Form 1120-Pc - Net Income (Loss) Reconciliation For U.s. Property And Casualty Insurance Companies With Total Assets Of 10 Million Dollars Or More - 2012 Page 2

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2
Schedule M-3 (Form 1120-PC) 2012
Page
Employer identification number
Name of corporation (common parent, if consolidated return)
Check applicable box(es):
(1)
Consolidated group
(2)
Parent corp
(3)
Consolidated eliminations
(4)
Subsidiary corp
(5)
Mixed 1120/L/PC group
Check if a sub-consolidated:
(6)
1120-PC group
(7)
1120-PC eliminations
Name of subsidiary (if consolidated return)
Employer identification number
Part II
Reconciliation of Net Income (Loss) per Income Statement of Includible Corporations With
Taxable Income per Return (see instructions)
(a)
(b)
(c)
(d)
Income (Loss) Items
Income (Loss) per
Temporary
Permanent
Income (Loss)
(Attach
s for lines 1 through 11)
statement
Income Statement
Difference
Difference
per Tax Return
1
Income (loss) from equity method foreign corporations
2
Gross foreign dividends not previously taxed .
.
.
3
Subpart F, QEF, and similar income inclusions
.
.
4
Section 78 gross-up
.
.
.
.
.
.
.
.
.
.
.
5
Gross foreign distributions previously taxed
.
.
.
6
Income (loss) from equity method U.S. corporations .
.
7
U.S. dividends not eliminated in tax consolidation
.
8
Minority interest for includible corporations .
.
.
.
9
Income (loss) from U.S. partnerships .
.
.
.
.
.
10
Income (loss) from foreign partnerships .
.
.
.
.
11
Income (loss) from other pass-through entities
.
.
12
Items relating to reportable transactions (attach
statement)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
13
Interest income (attach Form 8916-A)
.
.
.
.
.
14
Hedging transactions .
.
.
.
.
.
.
.
.
.
.
15
Mark-to-market income (loss) .
.
.
.
.
.
.
.
16
Premium income (attach statement) .
.
.
.
.
.
17
Sale versus lease (for sellers and/or lessors)
.
.
.
18
Section 481(a) adjustments .
.
.
.
.
.
.
.
.
19
Income from a special loss discount account .
.
.
20
Income recognition from long-term contracts .
.
.
21
Original issue discount and other imputed interest
.
22
Reserved for future use .
.
.
.
.
.
.
.
.
.
23a Income statement gain/loss on sale, exchange,
abandonment, worthlessness, or other disposition of
assets other than pass-through entities .
.
.
.
.
b Gross capital gains from Schedule D, excluding
amounts from pass-through entities .
.
.
.
.
.
c Gross capital losses from Schedule D, excluding
amounts from pass-through entities, abandonment
losses, and worthless stock losses
.
.
.
.
.
.
d Net gain/loss reported on Form 4797, line 17,
excluding
amounts
from
pass-through
entities,
abandonment losses, and worthless stock losses
.
e Abandonment losses .
.
.
.
.
.
.
.
.
.
.
f
Worthless stock losses (attach statement) .
.
.
.
g Other gain/loss on disposition of assets .
.
.
.
.
24
Capital loss limitation and carryforward used .
.
.
25
Other income (loss) items with differences (attach statement)
26
Total income (loss) items. Combine lines 1 through 25
27
Total expense/deduction items (from Part III, line 41)
28
Other items with no differences
.
.
.
.
.
.
.
29a Mixed groups, see instructions. All others, combine
lines 26 through 28
.
.
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.
.
.
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.
.
.
b 1120 subgroup reconciliation totals
.
.
.
.
.
.
c Life insurance subgroup reconciliation totals
.
.
.
30
Reconciliation totals. Combine lines 29a through 29c
Note. Line 30, column (a) must equal the amount on Part I, line 11, and column (d) must equal Form 1120-PC, Schedule A, line 35.
Schedule M-3 (Form 1120-PC) 2012

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