Than Earnings
Date Paid
Per
Taxable
Nontaxable
Preferred (P),
Share
From the
& Profits Since
Accumulated
Total
Other (O))
Current Year
February 28, 1913
%
$
%
$
$
$
$
$
Totals
$
$
$
$
$
5452
For Paperwork Reduction Act Notice, see the instructions.
Form
(Rev. 12-2006)
Cat. No. 11881T
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