2014 CORPORATION / S CORPORATION

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1 FLGen FL1 Florida Secretary of State document number Separate Florida return was filed for federal consolidated return that paid AMT (C Corp) A member of a Florida consolidated return is subject to AMT (C Corp) Initial return (If different from federal) Final return (If different from federal) Florida statute Section (5) election (1 = Election A, 2 = Election B) Business code (as pertains to Florida) (If different from federal) Controlled group member detail and apportionment of exemption Florida exemption (Force) Part of federal consolidated return: Consolidated return federal employer identification number Name of corporation Federal common parent has sales, property, or payroll in Florida (1 = Yes, 2 = No) Location of corporate books (If not taxpayer's address) Address City, state, zip code Foreign country (Electronic filing only) Member of Florida partnership or joint venture Date of latest IRS audit Years examined Contact person First name (If different from federal) Last name (If different from federal) Telephone number (If different from federal) E mail address (If different from federal) Type of federal return (If different from federal) General footnote

2 FLAdj FL Additions and Subtractions Overflow # 2014 FL5 AMT amounts are C Corp ONLY Additions Undistributed net long-term capital gains...[1] Regular Tax AMT Federal employee benefit plan contribution carryover.... [ 2] # Description (29) Regular Tax [2] AMT [3] Guarantyassociationassessment(s)credit... [4] Other additions....[ 5] # Description (29) Regular Tax [5] AMT [6] Stateincometaxes... [ 7] # Description (29) Federal Amount State Amount Subtractions Foreign dividend expenses (Related to 78 IRC income and 862 IRC dividends)...[8] Section 951 subpart F expenses... [9] Florida employee benefit plan contribution carryover...[ 10] # Description (29) Regular Tax [10] AMT [11] Eligible net income of an international banking facility...[12] Other subtractions....[ 13] # Description (29) Regular Tax [13] AMT [14] Section 108(i) income previously deferred (CCorp)...[ 15] FLAlloc Class Amount [15] # Description (29) A = Adjusted, X = Excluded (Default) Nonbusiness Income [ 1] Nonbusiness income # Loc Description (29) State Allocated (26) Amount I = Instate (Default) O=Outofstate 4CFLADJ 03 01/07/15 CORPORATION / S CORPORATION ExacTax, Inc. FL5

3 FLCr FL Schedule V - Credits Overflow # 2014 FL6 Florida health maintenance organization credit...[1] Capitalinvestmentcredit... [2] Enterprise zone jobs credit (Form F-1156Z)... [3] Communitycontributioncredit... [4] Enterprise zone property tax credit (Form F-1158Z)...[5] Ruraljobtaxcredit... [6] Urbanhighcrimeareajobtaxcredit... [7] Hazardous waste facility tax credit.....[9] Floridaalternativeminimumtax... [10] Contaminated site rehabilitation tax credit...[11] State housing tax credit...[12] Contributions to nonprofit scholarship organizations...[13] Renewable energy technologies investment credit...[14] Florida renewable energy production credit...[15] Newmarketstaxcredit... [16] Entertainment industry tax credit [17] Researchanddevelopmenttaxcredit... [18] Energyeconomiczonetaxcredit... [19] Othercredits... [ 20] # Description (29) Amount [20] Emergency Excise Tax Emergency excise taxcredit... [ 8] # Description (29) Emergency Excise Tax Cr Emergency Excise Tx Cr C/O 4CFLCR 01 01/07/15 CORPORATION / S CORPORATION ExacTax, Inc. FL6

4 FLAmend FL4 Formerly known as Reason for amended return (1 = Amended federal return, 2 = IRS audit adjustment, 3 = Other adjustment) Date of Revenue Agent Report Type of return being amended (1 = F 1120, 2 = F-1120A, 3 = F-1120X) Date last return filed Funds electronically transmitted Explanation of changes Transfer original information Federal taxable income State income taxes deducted Additions to federal taxable income Subtractions from federal taxable income Florida portion of adjusted federal income Nonbusiness income allocated to Florida Florida exemption Tax due Credits against tax Penalty and interest Tax paid with or after return Credit shown on last return or as later adjusted Refund shown on last return or as later adjusted Penalty F 2220 Interest F 2220 Penalty other Interest other Overpayment credited to estimated tax Apply to tax year (If not next year) Overpayment offset

5 FLNOL FL Florida Income (Loss) Adjustments To Net Operating Loss Prior Year (Income Offset) NOL Utilized Net operating loss footnote Use these fields to calculate the consolidated net operating loss deduction (Applies to consolidated clients only) Florida Excess Contributions (Consolidated clients only) Prior Year Utilization or Reclassed to NOL

6 FLCO FL Prior Year Loss Utilized (Gain Offset) Use these fields to calculate the consolidated capital loss deduction (Applies to consolidated clients only) Factors are used in the calculation of net capital loss and are displayed on the net operating loss and charitable contributions worksheets Ent er amount s as x.xxxxxx

7 FLPmt FL7 Prior year overpayment Total, or Treat calculated amounts as paid Specific payments if unequal or not timely: 1st payment 2nd payment 3rd payment 4th payment 5th payment Date Paid Amount Paid Calculated Amount Paid with extension (For page 1 of return) Extension signature (1 = Officer, 2 = Preparer) Reason for extension Extended due date (For filing instructions, penalties and interest calculations) Balance due on extension (Force)

8 FLEst FL8 Application of current year overpayment 1 = Refund 100% of overpayment 2 = Apply 100% of overpayment to next year's estimates; refund excess 3 = Apply to first estimate; refund excess 4 = Apply equally to each estimate; refund excess Amount for code #5 or #8 5 = Apply amount specified below to estimates until exhausted; refund excess 6 = Apply to first and second estimates; refund excess 7 = Apply 100% of overpayment to next year's estimates; no refund 8 = Apply amount below Form F 1120 ES declaration for next year 1 = Use current year liability, if less than $2,500 use zero 2 = Use current year liability adjusted by amount below 5 = Use amounts entered below, before overpayment 9 = Use amounts entered below (If applying overpayment, only use code 7 or 8) 3 = Use current year liability even if less than $2,500 Amount for code #2 Amounts for code #5, #9 or next year estimates paid: 1st payment 2nd payment 3rd payment 4th payment Number of estimates desired Amount to round up each estimate Amounts for Code #5 or #9 Next Year Estimates Paid

9 FLCAdj FL

10 FLAffil FL10 Member name Member address Member city, state, zip code Member foreign country (Electronic filing only) Date incorporated Place incorporated Member federal employer identification number Member business code (as pertains to Florida) Required to file Form F 1122 (If different from federal) Member added Member deleted Corporations comprise an affiliated group per IRC Section 1504(a) (1 = Yes, 2 = No) Florida consolidated group is different from the federal consolidated group

11 FLPOA FL11A Florida tax registration number (xx-xx-xxxxxx-xx) Contact name Contact phone number Contact fax number Additions or deletions to authorized acts Authorized for receipt of refund checks (First representative will be noted as recipient) Send notices to first representative, copies to taxpayer No notices sent to representative Revoking prior power of attorney Representative #1 / Reemployment tax agent name Representative address City, state, zip code address Telephone number Fax number Cell number Designation Jurisdiction Representative #2 name Representative address City, state, zip code address Telephone number Fax number Cell number Designation Jurisdiction Representative #3 name Representative address City, state, zip code address Telephone number Fax number Cell number Designation Jurisdiction Type of Tax Year(s) or Period(s) Tax Matter(s)

12 FLPOA2 FL11B Tax agent number Firm name Firm address (if different from representative #1) City, state, zip code Telephone number FEIN Mail type (1 = Primary, 2 = Reporting, 3 = Rate, 4 = Claim)

13 FLSRLY FL13 Enter an X to indicate a separate return limitation year. The program uses this information to calculate net operating loss and capital loss carryover amounts for consolidated returns Member's cumulative contribution to consolidated taxable income (Force) Member's cumulative contribution to consolidated capital gain (Force)

14 FLPen FL14 Date return filed (If different from original due date of return) Prior year tax Tax on prior year's income using current year's rates Suppress penalties on return: Underpayment of estimated tax Late interest Failure to file Extension underpayment

15 FLBank FL18 Name of financial institution Routing transit number Account number Type of account (1 = Checking, 2 = Savings) Non US financial institution

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