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1350

CL-4

STATE OF SOUTH CAROLINA

ANNUAL REPORT OF ELECTRIC COOPERATIVE

(Rev. 8/5/15)

CORPORATION PROPERTY AND GROSS RECEIPTS

3135

TAXPAYER ID INFORMATION

Do Not Write in This Space

SC FILE #

RETURN FOR PERIOD ENDING

LICENSE FEE PERIOD ENDING

14-0601

FEIN

Audited by

NAME

Date

MAILING ADDRESS

CITY

STATE

ZIP CODE

Change of Address

Initial Return

Final

Amended

Check here if you have filed a federal or state extension

PART I

COMPUTATION OF LICENSE FEE - ELECTRIC COOPERATIVES

1. Fair Market Value of Property Owned and Used in the Conduct of Business in SC as determined

by the SC Department of Revenue for Property Tax Purposes for the preceding tax year . . . . . . . . . . .

2. License Fee: Fair Market Value Component (Line 1 x .001) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(A) Total System

(B) In South Carolina

Operating Revenues (List below):

3. Total Operating Revenues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.

Other Receipts (List Below):

4. Total Other Receipts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5. Total Gross Receipts (Add Lines 3 and 4) . . . . . . . . . . . . . . . . . . . . . . . . . 5.

6. License Fee: Gross Receipts Component (Line 5, Column B x .003). . . . . . . . . . . . . . . . . . . . . . . . . . .

7. Total License Fee (Add Lines 2 and 6 but not less than $25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8. Section 12-20-105 Credit (See Part II and Instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9. Balance of License Fee Due (Line 7 minus Line 8 but not less than zero) . . . . . . . . . . . . . . . . . . . . . . .

10. Interest Due

Penalty Due

. . . . . . . . . . . . . . . .

10.

BALANCE DUE

11. Total License Fee, Interest and Penalty Due (Add Lines 9 and 10) . . . . . . . . . . .

11.

PART II

INFRASTRUCTURE CREDIT INFORMATION

Unused Infrastructure Credit

Infrastructure Credit

Infrastructure Credit Carried

Carried Forward from Last Year

Earned This Year

Taken This Year

Forward for One Year Only

Describe below the types of infrastructure provided by the taxpayer to eligible projects. Types of infrastructure are listed in S.C. Code

Section 12-20-105(C). Eligible projects are described in S.C. Code Section 12-20-105(B).

31351026

Form Cl-4 - Annual Report Of Electric Cooperative Corporation Property And Gross Receipts

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