Vermont Department of Taxes 

                      Form BI-471                                                                                                                       *234711100*
    Vermont Business Income Tax Return                                                                                                                  *234711100*
     for Partnerships, Subchapter S Corporations, and LLCs                                                                                                                                                                                                          Page 11

 Check                Name                          Composite                           Accounting                        Initial                         Public Law                          Pro Forma -  
          X        Change                       X         Return                  X         Period Change             X        Return                 X         86-272 Applies               XCannabis
 Appropriate 
 Box(es)              Address                             Amended                               Extended                                      Federal                                         Final Return
          X          Change                           X          Return                     X            Return                         X             Extension Requested                    X(Cancels Account)

                                        Entity Name                                                                                         FEIN                                         Primary 6-digit NAICS number
  12345678901234567890123456789012(36)     123456789         123456
                                          Address                                                                       Tax year BEGIN date (YYYYMMDD)                                   Tax year END date (YYYYMMDD)
  12345678901234567890123456789012(36)      20230101         20231231
                                      Address (Line 2)
  12345678901234567890123456789012(36)                                                                                Federal tax 
                      City                                            State               ZIP Code                    return filed 
  12345678901234567(21)    12  1234567890         (Check one                                                                                      X       1120S                          X      1065 X    Other
                           Foreign Country (if not United States)                                                     box)
  1234567890123456789012345678(32)
                                                                                                                                                                                                                                                                    FORM  (Place at FIRST page)
 A.                                                          Were any shareholders, partners, or members nonresidents of Vermont during this tax year?  . . . . . . . . . .A.            X      Yes XNo                                                             Form pages 

  B.                                                            Did this entity have income or losses derived from at least one state other than Vermont?   . . . . . . . . . . . . B..  X      Yes XNo
      If Yes, complete and attach Schedule BI-477 .
 C.   Net adjustment to income resulting from Vermont’s disallowance of  
                                                         123456789012345“bonus depreciation” (IRC 168(k))  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .C.  ________________________.00           11 - 12

 D.                                                         123456789012345Total number of Shareholders, Partners, or Members  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D.  ____________________________

  E.                                                         123456789012345How many are Vermont Residents?  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E.. ____________________________

  F.                                                         123456789012345  How many are Nonresidents?  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F.. ____________________________
 G.   Check box if 32 V .S .A . § 5920(f), (g), or (h) applies (regarding nonresident estimated payments for affordable housing projects, 
                                                                         Xfederal new market tax credit projects, or publicly traded partnerships) . Attach authorization or documentation  . . . . . . . . . . . . . . . . . . . .G.

TAX COMPUTATION (see instructions):                                                                                                   Enter all amounts in whole dollars.
 Check box if exception                                       NO VERMONT ACTIVITY /                                           INVESTMENT CLUB § 5921                                                 IRC § 761 
                                                              INACTIVE ($0)                                                   ($0)                                                                   ($0)
                       to minimum tax applies:          X                   X                      X

  1.                                                                     123Vermont minimum entity tax ($250) or above exception (See instructions)  . . . . . . . . . . . . . . . . . . . . . . . . 1..  ________________________.00
  2.  For non-composite entities
          2a.    Nonresident estimated payment requirement 
                                          123456789012345   (Schedule BI-472, Line 6)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  .2a.  ________________________.00
          2b.    Overpayment distributed to owners (ADD Schedule K-1VT,  
                 Lines 11 and 12  from all schedules, then SUBTRACT   
                                          123456789012345   amount from Schedule BI-472, Line 6)  . . . . . . . . . . . . . . . . . 2b. . ________________________.00

                                                          1234567890123452c. ADD Lines 2a and 2b   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2c.  ________________________.00

                                                          1234567890123453. For composite entities, Vermont composite tax due (Schedule BI-473, Line 11)  . . . . . . . . . . . . . . . . . . . . 3. . ________________________.00

  4.                                                          123456789012345Vermont apportionment of entity level taxes (See instructions)   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. . ________________________.00

  5.                                                         123456789012345  Use Tax for taxable items on which no sales tax was charged, including online purchases  . . . . . . . . . . . .  .5.  ________________________.00

  6.                                                         123456789012345Total tax due (ADD Lines 1, 2c, 3, 4, and 5)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. . ________________________.00
                                                                                                                                                                                             Form BI-471
5454                                                                                                                                                               Page 1 of 2, Rev. 10/23

                                  Entity Name
 12345678901234567890123456789012(36)
                   FEIN                           Fiscal Year Ending (YYYYMMDD)                                                                   *234711200*
   123456789              20231231                                                                                                                *234711200*
                                                                                                                                                                                                                                                                  Page 12
PAYMENTS AND CREDITS                                                                                                            Enter all amounts in whole dollars.

                                                         123456789012345  7. Prior Year Overpayment Applied  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. . ________________________.00

                                                         123456789012345  8. Payments with Extension (Form BA-403)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. . ________________________.00

                                                         123456789012345  9.  Real estate withholding paid for this entity (Form REW-171, REW Schedule A)   . . . . . . . . . . . . . . . . . . .  .9.  ________________________.00

                                                         123456789012345 10.  Real estate withholding distributed to this entity by a different company (Schedule K-1VT, Line 12)   . .  .10.  ________________________.00

                                                         123456789012345 11.  Nonresident estimated payments paid by this entity (Form WH-435)  . . . . . . . . . . . . . . . . . . . . . . . . . . . .  .11.  ________________________.00
 12.  Nonresident estimated payments distributed to this entity by a different company 
                                                         123456789012345(Schedule K-1VT, Line 11)   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. . ________________________.00

                                                         123456789012345 13. Total payments(ADD Lines 7 through 12)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. . ________________________.00
 RECONCILIATION                                                                                                                                                                                                                                                   FORM  (Place at LAST page)
                                                          12345678901234514. Balance Due: If Line 6 is greater than Line 13, subtract Line 13 from Line 6 .  . . . . . . . . . . . . . . . . . . . . . 14. . ________________________.00                          Form pages 

                                                         123456789012345 15. Payment included with this return .  Make check payable toVermont Department of Taxes.  . . . . . . . . 15. . ________________________.00
 16.  Overpayment: If Line 6 is less than the sum of Lines 13 and 15,  
                                                         123456789012345ADD Lines 13 and 15, then SUBTRACT Line 6.  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16. . ________________________.00
                                                                                                                                                                                                                                                                  11 - 12
                                                         123456789012345 17.  Overpayment to be credited to the next tax year   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  .17.  ________________________.00

                                                         123456789012345 18. Overpayment to be refunded  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18. . ________________________.00
SIGNATURE
I hereby certify that I am an officer or authorized agent responsible for the taxpayer’s compliance with the requirements of Vermont Statutes 
Annotated, Title 32, and that this return is true, correct, and complete to the best of my knowledge. If prepared by a person other than the  
taxpayer,  this  declaration  further  provides  that  under  32  V.S.A.  §  5901,  this  information  has  not  been  and  will  not  be  used  for  any  other  
purpose, or made available to any other person, other than for the preparation of this return unless a separate valid consent form is signed  
by the taxpayer and retained by the preparer.

 Signature of Responsible Officer                                                                               Date (MM/DD/YYYY)                               Daytime Telephone Number

                                           12 /       31 /                                                                                  2023      802-123-1234
 Printed Name                                                 Email Address (optional)
 12345678901234567890123   1234567890123456789012345678901234567890123456

      X Check if the Vermont Department of Taxes may discuss this return with the preparer shown.

 Signature of Paid Preparer                                                                                     Date (MM/DD/YYYY)                               Preparer’s Telephone Number

                                           12 /       31 /                                                                                  2023      802-123-1234
 Preparer’s Printed Name                                      Email Address (optional) 
 12345678901234567890123   1234567890123456789012345678901234567890123456
 Firm’s Name (or yours if self-employed)                                                                        EIN                                             Preparer’s SSN or PTIN
 1234567980123456789012345678901234567890   123456789       123456789
 Firm’s Address (or yours if self-employed) (Street, City, State, ZIP Code)
 12345678901234567890123456789012345678901234567890123456   X Check if self-employed
            Send return                  Vermont Department of Taxes
            and check to:                133 State Street                                                                 For Department Use Only               Form BI-471
                                         Montpelier, VT  05633-1401                                             Ck. Amt.                              Init.     Page 2 of 2

5454                                                                                                                                                            Rev. 10/23