Michigan UBG Combined Filing Schedule for Financial Institutions

UBG Combined Filing Schedule for Financial Institutions
4910, 2022 Michigan Corporate Income Tax Unitary Business Group Combined Filing Schedule for Financial Institutions
Attachment 13

Michigan Department of Treasury
4910 (Rev. 03-22), Page 1 of 3

2022 MICHIGAN Corporate Income Tax Unitary Business Group
Combined Filing Schedule for Financial Institutions
Issued under authority of Public Act 38 of 2011.

IMPORTANT:  Read the instructions before completing this form
Designated Member Name

Federal Employer Identification Number (FEIN)

PART 1: UNITARY BUSINESS GROUP (UBG) MEMBERS

List the UBG members whose activity is included on the combined return supported by this form, beginning with the Designated Member (DM). If more than
one page is needed, on each additional page repeat the DM’s name and FEIN in the field at the top of the page, but not on line 1.
Persons included in the Federal Financial Institutions Examination Council (FFIEC) report that are not members of the UBG are listed in Part 5.
1.

A
Member Name

B
FEIN

PART 2A: APPORTIONMENT DATA FOR COMBINED RETURN
If more than one page is needed to complete Part 1, duplicate answers on lines 2 and 3 on all copies of this page.
NOTE: Complete line 20 and line 21 for each UBG
member before completing line 2 and line 3 for the
group.

A

B

C

Gross Business of UBG
Mem. Before Eliminations

Eliminations

Gross Business of UBG
Mem. After Eliminations

2. Michigan Gross Business. Carry 2C to Form 4908, line 9a.....
3. Total Gross Business. Carry 3C to Form 4908, line 9b..........

+

0000 2022 46 01 27 8

Continue on Page 2

2022 Form 4910, Page 2 of 3

Designated Member FEIN

PART 2B: MEMBER DATA FOR COMBINED RETURN — Complete a separate copy of Part 2B for each UBG member listed in Part 1.
4. Member Name

Member FEIN

Check if the equity of this UBG member is not included in the Federal Financial Institutions Examination Council (FFIEC) report. If checked,
complete line 5 through line 13 and line 20 through line 25, and do not complete line 14 through line 19. (See instructions.)
5. Member Address (Street)

10. Organization Type

City

State

Beginning

ZIP/Postal Code

Ending

6. Federal tax period included in
return (MM-DD-YYYY)...........................
7. If part year member, enter
membership dates (MM-DD-YYYY)......

8. NAICS Code

11.
9. If a Final Return, Enter Effective End Date

13.

Fiduciary

S Corporation /
LLC S Corporation

C Corporation /
LLC C Corporation

Partnership /
LLC Partnership

Check if nexus
with Michigan.

Check if
new member.

12.

Check if member only
by Affiliated Group Election

FRANCHISE TAX BASE
14.

Average daily book value of MI obligations. If less than zero, enter zero.........................................................

14.

00

15.

Average daily book value of U.S. obligations. If less than zero, enter zero........................................................

15.

00

16.

Authorized insurance company subsidiary: enter actual capital fund amount..................................................

16.

00

17.

Minimum regulatory amount required...............................................................................................................

17.

00

18.

Multiply line 17 by 125% (1.25)........................................................................................................................

18.

00

19.

Enter the lesser of line 16 or line 18.................................................................................................................

19.

00

MEMBER GROSS BUSINESS
20.

Michigan Gross Business. Sum line 20 entries of all UBG members and carry total to Part 2A, line 2A.........

20.

00

21.

Total Gross Business. Sum line 21 entries of all UBG members and carry total to Part 2A, line 3A................

21.

00

PAYMENTS.

See instructions

22.

Overpayment credited from prior period return (MBT or CIT)..........................................................................

22.

00

23.

Estimated tax payments...................................................................................................................................

23.

00

24.

Tax paid with request for extension..................................................................................................................

24.

00

25.

Michigan tax withheld.......................................................................................................................................

25.

00

+

0000 2022 46 02 27 6

Continue on Page 3

2022 Form 4910, Page 3 of 3

Designated Member FEIN

PART 3: AFFILIATES EXCLUDED FROM THE COMBINED RETURN OF FINANCIAL INSTITUTIONS
List every entity, with or without nexus, that meets the ownership test but is excluded from this return for one of the reasons listed in the instructions for
Line 26D. See instructions. If an entity listed here is part of a federal consolidated group, attach a copy of federal Form 851.
26.

A

B

Number From
Federal Form 851
(if applicable)

Name

C

D

E

F

FEIN

Reason
Code for
Exclusion

Check (X) if
Nexus with
Michigan

NAICS Code

PART 4: PERSONS INCLUDED IN THE PRIOR COMBINED RETURN, BUT EXCLUDED FROM CURRENT RETURN

List each member included in the immediately preceding combined return of this DM that is not included on the return supported by this form. An entity that
satisfies the criteria of Part 3 and Part 4 should be listed in each part. See the instructions for Line 27C for a list of reason codes.
27.

A
Name

B
FEIN

C
Reason This Entity Is Not on Current Return

PART 5: P ERSONS INCLUDED IN THE FEDERAL FINANCIAL INSTITUTIONS EXAMINATION COUNCIL
(FFIEC) REPORT THAT ARE NOT MEMBERS OF THE UBG
If a company is included in the top-tiered parent entity’s FFIEC report (that company’s equity is included as part of the total equity capital of the return
supported by this form), yet that company does not meet either the control test or relationship test required to be a UBG member, list that company here.
(See instructions.)
28.

+

A
Person Name

0000 2022 46 03 27 4

B
FEIN

Instructions for Form 4910
Corporate Income Tax (CIT) Unitary Business Group
Combined Filing Schedule for Financial Institutions
Purpose
The purpose of this form is to:
•	 Identify all members of a Unitary Business Group (UBG)
that are reporting on this return, as well as other entities related
in various ways to the UBG taxpayer.
•	 Gather, on a separate basis, data for each UBG member in a
financial institution combined return.
NOTE: This is not the primary return. It is designed to support
the CIT Annual Return for Financial Institutions (Form 4908)
submitted on behalf of the UBG by the Designated Member
(DM). Even if there is only one financial institution member
in a UBG, that member must file this form in support of its
Form 4908. See “Filing Procedures for UBGs” later in these
instructions for guidance.

General Information About UBGs in CIT
Unitary Business Group means a group of United States
persons that are corporations, insurance companies, or
financial institutions, other than a foreign operating entity, that
satisfies the control test and relationship test. If an Affiliated
Group Election is made (see instructions for Form 4891),
the UBG also includes all members of the affiliated group,
as defined in Internal Revenue Code (IRC) § 1504(1) except
that the group includes only US persons (no foreign persons
or foreign operating entities) that are corporations, financial
institutions or insurance companies that satisfy the control
test and have made the election to file as a UBG. Once the
election is made, the Affiliated Group is treated as a UBG for
all purposes.
United States person is defined in IRC § 7701(a)(30).
A foreign operating entity means a United States corporation
that would otherwise be a part of a UBG that is taxable in
Michigan; has substantial operations outside the United States,
the District of Columbia, any territory or possession of the
United States except for the commonwealth of Puerto Rico, or
a political subdivision of the foregoing; and at least 80 percent
of its income is active foreign business income as defined in
IRC § 871(l)(1)(B)(ii).
For more information on UBGs, see “UBGs and Combined
Filing” in Corporate Income Tax for Financial Instituitions
Booklet (Form 4907). Additional information can be found
under the “Corporate Income Tax” page at www.michigan.
gov/taxes. Revenue Administrative Bulletin (RAB) 2018-12,
Unitary Business Group Control Test And Relationship Tests,
is available under the “Reports and Legal” page.

Filing Procedures for UBGs
By definition, a UBG can include standard taxpayers,
insurance companies, and financial institutions. In some
cases, however, not all members of the UBG will be included
on the same return. Financial institution members file a

combined return on Form 4908 with Form 4910 filed in
support.
Form 4910 is used to gather and combine data from each
financial institution member of the UBG to support the group’s
Form 4908 and related forms. This form must be completed
before the group’s Form 4908 and related forms are completed.
Financial institutions include any of the following:
○	 A bank holding company, a national bank, a state
chartered bank, a state chartered savings bank, a federally
chartered savings association, or a federally chartered
farm credit system institution.
○	 Any person, other than a person subject to the
tax imposed under Chapter 12 of the Income Tax Act
(Insurance Tax), that is directly or indirectly owned by an
entity described above and is a member of the UBG.
○	 A UBG of entities described in either or both of the
preceding two bullets.
NOTE: Because the definition of financial institution for CIT
purposes includes any entity (except an insurance company)
that is owned by a bank or other entity (as described above) and
is a member of a UBG with its owner, this may cause an entity
that is not commonly thought of as a financial institution to be
treated as one for return filing purposes.
To complete this form and prepare a combined return, the UBG
must select a DM. For purposes of a combined return filed by
financial institution members of a UBG, Designated Member
means a financial institution member that has nexus with
Michigan and that will file the combined CIT return on behalf
of all financial institution members of the UBG. If the financial
institution member that owns or controls the other financial
institution members has nexus with Michigan, that controlling
member must serve as DM.
If that controlling member does not have nexus with Michigan,
it may appoint any financial institution member of the UBG
with nexus to serve as DM. That DM must continue to serve
as such every year, unless it ceases to be a UBG member or the
controlling member attains Michigan nexus.
The DM may be an entity other than the top-tiered parent
entity if the top-tiered parent entity does not have nexus with
Michigan.  In that case, the top-tier parent entity’s total equity
capital is still used to calculate the tax base.
If a UBG is comprised of both standard members (not owned
by and unitary with a financial institution in the UBG) and
financial institutions, the UBG will have two DMs (one for the
standard members completing Form 4891 and related forms,
and one for the financial institution members completing Form
4908 and related forms).
If this UBG also includes standard and/or insurance company
members, those members will not report tax data on this form,
but will be listed as excluded affiliates in Part 3.

19

Standard members will combine and report their data using
CIT Unitary Business Group Affiliates Excluded from the
Return of Standard Taxpayers (Form 4896), CIT Data for
Unitary Business Group Members (Form 4897), and CIT
Annual Return (Form 4891).
NOTE: Insurance company members will file separately, using
Insurance Company Annual Return for Corporate Income and
Retaliatory Taxes (Form 4905). Because insurance companies
always file separately, rather than on a combined return, there
is no CIT insurance form that serves a function similar to that
of Forms 4897 and 4910.
Example A: UBG A is composed of the following:
•	 Four standard members
•	 Three financial institutions (all have nexus in Michigan)
•	 Two insurance companies.
All members of UBG A are owned by and unitary with
one of the standard members of the UBG. UBG A will
need to file Form 4896, Form 4897 and Form 4891
containing the four standard members and Form 4910 and
Form 4908 containing the three financial institutions. In
Part 1 of each form, only the members that are included on
that form (either the four standard members, or the three
financial institutions) will be listed. Form 4896 and Form
4897 with standard members will be filed under the name
and Federal Employer Identification Number (FEIN) of
the group’s standard DM. One of the financial institutions
will serve as DM for those three members and file Form
4910 and Form 4908. On Form 4896, list all financial
and insurance members. On Part 3 of Form 4910, list all
standard and insurance members. The two insurance
companies each will file a stand-alone Form 4905.
Example B: UBG B is composed of the following:
•	 Four members that would be standard (see below)
unless owned by a financial institution
•	 Three financial institutions (all have nexus in Michigan)
•	 Two insurance companies.
All members of UBG B are owned by and unitary with
one of the financial institutions in the UBG. Due to this
ownership by a financial institution, the four members that
otherwise would be standard are defined by statute to be
financial institutions. (See definition of financial institution
earlier in these instructions.) Therefore, this UBG will not
file a Form 4896, Form 4897, or Form 4891. Seven members
will file a combined return on Form 4908 and Form 4910,
listing the two insurance members as excluded affiliates on
Part 3 of Form 4910. The two insurance companies each
will file a stand-alone Form 4905.
Role of the Designated Member: The DM speaks, acts, and
files the CIT return on behalf of the UBG for CIT purposes.
Only the DM may file a valid extension request for the UBG.
Treasury maintains the UBG’s CIT tax data (e.g., prior CIT
returns, overpayment credit forward) under the DM’s name and
FEIN.

20

Line-by-Line Instructions
Lines not listed are explained on the form.
Dates must be entered in MM-DD-YYYY format.
For additional guidance, see the “Supplemental Instructions
for Financial Members in UBGs” in the CIT Forms and
Instructions for Financial Institutions (Form 4907).
Part 1: Unitary Business Group Members
In Part 1, list only those members of the UBG that are
included on the annual return that is supported by this form.
If more than 16 members, include additional copies of this
page of Form 4910 as needed, repeating the DM’s name and
FEIN in the field at the top of each page. All excluded UBG
members will be identified in Part 3.
The Designated Member FEIN from the top of page 1 must be
repeated in the proper location on pages 2 and 3.
Lines 1A and 1B: Beginning with the DM, list the UBG
financial institution members and their corresponding FEIN.
NOTE: A taxpayer that is a UBG must file a combined
return using the tax year of the DM. The combined return of
the UBG must include each tax year of each member whose
tax year ends with or within the tax year of the DM. For
example, Taxpayer ABC is a UBG comprised of three financial
institutions: Member A, the DM with a calendar tax year, and
Members B and C with fiscal years ending March 31, 2019,
and September 30, 2019, respectively. Taxpayer ABC’s tax
year is that of its DM. Thus, Taxpayer ABC’s tax year ends
December 31, 2019, and its annual return is due April 30, 2020.
That annual return must include the tax years of Members B
and C ending March 31, 2019, and September 30, 2019.
If, in the previous example, Member A, the DM, instead had a
fiscal year ending July 31, 2023, the UBG’s tax year would end
July 31, 2023, and its annual return would be due November 30,
2023. The combined return for the UBG would include Member
A’s tax year of August 1, 2022 through July 31, 2023, Member
B’s tax year of April 1, 2022 through March 31, 2023 and
Member C’s tax year of October 1, 2021 through September 30,
2022.
Part 2A: Apportionment Data for Combined Return
When completing Part 1, if multiple copies of this page are
required, provide the same answers to Part 2A, lines 2 and 3,
on each copy of this page that is submitted.
Line 2: Gross business is defined in the instructions on
Form 4908, line 9a. On a combined return, gross business is
calculated after eliminating transactions between financial
institution members of the UBG. Enter combined gross
business in Michigan of all financial institution members
on line 2A, show eliminations on line 2B, and show net after
eliminations on line 2C. The combined gross business in
Michigan equals the sum of line 17 of Form 4910 of every
member of the group.
Carry amount from line 2C to line 9a on Form 4908.
NOTE: For a UBG that includes financial institutions, gross
business includes gross business in Michigan of every financial

institution included in that UBG without regard to whether the
financial institution has nexus in Michigan. Gross business
between financial institutions included in a UBG must be
eliminated in calculating the gross business factor.
Line 3: Enter all gross business everywhere on line 3A, show
eliminations on line 3B, and show net after eliminations on line 3C.
The gross business everywhere of the UBG equals the sum of line
18 of Form 4910 of every member of the group.
Carry amount from line 3C to line 9b on Form 4908.
Part 2B: Member Data for Combined Return
In all cases with one or more financial institutions in a UBG,
complete one copy of Part 2B for each financial institution in
the UBG. Note that an entity that would otherwise be a standard
member but is owned by and unitary with a financial institution
is defined by statute to be a financial institution. If a financial
institution member (other than the DM) has two or more federal
tax periods ending with or within the filing period of this return,
use a separate copy of Part 2B for each of that member’s federal
periods.
NOTE: All UBG members must be reported in Part 2B. If the
equity of a UBG member is NOT INCLUDED in the FFIEC
report, check the box under line 4, then complete line 5 through
line 13, and line 17 through line 21. DO NOT complete line
14 though line 16c, which is used to calculate the deductions
from total equity capital. These deductions may only be taken
by UBG members that have equity included in the total equity
capital reported on the designated regulatory report.
Line 6: List the member’s tax year, for federal income tax
purposes, from which business activity is being reported on
this copy of Part 2B.
Line 7: If due to acquisition or disposition the control test and
relationship test were not both satisfied for this member’s entire
federal tax year,   enter the beginning and ending dates of the
period within this member’s federal tax year during which both
tests were satisfied. If this member is part of a UBG based on
the affiliated group election, and was not a member of the UBG
for this member’s entire federal tax year, enter the beginning
and ending dates of the period within this member’s federal tax
year during which the control test was satisfied. These dates
constitute a short tax period for CIT purposes, even if there is
no corresponding short federal tax period. This member must
prepare a pro forma federal return calculation for the portion of
its federal year during which it was a member of this UBG, and
use that pro forma calculation as the basis for reporting the tax
data required by Part 2B.
Line 8: Enter the taxpayer’s six-digit North American Industry
Classification System (NAICS) code. For a complete list of sixdigit NAICS codes, see the U.S. Census Bureau Web site at
www.census.gov/eos/www/naics/, or enter the same NAICS
code used when filing Schedule K of U.S. Form 1120.
Line 9: Enter the date, if applicable, on which this member
went out of existence. Examples include dissolution of an entity
and a merger in which this member was not the surviving
entity. Include any event in which the FEIN ceases to be used
by this entity. If this member continues to exist, DO NOT
use this column to report that this member has stopped doing

business in Michigan. To complete the discontinuance for
Michigan taxes, file Form 163, which is available at www.
michigan.gov/treasuryforms.
Line 10: Identify the organization type of this member:
•	 Fiduciary (a decedent’s estate, and a Trust taxed federally
as a Trust under Subchapter J of the IRC. A grantor Trust or
“revocable living Trust” established by an Individual is not taxed
as a separate entity, and is not within this Fiduciary category.);
•	 C Corporation (including an LLC, Trust, or other entity taxed
federally as a Corporation under Subchapter C of the IRC).
•	 S Corporation (including an LLC, Trust, or other entity taxed
federally as a Corporation under Subchapter S of the IRC).
•	 Partnership (including an LP, LLP, LLC, Trust, or any other
entity taxed federally as a Partnership).
NOTE: An entity that is disregarded for federal income tax
purposes also will be disregarded for Michigan CIT purposes.  
Therefore, as with the federal treatment, the activity of such
an entity will be included and reported on the return (or on
Form 4910) filed by the entity’s owner, as if that activity was
conducted directly by the owner.
Line 11: If this member has nexus with Michigan, check this
box.
Line 12: This line does not apply to the first CIT return filed
by this UBG. For subsequent tax periods, check this box if this
member was not included in the UBG’s preceding CIT return.
Line 13: For informational and statistical purposes, please
check (with an X) this box if the following two conditions exist:  
1) The group to which this member belongs is a UBG by
way of the Affiliated Group Election (line 8a on Form
4908 is filled), AND
2) The member for which this form is being filed does NOT
meet both the relationship & traditional control UBG
tests.
See the instructions for CIT Annual Return for Financial
Institutions (Form 4908) for further information about the
election. If this box is checked, Form 4908, line 8a, MUST
contain a date. Once an election is made, every person that
meets the definition of “affiliated group,” which includes
meeting the affiliated group ownership test, is a member of the
UBG by way of the Affiliated Group Election (i.e., criterion
#1 is met). The ownership test for an affiliated group may be
different than the control test for non-affiliated group UBGs.
Further, the determination of members of a CIT affiliated
group is made without regard to whether the relationship test
is met. For informational and statistical purposes, indicate
whether the member for which this form is filed would meet
the traditional UBG tests had the group not made the Affiliated
Group Election.
Franchise Tax Base
NOTE: In completing the combined return, a member of a
unitary business group of financial institutions eliminates its
investment in the positive Equity Capital of other members
of the same group. Eliminations occur to Equity Capital at

21

the member level. Because each member of the group must
compute the Net Capital tax base in accordance with GAAP,
each member should represent a positive or zero Equity Capital
before Eliminations.
Line 14: Under MCL 206.651(k), Michigan obligations means
a bond, note, or other obligation issued by a governmental unit
described in Section 3 of the Shared Credit Rating Act, PA 227
of 1985, MCL 141.1053.
Sum the entries of all UBG members on line 14 and carry to
Form 4908, line 11.
Line 15: United States obligations means all obligations of
the United States exempt from taxation under 31 USC 3124(a)
or exempt under the United States constitution or any federal
statute, including the obligations of any instrumentality or
agency of the United States that are exempt from state or local
taxation under the United States constitution or any statute of
the United States.
Sum the entries of all UBG members on line 15 and carry to
Form 4908, line 12.
Line 16: Enter the equity capital of an insurance company
owned by the taxpayer, to the extent that the equity capital (this
UBG member’s investment) is included in Form 4908, line 10.  
Consider only insurance companies as defined in MCL 206.607
and subject to the Michigan’s CIT premiums tax, which does
not include captive insurance companies.   For purposes of
this deduction, equity capital is calculated in accordance with
Generally Accepted Accounting Principles.
Sum the entries of all UBG members on line 16 and carry to
Form 4908, line 15.
Line 17: Enter the minimum capital fund amount required by
regulations for that insurance subsidiary.
Sum the entries of all UBG members on line 17 and carry to
the corresponding column on Form 4908, line 16.
Line 18: Sum the entries of all UBG members on line 18 and
carry to Form 4908, line 17.
Line 20: Gross business is defined in the instructions on Form
4908, line 9a.  Enter gross business in Michigan of the financial
institution member reporting on Part 2B of this form. Combine
line 23 for each financial institution member and enter on Part
2A, line 2A.
Line 21: Enter gross business everywhere of the financial
institution member reporting on Part 2B of this form.  Combine
line 18 for each financial institution member and enter on Part
2A, line 3A.
Line 22: Enter overpayment credited from prior return (MBT
or CIT). When membership of a UBG changes from one filing
period to the next, credit forward of an overpayment from the
prior return remains with the DM’s account.
Sum the entries of all UBG members on line 22 and carry to
Form 4908, line 25.
Line 23: All CIT estimated payments for a UBG should
be made by the DM. Enter estimates paid by the DM on
this line of the DM’s copy of Part 2B. If any other member
paid estimates attributable to this group return, enter those
estimates on that member’s copy of Part 2B. Include all

22

payments made by that member for any portion of its federal
filing period that is included on this group return.
For example, if a non-DM member has a 12-month fiscal year
beginning April 1, 2013, and is a member of a calendar year
UBG throughout that period, its business activity from April
1, 2013, through March 31, 2014, will be reported on the
group’s December 31, 2014, return. If that member pays CIT
quarterly estimates based on its federal tax year, it will make
two estimates during 2013, before the DM’s (and group’s) filing
period begins. Because those estimates are attributable to
activity that will be reported on the group’s December 31, 2014,
return, they should be included on the paying member’s copy of
Part 2B for the December 31, 2014, group return.
Sum the entries of all UBG members on line 23 and carry to
Form 4908, line 26.
Line 24: Only the DM may request a filing extension for a UBG.
If any other member submits an extension request, it will not
create a valid extension for the UBG, but any payment included
with such a request can be credited to the UBG by entering that
payment on this line in that member’s copy of Part 2B.
Sum the entries of all UBG members on line 24 and carry to
Form 4908, line 27.
Line 25: Report here Michigan Tax withheld for deferred
compensation plans, life insurance and/or lottery annuities
issued to a business account number through MCL 206.703(1).
Taxpayers can enter the Michigan Tax withheld reported on the
W-2G and/or 1099R.
Also report any credit for the taxpayer’s allocated share of
Michigan flow-through entity (FTE) tax levied on and paid by
an electing flow-through entity. Such an electing flow-through
entity should be indirectly owned by this taxpayer. Include a
copy of the Schedule K-1 with the Schedule K-1 notes, or other
supporting documentation received from the electing flowthrough entity, to support the credit claimed on this line.
Part 3: Affiliates Excluded From the Combined
Return of Financial Institutions
The statutory test for membership in a UBG is a group of U.S.
persons (other than a foreign operating entity):
•	 One of which owns or controls, directly or indirectly, more
than 50 percent of the ownership interest with voting rights
or ownership interests that confer comparable rights to voting
rights of the other U.S. persons; and
•	 That has business activities or operations which result in a
flow of value between or among persons included in the UBG
or has business activities or operations that are integrated
with, are dependent upon, or contribute to each other. Flow
of value is determined by reviewing the totality of facts and
circumstances of business activities and operations.
A person that would be a standard taxpayer if viewed
separately is defined as a financial institution if it is owned,
directly or indirectly, by a financial institution and is in a UBG
with its owner.
If eligible, a UBG may alternatively be determined by way of
an Affiliated Group Election (see instructions for Form 4891

for the CIT definition of an affiliated group, and for eligibility
and other details about the election).   The “greater than
50% test” for the affiliated group may be different than the
traditional control test discussed above, and the affiliated group
is determined without regard to the relationship test discussed
above.
The purpose of Part 3 is to identify entities for which the
ownership test described above is satisfied but which are not
included on this combined return, either because the flow of
value/integration/dependence/contribution test is not satisfied
or because the member is excluded by statute. A new member
whose net capital is not included in this return because its tax
year ends after the filing period of the UBG also should be
listed here.
NOTE: If there is only one financial institution member in a
UBG for a given tax year, that member must file this form in
support of its Form 4908 and list all excluded members using
the reason codes below.
Line 26A: If a person being listed here is listed on federal
Form 851, enter the identifying number for that person from the
column called “Corp. No.” at the left edge of pages 1, 2, and 3
of federal Form 851.
Line 26D: From the following list of reason codes, select the
number for the reason explaining why this affiliate is being
excluded from the combined return of financial institutions
supported by this form.
1* Lacks business activities resulting in a flow of value or
integration with, dependence upon, or contribution to
the group.
2 Foreign operating entity.
3 Foreign entity.
4 Member has no CIT tax year (as a member of this UBG)
ending with or within this filing period.
5 Insurance company. (Insurance companies always file
separately.)
6 “Standard” taxpayers not owned by a financial
institution. (Financial institutions and “standard”
taxpayers are not included on the same combined return.)
7 Other.
*NOTE: Reason code number 1 does not apply to a group
that has made the Affiliated Group election.
If you have questions, call the Michigan Department of
Treasury, Technical Services Section, at 517-636-4230.
Line 26E: If this person has nexus with Michigan, check this box.
Line 26F: Enter the entity’s six-digit North American Industry
Classification System (NAICS) code. For a complete list of
six-digit NAICS codes, see the U.S. Census Bureau Web site
at www.census.gov/eos/www/naics/, or enter the same NAICS
code used when filing the entity’s federal Form 1120, Schedule
K, federal Form 1120S, or federal Form 1065.

Part 4: Persons Included in the Prior Combined
Return, but Excluded From Current Return
The purpose of Part 4 is to assist Treasury in tracking
membership changes of a UBG from year to year. If the reason
the person is not on this return is because it did not satisfy the
flow of value, etc., test at any time during the filing period, list
the person on line 26, and do not enter it here.
Line 27C: Reason codes for a person being included in last
year’s return but not on the combined return for financial
institutions supported by this form:
10 The person no longer meets the control test but the
ownership interest is still greater than zero.
12 The person no longer meets the control test and the
ownership interest is zero.
14 Before the beginning of the filing period for this return,
the person ceased to exist due to dissolution.
16 Before the beginning of the filing period for this return,
the person ceased to exist due to a merger or similar
combination.

	
If the reason is not listed among these reason codes, describe
the reason in 21 characters or less in the space provided.
Part 5: Persons included in the Federal Financial
Institutions Examination Council (FFIEC) Report that
are not Members of the UBG
If a company is included in the top-tiered parent entity’s FFIEC
report (that company’s equity is included as part of the total
equity capital of the return supported by this form), yet that
company does not meet either the control test or relationship
test required to be a UBG member, list that company here.

Other Supporting Forms and Schedules
For each member that files a separate federal return, attach
copies of the same pages of that member’s federal return as are
required for a separate filer in similar circumstances. See the
“Attachments” section of Form 4908 instructions for guidance
on required pages of federal returns.
If some or all members reporting on the current combined
return are also members of a federal consolidated group, each
member will prepare its portion of this Form 4910 on the basis
of a pro forma federal return. In this case, attach a copy of
the applicable pro forma form and schedules as listed in the
“Attachments” section of Form 4908 instructions.
NOTE: An entity that is disregarded for federal income tax
purposes also will be disregarded for Michigan CIT purposes.
Therefore, as with the federal treatment, the activity of such
an entity will be included and reported on the return (or on
Form 4910) filed by the entity’s owner, as if that activity was
conducted directly by the owner.
Include completed Form 4910 as part of the tax return filing.

23