AMBA R&D Tax Credit Survey Question Title * 1. Please enter your contact information so that the final report can be shared with you. Name Company State/Province Email Address Question Title * 2. Please select the best representation of your company-wide sales. <$3 million $3 million to <$5 million $5 million to <$10 million $10 million to <$20 million $20 million to <$50 million >$50 million Question Title * 3. How many locations does your company have? 1 2 3 >3 Question Title * 4. Please select the best representation of your company range. 0-10 employees 11-25 employees 26-50 employees 51-100 employees 101-250 employees >250 employees Question Title * 5. What are your total W-2 wages? < $1 million $1 million to <$3 million $3 million to <$5 million $5 million to <$10 million $10 million to <$20 million > $20 million Question Title * 6. Is your company claiming the U.S. R&D tax credit? Yes No Question Title * 7. Is your company claiming the state R&D tax credit? Yes No Please indicate which state(s) Question Title * 8. What amount of R&D tax credit did you claim in 2018? <$5,000 $5,000 to $19,999 $20,000 to $49,999 $50,000 to $99,999 $100,000 to $149,999 $150,000 to $200,000 >$200,000 Not applicable Question Title * 9. If you are planning to file the U.S. state and/or federal R&D tax credit, will the claim include the labor and materials costs of new molds that are ultimately sold to customers? Yes No Not applicable Question Title * 10. Are you subcontracting part of your new tool builds to other mold builders, including components or mold bases? Yes No Not applicable Question Title * 11. If yes, how will these costs be treated in your R&D tax credit claim? Include as supplies used in the conduct of research Include as contract research Include in both supplies and contract research Will not include in R&D credit claim Not applicable Question Title * 12. Are you claiming qualified expenditures related to continuous improvements? Yes No Question Title * 13. Have you ever amended your tax return to claim the R&D tax credit? Yes No Question Title * 14. Has your R&D tax credit been examined by the IRS or state taxing authority? Yes No Question Title * 15. If your R&D credit has been examined, what percentage of the credit was allowed? <20% 20% to 39% 40% to 59% 60% to 79% 80% to 99% 100% Has never been examined Question Title * 16. Are you interested in more information about the R&D tax credit? Yes No Done
