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PMB no. Telephone Nature of business activity City state and ZIP Code State in which the principal business activity is conducted Principal California business address Shareholders/Partners/Members Number non-electing electing Form FTB 3864 is to be used by S corporations partnerships and limited liability companies LLCs. G. To be included in the group nonresident return the electing shareholder/partner/member must be an individual and a full-yea.

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