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Get Schedule O Form 5471 2011

SCHEDULE O Form 5471 Organization or Reorganization of Foreign Corporation and Acquisitions and Dispositions of its Stock Rev. May 2001 Department of the Treasury Internal Revenue Service OMB No. 1545-0704 Attach to Form 5471. Cat. No. 61200O Directly Indirectly Constructively Schedule O Form 5471 Rev. 5-2001 Page f Amount paid or value given g Name and address of person from whom shares were acquired Section D Disposition of Stock Amount received Date of disposition of disposition Section E Organization or Reorganization of Foreign Corporation Assets transferred to foreign corporation Description of assets Fair market value Date of transfer Adjusted basis if transferor was U.S. person securities issued by foreign corporation Section F Additional Information for any of the last 3 years attach a statement indicating the year for which a return was filed and if applicable the name of the corporation filing the consolidated return the taxable income or loss and the U.S. income tax paid after all credits. See Instructions for Form 5471. Name of person filing Form 5471 Identifying number Name of foreign corporation Important Complete a separate Schedule O for each foreign corporation for which information must be reported. Part I To Be Completed by U.S. Officers and Directors a Name of shareholder for whom acquisition information is reported b Address of shareholder c of shareholder d Date of original 10 acquisition e Date of additional Note If this retur n is required because one or more shareholders became U.S. persons attach a list showing the names of such persons and the date each became a U.S. person. Section A General Shareholder Information Name address and identifying number of shareholder s filing this schedule Type of return enter form number Date return filed Date if any shareholder last filed information return under section 6046 for the foreign corporation where filed Section B U.S. Persons Who Are Officers or Directors of the Foreign Corporation Name of U.S. officer or director Address Social security number Check appropriate box es Officer Director Section C Acquisition of Stock Class of stock acquired Date of Method of Number of shares acquired For Paperwork Reduction Act Notice see the Instructions for Form 5471. b List the date of any reorganization of the foreign corporation that occurred during the last 4 years while any U*S* person held 10 or more in value or vote directly or indirectly of the corporation s stock owns 10 or more in value or voting power of the outstanding stock. The chart must indicate the corporation s position in the chain of ownership and the percentages of stock ownership see page 13 of the instructions for an example. b List the date of any reorganization of the foreign corporation that occurred during the last 4 years while any U*S* person held 10 or more in value or vote directly or indirectly of the corporation s stock owns 10 or more in value or voting power of the outstanding stock. The chart must indicate the corporation s position in the chain of ownership and the percentages of stock ownership see page 13 of the instructions for an example.

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