Form 5713 - International Boycott Report Page 2
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Form 5713 (Rev. 12-2010)
Page
Yes No
7 a Are you a U.S. shareholder (as defined in section 951(b)) of any foreign corporation (including a FSC that does not
use the administrative pricing rules) that had operations reportable under section 999(a)?
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b If the answer to question 7a is “Yes,” is any foreign corporation a controlled foreign corporation (as defined in
section 957(a))? .
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c Do you own any stock of an IC-DISC?
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d Do you claim any foreign tax credit? .
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e Do you control (within the meaning of section 304(c)) any corporation (other than a corporation included in this
report) that has operations reportable under section 999(a)? .
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If “Yes,” did that corporation participate in or cooperate with an international boycott at any time during its tax
year that ends with or within your tax year?
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f
Are you controlled (within the meaning of section 304(c)) by any person (other than a person included in this
report) who has operations reportable under section 999(a)? .
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If “Yes,” did that person participate in or cooperate with an international boycott at any time during its tax year
that ends with or within your tax year?
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g Are you treated under section 671 as the owner of a trust that has reportable operations under section 999(a)? .
h Are you a partner in a partnership that has reportable operations under section 999(a)? .
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Are you a foreign sales corporation (FSC) (as defined in section 922(a), as in effect before its repeal)?
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Are you excluding extraterritorial income (defined in section 114(e), as in effect before its repeal) from
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gross income? .
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Part I
Operations in or Related to a Boycotting Country (see instructions)
8
Yes No
Boycott of Israel—Did you have any operations in or related to any country (or with the government, a company,
or a national of that country) associated in carrying out the boycott of Israel which is on the list maintained by the
Secretary of the Treasury under section 999(a)(3)? (See Boycotting Countries in the instructions.) .
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If “Yes,” complete the following table. If more space is needed, attach additional sheets using the exact format and check
this box
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▶
Principal business activity
IC-DISCs
Name of country
Identifying number of
only—Enter
person having operations
Code
Description
product code
(2)
(1)
(3)
(4)
(5)
a
b
c
d
e
f
g
h
i
j
k
l
m
n
o
5713
Form
(Rev. 12-2010)
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