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SCHEDULE K                              Shareholder’s Statement of IC-DISC Distributions—2008                                                OMB No. 1545-0938
(Form 1120-IC-DISC)                                                 For calendar year 2008 or tax year
                                                                                                                                       COPY A—Attach to
                                       beginning                              , 2008, ending                         , 20
                                                                                                                                       Form 1120-IC-DISC
Department of the Treasury
                                             (Complete for each shareholder. See instructions on back of Copy C.)
Internal Revenue Service

 Part I           Taxable Distributions
                                                                                                                                        1a
 1     Deemed distributions: a Under section 995(b)(1)
                                                                                                                                        1b
                               b Annual installment under section 995(b)(2)
                                                                                                                                        1c
                               c Total. Add lines 1a and 1b
                                                                                                                                         2
 2     Actual taxable distributions
 3     Total taxable distributions. Add line 1c and line 2. Enter here and in Section A or B below                                       3
Section A—C Corporations
                                                                                                                                        4a
 4a Part of line 3 above entitled to section 243 dividends-received deduction
  b Part of line 3 above not entitled to section 243 dividends-received deduction                                                       4b
Section B—Shareholders Other Than C Corporations
 5     Amount of taxable dividends included on line 3                                                                                    5
                  Nontaxable Distributions
Part II
                                                                                                                                         6
 6     Actual distributions from previously taxed income and accumulated pre-1985 DISC income
                                                                                                                                         7
 7     Other actual nontaxable distributions
 8     Total nontaxable distributions. Add lines 6 and 7                                                                                 8
 Part III         Other Information
                                                                                                                                         9
 9     Accumulated IC-DISC income attributable to stock sold during the year
10     Deferred DISC income. See instructions                                                                                           10
                                                                                         Name, employer identification number, and address (including ZIP code)
Shareholder’s name, identifying number, and address (including ZIP code)                 of IC-DISC, former DISC, or former IC-DISC




For Paperwork Reduction Act Notice, see the instructions for Form 1120-IC-DISC.                                             Schedule K (Form 1120-IC-DISC) 2008
                                                                                           Cat. No. 11474A
SCHEDULE K                           Shareholder’s Statement of IC-DISC Distributions—2008                                               OMB No. 1545-0938
(Form 1120-IC-DISC)                                                                                                                      COPY B—
                                                              For calendar year 2008 or tax year
                                                                                                                                     For Shareholder’s
                                    beginning                          , 2008, ending                            , 20
Department of the Treasury
                                                                                                                                          records
Internal Revenue Service

 Part I           Taxable Distributions
                                                                                                                                    1a
 1     Deemed distributions: a Under section 995(b)(1)
                                                                                                                                    1b
                               b Annual installment under section 995(b)(2)
                                                                                                                                    1c
                               c Total. Add lines 1a and 1b
                                                                                                                                     2
 2     Actual taxable distributions
 3     Total taxable distributions. Add line 1c and line 2. Enter here and in Section A or B below                                   3
Section A—C Corporations
                                                                                                                                    4a
 4a Part of line 3 above entitled to section 243 dividends-received deduction
  b Part of line 3 above not entitled to section 243 dividends-received deduction                                                   4b
Section B—Shareholders Other Than C Corporations
 5     Amount of taxable dividends included on line 3                                                                                5
                  Nontaxable Distributions
Part II
                                                                                                                                     6
 6     Actual distributions from previously taxed income and accumulated pre-1985 DISC income
                                                                                                                                     7
 7     Other actual nontaxable distributions
 8     Total nontaxable distributions. Add lines 6 and 7                                                                             8
 Part III         Other Information
                                                                                                                                     9
 9     Accumulated IC-DISC income attributable to stock sold during the year
10     Deferred DISC income. You must complete Form 8404—see instructions                                                           10
                                                                                     Name, employer identification number, and address (including ZIP code)
Shareholder’s name, identifying number, and address (including ZIP code)             of IC-DISC, former DISC, or former IC-DISC




                                                                                                                        Schedule K (Form 1120-IC-DISC) 2008
                                                                           Cat. No. 11474A
received a distribution with respect to that
Instructions for Shareholder                        Line 5. If you are an individual, partnership,
                                                                                                        stock, you may be able to treat part of that
                                                    S corporation, estate, or trust, line 5 shows
Section references are to the Internal                                                                  distribution as a nontaxable distribution. See
                                                    the amount of line 3 distributions taxable to
Revenue Code.                                                                                           section 996(d) for details.
                                                    you as a dividend.
Purpose of Form. Copy B of Schedule K                  For a tax-exempt entity, treat any deemed        Part II—Nontaxable Distributions
(Form 1120-IC-DISC) reports an actual or            distribution or actual distribution of previously
deemed distribution from an IC-DISC, former                                                             Actual distributions from previously taxed
                                                    untaxed income as derived from the conduct
IC-DISC, or former DISC. It also reports                                                                income and accumulated pre-1985 DISC
                                                    of an unrelated trade or business.
deferred DISC income from an IC-DISC.                                                                   income are generally not taxable to the extent
                                                    Disposing of IC-DISC stock. If you disposed
Keep it for your records; do not file it with                                                           of your basis in the stock for which the
                                                    of stock in an IC-DISC, former IC-DISC, or
your income tax return.                                                                                 distribution was made. Except for
                                                    former DISC, you may need to include all or         distributions of accumulated IC-DISC income
Part I—Taxable Distributions                        part of the gain in your income. The gain,          and of earnings and profits from the time
                                                    reported as a dividend under section 995(c),
Report as distributions from an IC-DISC:                                                                before the corporation became an IC-DISC,
                                                    is included to the extent of accumulated            actual distributions are not taxable to the
   1. Deemed and actual taxable distributions       IC-DISC income attributable to the stock            extent of your basis in the stock for which the
and                                                 while you held it (line 9). This dividend is not    distribution was made. Treat distributions in
   2. Gain, to the extent of accumulated            eligible for the section 243 deduction.             excess of your basis as a gain from the sale
IC-DISC income, on the sale of stock (see              For a tax-exempt entity, treat the gain          or exchange of property. See section 996(e).
Disposing of IC-DISC Stock below).                  under section 995(c) as derived from the
                                                                                                        Part III—Other Information
Line 1—Deemed distributions. You are                conduct of an unrelated trade or business.
treated as having received deemed                                                                       Line 10—Deferred DISC income. Line 10
                                                       Foreign shareholders treat all gains on the
distributions (line 1c) as of the last day of the                                                       shows your share of the IC-DISC’s deferred
                                                    disposition of stock in an IC-DISC, former
IC-DISC tax year. You must pay tax on the                                                               income for the year. Section 995(f) imposes
                                                    IC-DISC, or former DISC, and all distributions
distributions in your tax year that includes                                                            an interest charge on the additional tax you
                                                    from accumulated IC-DISC income or
that date.                                                                                              would pay if you included this deferred
                                                    accumulated pre-1985 DISC income,
                                                                                                        income in your income for your tax year that
Line 2—Actual taxable distributions. You            including deemed distributions, as effectively
                                                                                                        ends with or includes the IC-DISC’s tax year
must pay tax on actual taxable distributions        connected with the conduct of a trade or
                                                                                                        end shown on Schedule K. Complete Form
in the year of receipt.                             business through a permanent establishment
                                                                                                        8404, Interest Charge on DISC-Related
                                                    within the United States. See section 996(g)
Line 4. Line 4a shows the part of the total
                                                                                                        Deferred Tax Liability, to figure the interest
                                                    for details.
taxable distribution on line 3 that qualifies for
                                                                                                        charge.
the 70% or 80% dividends-received                   Acquiring IC-DISC stock. If you acquired
deduction under section 243. Line 4b shows          stock in an IC-DISC and subsequently
the part that does not qualify for the
deduction.


                                                                                                             Schedule K (Form 1120-IC-DISC) 2008
SCHEDULE K                           Shareholder’s Statement of IC-DISC Distributions—2008                                               OMB No. 1545-0938
(Form 1120-IC-DISC)                                           For calendar year 2008 or tax year
                                                                                                                                         COPY C—
                                    beginning                          , 2008, ending                            , 20
                                                                                                                                   For IC-DISC’s records
Department of the Treasury
                                         (Complete for each shareholder. See instructions on back of Copy C.)
Internal Revenue Service

 Part I           Taxable Distributions
                                                                                                                                    1a
 1     Deemed distributions: a Under section 995(b)(1)
                                                                                                                                    1b
                               b Annual installment under section 995(b)(2)
                                                                                                                                    1c
                               c Total. Add lines 1a and 1b
                                                                                                                                     2
 2     Actual taxable distributions
 3     Total taxable distributions. Add line 1c and line 2. Enter here and in Section A or B below                                   3
Section A—C Corporations
                                                                                                                                    4a
 4a Part of line 3 above entitled to section 243 dividends-received deduction
  b Part of line 3 above not entitled to section 243 dividends-received deduction                                                   4b
Section B—Shareholders Other Than C Corporations
 5     Amount of taxable dividends included on line 3                                                                                5
                  Nontaxable Distributions
Part II
                                                                                                                                     6
 6     Actual distributions from previously taxed income and accumulated pre-1985 DISC income
                                                                                                                                     7
 7     Other actual nontaxable distributions
 8     Total nontaxable distributions. Add lines 6 and 7                                                                             8
 Part III         Other Information
                                                                                                                                     9
 9     Accumulated IC-DISC income attributable to stock sold during the year
10     Deferred DISC income. See instructions                                                                                       10
                                                                                     Name, employer identification number, and address (including ZIP code)
Shareholder’s name, identifying number, and address (including ZIP code)             of IC-DISC, former DISC, or former IC-DISC




                                                                                                                        Schedule K (Form 1120-IC-DISC) 2008
                                                                           Cat. No. 11474A
Line 4a. Enter on line 4a each shareholder’s      (3) other earnings and profits. The total of this
Instructions for IC-DISC
                                                 amount of dividends out of other earnings         line for all shareholders should equal the total
Section references are to the Internal           and profits that are eligible for the             nontaxable income reported on Form
Revenue Code.                                    dividends-received deduction under section        1120-IC-DISC, Schedule J, Part IV, line 4d.
                                                 243. No dividends-received deduction is
General Instructions                                                                               Part III—Other Information
                                                 allowed for a dividend from an IC-DISC,
                                                 former IC-DISC, or former DISC if it is—
Complete Schedule K (Form 1120-IC-DISC)                                                            Line 9. If (1) a shareholder disposes of stock
for each shareholder who had an actual or        1. Paid out of accumulated IC-DISC income         in an IC-DISC or former DISC or (2) the stock
deemed distribution during the tax year or to    or accumulated pre-1985 DISC income;              of an IC-DISC, former IC-DISC, or former
whom the corporation is reporting deferred                                                         DISC is disposed of in a transaction that
                                                 2. Paid out of previously taxed income; or
DISC income for the tax year. Attach Copy A                                                        terminates the separate corporate existence
                                                 3. A deemed distribution under section
to Form 1120-IC-DISC. Give Copy B to the                                                           of an IC-DISC, former IC-DISC, or former
                                                 995(b)(1).
shareholder by the last day of the second                                                          DISC (other than a mere change in the place
month after your tax year ends. Keep Copy C      Line 5. Complete for shareholders that are        of organization), enter on line 9 the
for your records.                                individuals, partnerships, S corporations,        accumulated IC-DISC income attributable to
                                                 estates, or trusts. Enter on line 5 each
Note. Do not report on Form 1099-DIV actual                                                        the stock that was accumulated during the
                                                 shareholder’s pro rata share of taxable
and deemed distributions or deferred DISC                                                          period the shareholder held the stock.
                                                 dividends included on line 3.
income.                                                                                            Line 10. Enter the shareholder’s share of the
                                                                                                   corporation’s deferred DISC income at tax
                                                 Part II—Nontaxable Distributions
Specific Instructions                                                                              year end. See section 995(f) and the
                                                                                                   instructions for Schedule J, Part V, in the
                                                 Line 6. Enter the shareholder’s pro rata share
Part I—Taxable Distributions                                                                       Instructions for Form 1120-IC-DISC for
                                                 of actual distributions from previously taxed
Line 1. On line 1a, enter the shareholder’s                                                        information on figuring deferred DISC income.
                                                 income and distributions from accumulated
pro rata share of the deemed distributions                                                         The total of this line for all shareholders
                                                 pre-1985 DISC income. The total of line 6 for
under section 995(b)(1). On line 1b, enter the                                                     should equal the total amount reported on
                                                 all shareholders should equal the total the
shareholder’s pro rata share of the annual                                                         Form 1120-IC-DISC, Schedule J, Part V,
                                                 corporation reports on Form 1120-IC-DISC,
installment under section 995(b)(2). The sum                                                       line 3.
                                                 Schedule J, Part IV, line 4a.
of the amounts on these lines for all            Line 7. Enter the shareholder’s pro rata share
shareholders should equal the total the          of actual nontaxable distributions out of other
corporation reports in Part I and Part III,      than (1) previously taxed income or
Schedule J, Form 1120-IC-DISC.                   accumulated pre-1985 DISC income,
Line 2. Enter the amount of actual               (2) accumulated IC-DISC income, and
distributions that are taxable to the
shareholder. These distributions come from
accumulated IC-DISC income and other
earnings and profits.

                                                                                                         Schedule K (Form 1120-IC-DISC) 2008

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Form 1120-IC-DISC (Schedule K) Shareholder's Statement of IC-DISC Distributions

  • 1. SCHEDULE K Shareholder’s Statement of IC-DISC Distributions—2008 OMB No. 1545-0938 (Form 1120-IC-DISC) For calendar year 2008 or tax year COPY A—Attach to beginning , 2008, ending , 20 Form 1120-IC-DISC Department of the Treasury (Complete for each shareholder. See instructions on back of Copy C.) Internal Revenue Service Part I Taxable Distributions 1a 1 Deemed distributions: a Under section 995(b)(1) 1b b Annual installment under section 995(b)(2) 1c c Total. Add lines 1a and 1b 2 2 Actual taxable distributions 3 Total taxable distributions. Add line 1c and line 2. Enter here and in Section A or B below 3 Section A—C Corporations 4a 4a Part of line 3 above entitled to section 243 dividends-received deduction b Part of line 3 above not entitled to section 243 dividends-received deduction 4b Section B—Shareholders Other Than C Corporations 5 Amount of taxable dividends included on line 3 5 Nontaxable Distributions Part II 6 6 Actual distributions from previously taxed income and accumulated pre-1985 DISC income 7 7 Other actual nontaxable distributions 8 Total nontaxable distributions. Add lines 6 and 7 8 Part III Other Information 9 9 Accumulated IC-DISC income attributable to stock sold during the year 10 Deferred DISC income. See instructions 10 Name, employer identification number, and address (including ZIP code) Shareholder’s name, identifying number, and address (including ZIP code) of IC-DISC, former DISC, or former IC-DISC For Paperwork Reduction Act Notice, see the instructions for Form 1120-IC-DISC. Schedule K (Form 1120-IC-DISC) 2008 Cat. No. 11474A
  • 2. SCHEDULE K Shareholder’s Statement of IC-DISC Distributions—2008 OMB No. 1545-0938 (Form 1120-IC-DISC) COPY B— For calendar year 2008 or tax year For Shareholder’s beginning , 2008, ending , 20 Department of the Treasury records Internal Revenue Service Part I Taxable Distributions 1a 1 Deemed distributions: a Under section 995(b)(1) 1b b Annual installment under section 995(b)(2) 1c c Total. Add lines 1a and 1b 2 2 Actual taxable distributions 3 Total taxable distributions. Add line 1c and line 2. Enter here and in Section A or B below 3 Section A—C Corporations 4a 4a Part of line 3 above entitled to section 243 dividends-received deduction b Part of line 3 above not entitled to section 243 dividends-received deduction 4b Section B—Shareholders Other Than C Corporations 5 Amount of taxable dividends included on line 3 5 Nontaxable Distributions Part II 6 6 Actual distributions from previously taxed income and accumulated pre-1985 DISC income 7 7 Other actual nontaxable distributions 8 Total nontaxable distributions. Add lines 6 and 7 8 Part III Other Information 9 9 Accumulated IC-DISC income attributable to stock sold during the year 10 Deferred DISC income. You must complete Form 8404—see instructions 10 Name, employer identification number, and address (including ZIP code) Shareholder’s name, identifying number, and address (including ZIP code) of IC-DISC, former DISC, or former IC-DISC Schedule K (Form 1120-IC-DISC) 2008 Cat. No. 11474A
  • 3. received a distribution with respect to that Instructions for Shareholder Line 5. If you are an individual, partnership, stock, you may be able to treat part of that S corporation, estate, or trust, line 5 shows Section references are to the Internal distribution as a nontaxable distribution. See the amount of line 3 distributions taxable to Revenue Code. section 996(d) for details. you as a dividend. Purpose of Form. Copy B of Schedule K For a tax-exempt entity, treat any deemed Part II—Nontaxable Distributions (Form 1120-IC-DISC) reports an actual or distribution or actual distribution of previously deemed distribution from an IC-DISC, former Actual distributions from previously taxed untaxed income as derived from the conduct IC-DISC, or former DISC. It also reports income and accumulated pre-1985 DISC of an unrelated trade or business. deferred DISC income from an IC-DISC. income are generally not taxable to the extent Disposing of IC-DISC stock. If you disposed Keep it for your records; do not file it with of your basis in the stock for which the of stock in an IC-DISC, former IC-DISC, or your income tax return. distribution was made. Except for former DISC, you may need to include all or distributions of accumulated IC-DISC income Part I—Taxable Distributions part of the gain in your income. The gain, and of earnings and profits from the time reported as a dividend under section 995(c), Report as distributions from an IC-DISC: before the corporation became an IC-DISC, is included to the extent of accumulated actual distributions are not taxable to the 1. Deemed and actual taxable distributions IC-DISC income attributable to the stock extent of your basis in the stock for which the and while you held it (line 9). This dividend is not distribution was made. Treat distributions in 2. Gain, to the extent of accumulated eligible for the section 243 deduction. excess of your basis as a gain from the sale IC-DISC income, on the sale of stock (see For a tax-exempt entity, treat the gain or exchange of property. See section 996(e). Disposing of IC-DISC Stock below). under section 995(c) as derived from the Part III—Other Information Line 1—Deemed distributions. You are conduct of an unrelated trade or business. treated as having received deemed Line 10—Deferred DISC income. Line 10 Foreign shareholders treat all gains on the distributions (line 1c) as of the last day of the shows your share of the IC-DISC’s deferred disposition of stock in an IC-DISC, former IC-DISC tax year. You must pay tax on the income for the year. Section 995(f) imposes IC-DISC, or former DISC, and all distributions distributions in your tax year that includes an interest charge on the additional tax you from accumulated IC-DISC income or that date. would pay if you included this deferred accumulated pre-1985 DISC income, income in your income for your tax year that Line 2—Actual taxable distributions. You including deemed distributions, as effectively ends with or includes the IC-DISC’s tax year must pay tax on actual taxable distributions connected with the conduct of a trade or end shown on Schedule K. Complete Form in the year of receipt. business through a permanent establishment 8404, Interest Charge on DISC-Related within the United States. See section 996(g) Line 4. Line 4a shows the part of the total Deferred Tax Liability, to figure the interest for details. taxable distribution on line 3 that qualifies for charge. the 70% or 80% dividends-received Acquiring IC-DISC stock. If you acquired deduction under section 243. Line 4b shows stock in an IC-DISC and subsequently the part that does not qualify for the deduction. Schedule K (Form 1120-IC-DISC) 2008
  • 4. SCHEDULE K Shareholder’s Statement of IC-DISC Distributions—2008 OMB No. 1545-0938 (Form 1120-IC-DISC) For calendar year 2008 or tax year COPY C— beginning , 2008, ending , 20 For IC-DISC’s records Department of the Treasury (Complete for each shareholder. See instructions on back of Copy C.) Internal Revenue Service Part I Taxable Distributions 1a 1 Deemed distributions: a Under section 995(b)(1) 1b b Annual installment under section 995(b)(2) 1c c Total. Add lines 1a and 1b 2 2 Actual taxable distributions 3 Total taxable distributions. Add line 1c and line 2. Enter here and in Section A or B below 3 Section A—C Corporations 4a 4a Part of line 3 above entitled to section 243 dividends-received deduction b Part of line 3 above not entitled to section 243 dividends-received deduction 4b Section B—Shareholders Other Than C Corporations 5 Amount of taxable dividends included on line 3 5 Nontaxable Distributions Part II 6 6 Actual distributions from previously taxed income and accumulated pre-1985 DISC income 7 7 Other actual nontaxable distributions 8 Total nontaxable distributions. Add lines 6 and 7 8 Part III Other Information 9 9 Accumulated IC-DISC income attributable to stock sold during the year 10 Deferred DISC income. See instructions 10 Name, employer identification number, and address (including ZIP code) Shareholder’s name, identifying number, and address (including ZIP code) of IC-DISC, former DISC, or former IC-DISC Schedule K (Form 1120-IC-DISC) 2008 Cat. No. 11474A
  • 5. Line 4a. Enter on line 4a each shareholder’s (3) other earnings and profits. The total of this Instructions for IC-DISC amount of dividends out of other earnings line for all shareholders should equal the total Section references are to the Internal and profits that are eligible for the nontaxable income reported on Form Revenue Code. dividends-received deduction under section 1120-IC-DISC, Schedule J, Part IV, line 4d. 243. No dividends-received deduction is General Instructions Part III—Other Information allowed for a dividend from an IC-DISC, former IC-DISC, or former DISC if it is— Complete Schedule K (Form 1120-IC-DISC) Line 9. If (1) a shareholder disposes of stock for each shareholder who had an actual or 1. Paid out of accumulated IC-DISC income in an IC-DISC or former DISC or (2) the stock deemed distribution during the tax year or to or accumulated pre-1985 DISC income; of an IC-DISC, former IC-DISC, or former whom the corporation is reporting deferred DISC is disposed of in a transaction that 2. Paid out of previously taxed income; or DISC income for the tax year. Attach Copy A terminates the separate corporate existence 3. A deemed distribution under section to Form 1120-IC-DISC. Give Copy B to the of an IC-DISC, former IC-DISC, or former 995(b)(1). shareholder by the last day of the second DISC (other than a mere change in the place month after your tax year ends. Keep Copy C Line 5. Complete for shareholders that are of organization), enter on line 9 the for your records. individuals, partnerships, S corporations, accumulated IC-DISC income attributable to estates, or trusts. Enter on line 5 each Note. Do not report on Form 1099-DIV actual the stock that was accumulated during the shareholder’s pro rata share of taxable and deemed distributions or deferred DISC period the shareholder held the stock. dividends included on line 3. income. Line 10. Enter the shareholder’s share of the corporation’s deferred DISC income at tax Part II—Nontaxable Distributions Specific Instructions year end. See section 995(f) and the instructions for Schedule J, Part V, in the Line 6. Enter the shareholder’s pro rata share Part I—Taxable Distributions Instructions for Form 1120-IC-DISC for of actual distributions from previously taxed Line 1. On line 1a, enter the shareholder’s information on figuring deferred DISC income. income and distributions from accumulated pro rata share of the deemed distributions The total of this line for all shareholders pre-1985 DISC income. The total of line 6 for under section 995(b)(1). On line 1b, enter the should equal the total amount reported on all shareholders should equal the total the shareholder’s pro rata share of the annual Form 1120-IC-DISC, Schedule J, Part V, corporation reports on Form 1120-IC-DISC, installment under section 995(b)(2). The sum line 3. Schedule J, Part IV, line 4a. of the amounts on these lines for all Line 7. Enter the shareholder’s pro rata share shareholders should equal the total the of actual nontaxable distributions out of other corporation reports in Part I and Part III, than (1) previously taxed income or Schedule J, Form 1120-IC-DISC. accumulated pre-1985 DISC income, Line 2. Enter the amount of actual (2) accumulated IC-DISC income, and distributions that are taxable to the shareholder. These distributions come from accumulated IC-DISC income and other earnings and profits. Schedule K (Form 1120-IC-DISC) 2008