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5                                                                                                                       Oregon Department of Revenue                       5
                  2024 Form OR-CAT
6                 Oregon Corporate Activity Tax Return                                                                                                                     6
7                                                                                                                                                                          7
8                 Page 1 of 7        • Use UPPERCASE letters.  • Use blue or black ink.  • Print actual size (100%).  • Don’t submit photocopies or use staples.           8
9           Fiscal year beginning (MM/DD/YYYY)            Fiscal year ending (MM/DD/YYYY)                                                                                  9
10                                                                                                                                                                         10
11          99/99/9999/        /                          99/99/9999/       /                                                                                              11
12                                                                                                                                                                         12
13          See instructions for checkboxes.                                                                                                                               13
14                                                                                                                                                                         14
15          X     Extension    X             Amended                                                                                                                       15
16                                                                                                                                                                         16
17                                                                                                                                                                         17
18          X     New name     X             New address  X Accounting period change                                                                                       18
19                                                                                                                                                                         19
20                                              Date beginning (MM/DD/YYYY)               Date ending (MM/DD/YYYY)                                                         20
21          X     Short-year returns                                                                                                                                       21
22                                              99/99/9999/ /                             99/99/9999/             /                                                        22
23                                                                                                                                                                         23
24          Legal name of designated Corporate Activity Tax (CAT) entity (sole proprietor—complete the next line)                                                          24
25                                                                                                                                                                         25
26                                                                                                                                                                         26
            XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
27          First name (if sole proprietorship)             Initial         Last name                                                                                      27
28                                                                                                                                                                         28
29                                                                                                                                                                         29
            XXXXXXXXXXXXXXXX                                X               XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
30          Federal employer identification number (FEIN) Social Security number (SSN)                                                                                     30
31                                                                                                                                                                         31
32          99-9999999                                    999-99-9999                                             X     Deceased                                           32
33          Doing business as (DBA)                                                                                                                                        33
34                                                                                                                                                                         34
35                                                                                                                                                                         35
            XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
36          Current address                                                                                                                                                36
37                                                                                                                                                                         37
38                                                                                                                                                                         38
            XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
39          City                                                                                                  State         ZIP code                                   39
40                                                                                                                                                                         40
41          XXXXXXXXXXXXXXXXXXXXXX                                                                                XX            XXXXX-XXXX -                               41
42          Country (if other than the U.S.)                                                                      Contact phone                                            42
43                                                                                                                                                                         43
44                                                                                                                                                                         44
            XXXXXXXXXXXXXXXXXXXXX                                                                                 999-999-9999
45          Contact first name                              Initial         Contact last name                                                                              45
46                                                                                                                                                                         46
47                                                                                                                                                                         47
            XXXXXXXXXXXXXXXX                                X               XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
48          Email                                                                                                                                                          48
49                                                                                                                                                                         49
50                                                                                                                                                                         50
            XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
51                                                                                                                                                                         51
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                  150-106-003
63                (Rev. 05-03-24, ver. 01)                                                                                      20532401010000                             63
64                                                                                                                                                                         64
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69                                                                                                                                                                     69
70                                                                                                                                                                     70
71                  2024 Form OR-CAT                                                                                            Oregon Department of Revenue           71
72                                                                                                                                                                     72
73                                                                                                                                                                     73
74                  Page 2 of 7            • Use UPPERCASE letters.  • Use blue or black ink.  • Print actual size (100%).  • Don’t submit photocopies or use staples. 74
75           A. Incorporated in (state)      Incorporated on (date) (MM/DD/YYYY)                                                                                       75
76                                                                                                                                                                     76
77           XX                              99/99/9999/          /                                                                                                    77
78           B. State of commercial domicile                                                                                                                           78
79                                                                                                                                                                     79
80                                                                                                                                                                     80
             XX
81           C. Business activity code       D. Tax entity type   E. Legal entity type                                                                                 81
82                                                                                                                                                                     82
83                                                                                                                                                                     83
                  999999                     XX                   XX
84                                                                                                                                                                     84
85                                                                                                                                                                     85
86           F.   X Consolidated federal return                   X Entities included in consolidated federal return, but not in Oregon return                         86
87                                                                                                                                                                     87
88                X Combined Oregon return                        X Entities included in combined Oregon return, but not in federal return                             88
89                                                                                                                                                                     89
90                X Elect to file as modified unitary group                                                                                                            90
91                                                                                                                                                                     91
92           G. Name of parent corporation, if different than designated CAT entity (if applicable)                                                                    92
93                                                                                                                                                                     93
94                                                                                                                                                                     94
             XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
95           FEIN of parent corporation, if different than designated CAT entity (if applicable)                                                                       95
96                                                                                                                                                                     96
97                                                                                                                                                                     97
             99-9999999
98           H. Number of affiliates included in this return (You must include Schedule OR-AF-CAT if this is a combined return)                                        98
99                                                                                                                                                                     99
100                                                                                                                                                                    100
                  999999
101                                                                                                                                                                    101
102          I. If first return, indicate:   X   New business     X Successor to previous business                                                                     102
103                                                                                                                                                                    103
104          Previous business name                                                                                                                                    104
105                                                                                                                                                                    105
106                                                                                                                                                                    106
             XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
107          FEIN                                                                                                                                                      107
108                                                                                                                                                                    108
109                                                                                                                                                                    109
             99-9999999
110                                                                                                                                                                    110
111          J. If final return, indicate:   X   Withdrawn        X Dissolved                       X Merged or reorganized                                            111
112                                                                                                                                                                    112
113          Merged or reorganized business name                                                                                                                       113
114                                                                                                                                                                    114
115                                                                                                                                                                    115
             XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
116          FEIN                                                                                                                                                      116
117                                                                                                                                                                    117
118                                                                                                                                                                    118
             99-9999999
119                                                                                                                                                                    119
120          K.   X Financial institution        L.             X Insurer        M.                 X Farming operation                                                120
121                                                                                                                                                                    121
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                    150-106-003
129                 (Rev. 05-03-24, ver. 01)                                                                                    20532401020000                         129
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71                       2024 Form OR-CAT                                                                                           Oregon Department of Revenue              71
72                                                                                                                                                                            72
73                                                                                                                                                                            73
74                       Page 3 of 7       • Use UPPERCASE letters.  • Use blue or black ink.  • Print actual size (100%).  • Don’t submit photocopies or use staples.        74
75                                                                                                                                                                            75
76                                                                                                                                                                            76
77             1.  Oregon commercial activity plus exclusions ...........................................1.                       , ,      99,999,999,999.00,          0 0    77
78                                                                                                                                                                            78
79                                                                                                                                                                            79
80             2.  Total exclusions from commercial activity (must attach                                                                                                     80
81               schedule OR-EXC-CAT) ...........................................................................2.               , ,      99,999,999,999.00,          0 0    81
82                                                                                                                                                                            82
83                                                                                                                                                                            83
84             3.  Oregon commercial activity, line 1 minus line 2 .......................................3.                      , ,      99,999,999,999.00,          0 0    84
85                                                                                                                                                                            85
86                  X        Substitute method (see instructions).                                                                                                            86
87                                                                                                                                                                            87
88             4.  Cost inputs ...............................................................................................4.  , ,      99,999,999,999.00,          0 0    88
89                                                                                                                                                                            89
90                                                                                                                                                                            90
91             5.  Labor costs (not to exceed $500,000 for any single employee) ..............5.                                  , ,      99,999,999,999.00,          0 0    91
92                                                                                                                                                                            92
93                                                                                                                                                                            93
94             6.  Multiply either line 4 or line 5, whichever is greater, by 35 percent and                                                                                  94
95                  round the product to the nearest whole dollar ............................................6.                  , ,      99,999,999,999.00,          0 0    95
96                                                                                                                                                                            96
97             7.  Apportionment percentage of subtraction (see instructions). Include                                                                                        97
98                  an attachment showing calculations. ......................................................7.                  999.9999 %                                  98
99                                                                                                                                                                            99
100                 X        Alternative apportionment request included (see instructions).                                                                                   100
101                                                                                                                                                                           101
102            8.  Multiply line 6 by line 7. This is your CAT subtraction .............................8.                        , ,      99,999,999,999.00,          0 0    102
103                                                                                                                                                                           103
104                                                                                                                                                                           104
105            9.  Commercial activity after subtraction, line 3 minus line 8 .......................9.                           , ,      99,999,999,999.00,          0 0    105
106                                                                                                                                                                           106
107                                                                                                                                                                           107
108            10.  Subcontractor exclusion (see instructions) ............................................10.                    , ,      99,999,999,999.00,          0 0    108
109                                                                                                                                                                           109
110                                                                                                                                                                           110
111            11.  Taxable Oregon commercial activity, line 9 minus line 10 .....................11.                             , ,      99,999,999,999.00,          0 0    111
112                                                                                                                                                                           112
113                                                                                                                                                                           113
114            12.  $1 million threshold ................................................................................12.                 1,000,000.00                     114
115                                                                                                                                                                           115
116                                                                                                                                                                           116
117            13.  Taxable Oregon commercial activity in excess of $1 million threshold ....13.                                  , ,      99,999,999,999.00,          0 0    117
118                                                                                                                                                                           118
119                                                                                                                                                                           119
120            14.  Multiply line 13 by 0.57 percent. Round to the nearest whole dollar .....14.                                  , ,      99,999,999,999.00,          0 0    120
121                                                                                                                                                                           121
122                                                                                                                                                                           122
123            15.  Base tax .................................................................................................15.                                      250.00 123
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                         150-106-003
129                      (Rev. 05-03-24, ver. 01)                                                                                          20532401030000                     129
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71                        2024 Form OR-CAT                                                                                          Oregon Department of Revenue        71
72                                                                                                                                                                      72
73                                                                                                                                                                      73
74                        Page 4 of 7   • Use UPPERCASE letters.  • Use blue or black ink.  • Print actual size (100%).  • Don’t submit photocopies or use staples.     74
75                                                                                                                                                                      75
76             16.  Total CAT (line 14 plus line 15). If the amount on line 11 is less than                                                                             76
77                  line 12, enter 0 .........................................................................................16. , , 99,999,999,999.00,            0 0 77
78                                                                                                                                                                      78
79             17.  2024 Estimated CAT payments and other prepayments from                                                                                              79
80                  Schedule OR-ES-CAT line 7. Include payments made with extension ...... 17.                                    , , 99,999,999,999.00,            0 0 80
81                                                                                                                                                                      81
82                                                                                                                                                                      82
83             18.  Tax due. Is line 16 more than line 17? If so, line 16 minus line 17 ........18.                               , , 99,999,999,999.00,            0 0 83
84                                                                                                                                                                      84
85                                                                                                                                                                      85
86             19.  Overpayment. Is line 16 less than line 17? If so, line 17 minus line 16 ....                  19.             , , 99,999,999,999.00,            0 0 86
87                                                                                                                                                                      87
88                                                                                                                                                                      88
89             20.  Penalty due with this return (see instructions) ...................................... 20.                    , , 99,999,999,999.00,            0 0 89
90                                                                                                                                                                      90
91                                                                                                                                                                      91
92             21.  Total due. Line 18 plus line 20 ............................................................. 21.             , , 99,999,999,999.00,            0 0 92
93                                                                                                                                                                      93
94                                                                                                                                                                      94
95             22.  Refund available. Line 19 minus line 20 ..............................................        22.             , , 99,999,999,999.00,            0 0 95
96                                                                                                                                                                      96
97                                                                                                                                                                      97
98             23.  Amount of refund you want applied to your estimated tax account .....                         23.             , , 99,999,999,999.00,            0 0 98
99                                                                                                                                                                      99
100                                                                                                                                                                     100
101            24.  Net refund. Line 22 minus line 23 ........................................................    24.             , , 99,999,999,999.00,            0 0 101
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                          150-106-003
129                       (Rev. 05-03-24, ver. 01)                                                                                  20532401040000                      129
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71                    2024 Form OR-CAT                                                                                           Oregon Department of Revenue             71
72                                                                                                                                                                        72
73                                                                                                                                                                        73
74                    Page 5 of 7         • Use UPPERCASE letters.  • Use blue or black ink.  • Print actual size (100%).  • Don’t submit photocopies or use staples.     74
75                                                                                                                                                                        75
76           Schedule OR-ES-CAT – Estimated Tax Payments and Other Prepayments                                                                                            76
77                                                                                                                                                                        77
78           Quarter 1                                                                                                                                                    78
79           Legal name of payer, if an entity                                                                                                                            79
80                                                                                                                                                                        80
81                                                                                                                                                                        81
             XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
82           If individual, name of payer      Initial     Last name                                                                                                      82
83                                                                                                                                                                        83
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             XXXXXXXXXXXXXXXX                  X           XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
85           Payer’s FEIN                      Payer’s SSN                                                                       Date paid (MM/DD/YYYY)                   85
86                                                                                                                                                                        86
87           99-9999999                        999-99-9999                                                                       99/99/9999/ /                            87
88                                                                                                                                                                        88
89                                                                                                                                                                        89
90             1.  Amount paid ........................................................................................... 1.  , , 99,999,999,999.00,                 0 0 90
91                                                                                                                                                                        91
92           Quarter 2                                                                                                                                                    92
93           Legal name of payer, if an entity                                                                                                                            93
94                                                                                                                                                                        94
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             XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
96           If individual, name of payer      Initial     Last name                                                                                                      96
97                                                                                                                                                                        97
98                                                                                                                                                                        98
             XXXXXXXXXXXXXXXX                  X           XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
99           Payer’s FEIN                      Payer’s SSN                                                                       Date paid (MM/DD/YYYY)                   99
100                                                                                                                                                                       100
101          99-9999999                        999-99-9999                                                                       99/99/9999/ /                            101
102                                                                                                                                                                       102
103                                                                                                                                                                       103
104            2.  Amount paid ........................................................................................... 2.  , , 99,999,999,999.00,                 0 0 104
105                                                                                                                                                                       105
106                                                                                                                                                                       106
             Quarter 3
107          Legal name of payer, if an entity                                                                                                                            107
108                                                                                                                                                                       108
109                                                                                                                                                                       109
             XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
110          If individual, name of payer      Initial     Last name                                                                                                      110
111                                                                                                                                                                       111
112                                                                                                                                                                       112
             XXXXXXXXXXXXXXXX                  X           XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
113          Payer’s FEIN                      Payer’s SSN                                                                       Date paid (MM/DD/YYYY)                   113
114                                                                                                                                                                       114
115          99-9999999                        999-99-9999                                                                       99/99/9999/ /                            115
116                                                                                                                                                                       116
117                                                                                                                                                                       117
118            3.  Amount paid ........................................................................................... 3.  , , 99,999,999,999.00,                 0 0 118
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                      150-106-003
129                   (Rev. 05-03-24, ver. 01)                                                                                   20532401050000                           129
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71                        2024 Form OR-CAT                                                                                         Oregon Department of Revenue           71
72                                                                                                                                                                        72
73                                                                                                                                                                        73
74                        Page 6 of 7     • Use UPPERCASE letters.  • Use blue or black ink.  • Print actual size (100%).  • Don’t submit photocopies or use staples.     74
75                                                                                                                                                                        75
76           Schedule OR-ES-CAT – Estimated Tax Payments and Other Prepayments                                                                                            76
77                                                                                                                                                                        77
78           Quarter 4                                                                                                                                                    78
79           Legal name of payer, if an entity                                                                                                                            79
80                                                                                                                                                                        80
81                                                                                                                                                                        81
             XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
82           If individual, name of payer                         Initial Last name                                                                                       82
83                                                                                                                                                                        83
84                                                                                                                                                                        84
             XXXXXXXXXXXXXXXX                                     X       XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
85           Payer’s FEIN                                 Payer’s SSN                                                              Date paid (MM/DD/YYYY)                 85
86                                                                                                                                                                        86
87           99-9999999                                   999-99-9999                                                              99/99/9999/ /                          87
88                                                                                                                                                                        88
89                                                                                                                                                                        89
90             4.  Amount paid ........................................................................................... 4.    , , 99,999,999,999.00,               0 0 90
91                                                                                                                                                                        91
92                                                                                                                                                                        92
93             5.  Overpayment of another year’s tax applied as a credit against this                                                                                     93
94               year’s tax ................................................................................................. 5. , , 99,999,999,999.00,               0 0 94
95           Payer’s FEIN                                 Payer’s SSN                                                                                                     95
96                                                                                                                                                                        96
97                                                                                                                                                                        97
98           99-9999999                                   999-99-9999                                                                                                     98
99                                                                                                                                                                        99
100            6.  Payments made with extension or other prepayments for this tax year ...                                    6. , , 99,999,999,999.00,               0 0 100
101          Legal name of payer, if an entity                                                                                                                            101
102                                                                                                                                                                       102
103                                                                                                                                                                       103
             XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
104          If individual, name of payer                         Initial Last name                                                                                       104
105                                                                                                                                                                       105
106                                                                                                                                                                       106
             XXXXXXXXXXXXXXXX                                     X       XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
107          Payer’s FEIN                                 Payer’s SSN                                                              Date paid (MM/DD/YYYY)                 107
108                                                                                                                                                                       108
109          99-9999999                                   999-99-9999                                                              99/99/9999/ /                          109
110                                                                                                                                                                       110
111                                                                                                                                                                       111
112            7.  Total prepayments (carry to line 17 on page 4) ....................................... 7.                     , , 99,999,999,999.00,               0 0 112
113                                                                                                                                                                       113
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                          150-106-003
129                       (Rev. 05-03-24, ver. 01)                                                                                 20532401060000                         129
130                                                                                                                                                                       130
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71                2024 Form OR-CAT                                                               Oregon Department of Revenue                                     71
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73                                                                                                                                                                73
74                Page 7 of 7         • Use UPPERCASE letters.  • Use blue or black ink.  • Print actual size (100%).  • Don’t submit photocopies or use staples. 74
75                                                                                                                                                                75
76           Under penalty of false swearing, I declare that the information in this return and any enclosures is true, correct, and complete.                    76
77                                                                                                                                                                77
78           Signature of taxpayer or officer                                                                                                                     78
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80           X                                                                                                                                                    80
81           Date (MM/DD/YYYY)                                                                                                                                    81
82                                                                                                                                                                82
83           99/99/9999/            /                                                                                                                             83
84           First name of officer                           Initial Last name of officer                                                                         84
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             XXXXXXXXXXXXXXXX                                X       XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
87           Title of officer                                                                                                                                     87
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91           Signature of preparer other than taxpayer                                                                                                            91
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94           Date (MM/DD/YYYY)                         Phone                                     License number of preparer                                       94
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96           99/99/9999/            /                  999-999-9999                              XXXXXXXXXX                                                       96
97           First name of preparer                          Initial Last name of preparer                                                                        97
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             XXXXXXXXXXXXXXXX                                X       XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
100          Address of preparer                                                                                                                                  100
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             XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
103          City                                                                          State ZIP code                                                         103
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                  150-106-003
129               (Rev. 05-03-24, ver. 01)                                                       20532401070000                                                   129
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