State of California

ONLINE SERVICES FILING RECORD: CALIFORNIA DEPARTMENT OF

TAX AND FEE ADMINISTRATION

Taxpayer Name: NORTH COUNTRY OPERATIONS, INC Account Number: 101-249663

Period Begin: October 01, 2021
Account Type: Sales and Use Tax
Period End: December 31, 2021
Return Type: Original
Due Date: January 31, 2022
Remaining Due: $61,279.99

Sales & Use Tax: 401-A

Total Sales $1,065,893.00
Purchases subject to Use Tax $0.00
Sales of Fixtures and Equipment $0.00
Total Sales and Purchases $1,065,893.00
Total Nontaxable Sales (deductions) $115,451.00
Taxable Sales and Purchases $950,442.00
State Tax $57,027.00
County Tax $2,376.00
Local Tax $9,504.00
District Tax $14,257.00
Total State, County, Local, and District Tax $83,164.00
Excess Tax Collected $593.00
Total Tax $83,757.00
Credit for Partial Exemptions $0.00
Credit Claimed from Prior Period $0.00
Sales or Use Tax paid to other states $0.00
Credit for Aircraft Common Carrier Partial Exemption $0.00
Total Credit $0.00
Net Tax $83,757.00
Sales Tax Paid to DMV $0.00
1st Prepayment $28,300.00
2nd Prepayment $0.00
Less Tax Prepayments $28,300.00
Total Tax Paid to DMV and Prepayments $28,300.00
Remaining Tax $55,457.00
Penalty Paid to DMV $0.00
Penalty $5,545.70
Total Penalty $5,545.70
Interest $277.29
Total Amount Due and Payable $61,279.99
Total Sales and Purchases made at state-designated fair or fairgrounds $0.00
Account Number: 101-249663
Filing Period: December 31, 2021

Section A. Nontaxable Sales (deductions)

Sales to other retailers for purposes of resales $0.00
Nontaxable sales of food products $0.00
Nontaxable labor (repair and installation) $0.00
Sales to the United States government $0.00
Sales in interstate or foreign commerce (i.e. delivered outside California) $0.00
Sales tax (if any) included in Total Sales $0.00
Other Deductions $115,451.00
Total Full Deductions $115,451.00

Section B. Current Period Tax Recoveries and Deductions

Bad debt losses on taxable sales $0.00
Cost of tax-paid purchases resold prior to use $0.00
Returned taxable merchandise $0.00
Cash discounts on taxable sales $0.00
Total Section B $0.00
Total Nontaxable Sales and Adjustments $115,451.00

Section C. Current Period Partial State Tax Exemptions at 0.05 Partial Exemption Rate
Teleproduction Equipment $0.00
Farm Equipment $0.00
Diesel fuel used in farming and food processing $0.00
Timber harvesting equipment and machinery $0.00
Racehorse Breeding Stock $0.00
Total Partial State Exemptions $0.00
Partial exemption rate 0.050000
Total Section C $0.00

Section D. Current Period Partial State Tax Exemptions at 0.039375 Partial Exemption Rate
Sales made subject to the manufacturing and R&D equipment exemption $0.00
Sales made subject to the zero-emissions transit bus exemption $0.00
Sales made subject to the zero-emissions motor vehicle exemption $0.00
Partial exemption rate 0.039375
Total Section D $0.00
Account Number: 101-249663
Filing Period: December 31, 2021

Schedule A2 - Computation Schedule for District Tax

Taxable amount subject to District Tax $950,442.00
Amount subject to only the base state rate $0.00

District Tax Total $14,257.00

County City Tax Area Amount Adjustments District Tax Due

Sacramento County Sacramento (Effective 705 $950,442.00 $0.00 $14,256.63
Date: 04-01-19) - 705
$950,442.00 $0.00 $14,256.63
Account Number: 101-249663
Filing Period: December 31, 2021

Schedule C - Detailed Allocation by Location of Sales and Use Tax Transactions

Total taxable amount to be allocated on local tax schedules $950,442.00

Total taxable amount for all registered locations $950,442.00

Street City Zip Code Sub-Outlet No. Taxable Amount

1236 C ST SACRAMENT 958140912 00001 $950,442.00
O
$950,442.00
Account Number: 101-249663
Filing Period: December 31, 2021

Summary
Total tax $83,757.00

Credit for partial exemptions $0.00

Sales or use tax paid to other states $0.00

Credit claimed from prior period $0.00

Credit for aircraft common carrier partial exemption $0.00

Sales tax prepaid to fuel suppliers $0.00

Tax due $83,757.00

Sales Tax Paid to DMV $0.00

Penalty Paid to DMV $0.00

Total tax prepayments $28,300.00

Remaining tax $55,457.00

Penalty $5,545.70

Interest $277.29

Total due before lumber $61,279.99

Lumber Assessment
Total lumber assessment $0.00

Penalty $0.00

Interest $0.00

Total lumber assessment due $0.00

Total Amount Due

Total Tax/Assessment Due $55,457.00

Total Penalty $5,545.70

Total Interest $277.29

Total Amount Due and Payable $61,279.99