WI 2010-11-10T11:51:26-06:00 2010-06-01 2010-09-30 2010 991234 LargeTaxpayer v1.0 FormCT100 FEIN 391234567 304-9900654321-01 Sample Excise Business 2135 Rimrock Rd Madison WI 53708 John Doe 6085551212 john.doe@sample.com 20.91 4.45 25.36 50.72 50.72 X 1 2010-09-20 398913 Moose Distributers OH 12.25 12.25 2 2010-09-27 398852 Moose Distributers OH 8.66 8.66 3 2010-09-27 398912 Red Wine LLC MI 4.45 4.45 20.91 4.45 25.36