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Form 5471 Schedule O Form Field Reference for TY2011

SCHEDULE O (FORM 5471) Organization or Reorganization of Foreign Corp.

Field No.

Description

Line Ref.

 

0010

Identifying Number

 

0020

Name of Foreign Corporation

 

0030

Name of Shareholder

I (a)

0035

Name of Shareholder - Name Line 2

I (a)

0040

Address of Shareholder

I (b)

0050

City of Shareholder

I (b)

0060

State of Shareholder

I (b)

0070

Zip Code of Shareholder

I (b)

0080

Identifying Number of Shareholder

I (c)

0090

Date of Original Acquisition

I (d)

0100

Date of Additional Acquisition

I (e)

0110

Name of Shareholder-2

I (a)

0115

Name of Shareholder-2 - Name Line 2

I (a)

0120

Address of Shareholder-2

I (b)

0130

City of Shareholder-2

I (b)

0140

State of Shareholder-2

I (b)

0150

Zip Code of Shareholder-2

I (b)

0160

Identifying Number of Shareholder-2

I (c)

0170

Date of Original Acquisition-2

I (d)

0180

Date of Additional Acquisition-2

I (e)

0190

Name of Shareholder-3

I (a)

0195

Name of Shareholder-3 - Name Line 2

I (a)

0200

Address of Shareholder-3

I (b)

0210

City of Shareholder-3

I (b)

0220

State of Shareholder-3

I (b)

0230

Zip Code of Shareholder-3

I (b)

0240

Identifying Number of Shareholder-3

I (c)

0250

Date of Original Acquisition-3

I (d)

0260

Date of Additional Acquisition-3

I (e)

0270

Name of Shareholder-4

I (a)

0275

Name of Shareholder-4 - Name Line 2

I (a)

0280

Address of Shareholder-4

I (b)

0290

City of Shareholder-4

I (b)

0300

State of Shareholder-4

I (b)

0310

Zip Code of Shareholder-4

I (b)

0320

Identifying Number of Shareholder-4

I (c)

0330

Date of Original Acquisition-4

I (d)

0340

Date of Additional Acquisition-4

I (e)

0345

Part I Additional Information

Part I

0350

Name of U.S. Shareholder

II A(a)

0355

Name of U.S. Shareholder - N/L 2

II A(a)

0360

Address of U.S Shareholder

II A(a)

0370

City of U.S. Shareholder

II A(a)

0380

State of U.S. Shareholder

II A(a)

0390

Zip Code of U.S. Shareholder

II A(a)

0395

Identifying Number of U.S. Shareholder

II A(a)

0400

Type of Return

II A(b)(1)

0410

Date Return Filed

II A(b)(2)

0420

IRS Center Where Filed

II A(b)(3)

0430

Date Information Return Filed

II A(c)

0440

Name of U.S. Shareholder-2

II A(a)

0445

Name of U.S. Shareholder-2 - N/L 2

II A(a)

0450

Address of U.S. Shareholder-2

II A(a)

0460

City of U.S. Shareholder-2

II A(a)

0470

State of U.S. Shareholder-2

II A(a)

0480

Zip Code of U.S. Shareholder-2

II A(a)

0485

Identifying Number of U. S. Shareholder-2

II A(a)

0490

Type of Return-2

II A(b)(1)

0500

Date Return Filed-2

II A(b)(2)

0510

IRS Center Where Filed-2

II A(b)(3)

0520

Date Information Return Filed-2

II A(c)

0530

Name of U.S. Shareholder-3

II A(a)

0535

Name of U.S. Shareholder-3 - N/L 2

II A(a)

0540

Address of U.S. Shareholder-3

II A(a)

0550

City of U.S. Shareholder-3

II A(a)

0560

State of U.S. Shareholder-3

II A(a)

0570

Zip Code of U.S. Shareholder-3

II A(a)

0575

Identifying Number of U.S. Shareholder-3

II A(a)

0580

Type of Return-3

II A(b)(1)

0590

Date Return Filed-3

II A(b)(2)

0600

IRS Center Where Filed-3

II A(b)(3)

0610

Date Information Return Filed-3

II A(c)

0615

Part II Section A Additional Information

Part II

0620

Attach Statement of U.S. Persons

II A

0630

Name of U.S. Officer or Director

II B(a)

0635

Name of U.S. Officer or Director - N/L 2

II B(a)

0640

Address of U.S. Officer

II B(b)

0650

City of U.S. Officer

II B(b)

0660

State of U.S. Officer

II B(b)

0670

Zip Code of U.S. Officer

II B(b)

0680

Social Security Number

II B(c)

0690

Officer

II B(d)

0700

Director

II B(d)

0710

Name of U.S. Officer or Director-2

II B(a)

0715

Name of U.S. Officer or Director-2 - N/L 2

II B(a)

0720

Address of U.S. Officer-2

II B(b)

0730

City of U.S. Officer-2

II B(b)

0740

State of  U.S. Officer-2

II B(b)

0750

Zip Code of U.S. Officer-2

II B(b)

0760

Social Security Number-2

II B(c)

0770

Officer-2

II B(d)

0780

Director-2

II B(d)

0790

Name of U.S. Officer or Director-3

II B(a)

0795

Name of U.S. Officer or Director-3 - N/L 2

II B(a)

0800

Address of U.S. Officer-3

II B(b)

0810

City of  U.S. Officer-3

II B(b)

0820

State of U.S. Officer-3

II B(b)

0830

Zip Code of U.S. Officer-3

II B(b)

0840

Social Security Number-3

II B(c)

0850

Officer-3

II B(d)

0860

Director-3

II B(d)

0865

Part II Section B Additional Information

Part II

0870

Name of Shareholder Filing

II C(a)

0880

Class of Stock Acquired

II C(b)

0890

Date of Acquisition

II C(c)

0900

Method of Acquisition

II C(d)

0910

Number of Shares Acquired Directly

II C(e)(1)

0920

Number of Shares Acquired Indirectly

II C(e)(2)

0930

Number of Shares Acquired Constructively

II C(e)(3)

0940

Name of Shareholder Filing-2

II C(a)

0950

Class of Stock Acquired-2

II C(b)

0960

Date of Acquisition-2

II C(c)

0970

Method of Acquisition-2

II C(d)

0980

Number of Shares Acquired Directly-2

II C(e)(1)

0990

Number of Shares Acquired Indirectly-2

II C(e)(2)

1000

Number of Shares Acquired Constructively-2

II C(e)(3)

1010

Name of Shareholder Filing-3

II C(a)

1020

Class of Stock Acquired-3

II C(b)

1030

Date of Acquisition-3

II C(c)

1040

Method of Acquisition-3

II C(d)

1050

Number of Shares Acquired Directly-3

II C(e)(1)

1060

Number of Shares Acquired Indirectly-3

II C(e)(2)

1065

Number of Shares Acquired Constructively-3

II C(e)(3)

1080

Amount Paid or Value Given

II C(f)

1090

Name From Whom Shares Were Acquired

II C(g)

1095

Name From Whom Shares Were Acquired - N/L 2

II C(g)

1100

Address-Person From Whom Shares Acquired

II C(g)

1110

City-Person From Whom Shares Acquired

II C(g)

1120

State-Person From Whom Shares Acquired

II C(g)

1130

Zip Code-Person From Whom Shares Acquired

II C(g)

1135

Country-Person from Whom Shares Acquired

II C

1140

Amount Paid or Value Given-2

II C(f)

1150

Name From Whom Shares Were Acquired-2

II C(g)

1155

Name From Whom Shares Were Acquired-2 - N/L 2

II C(g)

1160

Address-Person From Whom Shares Acquired-2

II C(g)

1170

City-Person From Whom Shares Acquired-2

II C(g)

1180

State-Person From Whom Shares Acquired-2

II C(g)

1190

Zip Code-Person From Whom Shares Acquired-2

II C(g)

1195

Country-Person from Whom Shares Acquired-2

II C

1200

Amount Paid or Value Given-3

II C(f)

1210

Name From Whom Shares Were Acquired-3

II C(g)

1215

Name From Whom Shares Were Acquired-3 - N/L 2

II C(g)

1220

Address-Person From Whom Shares Acquired-3

II C(g)

1230

City-Person From Whom Shares Acquired-3

II C(g)

1240

State-Person From Whom Shares Acquired-3

II C(g)

1250

Zip Code-Person From Whom Shares Acquired-3

II C(g)

1253

Country-Person from Whom Shares Acquired-3

II C

1255

Part II Section C Additional Information

II

1260

Name of Shareholder Disposing of Stock

II D(a)

1270

Class of Stock

II D(b)

1280

Date of Disposition

II D(c)

1290

Method of Disposition

II D(d)

1300

Number of Shares Disposed Directly

II D(e)(1)

1310

Number of Shares Disposed Indirectly

II D(e)(2)

1320

Number of Shares Disposed Constructively

II D(e)(3)

1330

Name of Shareholder Disposing of Stock-2

II D(a)

1340

Class of Stock-2

II D(b)

1350

Date of Disposition-2

II D(c)

1360

Method Of Disposition-2

II D(d)

1370

Number of Shares Disposed Directly-2

II D(e)(1)

1380

Number of Shares Disposed Indirectly-2

II D(e)(2)

1390

Number of Shares Disposed Constructively-2

II D(e)(3)

1400

Name of Shareholder Disposing of Stock-3

II D(a)

1410

Class of Stock-3

II D(b)

1420

Date of Disposition-3

II D(c)

1430

Method of Disposition-3

II D(d)

1440

Number of Shares Disposed Directly-3

II D(e)(1)

1450

Number of Shares Disposed Indirectly-3

II D(e)(2)

1460

Number of Shares Disposed Constructively-3

II D(e)(3)

1470

Amount Received

II D(f)

1480

Name To Whom Disposition of Stock Was Made

II D(g)

1485

Name To Whom Disposition Made - N/L 2

II D(g)

1490

Address of Person to Whom Disposition

II D(g)

1500

City of Person to Whom Disposition

II D(g)

1510

State of Person to Whom Disposition

II D(g)

1520

Zip Code of Person to Whom Disposition

II D(g)

1525

Country of Person to Whom Disposition

II D

1530

Amount Received-2

II D(f)

1540

Name To Whom Disposition of Stock Was Made-2

II D(g)

1545

Name To Whom Disposition Made-2 - N/L 2

II D(g)

1550

Address of Person to Whom Disposition-2

II D(g)

1560

City of Person to Whom Disposition-2

II D(g)

1570

State of Person to Whom Disposition-2

II D(g)

1580

Zip Code of Person to Whom Disposition-2

II D(g)

1585

Country of Person to Whom Disposition-2

II D

1590

Amount Received-3

II D(f)

1600

Name To Whom Disposition of Stock Was Made-3

II D(g)

1605

Name To Whom Disposition Made-3 - N/L 2

II D(g)

1610

Address of Person to Whom Disposition-3

II D(g)

1620

City of Person to Whom Disposition-3

II D(g)

1630

State of Person to Whom Disposition-3

II D(g)

1640

Zip Code of Person to Whom Disposition-3

II D(g)

1643

Country of Person to Whom Disposition-3

II D

1645

Part II Section D Additional Information

II

1650

Name of Transferor

II E(a)

1655

Name of Transferor -Name Line 2

II E(a)

1660

Address of Transferor

II E(a)

1670

City of  Transferor

II E(a)

1680

State of Transferor

II E(a)

1690

Zip Code of Transferor

II E(a)

1695

Country of Transferor

II E

1700

Identifying Number of Transferor

II E(b)

1710

Date of Transfer

II E(c)

1720

Name of Transferor-2

II E(a)

1725

Name of Transferor-2 - Name Line 2

II E(a)

1730

Address of Transferor-2

II E(a)

1740

City of Transferor-2

II E(a)

1750

State of Transferor-2

II E(a)

1760

Zip Code of Transferor-2

II E(a)

1765

Country of Transferor-2

II E

1770

Identifying Number of Transferor-2

II E(b)

1780

Date of Transfer-2

II E(c)

1790

Name of Transferor-3

II E(a)

1795

Name of Transferor-3 - Name Line 2

II E(a)

1800

Address of Transferor-3

II E(a)

1810

City of Transferor-3

II E(a)

1820

State of Transferor-3

II E(a)

1830

Zip Code of Transferor-3

II E(a)

1835

Country of Transferor-3

II E

1840

Identifying Number of Transferor-3

II E(b)

1850

Date of Transfer-3

II E(c)

1860

Description of Assets

II E(d)(1)

1870

Fair Market Value

II E(d)(2)

1880

Adjusted Basis

II E(d)(3)

1890

Description of Assets Transferred

II E(e)

1900

Description of Assets-2

II E(d)(1)

1910

Fair Market Value-2

II E(d)(2)

1920

Adjusted Basis-2

II E(d)(3)

1930

Description of Assets Transferred-2

II E(e)

1940

Description of Assets-3

II E(d)(1)

1950

Fair Market Value-3

II E(d)(2)

1960

Adjusted Basis-3

II E(d)(3)

1970

Description of Assets Transferred-3

II E(e)

1975

Part II Section E Additional Information

II

1980

Attach Schedule if Filed Tax Return

II F(a)

1990

Date of Any Reorganization During Last 4 Years

II F(b)

2000

Attach A Chart

          II F (c)

Page Last Reviewed or Updated: 20-Nov-2012