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Form NYC-3A - 2022
NAME OF REPORTING CORPORATION : _______________________________________________ EIN: ________________________ Page 10
ADDITIONAL INFORMATION REQUIRED The following information must be entered for this return to be complete.
1a. New York City principal business activity ___________________________________________________________________________________________
1b. Other significant business activities (attach schedule, see instructions) ___________________________________________________________________
1c. Trade name of reporting corporation, if different from name entered on page 1 _____________________________________________________________
Have there been any changes in the composition of the group of corporations included in this Combined General Corporation
2.
Tax Return from the prior Tax Period? ..................................................................................................................................................... n YES n NO
If "YES", complete Part III and/or Part IV of the Affiliations Schedule on page 12 of this Form NYC-3A.
3. Is only one subsidiary included in this return? ........................................................................................................................................... n YES n NO
If "YES", give name of corporation:___________________________________________________ EIN: _______________________________________
4. Is any member corporation also a member of a controlled group of corporations as defined in IRC section 1563,
disregarding any exclusion by reason of paragraph (b)(2) of that section? ............................................................................................. n YES n NO
If "YES", give common parent corporation’s name, if any__________________________________ EIN _______________________________
5. Has the Internal Revenue Service or the New York State Department of Taxation and Finance corrected any taxable income or
other tax base reported in a prior year, for the combined group, any variation of the combined group or any member corporation
or are any of the same currently under audit? .......................................................................................................................................... n YES n NO
If "YES", by whom? n Internal Revenue Service State period(s): Beg.:________________ End.:________________
MMDDYY MMDDYY
n New York State Department of Taxation and Finance State period(s): Beg.:________________ End.:________________
MMDDYY MMDDYY
6. If “YES” to question 5:
6a. For years prior to 1/1/15, has Form(s) NYC-3360 been filed? .............................................................................................................. n YES n NO
6b. For years beginning on or after 1/1/15, has an amended return(s) been filed? .................................................................................... n YES n NO
7. Did any member corporation make any payments treated as interest in the computation of entire net income to shareholders
owning directly or indirectly, individually or in the aggregate, more than 50% of the corporation’s issued and
outstanding capital stock? If “YES”, complete the following (if more than one, attach separate sheet) .................................................... n YES n NO
Shareholder’s name: ______________________________________________________ SSN/EIN: ________________________________________
Interest paid to Shareholder: _____________ Total Indebtedness to shareholder described above: _____________ Total interest paid: _____________
8. Was any member corporation also a member of a partnership or joint venture during the tax year? ........................................................ n YES n NO
If "YES", attach schedule listing name(s) and Employer Identification Number(s).
9. At any time during the taxable year, did any member corporation have an interest in real property (including a leasehold interest)
located in NYC or a controlling interest in an entity owning such real property?........................................................................................ n YES n NO
10. a) If "YES" to 9, attach a schedule of such property, indicating owning corporation, the nature of the interest and including the street address, borough, block and lot number.
b) Was any NYC real property (including a leasehold interest) or controlling interest in an entity owning NYC real
property acquired or transferred with or without consideration?............................................................................................................. n YES n NO
c) Was there a partial or complete liquidation of the owning corporation? ................................................................................................. n YES n NO
d) Was 50% or more of the owning corporation’s ownership transferred during the tax year, over a three-year period or according to a plan? ................ n YES n NO
11. If "YES" to 10b, 10c or 10d, was a Real Property Transfer Tax Return (Form NYC-RPT) filed?................................................................ n YES n NO
12. If "NO" to 11, explain: _________________________________________________________________________________________
13. Does any member corporation have one or more qualified subchapter S subsidiaries? ........................................... n YES n NO
If “YES”: Attach a schedule showing the name, address and EIN, if any, of each QSSS and indicate whether
the QSSS filed or was required to file a City business income tax return. (see instructions)
14. Enter the number of Fed K1 returns attached:____________________________________
15. Does any member corporation pay rent greater than $200,000 for any premises in NYC in the borough of Manhattan
south of 96th Street for the purpose of carrying on any trade, business, profession, vocation or commercial activity?...... n YES n NO
16. If "YES," were all required Commercial Rent Tax Returns filed? ............................................................................... n YES n NO
Attach schedule listing name of member corporation(s) and Employer Identification Number(s) which was used on the Commercial Rent Tax Return(s).
CERTIFICATION OF AN ELECTED OFFICER OF THE CORPORATION
I hereby certify that this return, including any accompanying rider, is, to the best of my knowledge and belief, true, correct and complete.
I authorize the Dept. of Finance to discuss this return with the preparer listed below. (see instructions) ....YES n
SIGN
HERE: Signature of officer Title Date
t PREPARER USE ONLY t
Preparer's Preparer’s Check if self-
*301102291* signature printed name employed 4 n Date
s Firm's name (or yours, if self-employed) s Address s Zip Code
Preparer's Social Security Number or PTIN Firm's Employer Identification Number Firm's Email Address
301102291 _________________________________________________
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