Forcalendaryear2011ortaxableperiodbeginning |
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2011andending |
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Name of principal reporting corporation |
Federal Identificationnumber |
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3 |
3 |
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Principal address |
City/Town |
State |
Zip |
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Contact person |
Telephone number |
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1Type of group (check one only): 3 
Financial 
Non-financial 
Mixed
2Are you making or are you subject to an affiliated group or worldwide election? 3 
Affiliated group 
Worldwide 
Neither
3If an affiliated group or worldwide election applies, is it a new election for the current year? 3 
Yes 
No
4Is any member of the group requesting alternate apportionment? 3 
Yes 
No
5Is this an amended filing? 3 
Yes 
No
6Is the group or any member deducting interest expense paid to a related entity? 3 
Yes 
No
7Is the group or any member deducting intangible expense paid to a related entity? 3 
Yes 
No
8Does the group have an excluded parent? 3 
Yes 
No
9Has the group elected a Massachusetts adjusted basis for non-taxable members? 3 
Yes 
No
10Is any member currently under audit by the Internal Revenue Service (IRS)? 3 
Yes 
No
11Is any member taking a Massachusetts film credit against its income excise tax? 3
Yes
No
12Is any member taking a life science credit against its income excise tax? 3
Yes
No
13 Last year for which any member was audited by IRS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 13
14 Enter the number of federal disclosure statements filed by members for this tax year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 14
15 Enter the number of Massachusetts taxpayer disclosure statements included with return . . . . . . . . . . . . . . . . . . . . . . . . . . 3 15
16 Total number of taxable members included in the combined report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 16
17 Number of members subject to non-income measure only. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 17
18 Number of non-taxable members in the combined group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 18
19 Number of U.S. Schedules M-3 filed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . 3 19
20 Number of members subject to fiscalization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 20
Excise Tax Calculation
21 |
Total financial institution excise due from members |
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
. . . . . . . . . 3 21 |
22 |
Total utility corporation excise due from members |
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
. . . . . . . . . 3 22 |
23 |
Total business corporation measure of excise due from members. . . |
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
. . . . . . . . . 3 23 |
24 |
Total excise before credits and payments.Add lines 21 through 23. . |
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
. . . . . . . . . . . 24 |
25 |
Credits taken by corporations using their own credits |
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
. . . . . . . . . 3 25 |
26 |
Credits taken under sharing rules |
. . . . . . . . . 3 26 |
27 |
Excise due before voluntary contribution |
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
. . . . . . . . . . . 27 |
28 |
Voluntary contribution for endangered wildlife conservation |
. . . . . . . . . 3 28 |
29 |
Excise due plus voluntary contribution.Add lines 27 and 28 |
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
. . . . . . . . . . . 29 |
30 |
2010 overpayment applied to 2011 tax (from Schedule CG, Part 1, line 2) |
. . . . . . . . . 3 30 |
31 |
Estimated tax payments (group) (from Schedule CG, Part 1, total of lines 3 through 6) |
. . . . . . . . . 3 31 |
32 |
Payment with extension (group) (from Schedule CG, Part 1, line 7) . |
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
. . . . . . . . . 3 32 |
33 |
Pass-through entity withholding (total of all Schedules U-ST, line 42) |
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
. . . . . . . . . 3 33 |
34 |
Total refundable credits (total of all Schedules U-ST, line 43) |
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
. . . . . . . . . 3 34 |
35 |
Other payment or refund for this tax year |
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
. . . . . . . . . 3 35 |
36 |
Total payments for the combined group |
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
. . . . . . . . . . . 36 |
37 |
Amount overpaid. Subtract line 29 from line 36 |
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
. . . . . . . . . . . 37 |
38 |
Amount overpaid to be credited to 2012 estimated tax |
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
. . . . . . . . . 3 38 |
39 |
Amount overpaid to be refunded |
. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . |
. . . . . . . . . 3 39 |
40 |
Balance due. Subtract line 36 from line 29 |
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
. . . . . . . . . . . 40 |
41 |
M-2220 penalty 3 $_______________________; Other penalties 3 |
$ ______________________ |
Total penalty 41 |
42 |
Interest |
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. . . . . . . . .3 42 |
43 |
Excise due plus statutory additions |
. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . |
. . . . . . . . . 3 43 |