SCHEDULE K
Shareholder’s Statement of IC-DISC Distributions—2006
OMB No. 1545-0938
(Form 1120-IC-DISC)
For calendar year 2006 or tax year
COPY A—Attach to
beginning
, 2006, ending
, 20
Form 1120-IC-DISC
Department of the Treasury
(Complete for each shareholder. See instructions on back of Copy C.)
Internal Revenue Service
Part I
Taxable Distributions
1a
1
Deemed distributions:
a
Under section 995(b)(1)
1b
b
Annual installment under section 995(b)(2)
1c
c
Total. Add lines 1a and 1b
2
2
Actual taxable distributions
3
Total taxable distributions. Add line 1c and line 2. Enter here and in Section A or B below
3
Section A—C Corporations
4a
4a
Part of line 3 above entitled to section 243 dividends-received deduction
b
Part of line 3 above not entitled to section 243 dividends-received deduction
4b
Section B—Shareholders Other Than C Corporations
5
Amount of taxable dividends included on line 3
5
Part II
Nontaxable Distributions
6
6
Actual distributions from previously taxed income and accumulated pre-1985 DISC income
7
7
Other actual nontaxable distributions
8
Total nontaxable distributions. Add lines 6 and 7
8
Part III
Other Information
9
9
Accumulated IC-DISC income attributable to stock sold during the year
10
Deferred DISC income. See instructions
10
Name, employer identification number, and address (including ZIP code)
Shareholder’s name, identifying number, and address (including ZIP code)
of IC-DISC, former DISC, or former IC-DISC
For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 1120-IC-DISC.
Schedule K (Form 1120-IC-DISC) 2006
Cat. No. 11474A