WI 2010-11-10T11:51:26-06:00 2010-06-01 2010-09-30 2010 991234 LargeTaxpayer v1.0 FormCT100 FEIN 391234567 304000012345602 Sample Excise Business 2135 Rimrock Rd Madison WI 53708 John Doe CFO 6085551212 john.doe@sample.com