Fillable Printable Form 1120 S Schedule K-1
Fillable Printable Form 1120 S Schedule K-1
Form 1120 S Schedule K-1
671113
Final K-1 Amended K-1
OMB No. 1545-0123
Schedule K-1
(Form 1120S)
Department of the Treasury
Internal Revenue Service
2016
For calendar year 2016, or tax
year beginning
, 2016
ending , 20
Shareholder’s Share of Income, Deductions,
Credits, etc.
▶
See back of form and separate instructions.
Information About the Corporation
Part I
A Corporation’s employer identification number
B Corporation’s name, address, city, state, and ZIP code
C IRS Center where corporation filed return
Information About the Shareholder
Part II
D Shareholder’s identifying number
E Shareholder’s name, address, city, state, and ZIP code
F
Shareholder’s percentage of stock
ownership for tax year . . . . . . .
%
For IRS Use Only
Shareholder’s Share of Current Year Income,
Deductions, Credits, and Other Items
Part III
1
Ordinary business income (loss)
2
Net rental real estate income (loss)
3
Other net rental income (loss)
4
Interest income
5a
Ordinary dividends
5b
Qualified dividends
6
Royalties
7
Net short-term capital gain (loss)
8a
Net long-term capital gain (loss)
8b
Collectibles (28%) gain (loss)
8c
Unrecaptured section 1250 gain
9
Net section 1231 gain (loss)
10
Other income (loss)
11
Section 179 deduction
12
Other deductions
13
Credits
14 Foreign transactions
15
Alternative minimum tax (AMT) items
16
Items affecting shareholder basis
17
Other information
* See attached statement for additional information.
For Paperwork Reduction Act Notice, see Instructions for Form 1120S. IRS.gov/form1120s Cat. No. 11520D Schedule K-1 (Form 1120S) 2016
Schedule K-1 (Form 1120S) 2016
Page 2
This list identifies the codes used on Schedule K-1 for all shareholders and provides summarized reporting information for shareholders who file Form 1040.
For detailed reporting and filing information, see the separate Shareholder’s Instructions for Schedule K-1 and the instructions for your income tax return.
1.
Ordinary business income (loss). Determine whether the income (loss) is
passive or nonpassive and enter on your return as follows:
Report on
Passive loss
See the Shareholder’s Instructions
Passive income Schedule E, line 28, column (g)
Nonpassive loss Schedule E, line 28, column (h)
Nonpassive income Schedule E, line 28, column (j)
2. Net rental real estate income (loss) See the Shareholder’s Instructions
3. Other net rental income (loss)
Net income Schedule E, line 28, column (g)
Net loss See the Shareholder’s Instructions
4. Interest income Form 1040, line 8a
5a. Ordinary dividends Form 1040, line 9a
5b. Qualified dividends Form 1040, line 9b
6. Royalties Schedule E, line 4
7. Net short-term capital gain (loss) Schedule D, line 5
8a. Net long-term capital gain (loss) Schedule D, line 12
8b. Collectibles (28%) gain (loss) 28% Rate Gain Worksheet, line 4
(Schedule D instructions)
8c. Unrecaptured section 1250 gain See the Shareholder’s Instructions
9. Net section 1231 gain (loss) See the Shareholder’s Instructions
10. Other income (loss)
Code
A Other portfolio income (loss) See the Shareholder’s Instructions
B Involuntary conversions See the Shareholder’s Instructions
C Sec. 1256 contracts & straddles Form 6781, line 1
D Mining exploration costs recapture
See Pub. 535
E Other income (loss) See the Shareholder’s Instructions
11. Section 179 deduction See the Shareholder’s Instructions
12. Other deductions
A Cash contributions (50%)
B Cash contributions (30%)
C Noncash contributions (50%)
D Noncash contributions (30%)
E Capital gain property to a 50%
organization (30%)
F Capital gain property (20%)
G Contributions (100%)
}
See the Shareholder’s
Instructions
H Investment interest expense Form 4952, line 1
I Deductions—royalty income
Schedule E, line 19
J Section 59(e)(2) expenditures See the Shareholder’s Instructions
K
Deductions—portfolio (2% floor)
Schedule A, line 23
L Deductions—portfolio (other) Schedule A, line 28
M Preproductive period expenses See the Shareholder’s Instructions
N Commercial revitalization deduction
from rental real estate activities
See Form 8582 instructions
O Reforestation expense deduction See the Shareholder’s Instructions
P Domestic production activities
information
See Form 8903 instructions
Q
Qualified production activities income
Form 8903, line 7b
R Employer’s Form W-2 wages Form 8903, line 17
S Other deductions
See the Shareholder’s Instructions
13. Credits
A Low-income housing credit (section
42(j)(5)) from pre-2008 buildings
B
Low-income housing credit (other) from
pre-2008 buildings
C Low-income housing credit (section
42(j)(5)) from post-2007 buildings
D Low-income housing credit (other)
from post-2007 buildings
E Qualified rehabilitation expenditures
(rental real estate)
F Other rental real estate credits
G Other rental credits
}
See the Shareholder’s
Instructions
H
Undistributed capital gains credit
Form 1040, line 73, box a
I
Biofuel producer credit
J Work opportunity credit
K
Disabled access credit
L Empowerment zone employment
credit
M
Credit for increasing research
activities
}
See the Shareholder’s
Instructions
Code
Report on
N Credit for employer social
security and Medicare taxes
O Backup withholding
P Other credits
}
See the Shareholder’s Instructions
14.
Foreign transactions
A Name of country or U.S.
possession
B Gross income from all sources
C Gross income sourced at
shareholder level
}
Form 1116, Part I
Foreign gross income sourced at corporate level
D Passive category
E General category
F Other
}
Form 1116, Part I
Deductions allocated and apportioned at shareholder level
G Interest expense Form 1116, Part I
H Other Form 1116, Part I
Deductions allocated and apportioned at corporate level to foreign source
income
I Passive category
J General category
K Other
}
Form 1116, Part I
Other information
L Total foreign taxes paid Form 1116, Part II
M Total foreign taxes accrued Form 1116, Part II
N Reduction in taxes available for
credit
Form 1116, line 12
O
Foreign trading gross receipts
Form 8873
P
Extraterritorial income exclusion
Form 8873
Q Other foreign transactions
See the Shareholder’s Instructions
15. Alternative minimum tax (AMT) items
A
Post-1986 depreciation adjustment
B Adjusted gain or loss
C Depletion (other than oil & gas)
D
Oil, gas, & geothermal—gross income
E
Oil, gas, & geothermal—deductions
F Other AMT items
}
See the
Shareholder’s
Instructions and
the Instructions for
Form 6251
16. Items affecting shareholder basis
A Tax-exempt interest income Form 1040, line 8b
B Other tax-exempt income
C Nondeductible expenses
D Distributions
E Repayment of loans from
shareholders
}
See the Shareholder’s
Instructions
17. Other information
A Investment income Form 4952, line 4a
B Investment expenses Form 4952, line 5
C Qualified rehabilitation expenditures
(other than rental real estate)
See the Shareholder’s Instructions
D Basis of energy property See the Shareholder’s Instructions
E Recapture of low-income housing
credit (section 42(j)(5))
Form 8611, line 8
F Recapture of low-income housing
credit (other)
Form 8611, line 8
G Recapture of investment credit See Form 4255
H Recapture of other credits See the Shareholder’s Instructions
I
Look-back interest—completed
long-term contracts
See Form 8697
J
Look-back interest—income forecast
method
See Form 8866
K
Dispositions of property with
section 179 deductions
L Recapture of section 179
deduction
M Section 453(l)(3) information
N Section 453A(c) information
O Section 1260(b) information
P Interest allocable to production
expenditures
Q CCF nonqualified withdrawals
R
Depletion information—oil and gas
S Reserved
T
Section 108(i) information
U Net investment income
V Other information
}
See the Shareholder’s
Instructions
