Form 5471 Organizer

YOUR NAME: ______________________________________

SOCIAL SECURITY OR FEDERAL
IDENTIFICATION NO. _____________________________

ADDRESS (PER TAX RETURN):

______________________________

______________________________

CFC (CONTROLLED FOREIGN CORPORATION)
(IS BASICALLY A FOREIGN INCORPORATED BUSINESS OWNED OR CONTROLLED BY US TAXPAYERS [ OVER 50% CONTROL])

• PERCENTAGE OF VOTING STOCK OWNED (DIRECTLY AND INDIRECTLY) BY FILER OR FORM 5471
• NAME AND ADDRESS
• FEDERAL IDENTIFICATION NUMBER, IF ANY
• COUNTRY AND DATE OF INCORPORATION
• PRINCIPAL PLACE OF BUSINESS
• BUSINESS ACTIVITY
• NAME AND ADDRESS OF STATUTORY AGENT IN COUNTRY OF INCORPORATION
• NAME AND ADDRESS OF PERSON HAVING CUSTODY OF BOOKS OF ACCOUNT

IF CFC FILED US TAX RETURNS

• WAS US CONSOLIDATED TAX RETURN FILED, IF SO:
• TAXABLE INCOME
• WAS INCOME TAX PAID

CFC'S STOCK

• DESCRIPTION, TYPE
• NUMBER OF SHARES ISSUED AND OUTSTANDING AT BEGINNING AND END OF ACCOUNTING PERIOD
• NAME AND ADDRESS OF US BRANCH OR AGENT, IF ANY

US SHAREHOLDERS, DIRECTORS AND OFFICERS OF CFC - FOR EACH LIST AND IDENTIFY IF SHAREHOLDERS, DIRECTOR AND/OR OFFICER

• NAME, ADDRESS AND FEDERAL IDENTIFICATION NUMBER
• CLASS OF STOCK HELD AT BEGINNING AND END OF PERIOD

CFC'S FINANCIAL STATEMENTS

• ATTACH COPY OF FINANCIAL STATEMENTS FOR THE PERIOD AND AT END OF YEAR, TRIAL BALANCE SHEET AND SCHEDULE OF FIXED ASSETS AND ANY NON-U.S. CORPORATE TAX RETURNS WHICH HAVE BEEN FILED
• FOR NEW CLIENTS ATTACH PRIOR YEAR FINANCIAL STATEMENTS, PRIOR YEAR'S FORM 5471 AND COPY OF COMPANY REGISTRATION

RELATED PARTY TRANSACTION

• SUMMARIZE TRANSACTION BETWEEN THE CORPORATION ITS US OFFICERS, DIRECTORS, SHAREHOLDERS AND RELATIVES OF THE FOREGOING OR COMPANIES OR OTHER ENTITIES OWNED OR CONTROLLED BY THEM. (CALL FOR CLARIFICATION AND FOR MORE INFORMATION)

ORGANIZATION, REORGANIZATION AND ACQUISITION AND DISPOSITION OF STOCK IN CFC

FOR US SHAREHOLDERS WHO HAVE ACQUIRED OR DISPOSED OF 10% OR MORE OF THE CFC

• NAME, ADDRESS, SOCIAL SECURITY NUMBER
• DATE OF ACQUISITION AND PRIOR ACQUISITIONS
• STOCK ACQUIRED, DATE ACQUIRED, CONSIDERATION AND SPECIFY IF DIRECTLY OWNED OR INDIRECTLY THROUGH OTHER MEANS
• NAME AND ADDRESS OF PERSON SELLING OR BUYING SHARES
• TYPE OF RETURN FILED (e.g. 1040), IRS CENTER WHERE FILED AND LAST DATE FORM 5471 FILED

ASSETS TRANSFERRED TO OR WITHDRAWN FROM CFC BY A US PERSON

NAME, ADDRESS AND SOCIAL SECURITY NUMBER, DATE OF TRANSFER, DESCRIPTION OF ASSETS, FAIR MARKET, US BASIS (IF ANY) AND DESCRIPTION OF ASSETS

• LIST PRIOR REORGANIZATIONS
• IF OWNERSHIP OF CFC IS INDIRECT THROUGH OTHER CORPORATIONS, THEN PROVIDE DETAILS

Angus McDowell, McDowell CPA PC
410 Park Avenue, suite 1530, New York, NY 10022-9441
Telephone 1 212 949 1966 Fax 1 212 949 1494 e-mail angus@mcdowell.com
Copyright 1992 through 2003