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BC-1120                                                    BATTLE CREEK  
                                             CORPORATION INCOME TAX RETURN
For fiscal year or other taxable period beginning                         and ending
                                             IDENTIFICATION AND INFORMATION
         Name of Corporation                                                                          Federal Employer Identification Number

PLEASE   Number and Street                                                                            Where incorporated:                               Date incorporated:
TYPE                                                                                                  Principal business activity:
OR       Address 2                                                                                    Main address in Battle Creek:
PRINT
                                                                                                      Location of Battle Creek records:
         City, Town or Post Office                State                   Zip Code                    Person in charge of records:
                                                  AL                                                  Telephone number:
 A.  Mark applicable boxes           AMENDED RETURN              SHORT PERIOD RETURN                     INITIAL BATTLE CREEK RETURN                     FINAL BATTLE CREEK RETURN
Is amended return based on a federal audit?                 If yes, enter determination date: 
 B.  Name and Address of resident agent in Michigan:
 C.  Is this a consolidated return?  Yes                No If yes, attached a statement listing the FEIN, name, address, type of entity and percentage of ownership of each included entity.
Was a consolidated return filed with the IRS?               Yes         No
 D.  Number of Battle Creek locations included in this return:            Number of locations everywhere:
       List addresses Battle Creek locations:
 E.  During the period of this return, was your federal tax liability for any other tax year changed by an audit by the federal government or the filing of an amended federal return?
        Yes   No                     If yes, attach an explanation if an amended Battle Creek return was not filed.
                                                               TAXABLE INCOME AND TAX COMPUTATION
  1.  Taxable income before net operating loss deduction and special deduction per U.S. Corporation Income Tax Return 
       Form 1120, 1120-A or for Subchapter S corporations, taxable income per Form BC-1120, page 2, Schedule S. 
      Attach a copy of federal Form 1120, 1120-A or 1120S, Schedule K and all ancillary schedules filed with the IRS.                             1
  2.  Enter items not deductible under Battle Creek Income Tax Ordinance (From page 2, Schedule C, column 1, line 6)                              2
  3.  Total (Add lines 1 and 2)                                                                                                                   3
  4.  Enter items not taxable under Battle Creek Income Tax Ordinance (From page 2, Schedule C, column 2, line 13)                                4
  5.  Total (Line 3 less line 4)                                                                                                                  5
  6.  Allocation percentage from page 2, Schedule D, line 5 (If all business was conducted in Battle Creek, enter 100% and do not fill in Sch. D)                                      %
  7.  Total allocated income (Multiply line 5 by percentage on line 6)                                                                            7
  8.  Adjustments (From page 2, Schedule G, line 4) (NOL carryover, capital loss carryover and/or allocated partnership income)                   8
  9.  Net income (Combine line 7 and line 8)                                                                                                      9
10.  Renaissance Zone (Attach Renaissance Zone Deduction Schedule)                                                                                10
11.  Total income subject to tax (Line 9 less line 10)                                                                                            11
12.  CITY OF BATTLE CREEK INCOME TAX (Multiply line 11 by 0.01)                                                                                   12
                                                                          TAX PAYMENTS
13. Tax paid (Total of credit forward, estimated tax payments, extension payment and tax paid by a partnership)                                   13  
                                                                       OVERPAYMENT OR BALANCE DUE
OVERPAYMENT        14.  If payments (line 13) are larger than tax due (line 12), enter overpayment and complete lines 15 through 18               14
CREDIT FORWARD     15.  Overpayment from line 14 to be applied to next year estimated tax                                                         15
                                                           a.                                                                                      16a  
RESERVED FOR 
FURTURE USE                                                b.                                                                                      16b  
                                                           c.                                                                                      16c  
REFUND             17.  Overpayment refund. For direct deposit mark Refund box on line 18 and complete line 18 a, b & c.                          17
                   18.  Mark one:                  Refund  Direct Deposit
ELECTRONIC           a.  Routing number
REFUND DATA 
                     b.  Account number                                                                                                c. Account type:     Checking                   Savings
                           19.  If the tax due (Line 12) is larger than tax payments (Line 13), enter balance due  
BALANCE DUE
                                 Enclose check or money order payable to the City of Battle Creek.                                                19
DISCLOSURE         20.  May the Income Tax Office discuss this return with the preparer shown below? (See Instructions)             Yes                  No
I declare that I have examined this return (including accompanying schedules) and to the best of my knowledge and belief, it is true, correct and complete.
If prepared by a person other than the taxpayer, this declaration is based on all information of which the preparer has any knowledge.

(Date)             (Signature of Officer)                                                     (Title)                                                   (Phone number)

(Date)             (Individual or firm signature of preparer)                                 (Address)                                                 (Phone number)
MAIL TO:  Battle Creek Income Tax Office, PO Box 1657, Battle Creek, MI  49016-1657



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Name as shown on page 1                                                                                                     Federal Employer Identification Number

                                                 SCHEDULE  S  SUBCHAPTER S CORPORATION INCOME
Schedule F is used by Subchapter S corporations to reconcile the amount reported on line 1, page 1, BC-1120, with federal Form 1120S and Schedule K of federal 1120S.
Attach federal Form 1120S and Schedule K of federal 1120S.
1.  Ordinary income (loss) from trade or business (Per federal 1120S)
2.  Income (loss) per Schedule K, federal 1120S, lines 2 through 10
3.  Total income (loss) (Add lines 1 and 2)
4.  Deductions per Schedule K, federal 1120S
5.  Taxable income before net operating loss deduction and special deductions (Subtract line 4 from line 3; enter here and on page 1, line 1)

                                                 SCHEDULE  C  ADJUSTMENTS PRIOR TO APPORTIONMENT
Schedule E is used to adjust the income reported on page 1, line 1, to give effect to the requirements of the Battle Creek Income Tax Ordinance. The period of time used to compute 
items for Schedule E must be the same as the period of time used to report income on page 1, line 1. Schedule E entries are allowed only to the extent directly related to net income 
as shown on page 1, line 1.
                                  Column 1                                                                                     Column 2
                           Add  Items Not Deductible                                                    Deduct  Items Not Taxable and Allowable Deductions
1. All expenses (including interest) incurred in                                          7. Interest from U.S. obligations and from United 
connection with derivation of income not                                                  States governmental units
subject  to Battle Creek income tax 
2. Battle Creek income tax paid or accrued                                                8. Dividends received deduction
3. Nondeductible portion of loss, from sale or                                            9. Dividend gross up of foreign taxes
exchange of property acquired prior to July 1, 
1967
4. Reserved                                                                               10. Foreign tax deduction

5. Other (submit schedule)                                                                11. Nontaxable portion of gain from sale or 
                                                                                          exchange of property acquired prior to July 1, 
                                                                                          1967
                                                                                          12. Other (submit schedule)

6. Total additions (Add lines 1 through 5; enter                                          13. Total deductions (Add lines 7 through 12; enter 
here and on page 1, line2)                                                                here and on page 1, line 4)

                                                 SCHEDULE  D  BUSINESS INCOME APPORTIONMENT
Is the corporation electing to allocate business income using the Multi-State Tax Compact provisions?  Yes               No
                                                                               Column 1                                     Column 2                            Column 3
                                                                               Located Everywhere          Located in Battle Creek                              Percentage  
                                                                                                                                                  (Column 2 divided by column 1)
1. a.  Average net book value of real and tangible personal property
b.  Gross annual rent paid for real property only, multiplied by 8
c.  Totals  (Add lines 1a and 1b)                                                                                                                                                      %
   Total wages, salaries, commissions and other  
2. compensation of all employees                                                                                                                                                       %
3. Gross receipts from sales made or services rendered                                                                                                                       %
4. Total percentages  (Add the three percentages computed in column 3, lines 1c, 2 and 3)                                                                                              %
5. Business apportionment percentage (Line 4 divided by number of factors, usually 3; enter here and on page 1, line 6)                                                                %
            In determining the business apportionment percentage (Line 5), a factor shall be excluded from the computation
            only when such factor does not exist anywhere insofar as the taxpayer's business operation is concerned.
            In such cases, the sum of the remaining percentages shall be divided by the number of factors actually used.
In the case of a taxpayer authorized by the Income Tax Administrator to use one of the special formulas, attach an explanation and use the lines provided below:
     a.  Numerator:                                                             c.  Percentage (a divided by b; enter here and on page 1, line 6)                                      %
     b.  Denominator:                                                           d.  Date of Administrator's approval letter:

                                                 SCHEDULE  G  ADJUSTMENTS AFTER APPORTIONMENT
1.  Allocated net operating loss deduction (Enter as a negative amount) (ATTACH SCHEDULE)
2.  Allocated capital loss carryover (Enter as a negative amount) (ATTACH SCHEDULE)
3.  Allocated partnership income (Enter income as a positive and losses as a negative) (ATTACH SCHEDULE)
4.  Total adjustments (Add lines 1 through 3; enter here and on page 1, line 8)






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