IRS Form 2553

Entity Information

Note:

This election to be an S corporation can be accepted only if all the tests are met under Who May Elect in the instructions, all shareholders have signed the consent statement, an officer has signed below, and the exact name and address of the entity and other required information have been provided.

Name of the Entity Applying for S Corporation Tax Status

Entity's Mailing Address

City, State, and Zip Code

Date of Incorporation (or formation)

State of Incorporation (or formation)

Entity's EIN

Does the entity have an EIN?

YesNo

Entity's EIN

The Entity must apply for an EIN

If the entity doesn’t have an EIN, it must apply for one. An EIN can be applied for in the following ways:

Online—Go to IRS.gov/EIN. The EIN is issued immediately once the application information is validated.
By faxing or mailing Form SS-4, Application for Employer Identification Number.

If the entity hasn’t received its EIN by the time the return is due, enter "Applied For" and the date the EIN was applied in the space for the EIN.

Change of Name or Address

Change of Name

Check this box if the entity changed its name after applying for the EIN entered on the previous page.

Change of Address

Check this box if the entity changed its address after applying for the EIN entered on the previous page.

Effective Date of Election

Election is to be effective for tax year beginning

Note: Form 2553 generally must be filed no later than 2 months and 15 days after the date entered above.

Is the Entity making this election for its first tax year in existence?

YesNo

PLEASE NOTE:

An entity making the election effective for its first tax year in existence should enter the earliest of the following dates:

• The date the corporation (entity) first had shareholders (owners),

• The date the corporation (entity) first had assets, or

• The date the corporation (entity) began doing business.

When the entity is making the election for its first tax year in existence, it will usually enter the beginning date of a tax year that begins on a date other than January 1.

Is the Entity changing its tax year?

YesNo

PLEASE NOTE:

An entity not making the election for its first tax year in existence that is keeping its current tax year should enter the beginning date of the first tax year for which it wants the election to be effective.

Does the Entity want to be an S Corporation for the remainder of the current tax year?

YesNo

PLEASE NOTE:

Download and complete IRS Form 1128.

If this change qualifies as an automatic approval request (Form 1128, Part II), file Form 1128 as an attachment to Form 2553.

If this change qualifies as a ruling request (Form 1128, Part III), file Form 1128 separately.

File Form 1128

P1E Form 1128

Please enter some text.

Tax Year

Select a Tax Year

Calendar YearFiscal year ending (month and day):52-53-week year ending with reference to the month of December52-53-week year ending with reference to the month of:

Month and Day

Example: March 19

Month of

Selection of Fiscal Tax Year

Check the applicable box to indicate whether the corporation is:

A new corporation adopting the tax year entered on the previous page.An existing corporation retaining the tax year entered on the previous page.An existing corporation changing to the tax year entered on the previous page.

Which type of Tax Year will be used?

Natural Business Year / Ownership Tax YearBusiness Purpose Tax Year / 444 Election

Natural Business / Ownership Tax Year

Select the appropriate type of Tax Year

Natural Business YearOwnership Tax Year

Natural Business Year

The entity is adopting, retaining, or changing to a tax year that qualifies as its natural business year.

A statement must be attached showing separately for each month the gross receipts for the most recent 47 months.

The entity may not be precluded by section 4.02 of Rev. Proc. 2006-46 from obtaining automatic approval of such adoption, retention, or change in tax year.

Ownership Tax Year

Shareholders holding more than half of the shares of the stock of the entity must have the same tax year or are concurrently changing to the tax year that the entity adopts, retains, or changes to.

Such tax year must satisfy the requirement of section 4.01(3) of Rev. Proc. 2006-46.

The entity may not be precluded by section 4.02 of Rev. Proc. 2006-46 from obtaining automatic approval of such adoption, retention, or change in tax year.

Business Purpose Tax Year

Check all that apply.

Check here if the fiscal year entered previously is requested under the prior approval provisions of Rev. Proc. 2002-39, 2002-22 I.R.B. 1046. Attach to Form 2553 a statement describing the relevant facts and circumstances and, if applicable, the gross receipts from sales and services necessary to establish a business purpose.

If the IRS proposes to disapprove the requested fiscal year, do you want a conference with the IRS National Office?

YesNo

Check here to show that the entity intends to make a back-up section 444 election in the event the entity’s business purpose request is not approved by the IRS.

Check here to show that the entity agrees to adopt or change to a tax year ending December 31 if necessary for the IRS to accept this election for S corporation status in the event (1) the entity’s business purpose request is not approved and the entity makes a back-up section 444 election, but is ultimately not qualified to make a section 444 election, or (2) the entity’s business purpose request is not approved and the entity did not make a back-up section 444 election.

Section 444 Election

Check here to show that the entity will make, if qualified, a section 444 election to have the fiscal tax year entered previously. To make the election, you must complete Form 8716, Election To Have a Tax Year Other Than a Required Tax Year, and either attach it to Form 2553 or file it separately.

Check here to show that the entity agrees to adopt or change to a tax year ending December 31 if necessary for the IRS to accept this election for S corporation status in the event the entity is ultimately not qualified to make a section 444 election.

Legal Representative Contact Info

Name and Title of Officer -OR- Legal Representative Whom the IRS May Call for More Information

Telephone Number of Officer -OR- Legal Representative

Late Filing

Is this election being filed late?

YesNo

Elections are late if not filed within 2 months and 15 days of the beginning of the first tax year to file as an S Corporation.

Reason for Late Filing

Explanation of your reasons the election was not made on time -AND- Description of your diligent actions to correct the mistake upon its discovery

Note: Character limit is approximately 2,000.

Shareholders

an Individualan Estate, Qualified Trust, or Exempt Organization

Number of Shares -OR- Percentage of Ownership

Date(s) Acquired

Social Security Number

Employer Identification Number (EIN)

Month and Day That Shareholder's Tax Year Ends

If a shareholder is changing their tax year, enter the tax year the shareholder is changing to, and attach an explanation indicating the present tax year and the basis for the change (for example, an automatic revenue procedure or a letter ruling request).

Qualified Subchapter S Trust

Are you making a Qualified Subchapter S Trust (QSST) Election?

YesNo

Do you need to make more than 1 QSST Election?

YesNo

To make more than 1 QSST Election

Download and complete copies of Page 4 as needed. They must be attached when submitting this application.

Income Beneficiary's Name and Address

Name

Mailing Address line 1

Mailing Address line 2 (optional)

City, State, and Zip Code

Social Security Number

Trust's Name and Address

Name

Mailing Address line 1

Mailing Address line 2 (optional)

City, State, and Zip Code

Employer Identification Number

Date on which stock of the corporation was transferred to the trust