Hawaii Affiliations Schedule (Rev. 2004)

Affiliations Schedule (Rev. 2004)
Form N-304, Rev. 2017, Affiliations Schedule
Clear Form

Affiliations Schedule

FORM

N-304

(To be filed with each consolidated income tax return)
(Consolidated returns are allowed for domestic (Hawaii) corporations only.)
Taxable Year Ended 	
, 	

(REV. 2017)
Common parent corporation 	

Federal Employer I.D. No.

Mailing Address (Number and street)
	
City or town, State, and Postal/ZIP Code

NO.

PREPAYMENT
FEDERAL EMPLOYER
CREDITS
IDENTIFICATION
Portion
of estimated tax
NUMBER
credits

NAME AND MAILING ADDRESS OF CORPORATION
Common Parent Corporation

	 1	
Subsidiary Corporations:
	 2	
	 3
	 4
	 5
	 6
	 7
	 8
	 9
	 10
Totals (Must equal amount shown on Form N-30)

NO.

PRINCIPAL BUSINESS ACTIVITY

   Did the subsidiary
  make any nondividend
   distributions?

Capital Stock
Outstanding at
Beginning of Year

Stock Holdings at Beginning of Year

		Percent		Owned by
	Number	
voting	
Percent	 corporation
power	
of value	
number—
Nonvoting 	 of shares	

Number of shares
	Yes	

No

	Voting	

Common Parent Corporation:
	 1	
Subsidiary Corporations:
	 2	
	 3
	 4
	 5
	 6
	 7
	 8
	 9
	 10
Nonvoting stock which is limited and preferred as to dividends should not be shown, but information relative to the nature of the limitation and preference as to dividends should be furnished on back
under “Remarks” regarding all classes of nonvoting stock not shown.
If more than one class of nonvoting stock is outstanding, the number of shares of each class should be shown.
List all corporations which at any time during the taxable year were members of the affiliated group. If any corporation was not in existence at the beginning of the year, show the stock outstanding
at date issued.
FORM N-304

FORM N-304
(REV. 2017)

CHANGES IN STOCK HOLDINGS DURING THE YEAR
	

CORPORATION	

No.

Name

CHANGES IN STOCK HOLDINGS DURING THE YEAR
STOCKHOLDER
(Corporation
No.)*

Changes
		Shares acquired
   Shares disposed of
Date

		Shares held at
		 end of year
	Voting		
Nonvoting

	Voting		
Nonvoting 	Voting		
Nonvoting 	Percent
	voting		Percent
	 power		 of value

*The numbers used must agree with the corporation number on front.
In case additional stock was issued, or if any stock was retired during the year, dates and amounts of such transactions should be shown.
If the equitable owners of any capital stock shown above were other than the holders of record, full details must be given.
Remarks: 	
	
	
	
	
	
	
SIGNATURE
I declare, under the penalties set forth in section 231-36, HRS, that the above information and statements have been examined by me and are, to the
best of my knowledge and belief, true, correct, and complete for the taxable year as stated.

	

Signature of Officer				

Title		

Date

An affiliated group of corporations, within the meaning of section 235-92(2), HRS, (IRC section 1504) is formed at the time that the common parent corporation which is
an includible corporation becomes the owner directly of stock possessing at least 80 percent of the voting power of all classes of stock and at least 80 percent of each class
of the nonvoting stock (not including nonvoting stock which is limited and preferred as to dividends) of another includible corporation. A corporation becomes a member of
such an affiliated group at the time that one or more members of such group become the owners directly of stock possessing at least 80 percent of the voting power of all
classes of its stock and at least 80 percent of each class of its nonvoting stock (not including nonvoting stock which is limited and preferred as to dividends). A corporation
ceases to be a member of such an affiliated group at the time the members of such group cease to own directly stock possessing at least 80 percent of the voting power
of all classes of its stock, or at least 80 percent of each class of its nonvoting stock (not including stock which is limited and preferred as to dividends).