This is an example of a completed Form 1120-S (Page 1 through Line 4). Top left corner of Form 1120-S reads: DRAFTFor calendar year or tax year beginning shows Feb. 01, 2023, and tax year ending Aug. 15, 2023The tax period beginning 020123Ris edited in red to the right of the preprinted 1120-S in the upper left area of the form.The tax period 2308 is edited in red above the ending tax period area of the form.Box A shows 01-31-84 for the effective date of the S electionBox B shows 523140 for the Business Activity CodeBox D shows 00-0509487 for the Employer Identification Number (EIN)Box E shows 01-31-84 for the date incorporated.Maple Pancakes House is shown on the name line and MAPL is underlined as the name control1259 Acacia Blvd is shown for the street address lineFargo, ND 58102 is shown for the city, state, and ZIP code lineBox F shows $75,846 for Total AssetsBox H shows a “✓” (check mark) in the Final return boxBox I shows 1 for the Number of Shareholders during any part of the tax yearComputer Condition Code F is edited in red in the dotted part to the left of Line 1b, Returns and allowances.