Form 100X 2021 Side 13631213
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TAXABLE YEAR
Amended Corporation
Franchise or Income Tax Return
CALIFORNIA FORM
100X
For calendar year or fiscal year beginning (mm/dd/yyyy)
, and ending (mm/dd/yyyy) . RP
Corporation name
California corporation number
FEIN
Additional information
California Secretary of State file number
Street address (suite/room no.)
PMB no.
City
State
ZIP code
Foreign country name
Foreign province/state/county
Foreign postal code
Questions. See instructions. Yes No
A Did this corporation file an amended return with the IRS for the same reason?
B Has the IRS advised this corporation that the original federal return is,
was, or will be audited?
C Is this amended return based on a final federal determination(s)?
If so, what was the final federal determination date(s)?
D Is this return an amended Form 100?
E Is this return an amended Form 100W?
F Is this return an amended Form 100S?
If yes, enter the maximum number of shareholders in the S corporation at
any time during the taxable year. Do not leave blank
G Is this return a protective claim?
H Was the corporations original return filed pursuant to a water’s-edge election?
I During this taxable year, was 50% or more of the stock of this
corporation owned by another corporation?
J During this taxable year, were gross receipts (less returns and
allowances) of this corporation more than $1 million?
Part I Income and Deductions
(a)
Originally reported/adjusted
(b)
Net change
(c)
Correct amount
1 Net income (loss) before state adjustments 1
2 Additions to net income 2
3 Deductions from net income 3
4
Net income (loss) after state adjustments. Combine lines 1 through 3.
4
5 Net income (loss) from Schedule R. See instructions 5
Part II Computation of Tax, Penalties, and Interest
(a)
Originally reported/adjusted
(b)
Net change
(c)
Correct amount
6 Net income (loss) for state purposes (Part I, line 4 or line 5) 6
7 Net operating loss (NOL) deduction. See instructions 7
8 EZ, TTA, or LAMBRA NOL deduction. See instructions 8
9 Disaster loss deduction 9
10 Net income for tax purposes.
Combine lines 6 through 9.
10
11 Tax % x line 10. See instructions. 11
12 Tax credits: 12
13 Tax after credits (not less than minimum franchise tax
plus QSub annual tax(es), if applicable) 13
14 Alternative minimum tax. See instructions
14
15 Tax from Schedule D (100S) (Form 100S filers only)
15
16 Excess net passive income tax (Form 100S filers only)
16
17 Other adjustments to tax. See instructions
17
18 Total tax. Combine line 13 through line 17 18
19 Penalties and interest.
See instructions
19
(a)
(b)
(c)
20 Revised balance. Add line 18, column (c), and line 19 (c) 20
Part III Payments and Credits
21 Estimated tax payments (include overpayment from prior year allowed as a credit) 21
22 Amount paid with extension of time to file tax return 22
23 Payment with original tax return
23
24 Withholding (Forms 592-B and/or 593).
a) originally reported/adjusted
b) net change c) correct amount
24c
25 Other payments. See instructions 25
26 Total payments. Add line 21 through line 25 26
27 Overpayment, if any, shown on original tax return, or as later adjusted
27
28 Balance. Subtract line 27 from line 26 28
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Part IV Amount Due or Refund
29 Amount due. If line 20 is more than line 28, subtract line 28 from line 20. See instructions
  
29
30 Refund. If line 28 is more than line 20, subtract line 20 from line 28. See instructions.
  
30
Part V Explanation of Changes
1 Enter name, address, California corporation number, and/or FEIN used on original tax return (if same as shown on this amended return, write “Same”).
Corporation name
California corporation number
FEIN
Additional information
California Secretary of State file number
Street address (suite/room no.) PMB no.
City
State
ZIP code
Foreign country name
Foreign province/state/county
Foreign postal code
2 Explanation of changes to items in Part I, Part II, Part III, and Part IV.
Enter the line number from Side 1 for each item that is changing and give the reason for each change. Attach all supporting forms and schedules for items
changed. Include federal schedules if a change was made to the federal return. Be sure to include the corporation name and California corporation number
on each attachment. Refer to the forms and instructions for the taxable year that is being amended.
Sign
Here
Under penalties of perjury, I declare that I have filed an original return and I have examined this amended return, including accompanying schedules and statements, and
to the best of my knowledge and belief, this amended return is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which
preparer has any knowledge.
Signature of officer Title Date Telephone
Paid
Preparers
Use Only
Preparer’s signature Date
Check if self-
employed
PTIN
Firm’s name (or yours, if
self-employed) and address
Firm’s FEIN
Telephone
Side 2 Form 100X 2021 3632213
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