1                                                                                                                                                                                                                                                                           1
 0  0  0  0 20  0  0  0  0  1  1  1  1  1  1  1  1  1  1  2  2  2  2  2  2  2  2  2  2  3  3  3  3  3  3  3  3  3  3  4  4  4  4  4  4  4  4  4  4  5  5  5  5  5  5  5  5  5  5  6  6  6  6  6  6  6  6  6  6  7  7  7  7  7  7  7  7  7  8  8  8  8  8  8  8                        2
 1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5
          3                                                                                                                                                                                                                                                                           3
          4                          Vermont Department of Taxes                                                                                                                                                                                                                      4
          5                                                                                                                                                                                                                                                                           5
          6                                      Form BI-471                                                                                                                                              *234711100*                                                                 6
          7                                                                                                                                                                                                                                                                           7
                       Vermont Business Income Tax Return                                                                                                                                                 *234711100*
          8               for Partnerships, Subchapter S Corporations, and LLCs                                                                                                                                                                                                       8  Page 11
          9                                                                                                                                                                                                                                                                           9
          10                                                                                                                                                                                                                                                                          10
          11        Check                           Name                                Composite                              Accounting                                Initial                             Public Law                             Pro Forma -                       11
                           X        Change                                        X         Return                          X         Period Change                X        Return                     X         86-272 Applies               X     Cannabis
          12        Appropriate                                                                                                                                                                                                                                                       12
          13        Box(es)                         Address                                      Amended                                   Extended                                           Federal                                               Final Return                      13
                           X          Change                                               X          Return                         X            Return                                X             Extension Requested                     X     (Cancels Account)
          14                                                                                                                                                                                                                                                                          14
          15                                                                Entity Name                                                                                                    FEIN                                      Primary 6-digit NAICS number                     15
          16                                                                                                                                                                                                                                                                          16
                   12345678901234567890123456789012(36)     123456789         123456
          17                                                                   Address                                                                                Tax year BEGIN date (YYYYMMDD)                              Tax year END date (YYYYMMDD)                        17
          18                                                                                                                                                                                                                                                                          18
                   12345678901234567890123456789012(36)      20230101         20231231
          19                                                             Address (Line 2)                                                                                                                                                                                             19
          20                                                                                                                                                                                                                                                                          20
                   12345678901234567890123456789012(36)                                                                                                            Federal tax 
          21                                        City                                                     State                ZIP Code                         return filed                                                                                                       21
          22       12345678901234567(21)    12  1234567890         (Check one                                                                                                                       X       1120S                 X      1065                 X   Other               22
          23                                           Foreign Country (if not United States)                                                                      box)                                                                                                               23
          24                                                                                                                                                                                                                                                                          24
                   1234567890123456789012345678(32)
          25                                                                                                                                                                                                                                                                          25 FORM  (Place at FIRST page)
          26      A.                                                          Were any shareholders, partners, or members nonresidents of Vermont during this tax year?  . . . . . . . . . .A.                              X      Yes                    X   No                      26 Form pages 
          27                                                                                                                                                                                                                                                                          27
          28       B.                                                            Did this entity have income or losses derived from at least one state other than Vermont?   . . . . . . . . . . . . B..                    X      Yes                    X   No                      28
          29              If Yes, complete and attach Schedule BI-477 .                                                                                                                                                                                                               29
          30                                                                                                                                                                                                                                                                          30
          31      C.      Net adjustment to income resulting from Vermont’s disallowance of                                                                                                                                                                                           31
                                                                          123456789012345“bonus depreciation” (IRC 168(k))  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .C.  ________________________.00               11 - 12
          32                                                                                                                                                                                                                                                                          32
                  D. 
          33                                                              123456789012345Total number of Shareholders, Partners, or Members  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D.  ____________________________                       33
          34                                                                                                                                                                                                                                                                          34
                   E. 
          35                                                              123456789012345How many are Vermont Residents?  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E.. ____________________________              35
          36                                                                                                                                                                                                                                                                          36
                   F.
          37                                                              123456789012345  How many are Nonresidents?  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F.. ____________________________       37
          38                                                                                                                                                                                                                                                                          38
          39      G.      Check box if 32 V .S .A . § 5920(f), (g), or (h) applies (regarding nonresident estimated payments for affordable housing projects,                                                                                                                         39
                                                                                          Xfederal new market tax credit projects, or publicly traded partnerships) . Attach authorization or documentation  . . . . . . . . . . . . . . . . . . . .G.
          40                                                                                                                                                                                                                                                                          40
          41     TAX COMPUTATION (see instructions):                                                                                                                                 Enter all amounts in whole dollars.                                                              41
          42                                                                                                                                                                                                                                                                          42
          43        Check box if exception                                                          NO VERMONT ACTIVITY /                                                   INVESTMENT CLUB § 5921                                                            IRC § 761               43
                                                                                                    INACTIVE ($0)                                                           ($0)                                                                              ($0)
          44                            to minimum tax applies:                               X                   X                      X                                                                                                                                            44

          45       1.                                                                     123Vermont minimum entity tax ($250) or above exception (See instructions)  . . . . . . . . . . . . . . . . . . . . . . . . 1..  ________________________.00                                45
          46                                                                                                                                                                                                                                                                          46
          47       2.     For non-composite entities                                                                                                                                                                                                                                  47
                               2a.      Nonresident estimated payment requirement 
          48                                               123456789012345   (Schedule BI-472, Line 6)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  .2a.  ________________________.00                                                                                  48
          49                                                                                                                                                                                                                                                                          49
          50                   2b.      Overpayment distributed to owners (ADD Schedule K-1VT,                                                                                                                                                                                        50
                                       Lines 11 and 12  from all schedules, then SUBTRACT   
          51                                               123456789012345   amount from Schedule BI-472, Line 6)  . . . . . . . . . . . . . . . . . 2b. .         ________________________.00                                                                                        51
          52                                                                                                                                                                                                                                                                          52
          53                                                               1234567890123452c. ADD Lines 2a and 2b   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2c.  ________________________.00 53
          54                                                                                                                                                                                                                                                                          54
          55                                                               1234567890123453. For composite entities, Vermont composite tax due (Schedule BI-473, Line 11)  . . . . . . . . . . . . . . . . . . . . 3. .  ________________________.00                                  55
          56                                                                                                                                                                                                                                                                          56
          57       4.                                                          123456789012345Vermont apportionment of entity level taxes (See instructions)   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. . ________________________.00                     57
          58                                                                                                                                                                                                                                                                          58
          59       5.                                                         123456789012345  Use Tax for taxable items on which no sales tax was charged, including online purchases  . . . . . . . . . . . .  .5.  ________________________.00                                     59
          60                                                                                                                                                                                                                                                                          60
          61       6.                                                         123456789012345Total tax due (ADD Lines 1, 2c, 3, 4, and 5)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. . ________________________.00           61
          62                                                                                                                                                                                                                                                                          62
                                                                                                                                                                                                                                        Form BI-471
          63     5454                                                                                                                                                                                                    Page 1 of 2, Rev. 10/23                                      63
 0  0  0  0 640  0  0  0  0 1  1  1  1  1  1  1  1  1  1  2  2  2  2  2  2  2  2  2  2  3  3  3  3  3  3  3  3  3  3  4  4  4  4  4  4  4  4  4  4  5  5  5  5  5  5  5  5  5  5  6  6  6  6  6  6  6  6  6  6  7  7  7  7  7  7  7  7  7  8  8  8  8  8  8  8                        64
 1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5
          65                                                                                                                                                                                                                                                                          65
          66                                                                                                                                                                                                                                                                          66

          1                                                                                                                                                                                                                                                                        1
 0  0  0  0 20  0  0  0  0  1  1  1  1  1  1  1  1  1  1  2  2  2  2  2  2  2  2  2  2  3  3  3  3  3  3  3  3  3  3  4  4  4  4  4  4  4  4  4  4  5  5  5  5  5  5  5  5  5  5  6  6  6  6  6  6  6  6  6  6  7  7  7  7  7  7  7  7  7  8  8  8  8  8  8  8                     2
 1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5
          3                                                                                                                                                                                                                                                                        3
          4                                                           Entity Name                                                                                                                                                                                                  4
          5                                                                                                                                                                                                                                                                        5
                  12345678901234567890123456789012(36)
          6                                   FEIN                                            Fiscal Year Ending (YYYYMMDD)                                                                               *234711200*                                                              6
          7                                                                                                                                                                                                                                                                        7
                    123456789              20231231                                                                                                                                                       *234711200*
          8                                                                                                                                                                                                                                                                        8  Page 12
          9                                                                                                                                                                                                                                                                        9
                 PAYMENTS AND CREDITS                                                                                                                                                Enter all amounts in whole dollars.
          10                                                                                                                                                                                                                                                                       10
          11       7.                                                         123456789012345Prior Year Overpayment Applied  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. . ________________________.00    11
          12                                                                                                                                                                                                                                                                       12
          13       8.                                                         123456789012345Payments with Extension (Form BA-403)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. . ________________________.00           13
          14                                                                                                                                                                                                                                                                       14
          15       9.                                                         123456789012345  Real estate withholding paid for this entity (Form REW-171, REW Schedule A)   . . . . . . . . . . . . . . . . . . .  .9.  ________________________.00                               15
          16                                                                                                                                                                                                                                                                       16
          17      10.                                                         123456789012345  Real estate withholding distributed to this entity by a different company (Schedule K-1VT, Line 12)   . .  .10.  ________________________.00                                        17
          18                                                                                                                                                                                                                                                                       18
          19      11.                                                         123456789012345  Nonresident estimated payments paid by this entity (Form WH-435)  . . . . . . . . . . . . . . . . . . . . . . . . . . . .  .11.  ________________________.00                        19
          20                                                                                                                                                                                                                                                                       20
                  12.    Nonresident estimated payments distributed to this entity by a different company 
          21                                                              123456789012345(Schedule K-1VT, Line 11)   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. . ________________________.00     21
          22                                                                                                                                                                                                                                                                       22
          23      13.                                                         123456789012345Total payments(ADD Lines 7 through 12)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. . ________________________.00               23
          24                                                                                                                                                                                                                                                                       24
          25      RECONCILIATION                                                                                                                                                                                                                                                   25 FORM  (Place atLAST page)
          26                                                               12345678901234514. Balance Due: If Line 6 is greater than Line 13, subtract Line 13 from Line 6 .  . . . . . . . . . . . . . . . . . . . . . 14. . ________________________.00                          26 Form pages 
          27                                                                                                                                                                                                                                                                       27
          28      15.                                                         123456789012345Payment included with this return .  Make check payable toVermont Department of Taxes.  . . . . . . . . 15. .               ________________________.00                               28
          29                                                                                                                                                                                                                                                                       29
                  16.       Overpayment: If Line 6 is less than the sum of Lines 13 and 15,  
          30                                                              123456789012345ADD Lines 13 and 15, then SUBTRACT Line 6.  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16. . ________________________.00                         30
          31                                                                                                                                                                                                                                                                       31
                                                                                                                                                                                                                                                                                      11 - 12
          32      17.                                                         123456789012345  Overpayment to be credited to the next tax year   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  .17.  ________________________.00        32
          33                                                                                                                                                                                                                                                                       33
          34      18.                                                         123456789012345Overpayment to be refunded  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18. . ________________________.00 34
          35                                                                                                                                                                                                                                                                       35
          36     SIGNATURE                                                                                                                                                                                                                                                         36
          37     I hereby certify that I am an officer or authorized agent responsible for the taxpayer’s compliance with the requirements of Vermont Statutes                                                                                                                     37
          38     Annotated, Title 32, and that this return is true, correct, and complete to the best of my knowledge. If prepared by a person other than the                                                                                                                      38
          39     taxpayer,  this  declaration  further  provides  that  under  32  V.S.A.  §  5901,  this  information  has  not  been  and  will  not  be  used  for  any  other                                                                                                  39
                 purpose, or made available to any other person, other than for the preparation of this return unless a separate valid consent form is signed  
          40     by the taxpayer and retained by the preparer.                                                                                                                                                                                                                     40
          41                                                                                                                                                                                                                                                                       41
          42        Signature of Responsible Officer                                                                                                               Date (MM/DD/YYYY)                                           Daytime Telephone Number                            42
          43                                                                                                                                                                                                                                                                       43
          44                                                12 /       31 /                                                                                                                         2023      802-123-1234                                                         44
          45        Printed Name                                                                          Email Address (optional)                                                                                                                                                 45
          46                                                                                                                                                                                                                                                                       46
                  12345678901234567890123   1234567890123456789012345678901234567890123456
          47                                                                                                                                                                                                                                                                       47
          48           X Check if the Vermont Department of Taxes may discuss this return with the preparer shown.                                                                                                                                                                 48
          49                                                                                                                                                                                                                                                                       49
          50        Signature of Paid Preparer                                                                                                                     Date (MM/DD/YYYY)                                           Preparer’s Telephone Number                         50
          51                                                                                                                                                                                                                                                                       51
          52                                                12 /       31 /                                                                                                                         2023      802-123-1234                                                         52
          53        Preparer’s Printed Name                                                               Email Address (optional)                                                                                                                                                 53
          54                                                                                                                                                                                                                                                                       54
                  12345678901234567890123   1234567890123456789012345678901234567890123456
          55        Firm’s Name (or yours if self-employed)                                                                                                        EIN                                                         Preparer’s SSN or PTIN                              55
          56                                                                                                                                                                                                                                                                       56
                  1234567980123456789012345678901234567890   123456789       123456789
          57        Firm’s Address (or yours if self-employed) (Street, City, State, ZIP Code)                                                                                                                                                                                     57
          58      12345678901234567890123456789012345678901234567890123456   X Check if self-employed                                                                                                                                                                              58
          59                                                                                                                                                                                                                                                                       59
          60                      Send return                            Vermont Department of Taxes                                                                                                                                                                               60
          61                      and check to:                          133 State Street                                                                                   For Department Use Only                                                                                61
                                                                                                                                                                                                                                        Form BI-471
          62                                                             Montpelier, VT  05633-1401                                                               Ck. Amt.                                   Init.                            Page 2 of 2                          62

          63     5454                                                                                                                                                                                                                            Rev. 10/23                        63
 0  0  0  0 640  0  0  0  0 1  1  1  1  1  1  1  1  1  1  2  2  2  2  2  2  2  2  2  2  3  3  3  3  3  3  3  3  3  3  4  4  4  4  4  4  4  4  4  4  5  5  5  5  5  5  5  5  5  5  6  6  6  6  6  6  6  6  6  6  7  7  7  7  7  7  7  7  7  8  8  8  8  8  8  8                     64
 1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5
          65                                                                                                                                                                                                                                                                       65
          66                                                                                                                                                                                                                                                                       66