Form S-229 - Biotechnology Business Certification Request - Wisconsin Department Of Revenue
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3BIOTECHNOLOGY BUSINESS
Wisconsin Department of Revenue
CERTIFICATION REQUEST
Office of Technical Services
PO Box 8933
A business seeking to be certified by the Wisconsin Department
Madison WI 53708-8933
of Revenue as a “Biotechnology Business” must complete this
DORISETechnicalServices@revenue.wi.gov
form and must meet one of the tests in Section C.
A. Business Information
Legal Business Name
FEIN/SSN
DBA (if different than legal name)
WI Tax Number (if applicable)
Street Address (cannot be PO Box)
PO Box
City
State
Zip Code
Person Completing Application
Position
Phone Number
E-Mail
B. Biotechnology Activities
– Check all that apply. See instructions for definitions
Business performs self-funded
Business is engaged in
biotechnology research or development
providing biotechnology services
Business performs grant-funded
Business is engaged in
biotechnology research or development
the production of biotechnology products
C. Qualification Tests
– In order to qualify as a Biotechnology Business, more than 50% of its total business activities must
be devoted to biotechnology during the applicable year. Indicate the year and check one of the tests for the chosen year(s).
Current Tax Year
– Check if business is seeking certification for its current federal income tax year.
Enter the dates of the current federal income tax year for the business.
Beginning Date:
Ending Date:
/
/
/
/
mm dd
yyyy
mm dd
yyyy
Enter the dates of the tax year immediately prior to the tax year above.
Beginning Date:
Ending Date:
/
/
/
/
mm dd
yyyy
mm dd
yyyy
Check one of the tests below. Enter information from the previous tax
Amounts From
year to certify for the current tax year.
Current Tax Year
Previous Tax Year
Test 1 – Gross Receipts
Gross receipts from biotechnology . . . . . . . . . . . . . . . . . . . . . . . . . . .
NA
$
Gross receipts from all activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NA
$
Test 2 – Expenses and Deductions
Expenses and deductions from biotechnology . . . . . . . . . . . . . . . . . .
NA
$
Expenses and deductions from all activities . . . . . . . . . . . . . . . . . . . .
NA
$
Test 3 – Facts and Circumstances
If you do not qualify under Test 1 or Test 2, include the following information with your application:
• Explain how more than half of your business activities are “biotechnology” activities,
• Describe the measure used to determine the percentage of biotechnology activities in which you are
engaged, and
• Provide a summary of all business activities.
S-229 (N. 3-12)
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Parent category: Financial