T3 S Supplementary Unemployment Benefit Plan Income Tax Return

<Return>

<T3S>

<TrustInformation>

<SummaryReportTypeCode></SummaryReportTypeCode>
- Required 1 alpha
- Originals = O
- Amendments= A
- Modifié = M
- Cancel = C

<TrustAccountNumber></TrustAccountNumber>
Account Number
- Required T + 8 numeric
- Must correspond to the "Trust account number" assigned by the CRA

<TrusteeName>
Required – must include all required child tags

<NameLine1Text></NameLine1Text>
Name of Trustee filing this return
- Required 30 alphanumeric
- First 30 letters of the trustee's name
- Omit titles such as Mr., Mrs., etc.

<NameLine2Text></NameLine2Text>
Name of Trustee this return
- 30 alphanumeric
- Second 30 letters of the trustee's name
- Omit titles such as Mr., Mrs., etc.

</TrusteeName>

<TrusteeMailingAddress>
Required – must include all required child tags

<AddressLine1Text></AddressLine1Text>
Mailing address of trustee–line 1
- Required 30 alphanumeric
- First line of the trustee's address

<AddressLine2Text></AddressLine2Text>
Mailing address of trustee–line 2
- 30 alphanumeric
- second line of the trustee address

<MunicipalityName></MunicipalityName>
City
- Required 28 alphanumeric
- City in which the trustee is located

<ProvinceStateCode></ProvinceStateCode>
Province or territory
- Required 2 alpha
- Canadian province or territory in which the trustee is located
- Use the abbreviations listed in the T619 - Electronic transmittal under section: Transmitter province or territory code

<CountryCode></CountryCode>
Country code
- 3 alpha
- Country in which the trustee is located
- Use the alphabetic country codes as outlined in the International Standard (ISO) 3166 - Codes for the Representation of Names of Countries.

<PostalZipCode></PostalZipCode>
Postal code
- Required 10 alphanumeric
- Trustee's Canadian postal code, format: alpha, numeric, alpha, numeric, alpha, numeric, example: A9A9A9

</TrusteeMailingAddress>

<TrusteePhoneNumber>
Required – must include all required child tags

<PhoneAreaCode></PhoneAreaCode>
Area code
- Required 3 numeric
- Area code of telephone number

<PhoneNumber></PhoneNumber>
Telephone number
- Required 3 numeric with a (-), followed by 4 numeric.
- Telephone number of trustee

<PhoneExtensionNumber></PhoneExtensionNumber>
Extension
- 5 numeric
- Extension of telephone number

</TrusteePhoneNumber>

<TrusteeLanguageCode></TrusteeLanguageCode>
Language
- 1 alpha
- A = Anglais
- E = English
- F = French

<TrustFiscalPeriodEndDate>
Required – must include all required child tags

<Year></Year>
Trust fiscal period end date –Year
- Required 4numeric

<Month></Month>
Trust fiscal period end date –Month
- Required 2 numeric

<Day></Day>
Trust fiscal period end date - Day
- Required 2 numeric

</TrustFiscalPeriodEndDate>

<FirstYearFilingIndicator></FirstYearFilingIndicator>
First Year Filing
- 1 alpha
- Y = Yes
- N = No/Non
- O = Oui

<DeclaredTrustProvinceCode></DeclaredTrustProvinceCode>
Province or territory of residence of the plan
- Required 2 alpha
- Canadian province or territory in which the plan resides
- accepted values are AB, BC, MB, NB, NL, NS, NT, NU, ON, PE, QC, SK or YT

<TrustEffectiveDate>

<Year></Year>
Trust effective Date –Year
- Required 4numeric

<Month></Month>
Trust effective Date –Month
- Required 2 numeric

<Day></Day>
Trust effective date - Day
- Required 2 numeric

</TrustEffectiveDate>

<TrustExpiryDate>
Optional - if present must include all required child tags

<Year></Year>
Trust expiry date –Year
- Required 4 numeric

<Month></Month>
Trust expiry date –Month
- Required 2 numeric

<Day></Day>
Trust expiry date – Day
- Required 2 numeric

</TrustExpiryDate>

<TrustBookRecordAddress>
Optional - if present must include all required child tags

<AddressLine1Text></AddressLine1Text>
Address where trust keeps its books and records –line 1
- Required 30 alphanumeric
- First line of the books and records location address

<AddressLine2Text></AddressLine2Text>
Address where trust keeps its books and records –line 2
- 30 alphanumeric
- Second line of the books and records location address

<MunicipalityName></MunicipalityName>
Book City
- Required 28 alphanumeric
- City in which the books and records are located

<ProvinceStateCode></ProvinceStateCode>
Book Province or territory
- Required 2 alpha
- Canadian province or territory in which the books and records are located
- Use the abbreviations listed in the T619 - Electronic transmittal under section: Transmitter province or territory code

<CountryCode></CountryCode>
Country code
- Required 3 alpha
- Country in which the books and records are located
- Use the alphabetic country codes as outlined in the International Standard (ISO) 3166 - Codes for the Representation of Names of Countries.

<PostalZipCode><PostalZipCode>
Book Postal code
- Required 10 alphanumeric
- Books and records postal code, format: alpha, numeric, alpha, numeric, alpha, numeric, example: A9A9A9

</TrustBookRecordAddress>

<RegisteredPlanTrustOtherTrusteeNameGroup></RegisteredPlanTrustOtherTrusteeNameGroup>
Name of Other Trustees
- 60 alphanumeric
- First 60 letters of other trustee names
- Omit titles such as Mr., Mrs., etc.

<RegisteredPlanName></RegisteredPlanName>
Name of Plan
- Required 60 alpha numeric
- First 60 letters of the name of plan

<PlanRegistrationNumber></PlanRegistrationNumber>
Plan Registration Number
- Required 7 numeric
- The first 7 digits of the plan registration number assigned by the CRA

</TrustInformation>

<TrustReturnTaxSummary>

<TotalAcquireCorporationShareTaxPayableAmount></TotalAcquireCorporationShareTaxPayableAmount>
Tax on agreements to acquire shares
- 15 numeric characters, dollars and cents
- If negative amounts are being reported, include the "–"indicator before the dollar amount

<TrustAccountPaidAmount></TrustAccountPaidAmount>
Total payments on account
- 15 numeric characters, dollars and cents
- If negative amounts are being reported, include the "–"indicator before the dollar amount

<TrustAccountBalanceAmount></TrustAccountBalanceAmount>
Balance owing or refund
- 15 numeric characters, dollars and cents
- If negative amounts are being reported, include the "–"indicator before the dollar amount

</TrustReturnTaxSummary>

</T3S>

</Return>