Fillable F1120l 2019 Form 1120-L

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F1120l 2019 Form 1120-L

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Form 1120-L
Department of the Treasury
Internal Revenue Service
U.S. Life Insurance Company Income Tax Return
For calendar year 2019 or tax year beginning , 2019, ending , 20
▶
Go to www.irs.gov/Form1120L for instructions and the latest information.
OMB No. 1545-0123
2019
Please
print
or
type
Name
Number, street, and room or suite no. If a P.O. box, see instructions.
City or town, state or province, country, and ZIP or foreign postal code
A Check if:
1 Consolidated return
(attach Form 851) .
2 Life-nonlife
consolidated return
3 Schedule M-3 (Form
1120-L) attached .
B
Employer identification number
C Date incorporated
D Check applicable box if an
election has been made under
section(s):
953(c)(3)(C) 953(d)
E Check if:
(1)
Final return
(2)
Name change
(3)
Address change
(4)
Amended return
Income (line 6 is reserved)
1 Gross premiums, etc., less return premiums, etc. Enter balance . . . . . . . . . . . . . . 1
2 Net decrease, if any, in reserves (Schedule F, line 12) . . . . . . . . . . . . . . . . . 2
3a Decrease in reserves under section 807(f) . . . . . . . . . . . . . . . . . . . . 3a
b Income from Reserve Transition Relief (see instructions) . . . . . . . . . . . . . . . . 3b
4 Investment income (Schedule B, line 6) (see instructions) . . . . . . . . . . . . . . . . 4
5 Net capital gain (Schedule D (Form 1120), line 18) . . . . . . . . . . . . . . . . . . 5
7 Other income (attach statement) . . . . . . . . . . . . . . . . . . . . . . . 7
8 Life insurance company gross income. Add lines 1 through 7 . . . . . . . . . . . . . . .
8
Deductions (See instructions for limitations on deductions.)
9 Death benefits, etc. . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
10 Net increase, if any, in reserves (Schedule F, line 12) . . . . . . . . . . . . . . . . . 10
11a Increase in reserves under section 807(f) . . . . . . . . . . . . . . . . . . . . . 11a
b Deduction from Reserve Transition Relief (see instructions) . . . . . . . . . . . . . . . 11b
12 Deductible policyholder dividends under section 808 . . . . . . . . . . . . . . . . . 12
13 Assumption by another person of liabilities under insurance, etc., contracts . . . . . . . . . . 13
14 Dividends reimbursable by taxpayer . . . . . . . . . . . . . . . . . . . . . . 14
15a Interest
▶
b Less tax-exempt interest expense
▶
c
Balance
▶
15c
16 Deductible policy acquisition expenses (Schedule G, line 20) . . . . . . . . . . . . . . . 16
17 Reserved for future use . . . . . . . . . . . . . . . . . . . . . . . . . . 17
18 Other deductions (see instructions) (attach statement) . . . . . . . . . . . . . . . . . 18
19 Add lines 9 through 18 . . . . . . . . . . . . . . . . . . . . . . . . . . 19
20 Subtotal. Subtract line 19 from line 8 . . . . . . . . . . . . . . . . . . . . . . 20
21a Dividends-received and other special deductions (Schedule A, line 22) . . . . 21a
Plus: b. Net operating loss deduction (see instructions) (attach statement) . . . 21b 21c
22 Gain or (loss) from operations. Subtract line 21c from line 20 . . . . . . . . . . . . . . . 22
23 Life insurance company taxable income (LICTI). Enter line 22 here . . . . . . . . . . . . . 23
24 Phased inclusion of balance of policyholders surplus account (see instructions) . . . . . . . . .
24
Tax, Refundable Credits, and Payments
25 Taxable income. Add lines 23 and 24 (see instructions) . . . . . . . . . . . . . . . . 25
26 Total tax (Schedule K, line 10) . . . . . . . . . . . . . . . . . . . . . . . . 26
27 2019 Net 965 tax liability paid from Form 965-B, Part II, column (k), line 3 . . . . . . . . . . . 27
28a 2018 overpayment credited to 2019 . . . . . . 28a
Line 28b is
reserved.
c
2019 estimated tax payments . . . . . . . .
28c
d Less 2019 refund applied for on Form 4466 . . . . 28d
( )
28e
f Tax deposited with Form 7004 . . . . . . . . . . . . . . . . 28f
g Credits: (1) Form 2439
▶
(2) Form 4136
▶
28g
h U.S. income tax paid or withheld at source (attach Form 1042-S) . . . . . . 28h
i 2019 Net 965 tax liability from Form 965-B, Part I, column (d), line 3 . . . . . 28i
j Refundable credit from Form 8827, line 5c . . . . . . . . . . . . 28j 28k
29 Estimated tax penalty. Check if Form 2220 is attached . . . . . . . . . . . . . . .
▶
29
30 Amount owed. If line 28k is smaller than the total of lines 26, 27, and 29, enter amount owed . . . . . 30
31 Overpayment. If line 28k is larger than the total of lines 26, 27, and 29, enter amount overpaid . . . . . 31
32 Enter amount from line 31: Credited to 2020 estimated tax .
▶
Refunded .
▶
32
Sign
Here
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.
▲
Signature of officer
Date
▲
Title
May the IRS discuss this return
with the preparer shown below?
See instructions.
Yes No
Paid
Preparer
Use Only
Print/Type preparer’s name Preparer’s signature Date
Check if
self-employed
PTIN
Firm’s name
▶
Firm’s EIN
▶
Firm’s address
▶
Phone no.
For Paperwork Reduction Act Notice, see separate instructions.
Cat. No. 11480E
Form
1120-L (2019)
Form 1120-L (2019)
Page 2
Schedule A
Dividends, Inclusions, Dividends-Received Deduction, and Other Special Deductions (see instructions)
Dividends subject to proration
(a) Dividends and
inclusions
(b) %
(c) Deductions
((a) times (b))
1
Dividends from less-than-20%-owned domestic corporations (other than
debt-financed stock) . . . . . . . . . . . . . . . . .
1
50
2
Dividends from 20%-or-more-owned domestic corporations (other than
debt-financed stock) . . . . . . . . . . . . . . . . .
2
65
3
Dividends on certain debt-financed stock of domestic and foreign
corporations . . . . . . . . . . . . . . . . . . .
3
see instructions
4 Dividends on certain preferred stock of less-than-20%-owned public utilities 4
23.3
5 Dividends on certain preferred stock of 20%-or-more-owned public utilities . 5
26.7
6
Dividends from less-than-20%-owned foreign corporations and certain
foreign sales corporations (FSCs) . . . . . . . . . . . . .
6
50
7 Dividends from 20%-or-more-owned foreign corporations and certain FSCs 7
65
8 Dividends from wholly owned foreign subsidiaries and certain FSCs . . . 8
100
9 Dividends from certain affiliated companies . . . . . . . . . . 9
100
10 Gross dividends-received deduction. Add lines 1 through 9 . . . . . 10
11 Company share percentage . . . . . . . . . . . . . . . 11
0.7
12 Prorated amount. Line 10 times line 11 . . . . . . . . . . . 12
Dividends not subject to proration
13 Affiliated company dividends . . . . . . . . . . . . . . 13
see instructions
14
Foreign-source portion of dividends received from a specified 10%-owned
foreign corporation (excluding hybrid dividends) (see instructions) . . .
14
100
15
Dividends from foreign corporations not included on line 3, 6, 7, 8, or 14
(including hybrid dividends) . . . . . . . . . . . . . . .
15
16 Section 965(a) inclusion . . . . . . . . . . . . . . . . 16
see instructions
17a
Subpart F inclusions derived from the sale by a controlled foreign
corporation (CFC) of the stock of a lower-tier foreign corporation treated as
a dividend (attach Form(s) 5471) (see instructions) . . . . . . . .
17a
100
b
Subpart F inclusions derived from hybrid dividends of tiered corporations
(attach Form(s) 5471) (see instructions) . . . . . . . . . . .
17b
c
Other inclusions from CFCs under subpart F not included on line 16, 17a,
17b, or 18 (attach Form(s) 5471) (see instructions) . . . . . . . .
17c
18 Global intangible low-taxed income (GILTI) (attach Form(s) 5471 and 8992) . 18
19 Other corporate dividends . . . . . . . . . . . . . . . 19
20
Total dividends and inclusions. Add lines 1 through 19, column (a). Enter
here and on Schedule B, line 2 . . . . . . . . . . . . . .
20
21 Section 250 deduction (attach Form 8993) . . . . . . . . . . 21
22
Total deductions. Add lines 12, 13, 14, 16, 17a, and 21, column (c). Enter
here and on page 1, line 21a . . . . . . . . . . . . . .
22
Schedule B Investment Income (see instructions)
1 Interest (excluding tax-exempt interest) . . . . . . . . . . . . . . . . . . . . . . 1
2 Total dividends and inclusions (Schedule A, line 20, column (a)) . . . . . . . . . . . . . . . 2
3 Rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4 Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5 Leases, terminations, etc. . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6 Investment income. Add lines 1 through 5. Enter here and on page 1, line 4 . . . . . . . . . . . .
6
Form 1120-L (2019)
Form 1120-L (2019)
Page 3
Schedule F
Increase (Decrease) in Reserves (section 807) (see instructions)
(a) Beginning
of tax year
(b) End of tax year
1 Life insurance reserves . . . . . . . . . . . . . . . . . . . . . 1
2 Unearned premiums and unpaid losses . . . . . . . . . . . . . . . . 2
3 Supplementary contracts . . . . . . . . . . . . . . . . . . . . 3
4 Dividend accumulations and other amounts . . . . . . . . . . . . . . . 4
5 Advance premiums . . . . . . . . . . . . . . . . . . . . . . 5
6 Special contingency reserves . . . . . . . . . . . . . . . . . . . 6
7 Add lines 1 through 6 . . . . . . . . . . . . . . . . . . . . . . 7
8 Increase (decrease) in reserves under section 807. Subtract line 7, column (a), from line 7, column (b) . . . . 8
9a Tax-exempt interest . . . . . . . . . . . . . . . . . . . . 9a
b Increase in policy cash value of section 264(f) policies as defined in section 805(a)(4)(F) 9b
c Add lines 9a and 9b . . . . . . . . . . . . . . . . . . . . 9c
10 Policyholders’ share percentage . . . . . . . . . . . . . . . . . . . . . . . . 10
30%
11
Policyholders’ share of tax-exempt interest and the increase in policy cash value of section 264(f) policies as
defined in section 805(a)(4)(F). Multiply line 9c by line 10 . . . . . . . . . . . . . . . . . 11
12
Net increase (decrease) in reserves. Subtract line 11 from line 8. If an increase, enter here and on page 1, line
10. If a decrease, enter here and on page 1, line 2 . . . . . . . . . . . . . . . . . . .
12
Schedule G Policy Acquisition Expenses (section 848) (see instructions)
(a) Annuity (b) Group life
insurance
(c) Other
1 Gross premiums and other consideration . . . . . . . . . . 1
2
Return premiums and premiums and other consideration incurred for
reinsurance . . . . . . . . . . . . . . . . . .
2
3 Net premiums. Subtract line 2 from line 1 . . . . . . . . . 3
4 Net premium percentage (see instructions) . . . . . . . . . 4
5 Multiply line 3 by line 4 . . . . . . . . . . . . . . . 5
6 Combine line 5, columns (a), (b), and (c), and enter here. If zero or less, enter -0- on lines 7 and 8 . . . . . 6
7 Unused balance of negative capitalization amount from prior years . . . . . . . . . . . . . . 7
( )
8 Combine lines 6 and 7. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . 8
9 General deductions (attach statement) . . . . . . . . . . . . . . . . . . . . . . . 9
10 Enter the lesser of line 8 or line 9 . . . . . . . . . . . . . . . . . . . . . . . . 10
11 Deductible general deductions. Subtract line 10 from line 9. Enter here and include on page 1, line 18 . . . . 11
12 If the amount on line 6 is negative, enter it as a positive amount. If the amount on line 6 is positive, enter -0- . . 12
13 Unamortized specified policy acquisition expenses from prior years . . . . . . . . . . . . . . 13
14 Deductible negative capitalization amount. Enter the lesser of line 12 or line 13 . . . . . . . . . . . 14
15
a
Tentative 60-month specified policy acquisition expenses. Enter amount from line 10,
but not more than $5 million . . . . . . . . . . . . . . . . . .
15a
b Limitation . . . . . . . . . . . . . . . . . . . . . . . 15b
$10,000,000
16 Phase-out amount. Subtract line 15b from line 10. If zero or less, enter -0- . . . . 16
17
a
Current year 60-month specified policy acquisition expenses. Subtract line 16 from line
15a. If zero or less, enter -0- . . . . . . . . . . . . . . . . .
17a
b Enter 10% (0.10) of line 17a . . . . . . . . . . . . . . . . . . . . . . . . . . 17b
18
a
Current year 180-month specified policy acquisition expenses. Subtract line 17a from
line 10 . . . . . . . . . . . . . . . . . . . . . . . .
18a
b Enter 3.34% (0.0334) of line 18a . . . . . . . . . . . . . . . . . . . . . . . . 18b
19
Enter the applicable amount of amortization from specified policy acquisition expenses capitalized in prior years
and deductible this year. Attach statement . . . . . . . . . . . . . . . . . . . . .
19
20 Deductible policy acquisition expenses. Add lines 14, 17b, 18b, and 19. Enter here and on page 1, line 16 . . 20
Form 1120-L (2019)
Form 1120-L (2019)
Page 4
Schedule K 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
5 a Foreign tax credit (attach Form 1118) . . . . . . . . . . . . . . . 5a
b Credit from Form 8834 (attach Form 8834) . . . . . . . . . . . . . 5b
c General business credit (attach Form 3800) . . . . . . . . . . . . . 5c
d Credit for prior year minimum tax (attach Form 8827) . . . . . . . . . . 5d
e Bond credits from Form 8912 . . . . . . . . . . . . . . . . . 5e
6 Total credits. Add lines 5a through 5e . . . . . . . . . . . . . . . . . . . . . . 6
7 Subtract line 6 from line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Foreign corporations—tax on income not effectively connected with U.S. business . . . . . . . . . 8
9 Other taxes. Check if from: Form 4255 Form 8611 Other (attach statement) . . . . . . 9
10 Total tax. Add lines 7 through 9. Enter here and on page 1, line 26 . . . . . . . . . . . . . .
10
Schedule L Part I—Total Assets (see instructions)
(a) Beginning
of tax year
(b) End of tax year
1 Real property . . . . . . . . . . . . . . . . . . . . . . . . 1
2 Stocks . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Proportionate share of partnership and trust assets . . . . . . . . . . . . . 3
4 Other assets (attach statement) . . . . . . . . . . . . . . . . . . . 4
5 Total assets. Add lines 1 through 4 . . . . . . . . . . . . . . . . .
5
Part II—Total Assets and Total Insurance Liabilities (section 842(b)(2)(B)(i)) (see instructions)
Note: The information provided in Part II should conform with the “Assets” and “Liabilities, Surplus, and Other Funds” sections of
the NAIC Annual Statement.
(a) Beginning
of tax year
(b) End of tax year
1 Subtotals for assets . . . . . . . . . . . . . . . . . . . . . . 1
2 Total assets . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Reserve for life policies and contracts . . . . . . . . . . . . . . . . . 3
4 Reserve for accident and health policies . . . . . . . . . . . . . . . . 4
5 Liability for deposit-type contracts . . . . . . . . . . . . . . . . . . 5
6 Life policy and contract claims . . . . . . . . . . . . . . . . . . . 6
7 Accident and health policy and contract claims . . . . . . . . . . . . . . 7
8 Policyholder’s dividend and coupon accumulations . . . . . . . . . . . . . 8
9 Premiums and annuity considerations received in advance less discount . . . . . . 9
10 Surrender values on canceled policies . . . . . . . . . . . . . . . . . 10
11 Part of other amounts payable on reinsurance assumed . . . . . . . . . . . 11
12
Part of aggregate write-ins for liabilities. (Only include items or amounts includible in “total
insurance liabilities on U.S. business” as defined in section 842(b)(2)(B)(i)) . . . . . .
12
13 Separate accounts statement . . . . . . . . . . . . . . . . . . . 13
14 Total insurance liabilities. Add lines 3 through 13 . . . . . . . . . . . . .
14
Form 1120-L (2019)
Form 1120-L (2019)
Page 5
Schedule M Other Information (see instructions)
Yes No
1 Check accounting method:
a Accrual
b
Other (specify)
▶
2 Check if the corporation is a:
a
Legal reserve company—if checked
Kind of company:
(1)
Stock
(2)
Mutual
Principal business:
(1)
Life Insurance
(2)
Health and accident insurance
b
Fraternal or assessment association
c
Burial or other insurance company
3
Enter the percentage that the total of the
corporation’s life insurance reserves (section 816(b))
plus unearned premiums and unpaid losses
(whether or not ascertained) on noncancelable life,
health, or accident policies not included in life
insurance reserves bears to the corporation’s total
reserves (section 816(c)) . .
▶
%.
Attach a statement showing the computation.
4
Does the corporation have any variable annuity
contracts outstanding? . . . . . . . .
5
At the end of the tax year, did the corporation own,
directly or indirectly, 50% or more of the voting
stock of a domestic corporation? (For rules of
attribution, see section 267(c).) . . . . . .
If “Yes,” attach a statement showing (a) name and
employer identification number (EIN), (b) percentage
owned, and (c) taxable income or (loss) before NOL
and special deductions of such corporation for the
tax year ending with or within your tax year.
6
Is the corporation a subsidiary in an affiliated group
or a parent-subsidiary controlled group? . . .
If “Yes,” enter name and EIN of the parent
corporation.
▶
7
At the end of the tax year, did any individual,
partnership, corporation, estate, or trust own, directly
or indirectly, 50% or more of the corporation’s voting
stock? (For rules of attribution, see section 267(c).)
If “Yes,” complete a and b below.
a
Attach a statement showing name and identifying
number. (Do not include any information already
entered on line 6 above.)
b
Enter percentage owned.
▶
8
At any time during the year, did one foreign person
own, directly or indirectly, at least 25% of (a) the
total voting power of all classes of stock of the
corporation entitled to vote, or (b) the total value of
all classes of stock of the corporation? . . .
If “Yes,” enter:
a Percentage owned and
▶
b Owner’s country.
▶
Yes No
8
c
The corporation may have to file Form 5472,
Information Return of a 25% Foreign-Owned U.S.
Corporation or a Foreign Corporation Engaged in a
U.S. Trade or Business. Enter number of Forms
5472 attached.
▶
9
Does the corporation discount any of the loss
reserves shown on its annual statement? . . .
10
a
Enter the total unpaid losses shown on the
corporation’s annual statement:
(1)
For the current year:
$
(2)
For the previous year:
$
b
Enter the total unpaid loss adjustment expenses
shown on the corporation’s annual statement:
(1) For the current year:
$
(2) For the previous year:
$
11
Enter the available net operating loss carryover from
prior tax years. (Do not reduce it by any deduction
on page 1, line 21b.) . .
▶
$
12a
Enter the corporation’s state of domicile.
▶
b
Was the annual statement used to prepare the tax
return filed with the state of domicile? . . . .
If “No,” complete c below.
c
Enter the state where the annual statement used to
prepare the tax return was filed.
▶
13
Is the corporation required to file Schedule UTP
(Form 1120), Uncertain Tax Position Statement?
See instructions . . . . . . . . . .
If “Yes,” complete and attach Schedule UTP.
14
Does the corporation have gross receipts of at least
$500 million in any of the 3 preceding tax years?
(See section 59A(e)(2) and (3).) . . . . . .
If “Yes,” complete and attach Form 8991.
15
During the tax year, did the corporation pay or
accrue any interest or royalty for which the
deduction is not allowed under section 267A? See
instructions . . . . . . . . . . . .
If “Yes,” enter the total amount of the disallowed
deductions . . . .
▶
$
16
Did the corporation have an election under section
163(j) for any real property trade or business or any
farming business in effect during the tax year? See
instructions . . . . . . . . . . . .
17
Is the corporation required to file Form 8990,
Limitation on Business Interest Expense IRC 163(j),
to calculate the amount of deductible business
interest? See instructions . . . . . . . .
Form 1120-L (2019)
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Completed 15 February 2020

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