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                                              1350
                                                                                            STATE OF SOUTH CAROLINA 
                                                                                            DEPARTMENT OF REVENUE                                          SC 1120S 
                                                                                    S CORPORATION INCOME TAX RETURN                                        (Rev. 7/17/23) 
                                           dor.sc.gov                 Due by the 15th day of the third month following the close of the taxable year.      3095
                                                                                                        County or counties in SC where property is located
       Income Tax period ending                                       -           -

       License Fee period ending                                      -           -                     Audit location: Street address
       FEIN
                                                                                                        City                                                             State              ZIP
       Name
       Mailing address                                                                                  Audit contact                                                 Phone number

       City                                           State                         ZIP
                                                                                                        Does the corporation have any shareholders who are nonresidents 
       Change of             Address           Accounting Period          Officers of South Carolina?                            Yes                  No
                                           Check if you filed a federal or state extension              Number of nonresident shareholders
                                              Check for Active Trade or Business election
       Check if:                                  Initial Return      Amended Return                    Number of nonresident shareholders with an I-309 affidavit
                                              Includes QSSSs and/or Disregarded LLCs (See Schedule L)
       Check if:                                                                                        Number of nonresident shareholders included in a composite return
                                           Merged            Reorganized           Final    
       Total gross receipts                           Total cost of depreciable personal property in SC 
                                                                                                        Attach complete copy of federal return

                                           1.  Total of line 1 through 12, Schedule K of the federal 1120S ............................               1.                                       00
                                           2.  Net adjustment from Schedule A and B, line 15 ........................................                 2.                                       00
                                           3.  Total net income as reconciled (add line 1 and line 2) ...................................             3.                                       00
                                           4.  If multi-state corporation, enter amount from Schedule G, line 6; otherwise, enter amount from line 3. 4.                                       00
                                           5.  Active Trade or Business Income (from I-435, line 14) ...................................              5.                                       00
                                           6.  Active Trade or Business Tax (from I-435, line 17)  .....................................              6.                                       00
                                           7.  Income taxed to shareholders  .....................................................                    7.                                       00
                                           8.  South Carolina net taxable income (subtract line 5 and line 7 from line 4)  ...................        8.                                       00
                                           9.  Tax (multiply line 8 by 5%)  ........................................................                  9.                                       00
                                           10.  Total Income Tax (add line 6 and line 9) ..............................................               10.                                      00
                                           11.  Nonrefundable credits (enter amount from SC1120TC) ..................................                 11.                                      00
PART I                                     12.  Balance of tax (subtract line 11 from line 10) ..........................................             12.                                      00
                                           13.  Payments: (a) Tax withheld (attach 1099s or I-290s, don't claim here if claimed on SC1120S-WH)        13a.                                     00
                                                      (b) Paid by declaration  .................................................                      13b.                                     00
                                                      (c) Paid with extension  .................................................                      13c.                                     00
                                                      (d) Credit from line 28b  .................................................                     13d.                                     00
                                            Refundable Credits: (e) Ammonia Additive  ...........................................                     13e.                                     00
       COMPUTATION OF INCOME TAX LIABILITY            (f)  Milk Credit  .................................................                             13f.                                     00
                                                      (g) Reserved for future use .......................................                             13g.                                     00
                                           14.  Total payments and refundable credits (add line 13a through line 13f) ......................          14.                                      00
                                           15.  Balance of tax (subtract line 14 from line 12) ..........................................             15.                                      00
                                           16.  (a) Interest  ....................................................................                    16a.                                     00
                                            (b) Late file/pay penalty  ..........................................................                     16b.                                     00
                                            (c) Declaration penalty (attach SC2220)  .............................................                    16c.                                     00
                                            Total (add line 16a through line 16c) See penalty and interest in SC1120 Instructions.  .........         16.                                      00
                                           17.  Total Income Tax, interest, and penalty (add line 15 and line 16)  ............  BALANCE DUE          17.                                      00
                                           18.  Overpayment (subtract line 12 from line 14)  ..........................................               18.                                      00
                                            To be applied as follows: (a) Estimated Tax     .........................................                 18a.                                     00
                                                                      (b) License Fee       ..........................................                18b.                                     00
                                                                      (c) REFUND    .............................................                     18c.                                     00
                                                      PART II COMPUTATION OF LICENSE FEE AND SCHEDULES A AND B PAGE 2
                                              30951081



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        SC1120S                                                                                                                                                                                          Page 2
         19.  Total capital and paid in surplus (multi-state corporations see Schedule E)  ...................  19.                                                                                      00
         20.  License Fee: multiply line 19 by .001, then add $15 (Fee cannot be less than $25) ............  20.                                                                                        00
         21.  Credits taken this year against License Fee from SC1120TC, Part II, Column C (attach SC1120TC).                                                                            21. <           00 >
         22.  Balance (subtract line 21 from line 20) ................................................  22.                                                                                              00
         23.  Payments:   (a) Paid with extension     .................................................                                                                           23a.                   00
                                     (b) Credit from line 18b  .................................................  23b.                                                                                   00
         24.  Total payments (add line 23a and line 23b) ............................................  24.                                                                                               00
PART II  25.  Balance of License Fee (subtract line 24 from line 22)                                            ...................................                                      25.             00
         26.  (a) Interest                                                   00 (b) Late file/pay penalty                                              00                                 
                 Total (add line 26a and line 26b) See penalty and interest in SC1120 Instructions...............   26.                                                                                  00
         27.  Total License Fee, interest, and penalty (add line 25 and line 26) .............                                                       BALANCE DUE                         27.             00
         28.  Overpayment (subtract line 22 from line 24)                                            00                     To be applied as follows:                                     
        COMPUTATION       (a)EstimatedOFTax                                                LICENSE FEE 00  (b)Income Tax                                                00    (c) REFUND                 00
         29.  GRAND TOTAL: INCOME TAX and LICENSE FEE DUE (add line 17 and line 27)  ...........   29.                                                                                                   00
        REFUND OPTIONS (select one; subject to program limitations)                                                         Direct Deposit                                        Paper Check
        If you select Direct Deposit, choose the account type (US accounts only)                                            Checking                                              Savings
        Account        Routing                                                  Must be 9 digits. First two numbers         Bank Account                                                                 1-17 
        information: Number (RTN)                                               of the RTN must be 01 - 12 or 21 - 32       Number (BAN)                                                                 digits
        SCHEDULE A AND B                             ADDITIONS TO FEDERAL TAXABLE INCOME
          1.   Taxes on or measured by income  ...................................  1.  
          2.   Excess net passive income subject to federal tax  .......................  2. 
          3.   Taxable portion of certain built-in gains subject to federal tax ...............  3. 
          4.                                                                                                                                      4. 
          5.                                                                                                                                      5. 
          6.   Other additions (attach schedule)  ...................................  6. 
          7.   Total additions (add line 1 through line 6)  ..................................................  7. 
                                                     DEDUCTIONS FROM FEDERAL TAXABLE INCOME
          8.                              8. 
          9.                       9. 
        10.                                                                                                                           10. 
        11.                               11. 
        12.                               12.  
        13.  Other deductions (attach schedule)  .................................   13.                                               
        14.  Total deductions (add line 8 through line 13)  . . . ...........................................     14. 
        15.  Net adjustment (subtract line 14 from line 7) Also enter on SC1120S, Part I, line 2  ..................     15.
        SCHEDULE C                                                                                              RESERVED
                  Under penalty of law, I certify that I have examined this return, including accompanying annual report, statements, and schedules, 
                  and it is true and complete to the best of my knowledge.
        Sign 
        Here
                  Signature of officer                                                                                Officer's title                                                    Email

                  Print officer's name                                                                                Date                                                       Phone number
                  I authorize the Director of the SCDOR or delegate to discuss this return,                                                                                   Print preparer's name
                  attachments, and related tax matters with the preparer.                                                   Yes                      No
        Paid      Preparer's                                                                                           Date            Check if                                   Preparer's phone number
        Preparer's signature                                                                                                           self-employed
        Use Only  Firm's name (or                                                                                                                      PTIN or FEIN
                  yours if self-employed) 
                  and address                                                                                                                          ZIP
        If this is a corporation's final return, signing here authorizes the SCDOR to disclose that information to the South Carolina Secretary of State (SCSOS). 
        You must close with the SCSOS and the SCDOR.

        Taxpayer's signature                                                                                                                                                      Date
                 30952089



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SC1120S                                                                                                                                                                 Page 3
SCHEDULE D                           ANNUAL REPORT TO BE COMPLETED BY ALL CORPORATIONS

1.   Name  
2.   Incorporated under the laws of the state of  
3.   Location of the registered office of the corporation in South Carolina 
      In the city of                                        Registered agent at this address 
4.   Principal office address 
      Nature of principal business in South Carolina 
5.   Total number of authorized shares of capital stock, itemized by class and series, if any, within each class: 
                                  Number of shares                                             Class                                                             Series 
 
6.   Total number of issued and outstanding shares of capital stock itemized by class and series, if any, within each class: 
                                  Number of shares                                             Class                                                             Series 
 
7.   Names and business addresses of the directors (or individuals functioning as directors) and principal officers in the corporation: 
      Attach separate schedules if you need more space. 
      Name                                                       Title                                                    Business address

  8.   Date incorporated                                                Date commenced business in South Carolina 
  9.   Date of this report                                                                                                    FEIN 
10.   If foreign corporation, the date qualified to do business in South Carolina  
11.   Was the name of the corporation changed during the year?                           Previous name 
12.  The corporation's books are in the care of 
        Located at (street address)  
13.   The total amount of stated capital per balance sheet: 
               A. Total paid in capital stock (cannot be a negative amount) . . . . . . . . . . . .    $ 
               B. Total paid in capital surplus (cannot be a negative amount) . . . . . . . . . .    $ 
               C. Total amount of stated capital (cannot be a negative amount). . . . . . . . .    $ 

                                      Attach a complete copy of your federal return.

File electronically using Modernized Electronic Filing (MeF). It's the fastest and easiest way to complete your return! 
Learn more at dor.sc.gov/biz-services. 
Getting a refund? Choose Direct Deposit! It's fast, accurate, and secure! 
Have a balance due? Pay electronically! It's quick and easy! Use our free online tax portal, MyDORWAY, at 
dor.sc.gov/pay. Select Business Income Tax Payment to get started. 
If you pay by check, make your check payable to SCDOR. Include your name, FEIN, tax year, and SC1120S in the  
memo. Do not send cash.

           Mail Balance Due returns to:                                                      Mail Refund or Zero Tax returns to: 
                    SCDOR                                                                                                                 SCDOR 
                    Corporate Taxable                                                                                              Corporate Refund 
                    PO Box 100151                                                                                                  PO Box 125 
              Columbia, SC 29202                                                                         Columbia, SC 29214-0032

 30953087



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SC1120S                                                                                                                                    Page 4
                              Only multi-state corporations must complete Schedules E, F, G, AND H
SCHEDULE E                          COMPUTATION OF LICENSE FEE OF MULTI-STATE CORPORATIONS
1.  Total capital and paid in surplus at end of year  ................................................ $            
2.  SC proportion (multiply line 1 by ratio from Schedule H-1, H-2 or H-3, as appropriate) Also enter on SC1120S, line 14       $

SCHEDULE F                                      INCOME SUBJECT TO DIRECT ALLOCATION

                                                                                                       Less:   Net Amounts            Net Amounts 
                                                      Gross                                            Related Allocated Directly     Allocated 
                                                      Amounts            Expenses                              to SC and Other States Directly to SC 
          Allocated Income                            1                                                  2     3                      4

1.  Total income directly allocated 
2.  Income directly allocated to SC 
Attach an explanation of each type of income listed above that is not allocated to South Carolina.

SCHEDULE G                            COMPUTATION OF TAXABLE INCOME OF MULTI-STATE CORPORATIONS
1.  Total net income as reconciled from SC1120S, page 1, line 3 .................................   1. 
2.  Income subject to direct allocation to SC and other states from Schedule F, line 1 ..................   2. 
3.  Total net income subject to apportionment (subtract line 2 from line 1)  ..........................   3. 
4.  Multiply line 3 by appropriate ratio from Schedule H-1, H-2, or H-3  .............................   4. 
5.  Income subject to direct allocation to SC from Schedule F, line 2  ..............................   5. 
6.  Total SC net income (add line 4 and line 5). Also enter on SC1120S, page 1, line 4 .................   6.

SCHEDULE H-1                                          COMPUTATION OF SALES RATIO
                                                                                                               Amount                 Ratio
1. Total sales within South Carolina (see SC1120 instructions) 
2. Total sales everywhere (see SC1120 instructions)  
3. Sales ratio (line 1 divided by line 2)                                                                                                            %
If there are no sales anywhere: Enter 100% on line 3 if South Carolina is the principal place of business 
                                      Enter 0% on line 3 if principal place of business is outside South Carolina.

SCHEDULE H-2                                    COMPUTATION OF GROSS RECEIPTS RATIO
                                                                                                               Amount                 Ratio
1.  South Carolina gross receipts  
2.  Amounts allocated to South Carolina on Schedule F                                                          <                   >
3.  South Carolina adjusted gross receipts (subtract line 2 from line 1) 
4.  Total gross receipts 
5.  Total amounts allocated on Schedule F                                                                      <                   >
6.  Total adjusted gross receipts (subtract line 5 from line 4)
7.  Gross receipts ratio (line 3 divided by line 6)                                                                                                  %

SCHEDULE H-3                  COMPUTATION OF RATIO FOR SECTION 12-6-2310 COMPANIES
                                                                                                               Amount                 Ratio
1. Total within South Carolina (see SC1120 instructions)  
2. Total everywhere  
3. Taxable ratio (line 1 divided by line 2)                                                                                                          %

    30954085



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SC1120S                                                                                                                                    Page 5
SCHEDULE SC-K WORKSHEET

        A                   B                  C                                 D E                                                    F  
                                                                                                                                         
        Description         Amounts From       Plus or Minus  Federal Schedule K   Amounts Not Allocated or Amounts Allocated 
                            Federal Schedule K South Carolina Amounts After SC     Apportioned to SC                                    or Apportioned to 
                                               Adjustments    Adjustments                                                               SC 
        Ordinary business 
1       income (loss) 
        Net rental real  
2   estate income (loss) 
        Other net rental 
3       income (loss) 
         
4       Interest income 
           
5       Dividends 
         
6       Royalties 
        Net short-term  
7       capital gain (loss) 
        Net long-term  
8       capital gain (loss) 
        Net section  
9       1231 gain (loss) 
         
10  Other income (loss)  
         
11  Section 179 deduction 
         
12a     Contributions
        Investment  
12b interest expense 
        Section 59(e)(2)  
12c     expenditures 
         
12d     Other deductions

Nonrefundable Tax Credits: Enter total credits from SC1120TC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  
You must attach your SC1120TC to this return. 

    30955082



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SC1120S                                                                                                             Page 6
SCHEDULE L                              QSSSs AND DISREGARDED LLCs INCLUDED IN RETURN

List each Qualified Subchapter S Subsidiary (QSSS) doing business in South Carolina or registered with the SCSOS.
                      Name                           FEIN/SC File #

List each disregarded Limited Liability Company (LLC) doing business in South Carolina or registered with the SCSOS.

                      Name                           FEIN/SC File #

30956080



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SC1120S                                                                                            Page 7
SCHEDULE N                                                  PROPERTY INFORMATION
Property within South Carolina
                              (a)   Beginning Period                            (b)   Ending Period
1. Land 
2. Buildings 
3. Machinery and equipment 
4. Construction in progress 
5. Other property* 
Total

*Provide an explanation or listing of property from line 5 above.
Description of Property       (a)   Beginning Period                            (b)   Ending Period

Total

     30957088






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