Form 1120-L (2019)
Page 5
Schedule M Other Information (see instructions)
Yes No
1 Check accounting method:
a Accrual
b
Other (specify)
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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
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b Owner’s country.
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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)