M4
16401
Corporation Franchise Tax Return 2016
Tax year beginning
, 2016, and ending
Name of Corporation/Designated Filer
FEIN
Minnesota Tax ID
Mailing Address
Check if new address
Business Activity Code (from federal)
City
State
ZIP Code
Yes
No
Are you filing a combined income return?
Former Name (if changed since 2015 return)
Is this your final C corporation return? If yes, indicate if:
Federal Consolidated Common Parent Name (if different)
FEIN
Withdrawn
Dissolved
Merged
S corp election
This corporation is (place an X in the boxes that apply):
a co-op
in bankruptcy
Report changes to federal income tax
Has a federal examination been finalized? (list years)
within 180 days of final determination.
If there is a change in tax, you must report
it on Form M4X .
Is a federal examination now in progress? (list years)
You must round amounts
to nearest whole dollar
Tax years and expiration date(s) of federal waivers:
1 Minnesota tax liability (from M4T, line 21) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2
2 Minnesota Nongame Wildlife Fund donation (see instructions, pg. 5) . . . . . . . . . . . . . . . . . . . . .
3 Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
4
4 Enterprise Zone Credit (attach Schedule EPC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5 Historic Structure Rehabilitation Credit (attach credit certificate)
5
and enter NPS project number:
. . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
6 Greater Minnesota Internship Credit (see instructions, pg. 5) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
7 Amount credited from your 2015 return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
8 Total corporate estimated tax payments made for 2016 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
9 2016 extension payment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
10 Add lines 4 through 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
11 Tax due . If line 3 is more than line 10, subtract line 10 from line 3 . . . . . . . . . . . . . . . . . . . . . . .
12
12 Penalty (see instructions, pg. 5) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
13 Interest (see instructions, pg. 5) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
14 Additional charge for underpayment of estimated tax (attach Schedule M15C) . . . . . . . . . . . . . .
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