# Announcement 2023-10: Announcement and Report Concerning Advance Pricing Agreements > Federal · IRS announcements · In force URL: https://www.frixlaw.com/law-library/statutes/IRS_ANN_2023_10 ## Section - **Citation:** Announcement 2023-10 - **Heading:** Announcement and Report Concerning Advance Pricing Agreements - **Jurisdiction:** Federal - **Kind:** IRS announcements - **Status:** In force - **Text as of:** August 14, 2026 - **Source:** Compiled text - **Location:** Internal Revenue Bulletin / IRB 2023 / Announcement / Announcement 2023-10 ## Text 1 ANNOUNCEMENT AND REPORT CONCERNING ADVANCE PRICING AGREEMENTS March 27, 2023 This Announcement is issued pursuant to § 521(b) of Pub. L. 106-170, the Ticket to Work and Work Incentives Improvement Act of 1999, which requires the Secretary of the Treasury to report annually to the public concerning advance pricing agreements (APAs) and the Advance Pricing and Mutual Agreement Program (APMA Program), formerly known as the Advance Pricing Agreement Program (APA Program). The first report covered calendar years 1991 through 1999. Subsequent reports covered each calendar year 2000 through 2021 separately. This twenty-fourth report describes the experience, structure, and activities of the APMA Program during calendar year 2022. It does not provide guidance regarding the application of the arm’s length standard. Part I of this report includes information on the structure, composition, and operation of the APMA Program; Part II presents statistical data; and Part III includes general descriptions of various elements of the APAs executed in 2022, including types of transactions covered, transfer pricing methods used, and completion time. John M. Wall Acting Director, APMA Program 2 Part I. The APMA Program – Structure, Composition, and Operation [Pub. L. 106-170 § 521(b)(2)(A)] In February 2012, the former APA Program was moved from the Office of Chief Counsel to the Office of Transfer Pricing Operations1 within the Large Business and International Division of the IRS and combined with the U.S. Competent Authority staff responsible for transfer pricing cases, thereby forming the APMA Program (APMA). As of December 31, 2022, APMA’s APA cases were handled by 59 team leaders, 26 economists, 9 managers, and 3 assistant directors.2 Each assistant director oversees three managers who lead teams consisting of both team leaders and economists ivision of the IRS and combined with the U.S. Competent Authority staff responsible for transfer pricing cases, thereby forming the APMA Program (APMA). As of December 31, 2022, APMA’s APA cases were handled by 59 team leaders, 26 economists, 9 managers, and 3 assistant directors.2 Each assistant director oversees three managers who lead teams consisting of both team leaders and economists. APMA’s main office is in Washington, DC, and it also has offices in northern California (San Francisco and San Jose), southern California (Los Angeles and Laguna Niguel), Chicago, and New York. On August 31, 2015, a new revenue procedure governing APA applications was published in 2015-35 I.R.B. on page 263. Revenue Procedure (Rev. Proc.) 2015-41 provides guidance, information and instructions on APA requests and the administration of APAs. Rev. Proc. 2015- 41 updates and supersedes Rev. Proc. 2006-9, 2006-1 C.B. 278, as modified by Rev. Proc. 2008- 31, 2008-1 C.B. 1133, which is also superseded. Model APAs appear as appendices to this report. Appendix 1 is the model for APAs covered by Rev. Proc. 2006-9. Appendix 2 is the current model APA for APAs covered by Rev. Proc. 2015- 41. A list of primary APMA contacts is available at https://www.irs.gov/businesses/corporations/apma-contacts. 1 In 2017, Transfer Pricing Operations became Treaty & Transfer Pricing Operations (“TTPO”). 2 In late 2020, TTPO’s Treaty Assistance and Interpretation Team (TAIT) joined APMA, bringing the total number of groups in APMA to four. The three legacy APMA groups have primary responsibility for cases arising under the business profits and associated enterprises articles of U.S. tax treaties. TAIT endeavors to resolve competent authority issues arising under all other articles of U.S. tax treaties including issues arising under U.S. tax treaties relating to estate and gift taxes ng the total number of groups in APMA to four. The three legacy APMA groups have primary responsibility for cases arising under the business profits and associated enterprises articles of U.S. tax treaties. TAIT endeavors to resolve competent authority issues arising under all other articles of U.S. tax treaties including issues arising under U.S. tax treaties relating to estate and gift taxes. As such, TAIT is separate from APMA’s APA program, and the total numbers of team leaders and managers handling APA cases do not include TAIT analysts and managers. 3 Part II. APMA Program Statistical Data [Pub. L. 106-170 § 521(b)(2)(C)(i-viii)] Table 1: APA Applications Filed § 521(b)(2)(C)(i) Unilateral Bilateral Multilateral Total Filed 1991-19993 401 Filed 2000-2021 653 1,845 37 2,535 Filed in 2022 22 154 7 183 Total Filed 1991-2022 3,119 The charts above illustrate the number of complete applications filed per year and the percentage of bilateral requests received in 2022 per foreign country. As of December 31, 2022, APMA had also received 34 user fee filings that were not yet accompanied by a substantially complete APA application, in addition to the 183 complete APA applications. 3 The first APA Statutory Report, which compiled APA data from 1991-1999, did not report the cumulative number of applications for those years by submission type, so the cumulative totals cannot be reported in that manner 22, APMA had also received 34 user fee filings that were not yet accompanied by a substantially complete APA application, in addition to the 183 complete APA applications. 3 The first APA Statutory Report, which compiled APA data from 1991-1999, did not report the cumulative number of applications for those years by submission type, so the cumulative totals cannot be reported in that manner. 0 50 100 150 200 250 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 Applications Filed 2013-2022 Japan 29% India 14% Canada 11% Korea 10% Italy 6% United Kingdom 6% Mexico 5% Switzerland 4% Germany 3% Netherlands 3% All Other Countries 9% Bilateral APAs Filed by Country 2022 4 Table 2: Executed4 and Pending APAs § 521(b)(2)(C)(ii-vi) Unilateral Bilateral Multilateral Total Total Executed 1991-2021 687 1,483 21 2,191 Total Executed in 2022 10 66 1 77 Total Executed 1991-2022 697 1,549 22 2,268 Total Pending as of 12/31/2022 54 480 30 564 Renewals Executed in 20225 10 32 0 42 Renewals Pending6 as of 12/31/2022 37 185 15 237 In 2022, the percentage of renewals executed decreased (55 percent of all APAs executed in 2022 versus 63 percent in 2021). The charts above illustrate trends in the number of APAs executed per year and the countries involved in the bilateral APAs that were executed in 2022. 4 “Executed APAs” refers to APAs that were finalized and includes both initial and renewal APAs. 5 The number of renewals executed is included in the total number of APAs executed during the year. 6 The number of renewals still pending as of year-end is also included in the total number of pending APAs cuted per year and the countries involved in the bilateral APAs that were executed in 2022. 4 “Executed APAs” refers to APAs that were finalized and includes both initial and renewal APAs. 5 The number of renewals executed is included in the total number of APAs executed during the year. 6 The number of renewals still pending as of year-end is also included in the total number of pending APAs. 0 50 100 150 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 APAs Executed 2013-2022 Japan 39% Canada 14% India 8% Switzerland 8% Germany 4% Italy 4% Korea 5% Belgium 3% China 3% Finland 3% United Kingdom 3% All Other Countries 6% Bilateral APAs Executed by Country 2022 5 As the top chart illustrates, the number of pending requests increased relative to December 31, 2021. As of December 31, 2022, almost half of the pending bilateral APA requests involved either Japan or India. Table 3: APAs Revoked or Cancelled and Applications Withdrawn § 521(b)(2)(C)(vii) Unilateral Bilateral Multilateral Total Revoked or Cancelled 1991-20007 1 Revoked or Cancelled 2001-2021 8 2 0 10 Revoked or Cancelled in 2022 0 0 0 0 Total Revoked or Cancelled 1991-2022 11 Withdrawn 1991-20008 49 Withdrawn 2001-2021 75 152 2 229 Withdrawn in 2022 1 5 0 6 Withdrawn 1991-2022 284 Table 4: APAs Executed in 2022 by Industry 7 The first APA Statutory Report, which compiled APA data from 1991-1999, and the second APA Statutory Report, which compiled APA data for 2000, did not report the cumulative number of applications for those years by submission type, so the cumulative totals cannot be reported in that manner. 8 See supra note 7 0 6 Withdrawn 1991-2022 284 Table 4: APAs Executed in 2022 by Industry 7 The first APA Statutory Report, which compiled APA data from 1991-1999, and the second APA Statutory Report, which compiled APA data for 2000, did not report the cumulative number of applications for those years by submission type, so the cumulative totals cannot be reported in that manner. 8 See supra note 7. 0 200 400 600 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 Pending APAs 2013-2022 Japan 24% India 22% Canada 11% Korea 7% Italy 6% Mexico 5% Germany 4% United Kingdom 4% Switzerland 3% All Other Countries 14% Pending Bilateral APAs by Country 6 § 521(b)(2)(C)(viii) Industry Wholesale/Retail Trade 32 Manufacturing 31 Services 10 Finance, Insurance, and Real Estate 3 All Other Industries 1 Table 4a: Manufacturing APAs Executed in 2022 Type of Manufacturing Chemical 13 Computer and Electronic Product 9 Transportation Equipment 6 Miscellaneous9 2 All Other Manufacturing 1 9 Industries in the Miscellaneous Manufacturing subsector (NAICS Code 339) make a wide range of products that cannot readily be classified in specific NAICS manufacturing subsectors. Wholesale/Retail Trade 42% Manufacturing 40% Services 13% Finance, Insurance and Real Estate 4% All Other Industries 1% APAs Executed in 2022 by Industry Chemical Manufacturing 42% Transportation Equipment Manufacturing 19% Miscellaneous Manufacturing 7% Computer and Electronic Product Manufacturing 29% All Other Manufacturing 3% Types of Manufacturing APAs Executed in 2022 7 Table 4b: Wholesale/Retail Trade APAs Executed in 2022 Type of Wholesale/Retail Trade Merchant Wholesalers, Durable Goods 24 Merchant Wholesalers, Nondurable Goods 4 All Other Wholesalers 4 Merchant Wholesalers, Durable Goods 75% Merchant Wholesalers, Nondurable Goods 12.5% All Other Wholesalers 12.5% Types of Wholesale/Retail Trade APAs Executed in 2022 8 Part III Executed in 2022 Type of Wholesale/Retail Trade Merchant Wholesalers, Durable Goods 24 Merchant Wholesalers, Nondurable Goods 4 All Other Wholesalers 4 Merchant Wholesalers, Durable Goods 75% Merchant Wholesalers, Nondurable Goods 12.5% All Other Wholesalers 12.5% Types of Wholesale/Retail Trade APAs Executed in 2022 8 Part III. General Descriptions of APAs Executed in 2022 [Pub. L. 106-170 § 521(b)(2)(D) and (E)] Nature of the Relationships § 521(b)(2)(D)(i) As in prior years, more than half of the APAs executed in 2022 involved transactions between non-U.S. parents and U.S. subsidiaries. Covered Transactions, Functions and Risks, and Tested Parties § 521(b)(2)(D)(ii-iii) Most of the transactions10 covered in APAs executed in 2022 involve the sale of tangible goods or the provision of services. Twenty-two percent of the transactions involve the use of intangible property, which can be among the most challenging transactions in APMA’s inventory. In the majority of APAs, the covered transactions involve numerous business functions and risks. For instance, with respect to functions, APAs involving manufactured products typically involve 10 APAs often cover more than one type of transaction. Non-U.S. Parent & U.S. Subsidiary 62% U.S. Parent & Non-U.S. Subsidiary 31% Sister Companies 7% Relationships between Controlled Parties Sale of Tangible Property into the U.S. 23% Sale of Tangible Property from the U.S. 14% Use of Intangible Property by a U.S. Entity 10% Use of Intangible Property by a Non- U.S. Entity 12% Provision of Services by a U.S. Entity 23% Provision of Services by a Non-U.S t & U.S. Subsidiary 62% U.S. Parent & Non-U.S. Subsidiary 31% Sister Companies 7% Relationships between Controlled Parties Sale of Tangible Property into the U.S. 23% Sale of Tangible Property from the U.S. 14% Use of Intangible Property by a U.S. Entity 10% Use of Intangible Property by a Non- U.S. Entity 12% Provision of Services by a U.S. Entity 23% Provision of Services by a Non-U.S. Entity 16% All Other Types of Transactions 2% Types of Covered Transactions 9 a controlled group that conducts research and development (R&D), engages in product design and engineering, manufactures the product, markets and distributes the product, and performs support functions such as legal, finance, and human resources. Regarding risks, the controlled group may assume a variety of risks, including market risks, R&D risks, financial risks, credit and collection risks, product liability risks, and general business risks. In the APA evaluation process, a significant amount of time and effort is devoted to understanding how the functions and risks are allocated among the controlled group of companies that are party to the covered transactions. For methods requiring the selection of a tested party, the tested party chosen generally will be the least complex of the controlled taxpayers. Consistent with prior years, a majority of tested parties11 in 2022 were U.S. distributors, U.S. manufacturers, or U.S. service providers. Transfer Pricing Methods Used § 521(b)(2)(D)(iv) In 2022, the most commonly used transfer pricing method (TPM) for both the sale of tangible property and the use of intangible property continued to be the comparable profits method/transactional net margin method (CPM/TNMM). The CPM/TNMM was used for 77 percent of these types of transactions. For covered transactions involving tangible and intangible property that used the CPM/TNMM, the operating margin (OM) is still the most common profit level indicator (PLI) used to benchmark results and the use of intangible property continued to be the comparable profits method/transactional net margin method (CPM/TNMM). The CPM/TNMM was used for 77 percent of these types of transactions. For covered transactions involving tangible and intangible property that used the CPM/TNMM, the operating margin (OM) is still the most common profit level indicator (PLI) used to benchmark results. It was used 73 percent of the time. Other PLIs, such as the Berry Ratio and return on total cost, made up the other 27 percent. As used here, “OM” is defined as the ratio of operating profit to sales,12 and “Berry Ratio” is defined as the ratio of gross profit to operating expenses.13 Most services transactions (80 percent) also used the CPM/TNMM with the OM and 11 Not all the executed APAs involve a tested party. 12 See Treas. Reg. § 1.482-5(b)(4)(ii)(A). 13 See Treas. Reg. § 1.482-5(b)(4)(ii)(B). U.S. Distributor 34% U.S. Manufacturer 21% U.S. Service Provider 7% Non-U.S. Distributor 19% Non-U.S. Service Provider 18% All Other Types of Tested Parties 1% Types of Tested Parties 10 operating profit to operating expense being the most common PLIs (used 53 percent of the time).14 Sources of Comparables, Comparables Selection Criteria, and Nature of Adjustments to Comparables or Tested Party Data § 521(b)(2)(D)(v-vii) For the APAs executed in 2022 that involved the CPM/TNMM with a North American tested party, the most widely used data source for comparables was Standard and Poor’s Compustat/Capital IQ database. Different sources were used in other cases (e.g., where the tested party was not a U.S. or Canadian entity or where transaction-based methods were applied). The other most commonly used databases are listed in the table below. Table 5: Sources of Comparable Data Bureau van Dijk (BvD) Prowess Global Vantage RoyaltySource ktMINE RoyaltyStat Orbis In making comparability adjustments, typical balance sheet adjustments, as identified in Treas. Reg d party was not a U.S. or Canadian entity or where transaction-based methods were applied). The other most commonly used databases are listed in the table below. Table 5: Sources of Comparable Data Bureau van Dijk (BvD) Prowess Global Vantage RoyaltySource ktMINE RoyaltyStat Orbis In making comparability adjustments, typical balance sheet adjustments, as identified in Treas. Reg. §§ 1.482-1(d)(2) and 1.482-5(c)(2)(iv), were made in most cases, including where appropriate, adjustments for payables, receivables, inventory, and fixed assets. In addition, where appropriate, adjustments for different accounting practices were made to convert from LIFO to FIFO inventory accounting, and a small number of cases involved the accounting reclassification of expenses, e.g., from COGS to operating expenses. Ranges, Goals, and Adjustment Mechanisms § 521(b)(2)(D)(viii-ix) Most transactions covered in APAs target an interquartile range or point within the interquartile range as described in Treas. Reg. § 1.482-1(e)(2)(iii)(C), and other targeted arm’s length ranges. Where the transaction involves a royalty payment for the use of intangible property, both specific royalty rates and ranges have been used. Where the covered transaction is the sale or license of intangible property, and the payment for such transfer would be a royalty based solely on external comparable uncontrolled transactions, a secondary or confirming method, e.g., a test of the post-royalty operating margin or cost-plus mark-up, has sometimes also been used. The testing periods of the APAs executed in 2022 were either a single year, the term of the APA only, or the term of the APA plus rollback years. APAs executed in 2022 included several mechanisms for making adjustments to the tested party’s results when the results fall outside the interquartile range or do not match the point required by the APA plus mark-up, has sometimes also been used. The testing periods of the APAs executed in 2022 were either a single year, the term of the APA only, or the term of the APA plus rollback years. APAs executed in 2022 included several mechanisms for making adjustments to the tested party’s results when the results fall outside the interquartile range or do not match the point required by the APA. Examples of the mechanisms used include an adjustment bringing the tested party’s results for a single year to either the closer edge of the range or the median of the 14 The majority of APAs that covered services transactions also included tangible/intangible transactions and are not tested under a separate PLI. 11 range, an adjustment to bring the results over the APA term to the closer edge of the range, or an adjustment to bring the results to a specified point or royalty rate. Critical Assumptions § 521(b)(2)(D)(v) The model APAs used by the IRS (included as Appendix 1 and Appendix 2 of this report) include standard critical assumptions that there will be no material changes to the taxpayer’s business or to its tax or financial accounting practices during the APA term. A few bilateral cases have also included critical assumptions tied to the taxpayer’s profitability in a certain year or over the term of the APA. Pursuant to § 7.06(3) of Rev. Proc. 2015-41, APMA will cancel an APA in the event of a failure of a critical assumption unless the parties agree to revise the APA. Term Lengths of APAs Executed in 2022 § 521(b)(2)(D)(x) Table 6: Term Lengths of APAs Executed in 2022 Term Length (years) Number of APAs 1 1 2 1 3 2 4 1 5 37 6 12 7 9 8 5 9 3 10 4 11 2 Average 6 As described in § 3.03(1) of Rev. Proc 5-41, APMA will cancel an APA in the event of a failure of a critical assumption unless the parties agree to revise the APA. Term Lengths of APAs Executed in 2022 § 521(b)(2)(D)(x) Table 6: Term Lengths of APAs Executed in 2022 Term Length (years) Number of APAs 1 1 2 1 3 2 4 1 5 37 6 12 7 9 8 5 9 3 10 4 11 2 Average 6 As described in § 3.03(1) of Rev. Proc. 2015-41, taxpayers should request an APA term that will cover at least five prospective years and may also request that the APA be “rolled back” to cover one or more earlier taxable years, although the appropriate APA term is decided on a case-by-case basis. Of the APAs executed in 2022, 16 percent included rollback years. A substantial number of those APAs with terms of greater than five years were submitted as a request for a five-year term, and the additional years were agreed to between the taxpayer and the IRS (or, in the case of a bilateral APA, between the IRS and the foreign government upon the taxpayer’s request) to ensure a reasonable amount of prospectivity in the APA term. 12 Amount of Time Taken to Complete New and Renewal APAs § 521(b)(2)(E) Table 7: Months to Complete New and Renewal APAs Executed in 2022 Unilateral Bilateral Unilateral & Bilateral Average Median Average Median Average Median New N/A N/A 53.0 53.0 53.0 53.0 Renewal 22.9 17.7 36.6 30.6 33.6 28.3 New & Renewal 22.9 17.7 44.7 45.7 42.0 43.4 Months to Complete New and Renewal APAs Executed in 2022 Median completion time continued to rise in 2022 to 43.4 months (from 35.1 months in 2021and 32.7 months in 2020). Efforts to Ensure Compliance with APAs § 521(b)(2)(F) As described in § 7.02(1) of Rev. Proc. 2015-41, taxpayers are required to file annual reports to demonstrate compliance with the terms and conditions of their APAs. The filing and review of these annual reports are critical parts of the APA process nued to rise in 2022 to 43.4 months (from 35.1 months in 2021and 32.7 months in 2020). Efforts to Ensure Compliance with APAs § 521(b)(2)(F) As described in § 7.02(1) of Rev. Proc. 2015-41, taxpayers are required to file annual reports to demonstrate compliance with the terms and conditions of their APAs. The filing and review of these annual reports are critical parts of the APA process. Through annual report review, the APMA Program monitors taxpayer compliance with APAs on a contemporaneous basis. Annual report review also provides current information on the success or problems associated with the various TPMs adopted in the APA process. 0 10 20 30 40 50 60 Average Median Average Median Average Median Unilateral Bilateral Unilateral & Bilateral Months to Complete Type of APA New Renewal New & Renewal 13 Nature of Documentation Required in Annual Report § 521(b)(2)(D)(xi) APAs require taxpayers to file timely and complete annual reports describing their operations and demonstrating compliance with the APA’s terms and conditions. Not every annual report will include each of the items listed in the following table; they are required where the facts demonstrate a need for such documentation. The requirements for the information to be included in a specific APA annual report is included in Appendix C of the executed APA. 1. Statement regarding all material differences between Taxpayer’s business operations during APA year and description of Taxpayer’s business operations contained in Taxpayer’s APA request. If there are no material differences, a statement to that effect. 2. Statement concerning all material changes in Taxpayer’s accounting methods and classifications, and methods of estimation, from those described or used in Taxpayer’s request for the APA. If there has been no material change in accounting methods and classifications or methods of estimation, a statement to that effect. 3. Any change to the Taxpayer notice information. 4 t to that effect. 2. Statement concerning all material changes in Taxpayer’s accounting methods and classifications, and methods of estimation, from those described or used in Taxpayer’s request for the APA. If there has been no material change in accounting methods and classifications or methods of estimation, a statement to that effect. 3. Any change to the Taxpayer notice information. 4. Description of any failure to meet critical assumptions. If there has been none, a statement to that effect. 5. Statement identifying whether any material information submitted while the APA request was pending is discovered to be false, incorrect, or incomplete. 6 The amount, reason for, and financial analysis of any compensating adjustment, for the APA year, including but not limited to the amounts paid or received by each affected entity; the character (such as capital or ordinary expense) and country source of the funds transferred, and the specific line item(s) of any affected U.S. tax return; and any change to any entity classification for federal income tax purposes of any member of Taxpayer’s group that is relevant to the APA. 7. The amounts, description, reason for, and financial analysis of any book-tax difference relevant to the TPM for the APA year, as reflected on Schedule M-1 or Schedule M-3 of the U.S. return for the APA year. 8. Statement regarding whether Taxpayer contemplates requesting, or has requested, to renew, modify, or cancel the APA. 9. Financial statements and any necessary account detail to show compliance with the TPM, with a copy of the opinion from an independent certified public accountant or other documentation required by paragraph 5(f) of the APA. 10. Financial analysis demonstrating Taxpayer’s compliance with TPM. 11. Organizational chart. 12. A copy of the APA and any amendment. 13. A penalty of perjury statement ial statements and any necessary account detail to show compliance with the TPM, with a copy of the opinion from an independent certified public accountant or other documentation required by paragraph 5(f) of the APA. 10. Financial analysis demonstrating Taxpayer’s compliance with TPM. 11. Organizational chart. 12. A copy of the APA and any amendment. 13. A penalty of perjury statement. Approaches for Sharing of Currency or Other Risks § 521(b)(2)(D)(xii) In appropriate cases, APAs may provide specific approaches for dealing with risks, including currency risk, such as adjustment mechanisms and/or critical assumptions. 14 APPENDIX 1– Model APA (based on Rev. Proc. 2006-9) ADVANCE PRICING AGREEMENT between [Insert Taxpayer’s Name] and THE INTERNAL REVENUE SERVICE PARTIES The Parties to this Advance Pricing Agreement (APA) are the Internal Revenue Service (IRS) and [Insert Taxpayer’s Name], EIN ________. RECITALS [Insert Taxpayer Name] is the common parent of an affiliated group filing consolidated U.S. tax returns (collectively referred to as “Taxpayer”) and is entering into this APA on behalf of itself and other members of its consolidated group. Taxpayer’s principal place of business is [City, State]. [Insert general description of taxpayer and other relevant parties]. This APA contains the Parties’ agreement on the best method for determining arm’s- length prices of the Covered Transactions under I.R.C. section 482, the Treasury Regulations thereunder, and any applicable tax treaties. {If renewal, add} [Taxpayer and IRS previously entered into an APA covering taxable years ending _____ to ______, executed on ________.] AGREEMENT The Parties agree as follows: 1. Covered Transactions. This APA applies to the Covered Transactions, as defined in Appendix A. 2. Transfer Pricing Method. Appendix A sets forth the Transfer Pricing Method (TPM) for the Covered Transactions. 15 3. Term. This APA applies to the APA Term, as defined in Appendix A. 4. Operation. a ending _____ to ______, executed on ________.] AGREEMENT The Parties agree as follows: 1. Covered Transactions. This APA applies to the Covered Transactions, as defined in Appendix A. 2. Transfer Pricing Method. Appendix A sets forth the Transfer Pricing Method (TPM) for the Covered Transactions. 15 3. Term. This APA applies to the APA Term, as defined in Appendix A. 4. Operation. a. Revenue Procedure 2006-9 governs the interpretation, legal effect, and administration of this APA. b. Nonfactual oral and written representations, within the meaning of sections 10.04 and 10.05 of Revenue Procedure 2006-9 (including any proposals to use particular TPMs), made in conjunction with the APA Request constitute statements made in compromise negotiations within the meaning of Rule 408 of the Federal Rules of Evidence. 5. Compliance. a. Taxpayer must report its taxable income in an amount that is consistent with Appendix A and all other requirements of this APA on its timely filed U.S. Return. However, if Taxpayer’s timely filed U.S. Return for any taxable year covered by this APA (APA Year) is filed prior to, or no later than 60 days after, the effective date of this APA, then Taxpayer must report its taxable income for that APA Year in an amount that is consistent with Appendix A and all other requirements of this APA either on the original U.S. Return or on an amended U.S. Return filed no later than 120 days after the effective date of this APA, or through such other means as may be specified herein. b. {Use or edit the following when U.S. Group or Foreign Group contains more than one member.} [This APA addresses the arm’s-length nature of prices charged or received in the aggregate between Taxpayer and Foreign Participants with respect to the Covered Transactions filed no later than 120 days after the effective date of this APA, or through such other means as may be specified herein. b. {Use or edit the following when U.S. Group or Foreign Group contains more than one member.} [This APA addresses the arm’s-length nature of prices charged or received in the aggregate between Taxpayer and Foreign Participants with respect to the Covered Transactions. Except as explicitly provided, this APA does not address and does not bind the IRS with respect to prices charged or received, or the relative amounts of income or loss realized, by particular legal entities that are members of U.S. Group or that are members of Foreign Group.] c. For each APA Year, if Taxpayer complies with the terms and conditions of this APA, then the IRS will not make or propose any allocation or adjustment under I.R.C. section 482 to the amounts charged in the aggregate between Taxpayer and Foreign Participant[s] with respect to the Covered Transactions. d. If Taxpayer does not comply with the terms and conditions of this APA, then the IRS may: i. enforce the terms and conditions of this APA and make or propose allocations or adjustments under I.R.C. section 482 consistent with this APA; ii. cancel or revoke this APA under section 11.06 of Revenue Procedure 2006-9; or iii. revise this APA, if the Parties agree. 16 e. Taxpayer must timely file an Annual Report (an original and four copies) for each APA Year in accordance with Appendix C and section 11.01 of Revenue Procedure 2006-9. Taxpayer must file the Annual Report for all APA Years through the APA Year ending [insert year] by [insert date]. Taxpayer must file the Annual Report for each subsequent APA Year by [insert month and day] immediately following the close of that APA Year n Annual Report (an original and four copies) for each APA Year in accordance with Appendix C and section 11.01 of Revenue Procedure 2006-9. Taxpayer must file the Annual Report for all APA Years through the APA Year ending [insert year] by [insert date]. Taxpayer must file the Annual Report for each subsequent APA Year by [insert month and day] immediately following the close of that APA Year. (If any date falls on a weekend or holiday, the Annual Report shall be due on the next date that is not a weekend or holiday.) The IRS may request additional information reasonably necessary to clarify or complete the Annual Report. Taxpayer will provide such requested information within 30 days. Additional time may be allowed for good cause. f. The IRS will determine whether Taxpayer has complied with this APA based on Taxpayer’s U.S. Returns, the Financial Statements, and other APA Records, for the APA Term and any other year necessary to verify compliance. For Taxpayer to comply with this APA, {use the following or an alternative} an independent certified public accountant must render an opinion that Taxpayer’s Financial Statements present fairly, in all material respects, Taxpayer’s financial position under U.S. GAAP. g. In accordance with section 11.04 of Revenue Procedure 2006-9, Taxpayer will (1) maintain the APA Records, and (2) make them available to the IRS in connection with an examination under section 11.03. Compliance with this subparagraph constitutes compliance with the record-maintenance provisions of I.R.C. sections 6038A and 6038C for the Covered Transactions for any taxable year during the APA Term. h. The True Taxable Income within the meaning of Treasury Regulations sections 1.482-1(a)(1) and (i)(9) of a member of an affiliated group filing a U.S. consolidated return will be determined under the I.R.C. section 1502 Treasury Regulations. i with the record-maintenance provisions of I.R.C. sections 6038A and 6038C for the Covered Transactions for any taxable year during the APA Term. h. The True Taxable Income within the meaning of Treasury Regulations sections 1.482-1(a)(1) and (i)(9) of a member of an affiliated group filing a U.S. consolidated return will be determined under the I.R.C. section 1502 Treasury Regulations. i. {Optional for US Parent Signatories} To the extent that Taxpayer’s compliance with this APA depends on certain acts of Foreign Group members, Taxpayer will ensure that each Foreign Group member will perform such acts. 6. Critical Assumptions. This APA’s critical assumptions, within the meaning of Revenue Procedure 2006-9, section 4.05, appear in Appendix B. If any critical assumption has not been met, then Revenue Procedure 2006-9, section 11.06, governs. 7. Disclosure. This APA, and any background information related to this APA or the APA Request, are: (1) considered “return information” under I.R.C. section 6103(b)(2)(C); and (2) not subject to public inspection as a “written determination” under I.R.C. section 6110(b)(1). Section 521(b) of Pub. L. 106-170 provides that the Secretary of the Treasury must prepare a report for public disclosure that includes certain specifically designated information concerning all APAs, including this APA, in a form that does not reveal taxpayers’ identities, trade secrets, and proprietary or confidential business or financial information. 8. Disputes. If a dispute arises concerning the interpretation of this APA, the Parties will seek a resolution by the Director of the Advance Pricing and Mutual Agreement Program, to the extent reasonably practicable, before seeking alternative remedies. 17 9. Materiality. In this APA the terms “material” and “materially” will be interpreted consistently with the definition of “material facts” in Revenue Procedure 2006-9, section 11.06(4). 10. Section Captions he Parties will seek a resolution by the Director of the Advance Pricing and Mutual Agreement Program, to the extent reasonably practicable, before seeking alternative remedies. 17 9. Materiality. In this APA the terms “material” and “materially” will be interpreted consistently with the definition of “material facts” in Revenue Procedure 2006-9, section 11.06(4). 10. Section Captions. This APA’s section captions, which appear in italics, are for convenience and reference only. The captions do not affect in any way the interpretation or application of this APA. 11. Terms and Definitions. Unless otherwise specified, terms in the plural include the singular and vice versa. Appendix D contains definitions for capitalized terms not elsewhere defined in this APA. 12. Entire Agreement and Severability. This APA is the complete statement of the Parties’ agreement. The Parties will sever, delete, or reform any invalid or unenforceable provision in this APA to approximate the Parties’ intent as nearly as possible. 13. Successor in Interest. This APA binds, and inures to the benefit of, any successor in interest to Taxpayer. 14. Notice. Any notices required by this APA or Revenue Procedure 2006-9 must be in writing. Taxpayer will send notices to the IRS at the address and in the manner set forth in Revenue Procedure 2006-9, section 4.11. The IRS will send notices to: Taxpayer Corporation Attn: Jane Doe, Sr. Vice President (Taxes) 1000 Any Road Any City, USA 10000 (phone: _________) 15. Effective Date and Counterparts. This APA is effective starting on the date, or later date of the dates, upon which all Parties execute this APA. The Parties may execute this APA in counterparts, with each counterpart constituting an original. 18 WITNESS, The Parties have executed this APA on the dates below. [Taxpayer Name in all caps] By: ___________________________ Date: ___________________, 201___ Jane Doe Sr PA is effective starting on the date, or later date of the dates, upon which all Parties execute this APA. The Parties may execute this APA in counterparts, with each counterpart constituting an original. 18 WITNESS, The Parties have executed this APA on the dates below. [Taxpayer Name in all caps] By: ___________________________ Date: ___________________, 201___ Jane Doe Sr. Vice President (Taxes) IRS By: ___________________________ Date: ___________________, 201___ John M. Wall Acting Director, Advance Pricing and Mutual Agreement Program 19 APPENDIX A COVERED TRANSACTIONS AND TRANSFER PRICING METHOD (TPM) 1. Covered Transactions. [Define the Covered Transactions.] 2. APA Term. This APA applies to Taxpayer’s taxable years ending __________ through ________ (APA Term). 3. TPM. {Note: If appropriate, adapt language from the following examples.} [The Tested Party is __________.] • CUP Method The TPM is the comparable uncontrolled price (CUP) method. The Arm’s Length Range of the price charged for _________ is between _______ and ___________ per unit. • CUT Method The TPM is the CUT Method. The Arm’s Length Range of the royalty charged for the license of ______is between ____% and ___ % of [Taxpayer’s, Foreign Participants’, or other specified party’s] Net Sales Revenue. [Insert definition of net sales revenue or other royalty base.] • Resale Price Method (RPM) The TPM is the resale price method (RPM). The Tested Party’s Gross Margin for any APA Year is defined as follows: the Tested Party’s gross profit divided by its sales revenue (as those terms are defined in Treasury Regulations sections 1.482- 5(d)(1) and (2)) for that APA Year. The Arm’s Length Range is between ____% and ___ %, and the Median of the Arm’s Length Range is ___%. • Cost Plus Method The TPM is the cost plus method ). The Tested Party’s Gross Margin for any APA Year is defined as follows: the Tested Party’s gross profit divided by its sales revenue (as those terms are defined in Treasury Regulations sections 1.482- 5(d)(1) and (2)) for that APA Year. The Arm’s Length Range is between ____% and ___ %, and the Median of the Arm’s Length Range is ___%. • Cost Plus Method The TPM is the cost plus method. The Tested Party’s Cost Plus Markup is defined as follows for any APA Year: the Tested Party’s ratio of gross profit to production 20 costs (as those terms are defined in Treasury Regulations sections 1.482-3(d)(1) and (2)) for that APA Year. The Arm’s Length Range is between ___% and ___%, and the Median of the Arm’s Length Range is ___%. • CPM with Berry Ratio PLI The TPM is the comparable profits method (CPM). The profit level indicator is a Berry Ratio. The Tested Party’s Berry Ratio is defined as follows for any APA Year: the Tested Party’s gross profit divided by its operating expenses (as those terms are defined in Treasury Regulations sections 1.482-5(d)(2) and (3)) for that APA Year. The Arm’s Length Range is between ____ and ___, and the Median of the Arm’s Length Range is ___. • CPM using an Operating Margin PLI The TPM is the comparable profits method (CPM). The profit level indicator is an operating margin. The Tested Party’s Operating Margin is defined as follows for any APA Year: the Tested Party’s operating profit divided by its sales revenue (as those terms are defined in Treasury Regulations section 1.482-5(d)(1) and (4)) for that APA Year. The Arm’s Length Range is between ____% and ___ %, and the Median of the Arm’s Length Range is ___%. • CPM using a Three-year Rolling Average Operating Margin PLI The TPM is the comparable profits method (CPM). The profit level indicator is an operating margin vided by its sales revenue (as those terms are defined in Treasury Regulations section 1.482-5(d)(1) and (4)) for that APA Year. The Arm’s Length Range is between ____% and ___ %, and the Median of the Arm’s Length Range is ___%. • CPM using a Three-year Rolling Average Operating Margin PLI The TPM is the comparable profits method (CPM). The profit level indicator is an operating margin. The Tested Party’s Three-Year Rolling Average operating margin is defined as follows for any APA Year: the sum of the Tested Party’s operating profit (within the meaning of Treasury Regulation section 1.482-5(d)(4) for that APA Year and the two preceding years, divided by the sum of its sales revenue (within the meaning of Treasury Regulation section 1.482-5(d)(1)) for that APA Year and the two preceding years. The Arm’s Length Range is between ____% and ____%, and the Median of the Arm’s Length Range is ___%. • Residual Profit Split Method The TPM is the residual profit split method. [Insert description of routine profit level determinations and residual profit-split mechanism]. [Insert additional provisions as needed.] 4. Application of TPM. For any APA Year, if the results of Taxpayer’s actual transactions produce a [price per unit, royalty rate for the Covered Transactions] [or] [Gross Margin, Cost Plus Markup, Berry Ratio, Operating Margin, Three-Year Rolling Average Operating Margin for the Tested Party] within 21 the Arm’s Length Range, then the amounts reported on Taxpayer’s U.S. Return must clearly reflect such results. For any APA year, if the results of Taxpayer’s actual transactions produce a [price per unit, royalty rate] [or] [Gross Margin, Cost Plus Markup, Berry Ratio, Operating Margin, Three-Year Rolling Average Operating Margin for the Tested Party] outside the Arm’s Length Range, then amounts reported on Taxpayer’s U.S amounts reported on Taxpayer’s U.S. Return must clearly reflect such results. For any APA year, if the results of Taxpayer’s actual transactions produce a [price per unit, royalty rate] [or] [Gross Margin, Cost Plus Markup, Berry Ratio, Operating Margin, Three-Year Rolling Average Operating Margin for the Tested Party] outside the Arm’s Length Range, then amounts reported on Taxpayer’s U.S. Return must clearly reflect an adjustment that brings the [price per unit, royalty rate] [or] [Tested Party’s Gross Margin, Cost Plus Markup, Berry Ratio, Operating Margin, Three-Year Rolling Average Operating Margin] to the Median. For purposes of this Appendix A, the “results of Taxpayer’s actual transactions” means the results reflected in Taxpayer’s and Tested Party’s books and records as computed under U.S. GAAP [insert another relevant accounting standard if applicable], with the following adjustments: (a) [The fair value of stock-based compensation as disclosed in the Tested Party’s audited financial statements shall be treated as an operating expense]; and (b) To the extent that the results in any prior APA Year are relevant (for example, to compute a multi-year average), such results shall be adjusted to reflect the amount of any adjustment made for that prior APA Year under this Appendix A. 5. APA Revenue Procedure Treatment If Taxpayer makes an adjustment under paragraph 4 of this Appendix A (a “primary adjustment”), Taxpayer and its related foreign entity may elect APA Revenue Procedure Treatment in accordance with section 11.02(3) of Revenue Procedure 2006-9 and avoid the possible adverse tax consequences of a secondary adjustment that would otherwise follow the primary adjustment. [Insert additional provisions as needed.] 22 APPENDIX B CRITICAL ASSUMPTIONS This APA’s critical assumptions are: 1 nd its related foreign entity may elect APA Revenue Procedure Treatment in accordance with section 11.02(3) of Revenue Procedure 2006-9 and avoid the possible adverse tax consequences of a secondary adjustment that would otherwise follow the primary adjustment. [Insert additional provisions as needed.] 22 APPENDIX B CRITICAL ASSUMPTIONS This APA’s critical assumptions are: 1. The business activities, functions performed, risks assumed, assets employed, and financial and tax accounting methods and classifications [and methods of estimation] of Taxpayer in relation to the Covered Transactions will remain materially the same as described or used in Taxpayer’s APA Request. A mere change in business results will not be a material change. [Insert additional provisions as needed.] 23 APPENDIX C APA RECORDS AND ANNUAL REPORT APA RECORDS The APA Records will consist of all documents listed below for inclusion in the Annual Report, as well as all documents, notes, work papers, records, or other writings that support the information provided in such documents. ANNUAL REPORT The Annual Report (and each of the four copies required by paragraph 5(e) of this APA) will include: 1. Two copies of a properly completed APA Annual Report Summary in the form of Appendix E to this APA, one copy of the form bound with, and one copy provided separately from, the rest of the Annual Report. 2. A table of contents, organized as follows: 3. Statements that fully identify, describe, analyze, and explain: a. All material differences between the U.S. Group’s business operations (including functions, risks assumed, markets, contractual terms, economic conditions, property, services, and assets employed) during the APA Year from the business operations described in the APA Request. If there have been no material differences, the Annual Report will include a statement to that effect. b. All material differences between the U.S en the U.S. Group’s business operations (including functions, risks assumed, markets, contractual terms, economic conditions, property, services, and assets employed) during the APA Year from the business operations described in the APA Request. If there have been no material differences, the Annual Report will include a statement to that effect. b. All material differences between the U.S. Group’s accounting methods and classifications, and methods of estimation used during the APA Year, from those described or used in the APA Request. If any change was made to conform to changes in U.S. GAAP (or other relevant accounting standards) Taxpayer will specifically identify the change. If there has been no material change in accounting methods and classifications or methods of estimation, the Annual Report will include a statement to that effect. c. Any change to the Taxpayer notice information in paragraph 14 of this APA. d. Any failure to meet any critical assumption. If there has been no failure, the Annual Report will include a statement to that effect. 24 e. Whether or not material information submitted while the APA Request was pending is discovered to be false, incorrect, or incomplete. f. Any change to any entity classification for federal income tax purposes (including any change that causes an entity to be disregarded for federal income tax purposes) of any Worldwide Group member that is a party to the Covered Transactions or is otherwise relevant to the TPM. g. The amount, reason for, and financial analysis of (1) any primary adjustments made under Appendix A for the APA Year; and (2) any (a) secondary adjustments that follow such primary adjustments or (b) accounts receivable that Taxpayer establishes, in lieu of secondary adjustments, by electing APA Revenue Procedure Treatment pursuant to paragraph 5 of Appendix A and Revenue Procedure 2006-9, section 11.02(3), for the APA Year, including but not limited to: i justments made under Appendix A for the APA Year; and (2) any (a) secondary adjustments that follow such primary adjustments or (b) accounts receivable that Taxpayer establishes, in lieu of secondary adjustments, by electing APA Revenue Procedure Treatment pursuant to paragraph 5 of Appendix A and Revenue Procedure 2006-9, section 11.02(3), for the APA Year, including but not limited to: i. the amounts due or owed, and paid or received by each affected entity; ii. the character (such as capital, ordinary, income, expense) and country source of the funds transferred, and the specific affected line item(s) of any affected U.S. Return; iii. the date(s) and means by which the payments are or will be made; and iv. whether or not APA Revenue Procedure Treatment was elected pursuant to paragraph 5 of Appendix A and Revenue Procedure 2006-9, section 11.02(3). h. The amounts, description, reason for, and financial analysis of any book-tax difference relevant to the TPM for the APA Year, as reflected on Schedule M-1 or Schedule M-3 of the U.S. Return for the APA Year. i. Whether Taxpayer contemplates requesting, or has requested, to renew, modify, or cancel the APA. 4. The Financial Statements, and any necessary account detail to show compliance with the TPM, including consolidating financial statements, segmented financial data, records from the general ledger, or similar information if the assets, liabilities, income, or expenses relevant to showing compliance with the TPM are a subset of the assets, liabilities, income, or expenses presented in the Financial Statements. 5. {Use the following or the alternative prescribed by paragraph 5(f) of this APA:} A copy of the independent certified public accountant's opinion required by paragraph 5(f) of this APA. 6. A financial analysis that reflects Taxpayer’s TPM calculations for the APA Year liance with the TPM are a subset of the assets, liabilities, income, or expenses presented in the Financial Statements. 5. {Use the following or the alternative prescribed by paragraph 5(f) of this APA:} A copy of the independent certified public accountant's opinion required by paragraph 5(f) of this APA. 6. A financial analysis that reflects Taxpayer’s TPM calculations for the APA Year. The calculations must reconcile with and reference the information required under item 4 above in 25 sufficient account detail to allow the IRS to determine whether Taxpayer has complied with the TPM. 7. An organizational chart for the Worldwide Group, revised annually to reflect all ownership or structural changes of entities that are parties to the Covered Transactions or are otherwise relevant to the TPM. 8. A copy of the APA and any amendment. 9. A penalty of perjury statement, executed in accordance with Revenue Procedure 2006-9, section 11.01(6) and (7). 26 APPENDIX D DEFINITIONS The following definitions control for all purposes of this APA. The definitions appear alphabetically below: Term Definition Annual Report A report within the meaning of Revenue Procedure 2006-9, section 11.01. APA This Advance Pricing Agreement, which is an “advance pricing agreement” within the meaning of Revenue Procedure 2006-9, section 2.04. APA Records The records specified in Appendix C. APA Request Taxpayer’s request for this APA dated _________, including any amendments or supplemental or additional information thereto. APA Year This term is defined in paragraph 5(a) of this APA. Covered Transaction(s) This term is defined in Appendix A. Financial Statements Financial statements prepared in accordance with U.S. GAAP and stated in U.S. dollars. Foreign Group Worldwide Group members that are not U.S. persons. Foreign Participants [name the foreign entities involved in Covered Transactions]. I.R.C. The Internal Revenue Code of 1986, 26 U.S.C., as amended. Pub. L Covered Transaction(s) This term is defined in Appendix A. Financial Statements Financial statements prepared in accordance with U.S. GAAP and stated in U.S. dollars. Foreign Group Worldwide Group members that are not U.S. persons. Foreign Participants [name the foreign entities involved in Covered Transactions]. I.R.C. The Internal Revenue Code of 1986, 26 U.S.C., as amended. Pub. L. 106-170 The Ticket to Work and Work Incentives Improvement Act of 1999. Revenue Procedure 2006-9 Rev. Proc. 2006-9, 2006-1 C.B. 278. Transfer Pricing Method (TPM) A transfer pricing method within the meaning of Treasury Regulation section 1.482-1(b) and Revenue Procedure 2006-9, section 2.04. U.S. GAAP U.S. generally-accepted accounting principles. U.S. Group Worldwide Group members that are U.S. persons. U.S. Return For each taxable year, the “returns with respect to income taxes under subtitle A” that Taxpayer must “make” in accordance with I.R.C. section 6012. {Or substitute for partnership: For each taxable year, the “return” that Taxpayer must “make” in accordance with I.R.C. section 6031.} 27 Worldwide Group Taxpayer and all organizations, trades, businesses, entities, or branches (whether or not incorporated, organized in the United States, or affiliated) owned or controlled directly or indirectly by the same interests. 28 APPENDIX E APA ANNUAL REPORT SUMMARY FORM The APA Annual Report Summary on the next page is a required APA Record. The APA Team Leader supplies some of the information requested on the form. Taxpayer is to supply the remaining information requested by the form and submit the form as part of its Annual Report. 29 APA Annual Report Department of the Treasury--Internal Revenue Service APA No NUAL REPORT SUMMARY FORM The APA Annual Report Summary on the next page is a required APA Record. The APA Team Leader supplies some of the information requested on the form. Taxpayer is to supply the remaining information requested by the form and submit the form as part of its Annual Report. 29 APA Annual Report Department of the Treasury--Internal Revenue Service APA No. _______________ SUMMARY Large Business and International Division Team Leader Treaty and Transfer Pricing Operations Economist Advance Pricing and Mutual Agreement Program Intl Examiner APA Information Taxpayer Name: ___________________________________________________ Taxpayer EIN:_________________ NAICS:___________________ APA Term: Taxable years ending ________ to ____________ Original APA [ ] Renewal APA [ ] Annual Report due dates: _________________, 201__ for all APA Years through APA Year ending in 200__; for each APA Year thereafter, on _________________ [month and day] immediately following the close of the APA Year Principal foreign country(ies) involved in covered transaction(s): Type of APA: [ ] unilateral [ ] bilateral with ________________ Tested party is [ ] US [ ] foreign [ ] both Approximate dollar volume of covered transactions (on an annual basis) involving tangible goods and services: [ ] N/A [ ] <$50 million [ ] $50-100 million [ ] $100-250 million [ ] $250-500 million [ ] >$500 million APA tests on (check all that apply): [ ] annual basis [ ] multi-year basis [ ] term basis APA provides (check all that apply) a: [ ] range [ ] point [ ] floor only [ ] ceiling only [ ] other_____________ APA provides for adjustment (check all that apply) to: [ ] nearest edge [ ] median [ ] other point APA Annual Report APA date executed: ______________, 201__ Information This APA Annual Report Summary is for APA Year(s) ending in 200__ and was filed on _____________, 201__ (to be completed a: [ ] range [ ] point [ ] floor only [ ] ceiling only [ ] other_____________ APA provides for adjustment (check all that apply) to: [ ] nearest edge [ ] median [ ] other point APA Annual Report APA date executed: ______________, 201__ Information This APA Annual Report Summary is for APA Year(s) ending in 200__ and was filed on _____________, 201__ (to be completed Check here [ ] if Annual Report was filed after original due date but in accordance with extension. by the Taxpayer) Has this APA been amended or changed? [ ] yes [ ] no Effective Date: ______________________ Has Taxpayer complied with all APA terms and conditions? [ ] yes [ ] no Were all the critical assumptions met? [ ] yes [ ] no Has a Primary Compensating Adjustment been made in any APA Year covered by this Annual Report? [ ] yes [ ] no If yes, which year(s): 200___ Have any necessary Secondary Compensating Adjustments been made? [ ] yes [ ] no Did Taxpayer elect APA Revenue Procedure treatment? [ ] yes [ ] no Any change to the entity classification of a party to the APA? [ ] yes [ ] no Taxpayer notice information contained in the APA remains unchanged. [ ] yes [ ] no Taxpayer's current US principal place of business: (City, State) _____________________________________ APA Annual Report Financial analysis reflecting TPM calculations [ ] yes [ ] no Checklist of Financial statements showing compliance with TPM(s) [ ] yes [ ] no Key Contents Schedule M-1 or M-3 book-tax differences [ ] yes [ ] no (to be completed Current organizational chart of relevant portion of world-wide group [ ] yes [ ] no by the Taxpayer) Attach copy of APA [ ] yes [ ] no Other APA records and documents included: Contact Information Authorized Representative Phone Number Affiliation and Address 30 APPENDIX 2– MODEL APA (BASED ON REV. PROC book-tax differences [ ] yes [ ] no (to be completed Current organizational chart of relevant portion of world-wide group [ ] yes [ ] no by the Taxpayer) Attach copy of APA [ ] yes [ ] no Other APA records and documents included: Contact Information Authorized Representative Phone Number Affiliation and Address 30 APPENDIX 2– MODEL APA (BASED ON REV. PROC. 2015-41) TEMPLATE FOR ADVANCE PRICING AGREEMENT UNDER REVENUE PROCEDURE 2015-41 _______________ The Advance Pricing and Mutual Agreement Program (“APMA”) of the Internal Revenue Service (“IRS”) is providing this template for use in drafting advance pricing agreements (“APAs”) issued under IRS Revenue Procedure 2015-41, 2015-35 I.R.B. 263 (“Rev. Proc. 2015-41”). This template is designed to systematize how taxpayers propose terms for their APAs and standardize language used in executed APAs. It will improve efficiency in the APA process and enhance consistency in the administration of the APA program. Rev. Proc. 2015-41 requires that taxpayers include as part of a complete APA request a draft APA and a “redline” comparison of the proposed draft APA against the current model APA. See section 2.03, exhibit 15, of the Appendix to Rev. Proc. 2015-41. This template serves as the model APA. A taxpayer is required to produce the “redline” comparison by following the instructions below to edit this template with tracked changes. The draft APA and “redline” comparison are then to be included in Word format in the complete APA request. (Before editing the template with tracked changes, a taxpayer should remove this introduction and the instructions below from the Microsoft Word file.) The assigned APMA team will review the APA’s terms proposed in the draft APA ions below to edit this template with tracked changes. The draft APA and “redline” comparison are then to be included in Word format in the complete APA request. (Before editing the template with tracked changes, a taxpayer should remove this introduction and the instructions below from the Microsoft Word file.) The assigned APMA team will review the APA’s terms proposed in the draft APA. If the APMA team accepts the proposed terms in light of its review of the taxpayer’s complete APA request and other information obtained during the APA process, then the text of the draft APA, edited as needed to fill in any information not available at the time of the APA Request, will be adopted as the text of a finally executed APA. If the APMA team does not accept the proposed terms, it will discuss modifications to the draft APA with the taxpayer during the APA process. For bilateral and multilateral APAs, the terms of the executed APA will of necessity be consistent with the terms of the underlying mutual agreement between the United States and one or more treaty partners. GENERAL INSTRUCTIONS The template is designed to minimize editing by using an options-based format for selecting from terms presented in certain sections of the model APA. The options presented are those which APMA considers standard and which it has accepted in final APAs. These options are not binding on APMA, however. APMA reserves the right to modify the option selections, the specific option language used, or any other terms before executing an APA with the taxpayer. Options are indicated by square brackets (“[]”). An “x” should be inserted between the brackets to indicate the selected option (“[x]”). Options that are not selected should not be deleted, but instead should be left in the text of the draft APA. The options to which APMA and 31 the taxpayer ultimately agree for the final APA will be indicated by the presence or absence of an “x” r. Options are indicated by square brackets (“[]”). An “x” should be inserted between the brackets to indicate the selected option (“[x]”). Options that are not selected should not be deleted, but instead should be left in the text of the draft APA. The options to which APMA and 31 the taxpayer ultimately agree for the final APA will be indicated by the presence or absence of an “x”. The term associated with the “x” will be given operative effect in the executed APA. Certain options are flagged with an asterisk after the square brackets (“[]*”). To facilitate the APMA team’s subsequent review of the draft APA, the asterisks should not be deleted. Taxpayers that select flagged options are required to specifically provide justification for the selection in the APA request. See section 1.02, Part 5, of the Appendix to Rev. Proc. 2015-41. The template contains placeholder phrases consisting of a hashtag followed by one or more words in block capital letters (e.g., “#COUNTRY”). Generally, the taxpayer should replace a placeholder phrase with appropriate text, subject to the following conventions: • If a placeholder phrase occurs within an option that the taxpayer has rejected, the taxpayer should change the hashtag to a caret (e.g., change “#COUNTRY” to “^COUNTRY”) but otherwise leave the phrase intact.15 The caret indicates that the Taxpayer has rejected this option. For example, for a bilateral APA with Japan, the lines on the first page just below the title would read: [x] Bilateral with Japan [] Multilateral with ^COUNTRIES [] Unilateral • The placeholder phrase “#CURRENCY” should be replaced, for example, with “U.S. dollars,” “Euros,” or “Japanese yen.” • The placeholder phrase “#DATE” should be replaced with a date in the format of “December 31, 2020.” The APA Term will be expressed as dates certain, e.g., “January 1, 2017 to December 31, 2022, inclusive”, rather than as particular tax years OUNTRIES [] Unilateral • The placeholder phrase “#CURRENCY” should be replaced, for example, with “U.S. dollars,” “Euros,” or “Japanese yen.” • The placeholder phrase “#DATE” should be replaced with a date in the format of “December 31, 2020.” The APA Term will be expressed as dates certain, e.g., “January 1, 2017 to December 31, 2022, inclusive”, rather than as particular tax years. Taxpayers may need to draft custom text for situations or options not included in the template. For example, a taxpayer may propose additional critical assumptions to address specific regulatory contingencies or conditions the taxpayer is expected to face during the term of the APA. As another example, the provision titled “Limitation on Assistance” at the end of the Recitals might be modified based on an understanding reached in the prefiling stage of the APA process. In some cases, a particular critical assumption might facilitate reaching an agreement on an APA. Taxpayers that include custom text are required to specifically provide justification for the inclusion in the APA request, just as selecting an option with an asterisk requires justification. Any custom text must also be evident in the “redline” comparison of the proposed draft APA. 15 As a result, almost all occurrences of the hashtag in the template will be replaced with a caret or other text in the taxpayer’s draft APA. The few remaining occurrences of the hashtag will mark a placeholder phrase that cannot yet be replaced with appropriate text (see, for example, the placeholder phrase in paragraph 6(e) for a date that cannot be determined until the APA nears execution). Searching the draft APA for the hashtag will locate all placeholder phrases that still need replacement. 32 INSTRUCTIONS ON TABLES The template contains certain tables that the taxpayer should edit r phrase that cannot yet be replaced with appropriate text (see, for example, the placeholder phrase in paragraph 6(e) for a date that cannot be determined until the APA nears execution). Searching the draft APA for the hashtag will locate all placeholder phrases that still need replacement. 32 INSTRUCTIONS ON TABLES The template contains certain tables that the taxpayer should edit. Entries in the tables will not contain hashtags, but taxpayers nevertheless should fill in the information and add additional rows to the tables if needed. Taxpayers also should fill in the “APA Information” in the table in Appendix D, to the extent available or proposed. INSTRUCTIONS ON APPENDIX A Appendix A of this template contains the description of the APA’s covered issue(s) and covered method(s). Taxpayers should note the following points in completing Appendix A: • The template includes just one covered issue with one corresponding covered method. If there is more than one covered Issue proposed for the APA, the taxpayer should add additional covered issues in Appendix A, section 3, with tracked changes. • If there is more than one covered method, the taxpayer should first replicate the template’s entire text for Covered Method 1 in Appendix A, section 4, without tracked changes, to provide template text for each additional covered method, and then edit the text for each covered method with tracked changes. • Normally, each covered issue will have its own corresponding covered method. However, in some cases, a covered method may apply at once to more than one covered issue. For example, covered issues may be proposed to be aggregated and tested by a single covered method. In such cases, the heading for that covered method could read, for example, “Covered Method for Covered Issues 1- 3”. • Any interaction between different covered methods should be adequately explained in the text, and in an appropriate manner ay apply at once to more than one covered issue. For example, covered issues may be proposed to be aggregated and tested by a single covered method. In such cases, the heading for that covered method could read, for example, “Covered Method for Covered Issues 1- 3”. • Any interaction between different covered methods should be adequately explained in the text, and in an appropriate manner. For example, an explanation might be provided in an introduction at the start of section 4 of Appendix A, preceding the description of the respective covered methods. Appendix A uses the term “Tested Party.” When applied in the context of methods that consider, or test, data from only one party to a transaction, this term is similar in concept to the term “tested party” as discussed in the OECD Guidelines at paragraphs 3.18 and 3.19, and as defined in the U.S. Treasury Regulations section 1.482-5(b)(2). However, some methods consider, or test, data from both parties to a transaction, where there is no singular “tested” party. Even in applying such methods, however, it is typically the case that one particular party’s results are formally tested for compliance with the method. For purposes of this template, in such circumstances, the party whose results are formally tested in applying any particular method is the “Tested Party”, even if that party is not strictly a “tested party” as discussed in the OECD Guidelines paragraphs 3.18 and 3.19, or as defined in the U.S. Treasury Regulations section 1.482-5(b)(2). 33 ADVANCE PRICING AGREEMENT between #SIGNATORY and THE INTERNAL REVENUE SERVICE [] Bilateral with #COUNTRY [] Multilateral with #COUNTRIES [] Unilateral Term: #DATE to #DATE, inclusive [] This APA is commonly referred to as #APA NAME. PARTIES The Parties to this APA are the Internal Revenue Service ("IRS") and #NAME OF EACH NON-IRS SIGNATORY, WITH EIN. [] #SIGNATORY will be referred to as “U.S T between #SIGNATORY and THE INTERNAL REVENUE SERVICE [] Bilateral with #COUNTRY [] Multilateral with #COUNTRIES [] Unilateral Term: #DATE to #DATE, inclusive [] This APA is commonly referred to as #APA NAME. PARTIES The Parties to this APA are the Internal Revenue Service ("IRS") and #NAME OF EACH NON-IRS SIGNATORY, WITH EIN. [] #SIGNATORY will be referred to as “U.S. Taxpayer.” [] #SIGNATORY is the common parent of an affiliated group filing consolidated U.S. tax returns and is entering into this APA on behalf of both itself and the following members of its consolidated group: #MEMBERS OF GROUP. All members of this consolidated group will be referred to collectively as “U.S. Taxpayer.” RECITALS [] This APA is a renewal of one or more prior APAs, which are listed below in reverse chronological order: Party(ies) Execution Date Term Key: • Party(ies): The signatory(ies) to the prior APA, other than the IRS, with each signatory’s taxpayer identification number; • Execution Date: The date, or the later of the dates, on which the prior APA was executed; • Term: The term of the prior APA. 34 [] This is a bilateral APA within the meaning of Rev. Proc. 2015-41 and implements the terms of a mutual agreement reached between the United States and #COUNTRY. [] This is a multilateral APA within the meaning of Rev. Proc. 2015-41 and implements the terms of a mutual agreement reached among the United States, #COUNTRIES. [] This APA is a unilateral APA within the meaning of Rev. Proc. 2015-41 and is not based on any mutual agreement. The Parties to this APA are defined in the ”Parties” section above. Regarding the Party(ies) to this APA other than the IRS: [] No such Party has an immediate parent or owner that is not a U.S. entity. [] One or more such Parties has an immediate parent or owner that is not a U.S is a unilateral APA within the meaning of Rev. Proc. 2015-41 and is not based on any mutual agreement. The Parties to this APA are defined in the ”Parties” section above. Regarding the Party(ies) to this APA other than the IRS: [] No such Party has an immediate parent or owner that is not a U.S. entity. [] One or more such Parties has an immediate parent or owner that is not a U.S. entity, as follows: Party Parent’s or Owner’s Identifying Information Parent’s or Owner’s Contact Information Key: • Party: Name of the Party having an immediate parent or owner that is not a U.S. entity; • Parent’s or Owner’s Identifying Information: Name of the immediate parent or owner of such Party, and the taxpayer identification number of that parent or owner for income tax purposes in its country of residence; • Parent’s or Owner’s Contact Information: The immediate parent’s or owner’s address and phone number. The term “Worldwide Group” is defined below in paragraph 12 of this APA. The ultimate parent entity or owner of Worldwide Group is: #ENTITY NAME, ADDRESS, AND PHONE U.S. Taxpayer’s principal place of business is #CITY, #STATE. #BRIEF DESCRIPTION OF U.S. TAXPAYER AND NON-U.S. TAXPAYER (DEFINED IN SECTION 1 OF APPENDIX A), AND SPECIFICALLY OF EACH COVERED ENTITY (DEFINED IN SECTION 1 OF APPENDIX A). This APA contains the Parties’ agreement on the Covered Method(s) for resolving the Covered Issue(s) under Code section 482 and any other Code sections that are identified in Appendix A to this APA, the U.S. Treasury Regulations thereunder, and (if applicable): 35 [] The income tax convention(s) between the United States and #COUNTRY(IES). This APA shall not limit the authority of the IRS to (1) verify compliance with this APA as to the Covered Issue(s), or (2) audit issues other than Covered Issue(s), including issues that arise under Code section 482 and any other Code sections identified in Appendix A to this APA, and the U.S plicable): 35 [] The income tax convention(s) between the United States and #COUNTRY(IES). This APA shall not limit the authority of the IRS to (1) verify compliance with this APA as to the Covered Issue(s), or (2) audit issues other than Covered Issue(s), including issues that arise under Code section 482 and any other Code sections identified in Appendix A to this APA, and the U.S. Treasury Regulations thereunder. LIMITATION ON ASSISTANCE The Covered Issue(s) may relate to one or more countries which (i) have an income tax convention with the United States, but (ii) are not a party to a mutual agreement whose terms are implemented by this APA. U.S. Taxpayer acknowledges that the IRS may decline to provide competent authority assistance concerning taxation by such country(ies) that relates to the Covered Issue(s). See section 2.02(4)(d) of Rev. Proc. 2015-41. 36 AGREEMENT The Parties agree as follows: 1. Covered Entities. This APA’s Covered Entities are defined in Appendix A. 2. Covered Issue(s). This APA applies to the Covered Issue(s), as defined in Appendix A. 3. Covered Method(s). Appendix A sets forth the Covered Method(s) for the Covered Issue(s). 4. Term. This APA applies to the APA Term, as defined in Appendix A. 5. Operation. a. Rev. Proc. 2015-41 governs the interpretation, legal effect, and administration of this APA. b. The APMA program provides a voluntary process whereby the IRS and taxpayers may resolve transfer pricing issues and issues for which transfer pricing principles may be relevant in a principled and cooperative manner on a prospective basis. As such, the APA process (as defined in Rev. Proc. 2015-41) is an alternative to dispute resolution that benefits both taxpayers and the IRS and that is intended to promote and encourage open communication. Accordingly, the IRS and U.S esolve transfer pricing issues and issues for which transfer pricing principles may be relevant in a principled and cooperative manner on a prospective basis. As such, the APA process (as defined in Rev. Proc. 2015-41) is an alternative to dispute resolution that benefits both taxpayers and the IRS and that is intended to promote and encourage open communication. Accordingly, the IRS and U.S. Taxpayer agree that neither party will attempt to use nonfactual oral or written representations, within the meaning of sections 6.04 and 6.05 of IRS Revenue Procedure 2015-41 (including any proposals to use particular Covered Method(s)), made in conjunction with the APA Request in any judicial or administrative proceeding. The IRS and U.S. Taxpayer also agree that factual representations made in conjunction with the APA Request may be used in judicial and administrative proceedings. 6. Compliance. a. U.S. Taxpayer must report its taxable income in an amount that is consistent with Appendix A and all other requirements of this APA. U.S. Taxpayer must so report its taxable income in the following manner: i. For any APA Tax Year for which U.S. Taxpayer timely files its original U.S. return prior to, or no later than 60 days after, the U.S. Effective Date, U.S. Taxpayer must so report its taxable income for that APA Tax Year in one of the following ways: A. on such original U.S. return; B. on an amended U.S. return submitted no later than 120 days after the U.S. Effective Date; 37 C. through a means proposed by U.S. Taxpayer and accepted by the applicable IRS practice area no later than 120 days after the U.S. Effective Date (or by such other deadline as is agreed between U.S. Taxpayer and the applicable IRS practice area); or D. if applicable: []* no later than 120 days after the U.S. Effective Date through the following means: #DESCRIPTION OF MEANS. ii. For all other APA Tax Years, U.S U.S. Taxpayer and accepted by the applicable IRS practice area no later than 120 days after the U.S. Effective Date (or by such other deadline as is agreed between U.S. Taxpayer and the applicable IRS practice area); or D. if applicable: []* no later than 120 days after the U.S. Effective Date through the following means: #DESCRIPTION OF MEANS. ii. For all other APA Tax Years, U.S. Taxpayer must so report its taxable income on its timely filed original U.S. return. iii. The provisions of paragraphs 6(a)(i) and 6(a)(ii) are modified by this paragraph 6(a)(iii). If a Covered Method includes a term test (including the case of an annual test with a supplemental term test) or a subterm test, as described in section 4 of Appendix A, then the APA Covered Year as of which the term test or subterm test applies would change in the event of an Early Termination. Specifically, while in the absence of an Early Termination a term test would apply as of the last APA Covered Year, in the event of an Early Termination the term test would apply as of an earlier APA Covered Year. Similarly, while in the absence of an Early Termination a subterm test would apply as of the last APA Covered Year in the subterm, in the event of an Early Termination the subterm test might apply as of an earlier APA Covered Year. In these situations, the Early Termination might not be established in time for U.S. Taxpayer to know to apply the term test or subterm test as of the earlier APA Covered Year in reporting taxable income as required under paragraphs 6(a)(i) and 6(a)(ii) for the APA Tax Year corresponding to that earlier APA Covered Year. In such cases, U.S. Taxpayer may need to correct its reporting for that APA Tax Year. Specifically, U.S rmination might not be established in time for U.S. Taxpayer to know to apply the term test or subterm test as of the earlier APA Covered Year in reporting taxable income as required under paragraphs 6(a)(i) and 6(a)(ii) for the APA Tax Year corresponding to that earlier APA Covered Year. In such cases, U.S. Taxpayer may need to correct its reporting for that APA Tax Year. Specifically, U.S. Taxpayer will need to correct its income reporting for that APA Tax Year if the application of the term test or subterm test in that earlier APA Covered Year changes the existence or amount of an APA Primary Adjustment for the Covered Method for that APA Tax Year. In such cases: A) The resulting incorrectness in the prior reporting for that APA Tax Year is excused; and B) U.S. Taxpayer must correct such prior reporting through a means listed in paragraph 6(a)(i) within 120 days of the Early Termination being established. b. For each Covered Issue, if any, that involves determination of pricing and/or income allocation16 under Code section 482 (or Code section 367(d)) as modified by any 16 As used in this APA, "income allocation" includes allocation of loss. 38 applicable income tax convention, this APA addresses the pricing and/or income allocation between U.S. Taxpayer and Non-U.S. Taxpayer in the aggregate. Except as explicitly provided, this APA does not address and does not bind the IRS with respect to pricing or income allocation tion 367(d)) as modified by any 16 As used in this APA, "income allocation" includes allocation of loss. 38 applicable income tax convention, this APA addresses the pricing and/or income allocation between U.S. Taxpayer and Non-U.S. Taxpayer in the aggregate. Except as explicitly provided, this APA does not address and does not bind the IRS with respect to pricing or income allocation (1) among particular legal entities that are members of U.S. Taxpayer, or (2) among particular legal entities that are members of Non-U.S. Taxpayer. In addition, this APA does not address pricing or income allocation between an entity that is not a Covered Entity, and any entity. c. For each APA Tax Year, if U.S. Taxpayer complies with the terms and conditions of this APA, then, provided that this APA remains effective for that APA Tax Year for a particular Covered Issue, the IRS will not make or propose any allocation or adjustment that is inconsistent with the application under this APA of the applicable Covered Method to that Covered Issue. d. If U.S. Taxpayer does not comply with the terms and conditions of this APA, then the IRS may: i. enforce the terms and conditions of this APA and make or propose allocations or adjustments based on the application of the Covered Method(s) to the Covered Issue(s) as provided in this APA; ii. cancel or revoke this APA under section 7.06 of Rev. Proc. 2015-41; or iii. revise this APA, if the Parties agree. e. U.S. Taxpayer must timely file an Annual Report for each APA Tax Year in accordance with this paragraph 6(e), Appendix C to this APA, and section 7.02 of Rev. Proc. 2015-41. Annual Reports for multiple APA Tax Years may be combined, provided that all required information for each APA Tax Year is clearly presented. For each Annual Report, U.S i. revise this APA, if the Parties agree. e. U.S. Taxpayer must timely file an Annual Report for each APA Tax Year in accordance with this paragraph 6(e), Appendix C to this APA, and section 7.02 of Rev. Proc. 2015-41. Annual Reports for multiple APA Tax Years may be combined, provided that all required information for each APA Tax Year is clearly presented. For each Annual Report, U.S. Taxpayer must submit an original printed version containing a signed original “penalties of perjury” declaration, one printed copy of the contents of the original printed version, and an electronic copy of the contents of the original printed version. Any exhibits in the printed version must be tabbed, and the electronic copy is subject to the same requirements, as to medium and format, that are specified for APA requests in section 2 of the Appendix to Rev. Proc. 2015-41. Upon request, U.S. Taxpayer must provide additional copies of the printed version, at addresses specified by the IRS. U.S. Taxpayer must file the Annual Report for each APA Tax Year by the later of (i) #DATE CERTAIN, NORMALLY APPROXIMATELY 90 DAYS AFTER THE U.S. EFFECTIVE DATE, and (ii) the fifteenth day of the twelfth month following the close of the APA Tax Year. The IRS may by notice request additional information reasonably necessary to clarify or complete the Annual Report. (See paragraph 16, and section 3(c) of Appendix C, regarding notices.) U.S. Taxpayer will provide such requested information within 30 days from the date of the notice unless a later date is specified in the notice. Additional time may be allowed for good cause in the discretion of the Director of the Advance Pricing and Mutual Agreement Program. f. The IRS will determine whether U.S. Taxpayer has complied with this APA based on U.S. Taxpayer’s U.S ices.) U.S. Taxpayer will provide such requested information within 30 days from the date of the notice unless a later date is specified in the notice. Additional time may be allowed for good cause in the discretion of the Director of the Advance Pricing and Mutual Agreement Program. f. The IRS will determine whether U.S. Taxpayer has complied with this APA based on U.S. Taxpayer’s U.S. returns, the Financial Statements and additional statements required 39 under this paragraph 6(f), and other APA Records, for all APA Tax Years and any other tax year necessary to verify compliance. The Financial Statements and additional statements required for a particular tax year are: [] For every U.S. Covered Entity, the Financial Statements together with the additional statements specified in paragraph 6(f)(i); and for every Non-U.S. Covered Entity, the Financial Statements together with the additional statements specified in paragraph 6(f)(ii). []* For every U.S. Covered Entity, the Financial Statements together with the additional statements specified in paragraph 6(f)(i). []* For every Non-U.S. Covered Entity, the Financial Statements together with the additional statements specified in paragraph 6(f)(ii). i. For each U.S. Covered Entity, the additional statements consist of the following statement(s): [] An audit opinion for that U.S. Covered Entity’s Financial Statements, as defined in paragraph 6(f)(iii). []* One or more of the following, as indicated: [] An accountant’s report for that U.S. Covered Entity’s Financial Statements, as defined in paragraph 6(f)(iii). [] A self-certification for that U.S. Covered Entity’s Financial Statements, as defined in paragraph 6(f)(iii). [] A self-certification for that U.S. Covered Entity’s Financial Statements, together with a tying certification for that entity’s Financial Statements, as defined in paragraph 6(f)(iii). [] #OTHER MEANS OF VERIFYING THE RELIABILITY OF THE U.S ned in paragraph 6(f)(iii). [] A self-certification for that U.S. Covered Entity’s Financial Statements, as defined in paragraph 6(f)(iii). [] A self-certification for that U.S. Covered Entity’s Financial Statements, together with a tying certification for that entity’s Financial Statements, as defined in paragraph 6(f)(iii). [] #OTHER MEANS OF VERIFYING THE RELIABILITY OF THE U.S. COVERED ENTITY’S FINANCIAL STATEMENTS. ii. For each Non-U.S. Covered Entity, the additional statements consist of the following statement(s): [] An audit opinion for that Non-U.S. Covered Entity’s Financial Statements, as defined in paragraph 6(f)(iii). 40 []* One or more of the following, as indicated: [] An accountant’s report for that Non-U.S. Covered Entity’s Financial Statements, as defined in paragraph 6(f)(iii). [] A self-certification for that Non-U.S. Covered Entity’s Financial Statements, as defined in paragraph 6(f)(iii). [] A self-certification for that Non-U.S. Covered Entity’s Financial Statements, together with a tying certification for that Covered Entity’s Financial Statements, as defined in paragraph 6(f)(iii). [] #OTHER MEANS OF VERIFYING THE RELIABILITY OF THE NON-U.S. COVERED ENTITY’S FINANCIAL STATEMENTS. iii. With reference to the Financial Statements for a particular Covered Entity for a particular tax year, certain terms used in paragraphs 6(f)(i) and 6(f)(ii) are defined as follows: A. An audit opinion is an opinion of an independent certified public or chartered accountant who audited the Financial Statements. B. An accountant’s report is a report of an independent certified public or chartered accountant who is associated with the Financial Statements. C. A self-certification is an attestation, as defined in paragraph 6(f)(iii)(E), that the Financial Statements have been prepared according to the Applicable Accounting Standard. D. A tying certification consists of the following: ments. B. An accountant’s report is a report of an independent certified public or chartered accountant who is associated with the Financial Statements. C. A self-certification is an attestation, as defined in paragraph 6(f)(iii)(E), that the Financial Statements have been prepared according to the Applicable Accounting Standard. D. A tying certification consists of the following: (1) An attestation, as defined in paragraph 6(f)(iii)(E), that the Financial Statements can be reconciled to the consolidated Financial Statements for that entity's direct or indirect parent according to workpapers provided with the attestation; (2) The workpapers referred to in paragraph 6(f)(iii)(D)(1), which must demonstrate the consolidation of the Covered Entity’s Financial Statements into the Financial Statements of the parent referred to in paragraph 6(f)(iii)(D)(1); 41 (3) The Financial Statements of the parent referred to in paragraph 6(f)(iii)(D)(1); and (4) An audit opinion (as defined in paragraph 6(f)(iii)(A)) for the Financial Statements of the parent referred to in paragraph 6(f)(iii)(D)(1). E. An attestation is an affirmation by an officer of the Covered Entity in the following form: I, [Officer’s Name and Title], of [Name of Covered Entity] affirm under penalties of perjury that the facts stated below are true. I either have adequate first-hand knowledge to make this affirmation or have gained adequate knowledge to make this affirmation through diligent consultation(s) with one or more individuals who have first-hand knowledge. [Facts attested to.] [Signature] g. In accordance with section 7.04 of Rev. Proc. 2015-41, U.S. Taxpayer will (1) maintain the APA Records, and (2) make them available to the IRS in connection with an examination under section 7.03 of Rev. Proc. 2015-41 e knowledge to make this affirmation through diligent consultation(s) with one or more individuals who have first-hand knowledge. [Facts attested to.] [Signature] g. In accordance with section 7.04 of Rev. Proc. 2015-41, U.S. Taxpayer will (1) maintain the APA Records, and (2) make them available to the IRS in connection with an examination under section 7.03 of Rev. Proc. 2015-41. Compliance with this subparagraph constitutes compliance with the record-maintenance provisions of Code sections 6038A and 6038C for the Covered Issue(s) for any APA Covered Year. h. The “true taxable income” within the meaning of U.S. Treasury Regulations sections 1.482-1(a)(1) and (i)(9) of a member of an affiliated group filing a U.S. consolidated return will be determined under the U.S. Treasury Regulations under Code section 1502. i. To the extent that U.S. Taxpayer’s compliance with this APA depends on certain acts of other members of Worldwide Group, U.S. Taxpayer will ensure that such other members will perform such acts. 7. Critical Assumptions. The Critical Assumptions, which are this APA’s critical assumptions as defined in Rev. Proc. 2015-41, appear in Appendix B. If any Critical Assumption has not been met, then Rev. Proc. 2015-41, section 7.06, governs, as modified by Appendix B to this APA. 8. Disclosure. This APA, and any background information related to this APA or the APA Request, are: (1) considered “return information” under Code section 6103(b)(2)(C); and (2) not subject to public inspection as a “written determination” under Code section 6110(b)(1). Section 521(b) of Pub. L. 106-170 provides that the Secretary of the Treasury must prepare a report for public disclosure that includes certain specifically designated information concerning all APAs, 42 including this APA, in a form that does not reveal taxpayers’ identities, trade secrets, and proprietary or confidential business or financial information. 9. Disputes e section 6110(b)(1). Section 521(b) of Pub. L. 106-170 provides that the Secretary of the Treasury must prepare a report for public disclosure that includes certain specifically designated information concerning all APAs, 42 including this APA, in a form that does not reveal taxpayers’ identities, trade secrets, and proprietary or confidential business or financial information. 9. Disputes. If a dispute arises concerning the interpretation or application of this APA, the Parties will seek a resolution by the Director, Treaty and Transfer Pricing Operations, to the extent reasonably practicable, before seeking alternative remedies. 10. Materiality. In this APA the terms “material” and “materially” will be interpreted in a manner consistent with the description of “material facts” in Rev. Proc. 2015-41, section 7.06(4). 11. Paragraph Captions. This APA’s paragraph captions, which appear in italic type, are for convenience and reference only. The captions do not affect in any way the interpretation or application of this APA. 12. Terms and Definitions. a. Unless otherwise specified, terms in the plural include the singular and vice versa. b. Appendix A contains definitions for certain terms used in this APA’s body and appendices. c. Certain terms used in this APA’s body and appendices are defined as follows: 43 Term Definition Annual Report A report within the meaning of Rev. Proc. 2015-41, section 7.02. Advance Pricing Agreement, or “APA” An “advance pricing agreement” within the meaning of Rev. Proc. 2015- 41, section 2.02. Unless context indicates otherwise, “this APA” or “the APA” denotes the particular APA that is executed below. APA Records (Defined in Appendix C.) APA Request U.S. Taxpayer’s request for this APA, which was dated #DATE, including any amendments or supplemental or additional information thereto (including but not limited to any responses to due diligence questions) 2015- 41, section 2.02. Unless context indicates otherwise, “this APA” or “the APA” denotes the particular APA that is executed below. APA Records (Defined in Appendix C.) APA Request U.S. Taxpayer’s request for this APA, which was dated #DATE, including any amendments or supplemental or additional information thereto (including but not limited to any responses to due diligence questions). Critical Assumptions (Defined in paragraph 7.) Financial Statements Balance sheet, income statement, statement of cash flow, and explanatory notes, prepared in accordance with the Applicable Accounting Standard as defined in section 7 of Appendix A. Non-U.S. Group In any APA Tax Year, Worldwide Group members that are not U.S. persons. Parties (Defined in the Recitals near the start of this APA.) Pub. L. 106-170 The Ticket to Work and Work Incentives Improvement Act of 1999. U.S. Effective Date (Defined in paragraph 17 and in section 7 of Appendix A. Those definitions are intended to have the same meaning. In case of conflict, the definition in paragraph 17 controls.) U.S. Group In any APA Tax Year, Worldwide Group members that are U.S. persons. Worldwide Group In any APA Tax Year, U.S. Taxpayer and all organizations, trades, businesses, entities, or branches (whether or not incorporated, organized in the United States, or affiliated) owned or controlled directly or indirectly by the same interests. 13. Deadline References. If a deadline under this APA falls on a Saturday, Sunday, or a legal holiday in the District of Columbia, the deadline is extended to the next succeeding day that is not a Saturday, Sunday, or legal holiday in the District of Columbia. 14. Entire Agreement and Severability. This APA is the complete statement of the Parties’ agreement. The Parties will sever, delete, or reform any invalid or unenforceable provision in this APA to approximate the Parties’ intent as nearly as possible. 15. Successor in Interest ine is extended to the next succeeding day that is not a Saturday, Sunday, or legal holiday in the District of Columbia. 14. Entire Agreement and Severability. This APA is the complete statement of the Parties’ agreement. The Parties will sever, delete, or reform any invalid or unenforceable provision in this APA to approximate the Parties’ intent as nearly as possible. 15. Successor in Interest. This APA binds, and inures to the benefit of, any successor in interest to U.S. Taxpayer. 16. Notice. Any notices required by this APA or Rev. Proc. 2015-41 must be in writing. U.S. Taxpayer will send notices to the IRS at: Commissioner, Large Business and International Division Internal Revenue Service 1111 Constitution Avenue, NW SE:LB:TTPO:APMA:NCA534-01 Washington, DC 20224 44 (Attention: APMA) The IRS will send notices to: #NAME AND ADDRESS (phone: #PHONE) The IRS also will send notices to, if applicable: [] #REPRESENTATIVE’S NAME AND ADDRESS (phone: #PHONE) provided that a valid IRS Form 2848 “Power of Attorney and Declaration of Representative” for that person was included in the most recent Annual Report (or, if no Annual Report has been filed, was included in the APA Request). 17. U.S. Effective Date and Counterparts. This APA is effective starting on the date, or later date of the dates, upon which all Parties execute this APA ("U.S. Effective Date"). The Parties may execute this APA in counterparts, with each counterpart constituting an original. WITNESS, The Parties have executed this APA on the dates below. #SIGNATORY NAME IN BOLD FACE BLOCK CAPITAL LETTERS By: __________________________Date: _________________, 20____ #NAME #TITLE INTERNAL REVENUE SERVICE By: __________________________Date: _________________, 20____ John M xecute this APA in counterparts, with each counterpart constituting an original. WITNESS, The Parties have executed this APA on the dates below. #SIGNATORY NAME IN BOLD FACE BLOCK CAPITAL LETTERS By: __________________________Date: _________________, 20____ #NAME #TITLE INTERNAL REVENUE SERVICE By: __________________________Date: _________________, 20____ John M. Wall Acting Director, Advance Pricing and Mutual Agreement Program 45 APPENDIX A COVERED ENTITIES, TERM, COVERED ISSUE(S), COVERED METHOD(S), INCOME REPORTING, CONFORMING ADJUSTMENTS AND REPATRITION OF FUNDS, CERTAIN SUBSEQUENT ADJUSTMENTS, AND DEFINITIONS Section 1 of this Appendix lists the Covered Entities. Section 2 defines the APA Term, APA Tax Years, and APA Covered Years. Section 3 describes the Covered Issue(s). Section 4 describes the Covered Method applicable to each Covered Issue. Section 5 describes the application of the Covered Method(s) to income reporting and the possible need for an APA Primary Adjustment under one or more Covered Methods. Section 6 addresses conforming adjustments and repatriation of funds following APA Primary Adjustments. Section 7 provides definitions that apply both to this Appendix and to the APA as a whole. The definitions table is based on a standard, inclusive model, and thus may include terms not used in this APA. 1. Covered Entities The U.S. Covered Entity(ies) are: #LIST OF EACH U.S. ENTITY INVOLVED IN ONE OR MORE COVERED ISSUE(S), AND ALSO (LISTED FIRST) ANY CONSOLIDATED RETURN PARENT FOR ANY SUCH ENTITY. FOR EACH ENTITY, NAME, ADDRESS, PHONE, AND EIN. The term “U.S. Taxpayer” includes collectively all U.S. Covered Entities and any other entities that are in a consolidated return group with a U.S. Covered Entity. The Non-U.S. Covered Entity(ies) are: # LIST OF EACH NON-U.S. ENTITY INVOLVED IN ONE OR MORE COVERED ISSUE(S), AND ALSO (LISTED FIRST) ANY COMMON TAX REPORTING PARENT FOR ANY SUCH ENTITY TY, NAME, ADDRESS, PHONE, AND EIN. The term “U.S. Taxpayer” includes collectively all U.S. Covered Entities and any other entities that are in a consolidated return group with a U.S. Covered Entity. The Non-U.S. Covered Entity(ies) are: # LIST OF EACH NON-U.S. ENTITY INVOLVED IN ONE OR MORE COVERED ISSUE(S), AND ALSO (LISTED FIRST) ANY COMMON TAX REPORTING PARENT FOR ANY SUCH ENTITY. FOR EACH ENTITY, NAME, ADDRESS, AND PHONE. The term “Non-U.S. Taxpayer” includes collectively all Non-U.S. Covered Entities and any other entities that are in a common tax reporting group with a Non-U.S. Covered Entity. The term “Covered Entities” includes both the U.S. Covered Entities and the Non-U.S. Covered Entities. 46 2. APA Term, APA Tax Years, and APA Covered Years The APA applies to the period from #DATE to #DATE, inclusive (the “APA Term”). [] The APA Term does not include a Rollback. [] The APA Term includes a Rollback, which covers from #DATE to #DATE, inclusive (the “Rollback Period”). A tax year of U.S. Taxpayer that is wholly or partly contained in the APA Term is called an “APA Tax Year.” For a particular APA Tax Year, the portion of such APA Tax Year that is contained in the APA Term is called an “APA Covered Year.” Such APA Tax Year and APA Covered Year are said to “correspond” to each other or to be “corresponding.” 3. Covered Issue(s) The Covered Issue(s) are as described below. Covered Issue 1: #DESCRIPTION OF COVERED ISSUE. 4. Covered Method(s) Each Covered Method applies to one or more Covered Issues. A Covered Method and the Covered Issue(s) to which the Covered Method applies are said to “correspond,” or to be “corresponding”. The Covered Methods are summarized in the following table and are described in detail below. In case of conflict with this table, the detailed descriptions of the Covered Methods below, and the descriptions in section 3 above of the Covered Issues, control s. A Covered Method and the Covered Issue(s) to which the Covered Method applies are said to “correspond,” or to be “corresponding”. The Covered Methods are summarized in the following table and are described in detail below. In case of conflict with this table, the detailed descriptions of the Covered Methods below, and the descriptions in section 3 above of the Covered Issues, control. Covered Method Number Applies to Covered Issues Number(s) Summary Description of Corresponding Covered Issues Type of Method; Results Tested Point or Range Testing Frequency and Periods 1 This Appendix A uses the term “Tested Party.” When applied in the context of methods that consider, or test, data from only one party to a transaction, this term is similar in concept to the term “tested party” as discussed in the OECD Guidelines paragraphs 3.18 and 3.19, and as defined in the U.S. Treasury Regulations section 1.482-5(b)(2). However, some methods consider, or test, data from both parties to a transaction, where there is no singular “tested” party. Even in applying such methods, however, it is typically the case that one particular party’s 47 results are formally tested for compliance with the method. For purposes of this template, in such circumstances, the party whose results are formally tested in applying any particular method is the “Tested Party”, even if that party is not strictly a “tested party” as discussed in the OECD Guidelines paragraphs 3.18 and 3.19, or as defined in the U.S. Treasury Regulations section 1.482-5(b)(2). Covered Method for Covered Issue 1: a. Tested Party The Tested Party is #TESTED PARTY. b. Financial Results Tested (Type of Method) [] The Covered Method is an implementation of the comparable uncontrolled price method under the OECD Guidelines and of the comparable uncontrolled price method under the U.S. Treasury Regulations Treasury Regulations section 1.482-5(b)(2). Covered Method for Covered Issue 1: a. Tested Party The Tested Party is #TESTED PARTY. b. Financial Results Tested (Type of Method) [] The Covered Method is an implementation of the comparable uncontrolled price method under the OECD Guidelines and of the comparable uncontrolled price method under the U.S. Treasury Regulations. The Tested Party’s financial results to be tested are: [] per unit price paid, defined as the total amount paid for #DESCRIPTION OF GOODS divided by the number of #DESCRIPTION OF A UNIT OF GOODS purchased. [] per unit price received, defined as the total amount received for #DESCRIPTION OF GOODS divided by the number of #DESCRIPTION OF A UNIT OF GOODS sold. [] The Covered Method is an implementation of the comparable uncontrolled price method under the OECD Guidelines and of the comparable uncontrolled services price method under the U.S. Treasury Regulations. The Tested Party’s financial results to be tested are: [] per unit price paid, defined as the total amount paid for #DESCRIPTION OF SERVICES divided by the number of #DESCRIPTION OF A UNIT OF SERVICES received. [] per unit price received, defined as the total amount received for #DESCRIPTION OF SERVICES divided by the number of #DESCRIPTION OF A UNIT OF SERVICES provided. [] The Covered Method is an implementation of the comparable uncontrolled price method under the OECD Guidelines and of the comparable uncontrolled transaction method under the U.S. Treasury Regulations. The Tested Party’s financial results to be tested are the royalty paid for the license of #DESCRIPTION OF LICENSED INTANGIBLE PROPERTY divided by the Tested Party’s: 48 [] sales revenue from sales of #DESCRIPTION OF GOODS/SERVICES. [] #OTHER ROYALTY BASE. [] The Covered Method is an implementation of the comparable uncontrolled price method under the OECD Guidelines and of the acquisition price method under the U.S be tested are the royalty paid for the license of #DESCRIPTION OF LICENSED INTANGIBLE PROPERTY divided by the Tested Party’s: 48 [] sales revenue from sales of #DESCRIPTION OF GOODS/SERVICES. [] #OTHER ROYALTY BASE. [] The Covered Method is an implementation of the comparable uncontrolled price method under the OECD Guidelines and of the acquisition price method under the U.S. Treasury Regulations. The Tested Party’s financial results to be tested are described in subsection (c) below. [] The Covered Method is an implementation of the comparable uncontrolled price method under the OECD Guidelines and of the market capitalization method under the U.S. Treasury Regulations. The Tested Party’s financial results to be tested are described in subsection (c) below. [] The Covered Method is an implementation of the resale price method under the OECD Guidelines and of the resale price method under the U.S. Treasury Regulations. The Tested Party’s financial results to be tested are the gross profit margin from the sale of #DESCRIPTION OF GOODS. [] The Covered Method is an implementation of the resale price method under the OECD Guidelines and of the gross services margin method under the U.S. Treasury Regulations. The Tested Party’s financial results to be tested are the gross services margin from the provision of #DESCRIPTION OF SERVICES. [] The Covered Method is an implementation of the cost plus method under the OECD Guidelines and of the cost plus method under the U.S. Treasury Regulations. The Tested Party’s financial results to be tested are the gross profit markup. [] The Covered Method is an implementation of the cost plus method under the OECD Guidelines and of the cost of services plus method under the U.S. Treasury Regulations. The Tested Party’s financial results to be tested are the gross services profit markup from the provision of #DESCRIPTION OF SERVICES ations. The Tested Party’s financial results to be tested are the gross profit markup. [] The Covered Method is an implementation of the cost plus method under the OECD Guidelines and of the cost of services plus method under the U.S. Treasury Regulations. The Tested Party’s financial results to be tested are the gross services profit markup from the provision of #DESCRIPTION OF SERVICES. [] The Covered Method is based on the principles of the low value-adding intra- group services approach under the OECD Guidelines and of the services cost method under the U.S. Treasury Regulations. The Tested Party’s financial results to be tested are the markup on total costs for providing #DESCRIPTION OF SERVICES. [] The Covered Method is an implementation of the transactional net margin method under the OECD Guidelines and of the comparable profits method under the U.S. Treasury Regulations. The Tested Party’s financial results to be tested, as reflected in its net profit indicator (per OECD Guidelines) or profit level indicator (per U.S. Treasury Regulations), are its: 49 [] operating margin. [] markup on total costs. [] Berry ratio. [] return on operating assets. [] return on invested capital. []* #OTHER NET PROFIT INDICATOR OR PROFIT LEVEL INDICATOR, WITH DEFINITION. [] The Covered Method is an implementation of the profit split (residual analysis) method under the OECD Guidelines and of the residual profit split method under the U.S. Treasury Regulations. The Tested Party’s financial results to be tested are described in subsection (c) below. [] The Covered Method is an implementation of the profit split (contribution analysis) method under the OECD Guidelines and of the comparable profit split method under the U.S. Treasury Regulations. The Tested Party’s financial results to be tested are described in subsection (c) below y Regulations. The Tested Party’s financial results to be tested are described in subsection (c) below. [] The Covered Method is an implementation of the profit split (contribution analysis) method under the OECD Guidelines and of the comparable profit split method under the U.S. Treasury Regulations. The Tested Party’s financial results to be tested are described in subsection (c) below. [] The Covered Method is an implementation of an income based valuation technique as referenced in paragraph 6.153 of the OECD Guidelines and of the income method under the U.S. Treasury Regulations. The Tested Party’s financial results to be tested are described in subsection (c) below. [] The Covered Method is an implementation of (i) a sharing of the cost of current contributions in proportion to overall expected benefits, within a cost contribution arrangement under the OECD Guidelines, and (ii) a sharing of intangible development costs in proportion to reasonably anticipated benefits, within a cost sharing arrangement under the U.S. Treasury Regulations. The Tested Party’s financial results to be tested are described in subsection (c) below. [] The Covered Method is a method that is not specified under the OECD Guidelines and not specified under the U.S. Treasury Regulations. The Tested Party’s financial results to be tested are described in subsection (c) below. Such financial results are determined according to the Applicable Accounting Standard, with the proviso that in determining such results, accounting principles and conventions that are generally accepted in the trade or industry must be used. Such financial results are tested against a point or range as described below. The test is carried out with a frequency, and for certain time periods, as described below. If and when these 50 financial results do not satisfy the test, they must be adjusted as described in section 5 of this Appendix A. c ventions that are generally accepted in the trade or industry must be used. Such financial results are tested against a point or range as described below. The test is carried out with a frequency, and for certain time periods, as described below. If and when these 50 financial results do not satisfy the test, they must be adjusted as described in section 5 of this Appendix A. c. Testing of Financial Results Against a Point or Range The Tested Party’s financial results are tested as follows: [] The financial results must equal #X. [] The financial results must be within an Arm’s Length Range. [] The Arm’s Length Range is from #X to #Y inclusive. [] This Arm’s Length Range has an associated Median value of #Z. [] This Arm’s Length Range has no associated Median value. [] Two Arm’s Length Ranges apply. The first is from #W to #X inclusive and applies to the annual test described in subsection (d) below. The second is from #Y to #Z inclusive and applies to the term test described in subsection (d) below. [] The first Arm’s Length Range has an associated Median value of #P, and the second Arm’s Length Range has an associated Median value of #Q. [] These Arm’s Length Ranges have no associated Median value. [] Two Arm’s Length Ranges apply. The first is from #W to #X inclusive and applies to the subterm test described in subsection (d) below. The second is from #Y to #Z inclusive and applies to the annual test described in subsection (d) below. [] The first Arm’s Length Range has an associated Median value of #P, and the second Arm’s Length Range has an associated Median value of #Q. [] These Arm’s Length Ranges have no associated Median value. [] Two Arm’s Length Ranges apply. The first is from #W to #X inclusive and applies to the test for the first subterm described in subsection (d) below. The second is from #Y to #Z inclusive and applies to the test for the second subterm described in subsection (d) below ’s Length Range has an associated Median value of #Q. [] These Arm’s Length Ranges have no associated Median value. [] Two Arm’s Length Ranges apply. The first is from #W to #X inclusive and applies to the test for the first subterm described in subsection (d) below. The second is from #Y to #Z inclusive and applies to the test for the second subterm described in subsection (d) below. 51 [] The first Arm’s Length Range has an associated Median value of #P, and the second Arm’s Length Range has an associated Median value of #Q. [] These Arm’s Length Ranges have no associated Median value. [] #OTHER DESCRIPTION, FOR EXAMPLE THE EVALUATION AND TESTING MECHANICS FOR A PROFIT SPLIT, AN INCOME METHOD, AN UNSPECIFIED METHOD, OR A SHARING OF COSTS UNDER A COST CONTRIBUTION ARRANGMENT/COST SHARING ARRANGEMENT. d. Testing Frequency and Testing Periods The Tested Party’s financial results are tested as of certain APA Covered Years, and for certain time periods, as follows: [] The results are tested annually, meaning that they are tested as of each APA Covered Year, for a period consisting of that APA Covered Year. [] There is no additional term test. [] There is an additional term test. For this test, the results are tested as of the Last Effective APA Covered Year, for the period consisting of the Last Effective APA Covered Year and all prior APA Covered Years. The application of the annual test and the application of the additional term test are coordinated as described in section 5 of this Appendix A. []* The results are tested on a term basis, meaning that they are tested only once, as of the Last Effective APA Covered Year, for a period consisting of the Last Effective APA Covered Year and all prior APA Covered Years. []* The results are tested on the basis of two subterms. For this purpose, the APA Term is divided into two subterms ed as described in section 5 of this Appendix A. []* The results are tested on a term basis, meaning that they are tested only once, as of the Last Effective APA Covered Year, for a period consisting of the Last Effective APA Covered Year and all prior APA Covered Years. []* The results are tested on the basis of two subterms. For this purpose, the APA Term is divided into two subterms. The first subterm consists of all APA Covered Years ending on or before #DATE, and the second subterm consists of all other APA Covered Years. For each subterm, the results are tested as of the Last Effective APA Subterm Covered Year, for a period consisting of the Last Effective APA Subterm Covered Year and all prior APA Covered Years in the subterm. []* The results are tested on a subterm basis for all APA Covered Years ending on or before #DATE (the “subterm”), and are tested annually for each other APA Covered Year, as follows: 52 The results are tested as of the Last Effective APA Subterm Covered Year, for a period consisting of the Last Effective APA Subterm Covered Year and all prior APA Covered Years in the subterm. The results are tested as of each APA Covered Year that is not in the subterm, for a period consisting of that APA Covered Year. []* The results are tested on a cumulative basis, meaning that (except as provided in the following sentence) they are not tested as of the first APA Covered Year but they are tested as of each other particular APA Covered Year for a period consisting of such particular APA Covered Year and all prior APA Covered Years. However, if the Last Effective APA Covered Year is the first APA Covered Year, then the results are tested as of the first APA Covered Year, for a period consisting of such APA Covered Year re not tested as of the first APA Covered Year but they are tested as of each other particular APA Covered Year for a period consisting of such particular APA Covered Year and all prior APA Covered Years. However, if the Last Effective APA Covered Year is the first APA Covered Year, then the results are tested as of the first APA Covered Year, for a period consisting of such APA Covered Year. []* The results are tested on a three-year rolling average basis, meaning that the results are tested as of each APA Covered Year, for a period consisting of the APA Tax Year corresponding to the APA Covered Year (but excluding any portion of that APA Tax Year that is after the APA Term), and the Tested Party’s two preceding tax years. e. Other Provisions The Tested Party’s financial results, to be tested as described above, are for: [] The Tested Party as a whole. [] Only a segment of the Tested Party’s activity. #DETAILED DESCRIPTION OF THE SEGMENT AND OF THE ALLOCATION AND APPORTIONMENT METHODS USED, INCLUDING ANY APPLICABLE FORMULAS AND DEFINITIONS OF QUANTITIES USED IN THOSE FORMULAS. THIS DESCRIPTION SHOULD BE DETAILED ENOUGH TO ENABLE A STRAIGHTFORWARD VERIFICATION OF COMPLIANCE BY THE IRS EXAMINATION TEAM. When the Tested Party’s financial results are tested as of a given APA Covered Year, those results shall reflect, to the extent relevant, any APA Primary Adjustment for this Covered Method made under section 5 of this Appendix A for the APA Tax Year corresponding to any prior APA Covered Year. For this Covered Method, if applicable: []* For APA Covered Years ending on or before #DATE, it is agreed that this Covered Method, yields financial results as shown below, and that any APA Primary Adjustments under section 5 of this Appendix A are as shown below. 53 #TEXT AND/OR TABLES SHOWING THE FINANCIAL RESULTS, THE TESTING OF THOSE FINANCIAL RESULTS UNDER THE COVERED METHOD, AND ANY RESULTING APA PRIMARY ADJUSTMENTS []* For APA Covered Years ending on or before #DATE, it is agreed that this Covered Method, yields financial results as shown below, and that any APA Primary Adjustments under section 5 of this Appendix A are as shown below. 53 #TEXT AND/OR TABLES SHOWING THE FINANCIAL RESULTS, THE TESTING OF THOSE FINANCIAL RESULTS UNDER THE COVERED METHOD, AND ANY RESULTING APA PRIMARY ADJUSTMENTS. For this Covered Method, if applicable: [] This Covered Method addresses the pricing for a transfer of intangible property (which does not constitute a platform contribution transaction as defined in U.S. Treasury Regulations section 1.482-7(b)(1)(ii)) within the meaning of U.S. Treasury Regulations section 1.482-4. That pricing will not be subject to periodic adjustments by the IRS, during or after the APA Term, under U.S. Treasury Regulations section 1.482-4(f)(2) or (6). [] This Covered Method addresses the pricing for a platform contribution transaction (“PCT”). That PCT will not be treated as a Trigger PCT within the meaning of U.S. Treasury Regulations section 1.482-7(i)(6)(i) for purposes of making periodic adjustments, during or after the APA Term, under U.S. Treasury Regulations section 1.482-7(i)(6). 5. Application of Covered Method(s) to Income Reporting For each APA Tax Year, and for each Covered Method and corresponding Covered Issue(s), the amounts reported by U.S. Taxpayer and Non-U.S. Taxpayer for income tax purposes under the laws of the United States and #COUNTRY(IES) must clearly reflect the Tested Party’s actual transactions, allocations, and/or recordkeeping, as applicable, that relate to such Covered Issue(s), adjusted as necessary to conform with section 4 of this Appendix A. Accordingly, for each particular APA Tax Year and corresponding APA Covered Year, and for each such Covered Method: i ses under the laws of the United States and #COUNTRY(IES) must clearly reflect the Tested Party’s actual transactions, allocations, and/or recordkeeping, as applicable, that relate to such Covered Issue(s), adjusted as necessary to conform with section 4 of this Appendix A. Accordingly, for each particular APA Tax Year and corresponding APA Covered Year, and for each such Covered Method: i. If the Tested Party’s financial results are tested as of such APA Covered Year and do not conform with section 4 of this Appendix A, then the tax reporting for such APA Tax Year must clearly reflect an adjustment that brings such results into conformance (an “APA Primary Adjustment”). If section 4 of this Appendix A specifies conformance to an Arm's Length Range, then the adjustment shall be to: [] the Median. []* the near edge of the Arm’s Length Range. []* the Median for Covered Issues #SPECIFY WHICH ONES, and the near edge of the Arm’s Length Range for Covered Issues #SPECIFY WHICH ONES. 54 ii. [Text truncated at 120,000 characters. The full text is on the page linked above.] ## Nearby sections - [Announcement 2023-1 Updated Reference Standard 90.1 for § 179D](https://www.frixlaw.com/law-library/statutes/IRS_ANN_2023_1.md) - [Announcement 2023-2 Transitional guidance under sections 6045 and 6045A with respect to the reporting of information on digital assets by brokers](https://www.frixlaw.com/law-library/statutes/IRS_ANN_2023_2.md) - [Announcement 2023-6 Issuance of Opinion Letters, Plan Adoption Deadline, and Opening of Determination Letter Program](https://www.frixlaw.com/law-library/statutes/IRS_ANN_2023_6.md) - [Announcement 2023-7 Part IV – Items of General Interest FEDERAL TAX TREATMENT OF CERTAIN RED HILL FUEL SPILL PAYMENTS](https://www.frixlaw.com/law-library/statutes/IRS_ANN_2023_7.md) - [Announcement 2023-10 Announcement and Report Concerning Advance Pricing Agreements](https://www.frixlaw.com/law-library/statutes/IRS_ANN_2023_10.md) - [Announcement 2023-11 Part III – Administrative, Procedural, and Miscellaneous Listed Transactions and Transactions of Interest](https://www.frixlaw.com/law-library/statutes/IRS_ANN_2023_11.md) - [Announcement 2023-12 Part III – Administrative, Procedural, and Miscellaneous](https://www.frixlaw.com/law-library/statutes/IRS_ANN_2023_12.md) - [Announcement 2023-16 Public Hearings on Proposed Regulations to Be Conducted in Person with Telephone Option Available](https://www.frixlaw.com/law-library/statutes/IRS_ANN_2023_16.md) - [Announcement 2023-18 Part IV – Items of General Interest Transitional Guidance with Respect to Stock Repurchase Excise Tax](https://www.frixlaw.com/law-library/statutes/IRS_ANN_2023_18.md) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/IRS_ANN_2023_10. Check the current official text before relying on it. Not legal advice.