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Please Provide the Following Information About Your S Corporation

IRS Form 2553  S Corporation Election  and Franchise Tax Board Form 3560 Information

State
*Corporation's EIN #            :

Election is to be effective for tax year beginning (month, day, year)

Check the applicable box(es) if the corporation, after applying for the EIN changed its name or address 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

FEDERAL Selected tax year: Annual return will be filed for tax year ending (month and day)

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     
Principal business activity code (PBA code)        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
If yes, state name of previous business entity, type organization, period of existenc and CA corporation # if any.

 

  # of shares owned Date acquired SS# or EIN (Tax ID)

Shareholder’s tax year ends (month and day)

 

 

(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.)

 

 
         
       
       
       
       
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.        
       
       
       
       

 

 

N

 

  

*

L

Stock owned

M Social security

number or employer

identification number

(see instructions) Dates

acquired

Number

of shares

*

STOCKHOLDERS: Indicate the names of one or more stockholders
Member's Name or Names: (One or More)
Manager's Name or Names
Date:
*Email

 

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