This is an example of a completed Form 1120-S (Page 1), a Form 1128, Application To Adopt, Change, or Retain a Tax Year, attachment, and Form 4227, Intra-SC Reject or Routing Slip.Form 1128, Application To Adopt, Change, or Retain a Tax Year, is attached to Form 1120-S. The IRS Received Date is edited as Recd 030221 in the left margin of Form 1120-S.Form 1120-S fields are as follows:Top left corner of Form 1120-S reads: DRAFTFor calendar year or tax year beginning shows 9-1, 2020 and tax year ending 12-31, 2020The tax period beginning 090120 is edited in red to the right of the preprinted 1120-S in the upper left area of the form.Box A shows 12-02-84 for the effective date of the S electionBox B shows 448140 for the Business Activity CodeBox D shows 00-1758893 for the Employer Identification Number (EIN)Box E shows 12-02-84 for the date incorporated.Beech Fashion Inc. is shown on the name line and Beec is underlined as the name control1177 Poplar Ave is shown for the street address lineNew York, NY 10001 is shown for the city, state, and ZIP code lineBox F shows 343,175 for Total AssetsLine 9 shows 70,000Line 12 shows 12,000Line 15 shows 15,000Line 19 shows 5,000Line 20 shows 97,000Line 21 shows 70,142Line 22c shows 990Line 25 shows 990Sign Here box: Signature of officer: Audrey AshSign Here box: Date: 02/13/21Sign Here box: Title: PresidentForm 4227, Intra-SC Reject or Routing Slip, is attached to the front of Form 1120-S, below the Entity information.Form 4227, Intra-SC Reject or Routing Slip, fields are as follows: Name-Unit box shows 210 in redDate box shows 031821 in redRoute to box indicates a red X in the Entity Control boxBMF box indicates a red XOther (explain) box indicates a red X with red text that reads: Research for approval of Form 1128