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F-1120 NameAddressCity/State/ZIP US Dollars CentsFederal Employer Identification Number (FEIN)For calendar year 2015 or tax year beginning _____, 2015 ending _____Year end date _____ 1. Federal taxable income (see instructions). Attach pages 1 5 of federal return .. 2. State income taxes deducted in computing federal taxable income (attach schedule) .. 3. Additions to federal taxable income (from Schedule I) .. 4. Total of Lines 1, 2, and 3.. 5. Subtractions from federal taxable income (from Schedule II) .. 6. Adjusted federal income (Line 4 minus Line 5).
F-1120 R. 01/17 Page 3 NAME FEIN TAXABLE YEAR ENDING Schedule I — Additions and/or Adjustments to Federal Taxable Income Column (a) For page 1 Column (b) For Schedule VI, AMT
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