M4 Corporation Franchise Tax Return 2016

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1 M Corporation Franchise Tax Return 0 0 Tax year beginning, 0, and ending Name of Corporation/Designated Filer FEIN Minnesota Tax ID Mailing Address Check if new address Print or Type City State ZIP Code Former Name (if changed since 0 return) Federal Consolidated Common Parent Name (if different) FEIN Business Activity Code (from federal) Are you filing a combined income return? Yes No Is this your final C corporation return? If yes, indicate if: Withdrawn Dissolved Merged S corp election This corporation is (place an X in the boxes that apply): a co-op in bankruptcy Has a federal examination been finalized? (list years) Is a federal examination now in progress? (list years) Tax years and expiration date(s) of federal waivers: Minnesota tax liability (from MT, line )... Minnesota Nongame Wildlife Fund donation (see instructions, pg. )... Add lines and... Enterprise Zone Credit (attach Schedule EPC)... Report changes to federal income tax within 80 days of final determination. If there is a change in tax, you must report it on Form MX. You must round amounts to nearest whole dollar Tax, Payments and Credits Historic Structure Rehabilitation Credit (attach credit certificate) and enter NPS project number: Greater Minnesota Internship Credit (see instructions, pg. )... Amount credited from your 0 return... 8 Total corporate estimated tax payments made for extension payment Add lines through... Tax due. If line is more than line 0, subtract line 0 from line... Penalty (see instructions, pg. ) Interest (see instructions, pg. ).... Additional charge for underpayment of estimated tax (attach Schedule MC) Continued next page

2 M, page Corporation Franchise Tax Return 0 (continued) 0 Name of Corporation/Designated Filer FEIN Minnesota Tax ID AMOUNT DUE. If you entered an amount on line, add lines through. Payment Method: Electronic (see inst., pg. ), or Check (see inst., pg. )... Amount Due or Overpaid Overpayment. If line 0 is more than the sum of lines and, subtract line and line from line 0. If line 0 is less than the sum of lines and, see instructions, pg.... Amount of line to be credited to your 0 estimated tax... 8 REFUND. Subtract line from line... 8 If you have a refund, you must enter your banking information below. Account Type: Routing Number Account Number (use an account not associated with any foreign banks) Checking Savings Sign Here I declare that this return is correct and complete to the best of my knowledge and belief. Authorized Signature Title Date Daytime Phone Signature of Preparer PTIN Date Daytime Phone Print name of person to contact within corporation to discuss this return Title Daytime Phone I authorize the Minnesota Department of Revenue to discuss this tax return with the preparer. Attach a complete copy of your federal return including schedules as filed with the IRS. If you re paying by check, see inst., pg.. Mail to: Minnesota Revenue, Mail Station 0, St. Paul, MN -0

3 MI Income Calculation 0 See instructions beginning on page. Name of Corporation/Designated Filer FEIN Minnesota Tax ID Income Federal taxable income before net operating loss deduction and special deductions (from federal Form 0, line 8, or see inst., pg. ).... Additions to income a Federal deduction taken for taxes based on net income and minimum fee.... a You must round amounts to nearest whole dollar b Federal deduction for capital losses (IRC sections and )... b c Interest income exempt from federal income tax... c d Exempt interest dividends (IRC section 8[b][]).... d e Losses from mining operations subject to occupation tax... e Additions to Income f Federal deduction for percentage depletion (IRC sections - and )... g Federal bonus depreciation and suspended loss (IRC section 8[k]).... h Domestic production activities deduction... f g h i Eighty percent of excess IRC section deduction... i j Fines, fees and penalties deducted federally as a trade or business expense... j k Addition The need due for to line federal k has changes been eliminated. not adopted Leave by Minnesota blank.... k Total additions (add lines a through j)... Total (add lines and )... Continued next page

4 MI, page Income Calculation 0 (continued) See instructions beginning on page. Name of Corporation/Designated Filer FEIN Minnesota Tax ID Subtractions From Income Apportionable Income Subtractions from income a Refund of taxes based on net income included in federal taxable income... b Minnesota deduction for capital losses.... c Sum of research expenses, IRC sections A(a) and salary expenses, disability access expenditures, and IRC section G(a) railroad track maintenance expenses disallowed for federal tax purposes (attach schedule).... d Foreign dividend gross-up required under IRC section 8... e Expenses relating to income taxable by Minnesota, but federally exempt.... f Dividends paid by a bank to the U.S. government on preferred stock.... g Income/gains from mining operations subject to the occupation tax.... h Deduction for cost depletion.... i Minnesota depreciation for pre-8 certified pollution control facilities... j Subtraction for prior bonus depreciation addback... k Subtraction for prior IRC section addback... l Subtraction for prior addback of reacquisition of indebtedness income... m Subtraction The need for due line to m federal has been changes eliminated. not adopted Leave by blank. Minnesota... Total subtractions (add lines a through l)... Intercompany eliminations (attach schedule)... Add lines and... Minnesota net income (subtract line from line )... 8 Total nonapportionable income (see instructions, pg. ; attach schedule)... Minnesota apportionable income (subtract line 8 from line ). Enter on MT, line.... a b c d e f g h i j k l m 8

5 MA Apportionment/Fee Calculation 0 B B B Single/Designated Filer Corporation Name FEIN Minnesota Tax ID A Total in and outside Minnesota In Minnesota In Minnesota In Minnesota Minnesota Payroll and Property Sales/ Apportionment Minimum Fee Average inventory... Average tangible property and land owned/used (at original cost)... Capitalized rents (gross rents x 8)... Total property (add lines, and )... Payroll/officer s compensation... MN sales or receipts... MN sales of non-filing entities (see instructions pg. )... 8 Sales or receipts (add lines and ) (Financial institutions: see inst., pg. ). 8 Minnesota apportionment factor (divide each line 8B amount by line 8A; carry to six decimal places)... Enter amounts on MT, line. MINIMUM FEE CALCULATION (see inst., pg. 0) 0 Adjustments (see inst., pg. 0; attach schedule)... Add lines,, 8 and 0... Minimum fee (see table below)... Enter amounts on MT, line. 0 If the amount Enter this amount If the amount Enter this amount on line is: on line : on line is: on line : less than $0, $0 $,0,000 to $,,... $,0 $0,000 to $,,... $00 $,80,000 to $8,,... $,880 $,0,000 to $,8,... $80 $8,0,000 or more... $,0

6 MT Tax Calculation 0 B B B Single/designated filer Corporation Name FEIN Minnesota Tax ID Minnesota apportionable income (enter amount from MI, line, in each column)... Income Deductions From Income Tax Credits Against Tax Tax Liability Apportionment factor (from MA, line )... Net income apportioned to Minnesota (multiply line by line )... Minnesota nonapportionable income (see inst., pg., and attach schedule).... Taxable net income (add lines and )... Net operating loss deduction (from NOL).... Subtract line from line Deduction for dividends received a Amount from DIV, line... 8a b Multiply line 8a by line above for each column... Taxable income (subtract line 8b from line )... 0 Regular tax (multiply line by 0.08; if zero or less, enter zero)... Alternative minimum tax (AMT) (from AMTT, line 0)... Add lines 0 and.... AMT credit (from AMTT, line ) Subtract line from line... Minnesota credit for increasing research activities (from RD, line )... Subtract line from line... Minimum fee (from MA, line ) Tax liability by corporation (add lines and )... Employer Transit Pass Credit (from ETP, line ) Subtract line from line 8 (if zero or less, enter zero)... Add all amounts on line 0. This is your MINNESOTA TAX LIABILITY... Enter on M, line. 8b 0 8 0

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