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SCHEDULE A                                                           International 
(Form 5713)                                   Boycott Factor (Section 999(c)(1)) 
(Rev. December 2010)                Complete only if you are not computing a loss of tax benefits using the specifically       OMB No. 1545-0216 
                                              attributable taxes and income method on Schedule B (Form 5713) 
Department of the Treasury  
Internal Revenue Service                        ▶ Attach to Form 5713.            ▶ See instructions on page 2. 
Name                                                                                                                      Identifying number 

Name of country being boycotted (check one):                      Israel          Other (identify) ▶ 

Important: If you are involved in more than one boycott, use a separate Schedule A for each boycott and attach to Form 5713. 
                                                                       Purchases, sales, and payroll attributable to boycotting operations, by operation 
                            Name of Country 
                                                                       Boycott purchases             Boycott sales             Boycott payroll 
                                (1)                                         (2)                          (3)                   (4) 

a 

b 

c 

d 

e 

f 

g 

h 

i 

j 

k 

l 

m 

n 

o 

Total  .   . .           .  . . .   . .     . . .     . .    .

  1    Numerator of boycott factor (add totals of columns (2), (3), and (4))  .          .  .    . . .   .   . .   .     .
  2    Denominator of boycott factor: 
     a Total purchases from countries other than United States              .   . .  .   .

     b Total sales to or from countries other than United States            .   . .  .   .
     c Total payroll paid or accrued for services performed in countries other 
       than United States  .        . .     . . .     . .    .  .    . .  . .   . .  .   .

     d Total of lines 2a, b, and c          . . .     . .    .  .    . .  . .   . .  .   .  .    . . .   . .   .   .     .
  3    International boycott factor           (divide line 1 by line 2d). Enter here and on Schedule C (Form    5713) 
       (see instructions)       .   . .     . . .     . .    .  .    . .  . .   . .  .   .  .    . . .   . .   .   .  ▶
For Paperwork Reduction Act Notice, see the Instructions for Form 5713.                  Cat. No. 12050W           Schedule A (Form 5713) (Rev. 12-2010) 



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Schedule A (Form 5713) (Rev. 12-2010)                                                                                     Page  2 
General Instructions                     international boycott factor, which        Column (2). Enter all purchases that  
                                         reflects all their purchases, sales, and   are made from boycotting countries  
References are to the Internal Revenue   payroll. However, if you belong to two     that are attributable to the operation  
Code.                                    or more controlled groups, your            reported on each line. 
                                         international boycott factor will reflect  Column (3). Enter the sales that are  
Who Must File                            the purchases, sales, and payroll of all   made to or from boycotting countries  
Complete Schedule A (Form 5713) if:      the controlled groups to which you         and that are attributable to the  
• You participated in or cooperated      belong.                                    operation reported on each line. 
with an international boycott and        Partnerships and trusts. You are           Column (4). Enter the total payroll that 
• You are using the international        deemed to have a prorated share of         was paid or accrued for services  
boycott factor to figure the loss of tax the purchases, sales, and payroll of       performed in boycotting countries and  
benefits.                                each partnership in which you are a        that are attributable to the operation  
You must use the international           partner and of each trust of which you     reported on each line. 
boycott factor to figure the reduction   are treated as the owner under section 
to foreign trade income qualifying for   671. As a result, your international       Lines 1 Through 3 
the extraterritorial income exclusion.   boycott factor may also reflect            Line 1. Add the totals of columns (2),  
To  figure the loss of all other         purchases, sales, and payroll of           (3), and (4). This amount is the  
applicable tax benefits, you may either  partnerships or trusts.                    numerator of your international  
                                                                                    boycott factor.
use the  international boycott factor or Specific Instructions 
you may  specifically attribute taxes                                                  Do not include amounts attributable 
and income  by operation on Schedule     Compute a separate boycott factor          to operations for which you rebutted  
B (Form 5713).                           and a separate schedule for each           the presumption of participating in or  
                                         international boycott you participated     cooperating with the boycott. 
Boycott Operations                       in or cooperated with. Include your        Line 2. The denominator of the  
All your operations in a boycotting      own operations and, if applicable, the     international boycott factor reflects all  
country are considered to be boycott     operations of partnerships, trusts, and    your purchases, sales, and payroll in 
operations, unless you rebut the         members of your controlled group.          or related to all countries other than  
presumption of participating in or       See the instructions for lines 8           the United States. If applicable, the  
cooperating with the boycott (as         through 13, in the  Instructions for       denominator also reflects these items  
explained below). In addition, your      Form 5713, to determine the years for      for your controlled groups,  
operations that are not in a boycotting  which you should report purchases,         partnerships, and trusts. Include the  
country are boycott operations if they   sales, and payroll for partnerships,       amounts that are attributable to  
are connected to your participation in   trusts, and controlled groups.             operations for which you rebutted the  
or cooperation with the boycott.                                                    presumption of participating in or  
                                         Columns (1) Through (4) 
Rebutting the presumption of                                                        cooperating with the boycott.
boycott participation or                 In completing columns (1) through (4),     Line 3. Enter the international boycott 
cooperation. One act of participation    show all boycott purchases, boycott        factor from line 3 of this form on the  
or cooperation creates the               sales, and boycott payroll from one        appropriate line of Schedule C  
presumption that you participate in or   operation on one line.                     (Form 5713) as follows.
cooperate with the boycott unless you    Partnerships. Complete only lines a  
rebut the presumption. The               through o, the total of columns (2), (3),                             THEN enter the  
presumption applies to all your          and (4), and line 2. Do not complete                                  international 
operations and those of each member      line 3. Give this information to all                                  boycott factor 
of any controlled groups (defined in     partners so they can compute their         IF you . . .               on . . .
section 993(a)(3)) to which you belong,  own international boycott factor.          Are required to reduce     Line 2a(2). 
in each country that helps carry out     Column (1). Enter the name of the          your foreign tax credit,
the boycott.                             country that requires participation in or  Are denied a tax deferral  Line 3a(4). 
You can rebut the presumption of         cooperation with an international          on subpart F income, 
participation in or cooperation with a   boycott as a condition of doing  
boycott for a particular operation by    business in that country. The country      Are denied a tax  deferral Line 4a(2).
demonstrating that the operation is      named in column (1) is not necessarily     on IC-DISC income,
separate from any participation in or    the country in which the operation 
cooperation with an international        takes place. For example, if you have      Are denied an exemption    Line 5a(2). 
boycott. The presumption applies only    an operation in Country Z that is not a    of foreign trade income of 
                                                                                    a  FSC,
to operations in countries that carry    boycotting country and the operation  
out the boycott. Therefore, you do not   relates to Country X that is a             Are required to reduce     Line 6b.
need to rebut the presumption for        boycotting country, enter the name of      foreign trade income 
operations that are related to those     Country X in column (1). The Secretary     qualifying for the 
countries if the operations take place   maintains a list, under section            extraterritorial income 
outside of those countries.              999(a)(3), of countries that require       exclusion, 
                                         participation in or cooperation with an 
International Boycott Factor             international boycott. See the 
Your international boycott factor        Instructions for Form 5713 for the 
reflects boycott purchases, boycott      current list of boycotting countries. 
sales, and boycott payroll. 
Controlled groups.  All members of a  
controlled group generally share one 






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