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Form 1120-FSC                    U.S. Income Tax Return of a Foreign Sales Corporation
                                 For calendar year 20         or other tax year beginning                                        , 20
(Rev. December 2016)                                                                                                                            ,        OMB No. 1545-0123
Department of the Treasury                    and ending                                                     , 20
Internal Revenue Service                              ▶ See separate instructions. Please type or print.
A   Foreign country or U.S.      Name                                                                                             C  Employer identification number
    possession of incorporation 
    (see instructions)
                                                                                                                                  D  Date incorporated
B   Check type of election made: Number, street, and room or suite no. (see instructions)
      FSC             Small FSC                                                                                                   E  Total assets (see instructions)
    Enter the effective date of  City or town, state, and ZIP code                                                                $ 
    the election:

F   Check applicable boxes:         (1)   Final return       (2)     Name change         (3)   Address change           (4)     Amended return
                                                                      FSC Information
 1  Principal shareholder. Complete for the shareholder that was the principal shareholder at the beginning of the FSC’s tax year. If two or more shareholders 
    own equal amounts of stock, complete for the shareholder that has the same tax year as the FSC (see instructions).  
a  Name                                                                                                                           b  Identification number

c  Address (number, street, and room or suite no., city or town, state, ZIP code, or country)                                     d  Total assets (corporations only)
                                                                                                                                  $ 
e  Percentage of voting stock of the   f  Tax year ends (month and year)       g  Service Center where tax return is filed        h  Foreign owner? (check one)
    principal shareholder
                                 %                                                                                                                  Yes            No
2   Parent-subsidiary controlled group. Is the FSC a subsidiary in a parent-subsidiary controlled group?  .           . .   .   .          .  ▶     Yes            No
                                          If  “Yes,”  and  the  principal  shareholder  (described  in   1above)  is  not  the  common  parent  of  the  group,  complete 
                                          lines 2a through 2g below for the common parent (see instructions).
a  Name of common parent                                                                                                          b  Identification number

c  Address (number, street, and room or suite no., city or town, state, ZIP code, or country)                                     d  Total assets (consolidated, if applicable)
                                                                                                                                  $ 
e  Percentage of voting stock of the common parent                 f  Tax year ends (month and year)                              g  Service Center where tax return is filed
                                                                %
3   Administrative pricing rules
a  Check the applicable box(es) to show the pricing rule(s) used to determine taxable income on transactions resulting in foreign trading gross receipts.
                 (1)        1.83% of foreign trading gross receipts        (2) 23% of combined taxable income                   (3)           Marginal costing
                 (4)        Section 482 method                             (5) Transactions at arm’s length with unrelated supplier(s)
b  If the FSC and the related supplier(s) meet the payment rules of Temporary Regulations section 1.925(a)-1T(b)(2)(ii) and elect to use the administrative  
    pricing rules, check here    .   .  . .   . .     .    . .     .  .    . . .   .     .   . .    .     . . .       . .   .   .          .  .   . .     .      . .   . ▶
                                                        Tax and Payments (see instructions)
 1    Total tax (Schedule J, line 6)          . .     .    . .     .  .    . . .   .     .   . .    .     . . .       . .   .   .          .    1 
 2    Payments:
    a Overpayment from prior year allowed 
      as a credit           . .  .   .  . .   . .          2a 
    b Current year estimated tax payments                  2b
    c Less  refund  of  overpaid  estimated 
      tax applied for on Form 4466  .           .          2c    (                       ) d Bal ▶    2d
    e Tax deposited with Form 7004  .           .     .    . .     .  .    . . .   .     .   . .      2e 
    f Credit for Federal tax paid on fuels (attach Form 4136)  .               .   .     .   . .      2f 
    g U.S. income tax paid or withheld at source (attach Form 1042-S)                        . .      2g
    h Add lines 2d through 2g  .          .   . .     .    . .     .  .    . . .   .     .   . .    .     . . .       . .   .   .          .    2h
 3    Estimated tax penalty. Check if Form 2220 is attached  .                 .   .     .   . .    .     . . .       . .   . ▶                 3 
 4    Tax due. If line 2h is smaller than the total of lines 1 and 3, enter amount owed .                     .       . .   .   .          .    4 
 5    Overpayment. If line 2h is larger than the total of lines 1 and 3, enter amount overpaid  .                           .   .          .    5 
 6    Enter amount of line 5 you want: Credited to next year’s estimated tax ▶                                        Refunded ▶                6 
      Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, 
      correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Sign  ▲                                                                                  ▲                                                        May  the  IRS  discuss  this  return 
                                                                                                                                                  with  the  preparer  shown  below 
Here                                                                                                                                              (see instructions)?  Yes  No 
        Signature of officer                                          Date                   Title
                 Print/Type preparer’s name                      Preparer’s signature                             Date
Paid                                                                                                                                          Check          if    PTIN
                                                                                                                                              self-employed 
Preparer                         ▶                                                                                                            Firm's EIN ▶
                 Firm’s name     
                 Firm’s address 
Use Only                         ▶                                                                                                            Phone no. 
For Paperwork Reduction Act Notice, see instructions.                                    Cat. No. 11531K                                      Form 1120-FSC (Rev. 12-2016)



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Form 1120-FSC (Rev. 12-2016)                                                                                                                         Page 2 
Schedule A      Cost of Goods Sold Related to Foreign Trading Gross Receipts (see instructions)
                                                                               (a) Using administrative pricing rules (b) Not using administrative pricing rules
1   Inventory at beginning of year  .    .    .  . .  .     .        . . .   . 1 
2   Purchases        . .     . . .   . . .    .  . .  .     .        . . .   . 2 
3   Cost of labor .    .     . . .   . . .    .  . .  .     .        . . .   . 3 
4   Additional section 263A costs (attach schedule)  .               . . .   . 4 
5   Other costs (attach schedule)  .     .    .  . .  .     .        . . .   . 5 
6   Total. Add lines 1 through 5 .     . .    .  . .  .     .        . . .   . 6 
7   Inventory at end of year  .      . . .    .  . .  .     .        . . .   . 7 
8   Cost of goods sold.      Subtract line 7 from line 6. Enter here and on 
    line 7 of Schedule B. Small FSCs, see instructions for Schedule A          8 
9 a Check all methods used for valuing closing inventory:                (1)   Cost as described in Regulations section 1.471-3
    (2)    Lower of cost or market as described in Regulations section 1.471-4
    (3)    Other (Specify method used and attach explanation.) ▶
b   Check if there was a writedown of subnormal goods as described in Regulations section 1.471-2(c)  .                   .   .  .          . . .  ▶
c   Check if the LIFO inventory method was adopted this tax year for any goods. (If checked, attach Form 970.)  .                           . . .  ▶
d   If the LIFO inventory method was used for this tax year, enter percentage (or amounts) of closing 
    inventory computed under LIFO  .          .  . .  .     .        . . .   . . .   . .    . .   .  .   .    . .         9d
e   If property is produced or acquired for resale, do the rules of section 263A apply to the FSC?  .                 . . .   .               Yes     No
f   Was there any change in determining quantities, cost, or valuations between opening and closing inventory? 
    If “Yes,” attach explanation  .    . .    .  . .  .     .        . . .   . . .   . .    . .   .  .   .    . .     . . .   .               Yes     No
Additional Information (see instructions). Note: Small FSCs, complete lines 1 through 8f only.
1   See the instructions and enter the FSC’s:                        Yes No  f   Small FSCs only: Check the applicable box if during the tax         Yes No
a   Business activity code no. ▶                                                 year  the  small  FSC  was  a  member  of  a  controlled  group  of 
b   Business activity ▶                                                          corporations that included a   DISC or a        FSC.
c   Product or service ▶                                                     g   Check the applicable box if during the tax year the FSC 
2   Enter  the  amount  of  tax-exempt  interest  received  or                   was  a member of a controlled group of corporations that 
    accrued during the tax year ▶      $                                         included a   DISC or a         FSC.
3   At any time during the tax year was the FSC engaged in                   9   Foreign management rules (     does notapply to small FSCs):
    a trade or business in the United States?  . . .  .     .                a   Did all formally convened meetings of the board of directors 
4   During the tax year, did the FSC own any foreign entity                      and of the shareholders occur outside the U.S.?  .         . .
    that  was  disregarded  as  an  entity  separate  from  its              b   (1) Were  all  cash  dividends,  legal  and  accounting  fees, 
                                                                                     salaries of officers, and salaries or fees of members of 
    owner  under  Regulations  sections  301.7701-2  and                             the  board  of  directors  disbursed  from  bank  accounts 
    301.7701-3?  .     .     . . .   . . .    .  . .  .     .                        maintained outside the United States? (If “Yes,” these 
                                                                                     accounts  are  considered  to  be  the  FSC’s  principal 
    If  “Yes,”  attach  a  statement  listing  the  name,  country                   bank accounts.)  .  .    . .     . . .   .  .          . .
    under whose laws the entity was organized, and EIN (if                       (2) At all times during the tax year, did the FSC maintain 
    any) of each such entity.                                                        its  principal  bank  accounts  in  a  qualifying  foreign 
5   During  the  tax  year,  did  the  FSC  own  at  least  a  10%                   country or U.S. possession (see instructions)?  .        .
    interest, directly or indirectly, in any foreign partnership?                Name of bank(s) ▶
    If “Yes,” see the instructions for required attachment.                      Account number(s) ▶
6   If the FSC has an NOL for the tax year and is electing to               10   Foreign economic process rules (does not apply to small FSCs):
    forego the carryback period, check here  .   .  ▶                        a   Check the applicable box if the FSC is electing to group transactions 
7   Enter  the available  NOL  carryover from prior tax years.                   from its sales activities (Regulations section 1.924(d)-1(c)(5)):
    (Do not reduce it by any deduction on Schedule B, Part                         Customer grouping                    Contract grouping
    II, line 19a.) . . .     . . .  ▶  $                                           Product or product line grouping     Product or product line subgroupings
8   FSC qualification rules (see instructions):                              b   Check  the  applicable  box(es)  to  indicate  how  the  FSC  met  the 
a   Enter the largest number of shareholders the FSC had                         foreign direct costs requirement (see instructions):
    at  any time during the tax year ▶                                               The FSC (or any person under contract with the FSC) met the 
b   Did  the  FSC  have  any  preferred  stock  outstanding  at                      50% test of section 924(d)(1).
    any time during the tax year?    . . .    .  . .  .     .                        The FSC (or any person under contract with the FSC) met the alternative 
c   During the tax year, did the FSC maintain an office in a                         85% test of section 924(d)(2). Check to indicate the subparagraphs of 
    qualifying foreign country or U.S. possession in which a                         section 924(e) for which this alternative test was met:
    complete set of books and records was maintained?       .                        (e)(1)       (e)(2)        (e)(3)        (e)(4)            (e)(5)
d   During  the  tax  year  did  the  FSC  maintain  the  records            c   If  box  (e)(5)  is  checked,  enter  which  of  the  five  methods  listed  in 
    required under section 6001 at a location within the U.S.?                   Regulations section 1.924(e)-1(e)(1)(i) through (v) describes how the 
e   At  all  times  during  the  tax  year,  did  the  FSC  have  at             FSC bears the economic risk of nonpayment ▶
    least one non-U.S. resident on its board of directors?  .                d   Check  the  applicable  box  if  the  FSC  is  electing  to  group  its  foreign 
                                                                                 direct costs on one of the following (Regulations section 1.924(d)-1(e)):
                                                                                   Customer grouping    Contract grouping    Product or product line grouping
                                                                                                                        Form 1120-FSC (Rev. 12-2016)



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Form 1120-FSC (Rev. 12-2016)                                                                                                   Page 3 
Schedule B    Taxable Income or (Loss) (see instructions)
                             Part I—Net Income Attributable to Nonexempt Foreign Trade Income
                                                                                             (a) Using administrative  (b) Not using 
                                                                                                pricing rules          administrative  
                                                                                                                       pricing rules
1   Sale,  exchange,  or  other  disposition  of  export  property.  (Enter  50%  of
    military property sales. Include the other 50% on Schedule F, line 1.)  .        .     1
2   Lease or rental of export property for use outside the United States           . .     2
3   Services related and subsidiary to:
a   Sale,  exchange,  or  other  disposition  of  export  property.  (Enter  50%  of
    services related to the sale or other disposition of military property. Include
    the other 50% on Schedule F, line 1.)            . .   . . .        . .  . . . . .   3a
b   Lease or rental of export property  . .          . .   . . .        . .  . . . . .    3b
4   Engineering or architectural services for construction projects outside the U.S.      4
5   Managerial services for an unrelated FSC or IC-DISC (see instructions)           .    5
6 a  Total foreign trading gross receipts. Add lines 1 through 5  .            . . . .    6a
    Small FSCs:  Complete lines 6b through 6h.
b   Small FSC limitation (section 924(b)(2)(B))  .         . . .          6b   $5,000,000  00
c   Controlled group member’s share of line 6b             . . .           6c
d   Enter 1. (Short tax year: Divide the number of days in 
    the short tax year by the number of days in the full tax 
    year. Enter as a decimal less than 1.00000.)           . . .          6d
e   Multiply line 6b or line 6c (whichever applies) by line 6d             6e
f   Total of line 6a, columns (a) and (b)  .         . .   . . .           6f
    Note: See  the  instructions  for  line  6f  if  commission 
    income is included on line 6a.  
g   Enter  the  smaller  of  line  6e  or  line  6f. Note:  If  line  6f 
    exceeds line 6e, enter the excess on line 7 of Schedule F             6g
h   Allocate the amount from line 6g to columns (a) and (b) (see instructions)  .        6h
7   Cost of goods sold (Schedule A, line 8). (Small FSCs, enter only the part of 
    cost of goods sold from the receipts on line 6h above. See instructions for 
    Schedule A.)  . .        . . . . . .  .          . .   . . .        . .  . . . . .     7
8   Foreign trade income. Subtract line 7 from line 6a or line 6h (whichever applies)      8
9 a Exemption percentage from Schedule E, line 3d  .           .        . .  . . . . .    9a                      % 
b   Exemption percentage from Schedule E, line 2d  .           .        . .  . . . . .    9b                                           % 
10  Exempt foreign trade income.     Multiply line 8, column (a) by line 9a and line
    8, column (b) by line 9b  .    . . .  .          . .   . . .        . .  . . . . .   10
11  Nonexempt foreign trade income. Subtract line 10 from line 8  .              . . .   11
12  Deductions  attributable  to  nonexempt  foreign  trade  income.  Enter  amount 
    from Schedule G, line 18 .     . . .  .          . .   . . . .        .  . . . . .   12
13  Net income attributable to nonexempt foreign trade income. Subtract line 12 
    from line 11  . .        . . . . . .  .          . .   . . .        . .  . . . . .   13
14  Net income attributable to nonexempt foreign trade income from Schedule
    F, line 6 . .   .        . . . . . .  .          . .   . . . .        .  . . . . .   14
15  Total net income attributable to nonexempt foreign trade income.                 Add 
    lines 13 and 14  .       . . . . . .  .          . .   . . .        . .  . . . . .   15
                                                     Part II—Taxable Income or (Loss)
16  Taxable income from foreign trade income. Enter total of line 15, columns (a) and (b), minus any 
    nontaxable income included in line 15, column (b). Attach a schedule that shows the computation 
    of the taxable and nontaxable income included on line 15, column (b)  .          . . .  . . . . . .           16
17  Taxable nonforeign trade income from Schedule F, line 19                 . . . . . . .  . . . . . .           17
18  Taxable income or (loss) before net operating loss deduction and dividends-received deduction. 
    Add lines 16 and 17  .       . . . .  .          . .   . . . .        .  . . . . . . .  . . . . . .           18
19a Net operating loss deduction (attach schedule)           . .        . .  . . . . 19a
b   Dividends-received deduction (attach schedule)  .          .        . .  . . . . 19b
c   Add lines 19a and 19b        . . . .  .          . .   . . . .        .  . . . . . . .  . . . . . .           19c
20  Taxable  income  or  (loss).   Subtract  line  19c  from  line  18.  (See  instructions  for  Schedule  J  to 
    figure the tax on this income.)  . .  .          . .   . . . .        .  . . . . . . .  . . . . . .           20
                                                                                                                  Form 1120-FSC (Rev. 12-2016)



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Form 1120-FSC (Rev. 12-2016)                                                                                                                  Page 4 
Schedule E     Exemption Percentages Used in Figuring Exempt Foreign Trade Income (see instructions)
Note:  If all shareholders of the FSC are C corporations, enter .30000 on line 2d and .65217 on line 3d and skip all other lines.  
If all shareholders of the FSC are other than C corporations, enter .32000 on line 2d and .69565 on line 3d and skip all other lines.
1      Percentage (round to at least five decimal places) of voting stock owned by shareholders that are 
       C corporations  .     . . .   . . . . . .  . . .  .      . . .    . . .     .        . . . . . . .           1 
2      Exemption percentage for foreign trade income determined by not using the administrative pricing rules:
a      Difference between section 923(a)(2) and section 291(a)(4)(A) percentage  . .        . . . . . . .           2a             .02000

b      Section 923(a)(2) percentage    . . . . .  . . .  .      . . .    . . .     .        . . . . . . .           2b             .32000

c      Multiply line 1 by line 2a  . . . . . . .  . . .  .      . . .    . . .     .        . . . . . . .           2c 
d  Exemption percentage. Subtract line 2c from line 2b. Enter here and on Schedule B, line 9b, and 
       on Schedule G, line 16b .     . . . . . .  . . .  .      . . .    . . .     .        . . . . . . .           2d
3      Exemption percentage for foreign trade income determined using administrative pricing rules:
a      Difference  between  section  923(a)(3)  fraction  and  section  291(a)(4)(B)  fraction  (16/23  –  15/23  = 
       1/23) shown as a decimal      . . . . . .  . . .  .      . . .    . . .     .        . . . . . . .           3a             .04348

b      Section 923(a)(3) fraction (16/23) shown as a decimal  . . . .    . . .     .        . . . . . . .           3b             .69565

c      Multiply line 1 by line 3a  . . . . . . .  . . .  .      . . .    . . .     .        . . . . . . .           3c 
d  Exemption percentage. Subtract line 3c from line 3b. Enter here and on Schedule B, line 9a, and 
       on Schedule G, line 16a  .    . . . . . .  . . .  .      . . .    . . .     .        . . . . . . .           3d
Schedule F     Net Income From Nonexempt Foreign Trade Income and Taxable Nonforeign Trade Income  
               (see instructions)
                                 Part I—Net Income From Nonexempt Foreign Trade Income
                                                                                              (a) Using administrative   (b) Not using administrative 
1  Enter  50%  of  total  receipts  from  the  sale,  exchange,  or  other  disposition  of       pricing rules                  pricing rules
   military property and related services  . . .  . . .  .      . . .    . . .                1 
2  International boycott income  .     . . . . .  . . .  .      . . .    . . .                2 
3  Illegal bribes and other payments     . . . .  . . .  .      . . .    . . .                3 
4  Total. Add lines 1, 2, and 3      . . . . . .  . . .  .      . . .    . . .                4 
5  Cost  of  goods  sold  and  other  costs  related  to  above  income 
   (attach schedule)  .      . . .   . . . . . .  . . .  .      . . .    . . .                5 
6  Net  income  from  nonexempt  foreign  trade  income. Subtract  line  5  from 
   line 4. Enter here and on Schedule B, line 14, columns (a) and (b)  . . . .                6 
                                         Part II—Taxable Nonforeign Trade Income
7  Small FSCs: If line 6f, Schedule B, is greater than line 6e, Schedule B, enter the excess here .   . .           7 

8  Interest  . . .    .      . . .   . . . . . .  . . .  .      . . .    . . .     .        . . . . . . .           8 

9  Dividends (attach schedule—see instructions)  .  . .  .      . . .    . . .     .        . . . . . . .           9 

10 Carrying charges  .       . . .   . . . . . .  . . .  .      . . .    . . .     .        . . . . . . .           10 

11 Royalties   . .    .      . . .   . . . . . .  . . .  .      . . .    . . .     .        . . . . . . .           11 
12 Other investment income  .        . . . . . .  . . .  .      . . .    . . .     .        . . . . . . .           12 
13 Receipts excluded under section 924(f) on the basis of use, subsidized receipts, and receipts from
   related parties  . .      . . .   . . . . . .  . . .  .      . . .    . . .     .        . . . . . . .           13 
14 Income from excluded property under sections 927(a)(2) and (3)  .     . . .     .        . . . . . . .           14 
15 Income from transactions that did not meet the Foreign economic process rules (see instructions). 
   (See Foreign Trading Gross Receipts in the instructions.)  .   . .    . . .     .        . . . . . . .           15 
16 Other income  .    .      . . .   . . . . . .  . . .  .      . . .    . . .     .        . . . . . . .           16 
17  Total. Add lines 7 through 16  .   . . . . .  . . .  .      . . .    . . .     .        . . . . . . .           17 
18 Enter  deductions  allocated  or  apportioned  to  line  17  income.  (Attach  schedule.  Small  FSCs  also 
   include the cost of goods sold deduction attributable to the amount entered on line 7 above) .     . .           18 
19  Taxable nonforeign trade income.     Subtract line 18 from line 17. Enter here and on Schedule B, 
   line 17 .   . .    .      . . .   . . . . . .  . . .  .      . . .    . . .     .        . . . . . . .           19 
                                                                                                                    Form 1120-FSC (Rev. 12-2016)



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Form 1120-FSC (Rev. 12-2016)                                                                                                            Page 5 
Schedule G     Deductions Allocated or Apportioned to Foreign Trade Income Other Than Foreign Trade Income 
               Reported on Schedule F (See instructions for limitations on deductions before completing lines 1 through 14.)
                                                                                                 (a) Using administrative  (b) Not using administrative 
1   Foreign direct costs described in section 924(e):                                                pricing rules         pricing rules
a   Advertising and sales promotion  .   .     . . .  . . .   .  . .  .   .     .              1a 
b   Certain processing and arranging costs  .    . .  . . .   .  . .  .   .     .              1b
c   Certain transportation costs .   . . .     . . .  . . .   .  . .  .   .     .              1c 
d   Certain determination and transmittal costs    .  . . .   .  . .  .   .     .              1d
e   Assumption of credit risk .    . . . .     . . .  . . .   .  . .  .   .     .              1e 
f  Total foreign direct costs. Add lines 1a through 1e .  .   .  . .  .   .     .              1f 
2   Advertising  .   .       . . . . . . .     . . .  . . .   .  . .  .   .     .                2 
3   Interest   .  .  .       . . . . . . .     . . .  . . .   .  . .  .   .     .                3 
4   Depreciation from Form 4562 (less any depreciation claimed elsewhere on
    this return) (attach Form 4562)  . . .     . . .  . . .   .  . .  .   .     .                4 
5   Salaries and wages         . . . . . .     . . .  . . .   .  . .  .   .     .                5 
6   Rents  .   .  .  .       . . . . . . .     . . .  . . .   .  . .  .   .     .                6 
7   Sales commissions          . . . . . .     . . .  . . .   .  . .  .   .     .                7 
8   Warehousing      .       . . . . . . .     . . .  . . .   .  . .  .   .     .                8 
9   Freight .  .  .  .       . . . . . . .     . . .  . . .   .  . .  .   .     .                9 
10  Compensation of officers       . . . .     . . .  . . .   .  . .  .   .     .              10 
11  Bad debts     .  .       . . . . . . .     . . .  . . .   .  . .  .   .     .              11 
12  Pension, profit-sharing, etc., plans .     . . .  . . .   .  . .  .   .     .              12 
13  Employee benefit programs  .     . . .     . . .  . . .   .  . .  .   .     .              13 
14  Other deductions (attach list)  .  . .     . . .  . . .   .  . .  .   .     .              14 
15  Total deductions. Add lines 1f through 14  .   .  . . .   .  . .  .   .     .              15 
16a Exemption percentage from Schedule E, line 3d  .    . .   .  . .  .   .     .              16a                 % 
b   Exemption percentage from Schedule E, line 2d  .    . .   .  . .  .   .     .              16b                                      % 
17  Deductions  attributable  to  exempt  foreign  trade  income.  Multiply  line  15, 
    column  (a)  by  line  16a  and  enter  the  result  in  column  (a).  Multiply  line  15, 
    column (b) by line 16b and enter the result in column (b) .  . .  .   .     .              17 
18  Deductions  allocated  or  apportioned  to  nonexempt  foreign  trade 
    income  other  than  foreign  trade  income  reported  on  Schedule  F. 
    Subtract line 17 from line 15. Enter here and on Schedule B, line 12, columns
    (a) and (b) . .  .       . . . . . . .     . . .  . . .   .  . .  .   .     .              18 
Schedule J     Tax Computation  (see instructions)
1   Check if the FSC is a member of a controlled group (see section 927(d)(4)) (attach Schedule 
    O (Form 1120))  .        . . . . . . .     . . .  . . .   .  . .  .   .     . .            . . . .  ▶
2   Income tax. Check this box if the FSC is a qualified personal service corporation as defined 
    in section 448(d)(2) (see instructions)  . . . .  . . .   .  . .  .   .     . .            . . . .  ▶          2 

3   Alternative minimum tax (attach Form 4626)     .  . . .   .  . .  .   .     . .            . . . .  . . .      3 

4   Add lines 2 and 3  .       . . . . . .     . . .  . . .   .  . .  .   .     . .            . . . .  . . .      4 

5   Foreign tax credit (attach Form 1118)      . . .  . . .   .  . .  .   .     . .            . . . .  . . .      5 

6   Total tax. Subtract line 5 from line 4. Enter here and on line 1, page 1  . . .            . . . .  . . .      6 
                                                                                                                   Form 1120-FSC (Rev. 12-2016)



- 6 -
Form 1120-FSC (Rev. 12-2016)                                                                                                                          Page 6 
Schedule L   Balance Sheets per Books                        Beginning of tax year                                               End of tax year
                   Assets                                (a)                                   (b)                       (c)                      (d) 
1   Cash .   .     . .       .  . . .   . .    .
2a  Trade notes and accounts receivable  .     .
b   Commissions receivable  .     . .   . .    .
c   Less allowance for bad debts  .     . .    .         (                                )                    (                                ) 
3   Inventories  . . .       .  . . .   . .    .
4   U.S. government obligations     .   . .    .
5   Tax-exempt securities (see instructions)  .
6   Other current assets (attach schedule) .   .
7   Loans to shareholders       . . .   . .    .
8   Mortgage and real estate loans  .   . .    .
9   Other investments (attach schedule)   .    .
10a Buildings and other depreciable assets     .
b   Less accumulated depreciation .     . .    .         (                                )                    (                                ) 
11a Depletable assets  .     .  . . .   . .    .
b   Less accumulated depletion .    .   . .    .         (                                )                    (                                ) 
12  Land (net of any amortization)  .   . .    .
13a Intangible assets (amortizable only)  .    .
b   Less accumulated amortization  .    . .    .         (                                )                    (                                ) 
14  Other assets (attach schedule)  .   . .    .
15  Total assets   . .       .  . . .   . .    .
   Liabilities and Shareholders’ Equity  
16  Accounts payable .       .  . . .   . .    .
17  Mtges., notes, bonds payable in less than 1 year
18  Transfer prices payable  .    . .   . .    .
19  Other current liabilities (attach schedule) .
20  Loans from shareholders .     . .   . .    .
21  Mtges., notes, bonds payable in 1 year or more
22  Other liabilities (attach schedule) . .    .
23  Capital stock  . .       .  . . .   . .    .
24  Additional paid-in capital .  . .   . .    .
25  Retained earnings—Appropriated (attach schedule)
26  Retained earnings—Unappropriated      .    .
27  Adjustments to shareholders’ equity (attach schedule)
28  Less cost of treasury stock  .  .   . .    .             (                                )                                           (                                ) 
29  Total liabilities and shareholders’ equity .
Schedule M-1       Reconciliation of Income (Loss) per Books With Income per Return  (see instructions)
1   Net income (loss) per books .   .   . .    .                                            7  Income  recorded  on  books  this  year 
2   Federal income tax per books  .     . .    .                                               not included on this return (itemize):
3   Excess of capital losses over capital gains                                             a  Tax-exempt interest $
4   Income    subject    to    tax    not   recorded                                        b  Exempt  foreign  trade 
    on books this year (itemize):                                                              income                $

5   Expenses  recorded  on  books  this  year  not                                          8  Deductions  on  this  return  not  charged 
    deducted on this return (itemize):                                                         against book income this year (itemize):
a   Depreciation  .  .       .  $                                                              Depreciation  . .     $
b   Deductions  attributable  to
    exempt foreign trade income $
c   Travel and entertainment    $                                                           9  Add lines 7 and 8     . . .    .  .
                                                                                            10 Taxable income (line 18, Schedule B)— 
6   Add lines 1 through 5 .     . . .   . .    .                                               line 6 less line 9  . . . .    .  .
Schedule M-2       Analysis of Unappropriated Retained Earnings per Books (Line 26, Schedule L)
1   Balance at beginning of year    .   . .    .                                            5  Distributions:  a     Cash  .  .  .
2   Net income (loss) per books .   .   . .    .                                                               b     Stock  . .  .
3   Other increases (itemize):                                                                                 c     Property  . .
                                                                                            6  Other decreases (itemize):
                                                                                            7  Add lines 5 and 6     . . .    .  .
4   Add lines 1, 2, and 3  .    . . .   . .    .                                            8  Balance at end of year (line 4 less line 7)
                                                                                                                                 Form 1120-FSC (Rev. 12-2016)






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