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Form1120-SU.S. Income Tax Return for an S Corporation

Department of the Treasury — Internal Revenue ServiceFor calendar year or tax year beginning

AS election effective dateTYPE OR PRINTName

BBusiness activity code number (see instructions)Number, street, and room or suite no.

CCheck if Sch. M-3 attachedCity or town, state or province, country, and ZIP

DEmployer identification numberEDate incorporated

FTotal assets (see instructions)$

GIs the corporation electing to be an S corporation beginning with this tax year?

1a Gross receipts or salesb Returns and allowancesc Balance

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