Free 2008 Form 1120-PC (Schedule M-3) - Federal

SCHEDULE M-3 (Form 1120-PC)
Department of the Treasury Internal Revenue Service

Net Income (Loss) Reconciliation for U.S. Property and Casualty Insurance Companies With Total Assets of $10 Million or More
Attach to Form 1120-PC. See separate instructions.
(1) (3) Non-consolidated return Mixed 1120/L/PC group (2) (4)

OMB No. 1545-1027

2008

Check applicable box(es):

Consolidated return (Form 1120-PC only) Dormant subsidiaries schedule attached Employer identification number

Name of corporation (common parent, if consolidated return)

Part I

Financial Information and Net Income (Loss) Reconciliation (see instructions)

1a Did the corporation file SEC Form 10-K for its income statement period ending with or within this tax year? Yes. Skip lines 1b and 1c and complete lines 2a through 11 with respect to that SEC Form 10-K. No. Go to line 1b. See instructions if multiple non-tax-basis income statements are prepared. b Did the corporation prepare a certified audited non-tax-basis income statement for that period? Yes. Skip line 1c and complete lines 2a through 11 with respect to that income statement. No. Go to line 1c. c Did the corporation prepare a non-tax-basis income statement for that period? Yes. Complete lines 2a through 11 with respect to that income statement. No. Skip lines 2a through 3c and enter the corporation's net income (loss) per its books and records on line 4a. / / / / 2a Enter the income statement period: Beginning Ending b Has the corporation's income statement been restated for the income statement period on line 2a? Yes. (If "Yes," attach an explanation and the amount of each item restated.) No. c Has the corporation's income statement been restated for any of the five income statement periods preceding the period on line 2a? Yes. (If "Yes," attach an explanation and the amount of each item restated.) No. 3a Is any of the corporation's voting common stock publicly traded? Yes. No. If "No," go to line 4a. b Enter the symbol of the corporation's primary U.S. publicly traded voting common stock c Enter the nine-digit CUSIP number of the corporation's primary publicly traded voting common stock 4a Worldwide consolidated net income (loss) from income statement source identified in Part I, line 1 b Indicate accounting standard used for line 4a (see instructions): (1) GAAP (2) IFRS (3) Statutory (4) Other (specify) 5a Net income from nonincludible foreign entities (attach schedule) b Net loss from nonincludible foreign entities (attach schedule and enter as a positive amount) 6a Net income from nonincludible U.S. entities (attach schedule) b Net loss from nonincludible U.S. entities (attach schedule and enter as a positive amount) 7a Net income (loss) of other includible foreign disregarded entities (attach schedule) b Net income (loss) of other includible U.S. disregarded entities (attach schedule) c Net income (loss) of other includible corporations (attach schedule) 8 Adjustment to eliminations of transactions between includible entities and nonincludible entities (attach schedule) 9 Adjustment to reconcile income statement period to tax year (attach schedule) 10a Intercompany dividend adjustments to reconcile to line 11 (attach schedule) b Other statutory accounting adjustments to reconcile to line 11 (attach schedule) c Other adjustments to reconcile to amount on line 11 (attach schedule) 11 Net income (loss) per income statement of includible corporations. Combine lines 4a through 10c Note. Part I, line 11, must equal the amount on Part II, line 30, column (a) and on Schedule M-2, line 2. 12 Enter the total amount (not just the corporation's share) of the assets and liabilities of all entities included or removed on the following lines. Total Liabilities Total Assets a b c d Included on Part I, line 4 Removed on Part I, line 5 Removed on Part I, line 6 Included on Part I, line 7
Cat. No. 39664A

4a

5a ( 5b 6a ( 6b 7a 7b 7c 8 9 10a 10b 10c 11

) )

For Paperwork Reduction Act Notice, see the Instructions for Form 1120-PC.

Schedule M-3 (Form 1120-PC) 2008

Schedule M-3 (Form 1120-PC) 2008 Name of corporation (common parent, if consolidated return)

Page Employer identification number

2

Check applicable box(es): (1) Check if a sub-consolidated:

Consolidated group (6) 1120-PC group

(2) (7)

Parent corp (3)

Consolidated eliminations (4)

Subsidiary corp (5)

Mixed 1120/L/PC group

1120-PC eliminations Employer identification number

Name of subsidiary (if consolidated return)

Part II

Reconciliation of Net Income (Loss) per Income Statement of Includible Corporations With Taxable Income per Return (see instructions) Income (Loss) Items
(a) Income (Loss) per Income Statement (b) Temporary Difference (c) Permanent Difference (d) Income (Loss) per Tax Return

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22

(Attach schedules for lines 1 through 11) Income (loss) from equity method foreign corporations Gross foreign dividends not previously taxed Subpart F, QEF, and similar income inclusions Section 78 gross-up Gross foreign distributions previously taxed Income (loss) from equity method U.S. corporations U.S. dividends not eliminated in tax consolidation Minority interest for includible corporations Income (loss) from U.S. partnerships Income (loss) from foreign partnerships Income (loss) from other pass-through entities Items relating to reportable transactions (attach details) Interest income (attach Form 8916-A) Hedging transactions Mark-to-market income (loss) Premium income (attach schedule) Sale versus lease (for sellers and/or lessors) Section 481(a) adjustments Income from a special loss discount account Income recognition from long-term contracts Original issue discount and other imputed interest Reserved for future use

23a Income statement gain/loss on sale, exchange, abandonment, worthlessness, or other disposition of assets other than pass-through entities b Gross capital gains from Schedule D, excluding amounts from pass-through entities c Gross capital losses from Schedule D, excluding amounts from pass-through entities, abandonment losses, and worthless stock losses d Net gain/loss reported on Form 4797, line 17, excluding amounts from pass-through entities, abandonment losses, and worthless stock losses e Abandonment losses f Worthless stock losses (attach details) g Other gain/loss on disposition of assets 24 Capital loss limitation and carryforward used 25 Other income (loss) items with differences (attach schedule) 26 Total income (loss) items. Combine lines 1 through 25 27 Total expense/deduction items (from Part III, line 39) 28 Other items with no differences 29a Mixed groups, see instructions. All others, combine lines 26 through 28 b 1120 subgroup reconciliation totals c Life insurance subgroup reconciliation totals 30 Reconciliation totals. Combine lines 29a through 29c Note. Line 30, column (a), must equal the amount on Part I, line 11, and column (d) must equal Form 1120-PC, Schedule A, line 35.
Schedule M-3 (Form 1120-PC) 2008

Schedule M-3 (Form 1120-PC) 2008 Name of corporation (common parent, if consolidated return)

Page Employer identification number

3

Check applicable box(es): (1) Check if a sub-consolidated: (6)

Consolidated group (2) 1120-PC group (7)

Parent corp (3)

Consolidated eliminations (4)

Subsidiary corp (5)

Mixed 1120/L/PC group

1120-PC eliminations Employer identification number

Name of subsidiary (if consolidated return)

Part III

Reconciliation of Net Income (Loss) per Income Statement of Includible Corporations With Taxable Income per Return--Expense/Deduction Items (see instructions) Expense/Deduction Items
(a) Expense per Income Statement (b) Temporary Difference (c) Permanent Difference (d) Deduction per Tax Return

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39

U.S. current income tax expense U.S. deferred income tax expense State and local current income tax expense State and local deferred income tax expense Foreign current income tax expense (other than foreign withholding taxes) Foreign deferred income tax expense Foreign withholding taxes Stock option expense Other equity-based compensation Meals and entertainment Fines and penalties Judgments, damages, awards, and similar costs Parachute payments Compensation with section 162(m) limitation Pension and profit-sharing Other post-retirement benefits Deferred compensation Charitable contribution of cash and tangible property Charitable contribution of intangible property Charitable contribution limitation/carryforward Write-off of premium receivables Guarantee fund assessments Current year acquisition or reorganization investment banking fees Current year acquisition or reorganization legal and accounting fees Current year acquisition/reorganization other costs Amortization of acquisition, reorganization, and start-up costs Amortization/impairment of goodwill, insurance in force, and ceding commissions Other amortization or impairment write-offs Discounting of unpaid losses (section 846) (attach schedule) Reduction of loss deduction (section 832(b)(5)(B)) Depreciation Bad debt expense and/or agency balances written off Deduction from a special loss discount account Corporate owned life insurance premiums Purchase versus lease (for purchasers and/or lessees) Interest expense (attach Form 8916-A) Domestic production activities deduction Other expense/deduction items with differences (attach schedule) Total expense/deduction items. Combine lines 1 through 38. Enter here and on Part II, line 27, reporting positive amounts as negative and negative amounts as positive
Schedule M-3 (Form 1120-PC) 2008