1220 Form 8975 (Schedule A) (PDF)

Official source: IRS Forms, Instructions & Publications (https://www.irs.gov/pub/irs-pdf/f8975sa.pdf), retrieved 2026-10-03. U.S. Government work (17 U.S.C. § 105).

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SCHEDULE A (Form 8975)

(Rev. December 2020)

Department of the Treasury Internal Revenue Service

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

• A separate Schedule A (Form 8975) is to be completed for each tax jurisdiction of the multinational enterprise group.

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

Name of the reporting entity EIN

Part I Tax Jurisdiction Information. All financial amounts must be stated in U.S. dollars. See instructions. Tax jurisdiction

For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 69310N Schedule A (Form 8975) (Rev. 12-2020)

Schedule A (Form 8975) (Rev. 12-2020) Page 2 Part II Constituent Entity Information (continued)

3. TIN 4. Tax jurisdiction of organization or incorporation if different from tax

1. Constituent entities resident in the tax jurisdiction

2. Entity role

5. Main business activities

(b) If you entered the code for “Other,” describe the

business activity.

Schedule A (Form 8975) (Rev. 12-2020)

jurisdiction of

(a) Activity code

residence

Part III Additional Information Enter any additional information related to the information reported in Part I and II.