2010
                                                           Form 355RD                                                                                                  Massachusetts
                                                   Statement Relating toDepartment of
                                                                                                                                                                       Revenue
                                            Research and Development

For calendar year 2010 or taxable year beginning                                                                                                                              and ending
Corporation name                                                         Federal Identification number

Mailing address                                                          City/Town                             State                                                   Zip

Name of contact person                                                   Telephone                             E-mail address

1 Is the corporation presently engaged in research and development within Massachusetts? Yes             No
2 If No, what date will such activity begin?
3 Total gross receipts derived from research and development performed in Massachusetts . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4 Total gross receipts derived from all activities in Massachusetts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5 Total amount of Massachusetts expenditures allocable to research and development . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6 Total amount of Massachusetts manufacturing expenditures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7 Total amount of Massachusetts administrative expenditures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Total amount of Massachusetts expenditures, excluding manufacturing or administrative expenditures . . . . . . . . . . . . . . . . . . 8
9 What is the corporation’s principal business activity in Massachusetts?
10Summarize all activities (e.g., research and development, sales, manufacturing, etc.) in which the corporation is involved in Massachusetts:

11Describe in detail the actual research and development process or activities performed by your employees on your business premises in Massachusetts:

12Describe in detail the actual research and development process or activities performed by others on a contract, fee, or other basis in Massachusetts:

13Describe in detail the number, type, condition and original cost of the tangible personal property located in Massachusetts:

14List localities in which the corporation has property which qualifies for local property tax exemption:

I declare under the pains and penalties of perjury that to the best of my knowledge, the information contained herein is accurate and complete.
Signature                                                                Date

Mail to:Massachusetts Department of Revenue, PO Box 7027, Boston, MA 02204.

                           Form 355RD Instructions

General Information                                                   What If The Applicant Is an LLC?
Who Should File Form 355RD?                                           If the applicant is a Limited Liability Company (LLC), a copy of the
Form 355RD must be filed by only those entities seeking classificationapplicant’s Federal Form 8832, Entity Classification Election, must
as a research and development corporation for purposes of claim-      be included with Form 355RD. U.S. Form 8832 is the means by
ing exemption from local property tax on their machinery situated in  which an LLC entity declares to the IRS how it elects to be treated
a locality that has adopted the exemption provided under M.G.L.       for U.S. tax filing and reporting purposes.
Ch. 59, sec. 5(16).                                                   What Are the Required Qualifications?
An entity qualifying as a research and development corporation        In order to qualify as a research and development corporation, an
under the requirements of M.G.L. Ch. 63, sections 38C and 42B         entity must meet one of the following requirements. It must derive
may be eligible for the Investment Tax Credit provided under M.G.L.   more than two-thirds of its Massachusetts receipts from research
Ch. 63, sec. 31A and for sales tax exemptions provided under          and development or more than two-thirds of its Massachusetts ex-
M.G.L. Ch. 64H, sec. 6(r) and (s) on its purchases of materials and   penditures must be allocable to research and development. See
machinery used directly and exclusively in research and develop-      Regulation 830 CMR 64H.6.4, Research and Development, for rules
ment. This is without regard to whether it is classified by the Com-  on eligible receipts and expenditures.
missioner as a research and development corporation.
When Are Applications Due?
Applications for classification as a research and development corpo-
ration must be sent to the Department of Revenue on or before Jan-
uary 31 of the calendar year for which classification is sought to be
considered for that year. Applications sent after January 31 will be
reviewed for classification for the following calendar year. The date
of the postmark made by the United States Postal Service on the
envelope in which the application is mailed shall determine the date
the application was sent.