U.S. Income Tax Return of a Foreign Corporation                                                              OMB No. 1545-0123
                                        For calendar year 2021, or tax year beginning              , 2021, and ending                        , 20
Form Department of the Treasury  1120-F     ▶  Go to www.irs.gov/Form1120F for instructions and the latest information.
Internal Revenue Service                                                                                                                                         2021
        Name                                                                                                          Employer identification number
 Type 
        Number, street, and room or suite no. (see instructions)                                                      Check box(es) if:
 or                                                                                                                                                              Initial return
 Print                                                                                                                  Name or address change                   Final return
        City or town, state or province, country, and ZIP or foreign postal code                                        First post-merger return                 Amended return
                                                                                                                        Schedule M-3 attached                    Protective return
A   Country of incorporation                                                              E  If the corporation had an agent in the United States at any time during 
B   Foreign country under whose laws the income reported on this return                      the tax year, enter:
    is also subject to tax                                                                   (1) Type of agent 
C   Date incorporated                                                                        (2) Name
D   (1) Location of corporation’s primary books and records (city, province                  (3) Address
        or state, and country)

                                                                                          F  See the instructions and enter the corporation’s principal:
    (2) Principal location of worldwide business                                             (1) Business activity code number  ▶
                                                                                             (2) Business activity ▶
                                                                                             (3) Product or service ▶
    (3) If the corporation maintains an office or place of business in the                G  Check method of accounting:    (1)                   Cash (2)            Accrual
        United States, check here.          . . .    . . . .     . .  . ▶                    (3)   Other (specify) ▶
                                                     Computation of Tax Due or Overpayment
 1   Tax from Section I, line 11, page 3        .    . . . .     . .  .               . . .  .   . . .    1 
 2   Tax from Section II, Schedule J, line 9, page 5 .     .     . .  .               . . .  .   . . .    2 
 3   Tax from Section III (add lines 6 and 10 on page 6) .       . .  .               . . .  .   . . .    3 
 4   Total tax.  Add lines 1 through 3  .       .    . . . .     . .  .               . . .  .   . . .  . .       .   . . .                  .  . 4 
 5a  2020 overpayment credited to 2021 .             . . . .     . .  5a 
 b   2021 estimated tax payments  .           . .    . . . .     . .  5b 
 c   Less 2021 refund applied for on Form 4466  .        . .     . .  5c                (               )
 d   Combine lines 5a through 5c  .           . .    . . . .     . .  .               . . .  .   . . .    5d 
 e   Tax deposited with Form 7004             . .    . . . .     . .  .               . . .  .   . . .    5e 
 f   Credit for tax paid on undistributed capital gains (attach Form 2439)                .  .   . . .    5f 
 g   Credit for federal tax paid on fuels (attach Form 4136). See instructions               .   . . .    5g 
 h   Reserved for future use .            . . . .    . . . .     . .  .               . . .  .   . . .    5h 
 i   U.S. income tax paid or withheld at source (add line 12, page 3, and amounts from 
     Forms 8288-A and 8805 (attach Forms 8288-A and 8805))            .               . . .  .   . . .    5i
 j   Total payments. Add lines 5d through 5i .         . . .     . .  .               . . .  .   . . .  . .       .   . . .                  .  . 5j
 6   Estimated tax penalty (see instructions). Check if Form 2220 is attached  .                 . . .  . .       .   . . .                  .  ▶ 6 
 7   Amount owed.  If line 5j is smaller than the total of lines 4 and 6, enter amount owed             . .       .   . . .                  .  . 7 
 8 a Overpayment.  If line 5j is larger than the total of lines 4 and 6, enter amount overpaid  .         .       .   . . .                  .  . 8a 
 b   Amount of overpayment on line 8a resulting from tax deducted and withheld under Chapters 3  and 4 (from 
     Schedule W, line 7, page 8)            . . .    . . . .     . .  .               . . .  .   . . .  . .       .   . . .                  .  . 8b 
 9   Enter portion of line 8a you want Credited to 2022 estimated tax                   . . ▶                           Refunded ▶                9 
        Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, 
        correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Sign    ▲                                                                                  ▲                                                      May the IRS discuss this return 
                                                                                                                                                  with the preparer shown below 
Here                                                                                                                                              (see instructions)?
          Signature of officer                                   Date                        Title                                                               Yes  No 
             Print/Type preparer’s name                    Preparer’s signature                                  Date
Paid                                                                                                                                            Check         if PTIN
                                                                                                                                                self-employed
Preparer                                ▶                                                                                 Firm’s EIN  ▶
             Firm’s name      
Use Only     Firm’s address  ▶                                                                                            Phone no.
For Paperwork Reduction Act Notice, see separate instructions.                                       Cat. No. 11470I                                             Form 1120-F (2021)

Form 1120-F (2021)                                                                                                                               Page 2 
                                                                                                                                                 Yes No
Additional Information  (continued from page 1)                          V   At the end of the tax year, did any individual, partnership, 
H  Did  the  corporation’s  method  of  accounting  change        Yes No     corporation, estate, or trust own, directly or indirectly, 50% 
   from the preceding tax year? .    .    . .   . .  .   .                   or more of the corporation’s voting stock? (See section 267
   If “Yes,” attach a statement with an explanation.                         (c) for rules of attribution.) .  . .        . .   . . . . .
I  Did  the  corporation’s  method  of  determining  income                  If  “Yes,”  attach  a  statement  showing  the  name  and 
   change from the preceding tax year?  .       . .  .   .                   identifying number. (Do not include any information already 
   If “Yes,” attach a statement with an explanation.                         entered in item T.) Enter percentage owned         ▶
J  Did  the  corporation  file  a  U.S.  income  tax  return  for        W  (1) Is the corporation taking a position on this return that a 
   the preceding tax year?  .   .    .    . .   . .  .   .                   U.S. tax treaty overrules or modifies an Internal Revenue law 
K  (1) At  any  time  during  the  tax  year,  was  the                      of the United States, thereby causing a reduction of tax?  .
   corporation  engaged  in  a  trade  or  business  in  the                 If  “Yes,”  the  corporation  is  generally  required  to  complete 
   United States?  .  .  . .    .    .    . .   . .  .   .                   and attach Form 8833. See Form 8833 for exceptions.
                                                                             Note: Failure to disclose a treaty-based return position may 
   (2) If “Yes,” is taxpayer’s trade or business within the                  result in a $10,000 penalty (see section 6712).
   United  States  solely  the  result  of  a  section  897                  (2) Is the corporation claiming treaty benefits pursuant to, or 
   (FIRPTA) sale or disposition? .   .    . .   . .  .   .                   otherwise filing its return pursuant to, a Competent Authority 
L  Did the corporation have a permanent establishment                        determination or an Advance Pricing Agreement?  .        . .
   in the United States for purposes of any applicable tax                   If  “Yes,”  attach  a  copy  of  the  Competent  Authority 
   treaty  between  the  United  States  and  a  foreign                     determination letter or Advance Pricing Agreement to your 
   country?     .   . .  . .    .    .    . .   . .  .   .                   return. 
   If “Yes,” enter the name of the foreign country:                      X   During the tax year, did the corporation own any entity that 
                                                                             was disregarded as an entity separate from its owner under 
M  Did the corporation have any transactions with related                    Regulations sections 301.7701-2 and 301.7701-3?          . .
   parties? .   .   . .  . .    .    .    . .   . .  .   .                   If “Yes,” attach a statement listing the name, country under whose 
   If “Yes,” Form 5472 may have to be filed (see                             laws the entity was organized, and EIN (if any) of each such entity.
   instructions).                                                        Y  (1)  Did  a  partnership  allocate  to  the  corporation  a 
   Enter number of Forms 5472 attached   ▶                                   distributive  share  of  income  from  a  directly  owned 
N  Is  the  corporation  a  controlled  foreign  corporation?                partnership interest, any of which is ECI or treated as ECI by 
   (See section 957(a) for definition.)   . .   . .  .   .                   the partnership or the partner?     .        . .   . . . . .
O  Is  the  corporation  a  personal  service  corporation?                  If “Yes,” attach Schedule P. See instructions.
   (See instructions for definition.)  .  . .   . .  .   .                   (2) During the tax year, did the corporation own, directly or 
P  Enter tax-exempt interest received or accrued during                      indirectly, at least a 10% interest, in any foreign partnership?
   the tax year (see instructions)  ▶     $                                  If “Yes,” see instructions for required attachment.
Q  At  the end of  the  tax  year, did the corporation  own,             Z   (1) Has  the  corporation  engaged  in  any  transactions  the 
   directly or indirectly, 50% or more of the voting stock                   results  of  which  are  subject  to  the  arm’s-length  standard 
   of a U.S. corporation? (See section 267(c) for rules of                   under section 482 and its regulations?  .          . . . . .
   attribution.)  . . .  . .    .    .    . .   . .  .   .                   (2) Has the corporation recognized any interbranch amounts? 
   If “Yes,” attach a statement showing     (1)  name and                    If “Yes,” attach statement (see instructions) .      . . . .
   EIN of such U.S. corporation;    (2)  percentage owned;               AA Is  the  corporation  required  to  file  Schedule  UTP  (Form 
   and     (3)   taxable  income  or  (loss)  before  NOL  and               1120), Uncertain Tax Position Statement (see instructions)? 
   special  deductions  of  such  U.S.  corporation  for  the                If “Yes,” complete and attach Schedule UTP.
   tax year ending with or within your tax year.
                                                                         BB During the corporation’s tax year, did the corporation make 
R  If the corporation has an NOL for the tax year and is                     any payments that would require it to file Forms 1042 and 
   electing to forego the carryback period, check here                       1042-S  under  chapter  3  (sections  1441  through  1464)  or 
   (see instructions)  . . .    .    .    . .   . .  ▶                       chapter 4 (sections 1471 through 1474) of the Code?  .     .
S  Enter the available NOL carryover from prior tax years.               CC Is the corporation (including the home office or any branch) 
   (Do not reduce it by any deduction on line 30a, page                      a qualified derivatives dealer (QDD)?  .       .   . . . . .
   4.)   ▶ $                                                                 (1) If “Yes,” attach Schedule Q (Form 1120-F) (see instructions) 
T  Is the corporation a subsidiary in a parent-subsidiary                    (2)  If “Yes,” enter the QI-EIN   ▶
   controlled group? .   . .    .    .    . .   . .  .   .               DD Does  the  corporation  have  gross  receipts  of  at  least  $500 
   If “Yes,” enter the parent corporation’s:                                 million  in  any  of  the  3  preceding  tax  years  (see  sections 
   (1)  EIN   ▶                                                              59A(e)(2) and (3))?  .    . .     . .        . .   . . . . .
   (2)  Name   ▶                                                             If “Yes,” complete and attach Form 8991.
                                                                         EE During the tax year, did the corporation pay or accrue any 
U  (1) Is the corporation a dealer under section 475? .  .                   interest  or  royalty  for  which  a  deduction  is  not  allowed 
   (2) Did the corporation mark to market any securities                     under section 267A (see instructions)?  .          . . . . .
   or commodities other than in a dealer capacity?  .    .                   If “Yes,” enter the total amount of the 
                                                                             disallowed deductions .     .     .       ▶  $
                                                                                                                                      Form 1120-F (2021)

Form 1120-F (2021)                                                                                                                                 Page 3 
Additional Information  (continued from page 2)                                HH During  the  tax  year,  did  the  corporation  dispose  of  an  Yes No
                                                                    Yes No
FF Did  the  corporation  have  an  election  under  section                      interest in a partnership that directly or indirectly engaged in 
   163(j)  for  any  real  property  trade  or  business  or  any                 a trade or business within the United States?  .   . . .
   farming  business  in  effect  during  the  tax  year  (see                 II Is  the  corporation  attaching  Form  8996  to  certify  as  a 
   instructions)?  .    . .     .    . . .  .   . .   .      .                    Qualified Opportunity  Fund? . .    . .  .      .  . . .
GG Does  the  corporation  satisfy     one  or  more of  the                      If “Yes,” enter amount from 
   following (see instructions)? .     . .  .   . .   .      .                    Form 8996, line 15 .  . .   . ©  $
   (1) The  corporation  owns  a  pass-through  entity  with 
   current, or prior year carryover, excess business interest 
   expense.
   (2) The  corporation's  aggregate  average  annual  gross 
   receipts  (determined  under  section  448(c))  for  the  3  tax 
   years  preceding  the  current  tax  year  are  more  than  $26 
   million and the corporation has business interest expense.
   (3)   The  corporation  is  a  tax  shelter  and  the 
   corporation has business interest expense.
   If “Yes,” to any, complete and attach Form 8990.
SECTION I—Income From U.S. Sources Not Effectively Connected With the Conduct of a Trade or Business in the 
United States—Do not report items properly withheld and reported on Form 1042-S. See instructions.
Report all gross transportation income subject to 4% tax on line 9. Report other column (a) income items only if not properly withheld and reported on 
Form 1042-S. The rate of tax on these gross income items is 30% or such lower rate specified by tax treaty. No deductions are allowed against these 
types of income. Enter treaty rates where applicable. If the corporation is claiming a lower treaty rate, also complete item W on page 2. If multiple 
treaty rates apply to a type of income (for example, subsidiary and portfolio dividends or dividends received by disregarded entities), attach a 
statement showing the amounts, tax rates, and withholding for each.
Name of treaty country, if any ▶
                                (a)                                     (b)             (c)                      (d)                        (e)  
             Class of income (see instructions)                     Gross amount      Rate of tax (%)     Amount of tax liability    Amount of U.S. income tax 
                                                                                                                                    paid or withheld at the source
  1    Interest  . .    . .     .    . . .  .   . .
  2a   Dividends  (excluding  payments  received  by 
       QDDs  in  their  equity  derivatives  dealer 
       capacity)   .    . .     .    . . .  .   . .
  2b   Dividend  equivalents  (excluding  payments 
       received by QDDs in their equity derivatives 
       dealer capacity)   .     .    . . .  .   . .
  3    Rents .     .    . .     .    . . .  .   . .
  4    Royalties   .    . .     .    . . .  .   . .
  5    Annuities   .    . .     .    . . .  .   . .
  6    Gains  from  disposal  of  timber,  coal,  or 
       domestic iron ore with a retained economic 
       interest (attach supporting statement)  .  .
  7    Gains  from  sale  or  exchange  of  patents, 
       copyrights, etc.   .     .    . . .  .   . .
  8    Fiduciary  distributions  (attach  supporting 
       statement)  .    . .     .    . . .  .   . .
  9    Gross transportation income (see instructions)                                      4
  10   Other items of income         . . .  .   . .
       
  11   Total. Enter here and on line 1, page 1 .  .   .      .      . . .    .  . . . . .   .  ▶
  12   Total. Enter here and include on line 5i, page 1  .          . . .    .  . . . . .   .  .      . . .   .  .    . .  ▶
  13   Is the corporation fiscally transparent under the laws of the foreign jurisdiction with respect to any item of income 
       listed above? .    .     .    . . .  .   . .   .      .      . . .    .  . . . . .   .  .      . . .   .  .    . .  .      .    Yes         No
       If “Yes,” attach a statement that provides the information requested above with respect to each such item of income.
                                                                                                                                       Form 1120-F (2021)

Form 1120-F (2021)                                                                                                                                                      Page 4 
SECTION II—Income Effectively Connected With the Conduct of a Trade or Business in the United States         
(see instructions)
Important:  Fill in all applicable lines and schedules. If you need more space, see Assembling the Return in the instructions.
                                                   1 a Gross receipts or sales                        b Less returns and allowances                    c  Bal ▶ 1c 
                                                   2   Cost of goods sold (attach Form 1125-A) .      . . . .    . .    . . .      . . . .  .    . . . .  .     2 
                                                   3   Gross profit (subtract line 2 from line 1c)    . . . .    . .    . . .      . . . .  .    . . . .  .     3 
                                                   4   Dividends (Schedule C, line 13)  .   . .       . . . .    . .    . . .      . . . .  .    . . . .  .     4 
                                                   5   Interest    . . .   .   .  . .   .   . .       . . . .    . .    . . .      . . . .  .    . . . .  .     5 
                                                   6   Gross rents   . .   .   .  . .   .   . .       . . . .    . .    . . .      . . . .  .    . . . .  .     6 
             Income                                7   Gross royalties   . .   .  . .   .   . .       . . . .    . .    . . .      . . . .  .    . . . .  .     7 
                                                   8   Capital gain net income (attach Schedule D (Form 1120))     .    . . .      . . . .  .    . . . .  .     8 
                                                   9   Net gain or (loss) from Form 4797, Part II, line 17 (attach Form 4797)    . . . . .  .    . . . .  .     9 
                                                   10  Other income (see instructions—attach statement)  .  .    . .    . . .      . . . .  .    . . . .  .     10 
                                                   11  Total income.  Add lines 3 through 10  .       . . . .    . .    . . .      . . . .  .    . . . .     ▶  11 
                                                   12  Compensation of officers (see instructions—attach Form 1125-E)     . .      . . . .  .    . . . .  .     12 
                                                   13  Salaries and wages (less employment credits)  .    . .    . .    . . .      . . . .  .    . . . .  .     13 
                                                   14  Repairs and maintenance  .   .   .   . .       . . . .    . .    . . .      . . . .  .    . . . .  .     14 
                                                   15  Bad debts (for bad debts over $500,000, attach a list of debtors and amounts)   . .  .    . . . .  .     15 
                                                   16  Rents    . .  . .   .   .  . .   .   . .       . . . .    . .    . . .      . . . .  .    . . . .  .     16 
                                                   17  Taxes and licenses  .   .  . .   .   . .       . . . .    . .    . . .      . . . .  .    . . . .  .     17 
                                                   18  Interest expense from Schedule I, line 25 (see instructions)   . . . .      . . . .  .    . . . .  .     18 
                                                   19  Charitable contributions . . .   .   . .       . . . .    . .    . . .      . . . .  .    . . . .  .     19 
                                                   20  Depreciation from Form 4562 not claimed on Form 1125-A or elsewhere on return (attach Form 4562) . .     20 
                                                   21  Depletion  .  . .   .   .  . .   .   . .       . . . .    . .    . . .      . . . .  .    . . . .  .     21 
                                                   22  Advertising   . .   .   .  . .   .   . .       . . . .    . .    . . .      . . . .  .    . . . .  .     22 
                                                   23  Pension, profit-sharing, etc., plans . .       . . . .    . .    . . .      . . . .  .    . . . .  .     23 
                                                   24  Employee benefit programs    .   .   . .       . . . .    . .    . . .      . . . .  .    . . . .  .     24 
                                                   25  Reserved for future use  . . .   .   . .       . . . .    . .    . . .      . . . .  .    . . . .  .     25 
                                                   26  Deductions allocated and apportioned to ECI from Schedule H, line 20 (see instructions) . . . . .  .     26 
 (See instructions for limitations on deductions.) 27  Other deductions (attach statement)  . .       . . . .    . .    . . .      . . . .  .    . . . .  .     27 
                                                   28  Total deductions.  Add lines 12 through 27  .    . . .    . .    . . .      . . . .  .    . . . .     ▶  28 
                                                   29  Taxable income before NOL deduction and special deductions (subtract line 28 from line 11)  . . .     ▶  29 
                                                   30  Less: a  Net operating loss deduction (see instructions)  . .    . . .      . .   30a
                                                             b  Special deductions (Schedule C, line 14) .  .    . .    . . .      . .   30b
  Deductions 
                                                             c  Add lines 30a and 30b  .    . .       . . . .    . .    . . .      . . . .  .    . . . .  .     30c
                                                   31  Taxable income or (loss). Subtract line 30c from line 29  . .    . . .      . . . .  .    . . . .  .     31 
                                                                                                                                                                   Form 1120-F (2021)

Form 1120-F (2021)                                                                                                                              Page 5 
SECTION II—Income Effectively Connected With the Conduct of a Trade or Business in the United States  
(continued) 
Schedule C         Dividends and Special Deductions  (see instructions)
                                                                                               (a)  Dividends       (b) %        (c)  Special deductions: 
                                                                                                                                      (a)   ×(b)
1  Dividends  from  less-than-20%-owned  domestic  corporations  (other 
   than debt-financed stock)  .  .  .   .   .  . .   .   .  . .     .  . .     .                                    50
2  Dividends  from  20%-or-more-owned  domestic  corporations  (other  than 
   debt-financed stock)    .   . .  .   .   .  . .   .   .  . .     .  . .     .                                    65
3  Dividends on certain debt-financed stock of domestic and foreign corporations (section 246A)                 instructionssee 
4  Dividends on certain preferred stock of less-than-20%-owned public utilities                                     23.3
5  Dividends on certain preferred stock of 20%-or-more-owned public utilities .                                     26.7
6  Dividends from less-than-20%-owned foreign corporations    .     .  . .     .                                    50
7  Dividends from 20%-or-more-owned foreign corporations  .   .     .  . .     .                                    65
8  Subtotal. Add lines 1 through 7. See instructions for limitation .  . .     .                                instructionssee 
9  Dividends from foreign corporations not included on line 3, 6, or 7 . .     .
10 IC-DISC and former DISC dividends not included on line 1, 2, or 3 (section 246(d))
11 Other dividends   .   . .   . .  .   .   .  . .   .   .  . .     .  . .     .
12 Deduction for dividends paid on certain preferred stock of public utilities .
13 Total dividends. Add column (a), lines 8 through 11. Enter here and on line 4, page 4 
14 Total special deductions. Add column (c), lines 8 and 12. Enter here and on line 30b, page 4       . .     . .   .   ▶
Schedule J         Tax Computation  (see instructions)
1  Check if the corporation is a member of a controlled group (attach Schedule O (Form 1120))  .      . .  ▶
2  Income tax  .   . .   . .   . .  .   .   .  . .   .   .  . .     .  . .     .         . . . .    . . .     . .   .           2
3  Base erosion minimum tax amount (attach Form 8991)  .    . .     .  . .     .         . . . .    . . .     . .   .           3
4  Add lines 2 and 3  .  . .   . .  .   .   .  . .   .   .  . .     .  . .     .         . . . .    . . .     . .   .           4
5a Foreign tax credit (attach Form 1118)  . .  . .   .   .  . .     .  . .     .         . .   5a
b  General business credit (attach Form 3800)  . .   .   .  . .     .  . .     .         . .   5b
c  Credit for prior year minimum tax (attach Form 8827)  .  . .     .  . .     .         . .   5c
d  Bond credits from Form 8912  .   .   .   .  . .   .   .  . .     .  . .     .         . .   5d
6  Total credits. Add lines 5a through 5d   .  . .   .   .  . .     .  . .     .         . . . .    . . .     . .   .           6
7  Subtract line 6 from line 4 . .  .   .   .  . .   .   .  . .     .  . .     .         . . . .    . . .     . .   .           7
8  Other taxes. Check if from:   Form 4255               Form 8611                       Form 8697
                                 Form 8866               Form 8902                       Other (attach statement) . .           8
9  Total tax. Add lines 7 and 8. Enter here and on line 2, page 1 . .  . .     .         . . . .    . . .     . .   .           9
                                                                                                                                     Form 1120-F (2021)

Form 1120-F (2021)                                                                                                                                Page 6 
SECTION III—Branch Profits Tax and Tax on Excess Interest 
Part I—Branch Profits Tax  (see instructions)
1   Enter the amount from Section II, line 29 .    .    .  .  .   .   .   . .  .     .    .  . .    .    .   . . .    .  .     .       1 
2   Enter  total  adjustments  to  line  1  to  get  effectively  connected  earnings  and  profits.  (Attach  required  statement 
    showing the nature and amount of adjustments.) (See instructions.) .       .     .    .  . .    .    .   . . .    .  .     .       2 
3   Effectively connected earnings and profits. Combine line 1 and line 2  .         .    .  . .    .    .   . . .    .  .     .       3 
4 a Enter U.S. net equity at the end of the current tax year. (Attach required statement.)  .       .    .   . . .    .  .     .       4a 
b Enter U.S. net equity at the end of the prior tax year. (Attach required statement.) .       .    .    .   . . .    .  .     .       4b 
c  Increase in U.S. net equity. If line 4a is greater than or equal to line 4b, subtract line 4b from line 4a. Enter the 
    result here and skip to line 4e  . .   .    .  .    .  .  .   .   .   . .  .     .    .  . .    .    .   . . .    .  .     .       4c 
d Decrease in U.S. net equity. If line 4b is greater than line 4a, subtract line 4a from line 4b         .   . . .    .  .     .       4d 
e  Non-previously taxed accumulated effectively connected earnings and profits. Enter excess, if any, of effectively 
    connected earnings and profits for preceding tax years beginning after 1986 over any dividend equivalent amounts 
    for those tax years  .   . .     . .   .    .  .    .  .  .   .   .   . .  .     .    .  . .    .    .   . . .    .  .     .       4e 
5   Dividend equivalent amount. Subtract line 4c from line 3. If zero or less, enter -0-. If no amount is entered on line 
    4c, add the lesser of line 4d or line 4e to line 3 and enter the total here  .   .    .  . .    .    .   . . .    .  .     .       5 
6  Branch profits tax.  Multiply line 5 by 30% (0.30) (or lower treaty rate if the corporation is a qualified resident or 
    otherwise qualifies for treaty benefits). (See instructions.) Enter here and include on line 3, page 1. Also complete 
  item W on page 2       .   . .     . .   .    .  .    .  .  .   .   .   . .  .     .    .  . .    .    .   . . .    .  .     .       6 
Part II—Tax on Excess Interest  (see instructions for this Part and for Schedule I (Form 1120-F))
7 a Enter the interest from Section II, line 18 .  .    .  .  .   .   .   . .  .     .    .  . .    .    .   . . .    .  .     .       7a 
b  Enter the inverse of the total amount deferred, capitalized, and disallowed from Schedule I, line 24g  (i.e., if line 24g 
    is negative, enter as a positive number; if line 24g is positive, enter as a negative number)  .         . . .    .  .     .       7b 
c Combine lines 7a and 7b (amount must equal Schedule I, line 23)  .           .     .    .  . .    .    .   . . .    .  .     .       7c 
8   Branch Interest  (see instructions for definition): Enter the sum of Schedule I, line 9, column (c), and Schedule I, line 22. If 
    the interest paid by the foreign corporation’s U.S. trade or business was increased because 80% or more of the    foreign 
    corporation’s assets are U.S. assets, check this box  .   .   .   .   . .  .     .    .  . .    .    .   . . .    .  .  ▶          8 
9 a Excess interest. Subtract line 8 from line 7c. If zero or less, enter -0-  .     .    .  . .    .    .   . . .    .  .     .       9a 
b  If the foreign corporation is a bank, enter the excess interest treated as interest on deposits (see instructions for 
    rules for computing this amount). Otherwise, enter  -0-       .   .   . .  .     .    .  . .    .    .   . . .    .  .     .       9b 
c Subtract line 9b from line 9a  .     .   .    .  .    .  .  .   .   .   . .  .     .    .  . .    .    .   . . .    .  .     .       9c 
10  Tax  on  excess  interest.   Multiply  line  9c  by  30%  (0.30)  (or  lower  treaty  rate  if  the  corporation  is  a  qualified 
    resident  or otherwise qualifies for treaty benefits). (See instructions.) Enter here and include on line 3, page 1. 
  Also complete item W on page 2           .    .  .    .  .  .   .   .   . .  .     .    .  . .    .    .   . . .    .  .     .       10 
Part III—Additional Information
                                                                                                                                                  Yes No
11  Is the corporation claiming a reduction in, or exemption from, the branch profits tax due to:
a A complete termination of all U.S. trades or businesses?  .         .   . .  .     .    .  . .    .    .   . . .    .  .     .     . . . . .

b The tax-free liquidation or reorganization of a foreign corporation?  .      .     .    .  . .    .    .   . . .    .  .     .     . . . . .

c The tax-free incorporation of a U.S. trade or business?         .   .   . .  .     .    .  . .    .    .   . . .    .  .     .     . . . . .

    If 11a or 11b applies and the transferee is a domestic corporation, attach Form 8848. If 11c           applies, attach the statement required 
    by Temporary Regulations section 1.884-2T(d)(5).
                                                                                                                                           Form 1120-F (2021)

Form 1120-F (2021)                                                                                                                                Page 7 
Note:  Check if completing on ▶             U.S. basis or Worldwide basis
 Schedule L        Balance Sheets per Books
                                                              Beginning of tax year                                             End of tax year
                         Assets                           (a)                              (b)                              (c)                (d)
 1  Cash  . .      .   . .   .     . . .  . .     .
 2a Trade notes and accounts receivable .   .     .
 b  Less allowance for bad debts  .    .  . .     . (                                    )     (                                )
 3  Inventories    .   . .   .     . . .  . .     .
 4  U.S. government obligations  .     .  . .     .
 5  Tax-exempt securities (see instructions) .    .
 6a Interbranch current assets*      . .  . .     .
 b  Other current non-U.S. assets*     .  . .     .
 c  Other current U.S. assets*  .    . .  . .     .
 7  Loans to shareholders  .       . . .  . .     .
 8  Mortgage and real estate loans     .  . .     .
 9a Other  loans  and  investments—non-U.S. 
    assets* .      .   . .   .     . . .  . .     .
 b  Other loans and investments—U.S. assets* .  
10a Buildings and other depreciable assets  .     .
 b  Less accumulated depreciation      .  . .     . (                                    )     (                                )
11a Depletable assets    .   .     . . .  . .     .
 b  Less accumulated depletion  .      .  . .     . (                                    )     (                                )
12  Land (net of any amortization)  .  .  . .     .
13a Intangible assets (amortizable only)  . .     .
 b  Less accumulated amortization      .  . .     . (                                    )     (                                )
14  Assets held in trust  .  .     . . .  . .     .
15  Other non-current interbranch assets*   .     .
16a Other non-current non-U.S. assets*  .   .     .
 b  Other non-current U.S. assets*     .  . .     .
17  Total assets  .    . .   .     . . .  . .     .
                       Liabilities
18  Accounts payable     .   .     . . .  . .     .
19  Mortgages, notes, bonds payable in less  than 
    1 year:
 a  Interbranch liabilities*  .    . . .  . .     .
 b  Third-party liabilities* .     . . .  . .     .
20  Other current liabilities* .   . . .  . .     .
21  Loans from shareholders  .       . .  . .     .
22  Mortgages, notes, bonds payable in 1 year or 
    more:
 a  Interbranch liabilities*  .    . . .  . .     .
 b  Third-party liabilities* .     . . .  . .     .
23  Liabilities held in trust  .   . . .  . .     .
24a Other interbranch liabilities*   . .  . .     .
 b  Other third-party liabilities* . . .  . .     .
                         Equity 
25  Capital stock:    a Preferred stock . . .     .
                      b Common stock .    . .     .
26  Additional paid-in capital  .    . .  . .     .
27  Retained earnings—Appropriated*       . .     .
28  Retained earnings—Unappropriated  .     .     .
29  Adjustments to shareholders’ equity* .  .     .
30  Less cost of treasury stock .    . .  . .     .                                      (                                )      (                                ) 
31  Total liabilities and shareholders’ equity  . .
*Attach statement—see instructions.                                                                                              Form1120-F (2021)

Form 1120-F (2021)                                                                                                       Page 8 
Schedule W         Overpayment Resulting From Tax Deducted and Withheld Under Chapters 3 and 4
1 Total Chapter 3 and 4 payments. Enter the amount from page 1, line 5i . .           . .          . . . . . . . . 1
2 Enter the tax amount from page 1, line 1 . . . . . . . . . .          . .           . .            2
3 Enter  the  portion  of  the  tax  amount  shown  on  page  1,  line  2,  pertaining  to  income 
  associated with amounts deducted and withheld under sections 1445 and 1446 (see 
  instructions for general guidelines) . .   . . . . . . . . .          . .           . .            3
4 Total Chapter 3 and 4 tax. Combine lines 2 and 3 . . . . . .          . .           . .          . . . . . . . . 4
5 Tentative overpayment resulting from tax deducted and withheld under Chapters 3 and 4.
  Subtract line 4 from line 1  . . .   . .   . . . . . . . . .          . .           . .          . . . . . . . . 5
6 Enter the amount from page 1, line 8a  .   . . . . . . . . .          . .           . .          . . . . . . . . 6
7 Overpayment resulting from tax deducted and withheld under Chapters 3 and 4. 
  Enter the smaller of line 5 or line 6. Enter the result here and on page 1, line 8b . .          . . . . . . . . 7
                                                                                                                    Form 1120-F (2021)