TDR.8FILING FOR MARCH 1, 2022                                                                            FEDERAL IDENTIFICATION 
                                                                                                         NO. _____________________  

        The Commonwealth of Massachusetts
                               William Francis Galvin
                               Secretary of the Commonwealth
                               One Ashburton Place, Boston, Massachusetts 02108-1512

                               TAX DISCLOSURE REPORT
                                          Corporations

1. Exact name of corporation:  ____________________________________________________________________________________

2. Location, including street address, of the corporation’s principal office: ___________________________________________________

3. In the case of corporations that file combined returns, list the names and full addresses of all those corporations:

I,  _________________________________________, the undersigned *Treasurer / *Assistant Treasurer, of the above-named 

corporation, do hereby certify that all the information contained herein is true and correct as of the date shown below.

SIGNED UNDER THE PENALTIES OF PERJURY, this __________ day of________________________________ , 20 ___________.
 
__________________________________________________________________________________, *Treasurer / *Assistant Treasurer
                               (signature)

                               TAX DISCLOSURE REPORT
                                          Corporations

4. Tax year for which the report is filed: ..............................................................................................................   _____________________

5. Gross receipts or sales: ................................................................................................................................... $ _____________________ 

6. Gross profit:  ................................................................................................................................................. $ _____________________
    –OR–
    Excess tax credit: ........................................................................................................................................... $ _____________________

7. Income subject to apportionment: ................................................................................................................. $ _____________________

8. Income taxable in Massachusetts: .................................................................................................................. $ _____________________

9. Total non-income tax excise: .......................................................................................................................... $ _____________________

10. Excise due: .................................................................................................................................................. $ _____________________

11. Set forth the amount of each tax credit taken:  ____________________________________________________________________   
*Delete the inapplicable words.
Note: You may furnish supplemental information in accordance with M.G.L. Ch 62C, s.83(j) on separate 81/2 x 11 sheets of white bond paper.
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In these instructions, all references to Massachusetts tax forms refer to 2019 forms. If you are using forms for any other year when supplying informa-
tion, be sure that you include the substantive information required by statute. Forms for other years may be numbered differently.

                            INSTRUCTIONS FOR COMPLETION OF THIS FORM
Note: The information for this filing must come from your most recently filed tax return or other document filed on or before June 30, 2021.
Please type or print clearly in ink as this document will be microfilmed. Incomplete or incorrect reports will be returned to sender for completion and/or correction. 
Please send original document only; keep a photocopy for your files.

A.  Insert Federal Identification Number (employer’s I.D.) at upper right-hand corner. If you do not have one, you must apply to the Internal Revenue Service.
B.  Item 1. Insert the exact name of the corporation as it appears on the Articles of Organization or subsequent amendments. Do not use any d/b/a names, trade names, or ab-
breviations.
C.  Item 2. Insert the full address of the corporation’s principal office, using number and street, city or town, state and zip code.
D. Item 3. Where two or more corporations file a combined return, all numerical information shall be reported on a combined basis. The names and full street addresses of all 
corporations must be listed. If there is not sufficient space to respond, attach an 8 1/2 x 11 inch sheet of white bond paper with a left margin of at least one inch.
E.  Complete the statement by inserting the name of the treasurer/assistant treasurer completing this form. Date and sign where indicated, and insert title. The officer who 
prepares this report must be the one who signs it. In the absence of the treasurer/assistant treasurer, the report may be signed by the president, vice-president, or clerk.
F.  Item 4. Insert the last day, month and year of the tax year for which the report is filed.
G.  Item 5. Insert the gross receipts or sales as reported on Item 1 of Schedule E of Form 355.
H.  Item 6. Insert either: 1) gross profits as reported on Item 2 of Schedule E of Form 355, or, 2) any excess Investment Tax Credit and/or Research Credit subject to carry-over to 
future years as reported on the DOR Credit Manager Schedule filed with Form 355.
I.   Item 7. Insert income subject to apportionment as reported on Item 19 of Schedule E of Form 355.
J.   Item 8. Insert the amount of income taxable in Massachusetts as reported on Item 27 of Schedule E of Form 355.
K.  Item 9. Insert the total amount of non-income tax excise of the excise calculation as reported on Item 2 from Form 355.
L.  Item 10. Insert the amount of excise due as reported on Item 11 of the excise calculation of Form 355.
M. Item 11. Insert the amount of each tax credit taken against the excise imposed by Massachusetts General Law, Chapter 63 as reported on Form 355.

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