RCT-101 — Corporate Net Income Tax Report Instructions

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DEPARTMENT USE ONLY inaCTive STep a: Tax Year Beginning Tax Year Ending SeCTion a: geneRaL inFoRmaTion QUeSTionnaiRe 1. State of Incorporation: 2. Date of Incorporation: (MMDDYYYY) 3. Date Commenced Doing Business in PA: 4. Location of corporation records:

5. Corporation's records are in care of:

6. Has the corporation previously had business activity anywhere? 7. If the answer to 6 is "Yes", enter the last tax period the corporation had business activity (MMDDYYYY). 8. Name and SSN/FEIN of any individual or business entity owning all or a majority of the stock of the taxpayer.

Name: SSN or FEIN:

9. Has the federal government changed taxable income as originally reported for any period for which reports of change have not been filed?

10.Is this taxpayer a partnership that elects to file federal taxes as a corporation? If yes, file the RCT-128C.

Initial Report Final Report File Period Change Change Fed Group 52-53 Week Filer STep C: Federal EIN NAICS code Corporation Name Address Line 1 Address Line 2 City State ZIP Province Country Code Foreign Postal Code Address Change STep B: Parent Corporation FEIN RCT-101-i 05-25 (Fi) page 1 oF 3 inaCTive pa CoRpoRaTe neT inCome Tax RepoRT 2025 1019025105 1019025105

name a. This Pennsylvania corporation, to which a charter was granted by the Commonwealth of Pennsylvania, did not conduct any business, had no assets or income and did not exercise any corporate rights or privileges during the tax period ended (MMDDYYYY): B. This foreign corporation, chartered under the laws of a state other than Pennsylvania, did not conduct any business, own property or exercise any corporate rights or privileges during the tax period ended (MMDDYYYY): If neither of these statements applies to the corporation, a RCT-101, PA Corporate Net Income Tax Report, must be completed and filed. Specifically, a corporation with business activity outside Pennsylvania must file RCT-101. See the REV-1200, PA Corporate Net Income Tax Instructions, found at www.revenue.pa.gov for instruction on completing the RCT-101-I and RCT-101. Reinstatement Effective Date of Reinstatement SeCTion C: CoRpoRaTe STaTUS ChangeS SeCTion B: inaCTive deCLaRaTion CheCk one Box in SUppoRT oF FiLing The inaCTive RepoRT, RCT-101-i. Fein Tax yeaR end RCT-101-i 05-25 (Fi) page 2 oF 3 inaCTive pa CoRpoRaTe neT inCome Tax RepoRT 2025

name I affirm under penalties prescribed by law, this report, including any accompanying schedules and statements, has been prepared by me and to the best of my knowledge and belief is a true, correct and complete report. Tax preparer's Signature date SeCTion d: CoRpoRaTe oFFiCeR (Must sign affirmation below.) name phone emaiL President/Managing Partner Vice President Secretary Treasurer/Tax Manager CoRpoRaTe oFFiCeRS (See instructions.) must provide requested information for all filled officer positions. SSn L ast name First name mi I affirm under penalties prescribed by law, this report, including any accompanying schedules and statements, has been examined by me and to the best of my knowledge and belief is a true, correct and complete report. Corporate officer Signature date pRepaReR'S inFoRmaTion

Firm FEIN Firm Name Preparer's Name Preparer's SSN/PTIN Phone Email Address Line 1 Address Line 2 City State ZIP Province Country Code Foreign Postal Code FoRm BaRCode Fein Tax yeaR end RCT-101-i 05-25 (Fi) page 3 oF 3 inaCTive pa CoRpoRaTe neT inCome Tax RepoRT 2025