BIO2AM AZ 2021 AmendedArchiveTaxReturn
BIO2AM AZ 2021 AmendedArchiveTaxReturn
Taxable Income
Federal taxable income 23,916
Additions 137,298
Subtractions 29,821
Nonapportionable or allocable amounts
Apportionment ratio 0.038897
Other income allocated to Arizona
Arizona basis net operating loss carryover 4,089
Arizona taxable income 1,022
Tax Computation
Income tax 50
Tax from recapture of tax credits
Nonrefundable credits
Total tax 50
Payments / Penalties
Refundable tax credits
Extension payment 50
Estimated tax payments
Claim of right
Penalties and interest
Estimated tax penalty
DRAFT
Total payments / penalties 50
Tax due
Refund
Arizona Form
120X Arizona Amended Corporation Income Tax Return 2021
DO NOT USE THE 2021 FORM 120X TO AMEND A PRIOR TAXABLE YEAR. USE THE FORM 120X FOR THE TAXABLE YEAR BEING AMENDED.
For the X calendar year 2021 or fiscal year beginning and ending .
Business Telephone Number Name Employer Identification Number (EIN)
(with area code)
BIOCATCH INC 81-1320437
415-722-4075 Address – number and street or PO Box
Business Activity Code 12 EAST 49TH STREET , 11TH FLOOR
(from federal Form 1120) City, Town or Post Office State ZIP Code
541990 NEW YORK NY 10017
B X Address change
REVENUE USE ONLY. DO NOT MARK IN THIS AREA.
65 Check box if: A Name change
A Reason for filing Form 120X: 88
1 Finalized federal audit
2 X Amended federal return
3 Arizona adjustments only (see instructions)
B This amended return changes Arizona filing method to: 1 Separate company
2 Combined (unitary group) 3 Consolidated (generally, election cannot be made on
amended return (see instructions)) PM RCVD
81 66
C Check this box if this amended return includes a capital loss carryback, and
enter the last day of the tax year the capital loss originated:
D Multistate Corporations Only: This amended return changes the method of apportionment to Arizona from the original return (check one box)
1 AIR CARRIER 2 X STANDARD 3 SALES FACTOR ONLY
E Check this box if the election to be treated as a Multistate Service Provider was made on the original return.
F Marijuana Establishments only: Adult Use only (a) (b) (c)
1 As Originally Amount
Dual Lic. did not
2 Dual Lic. elected for-profit 3 elect for-profit. Reported or Adjusted to Add or Subtract Corrected Amount
1 Taxable income per federal return . . . . . . . . . . . . . . . -4,116,831 00 4,140,747 00 1 23,916 00
41,635 00
DRAFT 95,663 00 137,298
2 Additions to taxable income from Schedule D, line D9 . . . 2 00
3 Total taxable income: Add lines 1 and 2. Enter the total . . -4,075,196 00 4,236,410 00 3 161,214 00
4 Subtractions from taxable income from Schedule E, line E11 29,821 00 0 00 4 29,821 00
5 Arizona adjusted income: Subtract line 4 from line 3. -4,105,017 00 4,236,410 00 5 131,393 00
Enter the difference.100% Arizona corporations check box 5a .
Go to line 13. All others go to line 6 . . . . . . . . . . . . . . . . . . . . . . . .
6 AZ adjusted income from line 5. Multistate corporations only . . . -4,105,017 00 4,236,410 00 6 131,393 00
7 Nonapportionable or allocable amounts. Multistate corporations only 0 00 00 7 00
8 Adjusted business income: Subtract ln. 7 from ln. 6. Enter the difference. -4,105,017 00 4,236,410 00 8 131,393 00
9 Arizona apportionment ratio from Schedule A or Schedule ACA . . . . 0.044249 9 0.038897
10 Income apportioned to AZ: Multiply ln. 8 by ln. 9. Multistate corp. only -181,643 00 186,754 00 10 5,111 00
11 Other income allocated to Arizona. Multistate corp. only . . . . . . . 0 00 00 11 00
12 Inc. attributable to AZ: Add lines 10 and 11. Multistate corporations only -181,643 00 186,754 00 12 5,111 00
13 Arizona income before NOL from line 5 or line 12 . . -181,643 00 186,754 00 13 5,111 00
14 AZ basis net operating loss carryover: Include computation sch. . 0 00 4,089 00 14 4,089 00
15 Arizona taxable income: Subtract line 14 from line 13 . . . -181,643 00 182,665 00 15 1,022 00
16 Enter tax: Tax is 4.9 percent of line 15 or $50, whichever is greater . 50 00 0 00 16 50 00
17 Tax from recapture of tax credits from Arizona Form 300, Part 2, line 25 0 00 00 17 00
18 Subtotal: Add lines 16 and 17 . . . . . . . . . . . . . . . . . . . . . . 50 00 0 00 18 50 00
19 Nonrefundable tax credits claimed from Arizona Form 300, Part 2, line 46 . . 0 00 00 19 00
20 Credit type: Enter form no. for each nonrefundable cr. claimed . . . . . . . . . . . . . . . . . . . . . . . . . . . 201 3 202 3 203 3 204 3
21 Tax liability: Subtract line 19 from line 18 . . . . . . . . . 50 00 0 00 21 50 00
22 Refundable tax credits: Check box(es) and enter amount . . . . . . . . . . . . . . . . . . . . . . . . . . 22a 308 22b 349 22c 00
23 Payments: X Ext Est 23a 00 Claim of Right 23b 00 Add 23a and 23b 23c 0 00
24 Payment with original return plus all payments after it was filed: from page 2, Schedule B . . . . . . . . . . . . . . . . . . . . . . . 24 50 00
25 Total payments: Add lines 22c, 23c, and 24. Enter total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 50 00
26 Overpayment, if any, as shown on original return or as later adjusted: See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 00
27 Total payments applied to amended tax liability: Subtract line 26 from line 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 50 00
28 TOTAL DUE: If line 21(c) is larger than line 27, subtract line 27 from line 21(c). Enter the difference. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 0 00
29 Enter the Penalty and Interest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 00
30 Add line 28 and line 29. Enter the total payment due. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 0 00
31 OVERPAYMENT : If line 27 is larger than line 21(c), subtract line 21(c) from line 27. Enter the difference. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 00
32 Amount of line 31 to be applied to 2022 estimated tax . . . . . . . . . . . . . . . . . . . . . 32 00
33 Amount to be refunded: Subtract line 32 from line 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 00
ADOR 10341 (21)
BIO2AM 01/23/2023 11:11 PM
DRAFT
qualifying Multistate Service Providers only (see instructions;
include Schedule MSP) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c Other gross receipts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 454,167
d Total sales and other gross receipts (the sum of lines a through c) . . . . . . . . . . . 454,167 17,089,531
e Weight AZ sales: (STANDARD × 2; SALES FACTOR ONLY × 1) . . . . . . . . . . x 2 OR x 1
f Sales Factor (for Column A, multiply line d by line e; for
Column B, enter the amount from line d; for Column C, divide
Column A by Column B.)
STANDARD Apportionment, continue to A4.
SALES FACTOR ONLY Apportionment, enter the amount from
Column C on page 1, line 9, column (c). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 908,334 17,089,531 0.053151
A4 STANDARD Apportionment Total Ratio: Add Column C of lines A1c, A2, and A3f. Enter the total. ......................... 0.155586
A5 Average Apportionment Ratio for STANDARD Apportionment: Divide line A4, Column C, by four (4). Enter the result
on page 1, line 9, column (c). (If one of the factors is “0” in both Column A and Column B, see instructions.) . . . . . . . . . . . . . . . . . . . 0.038897
SCHEDULE B Schedule of Payments (List payment date and amount.)
B1 Payment with original return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B1 50 00
B2 Payment after original return filed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B2 00
B3 Payment after original return filed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B3 00
B4 Total: Add lines B1, B2 and B3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B4 50 00
DRAFT
E5 Dividends received from foreign corporation . . . . . . . . . 00 00 E5 00
E6 Interest on U.S. obligations . . . . . . . . . . . . . . . . . . . . . . . . . . 00 00 E6 00
E7 Agricultural crops charitable contribution . . . . . . . . . . . . . 00 00 E7 00
E8 Expenses related to certain federal tax credits. See instructions 00 00 E8 00
E9 Capital gain from exchange of legal tender . . . . . . . . . . 00 00 E9 00
E10 Other subtractions from federal taxable income. See instructions 00 00 E10 00
E11 TOTALS: Add lines E1 through E10 in each column. Enter the
amounts here and in the corresponding column on page 1, line 4 29,821 00 00 E11 29,821 00
The following declaration must be signed by one or more of the following officers: president, treasurer, or any other principal officer.
Under penalties of perjury, I, the undersigned officer authorized to sign this return, declare that I have examined this return, including
Declaration
the accompanying schedules and statements, and to the best of my knowledge and belief, it is a true, correct and complete return,
made in good faith, for the taxable year stated pursuant to the income tax laws of the State of Arizona.
CFO
OFFICER'S SIGNATURE GREG STOCKETT DATE TITLE
Please
Sign OFFICER'S PRINTED NAME
Here
DRAFT
B Federal Exploration Expenses . . . . . . . . . . . . . . . . . . 00 00 B 00
C Federal Amortization or Depreciation for Facilities
and Equipment Amortized Under Arizona Law:
1 Pollution Control Devices . . . . . . . . . . . . . . . . . . . 00 00 C1 00
2 Child Care Facilities . . . . . . . . . . . . . . . . . . . . . . . . 00 00 C2 00
D Expenses and Interest Relating to Income Not
Taxed by Arizona . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 00 00 D 00
E Tax-Exempt Insurance Company Loss . . . . . . . . . . 00 00 E 00
F Amounts Repaid in Current Taxable Year . . . . . . . 00 00 F 00
G Excess Federal Capital Loss Carryover Under
a Claim of Right Restoration . . . . . . . . . . . . . . . . . . . . 00 00 G 00
H Domestic International Sales Corporations . . . . . . 00 00 H 00
I Expenditures for the Americans with Disabilities Act 00 00 I 00
J Treatment of Installment Obligations When 00 00
Corporate Activities Cease in Arizona . . . . . . . . . . . 00 J
K Total Other Additions from Federal Taxable Income.
Enter this amount on page 3, Schedule D, line D8 00 00 K 00
00
00
00
00 K
I
J
00
00
00
L Income from Disaster Relief Efforts . . . . . . . . . . . 00 00 L 00
M Expenditures for the Americans with Disabilities Act . 00 00 M 00
N Contribution in Aid of Construction (see instructions) . . . 00 00 N 00
O Marijuana Establishments only (see instructions)
1 Federal Disallowed Expenses, or . . . . . . . . . . . 00 00 O1 00
2 Federal Taxable Income Attributable to NMMD Operations 00 00 O2 00
P Total Other Subtractions from Federal Taxable Income
Enter this amount on page 3, Schedule E, line E10 . . 00 00 P 00
Arizona Form
120 Arizona Corporation Income Tax Return 2021
For the X calendar year 2021 or fiscal year beginning and ending .
Business Telephone Number Name Employer Identification Number (EIN)
(with area code)
BIOCATCH INC 81-1320437
415-722-4075 Address - number and street or PO Box
Business Activity Code
(from federal Form 1120)
12 EAST 49TH STREET , 11TH FLOOR
City, Town or Post Office State ZIP Code
DRAFT 137,298
2 Additions to taxable income from page 2, Schedule A, line A9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 00
3 Total taxable income: Add lines 1 and 2. Enter the total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 161,214 00
4 Subtractions from taxable income from page 2, Schedule B, line B11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 29,821 00
5 Adjusted income: Subtract Line 4 from line 3. Enter the difference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 131,393 00
Multistate corporations, go to line 6. 100% Arizona corporations, check box 5a Go to line 13 . . . . . . . . . . .
6 Arizona adjusted income from line 5. Multistate corporations only . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 131,393 00
7 Nonapportionable or allocable amounts from page 2, Schedule C, line C8. Multistate corporations only . 7 00
8 Adjusted business income: Subtract line 7 from line 6. Enter the difference. Multistate corporations only 8 131,393 00
9 Arizona apportionment ratio from Schedule E or Schedule ACA . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 0.038897
10 Adjusted business income apportioned to Arizona: Line 8 multiplied by line 9. Multistate corporations only 10 5,111 00
11 Other income allocated to Arizona from page 2, Schedule D, line D6. Multistate corporations only . . . . . . 11 00
12 Adjusted income attributable to Arizona: Add lines 10 and 11. Multistate corporations only . . . . . . . . . . . . . 12 5,111 00
13 Arizona income before Net Operating Loss (NOL) from line 5 if 100% Arizona, or line 12 if Multistate corporation 13 5,111 00
14 Arizona basis NOL carryover: Include computation schedule. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 4,089 00
15 Arizona taxable income: Subtract line 14 from line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 1,022 00
16 Enter tax: Tax is 4.9 percent of line 15 or fifty dollars ($50), whichever is greater . . . . . . . . . . . . . . . . . . . . 16 50 00
17 Tax from recapture of tax credits from Arizona Form 300, Part 2, line 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 00
18 Subtotal: Add lines 16 and 17. Enter the total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 50 00
19 Nonrefundable tax credits claimed on line 20 from Arizona Form 300, Part 2, line 46 . . . . . . . . . . . . . . . . . . . . . . 19 00
20 Enter form number for each nonrefundable credit used: 201 3 202 3 203 3 204 3
21 Tax liability: Subtract line 19 from line 18. Enter the difference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 50 00
22 Refundable tax credits: Check box(es) and enter amount: 221 308 222 349 . . . . . . . . . . . . . . . . . . . . . . . . . . 22 00
23 Extension payment made with Form 120EXT or online: See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 50 00
24 Estimated tax payments: 24a 00 Claim of Right: 24b 00 Add 24a & 24b 24c 00
25 Total payments: Add lines 22, 23, and 24c. Enter the total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 50 00
26 Balance of tax due: If line 21 is larger than line 25, subtract line 25 from line 21. Enter the difference. Skip line 27. . . . . . . . 26 0 00
27 Overpayment of tax: If line 25 is larger than line 21, subtract line 21 from line 25. Enter the difference. . . . . 27 00
28 Penalty and interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 00
29 Estimated tax underpayment penalty. If Form 220 is included, check this box . . . . . . . . . . . . . . . . . . . . . 29A 29 00
30 TOTAL DUE: See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 0 00
31 OVERPAYMENT : See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 00
32 Amount of line 31 to be applied to 2022 estimated tax . . . . . . . . . . . . . . . . . 32 00
33 Amount to be refunded: Subtract line 32 from line 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 00
ADOR 10336 (21)
BIO2AM 01/23/2023 11:11 PM
DRAFT
Schedule MSP) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c Other gross receipts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d Total sales and other gross receipts. (the sum of lines a through c) . . . . .
e Weight AZ sales: (STANDARD × 2; SALES FACTOR ONLY × 1) . . . . . . . .
454,167
454,167
×2 OR ×1
17,089,531
f Sales Factor Only (for Column A, multiply line d by line e; for
Column B, enter the amount from line d; for Column C, divide
Column A by Column B.) Skip line E4 and line E5
STANDARD Apportionment, continue to E4.
SALES FACTOR ONLY Apportionment, enter the amount from
Column C on page 1, line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 908,334 17,089,531 0.053151
E4 STANDARD Apportionment Total Ratio: Add Column C of lines E1c, E2, and E3f. Enter the total. . . . . . . . . . . . . . . . . . . . . 0.155586
E5 Average Apportionment Ratio for STANDARD Apportionment: Divide line E4, Column C, by four (4). Enter the result
on page 1, line 9. (If one of the factors is "0" in both Column A and Column B, see instructions.) . . . . . . . . . . . . . . . . . . . . . . . . . 0.038897
SCHEDULE F Schedule of Tax Payments (Include additional sheets if more space is needed.)
(a) (b) (c) (d) (e)
Payment Estimated Extension
Name of Corporation EIN Date Payment Payment
F2 00 00
F3 00 00
F4 00 00
F5 00 00
F6 00 00
G4 List prior taxable years ending in MM/DD/YYYY format for which a federal examination has been finalized:
NOTE: A.R.S. § 43-327 requires the taxpayer, within ninety days after final determination, to report these changes under separate cover to the
Arizona Department of Revenue or to file amended returns reporting these changes. (See instructions.)
G5 List the taxable years ending in MM/DD/YYYY format for which federal examinations are now in progress and final determination of past
examinations is still pending:
G6 List the taxable years ending in MM/DD/YYYY format for which federal waivers of the statute of limitations are in effect and dates on which
waivers expire:
Taxable Year Ending: Waiver Expiration Date:
DRAFT
X
G7 Indicate tax accounting method: Cash Accrual Other (Specify method.)
Multistate taxpayers:
G8 Are the nonbusiness items reported on Schedule C, lines C1 through C5, and/or are the apportionment factor amounts reported on
Schedule E, Column B treated consistently on all state tax returns filed under the Uniform Division of Income for Tax Purposes Act?
X Yes No If "No", the taxpayer must disclose the nature and extent of the variance upon request by the department.
G9 Has the taxpayer changed the way income is apportioned or allocated to Arizona from prior taxable year returns?
Yes X No
If "Yes", include explanation.
The following declaration must be signed by one or more of the following officers: president, treasurer, or any other principal officer.
Declaration Under penalties of perjury, I, the undersigned officer authorized to sign this return, declare that I have examined this return, including
the accompanying schedules and statements, and to the best of my knowledge and belief, it is a true, correct and complete return,
made in good faith, for the taxable year stated pursuant to the income tax laws of the State of Arizona.
CFO
Please OFFICER'S SIGNATURE DATE TITLE
Sign GREG STOCKETT
Here OFFICER'S PRINTED NAME
This form must be e-filed unless the corporation has a waiver or is exempt from e-filing.
See instructions for details.
ADOR 10336 (21) AZ Form 120 (2021) Page 4 of 5
BIO2AM 01/23/2023 11:11 PM
Form
AZ Net Operating Loss Carryover Worksheet
120 2021
For calendar year 2021, or other tax year beginning , ending
Name Employer ID number
43,040
4,089 38,951
Current Year
5,111 4,089 0
NOL Carryover Available To Next Year
38,951
BIO2AM BIOCATCH INC 1/23/2023 11:11 PM
81-1320437 Arizona Statements
FYE: 12/31/2021
General Footnote
AMENDED RETURN
DRAFT
BIO2AM 01/23/2023 11:11 PM
SAME
Internal Revenue Service Center
where original return was filed OGDEN, UT 84201
Fill in applicable items and use Part II on the back to explain any changes
(a) As originally (b) Net change —
Part I Income and Deductions (see instructions) reported or as increase or (decrease) — (c) Correct amount
previously adjusted explain in Part II
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AMENDED RETURN
5 Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6 Gross rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7 Gross royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Capital gain net income (attach Schedule D (Form 1120)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
9 Net gain or (loss) from Form 4797, Part II, line 17 (attach Form 4797) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
10 Other income (see instructions—attach statement) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SEE . . . . . . . . .STMT
. . . . . . . . . .1.... 10 0
11 Total income. Add lines 3 through 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . u 11 16,419,023
12 Compensation of officers (see instructions—attach Form 1125-E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . u 12 1,361,000
Deductions (See instructions for limitations on deductions.)
32
33 Total payments and credits (Schedule J, Part III, line 23) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
34 Estimated tax penalty. See instructions. Check if Form 2220 is attached . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . u X 34 105
35 Amount owed. If line 33 is smaller than the total of lines 31 and 34, enter amount owed . . . . . . . . . . . . . . . . . . . . . . 35 5,127
36 Overpayment. If line 33 is larger than the total of lines 31 and 34, enter amount overpaid . . . . . . . . . . . . . . . . . . . . . 36
37 Enter amount from line 36 you want: Credited to 2022 estimated tax u Refunded u 37
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledgeMay the IRS discuss this return with the preparer
Sign
and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.shown below? See instructions. Yes No X
CFO
Here Signature of officer GREG STOCKETT Date Title
Print/Type preparer's name Preparer's signature Date PTIN
Check if
Paid TRU CHAU TRU CHAU 01/23/23 self-employed P00743950
Preparer Firm's name u EARLY GROWTH FINANCIAL SERVICES Firm's EIN u 26-4150644
Use Only Firm's address u 2345 YALE ST 1ST FL Phone no.
PALO ALTO, CA 94306 415-234-3437
For Paperwork Reduction Act Notice, see separate instructions. Form 1120 (2021)
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DRAFT
13 Foreign-source portion of dividends received from a specified 10%-owned foreign
corporation (excluding hybrid dividends) (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
14 Dividends from foreign corporations not included on line 3, 6, 7, 8, 11, 12, or 13
(including any hybrid dividends) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17 Global Intangible Low-Taxed Income (GILTI) (attach Form(s) 5471 and Form 8992) ...
20 Other dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21 Deduction for dividends paid on certain preferred stock of public utilities ..............
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13
14
DRAFT
Reserved for future use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part III–Payments and Refundable Credits
2020 overpayment credited to 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2021 estimated tax payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
13
14
15 2021 refund applied for on Form 4466 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 ( )
16 Combine lines 13, 14, and 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
17 Tax deposited with Form 7004 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
18 Withholding (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
19 Total payments. Add lines 16, 17, and 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
20 Refundable credits from:
a Form 2439 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20a
b Form 4136 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20b
c Reserved for future use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20c
d Other (attach statement–see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20d
21 Total credits. Add lines 20a through 20d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
22 Reserved for future use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
23 Total payments and credits. Add lines 19 and 21. Enter here and on page 1, line 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Form 1120 (2021)
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b Own directly an interest of 20% or more, or own, directly or indirectly, an interest of 50% or more in any foreign or domestic partnership
(ii) Employer
Identification Number
(if any)
(iii) Country of
Organization
..
(iv) Maximum
Percentage Owned in
X
6 During this tax year, did the corporation pay dividends (other than stock dividends and distributions in exchange for stock) in
excess of the corporation's current and accumulated earnings and profits? See sections 301 and 316 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X
If "Yes," file Form 5452, Corporate Report of Nondividend Distributions. See the instructions for Form 5452.
If this is a consolidated return, answer here for the parent corporation and on Form 851 for each subsidiary.
7 At any time during the tax year, did one foreign person own, directly or indirectly, at least 25% of the total voting power of all
classes of the corporation’s stock entitled to vote or at least 25% of the total value of all classes of the corporation’s stock? . . . . . . . . . . . . . . . X
For rules of attribution, see section 318. If "Yes," enter:
(a) Percentage owned u .100.000 .............. and (b) Owner's country u ISRAEL ...................................................................
(c) The corporation may have to file Form 5472, Information Return of a 25% Foreign-Owned U.S. Corporation or a Foreign
Corporation Engaged in a U.S. Trade or Business. Enter the number of Forms 5472 attached u . . . . . . 1 ....................................
8 Check this box if the corporation issued publicly offered debt instruments with original issue discount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . u
If checked, the corporation may have to file Form 8281, Information Return for Publicly Offered Original Issue Discount Instruments.
9 Enter the amount of tax-exempt interest received or accrued during the tax year u $ . . . . . . . . . . . . . . . . . . . . . . . 0 ..............................
10 Enter the number of shareholders at the end of the tax year (if 100 or fewer) u . . . 1 ........................................................
11 If the corporation has an NOL for the tax year and is electing to forego the carryback period, check here (see instructions) . . . . . . . . u
If the corporation is filing a consolidated return, the statement required by Regulations section 1.1502-21(b)(3) must be attached
or the election will not be valid.
12 Enter the available NOL carryover from prior tax years (do not reduce it by any deduction reported on
page 1, line 29a.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . u $ . . . . . . . . . . .914,952
..............
Form 1120 (2021)
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c The corporation is a tax shelter and the corporation has business interest expense.
If “Yes,” complete and attach Form 8990.
25 Is the corporation attaching Form 8996 to certify as a Qualified Opportunity Fund? X
If “Yes,” enter amount from Form 8996, line 15 . . . . . . . . . . . . u $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
26 Since December 22, 2017, did a foreign corporation directly or indirectly acquire substantially all of the properties held directly or
indirectly by the corporation, and was the ownership percentage (by vote or value) for purposes of section 7874 greater than
50% (for example, the shareholders held more than 50% of the stock of the foreign corporation)? If “Yes,” list the ownership
percentage by vote and by value. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X
Percentage: By Vote By Value
Form 1120 (2021)
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DRAFT
For Paperwork Reduction Act Notice, see instructions. Form 1125-A (Rev. 11-2018)
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Part II Certain Individuals and Estates Owning the Corporation’s Voting Stock. (Form 1120, Schedule K,
For Paperwork Reduction Act Notice, Schedule G (Form 1120) (Rev. 12-2011)
see the Instructions for Form 1120.
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Part I Financial Information and Net Income (Loss) Reconciliation (see instructions)
1a Did the corporation file SEC Form 10-K for its income statement period ending with or within this tax year?
X Yes. Skip lines 1b and 1c and complete lines 2a through 11 with respect to that SEC Form 10-K.
No. Go to line 1b. See instructions if multiple non-tax-basis income statements are prepared.
b Did the corporation prepare a certified audited non-tax-basis income statement for that period?
Yes. Skip line 1c and complete lines 2a through 11 with respect to that income statement.
No. Go to line 1c.
c Did the corporation prepare a non-tax-basis income statement for that period?
Yes. Complete lines 2a through 11 with respect to that income statement.
No. Skip lines 2a through 3c and enter the corporation's net income (loss) per its books and records on line 4a.
2a Enter the income statement period: Beginning 01/01/21 Ending 12/31/21
b Has the corporation's income statement been restated for the income statement period on line 2a?
Yes. (If "Yes," attach an explanation and the amount of each item restated.)
X No.
c Has the corporation's income statement been restated for any of the five income statement periods immediately preceding the period on line 2a?
Yes. (If "Yes," attach an explanation and the amount of each item restated.)
X No.
DRAFT
3a Is any of the corporation's voting common stock publicly traded?
Yes.
X No. If "No," go to line 4a.
b Enter the symbol of the corporation's primary U.S. publicly traded voting common
stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c Enter the nine-digit CUSIP number of the corporation's primary publicly traded voting
common stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4a Worldwide consolidated net income (loss) from income statement source identified in Part I, line 1 . . . . . . . . . . . . . . . . . 4a 405,253
b Indicate accounting standard used for line 4a (see instructions):
Other
(1) X GAAP (2) IFRS (3) Statutory (4) Tax-basis (5) (specify)
5a Net income from nonincludible foreign entities (attach statement) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5a ( )
b Net loss from nonincludible foreign entities (attach statement and enter as a positive amount) . . . . . . . . . . . . . . . . . . . . . . 5b
6a Net income from nonincludible U.S. entities (attach statement) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6a ( )
b Net loss from nonincludible U.S. entities (attach statement and enter as a positive amount) . . . . . . . . . . . . . . . . . . . . . . . . 6b
7a Net income (loss) of other includible foreign disregarded entities (attach statement) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a
b Net income (loss) of other includible U.S. disregarded entities (attach statement) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7b
c Net income (loss) of other includible entities (attach statement) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7c
8 Adjustment to eliminations of transactions between includible entities and nonincludible entities (attach
statement) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
9 Adjustment to reconcile income statement period to tax year (attach statement) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
10a Intercompany dividend adjustments to reconcile to line 11 (attach statement) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10a
b Other statutory accounting adjustments to reconcile to line 11 (attach statement) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10b
c Other adjustments to reconcile to amount on line 11 (attach statement) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10c
11 Net income (loss) per income statement of includible corporations. Combine lines 4 through 10 . . . . . . . . . . . . . 11 405,253
Note: Part I, line 11, must equal Part II, line 30, column (a), or Schedule M-1, line 1 (see instructions).
12 Enter the total amount (not just the corporation’s share) of the assets and liabilities of all entities included or removed on the following lines.
Total Assets Total Liabilities
a Included on Part I, line 4 . . . . . . . . . . . . . . . . . . . . . . . u 10,529,555 10,052,518
b Removed on Part I, line 5 . . . . . . . . . . . . . . . . . . . . . . u
c Removed on Part I, line 6 . . . . . . . . . . . . . . . . . . . . . . u
d Included on Part I, line 7 . . . . . . . . . . . . . . . . . . . . . . . u
For Paperwork Reduction Act Notice, see the Instructions for Form 1120. Schedule M-3 (Form 1120) (Rev. 12-2019)
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% % %
% % %
% % %
% % %
% % %
DRAFT %
%
%
%
%
% % %
% % %
% % %
% % %
% % %
% % %
% % %
% % %
% % %
% % %
4 Subtract line 3 from line 2. Enter the result here and on Form 1120, page 1, line 12 or the
appropriate line of your tax return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 1,361,000
For Paperwork Reduction Act Notice, see separate instructions. Form 1125-E (Rev. 10-2016)
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29
30
Number of days on line 20 after 3/31/2022 and before 7/1/2022
Underpayment on line 17 x
Number of days on line 29
365 x *% DRAFT
29
30 $ $ $ $
37 Add lines 22, 24, 26, 28, 30, 32, 34, and 36 . . . . . . . . . . . . . . . . . . 37 $ $ $ $
38 Penalty. Add columns (a) through (d) of line 37. Enter the total here and on Form 1120, line 34; or the comparable
line for other income tax returns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 $ 105
*Use the penalty interest rate for each calendar quarter, which the IRS will determine during the first month in the preceding quarter.
These rates are published quarterly in an IRS News Release and in a revenue ruling in the Internal Revenue Bulletin. To obtain this
information on the Internet, access the IRS website at www.irs.gov. You can also call 1-800-829-4933 to get interest rate
information.
Form 2220 (2021)
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DRAFT ============
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2021
Department of the Treasury
u Attach to your tax return.
Attachment
Internal Revenue Service (99) u Go to www.irs.gov/Form4562 for instructions and the latest information. Sequence No. 179
Name(s) shown on return Identifying number
BIOCATCH INC 81-1320437
Business or activity to which this form relates
REGULAR DEPRECIATION
Part I Election To Expense Certain Property Under Section 179
Note: If you have any listed property, complete Part V before you complete Part I.
1 Maximum amount (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1,050,000
2 Total cost of section 179 property placed in service (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Threshold cost of section 179 property before reduction in limitation (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2,620,000
4 Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5 Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately, see instructions ...... 5
6 (a) Description of property (b) Cost (business use only) (c) Elected cost
15
16
DRAFT
Special depreciation allowance for qualified property (other than listed property) placed in service
during the tax year. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Property subject to section 168(f)(1) election . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other depreciation (including ACRS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
15
16
37,864
555
Part III MACRS Depreciation (Don’t include listed property. See instructions.)
Section A
17 MACRS deductions for assets placed in service in tax years beginning before 2021 ............................... 17 296
18 If you are electing to group any assets placed in service during the tax year into one or more general asset accounts, check here . . . . . . . u
Section B—Assets Placed in Service During 2021 Tax Year Using the General Depreciation System
(b) Month and year (c) Basis for depreciation (d) Recovery
(a) Classification of property placed in (business/investment use (e) Convention (f) Method (g) Depreciation deduction
service only–see instructions) period
DRAFT
corporation under section 7874(a)(2)(B). „
4a Name and address of direct 25% foreign shareholder 4b(1) U.S. identifying number, if any
FOREIGNUS
BIOCATCH LTD 4b(2) Reference ID number (see
126 YIGAL ALON instructions)
TEL AVIV . ISRAEL 20437
4b(3) Foreign taxpayer identification 4c Principal country(ies) where 4d Country of citizenship, 4e Country(ies) under whose laws the direct 25% foreign
number (FTIN), if any (see instr.) business is conducted organization, or incorporation shareholder files an income tax return as a resident
ISRAEL ISRAEL ISRAEL
5a Name and address of direct 25% foreign shareholder 5b(1) U.S. identifying number, if any
5b(3) FTIN, if any 5c Principal country(ies) where 5d Country of citizenship, 5e Country(ies) under whose laws the direct 25% foreign
(see instructions) business is conducted organization, or incorporation shareholder files an income tax return as a resident
6a Name and address of ultimate indirect 25% foreign shareholder 6b(1) U.S. identifying number, if any
6b(3) FTIN, if any 6c Principal country(ies) where 6d Country of citizenship, 6e Country(ies) under whose laws the ultimate indirect 25% foreign
(see instructions) business is conducted organization, or incorporation shareholder files an income tax return as a resident
7a Name and address of ultimate indirect 25% foreign shareholder 7b(1) U.S. identifying number, if any
7b(3) FTIN, if any 7c Principal country(ies) where 7d Country of citizenship, 7e Country(ies) under whose laws the ultimate indirect 25% foreign
(see instructions) business is conducted organization, or incorporation shareholder files an income tax return as a resident
For Paperwork Reduction Act Notice, see instructions. Form 5472 (Rev. 12-2021)
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DRAFT
19 Premiums received for insurance or reinsurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20 Loan guarantee fees received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21 Other amounts received (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22 Total. Combine amounts on lines 9 through 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19
20
21
22 0
23 Purchases of stock in trade (inventory) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
24 Purchases of tangible property other than stock in trade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
25 Platform contribution transaction payments paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
26 Cost sharing transaction payments paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
27a Rents paid (for other than intangible property rights) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27a
b Royalties paid (for other than intangible property rights) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27b
28 Purchases, leases, licenses, etc., of intangible property rights (for example, patents, trademarks, secret formulas) . . 28
29 Consideration paid for technical, managerial, engineering, construction, scientific, or like services . . . . . . . . . . . . . . . . . . . 29
30 Commissions paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
31 Amounts loaned (see instructions) a Beginning balance 29,545 b Ending balance or monthly average „ . 31b 5,575,873
32 Interest paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
33 Premiums paid for insurance or reinsurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
34 Loan guarantee fees paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
35 Other amounts paid (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
36 Total. Combine amounts on lines 23 through 35 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 5,575,873
Part V Reportable Transactions of a Reporting Corporation That is a Foreign-Owned U.S. DE (see instructions)
Describe on an attached separate sheet any other transaction as defined by Regulations section 1.482-1(i)(7),
such as amounts paid or received in connection with the formation, dissolution, acquisition and disposition
„
of the entity, including contributions to and distributions from the entity, and check here.
Part VI Nonmonetary and Less-Than-Full Consideration Transactions Between the Reporting Corporation
and the Foreign Related Party (see instructions)
Describe these transactions on an attached separate sheet and check here. „
Form 5472 (Rev. 12-2021)
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Note: Complete a separate Part VIII for each CSA in which the reporting corporation was a participant during the tax year. Report all amounts in U.S.
dollars. (See instructions.)
44 Provide a brief description of the CSA with respect to which this Part VIII is being completed.
45 During the course of the tax year, did the reporting corporation become a participant in the CSA? . . . . . . . . . . . . . . . . . . . Yes No
46 Was the CSA in effect before January 5, 2009? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No
47 What was the reporting corporation’s share of reasonably anticipated benefits for the CSA? . . . . . . . . . . . . . . . . . . . . . . . . . %
48a Enter the total amount of stock-based compensation deductions claimed by the reporting corporation . . . . . . . . . . . . . . . $
b Enter the total amount of deductions for the tax year for stock-based compensation that was granted during the term of the CSA
and, at date of grant, is directly identified with, or reasonably allocable to, the intangible development activity under the CSA . . . . . . . . $
c Was there any stock-based compensation granted during the term of the CSA to individuals who performed functions in
business activities that generate cost shared intangibles that was not treated as directly identified with, or reasonably
allocable to, the intangible development activity? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No
49a Enter the total amount of intangible development costs for the CSA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
b Enter the amount of intangible development costs allocable to the reporting corporation based on the reporting corporation’s
reasonably anticipated benefits share . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Part IX Base Erosion Payments and Base Erosion Tax Benefits Under Section 59A (see instructions)
50 Amounts defined as base erosion payments under section 59A(d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
51 Amount of base erosion tax benefits under section 59A(c)(2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
52 Amounts of total qualified derivative payments as described in section 59A(h) made by the reporting corporation . . . . $
53 Reserved for future use ...........................................................................................
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Description Amount
BANK CHARGES $ 4,540
COMMISSIONS 1,180,154
INSURANCE 28,833
LEGAL AND PROFESSIONAL 533,660
OFFICE EXPENSES 55,282
OUTSIDE SERVICES 607,050
TELEPHONE 815
TRAVEL 219,561
EXCHANGE GAIN/LOSS 6,669
TRAINING 74,286
MARKETING 1,127,088
PAYROLL SERVICE 112,528
SEVERANCE
CONSULTING 41,078
SEMINARS
RECRUITING
SW
ACCOUNITNG
DUES & SUBCRIPTIONS
DRAFT 107,400
669,835
300,523
66,269
1,547
100% OF MEALS 8,901
TOTAL $ 5,146,019
Beginning End
Description of Year of Year
PREPAID EXPENSES $ 300,142 $ 1,616,919
INTERCOMPANY REVEIVABLE 4,322,229 5,575,873
ACCRUED REVENUE 10,000 114,201
PREPAID COMMISSION 913,260
TAX RECEIVABLE 36,300
TOTAL $ 5,545,631 $ 7,343,293
1-4
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81-1320437 Federal Statements
FYE: 12/31/2021
Description
DRAFT
Statement 7 - Form 1120, Page 6, Schedule L, Line 26 - Adjustments to Shareholders' Equity
Beginning
of Year
End
of Year
PRIOR PERIOD ADJUSTMENT $ 477,856 $ 281,821
TOTAL $ 477,856 $ 281,821
Statement 8 - Form 1120, Page 6, Schedule M-1, Line 5 - Expenses on Books Not on Return
Description Amount
ACCRUED EXPENSES - CY $ 50,000
ACCURED TAX EXPENSES - CY 1,263,924
ESOP 232,041
TOTAL $ 1,545,965
Statement 9 - Form 1120, Page 6, Schedule M-1, Line 8 - Deductions on Return Not on Books
Description Amount
ACCRUED COMMISSION $ 432,929
ACCRUED BONUS - PY 2,089
ACCRUED EXPENSES - PY 127,500
ACCRUED TAX EXPENSE - PY 1,263,924
TOTAL $ 1,826,442
5-9
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81-1320437 Federal Statements
FYE: 12/31/2021
DRAFT
10
Year Ending: December 31, 2021 81-1320437
BIOCATCH INC
12 East 49th Street , 11th Floor
NEW YORK, NY 10017
Under Regulation 1.263(a)-1(f), the taxpayer hereby elects to apply the de minimis safe harbor
election to all qualifying property placed in service during the tax year.
Year Ending: December 31, 2021 81-1320437
BIOCATCH INC
12 East 49th Street , 11th Floor
NEW YORK, NY 10017
Prior MACRS:
1 equipment 1/01/17 2,178 2,178 1,802 251 296 45
3 equipment 7/01/19 31,340 31,340 16,297 6,017 0 -6,017
4 equipment 7/01/20 48,204 48,204 9,641 15,425 0 -15,425
81,722 81,722 27,740 21,693 296 -21,397
Other Depreciation:
2 equipment 7/01/18 5,549 5,549 1,387 555 555 0
Total Other Depreciation 5,549 5,549 1,387 555 555 0
Total ACRS and Other Depreciation 5,549 5,549 1,387 555 555 0
DRAFT
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81-1320437 AZ Future Depreciation Report FYE: 12/31/22
FYE: 12/31/2021 Form 1120, Page 1
Date In
Asset Description Service Cost AZ
Prior MACRS:
1 equipment 1/01/17 2,178 125
3 equipment 7/01/19 31,340 3,610
4 equipment 7/01/20 48,204 9,255
5 EQUIPMENTS 6/30/21 37,864 12,116
119,586 25,106
Other Depreciation:
2 equipment 7/01/18 5,549 555
Total Other Depreciation 5,549 555
DRAFT
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GENERALFOOTNOTE.PDF GENERALFOOTNOTE
DRAFT