Information on Certain Shareholders of an S Corporation

• Legal Form Number: 1120-S (Schedule B-1)
• Year: 2020
• Issuer: Treasury Department
• Section: Treasury Department

SCHEDULE B-1

(Form 1120-S)

(Rev. December 2020)

Information on Certain Shareholders of an S Corporation

Department of the Treasury

Internal Revenue Service

▶ Attach to Form 1120-S.

▶ Go to www.irs.gov/Form1120S for the latest information.

OMB No. 1545-0123

Name of corporation Employer identification number

Information on Any Shareholder That Was a Disregarded Entity, a Trust, an Estate, or a Nominee or Similar

Person at Any Time During the Tax Year (Form 1120-S, Schedule B, Question 3)

(a)

Name of Shareholder of Record—Disregarded Entity,

Trust, Estate, Nominee or Similar Person

(b)

Social Security Number (SSN)

or Employer Identification

Number (EIN) (if any) of

Shareholder of Record

(c)

Type of Shareholder

of Record

(d)

Name and SSN or EIN (if any) of Individual or

Entity Responsible for Reporting Shareholder’s

Income, Deductions, Credits, etc., From

Schedule K-1

For Paperwork Reduction Act Notice, see the Instructions for Form 1120-S. Cat. No. 60837X Schedule B-1 (Form 1120-S) (Rev. 12-2020)