Amended return to report IRS audit or Form 1120X
applies (factor relief for certain taxpayers)
Attorney General s opinion dated 10/20/99
Less: Overpayment previously credited to 2016
Less: Refund from original return and additional
Tax paid with original return and additional tax paid
Taxpayer produces oil or gas in Alaska
Taxpayer transports oil or gas in Alaska
This is a protective claim
Under 15 AAC 20 421 (c)
(if less than 3 factors are used see instructions)
(loss)
0405 6150 Rev 01/01/16 page 1
1 ALASKA CONSOLIDATED RETURNS ONLY: LIST ALL CORPORATIONS OTHER THAN THE TAXPAYER SHOWN ON PAGE 1 WITH
2 If any taxpayer included in this return is included in a federal consolidated return (Form 1120) provide the name address and EIN of the common
3 If this is the first return indicate if: Successor to previously existing business (Enter name address and EIN of previous business)
4 Name and EIN on the prior year s return if different from page 1 State the reason for the change (e g merger name change etc )
80% of dividends received from foreign corporations
80% of royalties accrued or received from foreign corporations
Add lines 1C and 2C Consolidated Section 1231 gain (loss)
Add lines 25 27 Enter here and on Schedule F line 3a
Add lines 4 8 and 12
Add lines 4 8 Enter here and on Schedule A line 5
Add lines 5 6 column C
Add: Federal taxable income (loss) of corporations not included in line 1
Add: Foreign corporations
Additions
Address
Address
Address
Adjustment for in state oil refinery expenditures under AS 43 20 053
AK factor
Alaska (attach schedule)
Alaska capital and Section 1231 gain (loss) from Schedule J line 28
Alaska capital loss carryover utilized ( ) carryback utilized ( ) Total
Alaska charitable contribution carryover from Form 6385 line 18
Alaska charitable contribution deduction Enter the lesser of line 7 or line 9 here and on Schedule F line 3b
Alaska charitable contribution deduction from Schedule K
Alaska credit for prior year minimum tax (see instructions)
Alaska dividends received deduction (see instructions)
Alaska Gain or
Alaska incentive credits applied against tax from Form 6300 line 45
Alaska incentive credits claimed as refund from Form 6300 line 36
Alaska income (loss) from Schedule F line 4
Alaska income tax Add lines 4 5
Alaska income tax from Schedule D line 7
Alaska Items
Alaska net capital gain Excess net long term capital gain line 24 over net short term capital loss line 15 Enter
Alaska net operating loss utilized: carryover ( ) carryback ( ) Total
Alaska non recaptured Section 1231 losses from prior years Enter as a positive number
Alaska Oil and Gas Corporation Net Income Tax Return
Alaska taxable income (loss) before net operating loss Add lines 1 2 column C and line 3d Enter here and
Alaska taxable income Add lines 1 2
Alaska taxable income from Schedule A line 3
Alternative minimum tax from federal Form 4626
Amended return
Amended return only:
Amount
applies
Apportionable business income (loss) Subtract line 5k from line 4
Apportionable income (loss) Subtract line 6j from line 5
Apportionable LTCG/(L) Subtract line 17 from line 16
Apportionable LTCG/(L) Subtract line 20 from line 19
Apportionable STCG/(L) Subtract line 11 from line 10
Apportionable STCG/(L) Subtract line 8 from line 7
Apportioned
Apportioned dividends Multiply line 3 by line 4
Apportioned income (loss) from Other Business
Apportioned income (loss) from Petroleum Business
Apportioned income (loss) from Schedules G and H
Apportionment factor Divide line 13 by 3
Apportionment factor Divide line 13 by 3 or 2 as applicable
Apportionment factor from Schedule I 1 line 14
Apportionment factor from Schedule I 2 line 14
Apportionment factors
Apportionment factors
Business
Carryback is waived for net operating loss
Check all boxes that apply
Check if
Check if the DOR may discuss this return
Combined Reporting
Consolidated Alaska return
Contact Email Address
Contact Fax Number
Contact Person
Contact Telephone Number
Cost depletion
Current Alaska charitable contributions Multiply line 3 by
Current charitable contributions
Current Section 1231 gains and (losses) other business
Current Section 1231 gains and (losses) petroleum business
Depreciation allowable
Dividend income included in Schedule G or H line 1
Dividends
Dividends allocable to Alaska included on Schedule F line 2
Dividends deducted as non business income
Dividends qualifying for 100% deduction
Dividends qualifying for 42% deduction
Dividends qualifying for 48% deduction
Dividends qualifying for 70% deduction
Dividends qualifying for 80% deduction
DRD (A times B)
Education credit contributions (see instructions)
Enter amount from line 5
Enter the lesser of line 6 column A or B here and on Schedule A line 4
Estimated Payments
Excess net short term capital gain line 15 over net long term capital loss line 24
Exempt organization with UBTI
Expenses incurred to produce non business income
Extraction
Extraction everywhere
Extraction factor Divide line 6 by line 7
Extraction within Alaska
Factor numerators to be reported: property sales extraction payroll
Factor numerators to be reported: property sales extraction payroll
Federal based credits from Form 6390 line 33
Federal charitable contributions from federal Form 1120 line 19
Federal depreciation
Federal extension is in effect
Federal Form 1120 line 8 capital gain income
Federal taxable (income) loss of corporations with U S factors of less than 20%
Federal taxable (income) loss of non unitary corporations
Federal taxable income (loss) (see instructions)
Federal taxable income (loss) of corporations not included in line 1
Final Alaska return
First
For calendar year 2015 or the taxable year beginning 2015 ending 20
Foreign corporations with 20% or greater U S factors
Form 6150
Form 6150
Form 6150
Form 6150
Form 6150
Fourth
Gains (Losses)
here and on Schedule D line 2
I declare under penalty of perjury that I have examined this return including accompanying schedules and
If amended return box above is checked then check the following boxes if applicable:
If line 3C is a gain enter the lesser of line 3C or line 4 here and on line 27 otherwise enter zero
If line 3C is a gain subtract line 4 from line 3C but not less than zero Enter here and on line 23
If line 3C is a loss enter here otherwise enter the amount from line 6
Income from tax haven corporations and any FSC profit
Intangible drilling and development costs expensed for federal purposes
Intangible drilling costs allowable
Intercompany dividends
Intercompany dividends deducted on Schedule G or H
Intercompany eliminations (see instructions)
Interest from obligations of the U S government
Interest from obligations of the United States
Less: Quick Refund from Form 6230
line 10
line 4
Long term Capital Gains and Losses LTCG/(L)
Mailing Address Check if new address
Multiply line 1 by line 2
Multiply line 3 column C by 18%
Multiply line 6 by line 7 Enter here and on Schedule F line 1 column A
Multiply line 7 by line 8 Enter here and on Schedule F line 1 column B
Multiply line 8 column C by 10%
NAICS Code
Name of each corporation with nexus in Alaska
Net Alaska income tax Subtract the sum of lines 7 8 from line 6 If more than $500 attach Form 6220
Net capital gain from Schedule J line 26
Net income before state modifications and adjustments Add lines 1 and 2g
Net LTCG/(L) Add lines 18C 21C 22 and 23
Net Section 1231 losses from federal Form 4797 line 11
Net STCG/(L) add lines 9C 12C 13 and 14
NEXUS IN ALASKA INCLUDED IN THIS RETURN FAILURE TO PROPERLY COMPLETE MAY RESULT IN PENALTIES
Non business income (attach schedule)
Non business income (loss) net of expenses allocable to
Non business LTCG/(L) allocable to Alaska
Non business LTCG/(L) other business
Non business LTCG/(L) petroleum business
Non business STCG/(L) allocable to Alaska
Non business STCG/(L) other business
Non business STCG/(L) petroleum business
Non recaptured Section 1231 losses from prior years from federal Form 4797 line 12
Not Eligible
Officer s Signature
Oil and Gas Producing Companies only skip lines 9 12 Go to line 13
Oil and gas service industry expenditures (see instructions)
Oil and Gas Transportation Companies only skip lines 5 8 Go to line 9
on Schedule A line 1
Ordinary income Subtract line 2 from line 1 If less than zero enter zero
Other
Other (attach schedule)
Other (attach schedule)
Other Business
Other Business
Other if applicable (enter % in column B)
Other taxes (see instructions)
Other taxes from Schedule E line 8
Overpayment credited to 2016 estimated tax (enter as positive number)
Overpayment from prior year
P L 86 272
Page 10
Page 2
Page 3
Page 4
Page 5
Page 6
Page 7
Page 8
Page 9
parent of the federal consolidated group
Payment with extension
Payments from Page 3 Schedule C
Payroll
Payroll everywhere
Payroll factor Divide line 6 by line 7
Payroll within Alaska
Penalty for underpayment of estimated tax (see instructions)
Percentage
Percentage depletion deducted for federal purposes
Personal Holding Company
Personal Holding Company tax (see instructions)
Petroleum
Petroleum
Phone
preparer (other than taxpayer) is based on all information of which preparer has any knowledge
Preparer firm s name (or yours if
Preparer s Signature
Preparer s SSN or PTIN
Property
Property everywhere
Property factor Divide line 2 by line 3
Property within Alaska
Property within Alaska
Public Law 86 272 applies
Reason
Refund Add lines 15 16
refunds
Return Information (check applicable boxes)
S Corporation (attach Form 1120S)
Sales
Sales everywhere
Sales factor Divide line 10 by line 11
Sales within Alaska
Sales within Alaska
SCHEDULE A NET INCOME TAX SUMMARY
SCHEDULE B ALASKA TAXPAYER INFORMATION
SCHEDULE C TAX PAYMENT RECORD
SCHEDULE D ALASKA TAX COMPUTATION
SCHEDULE E OTHER TAXES
SCHEDULE F PETROLEUM AND OTHER UNITARY BUSINESS TAXABLE INCOME
SCHEDULE G COMPUTATION OF ALASKA INCOME Petroleum
SCHEDULE H COMPUTATION OF ALASKA INCOME Other Business
SCHEDULE I 1 PETROLEUM BUSINESS
SCHEDULE I 2 OTHER BUSINESS
SCHEDULE J ALASKA CAPITAL AND SECTION 1231 GAINS AND LOSSES
SCHEDULE K ALASKA CHARITABLE CONTRIBUTION DEDUCTION
SCHEDULE L ALASKA DIVIDENDS RECEIVED DEDUCTION (DRD)
Second
Section 1231 Gains and Losses
Section 78 gross up dividends
Section 78 gross up dividends deducted on Schedule G or H
self employed
self employed) and address
Short Term Capital Gains and Losses STCG/(L)
State
State
State
State
statements and to the best of my knowledge and belief it is true correct and complete Declaration of
Subtract line 2 from line 1
Subtractions
Summary
Tax due (overpaid) Subtract the sum of lines 10 12 from line 9
Tax on early cessation of operations gas storage facility
Tax on early cessation of operations LNG storage facility
Tax on net capital gain Multiply line 2 by 4 5%
Tax on ordinary income Use Tax Rate Table to calculate tax on line 3
Tax Rate Table is contained in instructions
Taxable income for deduction limitation purposes (see instructions)
Taxes based on or measured by net income
Tentative dividends received deduction Add lines 8a 8f column C (see instructions)
Third
Title
Total
Total
Total Add lines 1 2e and 3j
Total Add lines 3 and 4h
Total Add lines 3a 3c
Total additions Add lines 3a 3i
Total additions Add lines 4a 4g
Total adjustments for combined reporting Add lines 2a 2d
Total adjustments for combined reporting Add lines 2a 2f
Total amount due (overpaid) Add lines 13 14 If greater than zero STOP
Total current LTCG/(L) other business
Total current LTCG/(L) petroleum business
Total current STCG/(L) other business
Total current STCG/(L) petroleum business
Total dividends eligible for DRD Subtract line 2d from line 1
Total dividends included in taxable income Add lines 5 6 of column C
Total dividends not eligible for DRD Add lines 2a 2c
Total estimated tax payments
Total net payments to Schedule A line 10
Total of line 1 column C
Total of line 5 column C
Total of line 9 column C
Total property extraction and sales Add lines 4 8 and 12
Total subtractions Add lines 5a 5j
Total subtractions Add lines 6a 6i
Total tax Add lines 4 5
with the preparer (see instructions)
Zip Code
Zip Code
Zip Code
Zip Code