SCHEDULE R 
(Form 5471)                     Distributions From a Foreign Corporation
                                                                                                                             OMB No. 1545-0123
(December 2020)                                                 ▶ Attach to Form 5471.
Department of the Treasury      ▶ Go to www.irs.gov/Form5471 for instructions and the latest information.
Internal Revenue Service
Name of person filing Form 5471                                                                            Identifying number

Name of foreign corporation                                                           EIN (if any)         Reference ID number (see instructions)

                                                                                                           (c) Amount of       (d) Amount of E&P 
                                                                                      (b)                  distribution in     distribution in 
                                (a) Description of distribution                       Date of distribution foreign             foreign 
                                                                                                           corporation’s       corporation’s 
                                                                                                           functional currency functional currency

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24
For Paperwork Reduction Act Notice, see instructions.            Cat. No. 73415F                           Schedule R (Form 5471) (12-2020)