Form 5472 2012

Enter all information in Part I OMB No. 1545-0805 Information about Form 5472 and its separate instructions is at www.irs.gov/form5472. Additional Information Yes No If the answers to questions 1 and 2a are Yes were the documents used to support this treatment of the imported goods in existence and available in the United States at the time of filing Form 5472. Cat. No. 49987Y Rev. 12-2012 Form 5472 Rev. 12-2012 Page Related Party see instructions Check applicable box Is the related party a foreign person or U.S. person All reporting corporations must complete this question and the rest of Part III. If a P. O. box see instructions City or town state and ZIP code if a foreign address see instructions 1d Principal business activity 1f Total value of gross payments made or received see instructions reported on this Form 5472 1i Check here if this is a 1j Country of incorporation consolidated filing of Form 5472 1g Total number of Forms 5472 filed for the tax year instructions reported on all Forms 5472 1k Country ies under whose laws the reporting 1l Principal country ies where corporation files an income tax return as a resident business is conducted Check here if at any time during the tax year any foreign person owned directly or indirectly at least 50 of a the total voting power of all classes of the stock of the reporting corporation entitled to vote or b the total value of all classes of stock of the reporting corporation 25 Foreign Shareholder see instructions 1a Name and address of direct 25 foreign shareholder 1b 1 U.S. identifying number if any 1b 2 Reference ID number see 1d Country of citizenship organization or incorporation files an income tax return as a resident shareholder files an income tax return as a resident For Paperwork Reduction Act Notice see instructions. Form Information Return of a 25 Foreign-Owned U*S* Corporation or a Foreign Corporation Engaged in a U*S* Trade or Business Under Sections 6038A and 6038C of the Internal Revenue Code Rev* December 2012 Department of the Treasury For tax year of the reporting corporation beginning Internal Revenue Service Note. and ending English and money items in U*S* dollars. Reporting Corporation see instructions. All reporting corporations must complete Part I. 1a Name of reporting corporation 1b Employer identification number 1c Total assets Number street and room or suite no. 1e Relationship Check boxes that apply Related to 25 foreign shareholder Related to reporting corporation resident Monetary Transactions Between Reporting Corporations and Foreign Related Party see instructions Caution Part IV must be completed if the foreign person box is checked in the heading for Part III. If estimates are used check here Sales of stock in trade inventory. Sales of tangible property other than stock in trade. Platform contribution transaction payments received 5a b Cost sharing transaction payments received. Rents received for other than intangible property rights. Royalties received for other than intangible property rights 5b Sales leases licenses etc* of intangible property rights e*g* patents trademarks secret formulas.