Form 1125 E (Rev. October 2016) F1125e
User Manual: 1125
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Form 1125-E (Rev. October 2016) Department of the Treasury Internal Revenue Service Compensation of Officers Attach to Form 1120, 1120-C, 1120-F, 1120-REIT, 1120-RIC, or 1120S. ▶ Information about Form 1125-E and its separate instructions is at www.irs.gov/form1125e. ▶ OMB No. 1545-0123 Employer identification number Name Note: Complete Form 1125-E only if total receipts are $500,000 or more. See instructions for definition of total receipts. (c) Percent of time devoted to business (b) Social security number (see instructions) (a) Name of officer 1 Percent of stock owned (d) Common (e) Preferred % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % 2 Total compensation of officers . . . . . . . . . . 2 3 Compensation of officers claimed on Form 1125-A or elsewhere on return . . . . . . . . 3 4 Subtract line 3 from line 2. Enter the result here and on Form 1120, page 1, line 12 or the appropriate line of your tax return . . . . . . . . . . . . . . . . . . . . . . 4 . . . . . . . For Paperwork Reduction Act Notice, see separate instructions. . . . . . . Cat. No. 55989C (f) Amount of compensation Form 1125-E (Rev. 10-2016)
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