Form 1120-Pc - U.s. Property And Casualty Insurance Company Income Tax Return - 2013 Page 7
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87
Form 1120-PC (2013)
Page
Schedule I
Other Information (see instructions)
Yes No
Yes No
1
Check method of accounting:
7
Has the corporation elected to use its own payout
pattern for discounting unpaid losses and unpaid
a
Cash
loss adjustment expenses? .
.
.
.
.
.
.
b
Accrual
c
Other (specify)
▶
8 a
Enter the total unpaid losses shown on the
2
Check box for kind of company:
corporation’s annual statement:
a
Mutual
$
b
Stock
(1) for the current tax year:
$
(2) for the previous tax year:
3
At the end of the tax year, did the corporation own,
b
Enter the total unpaid loss adjustment expenses
directly or indirectly, 50% or more of the voting
shown on the corporation’s annual statement:
stock of a domestic corporation? (For rules of
attribution, see section 267(c).) .
.
.
.
.
.
$
(1) for the current tax year:
$
(2) for the previous tax year:
If “Yes,” attach a statement showing:
(a) name and employer identification number (EIN);
9
Does the corporation discount any of the loss
(b) percentage owned; and (c) taxable income or
reserves shown on its annual statement? .
.
.
(loss) before NOL and special deductions of such
corporation for the tax year ending with or within
your tax year.
10
Enter the amount of tax-exempt interest received or
accrued during the tax year
$
4
Is the corporation a subsidiary in an affiliated group
▶
or a parent-subsidiary controlled group? .
.
.
If “Yes,” enter name and EIN of the parent
11
If the corporation has an NOL for the tax year
corporation
and is electing to forgo the carryback period,
▶
check here .
.
.
.
.
.
.
.
.
.
▶
If the corporation is filing a consolidated return, the
statement
required
by
Regulations
section
5
At the end of the tax year, did any individual,
1.1502-21(b)(3) must be attached or the election
partnership, corporation, estate, or trust own, directly
will not be valid.
or indirectly, 50% or more of the corporation’s voting
stock? (For rules of attribution, see section 267(c).)
If “Yes,” attach a statement showing name and
identifying number. (Do not include any information
12
Enter the available NOL carryover from prior tax
already entered in 4 above.)
years. (Do not reduce it by any deduction on line
36b, Schedule A.) .
.
.
$
Enter percentage owned
▶
▶
6
At any time during the tax year, did one foreign
13
Is the corporation required to file Schedule UTP
person own, directly or indirectly, at least 25% of:
(Form 1120), Uncertain Tax Position Statement (see
(a) the total voting power of all classes of stock of
instructions)?
If
"Yes,"
complete
and
attach
the corporation entitled to vote, or (b) the total value
Schedule UTP .
.
.
.
.
.
.
.
.
.
.
of all classes of stock of the corporation? If “Yes,”
enter:
14
If the corporation is a Blue Cross or Blue Shield
(a) Percentage owned
and (b) Owner’s
▶
organization described in section 833(c)(2), or other
country
▶
organization described in section 833(c)(3), did it
meet the medical loss ratio (MLR) requirements of
(c) The corporation may have to file Form 5472,
section 833(c)(5)? .
.
.
.
.
.
.
.
.
.
Information Return of a 25% Foreign-Owned U.S.
Corporation or a Foreign Corporation Engaged in a
U.S. Trade or Business. Enter number of Forms
5472 attached
▶
1120-PC
Form
(2013)
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