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Michigan Department of Treasury                                                                                                                                                       Attachment 10 
4897 (Rev. 03-22) 

2022 MICHIGAN Corporate Income Tax Data on Unitary Business Group Members 
Issued under authority of Public Act 38 of 2011. 
Complete a separate copy of this schedule for each standard taxpayer member of the UBG, with or without nexus. 
1. Designated Member Name                                                                             2. Designated Member FEIN 

3. Member Name                                                                                        4. Member FEIN 

5. Member Street Address 
                                                                                                      6a. Check if a special sourcing                                                 6b. Check 
City                                                       State     ZIP/Postal Code Country Code         formula for transportation                                                      if a new 
                                                                                                          services is used in the                                                         member. 
                                                                                                          sourcing of Sales to MI 
                                                           Beginning        Ending 
                                                                                                          Check if nexus                                                              Check if member 
7.  Federal tax period included in return                                                             9a. with Michigan.                                                          9b. only by Affiliated 
     (MM-DD-YYYY) ........................................                                                                                                                            Group Election. 
8.  If part-year member, enter                                                                        10.  NAICS (North American Industry Classification System) Code 
     membership dates (MM-DD-YYYY)  ......... 
Business and Capital Loss Carryforward — Lines 11 and 12, enter as a positive number. 
11.  DM or new member: Available CIT business loss carryforward from previous period’s CIT return (see instr.) ...  11.                                                                         00 
12.  Carryback or carryover of a capital loss  ..............................................................................................................  12.                              00 
Sales and Gross Receipts 
13.  Michigan sales. (If no Michigan sales, enter zero.)  .............................................................................................  13.                                    00 
14.  Proportionate Michigan sales from unitary Flow-Through Entities (FTEs)  ..........................................................  14.                                                    00 
15.  Michigan sales eliminations (see instructions)  ....................................................................................................  15.                                  00 
16.  Total sales............................................................................................................................................................  16.               00 
17.  Proportionate total sales from unitary FTEs  ........................................................................................................  17.                                 00 
18.  Total sales eliminations (see instructions)  ...........................................................................................................  18.                              00 
19a.  Gross receipts from corporate activities (see instructions) .................................................................................. 19a.                                       00 
19b.  Group eliminations from gross receipts for this member (see instructions)......................................................... 19b.                                                   00 
20.  Apportioned gross receipts from FTEs ................................................................................................................  20.                                 00 
Member Business Income 
21.  Federal taxable income (Amount includes agricultural activities. See instructions.)  ...........................................  21.                                                      00 
22.  Miscellaneous (see instructions)  .........................................................................................................................  22.                           00 
23.  Adjustments due to decoupling of Michigan depreciation from IRC § 168(k). If negative, enter as negative: 
     a.  Net bonus depreciation adjustment ....................................................  23a.                00 
     b.  Gain/loss adjustment on sale of eligible depreciable asset(s) ............  23b.                            00 
     c.  Add lines 23a and 23b.  If negative, enter as negative.................................................................................  23c.                                          00 
24.  Group eliminations from business income for this member (see instructions)  ....................................................  24.                                                      00 
25.  Business Income. Add lines 21, 22 and 23c, and subtract line 24. If negative, enter as negative ....................  25.                                                                  00 
Additions to Business Income 
26.  Interest income and dividends derived from obligations or securities of states other than Michigan ...................                                       26.                           00 
27.  Taxes on or measured by net income including tax imposed under CIT  ..............................................................  27.                                                    00 
28.  Any carryback or carryover of a federal net operating loss (enter as a positive number) .....................................  28.                                                         00 
29.  Royalty, interest, and other expenses paid to a related person that is not a member of this UBG .......................  29.                                                               00 
30.  Miscellaneous (see instructions)  .........................................................................................................................  30.                           00 
Subtractions from Business Income 
31.  Income from non-unitary FTEs (Enter loss as negative; include Form 4898; see instructions)  ..................................                               31.                           00 
32.  Dividends and royalties received from persons other than U.S. persons and foreign operating entities  ............  32.                                                                    00 
33.  Interest income derived from United States obligations  ......................................................................................  33.                                        00 
34.  Miscellaneous (see instructions)  .........................................................................................................................  34.                           00 
Payments 
35.  Overpayment credited from prior period return (MBT or CIT)  .............................................................................  35.                                             00 
36.  Estimated tax payments  ......................................................................................................................................  36.                        00 
37.  Tax paid with request for extension  .....................................................................................................................  37.                            00 
38.  Michigan tax withheld  ..........................................................................................................................................  38.                     00 

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                                                                      Instructions for Form 4897 
               Corporate Income Tax (CIT) Data on Unitary Business Group Members 
                                                                                                             reported       on  the  combined return                    supported          by    this  form.                If   
Purpose 
                                                                                                                a member        (other         than     the   DM)  has  two or             more       tax  periods           
The    purpose  of this         form            is to  gather  tax return         data      on             a ending      with  or  within the              filing     period       of  the    return,   use                 a   
separate   basis  for each          standard       member        included         in the                     separate copy              of Form 4897           for    each           of that member’s       periods.      
combined  return.  
                                                                                                             FOREIGN MEMBERS:                                   Complete  the address                  fields    as          
Refund Only:                 If combined  apportioned or                allocated        gross               follows: 
receipts   of  all members              (after  eliminations)         is less     than                    
$350,000,          or if total  annual  liability      of all  members      is less  than                           Address:                                                                                      
                                                                                                                                      Enter the street address for this taxpayer.
or   equal  to  $100, and         the     taxpayer            is filing  the         CIT Annual                     City:  Enter  the  city name                      for     this   taxpayer.        DO    NOT                 
Return (Form  4891)  solely      to claim      arefund                      of payments  made,                      include the            country         name            in this field.   
the  CIT Unitary Business Group Affiliates Excluded from the 
Return of Standard Taxpayers                         (Form  4896),                  if applicable,                  State:                                                                                                     
                                                                                                                                Enter the two-letter state   or province abbreviation. 
                                                                                                                            If there      is no applicable       two-letter           abbreviation,         leave   this     
and   Form  4897  must be               included.      The   Designated           Member                  
(DM)   must        complete             a separate     copy        of Form     4897  for  each                      field                  
                                                                                                                             blank.
member      of the        Unitary       Business  Group  (UBG), and                    one      copy                ZIP/Postal Code: Enter the                           ZIP    Code             or Postal Code.       
of Form       4896         if applicable. See        Form 4891         for   instructions             on   
completing that            form.                                                                                    Country Code:                                                                                              
                                                                                                                                                        Enter the       two-letter         country      code                   
                                                                                                                    provided      in this tax              booklet.      
Member         information from           Form      4897     will be    totaled                           
and   carried  to Form            4891    of  the  UBG’s      return.       (For the                         Line 6a:                                                                                                          
                                                                                                                              Check this box                  if the taxpayer has                receipts       from           
relationships        between  lines on          this    form   and      lines  on Form                       transportation                                                                                                    
                                                                                                                                     services. To calculate                    Michigan          Sales  from                   
4891, see       the  “Totaling       Member         Information”          chart              at the end      Transportation                                                                                                    
                                                                                                                                     Services, see the                 instructions           in Form      4891,               
of these      form   instructions.)                                                                          line                                                                                                              
                                                                                                                    9, and the “Sourcing   of Sales   to Michigan” section   of the 
                                                                                                             general instructions                     in Form 4890.         
Role of the Designated Member: The DM                             speaks,       acts,      and     files   
the  CIT  return  on  behalf      of the  UBG  for  CIT  purposes.  Only  the                                Line                                                                                                           
                                                                                                                     7:  List the member’s                    tax    year      for   federal     income       tax           
DM     may     file      a valid  extension        request  for  the  UBG. Treasury                          purposes                                                                                                          
                                                                                                                             from which business activity   is being reported on this 
maintains      the  UBG’s  CIT tax              data   (e.g.,  prior    CIT       returns,                   copy                               
                                                                                                                      of Form 4897. 
overpayment credit             forward)      under      the  DM’s    name       and       FEIN.              Line  8:   If     the   control            test  and  relationship test              were     not   both           
                                                                                                             satisfied      for  this  member’s entire                  federal         tax  year,    enter     the             
General Information About UBGs in CIT                                                                        beginning and          ending          dates           of the period        within       this  member’s         
                                                                                                             federal  tax  year during                which        both    tests     were     satisfied.              If this  
For   information  on  determining the                  existence                     of a UBG,      see                  was     not   a   member               of the UBG         for  this     member’s        entire        
                                                                                                             member
the   General  Instructions in            the          CIT Forms and Instructions                            federal     tax  year,  enter the             beginning           and      ending    dates               of the  
for a  Standard  Taxpayer                   (Form  4890),  in the           section        titled                        within    this  member’s federal                      tax   year     during    which               it   
                                                                                                             period
“Determining the              Existence      and    Membership                    of a UBG.”                           a member      of the UBG.               These         dates       constitute           a short tax       
                                                                                                             was
                                                                                                             period      for  CIT  purposes, even                           if there          is no  corresponding              
Line-by-Line Instructions                                                                                    short   federal  tax period.                This      member         must     prepare                    a pro     
NOTE:  The  DM  also must                   complete        a copy      of Form          4897                forma  federal  return for                 the   portion                of its  federal    year  during            
using      ownits     data.                                                                                  which      it was      a UBG member,                   and   use      that  pro      forma      return         as   
                                                                                                             the  basis  for  reporting  the  tax  data. 
NOTE:  Any  member  that  does  not  file a      separate  federal  return  
(e.g.,       a member  that  also          is amember of      an  affilated  group  that                     Line 9a:             If this  member  has  nexus  with  Michigan,  check  this  
elects      tofile a      federal consolidated       return)   must      prepare         a pro               box  (with      an X). 
forma   federal  return  or equivalent                 schedule       and   use      it      as the          Line 9b: For informational                      and  statistical  purposes,  check  (with  
basis  for  preparing      itsportion of   the           CIT  return.                                        an  X)  this  box      if the  following  two  conditions  exist:   
NOTE:    If        any    member      of the  group is      reporting a      period of                          1)   The  group      to which  this  member  belongs          is a UBG      by way  
less   than  12  months with              this  group   return,       annualize          gross                      of the      Affiliated         Group       Election         (line    7b       on  Form       4891       is   
receipts  for  that member              and  combine         those    annualized            gross                   filled), AND              
receipts  with  the gross          receipts     of      the UBG     to      determine if a          
filing  requirement  exists  for  the  group.  Do not enter annualized                                          2)   The  member  for  which  this  form      is being  filed  does  NOT  
amounts  on  this  form.  Annualized  amounts  will  be  entered  on                                                meet   both  the  UBG relationship                         and      traditional     control                 
Form  4891  for  the  group.                                                                                        tests. 
                                                                                                             See   the  instructions for                Form       4891       for  further       information                 
Part 1: Member Identification
                                                                                                             about     the  election.                If this  box          is checked,       Form  4891,  line              7   
Include       a separate  copy of           Form       4897   for  each       member,                        MUST contain      a date.  Once                     an    election            is made, every        person         
including   the  DM,  whose business                    activity      is      required to be                 that   meets  the  definition                      of “affiliated       group,”      which  includes               

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meeting  the affiliated                 group  ownership test,                        is a member      of the       4891 filed          by that member         on   a   stand      alone     basis.    
UBG   by  way  of the                Affiliated       Group       Election        (i.e.,     criterion             
                                                                                                                    When      a new,       incoming  member created                             a CIT    business  loss                
#1      is met).     The   ownership  test  for an                affiliated        group       may     be         
                                                                                                                    carryforward  from   a   CIT           tax   period            prior        to joining the     current             
different   than  the  control test                  for    non-affiliated          group       UBGs.              
                                                                                                                    tax year    UBG,        the  carryforward            on     that   member’s              account        will        
Further,  the  determination      of members          of a CIT  affiliated  group  
                                                                                                                    be     used  by  the current        year    group       until                  it is fully   consumed  
   is made       without         regard      to whether        the     relationship           test      is met.  
                                                                                                                    (or    that  member  leaves the            group).         This     will    be  based        upon               
For   informational  and statistical                     purposes,       please          indicate                  
                                                                                                                    accurate reporting               of the incoming            member’s         loss     carryforward              
whether      the     member  for  which this                  form             is filed      would      meet  
                                                                                                                    on  its  copy          of the  current     year  group’s  Form  4897,  line 11,                                 as   
the traditional        UBG           tests    had    the     group     not   made         the    Affiliated     
                                                                                                                    explained        in  the  bulleted section              of  the   line    11  instructions.                         
Group  Election. 
                                                                                                                    When      a member         that  generated                 a business       loss  carryforward                     
Line  10: Enter  the  member’s  six-digit  North  American  Industry                                                in      a prior  period leaves       the    group,         that   member          will take                        
Classification   System  (NAICS) code.                            For             a complete  list of               with      it an  amount equal         to   the   group’s          remaining          business                      
six-digit  NAICS  codes,  see  the  U.S.  Census  Bureau  Web  site      at                                         loss   carryforward  from that              period         multiplied         by     the   amount                  
www.census.gov/naics/. Enter  the  same  NAICS  code  used  when                                                    that   member  contributed and               divided            by  the  total  amount                              
filing  Schedule          K of federal  Form  1120.                                                                 contributed  by  all  group  members  for  the  carryforward      in that  
                                                                                                                    same  period. 
Line 11:  Enter  any  unused  CIT  business  loss  carryforward  that  
was  reported  on  the  CIT  return  for  the  immediately  preceding                                                      If these  instructions       are  not    followed          carefully,  business  loss                    
tax period       on    the     appropriate           group     member        copy               of this form        carryforward  available  for  use  by  the  group      in the  current  filing  
as explained          on  the        bulleted    section        below.       Only         CIT       business        period  will      be miscalculated.          It is important      to review      abusiness                      
losses     that  were incurred               after    December         31,  2011          may        be             loss     carryforward  for  the  possibility that                   some                or all          of it has  
entered on       this    line.                                                                                      expired,      or that some           or all          of it was withdrawn           from     the     group       
                                                                                                                    by      a parting member.       
Business loss means      a negative business                            income          tax    base     after    
allocation      or apportionment. The                        business     loss       will      be     carried       Loss  carryforward consumed                 on                a return      is always        the   oldest  
forward      to the        year  immediately succeeding                     the        loss     year   as           available     on  that return,       regardless            of whether          the oldest                          
an offset          to the allocated                or apportioned Business                 Income          Tax      loss     was  generated by        the    group,         brought       by an       incoming                         
base, then     successively                  to the next       nine    taxable       years       following          member,      or acquired by               a member      of the group               via     IRC         § 381.  
the loss    year           or until the    loss          is used up,    whichever           occurs      first,      For      a loss  acquired  via IRC                 § 381        transaction,  the years                of          
but for     not  more       than       ten  taxable       years    after     the     loss     year.                 carryforward           consumed  before  acquisition should                             be   counted               
                                                                                                                    when   determining  the carryforward                          period    remaining.           Loss                  
Under      PA    13  of  2014,               a taxpayer       that  acquires the              assets      of    
                                                                                                                    carryforward          of a UBG,            including            loss  carryforward  brought                        
another      corporation  in                 a transaction  described under                        section       
                                                                                                                    by     an  incoming member            and   loss        carryforward              acquired       by             
381(a)(1)     or  (2) of      the      Internal       Revenue         Code  (IRC)            may                 
                                                                                                                    the group           or its members       via  IRC             § 381, ages       according              to the  
deduct       any     CIT  business loss               carryforward          (hereinafter,            loss        
                                                                                                                    tax years          of the  group,    rather  than  tax years                        of any   particular  
carryforward)           attributable  to that               other     corporation.            Losses             
                                                                                                                    member. 
acquired via          IRC           § 381 (a)    (1)       or (2) are  reported        on     this    line  by   
the member          identified               in the bulleted      section    below.                                 NOTE:  CIT           business  loss carryforward                          is not     the  same  as              a   
                                                                                                                    federal   net  operating loss            carryover            or          a Michigan         Business           
  On the DM’s copy of this form:                                 Enter  loss  carryforward                    
                                                                                                                    Tax  (MBT)  business  loss  carryforward,  neither      of which  can      be
from    the  group’s  immediately  preceding Form                                   4891,       less  any        
                                                                                                                    claimed          as a deduction  on      aCIT         return. 
part   of  that carryforward                 subsequently          taken    by departing                         
members         (see  below),  plus any                  loss  acquired     by  the  group                          Additional   instruction   is   found   in   the   “Supplemental  
via  IRC           § 381   (as  defined above).               Attach              a list  of  all loss              Instructions for          Standard     Members                   in UBGs” section                   in Form  
corporations          whose  losses  were acquired                     in   this    manner           by             4890. 
this UBG       during          the     filing    period.       Provide       name         and       FEIN       of   
acquiring       member,  name  and FEIN                        of  loss     corporation,             and            Line 12:                                                                                                          
                                                                                                                                  Enter,   to the       extent      deducted             in determining              federal 
                                                                                                                    taxable  income  (as defined               for  CIT        purposes),                   a carryback   or   
loss amount         for  each         loss  corporation.           
                                                                                                                    carryover          of a capital     loss    from        Schedule          D of federal                 Form  
  •  On a non-DM  member’s copy  of this form:                                                       Only   a       1120.   Enter          as a positive  number. 
member        that  joined the            group       in    the  current    tax year            may              
report      a loss carryforward                  on    its   copy        of this form.        Report       the      Line 13: Sale   or Sales means  amounts  received          by a member      as
loss carryforward              that     the   member           brings   into       the     group.          If the   consideration  from  the  following: 
incoming        member           was  part of         another      UBG                    in the     tax  year        •    Transfer      of title  to,      or possession           of,  property  that                 is stock  
immediately  prior                  to the  current  year, the              loss    carryforward                           in  trade      or other  property               of a kind      which       would       properly  
that      it brings into       the     current      year     group      refers            to the incoming                  be   included      in the    inventory              of the   member              if on  hand      at
member’s  share                  of its  former  group’s  total loss                carryforward                           the  close      of the  tax  period,      or property  held  by  the  member  
reported      on     the  former group’s                 immediately        preceding                Form                  primarily   for     sale       to customers  in  the ordinary                      course    of             
4891.      If the  incoming member                      was   not     part  of                     a UBG  in               its   trade      or business.  For  intangible  property, the                       amounts              
the   tax  year immediately                  prior    to    the   current   year,         the loss                         received   will  be limited         to  any      gain      received        from       the                   
carryforward that                   it brings into        the  current       year’s        group      refers               disposition      of that  property. 
to   the  amount  reported on                   the   immediately           preceding           Form                  •    Performance      of services  that  constitute  business  activities. 

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  •    Rental,   leasing,  licensing,  or use                    of   tangible        or  intangible                        a corresponding          “affiliated             group”       test  for finding                  a unitary      
       property,  including  interest,  that  constitutes  business  activity.                                           relationship  between   a   corporation                       and           an FTE. The      existence             of   
  •    Any  combination      businessof                    activities  described  above.                                    a unitary relationship           between               a corporation and              an   FTE            is still  
  •    For      a member            not  engaged      in any           other      business  activities,                  based exclusively               on the traditional            two-part          test    described             in the  
       sales   include  interest, dividends,                     and      other       income    from                     instructions for         line     9     of Form      4891.     
       investment  assets  and  activities and                        from      trading        assets    and             Line 15: Enter  on this               line      all  Michigan            sales    made        between              
       activities.                                                                                                       the  member  and another                   member                  of the   UBG,         and     sales  from           
All sales       are    Michigan            sales  unless       the     member               is subject      to tax       the  member            to an  FTE  that                   is unitary  with  the UBG                  and           is   
in     another       state          or foreign    country.      A member      is subject          to a                   included on     Form       4900.        
tax      in another state                 or foreign country                  if, in that state       or foreign         NOTE:       Elimination,              where  required, applies                       to  transactions              
country, the           member                is subject          to a business privilege         tax,          a net     between     any     members                 of the   UBG.           For  example,                if the   UBG          
income  tax,   a   franchise               tax   measured                 by net  income,   a   franchise                includes    standard       taxpayers  (not  owned  by and                              unitary      with           a   
tax for         the  privilege             of doing business,               a Corporation stock            tax,          financial  institution              in the       UBG),  an  insurance company,                           and           
or      a tax      of the type       imposed        under        the   Income          Tax     Act,          or that     two     financial  institutions, transactions                           between                  a standard            
state  has  jurisdiction                     to subject    the      member      to one      or more   of                 taxpayer      member  and  an insurance                         or    financial        member        are              
such taxes         regardless                of whether the      tax         is imposed.                                 eliminated     whenever             elimination                    is required,  despite  the fact                     
       If this    member      is subject      to tax      in another              state,      as described               that                                                                                                                  
                                                                                                                               the insurance and financial members are not reported on the 
above,   use  the  “Sourcing of                   Sales                to Michigan”           information                combined                                                                                       
                                                                                                                                        return filed   by standard taxpayer members.
in  the  Form  4891 instructions                             to determine           Michigan  sales.               If    However,   there      is no  elimination with                           an  otherwise            related           
sales  reported  are  adjusted  by      a deduction  for  qualified  sales      to                                       entity      if the  related entity                      is excluded  from the              UBG.         For            
     a qualified customer,                   as determined by           the    Michigan         Economic                 example,  consider   a   group                  with   a   U.S.         parent,   a   U.S.     subsidiary,         
Growth   Authority  (MEGA), attach                               the   Anchor         District     Tax                   and      a foreign  operating  entity  subsidiary  that  would  otherwise  
Credit  Certificate      or Anchor                     Jobs  Tax  Credit  Certificate from                               be      a UBG,  but  the  foreign  operating  entity      is excluded  from  the  
the  Michigan  Economic  Development  Corporation  (MEDC)      as                                                        UBG  by  definition.  The U.S.                      parent      filing               a UBG    return  may             
support.                                                                                                                 not eliminate        intercompany                 transactions            between         itself      and      the   
                                                                                                                         foreign operating          entity.      
       If this  member  has      no Michigan  sales,  enter  zero. 
                                                                                                                         Subtract    line  15  from line               13    for    each       member,          combine         the         
Complete   this  line  using amounts                          for   the     member’s           business                  result for        all members, and             carry          to Form 4891,           line  9a.   
activity  only.  Do  not include                     amounts          from      an    interest  owned                  
by      a member          in a Partnership          or S Corporation  (or  LLC  taxed                                    Line 16:  Enter          the  total sales           that     are      directly       attributable                 to   
federally      as such).                                                                                                 this member.       
For   transportation                services  that source             sales       based     on  revenue                  Transportation services that source sales based on revenue 
miles,  enter      aMichigan                 sales  amount  on  this  line  by  multiplying                              miles:  Include  on this              line      the  total      sales     that  are directly                       
total  sales      of the  transportation  service  by  the  ratio      of Michigan                                       attributable      to the taxpayer.                
revenue   miles            over  revenue miles                everywhere.             Revenue          mile              Line 17:   If     the taxpayer                   is unitary with         an     FTE           or FTEs, enter       
means          the   transportation  for                 a consideration      of one            net    ton   in          on  this  line this      member’s             total    proportionate              amount                   of total  
weight      or one passenger                the  distance              of one mile.                                      sales  attributable             to these         FTEs            in column      O on          Form  4900.              
                                                                                                                         For   more  information see                   the   instructions            for Form         4900.                    
Certain  types                   of transportation         services  have  special sourcing                        
                                                                                                                            If  an amount      is entered           on       this  line,  then Form              4900     must      be      
provisions.  See               the    “Sourcing              of Sales      to Michigan” section                   of   
                                                                                                                         completed and          included         with         the    filing          of this return.    
Form 4890.            
                                                                                                                         Total the    entry     for  all     members           on      Form       4987,     line     17,   and    carry     
NOTE: Only  transportation  services  are  sourced  using  revenue                                                       to Form     4891,    line  9e.      
miles.         To   the  extent the           taxpayer        has   business          activities       or          
revenue         streams  not  from transportation                         services,        those     sales               Line 18:      Enter  on this           line       total    sales        made     between         the               
should be          sourced           according             to the   applicable        guidance      in the               member  and  another member                               of the      UBG,       and     sales  from the           
“Sourcing      of Sales      to Michigan” section                            of Form 4890.                               member          to an FTE that              is unitary with            the   UBG         and        is included  
                                                                                                                         in Form     4900.      
Line 14:            If the    taxpayer          is unitary       with                       a flow-through               
entity         (FTE)  or  FTEs, enter             on    this    line   this     member’s          total                  Subtract                                                                                                              
                                                                                                                                       line 18 from line               16    for      each     member,           combine        the        
proportionate              amount  of  Michigan sales                     attributable         to  these                 result                                                                                               
                                                                                                                                  for all members, and carry   to Form 4891, line 9d.
FTEs          in  column            J on   Form  4900. For             more         information        see               NOTE for Lines 19a, 19b and 20:                                     UBG  members reporting                         
the  instructions  for  Form 4900.                            If an   amount      is entered           on    this           a period      of less  than  12  months with                       this  group        return     must           
line, then         Form     4900        must     be   completed            and     included      with      this          annualize  their  gross receipts                    figure      on             a member       by     member  
return.  Total  the  entry for                  all  members          on    Form      4987,     line     14,             basis.    Use  each  member’s  number                                 of months         reported             in the  
and carry               to Form 4891,       line  9b.                                                                    group’s tax     year.       Once        all      applicable            members’           gross      receipts      
                                                                                                                         and FTE      gross      receipts        figures         are    annualized:               for  line    19    add    
NOTE:  PA  266 of                    2013       authorizes       an affiliated           group                               members’       figures     and          carry          to line 10a            of the Form     4891;        for   
                                                                                                                         all
election       that  applies an              alternate     test     for  finding                     a unitary                 20   add  all    members’             figures         and     carry            to line 10b         of Form  
                                                                                                                         line
relationship            between        corporations.  This act                      DID NOT              create                   
                                                                                                                         4891.

                                                                                                                                                                                                                                        55 



- 5 -
Line  19a: Gross receipts means the                            entire      amount       received     by     
the member        from   any   activity,          whether                 in intrastate, interstate,              5.  Flow-through gross receipts 
                                                                                                                         to be imputed to the member. 
or   foreign  commerce, carried                 on      for   direct      or  indirect       gain,                       Multiply line 3 by line 4 ..............         5.                                       00 
benefit,      or advantage      to the         member          or to others,               with   certain  
exceptions. See        the   Gross   Receipts               Checklist               in the instructions        *Line 4: If the FTE is unitary with the UBG, use the group’s apportionment 
for Form    4891,      line  10,  for    further          guidance.                                            percentage from  Form  4891, line 9g.  Otherwise, use the  FTE’s 
                                                                                                               apportionment percentage. See the line 14 instructions regarding the 
    A member         should   compute            its     gross   receipts  using  the same                     definition of a unitary relationship between a corporation and an FTE. 
accounting        method     used        in computing               its  taxable income             for     
federal    income     tax  purposes. Gross                    receipts       of           a member  of                                                                               long      as one  member  
                                                                                                               Lines 21 through 26: IMPORTANT: As
                                                                                                           
  a UBG   is reported here before eliminations.                               Do       not  include            of      a UBG  has  nexus  with  Michigan  and  exceeds  the  protections  
in   this  amount gross       receipts         imputed           to  this     member         from                   PL   86-272,  all members            of   the   UBG,       including      members                
                                                                                                               of
activity          of an FTE.                                                                                                     under  PL  86-272,  must  be  included  when  calculating  
                                                                                                               protected
Line 19b: Enter on           this   line       all    gross       receipts        received      by   this      the   UBG’s  Corporate Income                  Tax      base   and   apportionment                    
member from           another  member                  of the UBG.                                             formula.  (In  other  words,  PL  86-272  will  only  remove  business  
NOTE:  Do  not create                     a separate Form                 4897      to report                  income   from  the apportionable                  Corporate      Income        Tax   base             
aggregated      or groupwide               eliminations.  Instead, gross                     receipts          when  all  members      of the  UBG  are  protected  under  PL  86-272.)  
eliminations specific                   to a member must                  be reported on      this   line      The   inclusion  of the        business        income       of  members        that  fall             
of that  member’s        Form     4897.                                                                        under PL       86-272         in the tax  base          of the UBG    and   the  subsequent           
                                                                                                               apportionment   of  such income                 does       not  constitute     taxation               
Subtract line      19b   from     line      19a       for   each      member,           combine      the       upon  those  PL  86-272  protected  members.  Rather,  this  method  
result for   all   members,     and         carry             to Form 4891,       line  10a.                      is required     for   properly        determining         the    Michigan  income                      of
UBG members reporting a period of less than 12 months                                                          the  UBG. 
must report      actual     gross   receipts             on  Form       4897,      line    19a.                                                              means  federal taxable            income.               
                                                                                                               Line 21:           Business income 
Line  20:  Enter  the allocated                or       apportioned           imputed        gross             Federal taxable income               ,      as reported     on  line  21,         is defined        for  
receipts  from  all unitary              or non-unitary                FTEs  from  which  the                  CIT  purposes      to include  carryback  and  carryover      of federal  net  
member  receives   a   distributive               share             of income.                                 operating  losses.  Note  that  these  amounts  will  be  added  back,  
                                                                                                               for  CIT  purposes,      in the  Additions      to Business  Income  section  
EXCEPTION: Do not                 include         imputed            gross     receipts       from   any                       26 through  30)      of this  form. 
                                                                                                               (lines
FTE      in which the    taxpayer                    is a non-unitary owner             and   the    FTE    
has  made         a valid  election              to file   the  Michigan  Business Tax                         For      a tax-exempt      taxpayer,        business  income  means  only  that                       
(MBT) for           a tax  year  that  ends with                       or within       this  member’s          part      of federal   taxable  income (as              defined     for  CIT   purposes)              
tax year.                                                                                                      derived  from  unrelated  business  activity. 
Use   the  worksheet  below                   to calculate          FTE  apportioned gross                     Total  the  entry  for  all  members  on  Form  4987,  line  21,  and  carry  
receipts.  Exclude  gross  receipts from                         FTEs     that    filed    an  MBT             to  Form  4891, line        12.   
return  for   a   tax  year   that  ends        with             or within the       tax    year       of the              2013 Public      Act     233   provides         that,       in the case            of a flow-
                                                                                                               NOTE: 
member.     See explanation                      of 2013      PA    233      in the     instructions                         entity  (FTE)  that  made the             election            to remain     taxable  
                                                                                                               through
for line  21.                                                                                                             the   MBT,   each      member             of the FTE   that   does   not   file               as a
                                                                                                               under
                                                                                                               member          of a unitary business        group       with    the  FTE    shall    disregard       
WORKSHEET ON FLOW-THROUGH GROSS                                                     RECEIPTS                   all items     attributable          to that member’s         ownership       interest           in the  
A taxpayer must complete the following calculation for each FTE, whether                                       electing  FTE  for  all  purposes      of the  CIT.      In other  words,      if the  
unitary or not, that does not elect to file an MBT                          return for this tax year           taxpayer  filing  this  form owns              an    interest           in an  FTE   that  files      
and from which the taxpayer receives distributive share of income.  The                                                                                                                                             
amount in line 5 of this worksheet for each flow-through entity must be                                        an MBT return for          the    same    tax     year     that ends    with            or within 
added, and the sum carried to Form 4897, line 20.                                                              this   taxpayer’s     tax  year, the      taxpayer          should    remove       here   its         
                                                                                                               distributive  share      of income      or loss  attributable      to that  FTE,  and  
                                                                                                               shall  disregard  all  items  attributable      to the  electing  FTE  on  the  
    1.  FTE’s gross receipts that fall 
      with or within the member’s tax                                                                          remainder      of the  return.  Attach      a list      of FTEs  from  which  items  
      year included in this return ........                      1.                                    00      are  exempt.   Include FTE             names,     FEINs,        the  distributive       share         
                                                                                                               of   income  (loss),  and the           distributive        share   of  gross   receipts.               
    2.  Percentage of the FTE’s  
      income or loss received by the                                                                           Provide      a separate  list  for  each  applicable  member      of the  UBG. 
      member  .....................................              2.                                    % 
                                                                                                               Line 22:           There   are  currently no         miscellaneous          items    to  be           
    3.  Gross receipt amount before                                                                                                                                             
      apportionment. Multiply line 1                                                                           entered   on this line. Leave this line blank.
      by line 2   ......................................         3.                                    00 
                                                                                                               Line 23:  Adjustments  are  required for                       all  assets  placed      into          
    4.  FTE’s apportionment                                                                                    service  after  December  31,  2007,  for  which  bonus  depreciation  
      percentage (Michigan sales 
      divided by total sales)*...............                    4.                                    %       was  taken.  See instructions             for   Form       4891,    lines  14a     and    14b         
                                                                                                               for  guidance  on  bonus  depreciation  adjustments. 
                                                                                                               Total  the  entry  for  all  members  on  Form  4987,  line  23,  and  carry  

56 



- 6 -
to  Form 4891,      line  14.                                                                             Total the         entry  for    all  members           on    Form       4987,      line    27,   and     carry      
                                                                                                          to Form         4891,   line    19.     
Line 24: Enter on          this       line     this    member’s     total      eliminations      to
business income           from        intercompany           transactions       with        another       Line 28:           Enter  any net          operating          loss     (NOL)      carryover           or            
member   the   of       UBG.     Total         the    eliminations   all   of   members            on     carryback          that  was deducted               in  arriving         at this  member’s                          
Form 4897        and     carry   Form   to         4891,  line  16.                                       federal        taxable  income  (as defined                    for     CIT  purposes).                      If the  
                                                                                                          member           reporting  on this          form                   is a member      of    an  affiliated           
NOTE: Each member                     must     report   its    portion   an   of   eliminated             group       that   elects            to file      a federal  consolidated  return, or                      for      
transaction       on   its  Form  4897; the           creation     of      an eliminations                any  other  reason did              not    file           a separate     federal  return for                 the    
entity   reported  on a      separate Form             4897      is not      permitted.                   period  reported  here, the                  federal      NOL      carryover                    or carryback  
Doing      willso    cause  delays      inprocessing of          return.a                                 entered  here  must be                 based    on           a pro     forma      federal  return for               
                                                                                                          the    member  reporting on                  this    form.     Enter     this     amount        as                 a   
NOTE:  Elimination,  where required,                         applies    to   transactions               
                                                                                                          positive number.            
between  any  members of      the UBG.                   For   example,        if      the UBG          
includes  standard  taxpayers (not                    owned    by  and   unitary       with    a          Total the         entry  for    all  members           on    Form       4987,      line    28,   and     carry      
financial  institution      in the UBG),              an  insurance      company,            and          to Form         4891,   line    20.     
two      financial  institutions, transactions                 between       a standard                 
taxpayer      member  and  an insurance                  or  financial       member        are            Line                                                                                                                 
                                                                                                                     29: To the extent deducted                          in arriving   at federal               taxable 
                                                                                                          income           (as  defined for         CIT      purposes),          enter  any royalty,                          
eliminated        whenever       elimination      is required, despite               the     fact      
                                                                                                          interest,        or  other expense           paid     to              a person  related to              the         
that  the  insurance and         financial          members      are    not    reported      on        
                                                                                                          member           by   ownership                 or control    for  the  use             of an   intangible  
the combined        return      filed   standard   by        taxpayer     members.            
                                                                                                          asset      if the  person is            not  included         in this     UBG.       Royalty,                       
However,        there      is no elimination          with   an  otherwise       related                  interest,      or other        expense          described  here                is not   required      to be  
entity       if the  related  entity is      excluded from              the    UBG.    For                included      if the       member  can demonstrate                       that     the   transaction                 
example,  consider   group   a             with   U.S.   a     parent,   U.S.   a  subsidiary,            has      a nontax  business  purpose other                         than    avoidance         of  CIT,               
and       a foreign operating          entity      subsidiary      that   would     otherwise                    is conducted        with     arm’s-length              pricing    and  rates and              terms          
be       a UBG, but   the  foreign        operating         entity   excluded   is      from      the     as  applied             in accordance        with  IRC                § 482   and      § 1274(d),             and  
UBG  by  definition.  The U.S.                    parent  filing  a      UBG return        may            satisfies one              of the following:         
not eliminate       intercompany               transactions       between       itself      and   the       •    Is      a pass-through  of another                 transaction       between                        a third  
foreign operating         entity.                                                                                party     and  the related          person      with     comparable              rates   and                 
NOTE:  Do  not create                a separate       Form     4897 to       report                              terms. 
aggregated        or groupwide           eliminations.         Instead,      business                       •    Results  in           double         taxation.            For       purposes            of         this      
income eliminations             specific     member     to a        must      be  reported         on            subparagraph,           double  taxation exists                         if the  transaction               is   
this  line   that   of  member’s          Form       4897.                                                       subject      to tax      in another jurisdiction.                
Line 25: NOTE:             The  total   all   of       members          reporting  on         Form          •       Is unreasonable      as determined      by the state                  treasurer.            
4897,  line  25,       MUST agree  with the                 figure    reported    on       Form             •    The related       person         (recipient           of the transaction)                is organized  
4891, line     17.                                                                                        under       the  laws of                a foreign  nation which               has    in force                      a   
                                                                                                          comprehensive income                       tax  treaty       with   the   United         States.       
Line  26:  Enter  any interest                income       and  dividends       from                   
bonds and        similar    obligations      orsecurities of   states              other        than      Total the         entry  for    all  members           on    Form       4987,      line    29,   and     carry      
Michigan  and  their political                subdivisions       in      the same  amount                 to Form         4891,   line    21.     
that  was  excluded  from federal                   taxable    income    (as   defined         for     
                                                                                                          Line 30:           Enter  on this         line     the  expenses         included         on line                   
CIT purposes).          Reduce         this    addition     by  any    expenses        related      to
                                                                                                          21     that  resulted from             the   production         of  oil  and  gas                          if that  
the foregoing       income       that     were       disallowed     on   the    federal       return   
                                                                                                          production      of oil         and      gas        is subject      to the      Severance  Tax  on                   
by  IRC   §265          291.     or § 
                                                                                                          Oil      or Gas,      1929     PA  48.      If the          taxpayer  does  not have                  an     oil    
Total the    entry    for  all   members           on  Form     4987,    line   26,   and       carry     and gas      expense        that     qualifies,        leave     this     line     blank.     Also       enter      
to Form     4891,   line  18.                                                                             expenses related                    to the  income        derived  from                 a mineral      to the  
                                                                                                          extent that        income              is included on        line   35    and      that    expense            was   
Line  27: Enter all         taxes        on   measured   or       by   net    income        that  are   
                                                                                                          deducted      in arriving      at federal taxable                   income.        
deducted      on   the  taxpayer’s federal             return,     including      city       and       
state    taxes,  Foreign  Income Tax,                 and   Federal     Environmental                     Total the         entry  for    all  members           on    Form       4987,      line    30,   and     carry      
Tax.  This  includes, but             is      not limited   to,  the  following,       to      the        to Form         4891,   line    22.     
extent  deducted      in arriving at      federal taxable               income    for      this                                                                                                                              
                                                                                                          Line 31:  Complete all other subtractions from business 
tax period:                                                                                                                                                                                                        Enter  
                                                                                                          income, lines 32 through 34, before completing line 31. 
  • Tax imposed           under   the     Michigan        CIT                                             on this      line   the     sum         of all entries          in Column          C of this member’s               
  • The Business          Income        Tax    portion      imposed       under    the      MBT           Non-Unitary Relationships with Flow-Through Entities                                                               
                                                                                                                                                                                                                  (Form 
                                                                                                          4898).      If an     amount      is entered           on     this     line,  Form  4898  must  be                  
  • The taxpayer’s         direct   indirect   or          share   income   of     taxes        paid      completed and            included          with      the   filing        of this form.      Form         4898,      
by       a flow-through       entity  and  deducted by              that     flow-through                 Column           C,  reports  the  taxpayer’s distributive                        share            of income  
entity      inarriving at   the         net    income      included   this   in    taxpayer’s             (loss) attributable                 to non-unitary flow-through                 entities      (FTEs).          
federal taxable         income.        

                                                                                                                                                                                                                        57 



- 7 -
Flow-through   entity  means an                      entity        that    for  the  applicable                         Line  35:  Enter  overpayment credited                                from      the     prior    period              
tax  year      is treated          as a subchapter      S corporation  under  section                                   return   (MBT  or  CIT, as                applicable).           When        membership                of            a   
1362(a)   of   the  IRC,                 a general  partnership,                      a trust,          a limited       UBG changes           from       one     filing     period                to the next,   carryforward                
partnership,      a limited liability                 partnership,                     or a limited liability           of   an  overpayment from                 the     prior     return      remains         with  the                    
company,  that  for  the              tax  year      is not  taxed              as a C corporation                      DM’s account.                In general this          line     should         be    used     only       on      the   
for federal     income         tax     purposes.                                                                        DM’s copy             of Form 4897         (credit       forward           from        the  group’s       prior      
                                                                                                                        return)      or that          of a new member               (credit      forward         from          the     new   
See   the  General Information                    section          of  the   instructions             for              
                                                                                                                        member’s final          return                as a separate filer).        
Form 4898       for           an explanation      of FTEs with                  which   a   taxpayer               is   
not unitary.                                                                                                            Total the  entry       for   all    members           on     Form       4987,       line    35,   and     carry      
                                                                                                                        to Form   4891,     line     43.    
Total the    entry       for   all  members           on     Form        4987,    line       31,   and      carry   
to Form      4891,    line     26.                                                                                      Line 36:     All       CIT  estimated  payments for                                   a UBG  should  be              
                                                                                                                        made by    the      DM.      Enter      estimates           paid     by    the    DM     on       this  line       of   
Line  32: To  the  extent included                               in federal     taxable        income  (as          
                                                                                                                        the DM’s   copy             of Form 4897.               If any other     member          paid     estimates          
defined     for  CIT  purposes), enter                     any     dividends          and      royalties            
                                                                                                                        attributable      to the        group  return supported                      by    this  form,         enter         
received    from persons                   other  than      United         States     persons                       
                                                                                                                        those    estimates        on  that  member’s copy                            of Form       4897.       Include  
and   foreign  operating entities,                   including,            but  not       limited        to,        
                                                                                                                        all payments        made      by     that     member           for     any    portion                of its federal  
amounts determined                  under       IRC                   § 78 or IRC      § 951          to § 965. 
                                                                                                                        filing period       that        is included      on the group              return.       For   example,              if   
Total the    entry       for   all  members           on     Form       4987,    line      32,     and      carry          a non-DM member             has   a   12-month            fiscal     year      beginning             April        1,   
to Form      4891,    line     27.                                                                                      2013, and              is a member          of a calendar year              UBG          throughout            that   
                                                                                                                        period,  its  business  activity from                      April             1, 2013,    through         March  
NOTE:  To         the  extent  deducted                         in arriving      at federal              taxable  
                                                                                                                        31,   2014,  will      be  reported on             the     group’s        December            31,      2014,         
income, any        deduction            under      IRC        250(a)(1)(B)           should               be added  
                                                                                                                        return.      If that member          pays      CIT       quarterly         estimates,               it will make     
back on      this  line        (i.e.,  netted      against          subtractions           made           on  this   
                                                                                                                        two estimates       during          2013,     before         the  DM’s        filing     period         begins.      
line). 
                                                                                                                        Because  those  estimates  are attributable                                   to activity        that    will     be  
Line 33: To  the  extent included                               in federal      taxable  income  (as                    reported on       the      group’s      December             31,     2014,       return,       they     should       
defined for     CIT      purposes),             deduct       interest       income         derived            from      be included      on     the   paying          member’s            copy             of Form 4897         for     the   
United States         obligations.                                                                                      December 31,        2014,        group     return.          
Total the    entry       for   all  members           on     Form        4987,   line      33,     and      carry       Total the  entry       for   all    members           on     Form       4987,       line    36,   and     carry      
to Form      4891,    line     30.                                                                                      to Form   4891,     line     44.     
Line 34: Miscellaneous subtractions                                 only    include:                                    Line  37: Report here                any      payment          submitted            with    an    extension          
                                                                                                                        request      by this member.            
  • Income from             the   production                  of oil and    gas       if that production               
of   oil  and  gas            is subject      to the       severance  tax  on oil                 and      gas,         NOTE:  Only  the DM                  may         make               a valid  request for                    a filing  
1929 PA      48,           to the extent        that  income          was      included                 in federal      extension  for   a   UBG.                 If any other       member           submits            an extension  
taxable  income.  Also enter                   income         derived        from                 a mineral   to        request,      it will     not  create  an extension                    for   the      UBG,       but   any           
the  extent  included                  in federal       taxable      income.             Total the entry                payment made            with     that    request         can      be    credited              to the UBG         by   
of income from the production of oil and gas for all members                                                            entering that       payment               on this line           of that member’s         Form          4897.      
on Form 4897, line 34, and carry to Form 4891, line 29.                                                                 Total the  entry       for    all   members           on     Form       4987,       line    37,   and     carry      
  • Ordinary         and  necessary expenses                       paid    or incurred              by                  to Form   4891,     line     45.    
eligible  licensed  marihuana trades                                or businesses           may          subtract      
ordinary       and  necessary expenses                      paid     or incurred            during                      Line 38:                                                                                                                
                                                                                                                                       Report here Michigan                        Tax      withheld          for deferred                  
                                                                                                                        compensation              plans,  life insurance              and/or         lottery    annuities                    
the   tax  year that          would        be  allowed                    if section  280E of                the       
                                                                                                                        issued          to a business account              number         through           MCL        206.703(1).           
internal  revenue  code were                   not              in effect.   Under          the  Michigan              
                                                                                                                        Taxpayers can          enter     the    Michigan             Tax       withheld          reported        on      the   
Regulation        and  Taxation of                Marihuana            Act    (which        allows                     
                                                                                                                        W-2G and/or         1099R.          
for  what         is often    referred               to as  “recreational”  or “adult                      use”     
marijuana),      a marihuana establishment                              licensed          under       that              Also   report  any credit            for     the   taxpayer’s             allocated        share       of            
act      is allowed           a deduction  from Michigan                        income         tax       for            Michigan flow-through                   entity      (FTE)         tax      levied        on  and        paid     by   
certain     expenses  not allowed                 in      arriving         at federal       taxable                     an  electing  flow-through  entity. Such                            an  electing        flow-through                 
income.  IRC  280E  prohibits                           a deduction          for    any  amount  paid                   entity   should      be  indirectly owned                   by      this   taxpayer.          Include                a   
or   incurred  in carrying                 on           a trade  or  business that                consists              copy      of the Schedule           K-1    with       the    Schedule            K-1     notes,             or other  
of trafficking             in Schedule      I and      II controlled                  substances  (e.g.,                supporting         documentation  received from                            the     electing      flow-  
marihuana).  However,  the  IRC                               is also   structured      to recognize                    through entity,              to support the         credit     claimed           on    this    line.    
the cost          of goods       sold      before    reaching  gross profit,                   regardless              
                                                                                                                        Total the  entry       for    all   members           on     Form       4987,       line    37,   and     carry      
whether taxpayer                        is in the business          of trafficking      in marihuana.  
                                                                                                                        to Form   4891,     line     46.     
Therefore, any           expenses           related             to cost      of goods sold           (and     any      
other   expenses  already allowed                         in  reaching        federal       taxable                 
                                                                                                                        Other Supporting Forms and Schedules 
income) may           not      be  subtracted            from       the     Michigan            base.        Total 
                                                                                                                        Federal Forms:             For  each      member   the   of             UBG,        include           copies      of
the entry of qualified marihuana expenses for all members 
                                                                                                                        these forms       with       the  return.         
on Form 4897, line 34, and carry to Form 4891, line 30. 
58 



- 8 -
C Corporations:  Federal                Form  1120  (pages                  1 through  6),     
Schedule  D,  Form  851,  Form  965,  Form  4562,  Form  4797,  and  
Form  5471.         If filing  as  part            of a consolidated      federal    return,  
attach      a pro forma       or consolidated schedule.              
  • Limited Liability Companies:                                  Attach  appropriate              
schedules listed        above        if the LLC  has     elected               to be taxed              as a C
Corporation. 
  • Federally Exempt Entities:                    In certain         circumstances,                
   a federally    tax  exempt      entity   must        file      a CIT  return.      In those  
cases, attach   federal     Form      990-T    (pages         1 through 5).        
*     Do not  send     copies    of  Federal K-1s.          Treasury      will    request          
    them      if necessary. 
Include completed Form 4897 as part of the tax return filing. 

                                                                                                              59 






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