Form 1120S

Department of the Treasury 

Internal Revenue Service 

U.S. Income Tax Return for an S Corporation 

▶ Do not file this form unless the corporation has filed or is

attaching Form 2553 to elect to be an S corporation. 

▶ Information about Form 1120S and its separate instructions is at www.irs.gov/form1120s.

OMB No. 1545-0130 

2012

For calendar year 2012 or tax year beginning , 2012, ending , 20 

TYPE 

OR 

PRINT

Name 

Number, street, and room or suite no. If a P.O. box, see instructions. 

City or town, state, and ZIP code 

A S election effective date 

B Business activity code 

number (see instructions) 

C Check if Sch. M-3 attached 

D Employer identification number 

E Date incorporated

F Total assets (see instructions) 

$ 

G Is the corporation electing to be an S corporation beginning with this tax year? Yes No If “Yes,” attach Form 2553 if not already filed 

H Check if: (1) Final return (2) Name change (3) Address change (4) Amended return (5) S election termination or revocation 

I Enter the number of shareholders who were shareholders during any part of the tax year . . . . . . . . . ▶

Caution. Include only trade or business income and expenses on lines 1a through 21. See the instructions for more information. Income 

1 a Gross receipts or sales . . . . . . . . . . . . . . . 1a

b Returns and allowances . . . . . . . . . . . . . . 1b 

c Balance. Subtract line 1b from line 1a . . . . . . . . . . . . . . . . . . . 1c 

2 Cost of goods sold (attach Form 1125-A) . . . . . . . . . . . . . . . . . . 2 

3 Gross profit. Subtract line 2 from line 1c . . . . . . . . . . . . . . . . . . 3 

4 Net gain (loss) from Form 4797, line 17 (attach Form 4797) . . . . . . . . . . . . 4 

5 Other income (loss) (see instructions—attach statement) . . . . . . . . . . . . . 5 

6 Total income (loss). Add lines 3 through 5 . . . . . . . . . . . . . . . . ▶ 6 

Deductions (see instructions for limitations) 

7 Compensation of officers . . . . . . . . . . . . . . . . . . . . . . . 7 

8 Salaries and wages (less employment credits) . . . . . . . . . . . . . . . . 8 

9 Repairs and maintenance . . . . . . . . . . . . . . . . . . . . . . . 9 

10 Bad debts . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 

11 Rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 

12 Taxes and licenses . . . . . . . . . . . . . . . . . . . . . . . . . 12 

13 Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 

14 Depreciation not claimed on Form 1125-A or elsewhere on return (attach Form 4562) . . . . 14 

15 Depletion (Do not deduct oil and gas depletion.) . . . . . . . . . . . . . . . 15 

16 Advertising . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 

17 Pension, profit-sharing, etc., plans . . . . . . . . . . . . . . . . . . . . 17 

18 Employee benefit programs . . . . . . . . . . . . . . . . . . . . . . 18 

19 Other deductions (attach statement) . . . . . . . . . . . . . . . . . . . 19 

20 Total deductions. Add lines 7 through 19 . . . . . . . . . . . . . . . . ▶ 20 

21 Ordinary business income (loss). Subtract line 20 from line 6 . . . . . . . . . . . 21 

Tax and Payments 

22 a Excess net passive income or LIFO recapture tax (see instructions) . . 22a 

b Tax from Schedule D (Form 1120S) . . . . . . . . . . . 22b 

c Add lines 22a and 22b (see instructions for additional taxes) . . . . . . . . . . . . 22c 

23a 2012 estimated tax payments and 2011 overpayment credited to 2012 23a 

b Tax deposited with Form 7004 . . . . . . . . . . . . 23b 

c Credit for federal tax paid on fuels (attach Form 4136) . . . . . 23c 

d Add lines 23a through 23c . . . . . . . . . . . . . . . . . . . . . . 23d 

24 Estimated tax penalty (see instructions). Check if Form 2220 is attached . . . . . . ▶ 24 

25 Amount owed. If line 23d is smaller than the total of lines 22c and 24, enter amount owed . . 25 

26 Overpayment. If line 23d is larger than the total of lines 22c and 24, enter amount overpaid . . 26 

27 Enter amount from line 26 Credited to 2013 estimated tax ▶ Refunded ▶ 27 

Sign 

Here

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. 

▲

Signature of officer Date ▲

Title

May the IRS discuss this return 

with the preparer shown below 

(see instructions)? Yes No

Paid 

Preparer 

Use Only

Print/Type preparer’s name Preparer's signature Date

Check if 

self-employed

PTIN

Firm’s name ▶ Firm's EIN ▶

Firm's address ▶ Phone no.

For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 11510H Form 1120S (2012) 
Form 1120S (2012) Page 2 

Schedule B Other Information (see instructions) 

1 Check accounting method: a Cash b Accrual Yes No 

c Other (specify) ▶

2 See the instructions and enter the: 

a Business activity ▶ b Product or service ▶

3 At any time during the tax year, was any shareholder of the corporation a disregarded entity, a trust, an estate, or a 

nominee or similar person? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4 At the end of the tax year, did the corporation:

a Own directly 20% or more, or own, directly or indirectly, 50% or more of the total stock issued and outstanding of any 

foreign or domestic corporation? For rules of constructive ownership, see instructions. If “Yes,” complete (i) through (v) 

below . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(i) Name of Corporation (ii) Employer Identification Number 

(if any)

(iii) Country of 

Incorporation

(iv) Percentage of Stock 

Owned

(v) If Percentage in (iv) is 100%, Enter the 

Date (if any) a Qualified Subchapter S 

Subsidiary Election Was Made

b Own directly an interest of 20% or more, or own, directly or indirectly, an interest of 50% or more in the profit, loss, or 

capital in any foreign or domestic partnership (including an entity treated as a partnership) or in the beneficial interest of a 

trust? For rules of constructive ownership, see instructions. If “Yes,” complete (i) through (v) below . . . . . . .

(i) Name of Entity (ii) Employer Identification Number 

(if any) (iii) Type of Entity (iv) Country of Organization

(v) Maximum Percentage Owned in Profit, 

Loss, or Capital

5 a At the end of the tax year, did the corporation have any outstanding shares of restricted stock? . . . . . . . .

If “Yes,” complete lines (i) and (ii) below.

(i) Total shares of restricted stock . . . . . . . . . ▶

(ii) Total shares of non-restricted stock . . . . . . . . ▶

b At the end of the tax year, did the corporation have any outstanding stock options, warrants, or similar instruments? .

If “Yes,” complete lines (i) and (ii) below.

(i) Total shares of stock outstanding at the end of the tax year ▶

(ii) Total shares of stock outstanding if all instruments were executed ▶

6 Has this corporation filed, or is it required to file, Form 8918, Material Advisor Disclosure Statement, to provide 

information on any reportable transaction? . . . . . . . . . . . . . . . . . . . . . . . .

7 Check this box if the corporation issued publicly offered debt instruments with original issue discount . . . . ▶

If checked, the corporation may have to file Form 8281, Information Return for Publicly Offered Original Issue Discount 

Instruments. 

8 If the corporation: (a) was a C corporation before it elected to be an S corporation or the corporation acquired an 

asset with a basis determined by reference to the basis of the asset (or the basis of any other property) in 

the hands of a C corporation and (b) has net unrealized built-in gain in excess of the net recognized built-in gain 

from prior years, enter the net unrealized built-in gain reduced by net recognized built-in gain from prior years (see 

instructions) . . . . . . . . . . . . . . . ▶ $ 

9 Enter the accumulated earnings and profits of the corporation at the end of the tax year. $ 

10 Does the corporation satisfy both of the following conditions?

a The corporation’s total receipts (see instructions) for the tax year were less than $250,000 . . . . . . . . . .

b The corporation’s total assets at the end of the tax year were less than $250,000 . . . . . . . . . . . .

If “Yes,” the corporation is not required to complete Schedules L and M-1.

11 During the tax year, did the corporation have any non-shareholder debt that was canceled, was forgiven, or had the 

terms modified so as to reduce the principal amount of the debt? . . . . . . . . . . . . . . . . .

If “Yes,” enter the amount of principal reduction $ 

12 During the tax year, was a qualified subchapter S subsidiary election terminated or revoked? If “Yes,” see instructions .

13 a Did the corporation make any payments in 2012 that would require it to file Form(s) 1099? . . . . . . . . . .

b If “Yes,” did the corporation file or will it file required Forms 1099? . . . . . . . . . . . . . . . . .

Form 1120S (2012) 
Form 1120S (2012) Page 3 

Schedule K Shareholders’ Pro Rata Share Items Total amount Income (Loss) 

1 Ordinary business income (loss) (page 1, line 21) . . . . . . . . . . . . . . 1 

2 Net rental real estate income (loss) (attach Form 8825) . . . . . . . . . . . . 2 

3a Other gross rental income (loss) . . . . . . . . . . 3a 

b Expenses from other rental activities (attach statement) . . 3b 

c Other net rental income (loss). Subtract line 3b from line 3a . . . . . . . . . . 3c 

4 Interest income . . . . . . . . . . . . . . . . . . . . . . . . 4 

5 Dividends: a Ordinary dividends . . . . . . . . . . . . . . . . . . . 5a 

b Qualified dividends . . . . . . . . . . 5b 

6 Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . 6 

7 Net short-term capital gain (loss) (attach Schedule D (Form 1120S)) . . . . . . . . 7 

8 a Net long-term capital gain (loss) (attach Schedule D (Form 1120S)) . . . . . . . . 8a 

b Collectibles (28%) gain (loss) . . . . . . . . . . . 8b 

c Unrecaptured section 1250 gain (attach statement) . . . . 8c 

9 Net section 1231 gain (loss) (attach Form 4797) . . . . . . . . . . . . . . 9 

10 Other income (loss) (see instructions) . . Type ▶ 10 

Deductions 

11 Section 179 deduction (attach Form 4562) . . . . . . . . . . . . . . . . 11 

12 a Charitable contributions . . . . . . . . . . . . . . . . . . . . . 12a 

b Investment interest expense . . . . . . . . . . . . . . . . . . . . 12b 

c Section 59(e)(2) expenditures (1) Type ▶ (2) Amount ▶ 12c(2) 

d Other deductions (see instructions) . . . Type ▶ 12d

Credits 

13a Low-income housing credit (section 42(j)(5)) . . . . . . . . . . . . . . . 13a 

b Low-income housing credit (other) . . . . . . . . . . . . . . . . . . 13b 

c Qualified rehabilitation expenditures (rental real estate) (attach Form 3468) . . . . . . 13c 

d Other rental real estate credits (see instructions) Type ▶ 13d 

e Other rental credits (see instructions) . . . Type ▶ 13e 

f Alcohol and cellulosic biofuel fuels credit (attach Form 6478) . . . . . . . . . . 13f 

g Other credits (see instructions) . . . . . Type ▶ 13g 

Foreign Transactions 

14a Name of country or U.S. possession ▶

b Gross income from all sources . . . . . . . . . . . . . . . . . . . 14b 

c Gross income sourced at shareholder level . . . . . . . . . . . . . . . 14c 

Foreign gross income sourced at corporate level

d Passive category . . . . . . . . . . . . . . . . . . . . . . . 14d 

e General category . . . . . . . . . . . . . . . . . . . . . . . 14e 

f Other (attach statement) . . . . . . . . . . . . . . . . . . . . . 14f 

Deductions allocated and apportioned at shareholder level 

g Interest expense . . . . . . . . . . . . . . . . . . . . . . . . 14g 

h Other . . . . . . . . . . . . . . . . . . . . . . . . . . . 14h 

Deductions allocated and apportioned at corporate level to foreign source income 

i Passive category . . . . . . . . . . . . . . . . . . . . . . . 14i 

j General category . . . . . . . . . . . . . . . . . . . . . . . 14j 

k Other (attach statement) . . . . . . . . . . . . . . . . . . . . . 14k 

Other information 

l Total foreign taxes (check one): ▶ Paid Accrued . . . . . . . . . . 14l 

m Reduction in taxes available for credit (attach statement) . . . . . . . . . . . 14m 

n Other foreign tax information (attach statement) 

Alternative 

Minimum Tax 

(AMT) Items 

15 a Post-1986 depreciation adjustment . . . . . . . . . . . . . . . . . . 15a 

b Adjusted gain or loss . . . . . . . . . . . . . . . . . . . . . . 15b 

c Depletion (other than oil and gas) . . . . . . . . . . . . . . . . . . 15c 

d Oil, gas, and geothermal properties—gross income . . . . . . . . . . . . . 15d 

e Oil, gas, and geothermal properties—deductions . . . . . . . . . . . . . . 15e 

f Other AMT items (attach statement) . . . . . . . . . . . . . . . . . . 15f 

Items Affecting 

Shareholder 

Basis 

16 a Tax-exempt interest income . . . . . . . . . . . . . . . . . . . . 16a 

b Other tax-exempt income . . . . . . . . . . . . . . . . . . . . . 16b 

c Nondeductible expenses . . . . . . . . . . . . . . . . . . . . . 16c 

d Distributions (attach statement if required) (see instructions) . . . . . . . . . . 16d 

e Repayment of loans from shareholders . . . . . . . . . . . . . . . . . 16e 

Form 1120S (2012) 
Form 1120S (2012) Page 4 

Schedule K Shareholders’ Pro Rata Share Items (continued) Total amount Other Information 

17a Investment income . . . . . . . . . . . . . . . . . . . . . . . 17a 

b Investment expenses . . . . . . . . . . . . . . . . . . . . . . 17b 

c Dividend distributions paid from accumulated earnings and profits . . . . . . . . 17c 

d Other items and amounts (attach statement)

Reconciliation 

18 Income/loss reconciliation. Combine the amounts on lines 1 through 10 in the far right 

column. From the result, subtract the sum of the amounts on lines 11 through 12d and 14l 18 

Schedule L Balance Sheets per Books Beginning of tax year End of tax year 

( ) ( )

( ) ( )

( ) ( )

( ) ( )

( ) ( )

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

1 Cash . . . . . . . . . . . . .

2a Trade notes and accounts receivable . . .

b Less allowance for bad debts . . . . . .

3 Inventories . . . . . . . . . . .

4 U.S. government obligations . . . . . .

5 Tax-exempt securities (see instructions) . .

6 Other current assets (attach statement) . . .

7 Loans to shareholders . . . . . . . .

8 Mortgage and real estate loans . . . . .

9 Other investments (attach statement) . . .

10a Buildings and other depreciable assets . . .

b Less accumulated depreciation . . . . .

11a Depletable assets . . . . . . . . .

b Less accumulated depletion . . . . . .

12 Land (net of any amortization) . . . . . .

13a Intangible assets (amortizable only) . . . .

b Less accumulated amortization . . . . .

14 Other assets (attach statement) . . . . .

15 Total assets . . . . . . . . . . .

Liabilities and Shareholders’ Equity 

16 Accounts payable . . . . . . . . .

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

18 Other current liabilities (attach statement) . .

19 Loans from shareholders . . . . . . .

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

21 Other liabilities (attach statement) . . . .

22 Capital stock . . . . . . . . . . .

23 Additional paid-in capital . . . . . . .

24 Retained earnings . . . . . . . . .

25 Adjustments to shareholders’ equity (attach statement) 

26 Less cost of treasury stock . . . . . .

27 Total liabilities and shareholders’ equity . .

Form 1120S (2012) 
Form 1120S (2012) Page 5 

Schedule M-1 Reconciliation of Income (Loss) per Books With Income (Loss) per Return 

Note. Schedule M-3 required instead of Schedule M-1 if total assets are $10 million or more—see instructions 

1 Net income (loss) per books . . . . . .

2 Income included on Schedule K, lines 1, 2, 3c, 4, 

5a, 6, 7, 8a, 9, and 10, not recorded on books this

year (itemize)

3 Expenses recorded on books this year not 

included on Schedule K, lines 1 through 12 and 

14l (itemize): 

a Depreciation $ 

b Travel and entertainment $ 

4 Add lines 1 through 3 . . . . . . . .

5 Income recorded on books this year not included 

on Schedule K, lines 1 through 10 (itemize): 

a Tax-exempt interest $ 

6 Deductions included on Schedule K, 

lines 1 through 12 and 14l, not charged 

against book income this year (itemize): 

a Depreciation $ 

7 Add lines 5 and 6 . . . . .

8 Income (loss) (Schedule K, line 18). Line 4 less line 7

Schedule M-2 Analysis of Accumulated Adjustments Account, Other Adjustments Account, and Shareholders’ 

Undistributed Taxable Income Previously Taxed (see instructions) 

( )

( ) ( )

(a) Accumulated

adjustments account 

(b) Other adjustments

account 

(c) Shareholders’ undistributed 

taxable income previously taxed 

1 Balance at beginning of tax year . . . . .

2 Ordinary income from page 1, line 21 . . .

3 Other additions . . . . . . . . . .

4 Loss from page 1, line 21 . . . . . . .

5 Other reductions . . . . . . . . . .

6 Combine lines 1 through 5 . . . . . . .

7 Distributions other than dividend distributions 

8 Balance at end of tax year. Subtract line 7 from line 6 

Form 1120S (2012)