b. Notes, Loans and mortgages held either in assets or liabilities
c. Capital/Cash contributions to the business by shareholder or partner
d. Capital/Cash distributions to shareholders or partners
e. Non-standard contributions or distributions
f. Employer and officer payroll information
g. Final Bank statement or bank reconsolidation showing cash in bank
h. Real property loan and real estate information
i. If the business employed independent contractors or made payment to unincorporated
services/suppliers, provide copies of 1099-Misc issued.
j. If any shareholders or partners are residents of states not where business located or
reside outside the US, provide details. There may be withholding requirements.
Part 5 - Questions Related to all entities - If yes check any that apply - if No DON'T check
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SMALL EMPLOYER HEALTHCARE COVERAGE - (Questions 1 & 2 applied to 2015 and forward)
Part 6 - Questions Related Only to Partnerships
Does the business have any foreign partners or shareholders?
At any time during the year, did the business have an interest in or signature or other authority over a financial
account in a foreign country (such as a bank, securities, or financial account)?
During the year, did this business have any debt that was cancelled, was forgiven, or had the terms modified so
as to reduce the principal amount of the loan?
Was there a change in determining quantities, cost or valuations between opening & ending inventory?
Was there any write-down of subnormal goods as described in Regulations Sec 1.471-2( c )?
Do the IRC Sec 263A uniform capitalization rules apply to this business?
Do you have a accounting procedure in place for purchase of tangible property?
Did this business pay any taxes to a foreign government during the tax year?
Did the business pay any expenses during the tax year to make the business accessible or usable by individuals
with disabilities?
Did this employer pay any FICA on employee wages for tips above the minimum wage?
Did this business incur any research and experimental expenditures during the tax year?
Does this business own any residential rental buildings providing qualified low-income housing?
Does the business provide child care facilities or services to its employees?
Has this business filed or is it required to file, form 8918, a Material Advisor Disclosure Statement?
ADDITIONAL QUESTIONS RELATED TO TANBIBLE PROPERTY OR BUILDING REPAIR AND MAINTENANCE
Did you in the current tax year purchase tangible personal property costing greater than $500 per item?
If you did purchase tangible property of greater than $500 per item, have you filed a certified financial statement
to the SEC or any state or federal government agency or had a CPA certified audit and financial statements used
for credit, reporting to shareholder/partners, or use for non-tax purposes? Safe harbor rules for greater than
$500 purchase may apply.
Does the business own any real commercial property valued less $1 million and made total repairs or
maintenance costing less than $10,000 or 2% of the adjusted basis of the building?
1. Do you have 50 or more full-time equivalent employees? (If you say yes, required healthcare
coverage or shared responsibility payments may apply starting in 2015)
2. If yes to the prior question, do you or do you plan to provide minimum value coverage or do all
employees received premium tax credit or cost sharing reduction?
3. Do you have 25 or less full-time equivalent employees and offer healthcare to employees obtained
through a SHOP plan (Marketplace)?
4. If yes to the prior question, your average annual wages per full-time equivalent are less than
$50,000 and you paid as least 50% of premiums for single health insurance under a qualifying
arrangement?
1. At any time during the year was any partner a disregarded entity (sole proprietor), partnership,
trust, S Corp, estate, or a nominee or similar person?
2. At the end of the year, did any foreign or domestic corporation, partnership or entity treated as a
partnership, trust, individual or estate own directly or indirectly 50% or more of the profit loss or
capital of the partnership? If yes, provide details including tax ID.