1220 Form 8975 (PDF)

Official source: IRS Forms, Instructions & Publications (https://www.irs.gov/pub/irs-pdf/f8975.pdf), retrieved 2026-10-03. U.S. Government work (17 U.S.C. § 105).

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Form

(Rev. December 2020)

Department of the Treasury Internal Revenue Service

OMB No. 1545-2272 For reporting period beginning , 20 , and ending , 20

• Go to www.irs.gov/Form8975 for instructions and the latest information.

If this is an amended report, check here

Enter the number of Schedules A (Form 8975) attached to this Form 8975 ▶

Part I Identification of Filer 1a Name of the reporting entity 1b Reporting role code 1c EIN

2 Number, street, and room or suite no. (if P.O. box, see instructions)

Enter any additional information related to the U.S. MNE group

For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 37798N Form 8975 (Rev. 12-2020)

Form 8975 (Rev. 12-2020) Page 2 Part II Additional Information (continued)

Form 8975 (Rev. 12-2020)