Schedule Ub - Attach To Form Il-1120, Form Il-1120-St, And Form Il-1065 - Combined Apportionment For Unitary Business Group - 2013

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Common year ending for the
Illinois Department of Revenue
Combined Apportionment for
unitary business group
Unitary Business Group
Schedule UB
______
______
For tax years ending on or after December 31, 2013
Month
Year
Attach to your Form IL-1120, Form IL-1120-ST, and Form IL-1065.
IL Attachment no. 5
Step 1 — Provide Your Membership Information
___ ___ - ___ ___ ___ ___ ___ ___ ___
_______________________________________________________________________
Write the name of the designated agent (see general instructions).
Write the federal employer identification number (FEIN).
_______________________________________________________________________
___ ___ - ___ ___ ___ ___ ___ ___ ___
Write the name of the designated agent last year, if it is different than above.
Write the FEIN, if it is different than above.
_______________________________________________________________________
___ ___ - ___ ___ ___ ___ ___ ___ ___
Write the name of the controlling corporation (see general instructions).
Write the FEIN, if it is different than above.
If the controlling corporation is a member of this unitary group, check the box.
See Specific Instructions.
Section A — List all members.
A
B
C
D
E
F
G
H
I
Year
Required
Appor-
ending
to file an
New
Inactive
Holding
tionment Member
Name
FEIN
(Month/Year)
IL return member member company
method
Type
__ __ / __ __ __ __
1
__________________________________________
__ __ - __ __ __ __ __ __ __
_____
_____
_____
_____
_____
_____
__ __ / __ __ __ __
2
__________________________________________
__ __ - __ __ __ __ __ __ __
_____
_____
_____
_____
_____
_____
__ __ / __ __ __ __
3
__________________________________________
__ __ - __ __ __ __ __ __ __
_____
_____
_____
_____
_____
_____
__ __ / __ __ __ __
4
__________________________________________
__ __ - __ __ __ __ __ __ __
_____
_____
_____
_____
_____
_____
__ __ / __ __ __ __
5
__________________________________________
__ __ - __ __ __ __ __ __ __
_____
_____
_____
_____
_____
_____
__ __ / __ __ __ __
6
__________________________________________
__ __ - __ __ __ __ __ __ __
_____
_____
_____
_____
_____
_____
__ __ / __ __ __ __
7
__________________________________________
__ __ - __ __ __ __ __ __ __
_____
_____
_____
_____
_____
_____
__ __ / __ __ __ __
8
__________________________________________
__ __ - __ __ __ __ __ __ __
_____
_____
_____
_____
_____
_____
__ __ / __ __ __ __
9
__________________________________________
__ __ - __ __ __ __ __ __ __
_____
_____
_____
_____
_____
_____
__ __ / __ __ __ __
10
__________________________________________
__ __ - __ __ __ __ __ __ __
_____
_____
_____
_____
_____
_____
See Specific Instructions.
Section B — List any mergers with members listed in Section A.
A
B
Person who has merged with member
Member listed in Section A
_______________________
__________________________
1
___ ___ - ___ ___ ___ ___ ___ ___ ___
___ ___ - ___ ___ ___ ___ ___ ___ ___
Name
FEIN
Name
FEIN
_______________________
__________________________
2
___ ___ - ___ ___ ___ ___ ___ ___ ___
___ ___ - ___ ___ ___ ___ ___ ___ ___
Name
FEIN
Name
FEIN
_______________________
__________________________
3
___ ___ - ___ ___ ___ ___ ___ ___ ___
___ ___ - ___ ___ ___ ___ ___ ___ ___
Name
FEIN
Name
FEIN
See Specific Instructions.
Section C — List all members who left the group during this tax year.
A
B
Member who was sold
Entity to which member in Column A was sold
_______________________
_________________________
1
___ ___ - ___ ___ ___ ___ ___ ___ ___
___ ___ - ___ ___ ___ ___ ___ ___ ___
Name
FEIN
Name
FEIN
_______________________
_________________________
2
___ ___ - ___ ___ ___ ___ ___ ___ ___
___ ___ - ___ ___ ___ ___ ___ ___ ___
Name
FEIN
Name
FEIN
_______________________
_________________________
3
___ ___ - ___ ___ ___ ___ ___ ___ ___
___ ___ - ___ ___ ___ ___ ___ ___ ___
Name
FEIN
Name
FEIN
Section D — Provide information about your excluded members
See Specific Instructions and complete Step 5 if the answer below is 1 or greater.
Write the total number of members excluded.
______
1
*333301110*
Page 1 of 5
Schedule UB (R-12/13)

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