Form 4577 - Michigan Business Tax Schedule Of Shareholders And Officers - 2012 Page 4

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is an active shareholder, do not include in Column G any
Columns I, J, and K: Fiscal Year Filers: See “Supplemental
stock ownership attributed to this person from another
Instructions for Standard Fiscal MBT Filers” in Form 4600.
active shareholder. See definition of active shareholders in
Column J: Enter salaries, wages, and director fees that are
the Part 3 instructions. For the purposes of determining
attributable to each shareholder or C Corporation officer.
disqualification for the Small Business Alternative Credit, an
Compensation paid by a professional employer organization to
active shareholder’s share of business income is not attributed
the officers of a client (if the client is a C Corporation) and to
to another active shareholder.
employees of the professional employer organization who are
exAmpLe: In this case, the husband and daughter are
assigned or leased to and perform services for a client must be
active shareholders because compensation, director fees, or
included in determining the eligibility of the client for this credit.
dividends from the business are greater than $10,000. The wife
Note: If a shareholder owned stock for less than the entire
and son are not active because compensation, director fees, or
tax year of the corporation, or an officer served as an officer
dividends from the business are less than $10,000.
less than the entire tax year, report only the salaries, wages
and director fees attributable while serving as an officer
Stock Percentage
or shareholder. These amounts must be annualized when
Column E
Column F
Column G
determining disqualifiers, but should be reported as actual
Husband
100%
70%
amounts on this form.
40%
(active)
(all shareholders)
(husband/wife/son)
Note: All compensation must be included, whether or not the
Wife
100%
100%
shareholder or C Corporation officer worked in Michigan.
10%
(inactive)
(all shareholders)
(all shareholders)
Column K: Enter employee insurance payments and pensions
Son
70% (husband/
70%
20%
that are attributable to each shareholder or C Corporation officer.
(inactive)
wife/son)
(husband/wife/son)
Note: If a shareholder owned stock for less than the entire tax
Daughter
80% (husband/
40%
30%
(active)
wife/daughter)
(wife/daughter)
year of the corporation, or an officer served as an officer less
than the entire tax year, report only the employee insurance
Column I: Enter total dividends received by each shareholder
payments, and pensions that are attributable while serving as
an officer or shareholder. These amounts must be annualized
during the tax year from this business (used to determine active
when determining disqualifiers, but should be reported as actual
shareholders). This includes regular distributions for an S
Corporation.
amounts on this form.
ATTRIBUTION ExAMPLE:
Larry David Stone
Husband of Betty Stone, Father of Mary Stone, Stepfather of Tammie Rock, Step Grandfather of Kathy Rock
Betty Ann Stone
Daughter of Bob Pebble, Wife of Larry Stone, Mother of Tammie Rock, Stepmother of Mary Stone, Grandmother of Kathy Rock
Mary Elizabeth Stone
Daughter of Larry Stone, Stepdaughter of Betty Stone
Daughter of Betty Stone, Stepdaughter of Larry Stone, Spouse of Steve Rock, Mother of Kathy Rock, Granddaughter of
Tammie Marie Rock
Bob Pebble
Steve Carl Rock
Spouse of Tammie Rock, Father of Kathy Rock, Brother of Mike Rock
Kathy Evelyn Rock
Daughter of Tammie and Steve Rock, Granddaughter of Betty Stone, Step Granddaughter of Larry Stone
Mike Joseph Rock
Brother of Steve Rock
Bob Kenneth Pebble
Father of Betty Stone, Grandfather of Tammie Rock
Terry Robert Marble
Friend
Part 1: Shareholders and officers - See instructions
Part 2: List of family members and their corresponding relationships
1.
A
B
2.
O
P
Q
R
S
T
Name of shareholder (including corporation, trust,
Check (X) if
or partnership), officer, or family member receiving
Member
Member
No Attributable
Number
compensation from the business (Last, First, Middle)
Number
Spouse
Parent
Child
Grandchild
Relationship
Stone, Larry David
1
1
2
3
Stone, Betty Ann
2
2
1
8
4
6
Stone, Mary Elizabeth
3
3
1
4
Rock, Tammie Marie
4
5
2
6
Rock, Steve Carl
5
5
4
6
Rock, Kathy Evelyn
6
6
4-5
7
Rock, Mike Joseph
7
X
Pebble, Bob Kenneth
8
8
2
4
Marble, Terry Robert
9
9
X
100

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