Please Provide
the Following Information About Your S Corporation |
IRS Form 2553 S Corporation Election and Franchise Tax
Board Form 3560 Information |
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State |
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*Corporation's
EIN #
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Election is to be effective for tax year beginning
(month, day, year) |
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Check the applicable box(es) if the
corporation, after applying for the EIN changed its name or address
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Yes |
No |
If this election takes effect for the first tax year
the corporation exists, enter month, day, and year of the
earliest of the following: (1) date
the corporation first had shareholders, (2) date the corporation first
had assets, or (3) date the corporation began doing business |
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FEDERAL Selected tax year: Annual return will be filed
for tax year ending (month and day) |
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If the tax year ends on any date other than December
31, except for a 52–53-week tax year ending with reference to the month
of December, you must complete Part II on the back. If the date
you enter is the ending date of a 52–53-week tax year, write
"52–53-week year" to the right of the date. |
Principal product or
service |
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Principal business activity code
(PBA code)
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Click here
to go to page 44-46 of the California S
corporation tax booklet to find your PBA code |
Is this a continuation
of a past business? |
Yes |
No |
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If yes, state name of
previous business entity, type organization, period of existenc and CA
corporation # if any. |
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# of shares owned |
Date acquired |
SS# or EIN (Tax ID) |
Shareholder’s tax year ends (month and day)
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(A husband and wife (and their estates)
are counted as one shareholder in determining the number of
shareholders without regard to the manner in which the stock is owned.)
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Name and address of each
shareholder’s spouse having a community property interest in the
corporation’s stock; and each tenant in common, joint tenant, and
tenant by the entirety.
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N
* |
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L
Stock owned
M Social security
number or employer
identification number
(see instructions) Dates
acquired
Number
of shares
* |
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STOCKHOLDERS: |
Indicate the names of one or more stockholders |
Member's Name or Names:
(One or More) |
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Manager's Name or Names |
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Date: |
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*Email
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