For Paperwork Reduction Act Notice see separate instructions. Cat. No. 55989C Form 1125-E Rev. 10-2016. Form 1125-E Rev. October 2016 Department of the Treasury Internal Revenue Service Compensation of Officers Attach to Form 1120 1120-C 1120-F 1120-REIT 1120-RIC or 1120S. Information about Form 1125-E and its separate instructions is at www.irs.gov/form1125e. OMB No. 1545-0123 Employer identification number Name Note Complete Form 1125-E only if total receipts are 500 000 or more. See instructions for definition of total receipts. c Percent of time devoted to business b Social security number see instructions a Name of officer Percent of stock owned d Common e Preferred f Amount of Total compensation of officers. Subtract line 3 from line 2. Enter the result here and on Form 1120 page 1 line 12 or the appropriate line of your tax return. See instructions for definition of total receipts. c Percent of time devoted to business b Social security number see instructions a Name of officer Percent of stock owned d Common e Preferred f Amount of Total compensation of officers. Subtract line 3 from line 2. Enter the result here and on Form 1120 page 1 line 12 or the appropriate line of your tax return.
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