Form Schedule L (Form 1 Schedule L (Form 1 Balance Sheets per Books

Form 1120S (2012)

ReconOther
ciliation Information

Schedule K

Page

17a
b
c
d

Investment income . . . . . . . . . . . . . . .
Investment expenses . . . . . . . . . . . . . .
Dividend distributions paid from accumulated earnings and profits
Other items and amounts (attach statement)

18

Income/loss reconciliation. Combine the amounts on lines 1 through 10 in the far right
column. From the result, subtract the sum of the amounts on lines 11 through 12d and 14l

Schedule L

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17a
17b
17c

Beginning of tax year

Balance Sheets per Books
Assets

(a)

1
2a
b
3
4
5
6
7
8
9
10a
b
11a
b
12
13a
b
14
15

Cash . . . . . . . . . . . .
Trade notes and accounts receivable . .
Less allowance for bad debts . . . . .
Inventories
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U.S. government obligations . . . . .
Tax-exempt securities (see instructions) .
Other current assets (attach statement) . .
Loans to shareholders . . . . . . .
Mortgage and real estate loans . . . .
Other investments (attach statement) . .
Buildings and other depreciable assets . .
Less accumulated depreciation . . . .
Depletable assets . . . . . . . .
Less accumulated depletion . . . . .
Land (net of any amortization) . . . . .
Intangible assets (amortizable only) . . .
Less accumulated amortization . . . .
Other assets (attach statement) . . . .
Total assets . . . . . . . . . .
Liabilities and Shareholders’ Equity

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16
17
18
19
20
21
22
23
24
25
26
27

Accounts payable . . . . . . . . .
Mortgages, notes, bonds payable in less than 1 year
Other current liabilities (attach statement) . .
Loans from shareholders . . . . . . .
Mortgages, notes, bonds payable in 1 year or more
Other liabilities (attach statement) . . . .
Capital stock . . . . . . . . . . .
Additional paid-in capital . . . . . . .
Retained earnings . . . . . . . . .
Adjustments to shareholders’ equity (attach statement)
Less cost of treasury stock . . . . . .
Total liabilities and shareholders’ equity
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4

Total amount

Shareholders’ Pro Rata Share Items (continued)

18
End of tax year

(b)

(c)

(d)

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Form 1120S (2012)