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                                                                             Clear form

                                                                                        Utah Corporation                                            2021
201 01
                                                                             Franchise and Income Tax Return                                        TC-20
9998                                                                                    For calendar year 2021 or fiscal year (mm/dd/yyyy):
                                                                                        beginning -     //                    and ending -     //
USTC ORIGINAL FORM
                                                                           Amended Return (code 1-4)              Mark “X” if you filed federal form 8886
Corporation name

Address                                                                                                               Employer Identification Number

City                                                                              State ZIP + 4                       UT Incorporation/Qualification No.

Foreign country (if not U.S.)                                                     Telephone number

1  If this corporation conducted any Utah business activity during the taxable year, enter “X”                                •  1

2  If this corporation joined in a federal consolidated return, enter “X”                                                     •  2
                                                                                                    “water’s edge”
3  Mark “X” (one only) if this                 “water’s edge”                                         election under                        “worldwide”
     return constitutes a:            • 3a     combined report                        •  3b           UC §59-7-402(2)         •  3c         combined report

4  If this corporation made an election for any member of the federal affiliated group
     during the taxable year, enter “X”                                                               IRC Section
                                      • 4a     IRC Section 338                        •  4b           338(h)(10)              •  4c         IRC Section 336(e)

5  If this return includes any financial institution defined by Tax Commission Rule R865-6F-32, enter “X”                     •  5

6  Ultimate U.S. parent’s name                                                                                         EIN  •  6

7  Total tax - enter amount from Schedule A, line 27                                                                          •  7

8  Total refundable credits and prepayments - enter amount from Schedule A, line 31                                           •  8

9  Tax Due - subtract line 8 from line 7 (not less than zero)                                                                 •  9

10  Penalties and interest (see instructions)                                                                                   10

11 Total Due - Pay this amount - add line 9 and line 10                                                                       •  11

12 Overpayment - subtract the sum of line 7 and line 10 from line 8 (not less than zero)                                        12

13  Amount of overpayment on line 12 to be applied to next taxable year                                                       •  13

14 Refund - subtract line 13 from line 12                                                                                     •  14

15  Mark “X” for each quarterly estimated prepayment                              1st             2nd                                 
     meeting an exception (attach documentation):                                                                                          USTC USE ONLY
                                                                                  3rd               4th

Under penalties of perjury, I declare to the best of my knowledge and belief,
this return and accompanying schedules are true, correct and complete.
SIGN      Signature of officer                                               Date                 Title                       “X” if USTC may discuss 
HERE                                                                                                                          this return with preparer below:
             Preparer’s signature                                            Date                 Preparer’s telephone number Preparer’s  PTIN 
     Paid                                                                                                                     
  Preparer’s Firm’s name and address                                                                                          Preparer’s  EIN 
   Section                                                                                                                    



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          Supplemental information to be Supplied by All Corporations                                         TC-20                      Pg. 2
20102     EIN                                                                                                 2021              
USTC ORIGINAL FORM

     1  Date of incorporation:      //                            State or country in which incorporated:
                                    mm/dd/yyyy
  2  If this corporation is dissolved or withdrawn, see Dissolution or Withdrawal in the General Instructions.

  3  If this corporation at any time during its tax year owned more than 50 percent of the voting stock of another corporation(s),
      provide the following for each corporation so owned. Attach additional pages if needed.

             Name of corporation:

             Address:

             City, State, ZIP Code:

             Percent of stock owned:                   %          Date stock acquired:       //
                                                                                             mm/dd/yyyy
  4  If more than 50 percent of the voting stock of this corporation is owned by another corporation, provide the following information 
      about the other corporation.

             Name of corporation:

             Address:

             City, State, ZIP Code:

             Percent of stock owned:                   %

  5          Check here if this corporation or its subsidiary(ies) had a change in control or ownership or acquired control or ownership of any other
             legal entity this year.

  6  Enter the location where the corporate books and records are maintained:

  7  Enter the state or country of commercial domicile:

8  Enter the year-end date of the last year for which a federal examination has been completed: //
                                                                                                         mm/dd/yyyy
             Under separate cover, send a summary and supporting schedules for all federal adjustments and the federal tax
             liability for each year for which federal audit adjustments have not been reported to the Tax Commission. Include the 
             date of final determination. Send the information to:
                  Auditing Division, Utah State Tax Commission, 210 North 1950 West, Salt Lake City, UT 84134-2000

9  Enter the year-end dates of years with federal examinations now in progress, and/or final determination of past examinations still pending.

              //                     //                           //                              //
              mm/dd/yyyy             mm/dd/yyyy                         mm/dd/yyyy                mm/dd/yyyy
10  Enter the year-end dates of years for which extensions for proposing additional assessments of federal tax were agreed to with the 
      Internal Revenue Service.

              //                     //                           //                              //
              mm/dd/yyyy             mm/dd/yyyy                         mm/dd/yyyy                mm/dd/yyyy

Note: Utah Code §59-7-519 extends the Statute of Limitations for tax assessment if federal audit adjustments are not fully reported.



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      Schedule A - Utah Net Taxable Income and Tax Calculation                                 TC-20, Sch. A Pg. 1
20103 EIN                                                                                      2021
USTC ORIGINAL FORM

1  Unadjusted income (loss) before NOL and special deductions from federal form 1120, line 28  • 1

2  Additions to unadjusted income from Schedule B, line 19                                     • 2

3  Add line 1 and line 2                                                                         3

4  Subtractions from unadjusted income from Schedule C, line 21                                • 4

5  Adjusted income (loss) - subtract line 4 from line 3                                        • 5

6  Utah net nonbusiness income from Schedule H, line 14                                        • 6

7  Non-Utah net nonbusiness income from Schedule H, line 28                                    • 7

8  Total nonbusiness income net of expenses - add line 6 and line 7                              8

9  Apportionable income (loss) before contributions deduction - subtract line 8 from line 5    • 9

10  Utah contributions deduction from Schedule D, line 6                                       • 10

11  Apportionable income (loss) - subtract line 10 from line 9                                   11

12  Apportionment fraction - enter 1.000000, or Schedule J, line 9 or 10, if applicable          12

13  Apportioned income (loss) - multiply line 11 by line 12                                    • 13

14  Utah net nonbusiness income (from line 6 above)                                              14

15  Utah income (loss) before Utah net loss deduction - add line 13 and line 14                • 15
  
16  Utah net loss carried forward from prior years (see instructions and attach documentation) • 16

17 Net Utah taxable income (loss) - subtract line 16 from line 15                              • 17

18 Calculation of tax (see instructions):

   a   Multiply line 17 by 4.95% (.0495) (not less than zero)         18a

   b   Minimum tax - enter $100 or amount from Schedule M, line b   •  18b

   Tax amount - enter the greater of line 18a or line 18b                                      • 18

19  Interest on installment sales                                                              • 19

20  IRC 965(a) deferred foreign income installment amount                                      • 20

21  Recapture of low-income housing credit                                                     • 21 

22  Total tax - add lines 18 through 21                                                        • 22
     Carry to Schedule A, page 2, line 23



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            Schedule A - Utah Net Taxable Income and Tax Calculation                         TC-20, Sch. A Pg. 2
20104       EIN                                                                              2021
USTC ORIGINAL FORM

23  Enter tax from Schedule A, page 1, line 22                                                 23

24  Nonrefundable credits (see instructions or incometax.utah.gov/credits for codes)
                  Code Amount                                         Code       Amount

      • 24a                                                • 24b

      • 24c                                                • 24d

      • 24e                                                • 24f

   Total nonrefundable credits - add lines 24a through 24f                                   • 24

25  Net tax - subtract line 24 from line 23 (cannot be less than line 18b or less than zero) • 25

26  Utah use tax                                                                             • 26

27 Total tax - add line 25 and line 26                                                       • 27
     Enter here and on TC-20, line 7

28  Refundable credits (see instructions or incometax.utah.gov/credits for codes)
                  Code Amount                                         Code       Amount

      • 28a                                                • 28b

      • 28c                                                • 28d

   Total refundable credits - add lines 28a through 28d                                      • 28

29  Prepayments from Schedule E, line 4                                                      • 29

30  Amended return only (see instructions)                                                   • 30

31 Total refundable credits and prepayments - add lines 28 through 30                        • 31
     Enter here and on TC-20, line 8



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      Schedule B - Additions to Unadjusted Income                                                              TC-20, Sch. B
20105 EIN                                                                                                      2021
USTC ORIGINAL FORM

1  Interest from state obligations                                                                             • 1

2  a   Income taxes paid to any state                                                                          • 2a

 b   Franchise or privilege taxes paid to any state                                                            • 2b

 c   Corporate stock taxes paid to any state                                                                   • 2c 

 d   Any income, franchise or capital stock taxes imposed by a foreign country                                 • 2d

 e   Business and occupation taxes paid to any state                                                           • 2e

3  Safe harbor lease adjustments                                                                               • 3

4  Capital loss carryover                                                                                      • 4

5  Federal deductions taken previously on a Utah return                                                        • 5

6  Federal charitable contributions from federal form 1120, line 19                                            • 6

7  Gain (loss) on IRC Sections 338(h)(10) or 336(e)                                                            • 7

8  Adjustments due to basis difference                                                                         • 8

9  Expenses attributable to 50 percent unitary foreign dividend exclusion                                      • 9

10  Installment sales income previously reported for federal but not Utah purposes                             • 10

11  Nonqualified withdrawal from my529                                                                         • 11

12  Income (loss) from IRC Section 936 corporations                                                            • 12

13  Foreign income (loss) for worldwide combined filers                                                        • 13

14  Income (loss) of unitary corporations not included in federal consolidated return                          • 14

15  Deductions for a royalty or other expense paid to an entity related by common ownership (see instructions) • 15

16  Payroll Protection Program grant or loan addback (see instructions)                                        • 16

17  (Reserved, see instructions)                                                                               • 17

18  (Reserved, see instructions)                                                                               • 18

19  Total additions - add lines 1 through 18                                                                   • 19
   Enter here and on Schedule A, line 2



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      Schedule C - Subtractions from Unadjusted Income                                              TC-20, Sch. C
20106 EIN                                                                                           2021                       
USTC ORIGINAL FORM

1  Intercompany dividend elimination (see instructions)                                             • 1

2  Foreign dividend gross-up                                                                        • 2

3  Net capital loss                                                                                 • 3

4  a   Federal jobs credit salary reduction                                                         • 4a

 b   Federal research and development credit expense reduction                                      • 4b

 c   Federal orphan drug credit clinical testing expense reduction                                  • 4c 

 d   Expense reduction for other federal credits (attach schedule)                                  • 4d

 e.   Federal qualified tax credit bond credit, income increase                                     • 4e

 f.   Federal qualified zone academy bond credit, income increase                                   • 4f

5  Safe harbor lease adjustments                                                                    • 5

6  Federal income previously taxed by Utah                                                          • 6

7  Fifty percent exclusion for dividends from unitary foreign subsidiaries                          • 7

8  Fifty percent exclusion for foreign operating company income (loss)                              • 8

9  Gain (loss) on stock sale not recognized for federal purposes (but included in taxable income)   • 9
   when IRC Section 338(h)(10) or 336(e) has been elected

10 Basis adjustments                                                                                • 10

11  Interest expense not deducted on federal return under IRC Section 265(b) or 291(e)              • 11

12  Dividends received from admitted insurance company subsidiaries exempt under UC §59-7-102(1)(c) • 12

13  Contributions to my529 account(s)                                                               • 13

14  (Reserved, see instructions)                                                                    • 14

15  Dividends received or deemed received by a member of the unitary group from a captive REIT      • 15

16  IRC Section 857(b)(2)(E) deduction from a captive REIT                                          • 16

17  FDIC Premiums disallowed as a deduction for federal income tax purposes                         • 17

18  COVID-19 Utah grant funds included in unadjusted income                                         • 18

19  (Reserved, see instructions)                                                                    • 19

20  (Reserved, see instructions)                                                                    • 20

21  Total subtractions - add lines 1 through 20                                                     • 21
   Enter here and on Schedule A, line 4



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           Schedule D - Utah Contributions Deduction                                                             TC-20, Sch. D
20107      EIN                                                                                                   2021
USTC ORIGINAL FORM

  1  Apportionable income before contributions deduction from Schedule A, line 9                                 1
     If a loss, no contribution deduction is allowed
2  Utah contribution limitation - multiply line 1 by 10% (.10) (not less than zero)                                2

3  Current year contributions                                                                                    • 3

4  Utah contributions carryforward (attach schedule)                                                             • 4

5  Total contributions available - add line 3 and line 4                                                           5

6  Utah contributions deduction - lesser of line 2 or line 5                                                     • 6
     Enter here and on Schedule A, line 10

7  Contribution carryover to next year - subtract line 6 from line 5            •  7

  Schedule E - Prepayments of Any Type                                                                            TC-20, Sch. E

1  Overpayment applied from prior year                                                                            1

2  Extension prepayment          Date:         //                    Check no.:                                    2
     Enter the date and amount of any extension prepayment. If paid by check, enter the check number.

3  Other prepayments (attach additional pages if necessary)
     Enter the date and amount of any prepayment for the filing period. If paid by check, enter the check number.

   a Date:         //            Check no.:                               3a

   b Date:         /  /          Check no.:                               3b

   c Date:         /  /          Check no.:                               3c

   d Date:         /  /          Check no.:                               3d

   Total of all prepayments - add lines 3a through 3d                                                              3

4  Total prepayments - add lines 1 through 3                                                                       4
     Enter here and on Schedule A, line 29



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        Schedule H - Utah Nonbusiness Income Net of Expenses                                                 TC-20, Sch. H    Pg. 1
20161   EIN                                                                                                  2021
USTC ORIGINAL FORM                                                                                           (use with TC-20,
                                                                                                             TC-20S and TC-65)
Note: Failure to complete this form may result in disallowance of the nonbusiness income.

Part 1 - Utah Nonbusiness Income (nonbusiness income allocated to Utah)
     A                            B                       C                              D                            E
     Type of Utah                 Acquisition Date of     Beginning Value of Investment  Ending Value of Investment   Utah Nonbusiness Income
     Nonbusiness Income           Utah Nonbusiness        Used to Produce Utah           Used to Produce Utah
                                  Asset(s)                Nonbusiness Income             Nonbusiness Income
1a                                          //

1b                                          //

1c                                          //

1d                                          //

1e                                          //

2  Total of column C and column D

3  Total Utah nonbusiness income - add column E for lines 1a through 1e

   Description of direct expenses related to:                                                                         Amount of Direct Expense
4a      Line 1a above

4b      Line 1b above

4c      Line 1c above

4d      Line 1d above

4e      Line 1e above

5  Total direct related expenses - add lines 4a through 4e

6  Utah nonbusiness income net of direct related expenses - subtract line 5 from line 3                      
                                                          Column A                       Column B
     Indirect Related Expenses for                        Total Assets Used to Produce   Total Assets
  Utah Nonbusiness Income                                 Utah Nonbusiness Income
7 Beginning-of-year assets
     (enter in Column A the amount from line 2, col. C)
8 End-of-year assets
     (enter in Column A the amount from line 2, col. D)
9  Sum of beginning and ending asset values
     (add line 7 and line 8)
10  Average asset value - divide line 9 by 2

11  Utah nonbusiness assets ratio - line 10, Column A, divided by line 10, Column B (to four decimal places)

12  Interest expense deducted in computing Utah taxable income (see instructions)

13  Indirect related expenses for Utah nonbusiness income - multiply line 11 by line 12

14  Total Utah nonbusiness income net of expenses - subtract line 13 from line 6                             
     Enter on:     TC-20, Schedule A, line 6;
                   TC-20S, Schedule A, line 8; or
                   TC-65, Schedule A, line 11



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        Schedule H - Non-Utah Nonbusiness Income Net of Expenses                                                TC-20, Sch. H    Pg. 2
20162   EIN                                                                                                     2021
                                                                                                                (use with TC-20,
                                                                                                                TC-20S and TC-65)
Part 2 - Non-Utah Nonbusiness Income (nonbusiness income allocated outside Utah)
    A                             B                          C                             D                             E
   Type of Non-Utah               Acquisition Date of        Beginning Value of Investment  Ending Value of Investment   Non-Utah Nonbusiness 
   Nonbusiness Income             Non-Utah                   Used to Produce Non-Utah      Used to Produce Non-Utah      Income
                                  Nonbusiness Asset(s)       Nonbusiness Income            Nonbusiness Income
15a                                 //

15b                                 //

15c                                 //

15d                                 //

15e                                 //

16  Total of column C and column D

17  Total non-Utah nonbusiness income - add column E for lines 15a through 15e

 Description of direct expenses related to:                                                                              Amount of Direct Expense
18a     Line 15a above

18b     Line 15b above

18c     Line 15c above

18d     Line 15d above

18e     Line 15e above

19  Total direct related expenses - add lines 18a through 18e

20  Non-Utah nonbusiness income net of direct related expenses - subtract line 19 from line 17                  
                                                             Column A                      Column B
   Indirect Related Expenses for                             Total Assets Used to Produce  Total Assets
    Non-Utah Nonbusiness Income                              Non-Utah Nonbusiness Income
21 Beginning-of-year assets
   (enter in Column A the amount from line 16, col. C)
22 End-of-year assets
   (enter in Column A the amount from line 16, col. D)
23  Sum of beginning and ending asset values
   (add line 21 and line 22)
24  Average asset value - divide line 23 by 2

25  Non-Utah nonbusiness assets ratio - line 24, Column A, divided by line 24, Column B (to four decimal places)

26  Interest expense deducted in computing non-Utah taxable income (see instructions)

27  Indirect related expenses for non-Utah nonbusiness income - multiply line 25 by line 26

28  Total non-Utah nonbusiness income net of expenses - subtract line 27 from line 20                           
   Enter on: TC-20, Schedule A, line 7;
             TC-20S, Schedule A, line 9; or
             TC-65, Schedule A, line 12



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       Schedule J - Apportionment Schedule                                                      TC-20, Sch. J                        Pg. 1
20163  EIN                                                                                      2021
USTC ORIGINAL FORM                                                                              (use with TC-20, TC-20S,
                                                                                                TC-20MC and TC-65)
Note: Use this schedule only if the entity does business in Utah and one or more other states and income must be apportioned to Utah.

Briefly describe the nature and location(s) of your Utah business activities:

Apportionable Income Factors
                                                                                    Column A      Column B
 1 Property Factor                                                                  Inside Utah   Inside and Outside Utah

     a Land                                                                   • 1a              

     b Depreciable assets                                                     • 1b              

     c Inventory and supplies                                                 • 1c              

     d Rented property                                                        • 1d              

     e   Other allowable property (see instructions)                          •  1e             

     f    Total tangible property - add lines 1a through 1e                   •  1f             

 2  Property factor - divide line 1f, Column A, by line 1f, Column B (to six decimal places)    •  2

 3 Payroll Factor

     a   Total wages, salaries, commissions and other compensation            •  3a             

 4  Payroll factor - divide line 3a, Column A, by line 3a, Column B (to six decimal places)     •  4

 5 Sales Factor

     a   Total sales (gross receipts less returns and allowances)                               •  5a

     b   Sales delivered or shipped to Utah buyers from outside Utah          •  5b

     c   Sales delivered or shipped to Utah buyers from within Utah           •  5c

     d   Sales shipped from Utah to the United States government              •  5d

     e   Sales shipped from Utah to buyers in states where the corp.          •  5e
           has no nexus (corporation not taxable in buyer’s state)

     f    Rent and royalty income                                             •  5f             

     g   Services and other allowable sales (see instructions)                •  5g             

     h   Total sales (add lines 5a through 5g)                                •  5h             

 6  Sales factor - line 5h, Column A, divided by line 5h, Column B (to six decimals)            •  6

         Continued on page 2



- 11 -
       Schedule J - Apportionment Schedule                                              TC-20, Sch. J           Pg. 2
20164  EIN                                                                              2021
USTC ORIGINAL FORM                                                                      (use with TC-20, TC-20S,
                                                                                        TC-20MC and TC-65)

Ź 7  All entities - enter your NAICS code here (see instructions)                       •  7

Apportionment Fraction

  Optional apportionment taxpayers (see instructions) complete Part 1 or Part 2.

  Sales factor weighted taxpayers (see instructions) complete Part 2.

  Part 1: Equally-Weighted Three Factor Formula (see instructions for those who qualify)

  8  Total factors - add lines 2, 4 and 6                                                 8

  9  Calculate the Apportionment Fraction to SIX DECIMALS                               •  9
       Divide line 8 by  3(or the number of factors present)

  Part 2: Sales Factor Formula (see instructions for those who qualify)

  10 Apportionment Fraction - enter the six-decimal sales factor from line 6            •  10

Enter the fraction from line 9 or line 10, above, as follows:
  TC-20 filers: Enter on TC-20, Schedule A, line 12
  TC-20S filers: Enter on TC-20S, Schedule A, line 12
  TC-20MC filers: Enter on TC-20MC, Schedule A, where indicated
  TC-65 filers: Enter on TC-65, Schedule A, line 15



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            Schedule M - Corporations Included in Combined Filing                                              TC-20, Sch. M              Pg. 1
20108       EIN                                                                                                2021

Instructions
 *  List only corporations incorporated, qualified or doing business in Utah.
  * If you need more lines, use Schedule M, Supplemental Sheet (page 2 of this schedule).
  * Federal schedules may not be substituted, since they may include corporations excluded from Utah reporting.
  * Corporations required to file in Utah but not listed on this form will not be considered to have met the Utah filing requirement.
  * The minimum tax of $100 per corporation (including the parent corporation if incorporated, qualified or doing business in Utah) listed
    on this schedule must be entered on Schedule A, line 18b.

Minimum Tax
  a Total number of corporations incorporated, qualified or doing business in Utah                             •  a

  b Multiply line a by $100 (minimum tax per corporation)                                                      •  b
      (Enter on Schedule A, line 18b)

Parent/Affiliate/Subsidiary Corporations Included in the Combined Filing
                Utah Incorporation/                                                                                Tax year-end (if
    •  EIN      Qualification Number Name                                                                          diff. than parent)

1                                                                                                                                    /  /

2                                                                                                                                    /  /

3                                                                                                                                    /  /

4                                                                                                                                    /  /

5                                                                                                                                    /  /

6                                                                                                                                    /  /

7                                                                                                                                    /  /

8                                                                                                                                    /  /

9                                                                                                                                    /  /

10                                                                                                                                   /  /

11                                                                                                                                   /  /

12                                                                                                                                   /  /

13                                                                                                                                   /  /

14                                                                                                                                   /  /

15                                                                                                                                   /  /

16                                                                                                                                   /  /

17                                                                                                                                   /  /

18                                                                                                                                   /  /



- 13 -
          Schedule M, Supplemental Sheet                                TC-20, Sch. M                                             Pg. 2
20109     EIN                                                           2021
USTC ORIGINAL FORM
*  See instructions on TC-20, Schedule M
*  Add the corporations on each Supplemental Sheet to the total on Schedule M subject to the $100 minimum tax per corporation.

Parent/Affiliate/Subsidiary Corporations Included in the Combined Filing
                  Utah Incorporation/                                                                                         Tax year-end (if
   •  EIN         Qualification Number             Name                                                                       diff. than parent)

1                                                                                                                             /  /

2                                                                                                                             /  /

3                                                                                                                             /  /

4                                                                                                                             /  /

5                                                                                                                             /  /

6                                                                                                                             /  /

7                                                                                                                             /  /

8                                                                                                                             /  /

9                                                                                                                             /  /

10                                                                                                                            /  /

11                                                                                                                            /  /

12                                                                                                                            /  /

13                                                                                                                            /  /

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25                                                                                                                            /  /






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