Specifications

Page 10 of 14
ST-220-TD (6/06) Page 3 of 4
Schedule A - Listing of each person (contractor, affiliate, or subcontractor) exceeding $300,000
cumulative sales threshold
List the contractor, or affiliate, or subcontractor in Schedule A only if such person exceeded the $300,000 cumulative sales
threshold during the specified sales tax quarters. See directions below. For more information, see Publication 223.
A
Relationship to
Contractor
B
Name
C
Address
D
Federal ID
Number
E
Sales Tax ID Number
F
Registration
In Progress
Column A - Enter C in column A if the contractor; A if an affiliate of the contractor; or S if a subcontractor.
Column B - Name - If person is a corporation or limited liability company, enter the exact legal name as registered with the NY Department of State,
if applicable. If person is a partnership or sole proprietor, enter the name of the partnership and each partner’s given name, or the given
name(s) of the owner(s), as applicable. If person has a different DBA (doing business as) name, enter that name as well.
Column C - Address - Enter the street address of person’s principal place of business. Do not enter a PO box.
Column D - ID number - Enter the federal employer identification number (EIN) assigned to the person or person’s business, as applicable. If the
person is an individual, enter the social security number of that person.
Column E - Sales tax ID number - Enter only if different from federal EIN in column D.
Column F - If applicable, enter an X if the person has submitted Form DTF-17 to the Tax Department but has not received its certificate of authority
as of the date of this certification.