SCHEDULE H                            Amounts Reported on Forms 1116 and 1118  
(Form 965)
(Rev. December 2019)                            and Disallowed Foreign Taxes                                          OMB No. 1545-0123
                                                        ▶ Attach to Form 965.
Department of the Treasury            ▶ Go to www.irs.gov/Form965 for instructions and the latest information.
Internal Revenue Service
Name of person filing this return                                                                             Identifying number

SECTION 1—Amounts Reported on Forms 1116 and 1118 and Disallowed Foreign Taxes
a  Separate Category (Enter code–see instructions.)       .      . . . . .   .     . . . . . . .       .      . . .  ▶
b  If code 901j is entered on line a, enter the country code for the sanctioned country (see instructions) .      .  ▶

                                                                                                                  2019 Tax Year 
1  Reserved .              . .    . . . . .   . . . . . . .      . . . . .   .     . . . . . . .              1
2  Reserved .              . .    . . . . .   . . . . . . .      . . . . .   .     . . . . . . .              2
3  Section 965(a) inclusion in U.S. dollars with respect to pass-throughs from Schedule F, 
   column (e)(1), line 17.            Enter here and on Form 1116, Part I, or Form 1118, Sch. A (see 
   instructions) .           .    . . . . .   . . . . . . .      . . . . .   .     . . . . . .  ▶             3
4  Reserved .              . .    . . . . .   . . . . . . .      . . . . .   .     . . . . . . .              4
5  Reserved .              . .    . . . . .   . . . . . . .      . . . . .   .     . . . . . . .              5
6  Section 965(c) deduction in U.S. dollars from pass-throughs allocable to section 965(a) 
   inclusion (see instructions). Enter here and on Form 1116, Part I, or Form 1118, Sch. A  .  ▶              6
7  Reserved    .             .    . . . . .   . . . . . . .      . . . . .   .     . . . . . . .              7
8  Reserved    .             .    . . . . .   . . . . . . .      . . . . .   .     . . . . . . .              8
9  Taxes deemed paid through pass-throughs.             Enter amount from Schedule F, column (l), 
   line 17. Also report on Form 1118, Schedule B, Part I, column 3 .     .   .     . . . . . . .              9
10 Reserved .              . .    . . . . .   . . . . . . .      . . . . .   .     . . . . . . .              10
11 Enter the 2019 Applicable Percentage from pass-throughs. If there are multiple pass-throughs, 
   leave this line blank and attach a schedule  .     . . .      . . . . .   .     . . . . . . .              11
12 Reserved .              . .    . . . . .   . . . . . . .      . . . . .   .     . . . . . . .              12
13 Reserved .              . .    . . . . .   . . . . . . .      . . . . .   .     . . . . . . .              13
14 Disallowed foreign taxes through pass-throughs.               Attach calculation. See instructions. 
   Report amount here and on Form 1118, Schedule G, Part I, line F  .        .     . . . . . . .              14
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.   Cat. No. 71323K          Schedule H (Form 965) (Rev. 12-2019)