This is an example of a completed Form 1120-S (Page 1 top portion only). Top left corner of Form 1120-S reads: DRAFTFor calendar year or tax year beginning shows 01/01/21, with preprinted tax year crossed out, and tax year ending 10/16, 2021The tax period beginning 010121 is edited in red to the right of the preprinted 1120-S in the upper left area of the form.The tax period 2106 is edited in red above the ending tax period area of the form.Box A shows 06/09/2001 for the effective date of the S electionBox B shows 441120 for the Business Activity CodeBox D shows 00-4623189 for the Employer Identification Number (EIN)Box E shows 06/09/2001 for the date incorporated.Poplar Used Car Sales shown on the name line and POPL is underlined in red as the name control204 Balsam Ave is shown for the street address lineFargo, ND 58102 is shown for the city, state, and ZIP code lineBox F shows $0 for Total AssetsBox H indicates an “X” in the Final return boxBox I shows 1 for the Number of Shareholders during any part of the tax yearLine 1c shows 0Line 7 shows 0Computer Condition Code F is edited in red in the dotted portion to the left of Line 1b.The IRS Received Date stamp of 07202021 is shown in the middle of the formA text box located to the left middle of the Form 1120-S has an arrow on the top right side of the box pointed to the tax period ending date and another arrow on the bottom right side of the box pointed to the Received Date. The text box reads: Early Filed Final:Edit the Tax Period ending date to be one month prior to the Received Date.