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Get MA DoR 355S 2020-2023

2016 FORM 355S PAGE 2 EXCISE CALCULATION Taxable Massachusetts tangible property if applicable from Schedule C line 4. File pg. 1 FOR PRIVACY ACT NOTICE SEE INSTRUCTIONS. PRINT IN BLACK INK Calendar year filers enter 01-01-2016 and 12-31-2016 below. Fiscal year filers enter appropriate dates. Tax year beginning 3 Tax year ending 3 Form 355S S Corporation Excise Return FEDERAL IDENTIFICATION NUMBER FID NAME OF CORPORATION PRINCIPAL BUSINESS ADDRESS CITY/TOWN/POST OFFICE STATE ZIP 4 Fill in if Amended return see instructions 3 Federal amendment 3 Federal audit 3 Member of lower-tier entity Enclosing Schedule TDS 3 Final Massachusetts return 3 Initial return 3 Name change 3 Address change 3 Fill in if corporation is incorporated within Massachusetts. Fiscal year filers enter appropriate dates. Tax year beginning 3 Tax year ending 3 Form 355S S Corporation Excise Return FEDERAL IDENTIFICATION NUMBER FID NAME OF CORPORATION PRINCIPAL BUSINESS ADDRESS CITY/TOWN/POST OFFICE STATE ZIP 4 Fill in if Amended return see instructions 3 Federal amendment 3 Federal audit 3 Member of lower-tier entity Enclosing Schedule TDS 3 Final Massachusetts return 3 Initial return 3 Name change 3 Address change 3 Fill in if corporation is incorporated within Massachusetts. 3 Date of incorporation in Massachusetts. Type of corporation select one if applicable. 3 FID of principal reporting corporation if answer to line 5 is Yes. File pg. 1 FOR PRIVACY ACT NOTICE SEE INSTRUCTIONS* PRINT IN BLACK INK Calendar year filers enter 01-01-2016 and 12-31-2016 below. 3 Date of incorporation in Massachusetts. Type of corporation select one if applicable. 3 FID of principal reporting corporation if answer to line 5 is Yes. 3 6 If the answer to question 5 is Yes fill in if the corporation s tax year ends in a different month than the 355U. 3 Section 38 manufacturer Mutual fund service R D Classified mfg Principal business code from U*S* return. 310 Average number of employees in Massachusetts. 11 Foreign corporation first date of business in Massachusetts. 13 Last year audited by IRS. 3 14 Fill in if adjustments have been reported to Massachusetts. Fill in if 3 Taxpayer is claiming exemption from the income measure of the excise pursuant to PL 86-272 Taxable only with respect to partnership activity SIGN HERE* Under penalties of perjury I declare that to the best of my knowledge and belief this return and enclosures are true correct and complete. Signature of appropriate officer see instructions Date Print paid preparer s name / Title Are you signing as an authorized delegate of the appropriate corporate officer enclose Form M-2848 No Taxpayer s e-mail address Paid preparer s phone Preparer s SSN or PTIN EIN Fill in if self-employed Name of designated tax matters partner Identifying number of tax matters partner Mail to Massachusetts Department of Revenue PO Box 7025 Boston MA 02204. 3 Taxable net worth if applicable from Schedule D line 10. 3. 0026 3 1 Qualified taxable income and passive income.

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