State of Rhode Island Division of Taxation 
     RI-1120C - CGM Schedule 
     Combined Group Member Listing                                 23113799990101

Name                                                               Federal employer identification number

     This schedule is to be filed with Form RI-1120C.

  If this filing is based on a Federal Consolidated return, check the "Federal consolidated election" checkbox to the right.

  List the name, federal employer identification number and address for each Combined Group Member.
                                                                              Top row: street address 
     Combined Group Member (CGM)                          CGM FEIN CGM Address
                                                                              Bottom row: city, state, ZIP
1

  If this Combined Group Member has nexus, check this box:

2

  If this Combined Group Member has nexus, check this box:

3

  If this Combined Group Member has nexus, check this box:

4

  If this Combined Group Member has nexus, check this box:

5

  If this Combined Group Member has nexus, check this box:

6

  If this Combined Group Member has nexus, check this box:

7

  If this Combined Group Member has nexus, check this box:

8

  If this Combined Group Member has nexus, check this box:

9

  If this Combined Group Member has nexus, check this box:

10

  If this Combined Group Member has nexus, check this box:

     Combined schedules must be attached to the return.