Rhode Island Business Corporation Tax Return

RIGen Rhode Island Business Corporation Tax Return General Information RIGen (06) RI Initial return (If different from federal) Final return (If different from federal) Based on Proforma Q-Sub(s) included (S Corp) Rhode Island Secretary of State identification number Separate return EIN suffix Corporate address line 7 May the division contact your preparer about this return? ( = Yes, = No) (If different from federal) General footnote Additional Information 5 4 6 8 9 Federal government changed taxable income for prior year not reported to Rhode Island (S Corp) Principal place of business in Rhode Island: (If different from mailing address) Address City, state, zip code 4 Location of corporate books and records: (If different from mailing address) Address 5 City, state, zip code 6 7 8 Foreign country States liable for income or excise taxes Officer information Federal taxable income: 05 04 4 0 5 0 6 Federal consolidated group electing Rhode Island combined treatment 9 0 0 8

RIEst Rhode Island Estimates Overpayment Application RIEst (06) RI Application of current year overpayment = Refund 00% of overpayment = Apply 00% of overpayment to next year's estimates; refund excess = Apply to first estimate; refund excess Amount for code #5 or #8 5 = Apply amount specified below to estimates until exhausted; refund excess 7 = Apply 00% of overpayment to next year's estimates; no refund 8 = Apply amount below Estimates Form RI-0ES - declaration for next year = Use current year liability, if $500 or less use zero 5 = Use amounts entered below, before overpayment = Use current year liability adjusted by amount below 8 = Use tax liability from Tax Projection Worksheet = Use current year liability even if $500 or less 9 = Use amounts entered below (If applying overpayment, only use code 7 or 8) 4 = Print vouchers with amount fields blank Amount for code # Amounts for code #5, #9 or next year estimates paid: st payment nd payment Number of estimates desired Amount to round up each estimate Amounts for Next Year Code #5 or #9 Estimates Paid 5 7 6 8 9 0 4

RINOL Preceding Tax Year 0 0 0 04 05 Net operating loss footnote Rhode Island Net Operating Loss RINOL (06) Net Operating Loss Carryover Income NOL Utilized (Loss) (Income Offset) 4 5 6 7 8 9 0 RI

RICAmend Rhode Island Amended Composite Return General Information RICAmend (06) RI4 Explanation of changes Transfer original information Tax paid with (or after) original return Overpayment on original return Penalties and interest Overpayment to be applied Amounts as Previously Reported Amended Amounts 4 5 6

RI77 Rhode Island IRC Section 77(a)() Election General Information RI77 (06) RI5 Calculate Rhode Island 77(a)() election Date of shareholder termination Additions Interest Bonus depreciation adjustment Section 79 expense adjustment Intangible addback 4 5 6 7 8 9 0 Deductions Exempt interest Research and development adjustments Capital investment deduction Bonus depreciation adjustment Section 79 expense adjustment Tax incentives for employers 4 5 6 7 8 9 0 Credits RI-76 Contributions to qualified scholarship org RI-86B Historic preservation investment RI-6754 New qualified jobs RI-75 Rebuild Rhode Island RI-80 Motion picture production 4 5 6 7 8 9 0 Other Gain (loss) reported separately from federal Schedule K, line 7d 4 5

RIAR Rhode Island Profit Corporation Annual Report General Information RIAR (06) RI6 Report year (Force) Corporate ID number (If different from RI Secretary of State identification number) Name of corporation (If different from federal) Principal office in Rhode Island: (if different from mailing address) Address 4 City, state, zip code Business phone number (If different from federal) Brief description of character of business conducted in Rhode Island Officer information Shares issued Annual report filed late 5 6 7 9 8 0

RICrC Rhode Island Tax Credits and Recapture Credits RICrC (06) RI8 RI-76 Contributions to a qualified scholarship organization RI-44 Adult and child day care assistance and development RI-647 Anchor institution RI-86B Historic preservation RI-874 Employer's apprenticeship program RI-880 Residential renewable energy system RI-949 Jobs training RI-468 Investment RI-675 Employment RI-448 Incentives for innovation and growth RI-5009 Educational assistance and development RI-64 Adult education RI-6754 New qualified jobs RI-75 Rebuild Rhode Island RI-769E Research and development facilities expense RI-769P Research and development facilities property RI-80 Motion picture, musical and theatrical production RI-886 Disabled access RI-96 Jobs development rate reduction RI-ZN0 Enterprise zone wage Prior to //05 On or after //5 4 5 6 7 8 9 0 4 5 6 7 8 9 0 4 5 6 7 8 9 0 4 5 6 7 8 9 40 Recapture Recapture of credits 4

RIAdjC Rhode Island Adjustments Schedule A - Computation of Tax RIAdjC (06) RI9 Research and development adjustments Pollution control and hazardous waste adjustment Capital investment deduction Schedule B - Deductions to Federal Taxable Income Tax incentives for employers 4 Schedule C - Additions to Federal Taxable Income Interest Rhode Island corporate taxes 5 6 Schedule E - Exempt Dividends and Interest Exempt dividends from stock of any payer liable for Rhode Island taxes Dividends included in special deductions Foreign dividends: More than 0% owned Less than 0% owned 00% owned Interest on obligations of public service corporations Interest on US obligations Other interest exempt under Rhode Island law 7 8 9 0 4

RIPOA Rhode Island Power of Attorney Appointee Information Rhode Island appointee designations may differ RIPOA (06) RI0 Appointee # name Appointee address City, state, zip code Telephone number 4 5 6 Designation ( = Attorney, = Certified Public Accountant, = Licensed Public Accountant, 4 = Enrolled Agent, 5 = Other) If other, select who will witness signing the return ( = Two disinterested witnesses, = Notary public) Jurisdiction Appointee # name Appointee address City, state, zip code Telephone number 4 5 6 Designation ( = Attorney, = Certified Public Accountant, = Licensed Public Accountant, 4 = Enrolled Agent, 5 = Other) If other, select who will witness signing the return ( = Two disinterested witnesses, = Notary public) Jurisdiction 0 0 8 9 8 9 Tax Matters Information Type of tax Year(s) or Period(s) Type of tax Year(s) or Period(s) 4 Not granted: Receive, but not to endorse and collect refund of taxes, penalties, or interest Execute waivers of restrictions on assessment or collection Execute consents extending statutory period for assessment or collection of taxes Represent taxpayer(s) at preliminary reviews and administrative hearings Other acts Exceptions to revocation of earlier powers of attorney 5 6 7 8 9 0

RIELF and software to create my client's return and to the electronic transmission of my client's tax return to the Rhode Island Division of Taxation, as applicable by law. Rhode Island Electronic Filing General Information Suppress Rhode Island electronic file when filing federal return electronically Signature date (If different from federal) Name control By using a computer system and software to prepare and transmit my client's return electronically, I consent to the disclosure of all information pertaining to my use of the system and software to create my client's return and to the electronic transmission of my client's tax return to the Rhode Island Division of Taxation, as applicable by law. Calculated Value 4 8 RIELF (06) Force RI

RIAmend Federal audit change Explanation of changes Rhode Island Amended Return General Information Amounts as Previously Reported RIAmend (06) RI Transfer original information Tax paid with return Original overpayment 5 6 Amended Amounts Interest Penalty Form 0 interest 7 8 9

RIAdjS Rhode Island Adjustments Schedule B - Deductions to Federal Taxable Income RIAdjS (06) RI5 Exempt interest Tax incentives for employers Schedule C - Additions to Federal Taxable Income Interest Intangible addback Elective deduction for new research and development facilities 4 5 Schedule E - Other Deductions to Federal Taxable Income Qualifying investment in a certified venture capital partnership Sale or Exchange of Section 79 Property Gain (loss) reported separately from federal Schedule K, line 7d Section 79 included in gain (loss) 8 9 Calculated Amount 6 7 Force

RIPen Rhode Island Penalties and Interest General Information RIPen (06) RI7 Date return filed (If different from original due date of return) Prior year taxable income Prior year credits (C Corp) Prior year recapture of credits and jobs growth tax (C Corp) Prior year tax liability Suppress penalties on return: Underpayment of estimated tax Late interest Failure to file Failure to pay 4 5 6 7 8 9

RIPmt Rhode Island Payments and Extension Payments RIPmt (06) RI9 Prior year overpayment Total, or Treat calculated amounts as paid Specific payments if unequal or not timely: st payment nd payment Paid with extension (For page of the return) Rhode Island pass-through withholding (C Corp) Date Paid Amount Paid Calculated Amount 4 5 6 7 8 9 0 Extension Extension signature ( = Officer, = Preparer) Extended due date (For filing instructions, penalties and interest calculations) Estimated tax current year (Force) Balance due on extension (Force) 4 5

RICEst Rhode Island Composite Estimates Overpayment Application RICEst (06) RI0 Application of current year overpayment = Refund 00% of overpayment = Apply 00% of overpayment to next year's estimates; refund excess = Apply to first quarter estimate; refund excess 4 = Apply equally to each quarter; refund excess Amount for code #5 or #8 5 = Apply amount specified below to estimates until exhausted; refund excess 6 = Apply to first and second quarters; refund excess 7 = Apply 00% of overpayment to next year's estimates; no refund 8 = Apply amount below Estimates Form RI 040C-ES - declaration for next year = Use current year liability, if less than $50 use zero = Use current year liability adjusted by amount below = Use current year liability even if less than $50 Amount for code # Amounts for code #5, #9 or next year estimates paid: st payment nd payment rd payment 4th payment Number of estimates desired Amount to round up each estimate 4 = Print vouchers with amount fields blank 5 = Use amounts entered below, before overpayment 9 = Use amounts entered below (If applying overpayment, only use code 7 or 8) 4 Amounts for Next Year Code #5 or #9 Estimates Paid 5 9 6 0 7 8 4

RICPmt Rhode Island Composite Payments and Extension Payments RICPmt (06) RI Prior year overpayment Total, or Treat calculated amounts as paid Specific payments if unequal or not timely: st payment nd payment rd payment 4th payment 5th payment Paid with extension (For page of the return) Nonresident real estate withholding Nonresident withholding from pass-through entities Other payments Date Paid Amount Paid Calculated Amount 4 5 6 7 8 9 0 4 5 6 7 8 9 0 Extension Calculate extension = Use 00% of current year liability = Use 80% of current year liability Extended due date (For filing instructions, penalties and interest calculations) Tentative RI income tax (Force) Balance due on extension (Force) 4 5

RICPen Rhode Island Composite Penalties and Interest General Information RICPen (06) RI Date return filed (If different from original due date of return) Prior year tax Suppress penalties on return: Underpayment of estimated tax Late interest Failure to file Failure to pay 4 5 6 Annualized Income Installment Method Income for each period: First three months First five months First eight months 7 8 9

RIOthTax Rhode Island Taxes Additional Taxes RIOthTax (06) RI Jobs growth tax

RIWH Rhode Island Withholding Return General Information RIWH (06) RI4 Cannot distribute funds due to federal or state restrictions General footnote

RIKSep Rhode Island Shareholders' Separately Stated Items Description Section A Amount RIKSep (06) RI5 4 5 6 7 8 9 0 4 5 6 7 8 9 0 4 5 6 7 8 9 0 4 5 6 7 8 9 40

RIWHEst Rhode Island Withholding Estimates Estimates RIWHEst (06) RI6 Form RI 096PT-ES - declaration for next year = Use current year liability, if less than $50 use zero 4 = Print vouchers with amount fields blank = Use current year liability adjusted by amount below 5 = Use amounts entered below = Use current year liability even if less than $50 Amount for code # Amounts for code #5 or next year estimates paid: st payment nd payment rd payment 4th payment Number of estimates desired Amount to round up each estimate 4 5 6 Amounts for Code #5 7 8 9 0 Next Year Estimates Paid

RIWHPmt Rhode Island Withholding Payments and Extension Payments RIWHPmt (06) RI7 Total, or Treat calculated amounts as paid Specific payments if unequal or not timely: st payment nd payment rd payment 4th payment 5th payment Paid with extension (For page of the return) Rhode Island nonresident real estate withholding Estimated tax paid by members Excess withholding tax paid Withholding from pass-through entities Nonresident withholding on real estate sales in 06 Other payments Date Paid Amount Paid Calculated Amount 4 5 6 7 8 9 0 4 5 6 7 8 9 0 Extension Calculate extension = Use 00% of current year liability = Use 80% of current year liability Extended due date Tentative RI income tax (Force) Balance due on extension (Force) 6 7 5 4

RIWHPen Rhode Island Withholding Penalties and Interest General Information RIWHPen (06) RI8 Date return filed (If different from original due date of return) Prior year tax Suppress penalties on return: Underpayment of estimated tax Late interest Failure to file Failure to pay 4 5 6 Annualized Income Installment Method Income for each period: First three months First five months First eight months 7 8 9

RICrS Rhode Island Tax Credits Current Year Credits RICrS (06) RI9 RI-76 Contributions to qualified scholarship organization RI-86B Historical structures and historic preservation RI-6754 New qualified jobs incentive act RI-75 Rebuild Rhode Island RI-80 Motion picture and musical and theatrical production 5 4 Recapture of Prior Year Credits Recapture credits 6

RIWHAmnd Rhode Island Amended Withholding Return General Information RIWHAmnd (06) RI0 Explanation of changes Transfer original information Tax paid with (or after) original return Penalties and interest Underpayment penalty Amounts as Previously Reported Amended Amounts 4 5

RIAffil Member FEIN Member Name Rhode Island Member Information General Information RIAffil (06) RI Business activity code Member has no nexus in Rhode Island Member not subject to Rhode Island tax prior to January, 05 8 9