Form 1 (Rev. December 01 Department of the Treasury Internal Revenue Service Name of person filing this return Information Return of U.S. Persons With Respect To Certain Foreign Corporations For more information about Form 1, see www.irs.gov/form1. Information furnished for the foreign corporation s annual accounting period (tax year required by section 9 (see instructions beginning JAN 1, 01, and ending DEC 1, 01 A Identifying number OMB No. 1-00 Attachment Sequence No. 11 KHADIJAH FANCY 1-- Number, street, and room or suite no. (or P.O. box number if mail is not delivered to street address B Category of filer (See instructions. Check applicable box(es: HALSBURY ROAD 1 (repealed City or town, state, and ZIP code C Enter the total percentage of the foreign corporation s voting stock BRISTOL, you owned at the end of its annual accounting period 0.00 % Filer s tax year beginning JAN 1, 01, and ending DEC 1, 01 D Person(s on whose behalf this information return is filed: (1 Name ( Address ( Identifying number ( Check applicable box(es Shareholder Officer Director Important: Fill in all applicable lines and schedules. All information must be in English. All amounts must be stated in U.S. dollars unless otherwise indicated. 1a b(1 Employer identification number, if any 9-190 b( Reference ID number (see instructions FANCY CONSULTING LTD 00 HALSBURY ROAD c Country under whose laws incorporated BRISTOL, UNITED KINGDOM BS SU UNITED KINGDOM d Date of e Principal place of business f Principal g Principal business activity h Functional currency incorporation business activity code number 11/0/1 UNITED KINGDOM 90 CONSULTING BRITISH POUNDS a c Name and address of foreign corporation Provide the following information for the foreign corporation s accounting period stated above. Name, address, and identifying number of branch office or agent (if any in the United States b If a U.S. income tax return was filed, enter: N/A Name and address of foreign corporation s statutory or resident agent in country of incorporation d (i Taxable income or (loss (ii U.S. income tax paid (after all credits Name and address (including corporate department, if applicable of person (or persons with custody of the books and records of the foreign corporation, and the location of such books and records, if different KHADIJAH A FANCY KHADIJAH A FANCY HALSBURY ROAD HALSBURY ROAD BRISTOL BS SU BRISTOL BS SU UNITED KINGDOM UNITED KINGDOM Schedule A Stock of the Foreign Corporation (b Number of shares issued and outstanding (a Description of each class of stock (i Beginning of annual (ii End of annual accounting period accounting period ORDINARY SHARES 0. 0. ORDINARY SHARES OF CLASS A 1. 1. ORDINARY SHARES OF CLASS B 1. 1. LHA For Paperwork Reduction Act Notice, see instructions. Form 1 (Rev. 1-01 1 0-01-1 01 1 FANCY 01.001 FANCY, KHADIJAH FANCY1
Form 1 (Rev. 1-01 KHADIJAH FANCY / FANCY CONSULTING LTD 1-- Page Schedule B U.S. Shareholders of Foreign Corporation (a Name, address, and identifying number of shareholder (b Description of each class of stock held by shareholder. Note: This description should match the corresponding description entered in Schedule A, column (a. (c Number of shares held at beginning of annual accounting period (d Number of shares held at end of annual accounting period (e Pro rata share of subpart F income (enter as a percentage KHADIJAH A FANCY 0. 0. HALSBURY ROAD 1. 1. UNITED KINGDOM BS SU 1. 1. 1-- 0% Schedule C Income Statement Important: Report all information in functional currency in accordance with U.S. GAAP. Also, report each amount in U.S. dollars translated from functional currency (using GAAP translation rules. However, if the functional currency is the U.S. dollar, complete only the U.S. Dollars column. See instructions for special rules for DASTM corporations. Income Deductions Net Income 1a Gross receipts or sales ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ a Gross rents ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 9 11a Rents 1 1 1 1 1 1 1 0 b Returns and allowances c Subtract line 1b from line 1a Cost of goods sold ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Royalties and license fees ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~ Gross profit (subtract line from line 1c ~~~~~~~~~~~~~~~~~~~~~ Dividends ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Interest ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Gross royalties and license fees ~~~~~~~~~~~~~~~~~~~~~~~~~ Net gain or (loss on sale of capital assets ~~~~~~~~~~~~~~~~~~~~~ Other income (attach statement ~~~~~~~~~~~~~~~~~~~~~~~~~ Total income (add lines through Compensation not deducted elsewhere ~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Interest ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Depreciation not deducted elsewhere ~~~~~~~~~~~~~~~~~~~~~~~ Depletion ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Taxes (exclude provision for income, war profits, and excess profits taxes Other deductions (attach statement - exclude provision for income, war profits, and excess profits taxes ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SEE STATEMENT 0 Total deductions (add lines through 1 ~~~~~~ Net income or (loss before extraordinary items, prior period adjustments, and the provision for income, war profits, and excess profits taxes (subtract line 1 from line 9 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Extraordinary items and prior period adjustments Provision for income, war profits, and excess profits taxes ~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~ 1a 1b 1c a b 9 11a 11b 1 1 1 1 1 1 1 0 Functional Currency U.S. Dollars 11,99. 1,. 11,99. 1,. 11,99. 1,. 9. 1. 1,09. 1,9.,0.,. 1,0.,00. 1,1.,.,.,1. 1 Current year net income or (loss per books (combine lines 1 through 0 1,.,1. 111 0-01-1 Form 1 (Rev. 1-01 01 1 FANCY 01.001 FANCY, KHADIJAH FANCY1
Form 1 (Rev. 1-01 KHADIJAH FANCY / FANCY CONSULTING LTD 1-- Page Schedule E Income, War Profits, and Excess Profits Taxes Paid or Accrued Amount of tax (a Name of country or U.S. possession (b (c (d In foreign currency Conversion rate In U.S. dollars 1 U.S. UNITED KINGDOM 0,. 1.00 1,9. Total J 1,9. Schedule F Balance Sheet Important: Report all amounts in U.S. dollars prepared and translated in accordance with U.S. GAAP. See instructions for an exception for DASTM corporations. (a (b Assets Beginning of annual End of annual accounting period accounting period 1 Cash ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1,0.,00. a Trade notes and accounts receivable ~~~~~~~~~~~~~~~~~~~~~~~~~ a b Less allowance for bad debts ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b ( ( Inventories~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other current assets (attach statement ~~~~~~~~~~~~~~~~~~~~~~~~ SEE STATEMENT 1 0. 1. Loans to shareholders and other related persons ~~~~~~~~~~~~~~~~~~~~ Investment in subsidiaries (attach statement ~~~~~~~~~~~~~~~~~~~~~~ a Other investments (attach statement Buildings and other depreciable assets ~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~ a b Less accumulated depreciation ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b ( ( 9a Depletable assets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 9a b Less accumulated depletion ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 9b ( ( 11 Land (net of any amortization Intangible assets: ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ a Goodwill ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 11a b Organization costs ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 11b c Patents, trademarks, and other intangible assets ~~~~~~~~~~~~~~~~~~~~ 11c d Less accumulated amortization for lines 11a, b, and c ~~~~~~~~~~~~~~~~~~ 11d ( ( 1 Other assets (attach statement ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SEE STATEMENT 1. 1,. 1 Total assets Liabilities and Shareholders Equity 1,0.,9. 1 1 1 1 1 a b 0 1 Accounts payable ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other current liabilities (attach statement ~~~~~~~~~~~~~~~~~~~~~~~ SEE STATEMENT Loans from shareholders and other related persons ~~~~~~~~~~~~~~~~~~~ Other liabilities (attach statement ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Capital stock: Preferred stock ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Common stock ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Paid-in or capital surplus (attach reconciliation ~~~~~~~~~~~~~~~~~~~~~ Retained earnings~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Less cost of treasury stock ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 1 1 1 1a 1b 0 1 (,.,91.,.,1. 1.. -11,9. 1,0. ( Total liabilities and shareholders equity,0.,9. Form 1 (Rev. 1-01 11 0-01-1 01 1 FANCY 01.001 FANCY, KHADIJAH FANCY1
Form 1 (Rev. 1-01 KHADIJAH FANCY / FANCY CONSULTING LTD 1-- Page Schedule G Other Information 1 During the tax year, did the foreign corporation pay or accrue foreign taxes to which section 909 applies, or treat foreign taxes that were previously suspended under section 909 as no longer suspended? Schedule H Current Earnings and Profits Important: Enter the amounts on lines 1 through c in functional currency. 1 Current year net income or (loss per foreign books of account ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1,. 11 0-01-1 Net Additions Net Subtractions a Current earnings and profits (line 1 plus line minus line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ a b c d During the tax year, did the foreign corporation own at least a % interest, directly or indirectly, in any foreign partnership? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," see the instructions for required statement. During the tax year, did the foreign corporation own an interest in any trust? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ During the tax year, did the foreign corporation own any foreign entities that were disregarded as entities separate from their owners under Regulations sections 01.01- and 01.01-? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," you are generally required to attach Form for each entity (see instructions. During the tax year, was the foreign corporation a participant in any cost sharing arrangement? ~~~~~~~~~~~~~~~~~~~~~~~~ During the course of the tax year, did the foreign corporation become a participant in any cost sharing arrangement? ~~~~~~~~~~~~~~ During the tax year, did the foreign corporation participate in any reportable transaction as defined in Regulations section 1.011-? If "Yes," attach Form(s if required by Regulations section 1.011-(c((i(G. During the tax year, did the foreign corporation pay or accrue any foreign tax that was disqualified for credit under section b c d ~~~~~~~ 901(m? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Net adjustments made to line 1 to determine current earnings and profits according to U.S. financial and tax accounting standards (see instructions: a Capital gains or losses ~~~~~~~~~~~~~~~~~~~~ b Depreciation and amortization ~~~~~~~~~~~~~~~~ c Depletion ~~~~~~~~~~~~~~~~~~~~~~~~~ d e f g h Investment or incentive allowance ~~~~~~~~~~~~~~~ Charges to statutory reserves~~~~~~~~~~~~~~~~~ Inventory adjustments ~~~~~~~~~~~~~~~~~~~~ Taxes ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other (attach statement ~~~~~~~~~~~~~~~~~~~ Total net additions ~~~~~~~~~~~~~~~~~~~~~ Total net subtractions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DASTM gain or (loss for foreign corporations that use DASTM ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Combine lines a and b ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Current earnings and profits in U.S. dollars (line c translated at the appropriate exchange rate as defined in section 99(b and the related regulations ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Enter exchange rate used for line d.09 Schedule I Summary of Shareholder s Income From Foreign Corporation If item D on page 1 is completed, a separate Schedule I must be filed for each Category or filer for whom reporting is furnished on this Form 1. This schedule I is being completed for: Name of U.S. shareholder KHADIJAH A FANCY Identifying number 1-- 1 Subpart F income (line b, Worksheet A in the instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 1,. Earnings invested in U.S. property (line 1, Worksheet B in the instructions ~~~~~~~~~~~~~~~~~~~~~~ Previously excluded subpart F income withdrawn from qualified investments (line b, Worksheet C in the instructions ~~~~ Previously excluded export trade income withdrawn from investment in export trade assets (line b, Worksheet D in the instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Factoring income ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Total of lines 1 through. Enter here and on your income tax return ~~~~~~~~~~~~~~~~~~~~~~~~~~ Dividends received (translated at spot rate on payment date under section 99(b(1 ~~~~~~~~~~~~~~~~~~ Exchange gain or (loss on a distribution of previously taxed income Was any income of the foreign corporation blocked? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did any such income become unblocked during the tax year (see section 9(b? ~~~~~~~~~~~~~~~~~~~~~~~~~~ If the answer to either question is "Yes," attach an explanation. 0,. 0,. Yes Yes No No,.,.,1. 1,. Form 1 (Rev. 1-01 01 1 FANCY 01.001 FANCY, KHADIJAH FANCY1
SCHEDULE J (Form 1 (Rev. December 01 Department of the Treasury Internal Revenue Service Name of person filing Form 1 Accumulated Earnings and Profits (E&P of Controlled Foreign Corporation Information about Schedule J (Form 1 and its instructions is at Attach to Form 1. www.irs.gov/form1. OMB No. 1-00 Identifying number KHADIJAH FANCY 1-- Name of foreign corporation FANCY CONSULTING LTD Important: Enter amounts in functional currency. (a Post- Undistributed Earnings (post- section 99(c( balance (b Pre- E&P Not Previously Taxed (pre- section 99(c( balance (i Earnings Invested in U.S. Property EIN (if any (c Previously Taxed E&P (sections 99(c(1 and ( balances (ii Earnings Invested in Excess Passive Assets Reference ID number 9-190 00 (iii Subpart F Income (d Total Section 9(a E&P (combine columns (a, (b, and (c 1 a Balance at beginning of year Current year E&P -,. -,.,. b Current year deficit in E&P Total current and accumulated E&P not previously taxed (line 1 plus line a or line 1 minus line b,90. Amounts included under section 91(a or reclassified under section 99(c in current year a Actual distributions or reclassifications of previously taxed E&P b Actual distributions of nonpreviously taxed E&P,000. a Balance of previously taxed E&P at end of year (line 1 plus line, minus line a b Balance of E&P not previously taxed at end of year (line minus line, minus line b 9,90. Balance at end of year. (Enter amount from line a or line b, whichever is applicable. 9,90. 9,90. LHA For Paperwork Reduction Act Notice, see the Instructions for Form 1. Schedule J (Form 1 (Rev. 1-01 11 0-01-1 9
SCHEDULE M (Form 1 (Rev. December 01 Department of the Treasury Internal Revenue Service Name of person filing Form 1 (a Transactions of foreign corporation trademarks, etc. ~~~~~~~~~ Platform contribution transaction payments received ~~~~~~~~~~~~~ Cost sharing transaction payments received 1 Platform contribution transaction payments paid Information about Schedule M (Form 1 and its instructions is at www.irs.gov/form1. Attach to Form 1. Name of foreign corporation EIN (if any Reference ID number FANCY CONSULTING LTD 9-190 00 (b U.S. person filing this return OMB No. 1-00 Identifying number Important: Complete a separate Schedule M for each controlled foreign corporation. Enter the totals for each type of transaction that occurred during the annual accounting period between the foreign corporation and the persons listed in columns (b through (f. All amounts must be stated in U.S. dollars translated from functional currency at the average exchange rate for the foreign corporation s tax year. See instructions. Enter the relevant functional currency and the exchange rate used throughout this schedule GBP.09 1 Sales of stock in trade (inventory ~ Sales of tangible property other than stock in trade ~~~~~~~~~~ Sales of property rights (patents, Compensation received for technical, managerial, engineering, construction, or like services ~~~~~~~~~~ Commissions received~~~~~~~ Rents, royalties, and license fees received ~~~~~~~~~~~~~ 9 Dividends received (exclude deemed distributions under subpart F and distributions of previously taxed income Interest received ~~~~~~~~~ 11 Premiums received for insurance or reinsurance ~~~~~~~~~~~ 1 Add lines 1 through 11 1 Purchases of stock in trade (inventory 1 Purchases of tangible property other than stock in trade ~~~~~~~~ 1 Purchases of property rights (patents, trademarks, etc. ~~~~~ 1 Cost sharing transaction payments paid 1 Compensation paid for technical, managerial, engineering, construction, or like services ~~~~~~~~~~ Commissions paid ~~~~~~~~ 0 Rents, royalties, and license fees paid 1 Dividends paid ~~~~~~~~~~ Interest paid ~~~~~~~~~~~ Premiums paid for insurance or reinsurance ~~~~~~~~~~~ Add lines 1 through Amounts borrowed (enter the maximum loan balance during the year - see instr. Amounts loaned (enter the maximum loan balance during the year - see instr. Transactions Between Controlled Foreign Corporation and Shareholders or Other Related Persons KHADIJAH FANCY 1-- 11,0. 1,1. 11,1.,1. (c Any domestic corporation or partnership controlled by U.S. person filing this return (d Any other foreign corporation or partnership controlled by U.S. person filing this return (e % or more U.S. shareholder of controlled foreign corporation (other than the U.S. person filing this return (f % or more U.S. shareholder of any corporation controlling the foreign corporation 11 0-01-1 LHA For Paperwork Reduction Act Notice, see the Instructions for Form 1. Schedule M (Form 1 (Rev. 1-01 0 01 1 FANCY 01.001 FANCY, KHADIJAH FANCY1
KHADIJAH FANCY / FANCY CONSULTING LTD 1-- Worksheet A - Foreign Base Company Income and Insurance Income and Summary of U.S. Shareholder s Pro Rata Share of Subpart F Income of a CFC Enter the amounts on lines 1a through a in functional currency. 1 9 11 1 1 1 1 1 Gross foreign personal holding company income: a Dividends, interest, royalties, rents, and annuities (section 9(c(1(A b Excess of gains over losses from certain property transactions (section 9(c(1(B ~~ c Excess of gains over losses from commodity transactions (section 9(c(1(C ~~~~ d Excess of foreign currency gains over foreign currency losses (section 9(c(1(D ~~ f g Payments in lieu of dividends (section 9(c(1(G ~~~~~~~~~~~~~~~~ h Certain amounts received for services under personal service i Total adjusted gross foreign base company income and insurance income (enter the greater Adjusted net foreign personal holding company income: a Enter amount from line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ c Subtract line 1b from line 1a d Related person interest expense (see section 9(b( e Other expenses allocated and apportioned to the amount on line f (excluding amounts described in sections 9(c(, (, and ( ~~~~~~~~~~ e Income equivalent to interest (section 9(c(1(E ~~~~~~~~~~~~~~~~ Net income from a notional principal contract (section 9(c(1(F g Net foreign personal holding company income excluded under h Subtract line 1g from line 1f ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Adjusted net foreign base company sales income: a Enter amount from line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Expenses allocated and apportioned to the amount on line under c Net foreign base company sales income. Subtract line 1b from line 1a d Net foreign base company sales income excluded under high-tax exception ~~~~~~ e Subtract line 1d from line 1c Adjusted net foreign base company services income: a Enter amount from line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Expenses allocated and apportioned to line under section 9(b( ~~~~~~~~~ c Net foreign base company services income. Subtract line 1b from line 1a ~~~~~~ d Net foreign base company services income excluded under high-tax exception ~~~~~ e Subtract line 1d from line 1c ~~~~~~~~~ contracts (see section 9(c(1(H ~~~~~~~~~~~~~~~~~~~~~~~ Certain amounts from sales of partnership interests to which the look-through rule of section 9(c( applies ~~~~~~~~~~~~~~~~~~ Gross foreign personal holding company income. Add lines 1a through 1i Gross foreign base company sales income (see section 9(d Gross foreign base company services income (see section 9(e ~~~~~~~~~~~~~~~~~~~~~~~~~~ 1a 1b 1c 1d 1e 1f 1g 1h 1i ~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Gross foreign base company oil-related income (see section 9(g after application of section 9(b( ~~~~~~~~~ Gross foreign base company income. Add lines through ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Gross insurance income (see sections 9 and 9(b((C and the instructions for lines 0 and 1 ~~~~~~~~~~~ Gross foreign base company income and gross insurance income. Add lines and ~~~~~~~~~~~~~~~~~~ Enter % of total gross income (as computed for income tax purposes ~~~~~~~~~~~~~~~~~~~~~~~~ Enter 0% of total gross income (as computed for income tax purposes If line is less than line 9 and less than $1 million, enter -0- on this line and skip lines 1 through 1 ~~~~~~~~~~~~~~~~~~~~~~~ If line is more than line, enter total gross income (as computed for income tax purposes ~~~~~~~~~~~~~~ 1a 1b 1c 1d 1e 1f 1g 1a 1b 1c 1d 1a 1b 1c 1d ~~~~~~~~~~ of line or line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Expenses directly related to amount on line ~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~ under section 9(b(~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Net foreign personal holding company income. Subtract the sum of lines 1d and 1e from line 1c ~~~~~~~~~~~~~~~~~~~~~~~~~ high-tax exception ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ section 9(b( ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 9. 9. 9. 9. 11,99.,. 1,. 9 11 1 1 1h 1e 1e 9. 11,99. 1,09. 1,09.,9.,. 1,09. 1,09. 9. 1,. 11 0-01-1 1 01 1 FANCY 01.001 FANCY, KHADIJAH FANCY1
KHADIJAH FANCY 1-- Worksheet A (continued 1 Adjusted net foreign base company oil-related income: 1 9 0 1 a Enter amount from line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ b Expenses allocated and apportioned to line under section 9(b( ~~~~~~~~~ c Subtract line 1b from line 1a~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 Adjusted net full inclusion foreign base company income: a Enter the excess, if any, of line 1 over line ~~~~~~~~~~~~~~~~~~~~ 1a b Expenses allocated and apportioned under section 9(b( ~~~~~~~~~~~~ 1b c Net full inclusion foreign base company income. Subtract line 1b from line 1a~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1c d Net full inclusion foreign base company income excluded under high-tax exception ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1d e Subtract line 1d from line 1c~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 0 Adjusted net insurance income (other than related person insurance income: a Enter amount from line (other than related person insurance income ~~~~~~~~ 0a b Expenses allocated and apportioned to the amount from line under section 9 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 0b c Net insurance income. Subtract line 0b from line 0a ~~~~~~~~~~~~~~~ 0c d Net insurance income excluded under high-tax exception ~~~~~~~~~~~~~~ 0d e Subtract line 0d from line 0c ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ a Enter amount from line that is related person insurance income~~~~~~~~~~~ b Expenses allocated and apportioned to related person insurance c Adjusted net foreign base company income. Add lines 1h, 1e, 1e, 1c, and 1e Adjusted net related person insurance income: income under section 9~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Net related person insurance income. Subtract line 1b from line 1a ~~~~~~~~~ d Net related person insurance income excluded under high-tax exception~~~~~~~~ e Subtract line 1d from line 1c~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ a Shareholder s pro rata share of subpart F income. Subtract line from line ~~~~~~~~~~~~~~~~~~~~ b Translate the amount on line a from functional currency to U.S. dollars at the average exchange rate. See section 99(b. Enter the result here and on line 1, Schedule I RATE.09 b 1,. 1a 1b ~~~~~~~~~~~~~~~~ International boycott income (section 9(a( ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Illegal bribes, kickbacks, and other payments (section 9(a( ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Income described in section 9(a( (see instructions 1a 1b 1c 1d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Subpart F income before application of sections 9(b and (c and section 99(b. Add lines, 0e, 1e, and through Enter portion of line that is U.S. source income effectively connected with a U.S. trade or business (section 9(b ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~ Exclusions under section 99(b ~~~~~~~~~~~~~~~~~~~~~~~~~ Total subpart F income. Subtract the sum of lines and from line Current E&P~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Enter the smaller of line or line 9 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Shareholder s pro rata share of line 0 ~~~~~~~~~~~~~~~~~~~~~~ 1 9,90. Shareholder s pro rata share of export trade income ~~~~~~~~~~~~~~~~ Subtract line from line 1~~~~~~~~~~~~~~~~~~~~~~~~~~~ Divide the number of days in the tax year that the corporation was a CFC by the number of days in the tax year and multiply the result by line ~~~~~~~~ Dividends paid to any other person with respect to your stock during the tax year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Divide the number of days in the tax year you did not own such stock by the number of days in the tax year and multiply the result by line ~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~ Enter the smaller of line or line ~~~~~~~~~~~~~~~~~~~~~~~ 9,90. 9,90.,000. 1c 1e 0e 1e 9 0 a 1,. 1,. 1,. 9,90. 9,90. 9,90. 11 0-01-1 01 1 FANCY 01.001 FANCY, KHADIJAH FANCY1