Form 4577 - Michigan Business Tax Schedule Of Shareholders And Officers

Form 4577 - Michigan Business Tax Schedule Of Shareholders And Officers - 2012 Page 2

4577, Page 2

FEIN or TR Number

UBG Member FEIN or TR Number

PART 2: LIST OF FAMILY MEMBERS AND THEIR CORRESPONDING RELATIONSHIP TYPE

Using the same Member Number references from Part 1, indicate your attributable family relationship (if any) to each shareholder.

(An attributable family relationship is defined as either a spouse, parent, child or grandchild.)

•

If an attributable family relationship exists, designate in columns P through S

•

If no attributable family relationship exists, check box in column T.

2. O

Check (X) if

Member

No Attributable

Number

Spouse

Parent

Child

Grandchild

Relationship

PART 3: SMALL BUSINESS ALTERNATIVE CREDIT

See instructions for definition of active shareholder.

3. Compensation and director fees of active shareholders. Add amounts in column L for each active

shareholder. Enter here and on Form 4571, line 6 .............................................................................

4. Compensation and director fees of officers. Add amounts in column L for each officer who is not

an active shareholder. Enter here and on Form 4571, line 7..............................................................

0000 2012 47 02 27 5

Form 4577 - Michigan Business Tax Schedule Of Shareholders And Officers - 2012 Page 2