U.S. Income Tax Return for an S Corporation

U.S. Income Tax Return for an S Corporation

Form 1120S — Department of the Treasury, Internal Revenue Service

Do not file this form unless the corporation has filed or is attaching Form 2553 to elect to be an S corporation.

For calendar year 2011 or tax year beginning , 2011, ending , 20

TYPE OR PRINT

G Is the corporation electing to be an S corporation beginning with this tax year? Yes No If “Yes,” attach Form 2553 if not already filed

H Check if: Final return Name change Address change Amended return S election termination or revocation

I Enter the number of shareholders who were shareholders during any part of the tax year

Income

1a Merchant card and third-party payments (for 2011, enter -0-)

1b Gross receipts or sales not reported on line 1a

1c Total

1d Returns and allowances plus any other adjustments

1e Subtract line 1d from line 1c

2 Cost of goods sold (attach Form 1125-A)

3 Gross profit

4 Net gain (loss) from Form 4797, Part II, line 17

5 Other income (loss)

6 Total income (loss)

Deductions

7 Compensation of officers

8 Salaries and wages (less employment credits)

9 Repairs and maintenance

10 Bad debts

11 Rents

12 Taxes and licenses

13 Interest

14 Depreciation not claimed on Form 1125-A or elsewhere on return

15 Depletion

16 Advertising

17 Pension, profit-sharing, etc., plans

18 Employee benefit programs

19 Other deductions

20 Total deductions

21 Ordinary business income (loss)

Tax and Payments

22a Excess net passive income or LIFO recapture tax

22b Tax from Schedule D (Form 1120S)

22c Total additional taxes

23a 2011 estimated tax payments and 2010 overpayment credited to 2011

23b Tax deposited with Form 7004

23c Credit for federal tax paid on fuels

23d Total credits and payments

24 Estimated tax penalty Check if Form 2220 is attached

25 Amount owed

26 Overpayment

27 Enter amount from line 26
Credited to 2012 estimated tax Refunded

Schedule B — Other Information

1 Check accounting method: Cash Accrual Other (specify)

2a Business activity 2b Product or service

3 Ownership of domestic corporation

4 Form 8918 required?

5 Publicly offered debt instruments with original issue discount

6 Net unrealized built-in gain

7 Accumulated earnings and profits

8 Total receipts less than $250,000?

9 Qualified subchapter S subsidiary election terminated or revoked?

10a Payments in 2011 requiring Form(s) 1099?

10b If yes, all required Forms 1099 filed?

Schedule K — Shareholders’ Pro Rata Share Items

1 Ordinary business income (loss)

2 Net rental real estate income (loss)

3a Other gross rental income (loss)

3b Expenses from other rental activities

3c Other net rental income (loss)

4 Interest income

5a Ordinary dividends

5b Qualified dividends

6 Royalties

7 Net short-term capital gain (loss)

8a Net long-term capital gain (loss)

8b Collectibles (28%) gain (loss)

8c Unrecaptured section 1250 gain

9 Net section 1231 gain (loss)

10 Other income (loss)

Schedule K — Deductions / Credits / Foreign Transactions

11 Section 179 deduction

12a Contributions

12b Investment interest expense

12c Section 59(e)(2) expenditures — Type Amount

12d Other deductions — Type

13a Low-income housing credit

13b Low-income housing credit (other)

13c Qualified rehabilitation expenditures

13d Other rental real estate credits — Type

13e Other rental credits — Type

13f Alcohol and cellulosic biofuel fuels credit

13g Other credits — Type

14a Name of country or U.S. possession

14b Gross income from all sources

14c Gross income sourced at shareholder level

14d Passive category

14e General category

14f Other

14g Interest expense

14h Other

14i Passive category

14j General category

14k Other

14l Total foreign taxes Paid Accrued

14m Reduction in taxes available for credit

AMT Items / Basis / Other Information

15a Post-1986 depreciation adjustment

15b Adjusted gain or loss

15c Depletion (other than oil and gas)

15d Oil, gas, and geothermal properties—gross income

15e Oil, gas, and geothermal properties—deductions

15f Other AMT items

16a Tax-exempt interest income

16b Other tax-exempt income

16c Nondeductible expenses

16d Distributions

16e Repayment of loans from shareholders

17a Investment income

17b Investment expenses

17c Dividend distributions paid from accumulated earnings and profits

17d Other items and amounts

18 Income/loss reconciliation

Schedule L — Balance Sheets per Books

Beginning of tax year / End of tax year

1 Cash

2a Trade notes and accounts receivable

2b Less allowance for bad debts

3 Inventories

4 U.S. government obligations

5 Tax-exempt securities

6 Other current assets

7 Loans to shareholders

8 Mortgage and real estate loans

9 Other investments

10a Buildings and other depreciable assets

10b Less accumulated depreciation

11a Depletable assets

11b Less accumulated depletion

12 Land (net of any amortization)

13a Intangible assets (amortizable only)

13b Less accumulated amortization

14 Other assets

15 Total assets

16 Accounts payable

17 Mortgages, notes, bonds payable in less than 1 year

18 Other current liabilities

19 Loans from shareholders

20 Mortgages, notes, bonds payable in 1 year or more

21 Other liabilities

22 Capital stock

23 Additional paid-in capital

24 Retained earnings

25 Adjustments to shareholders’ equity

26 Less cost of treasury stock

27 Total liabilities and shareholders’ equity

Schedule M-1

1 Net income (loss) per books

2 Income included on Schedule K not recorded on books this year

3 Expenses recorded on books this year not included on Schedule K

4 Add lines 1 through 3

5 Income recorded on books this year not included on Schedule K

6 Deductions included on Schedule K not charged against book income this year

7 Add lines 5 and 6

8 Income (loss)

Schedule M-2

1 Balance at beginning of tax year

2 Ordinary income from page 1, line 21

3 Other additions

4 Loss from page 1, line 21

5 Other reductions

6 Combine lines 1 through 5

7 Distributions other than dividend distributions

8 Balance at end of tax year