OMB No. 1545-0890 U.S. Corporation Short-Form Income Tax Return Form1120-A

See separate instructions to make sure the corporation qualifies to file Form 1120-A. Department of the Treasury

Internal Revenue Service

For calendar year 2002 or tax year beginning , 2002, ending , 20

Use Name B Employer identification number

IRS

label.

Otherwise,

print or

type.

A Check this box if the

corp. is a personal

service corp. (as

defined in

Regulations section

1.441-3(c)—see

instructions)

Number, street, and room or suite no. (If a P.O. box, see page 7 of instructions.) C Date incorporated

City or town, state, and ZIP code D Total assets (see page 8 of instructions)

1a Gross receipts or sales b Less returns and allowances c Balance  1c

2 Cost of goods sold (see page 14 of instructions) 2

3 Gross profit. Subtract line 2 from line 1c 3

4 Domestic corporation dividends subject to the 70% deduction 4

5 Interest 5

6 Gross rents 6

Income

7 Gross royalties 7

8 Capital gain net income (attach Schedule D (Form 1120)) 8

9 Net gain or (loss) from Form 4797, Part II, line 18 (attach Form 4797) 9

10 Other income (see page 9 of instructions) 10

11 Total income. Add lines 3 through 10  11

12 Compensation of officers (see page 10 of instructions) 12

13 Salaries and wages (less employment credits) 13

14 Repairs and maintenance 14

15 Bad debts 15

16 Rents 16

17 Taxes and licenses 17

18 Interest 18

19 Charitable contributions (see page 11 of instructions for 10% limitation) 19

(See instructions forlimitations on deductions.)

20 Depreciation (attach Form 4562) 20

21 Less depreciation claimed elsewhere on return 21a 21b

22 Other deductions (attach schedule) 22

23 Total deductions. Add lines 12 through 22  23

24 Taxable income before net operating loss deduction and special deductions. Subtract line 23 from line 11 24

Deductions

25 Less: a Net operating loss deduction (see page 13 of instructions) 25a

b Special deductions (see page 13 of instructions) 25b 25c

26 Taxable income. Subtract line 25c from line 24 26

27 Total tax (from page 2, Part I, line 6) 27

28 Payments:

a 2001 overpayment credited to 2002 28a

b 2002 estimated tax payments 28b

( ) 28c 28d Bal  c Less 2002 refund applied for on Form 4466

e Tax deposited with Form 7004 28e

Credit for tax paid on undistributed capital gains (attach Form 2439) 28f f

Credit for Federal tax on fuels (attach Form 4136). See instructions 28g g

Tax and Payments

h Total payments. Add lines 28d through 28g 28h

29 Estimated tax penalty (see page 14 of instructions). Check if Form 2220 is attached  29

30 Tax due. If line 28h is smaller than the total of lines 27 and 29, enter amount owed 30

31 Overpayment. If line 28h is larger than the total of lines 27 and 29, enter amount overpaid 31

32 Enter amount of line 31 you want: Credited to 2003 estimated tax  Refunded  32

For Paperwork Reduction Act Notice, see page 20 of the instructions. Cat. No. 11456E Form 1120-A (2002)

E Check applicable boxes: (1) Initial return (2) Name change $

F Check method of accounting: (1) Cash (2) Accrual (3) Other (specify) 

(3) Address change

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true,

correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Sign

Here

Signature of officer Date Title

Date Preparer’s SSN or PTIN Preparer’s

signature

Check if

self-employed

Paid

Preparer’s

Use Only

Firm’s name (or

yours if self-employed),

address, and ZIP code

EIN

Phone no. ( )

May the IRS discuss this return

with the preparer shown below  (see instructions)? Yes No







2002
Form 1120-A (2002) Page 2

Tax Computation (see page 17 of instructions)

1 Income tax. If the corporation is a qualified personal service corporation (see page 17), check here  1

General business credit. Check box(es) and indicate which forms are attached.

Form(s) (specify)  2a

b Credit for prior year minimum tax (attach Form 8827) 2b

3 Total credits. Add lines 2a and 2b 3

4 Subtract line 3 from line 1 4

5

5 Other taxes. Check if from:

2a

6 Total tax. Add lines 4 and 5. Enter here and on line 27, page 1 6

Other Information (see page 19 of instructions)

5a If an amount is entered on line 2, page 1, enter from worksheet on page 14 instr.: 1 See page 21 and enter the: 

(2) Additional 263A costs (attach schedule)

(3) Other costs (attach schedule)

b Business activity 

b If property is produced or acquired for resale, do the rules of section

263A apply to the corporation?

c Product or service 

At any time during the 2002 calendar year, did the corporation have an interest in or a

signature or other authority over a financial account (such as a bank account, securities

account, or other financial account) in a foreign country?

6

2

Yes No

If “Yes,” enter the name of the foreign country 

If “Yes,” attach a schedule showing name and identifying number.

3 Enter the amount of tax-exempt interest received or accrued

during the tax year  $

Balance Sheets per Books (a) Beginning of tax year (b) End of tax year

1 Cash

2a Trade notes and accounts receivable

( ) ( ) b Less allowance for bad debts

3 Inventories

4 U.S. government obligations

5 Tax-exempt securities (see instructions)

6 Other current assets (attach schedule)

7 Loans to shareholders

Assets

8 Mortgage and real estate loans

9a Depreciable, depletable, and intangible assets

( ) ( ) b Less accumulated depreciation, depletion, and amortization

10

11 Other assets (attach schedule)

12 Total assets

13 Accounts payable

14 Other current liabilities (attach schedule)

15 Loans from shareholders

16 Mortgages, notes, bonds payable

17 Other liabilities (attach schedule)

18 Capital stock (preferred and common stock)

19 Additional paid-in capital

Liabilities and

Shareholders’ Equity

20

22 Less cost of treasury stock ( ) ( )

23 Total liabilities and shareholders’ equity

Reconciliation of Income (Loss) per Books With Income per Return

1 Net income (loss) per books 6 Income recorded on books this year not included

2 Federal income tax per books on this return (itemize)

3 Excess of capital losses over capital gains

4 Income subject to tax not recorded on books

this year (itemize)

7 Deductions on this return not charged against

book income this year (itemize)

8 Income (line 24, page 1). Enter the sum of

lines 1 through 5 less the sum of lines 6 and 7

5 Expenses recorded on books this year not

deducted on this return (itemize)

Part IV

Part I

Part II

Part III

4 Enter total amount of cash distributions and the book value

of property distributions (other than cash) made during the tax

year  $

Land (net of any amortization)

Retained earnings

Form 4255 Form 8611

If “Yes,” the corporation may have to file Form TD F 90-22.1.

Yes No

Yes No

Form 3800

21 Adjustments to shareholders’ equity (attach schedule)

Form 1120-A (2002)

Other (attach schedule)

Form 8697 Form 8866

Are the corporation’s total receipts (line 1a plus lines 4 through 10

on page 1) for the tax year and its total assets at the end of the tax

year less than $250,000? Yes No

7

If “Yes,” the corporation is not required to complete Parts III and IV below.

Business activity code no.  (1) Purchases

At the end of the tax year, did any individual, partnership,

estate, or trust own, directly or indirectly, 50% or more of the

corporation’s voting stock? (For rules of attribution, see section

267(c).)

a