May the IRS discuss this return with 

the preparer shown below (see

instructions)?

Year of RIC status C Employer identification number

election

A Name of fund

Please

type or

print

Number, street, and room or suite no. (If a P.O. box, see instructions.) D Total assets (see instructions)

Date fund was established

(see instructions)

B

City or town, state, and ZIP code

$

(1) Final return (3) Address change (4) Amended return

F Check if the fund is a personal holding company (attach Sch. PH) or if the fund is not in compliance with Regs. sec. 1.852-6 for this tax year ©

Part I—Investment Company Taxable Income (see instructions)

1 Dividends 1

2 Interest 2

3 Net foreign currency gain or (loss) from section 988 transactions (attach schedule) 3

4 Payments with respect to securities loans 4

Excess of net short-term capital gain over net long-term capital loss from Schedule D (Form 1120), 

line 12 (attach Schedule D (Form 1120))

5

Income

5

6 Net gain or (loss) from Form 4797, Part II, line 17 (attach Form 4797) 6

7 Other income (see instructions—attach schedule) 7

8 Total income. Add lines 1 through 7 © 8

9 Compensation of officers (Schedule E, line 2) 9

10 10 Salaries and wages (less employment credits)

11 Rents 11

12 12 Taxes and licenses

13 Interest 13

14 Depreciation (attach Form 4562) 14

15 Advertising 15

16 Registration fees 16

17 Insurance 17

18 Accounting and legal services 18

Deductions (see instructions)

19 Management and investment advisory fees 19

20 Transfer agency, shareholder servicing, and custodian fees and expenses 20

21 Reports to shareholders 21

22 Other deductions (see instructions—attach schedule) 22

23 Total deductions. Add lines 9 through 22 © 23

24 Taxable income before deduction for dividends paid. Subtract line 23 from line 8 24

25 Less: Deduction for dividends paid (Schedule A, line 7a) 25

26 Investment company taxable income. Subtract line 25 from line 24 26

27 Total tax (Schedule J, line 7) 27

28a 2008 overpayment credited to 2009 28a

b 2009 estimated tax payments 28b

c Less 2009 refund applied for on Form 4466 28c ( ) d Bal © 28d

e Tax deposited with Form 7004 28e

Credit for tax paid on undistributed capital gains (attach Form 2439) 28f f

Credit for federal tax paid on fuels (attach Form 4136) 28g g

Tax and Payments

29 Estimated tax penalty (see instructions). Check if Form 2220 is attached © 29

30 Amount owed. If line 28i is smaller than the total of lines 27 and 29, enter amount owed 30

31 Overpayment. If line 28i is larger than the total of lines 27 and 29, enter amount overpaid 31

32 32

U.S. Income Tax Return for OMB No. 1545-1010

Regulated Investment Companies

Form1120-RIC

© See separate instructions. Department of the Treasury

Internal Revenue Service

Enter amount from line 31: Credited to 2010 estimated tax ©

For calendar year 2009 or tax year beginning , 2009, and ending , 20

Refunded ©

E Check applicable boxes: (2) Name change

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true,

correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Sign

Here

Signature of officer Date Title

Date Preparer’s SSN or PTIN Preparer’s

signature

Check if

self-employed

Paid

Preparer’s

Use Only

Firm’s name (or

yours if self-employed),

address, and ZIP code

EIN

Phone no. ( )

© Yes No

©

©

©

h Refundable credits from Form 3800, line 19c, and Form 8827, line 8c 28i

2009

28h
Dividends paid in the 12-month period following the close of the tax year

that the fund elects to treat as paid during the tax year under section 855(a)

Form 1120-RIC (2009) Page 2

Part II—Tax on Undistributed Net Capital Gain Not Designated Under Section 852(b)(3)(D)

1 Net capital gain from Schedule D (Form 1120), line 13 (attach Schedule D (Form 1120)) 1

2 Capital gain dividends from Schedule A, line 7b 2

3 Subtract line 2 from line 1 3

4 Qualified timber gain included in the amount reported on line 3 4

Deduction for Dividends Paid (Do not include exempt-interest dividends or capital gain dividends

reported on Form 2438, line 9b; see instructions.)

Dividends paid (other than dividends paid after the end of the tax year). Do 

not include dividends deemed paid in the preceding tax year under section 

852(b)(7) or 855(a), or deficiency dividends as defined in section 860(f)

1

1

2

2

Dividends declared in October, November, or December and deemed

paid on December 31 under section 852(b)(7)

3

3

4 Consent dividends (section 565) (attach Forms 972 and 973) 4

5 Foreign tax paid deduction (section 853(b)(1)(B)), if applicable 5

Information Required With Respect to Income From Tax-Exempt Obligations

Did the fund qualify under section 852(b)(5) to pay exempt-interest dividends for 2009? © Yes No

If “Yes,” complete lines 2 through 5.

Amount of interest excludible from gross income under section 103(a) 2

1

Amounts disallowed as deductions under sections 265 and 171(a)(2) 3

2

Net income from tax-exempt obligations. Subtract line 3 from line 2 4

3

Amount of line 4 designated as exempt-interest dividends

4

5

Compensation of Officers (see instructions for line 9, Part I)

Note: Complete Schedule E only if total receipts (line 8, Part I, plus net capital gain from line 1, Part II, and line 9a,

Form 2438) are $500,000 or more.

(d) Percent of fund

stock owned

(c) Percent of time

devoted to business

(e) Amount of

compensation

(b) Social security

number (a) Name of officer

% %

% %

2 Total compensation of officers. Enter here and on line 9, Part I 2

Tax Computation (see instructions)

1 Check if the fund is a member of a controlled group (attach Schedule O (Form 1120)) ©

2a Tax on investment company taxable income

b

3a 3a

b Credit from Form 8834, line 29 3b

e Total credits. Add lines 3a through 3d 3e

4 Subtract line 3e from line 2d 4

5 5

6

Personal holding company tax (attach Schedule PH (Form 1120))

6

7

Other taxes. Check if from:

7 Total tax. Add lines 4 through 6. Enter here and on page 1, line 27 

Schedule A

Schedule B

Schedule J

Schedule E

1

5

Deduction for dividends paid:

Ordinary dividends. Add lines 1 through 6 of column (a). Enter here and on line 25, Part I

Capital gain dividends. Add lines 1 through 4 of column (b). Enter here

and on line 2, Part II, above

(a) Ordinary dividends (b) Capital gain dividends

7

7a

7b

a

b

c 3c

Form 1120-RIC (2009)

Form 4255 Other (attach schedule)

c

d

Tax on undistributed net capital gain (from Part II, line 8)

Alternative minimum tax (attach Form 4626)

Income tax. Add lines 2a through 2c

2a

2b

2d

2c

d Other credits (attach schedule—see instructions) 3d

Foreign tax credit (attach Form 1118)

General business credit (attach Form 3800)

5 Subtract line 4 from line 3

6 Multiply line 4 by 15% (.15)

7 Multiply line 5 by 35% (.35)

8 Capital gains tax. Add lines 6 and 7. Enter tax here and on line 2b, Schedule J

5

6

7

8

6 Credits from tax credit bonds distributed to shareholders (see instructions) 6
Form 1120-RIC (2009) Page 3

Other Information (see instructions) Yes No

2 At the end of the tax year, did the RIC own, directly or indirectly, 50% or more of the voting stock of a domestic corporation?

(1)

During this tax year, did the fund pay dividends (other than stock dividends and distributions in exchange for stock) in excess 

of the fund’s current and accumulated earnings and profits? (see sections 301 and 316)

If “Yes,” file Form 5452.

Check method of accounting:

Cash

Accrual

Other (specify) ©

Check this box if the fund issued publicly offered debt instruments with original issue discount ©

If checked, the fund may have to file Form 8281.

Enter the amount of tax-exempt interest received or accrued during the tax year. ©

If this return is being filed for a series fund (as defined in section 851(g)(2)), enter

The name of the regulated investment company in which the fund is a series ©

The date the regulated investment company was incorporated or organized ©

Section 853 election. Check this box if the fund meets the requirements of section 853(a) and section 901(k) and elects 

to pass through the deduction or credit for foreign taxes it paid to its shareholders. See the instructions

for additional details and requirements ©

Regulations section 1.852-11 election. Check this box if, for purposes of computing taxable income, the fund elects

under Regulations section 1.852-11(f)(1) to defer all or part of its post-October capital loss or post-October currency

loss for this tax year ©

If the election is made, enter the amounts deferred:

Post-October capital loss ©

Post-October currency loss ©

Schedule K

3

4

a

b

c

5

6

7

8

9

10

12

1

At any time during the tax year, did one foreign person own, directly or indirectly, at least 25% of:

The total voting power of all classes of stock of the fund entitled to vote or

The total value of all classes of stock of the fund?

a

b

a

b

Percentage owned ©

$

(2) Owner’s country ©

The fund may have to file Form 5472. Enter number of Forms 5472 attached ©

a

b

Is the RIC a subsidiary in a parent-subsidiary controlled group?

If “Yes,” enter the employer identification number and the name of the parent corporation©

At the end of the tax year, did any individual, partnership, corporation, estate, or trust own, directly or indirectly, 50% or

more of the RIC’s voting stock? (For rules of attribution, see section 267(c).)

If “Yes,” attach a schedule showing name and identification number. (Do not include any information already entered in 3

above.) Enter percentage owned ©

If “Yes,” attach a schedule showing (a) name and identification number, (b) percentage owned, and (c) taxable income or

(loss) before a net operating loss (NOL) and special deductions of such corporation for the tax year ending with or within your 

tax year. 

If “Yes,” enter:

(For rules of attribution, see section 267(c).)

Form 1120-RIC (2009)

Section 853A election. Check this box if the fund elects under section 853A to pass through credits from tax credit

bonds to its shareholders (see instructions) ©

11
Form 1120-RIC (2009) Page 4

Beginning of tax year End of tax year

(a) (b) (c) (d) Assets

( ) ( ) b Less allowance for bad debts

3 U.S. government obligations

4 Tax-exempt securities (see instructions)

5 Other current assets (attach schedule)

6 Loans to shareholders

7 Mortgage and real estate loans

8 Other investments (attach schedule)

9a Buildings and other fixed depreciable assets

( ) ( ) b Less accumulated depreciation

10 Land (net of any amortization)

11a Intangible assets (amortizable only)

b Less accumulated amortization ( ) ( )

12 Other assets (attach schedule)

13 Total assets

Liabilities and Shareholders’ Equity

14 Accounts payable

15 Mortgages, notes, bonds payable in less than 1 year

16 Other current liabilities (attach schedule)

17 Loans from shareholders

18 Mortgages, notes, bonds payable in 1 year or more

19 Other liabilities (attach schedule)

20 Capital stock

21 Additional paid-in capital

22 Retained earnings—Appropriated (attach schedule)

23 Retained earnings—Unappropriated

25 Less cost of treasury stock ( ) ( )

26 Total liabilities and shareholders’ equity

Reconciliation of Income (Loss) per Books With Income per Return (see instructions)

Schedule M-2 Analysis of Unappropriated Retained Earnings per Books (Schedule L, line 23)

Schedule M-1

Schedule L

Income recorded on books this year not 

included on this return (itemize):

7

Tax-exempt interest

Deductions on this return not charged

against book income this year (itemize):

8

Expenses recorded on books this year not 

deducted on this return (itemize):

5

a Depreciation

b

a Depreciation 

Expenses allocable to tax-exempt interest 

income

b

d Travel and entertainment

9 Net capital gain from Form 2438, line 9a

10 If the fund did not file Form 2438, enter the 

net capital gain from Schedule D (Form

1120), line 13. Otherwise, enter -0-

6 Add lines 1 through 5 

1 Balance at beginning of year 5 Distributions: a Cash 

2 Net income (loss) per books b Stock 

3 Other increases (itemize): c Property 

6 Other decreases (itemize): 

7 Add lines 5 and 6 

4 Add lines 1, 2, and 3 8 Balance at end of year (line 4 less line 7)

1 Net income (loss) per books 

2 Federal income tax (less built-in gains tax)

3 Excess of capital losses over capital gains

Income subject to tax not recorded on 

books this year (itemize): 

4

c Section 4982 tax 

11 Add lines 7 through 10 

12 Investment company taxable income

(line 26, Part I)—line 6 less line 11

1 Cash 

2a Trade notes and accounts receivable 

Deduction for dividends

paid (line 25, Part I)

Note: The fund is not required to complete Schedules M-1 and M-2 if the total assets on Schedule L, line 13, column (d), are less than $25,000.

$

$

$ 

$ 

$ 

Balance Sheets per Books

24 Adjustments to shareholders’ equity (attach schedule)

$

$