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                                     Form            Wisconsin Non-Combined Corporation
                                                     Franchise or Income Tax Return
                                                                                                                                                                                                2024
                                              4
                                     For calendar year 2024 or tax year beginning                          2 0 2 4              and ending              2 0
                                                                                         M  M   D   D      Y Y           Y Y               M M D     D  Y          Y  Y  Y 
                                     Complete form using BLACK INK.                                 Due Date:  Generally the 15th day of 4th month following close of taxable year. See instructions.
                                      Corporation Name

                                      Number and Street                                                                                                                                  Suite Number

                                      City                                                                                State    ZIP (+ 4 digit suffix if known) A  Federal Employer ID Number

                                     D  Check   if applicable and attach explanation:                                                                             B  Business Activity (NAICS) Code

                                       1       Amended return (Include Schedule AR)                 4        Short period - change in accounting period            C  State of Incorporation     and   Year
                                                                                                                                                                           Enter abbreviation of 
DO NOT STAPLE OR BIND                  2       First return - new corporation or entering Wisconsin 5        Short period - stock purchase or sale                         state in box, or if a     Y Y Y  Y
                                                                                                                                                                           foreign country, enter 
                                       3       Final return - corporation dissolved or withdrew                                                                            below.

                                     Check  if applicable and see instructions:
                                     E        If you have an extension of time to file. Enter federal extended due date
                                                                                                                           M    M D D   Y  Y Y     Y 
                                     F        If no business was transacted in Wisconsin during the taxable year,
                                              attach a complete copy of your federal return.
                                     G        If you have related entity expenses and are required to file Schedule RT with this return.
                                     H        If this return is for an insurance company.
                                     I        IRS adjustments became final during the year. Years adjusted ►
                                     J        If you filed a federal consolidated return, enter Parent Company’s FEIN ►

                                     DO NOT USE THIS FORM IF FILING AS A COMBINED GROUP                                                                IF NO ENTRY ON A LINE, LEAVE BLANK
                                                    ENTER NEGATIVE NUMBERS LIKE THIS  –1000                                    NOT LIKE THIS  (1000)                         NO COMMAS; NO CENTS
                                       1  Enter the amount from Form 1120, line 28. .......................................                                           1                                    .00
                                       2  Additions (from Schedule 4V, line 11) ...........................................                                           2                                    .00
                                       3  Add lines 1 and 2  ..........................................................                                               3                                    .00
                                       4  Subtractions (from Schedule 4W, line 17) ........................................                                           4                                    .00
                                       5  Subtract line 4 from line 3 ....................................................                                            5                                    .00
                                       6  Total company net nonapportionable and separately apportioned income
                                           (from Form(s) N, line 8) ......................................................                                            6                                    .00
                                       7  Subtract line 6 from line 5 ....................................................                                            7                                    .00

                                       8  Wisconsin apportionment percentage. Enter the apportionment schedule used:                                 A                8                         .           %
                                           If 100% apportionment, check ( )the space after the arrow  ...................
                                           If using separate accounting, check ( )the space after the arrow ...............

PAPER CLIP check or money order here   9  Multiply line 7 by line 8 ......................................................                                            9                                    .00
                                      10  Wisconsin net nonapportionable and separately apportioned income
                                           (from Form N, line 14) .......................................................                                             10                                   .00
                                         11Add lines 9 and 10 ..........................................................                                              11                                   .00
                                      12   Loss adjustment for insurance companies (from Schedule 4I, line 20) ..................                                     12                                   .00
                                      13   Add lines 11 and 12. This is the Wisconsin income before net business loss carryforwards ..  13                                                                 .00
                                         14Wisconsin net business loss carryforward from Form 4BL, line 30(f). Do not enter more than 
                                           line 13 ...................................................................                                                14                                   .00
                                      15   Subtract line 14 from line 13. This is Wisconsin net income or loss. 
                                           Check if excess inclusion income from real estate mortgage investment conduit  ....                                        15                                   .00
                                     IC-040 (R. 6-24)
                                                                                                                                                                                        Go to Page 2

2024 Form 4                                                                                                    Page 2 of 3 

    16Enter 7.9% (0.079) of Wisconsin net income on line 15. This is tentative gross tax   ........         16             .00
 17   Tax adjustment for insurance companies (from Schedule 4I, line 26)                ................... 17             .00
 18   Gross tax (subtract line 17 from line 16) .........................................  18                              .00
    19Nonrefundable credits (from Schedule CR)  ......................................                      19             .00
 20  Subtract line 19 from line 18. If line 19 is more than line 18, enter zero (0). This is net tax ..     20             .00
    21Economic development surcharge (see instructions) ...............................                     21             .00
 22   Endangered resources donation (decreases refund or increases amount owed) ..........                  22             .00
 23   Veterans trust fund donation (decreases refund or increases amount owed) .............                23             .00
 24   Add lines 20 through 23 .....................................................                         24             .00
 25   Estimated tax payments and 2023 credit carryforward,
      less refund from Form 4466W.....................  25                                         .00
 26   Wisconsin tax withheld (see instructions) ............  26                                   .00
 27   Refundable credits (from Schedule CR) .............  27                                      .00
 28    Amended Return Only – amount previously paid ......  28                                     .00
 29    Add lines 25 through 28 .........................               29                          .00
 30   Amended Return Only – amount previously refunded. . .    30                                  .00
 31   Subtract line 30 from 29 .....................................................                        31             .00
32    Interest, penalty, and late fee due (from Form U, line 17 or 26)
      If you annualized income on Form U, check ( ) the space after the arrow.........                     32             .00
33    Amount Due. If the total of lines 24 and 32 is larger than 31, subtract line 31 from the total
      of lines 24 and 32 ..........................................................   33                                   .00
34    Overpayment.   If line 31 is larger than the total of lines 24 and 32, subtract the total of lines
      24 and 32 from line 31 ..........................................................                     34             .00
35    Enter amount from line 34 you want credited to
      2025 estimated tax  ..............................             35                            .00
36    Subtract line 35 from line 34. This is your refund .................................  36                             .00
37    Enter total gross receipts from all activities (see instructions).........................            37             .00
38    Enter total assets from federal Form 1120  .......................................   38                              .00
39    Total Wisconsin tangible property (see instructions) ................................               39               .00
40    Total tangible property (see instructions)  ........................................                40               .00
41    Total Wisconsin payroll (see instructions) ........................................                   41             .00
42    Total payroll (see instructions)  ................................................                  42               .00
43    Total Wisconsin sales, receipts, or premiums included in apportionment ratio (see instructions)       43             .00
44    Total sales, receipts, or premiums included in apportionment ratio (see instructions)     .......   44               .00

                                                                                                               Go to Page 3

2024 Form 4                                                                                                                  Page 3 of 3 

45    Is the corporation the sole owner of any limited liability companies?
      Yes            No    If yes, prepare and submit Schedule DE with this return. 

46     Did you include the income of the LLCs listed for item 45 in this return?
      Yes            No

47     Did you purchase, license, lease or rent any taxable tangible personal property, certain coins and stamps, certain leased property
      affixed to real estate, certain digital goods, or taxable services, for storage, use or consumption in Wisconsin without paying a
      state sales or use tax?
      Yes            No
48  Person to contact concerning this return:

      Last name:                                       First name: 

      Phone #:                                         Fax #:

49  City and state where books and records are located for audit purposes:      City                                       State

50    List the locations of Wisconsin operations:

51    Yes            No   Are any manufacturing facilities located in Wisconsin?

52  Did you file federal Schedule UTP – Uncertain Tax Position Statement with the Internal Revenue Service?
      Yes            No  If yes, enclose federal Schedule UTP with your Wisconsin tax return.

53  Did you file federal Form 8886 – Reportable Transaction Disclosure Statement with the Internal Revenue Service?
      Yes            No  If yes, enclose federal Form 8886 with your Wisconsin tax return.

               Do you want to allow another person to discuss this return with the department? 
Third                                                                                          Yes Complete the following. No
Party          Print                                                       Phone Number               Personal Identification Number (PIN)
               Designee’s
Designee       Name

Under penalties of law, I declare that this return and all attachments are true, correct, and complete to the best of my knowledge and belief.
Signature of Officer                             Title                                                Date

Preparer’s Signature                             Preparer’s Federal Employer ID Number                Date

You must file a copy of your federal return with Form 4, even if no Wisconsin activity.

If you are not filing your return electronically, make your check payable to and mail your return to: Return to Page 1
Wisconsin Department of Revenue
PO Box 8908
Madison WI  53708-8908