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                             Qualified Subchapter S Subsidiary Election
Form   8869                                                                                                                                                OMB No. 1545-0123
(Rev. December 2017)
Department of the Treasury                     (Under section 1361(b)(3) of the Internal Revenue Code) 
Internal Revenue Service                       ▶ Go to www.irs.gov/Form8869 for the latest information.
Part I        Parent S Corporation Making the Election 
1a   Name of parent                                                                                                            2   Employer identification number (EIN) 

b   Number, street, and room or suite no. If a P.O. box, see instructions.                                                     3   Tax year ending (month and day) 

c   City or town, state or province, country, and ZIP or foreign postal code                                                   4   Service center where last return was filed 

5     Name and title of officer or legal representative whom the IRS may call for more information                             6   Telephone number of officer or legal  
                                                                                                                                   representative
Part II       Subsidiary Corporation for Which Election is Made (For additional subsidiaries, see instructions.) 
7a   Name of subsidiary                                                                                                        8   EIN (if any) 

b   Number, street, and room or suite no. If a P.O. box, see instructions.                                                     9   Date incorporated 

c   City or town, state or province, country, and ZIP or foreign postal code                                                   10  State of incorporation 

11    Date election is to take effect (month, day, year) (see instructions) . . . . .          . .      . .  .   .    .   .  . .   . .  .       .  ▶
12    Did the subsidiary previously file a federal income tax return? If “Yes,” complete lines 13a, 13b, and 13c .    .   .  . .   . .  .       .    ▶       Yes       No 
13a Service center where last return was filed   13b Tax year ending date of last                                     13c Check type of return filed:        Form 1120 
                                                      return (month, day, year) ▶                                                                            ▶
                                                                                                                             Form 1120S                Other 
14    Is this election being made in combination with a section 368(a)(1)(F) reorganization described in Rev. Rul. 2008-18, where the subsidiary  was 
      an S corporation immediately before the election and a newly formed holding company will be the subsidiary’s parent?     .   . .  .       .        ▶   Yes       No 
15    Was the subsidiary’s last return filed as part of a consolidated return? If “Yes,” complete lines 16a, 16b, and 16c  . . .   . .  .       .      ▶     Yes       No 
16a Name of common parent                        16b  EIN of common parent                                            16c Service center where consolidated return was filed 

Under penalties of perjury, I declare that I have examined this election, including accompanying statements, and to the best of my knowledge and belief, it is true, correct, 
and complete. 
Signature of officer   
of parent corporation ▶                                                           Title ▶                                               Date ▶
General Instructions                                                                   • A bank or thrift institution that uses the reserve method of accounting 
                                                                                       for bad debts under section 585. 
Section references are to the Internal Revenue Code unless otherwise 
noted.                                                                                 • An insurance company subject to tax under subchapter L of the Code. 
                                                                                       • A corporation that has elected to be treated as a possessions 
Future Developments                                                                    corporation under section 936. 
For the latest information about developments related to Form 8869 and                 • A domestic international sales corporation (DISC) or former DISC.
its instructions, such as legislation enacted after they were published,                       See sections 1361(b)(3), 1362(f), and their related regulations for 
go to www.irs.gov/Form8869.                                                            additional information.
Purpose of Form                                                                        When To Make the Election 
A parent S corporation uses Form 8869 to elect to treat one or more of                 The parent S corporation can make the QSub election at any time 
its eligible subsidiaries as a qualified subchapter S subsidiary (QSub).               during the tax year. However, the requested effective date of the QSub 
The QSub election results in a deemed liquidation of the subsidiary                    election generally cannot be more than: 
into the parent. Following the deemed liquidation, the QSub is not                     • 12 months after the date the election is filed, or 
treated as a separate corporation and all of the subsidiary’s assets, 
liabilities, and items of income, deduction, and credit are treated as                 • 2 months and 15 days before the date the election is filed.
those of the parent.                                                                           An election filed more than 12 months before the requested effective 
                                                                                       date will be made effective 12 months after the date it is filed. An 
        Because the liquidation is a deemed liquidation, do not file                   election filed more than 2 months and 15 days after the requested 
        Form 966, Corporate Dissolution or Liquidation. However, a                     effective date generally is late and will be made effective 2 months and 
!      final return for the subsidiary may have to be filed if it was a               15 days before the date it is filed. However, an election filed more than 2 
CAUTION separate corporation prior to the date of the deemed                           months and 15 days after the requested effective date will be accepted 
liquidation. No final return is required if this election is being made                as timely filed if the corporation can show that the failure to file on time 
pursuant to a reorganization under section 368(a)(1)(F) and Rev. Rul.                  was due to reasonable cause. 
2008-18. See Rev. Rul. 2008-18, 2008-13 I.R.B. 674, for details. 
                                                                                               To request relief for a late election, the corporation generally must 
Eligible Subsidiary                                                                    request a private letter ruling and pay a user fee in accordance with  
                                                                                       Rev. Proc. 2017-1, 2017-1 I.R.B. 1 (or its successor). However, relief 
An eligible subsidiary is a domestic corporation whose stock is owned                  from the ruling and user fee requirements is available. See Rev. Proc.  
100% by an S corporation and is not one of the following ineligible                    2013-30, 2013-36 I.R.B. 173, for details. 
corporations. 

For Paperwork Reduction Act Notice, see instructions.                                            Cat. No. 28755K                                      Form 8869 (Rev. 12-2017) 



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Form 8869 (Rev. 12-2017)                                                                                                                       Page 2 
Where To File                                                               Employer Identification Number (EIN) 
File Form 8869 with the service center where the subsidiary filed its       A QSub may not be required to have an EIN for federal tax purposes. If 
most recent return. However, if the parent S corporation forms a            the QSub does not have an EIN, enter “N/A” on  line 8. 
subsidiary, and makes a valid election effective upon formation, submit     However, if the QSub has previously filed a return, separately or as  
Form 8869 to the service center where the parent S corporation filed its    part of a consolidated return, and used an EIN, enter that EIN on line 8 
most recent return.                                                         and (if applicable) the EIN of its common parent on line 16b. If this  
Acceptance of Election                                                      election is being made pursuant to a reorganization under section  
                                                                            368(a)(1)(F) and Rev. Rul. 2008-18, the old S corporation for which this 
The service center will notify the corporation if the QSub election is      QSub election is being made will retain its EIN. The newly formed parent 
(a) accepted, and when it will take effect, or (b) not accepted.            must get a new EIN. See Rev. Rul. 2008-18 for details. 
The corporation should generally receive a determination on its             Caution. Failure to enter the subsidiary’s EIN may result in the service  
election within 60 days after it has filed Form 8869. However, if the       center sending a notice of delinquent filing to the QSub. 
corporation is not notified of acceptance or nonacceptance of its           If the QSub wants its own EIN, but does not have one, see Form  
election within 2 months of the date of filing (date mailed), take          SS-4, Application for Employer Identification Number, for details on  
follow-up action by calling 1-800-829-4933.                                 how to obtain an EIN. 
If the IRS questions whether Form 8869 was filed, an acceptable             If the QSub has not received its EIN by the time the election is made, 
proof of filing is (a) a certified or registered mail receipt (timely       write “Applied for” on line 8. See the Instructions for Form SS-4 for 
postmarked) from the U.S. Postal Service, or its equivalent from a          details. 
designated private delivery service (see Notice 2016-30, 2016-18  I.R.B. 
676 (or its successor)); (b) a Form 8869 with an accepted  stamp; (c) a     Effective Date of Election 
Form 8869 with a stamped IRS received date; or (d) an IRS letter stating 
that Form 8869 has been accepted.                                                     Form 8869 generally must be filed no earlier than 12 months 
                                                                                      before or no later than 2 months and 15 days after the 
End of Election                                                             TIP       effective date requested on line 11. For details and 
                                                                                      exceptions, see When To Make the Election, earlier. 
Once the QSub election is made, it remains in effect until it is  
terminated. If the election is terminated, IRS consent generally is         A parent S corporation that forms a new subsidiary and wants the  
required for another QSub election with regard to the former QSub (or       election effective upon formation should enter the formation date. A  
its successor) for any tax year before the 5th tax year after the first tax parent corporation that wants to make the election for an existing  
year in which the termination took effect. See Regulations section          subsidiary should enter the requested effective date. For details about  
1.1361-5 for details.                                                       the effect of a QSub election, see Regulations section 1.1361-4. 
Specific Instructions                                                       Signature 
Address                                                                     Form 8869 must be signed and dated by the president, vice president, 
                                                                            treasurer, assistant treasurer, chief accounting officer, or any other 
Include the suite, room, or other unit number after the street address. If  corporate officer (such as tax officer) authorized to sign the parent’s      
the Post Office does not deliver to the street address and the              S corporation return. 
corporation has a P.O. box, show the box number instead. 
If the subsidiary has the same address as the parent S corporation,         Paperwork Reduction Act Notice. We ask for the information on this 
enter “Same as parent” in Part II.                                          form to carry out the Internal Revenue laws of the United States. You 
                                                                            are required to give us the information. We need it to ensure that you are 
Additional Subsidiaries                                                     complying with these laws. 
If the QSub election is being made for more than one subsidiary, attach     You are not required to provide the information requested on a form 
a separate sheet for each subsidiary. Use the same size, format, and        that is subject to the Paperwork Reduction Act unless the form displays 
line numbers as in Part II of the printed form. Put the parent              a valid OMB control number. Books or records relating to a form or its 
corporation’s name and employer identification number at the top of         instructions must be retained as long as their contents may become 
each sheet.                                                                 material in the administration of any Internal Revenue law. Generally, tax 
If the QSub elections are being made effective on the same date for a       returns and return information are confidential, as required by section 
tiered group of subsidiaries, the parent S corporation may specify the      6103. 
order of the deemed liquidations on an attachment. If no order is           The time needed to complete and file this form will vary depending on 
specified, the deemed liquidations will be treated as occurring first for   individual circumstances. The estimated burden for business taxpayers 
the lowest tier subsidiary and proceeding successively upward. See          filing this form is approved under OMB control number 1545-0123 and 
Regulations section 1.1361-4(b)(2).                                         is included in the estimates shown in the instructions for their business 
            A QSub election for a tiered group of subsidiaries may, in      income tax return. 
            certain circumstances, result in the recognition of income. A   If you have comments concerning the accuracy of these time 
!          primary example is excess loss accounts (see Regulations        estimates or suggestions for making this form simpler, we would be 
CAUTION     section 1.1502-19).                                             happy to hear from you. You can send us comments from www.irs.gov/
                                                                            FormComments. Or you can write to the Internal Revenue Service, Tax 
Reorganizations                                                             Forms and Publications Division, 1111 Constitution Ave. NW, IR-6526, 
Line 14. This box should be checked “Yes” if this election is being         Washington, DC 20224. Don't send the form to this office.
made pursuant to a reorganization under section 368(a)(1)(F) and      
Rev. Rul. 2008-18. This occurs when a newly formed parent holding  
company holds the stock of the subsidiary that was an S corporation  
immediately before the transaction and the transaction otherwise  
qualifies as a reorganization under section 368(a)(1)(F). No Form 2553, 
Election by a Small Business Corporation, is required to be filed by the 
parent. See Rev. Rul. 2008-18 for details. 






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