Form 1120F (1990)

Page 5

SECTION Il,— Branch Profits Tax and Tax on Excess Interest

Part |—Computation of Branch Profits Tax

1

2

4a

oe

Enter the amount from line 29. Section tl on page 3

Adjustments to arrive at effectively connected earnings and profits. (See instructions for types of
adjustments as well as exceptions for certain types of income included in effectively connected
taxable income but not taken into account when computing effectively connected earnings and
profits, and the treatment of deductions apportioned to that income. Attach a schedule showing the
nature and amount of these adjustments.) . woe . .

Effectively connected earnings and profits. Combine line 1 and line 2. Attach a historical summary (see
instructions). (If you are a foreign insurance company, see the regulations under section 884 for a special rule for
the computation of effectively connected earnings and profi ts. If the special rule poles, attach a supporting
schedule showing the computation.) . .

Enter U.S. net equity at the end of the current tax year. (See instructions for definition of U.S, net
equity.) Attach schedule (see instructions) . .

Enter U.S. net equity at the end of the prior tax year. Attach schedule (see instructions) .

Increase in U.S. net equity. If line 4a is greater than or caval to line 4b, subtract line 4b from line 4a.
Enter the result here and skip to line 4e. . . .

Decrease in U.S. net equity. !f line 4b is greater than line 4a, subtract line 4a from line 4b and enter
the result here. : foe : Fo :

Non-previously taxed accumulated effectively connected earnings and profits. Enter excess, if any,
of effectively connected earnings and profits for earlier tax years beginning after 1986 over any
dividend equivalent amounts for those tax years . sone : so ee eee

Dividend equivalent amount. If an amount is entered on line 4c, subtract that amount from line 3
and enter the result here. Enter zero if the result is equal to or less than zero. If no increase ts
entered on line 4c, add the lesser of line 4d or line 4e to line 3 and enter the total here. Attach a
historical summary (see instructions) . So . :

Branch profits tax. Multiply the amount on line 5 by 30% (or lower treaty rate if the corporation is a
qualified resident or otherwise qualifies for treaty benefits). Enter here and include on line 3, page 1
See instructions for: the requirements for qualification for treaty benefits; the definition of qualified
resident; and special rules for foreign corporations that have completely terminated their U.S. trade
or business during the tax year. If treaty benefits apply, attach a statement explaining why the
corporation is a qualified resident or otherwise aualiies for treaty b benefits and describe the benefits
that apply. Also complete Item R below. . .

4a

4b

4c

4d

4e

Part !i—Computation of Tax on Excess Interest

1

Enter the amount of interest allowable as a deduction under Regulations s section 1.882-5 (line 18,
Section II on page 3). soe : . soe

Enter the amount of interest paid by the foreign corporation's U.S. trade or business (other
than nondeductible interest). (See instructions for definition.) If the interest paid by the foreign
corporation's U.S. trade or business was increased because 80% or more of the foreign
corporation's assets are U.S. assets, check this box a Loe Po
Excess interest. Subtract line 2 from line 1. Enter zero if the result is 5 equal to orless than zero .

If the foreign corporation is a bank, enter the amount of excess interest treated as interest on
deposits. Otherwise, enter zero . . . .

Subtract fine 3b from line 3a . . sone er

Tax on excess interest. Multiply line 3c by3 30% or lower treaty rate (if the corporation is a
qualified resident or otherwise qualifies for treaty benefits). Enter here and include on line 3,
page 1. (If treaty rate applies, attach a statement explaining why the corporation is a qualified
resident or otherwise qualifies for treaty benefits.) Also complete Item R below .

3a

3b

3c

4

Additional Information Required (continued from page 1)
N Business description (see last page of instructions):
(1) Business activity code number >
(2) Business activity >
(3) Product or service >

O During the tax year was any part of your accounting/
tax records maintained on a computerized system? . Clyes [1] No

P Check method of accounting: (1) 1] Cash (2) Accrual
@O Other (specify) Pelee eee eee

Q Enter amount of tax-exempt interest received or accrued during
the tax year (see instructions) >

R Are you taking a position on this return that any
| Internal Revenue law ts overruled or otherwise
| modified by a treaty between the U.S. and a
foreign country? (See instructions.) . . . 0 Yes
If “Yes.” enter the treaty country and article(s).
Also attach a statement describing each treaty-based position taken.

$ Are you claiming a reduction in, or exemption
from, the branch profits tax due to a complete
termination of all U.S. trades or businesses, the
tax-free liquidation or reorganization of a
foreign corporation, or the tax-free
Incorporation of a U.S. trade or business? - Clyes £1 No



Form 1120F (1990)

Page 4

SECTION Il (continued)
Pera C il Dividends and Special Deductions (see instructions)

(a) Dividends (©) Special deductions:
. . received (b) % (a) x (b)

1 Dividends from less-than-20%-owned domestic corporations that are

subject to the 70% deduction (other than debt-financed stock) . . . . 70
2 Dividends from 20%-or-more-owned domestic corporations that are

subject to the 80% deduction (other than debt-financed stock) . . . 80
3 Dividends on debt-financed stock of domestic and foreign corporations (section 246A) wnstructions,
4 Dividends on certain preferred stock of less-than-20%-owned public utilities 41.176
5 Dividends on certain preferred stock of 20%-or-more-owned public utilities 47.059
6 Dividends from less-than-20%-owned foreign corporations that are subject

tothe 70% deduction. . . . 70
7 Dividends from 20%-or- -more-owned foreign corporations that are fe subject

to the 80% deduction. . . . coe 80

8 Total —Add lines 1 through 7. See instructions for limitation :

9 Other dividends from foreign corporations not included on lines 3, 6, and 7.
10 Foreign dividend gross-up (section 78)
11 IC-DISC and former DISC dividends not included on lines 1, 2, or 3 (section 246(0))

12 Otherdividends . 2.
13 Deduction for dividends paid on 1 certain preferred stock of a public utility

14 Total dividends—Add lines 1 through 12. Enter here and on line 4, page 3.
15 Total deductions—Add lines 8 and 13. Enter here and on line 30b, page 3 YYW)

Us
Zi

Schedule E Compensation of Officers (See instructions for line 12, page 3.)
Complete Schedule E only if your total receipts (line 1a plus lines 4 through 10 of Section II, page 3) are $500,000 or more.

to) tome offer Cersmialsccuiy | Orson | Freestone” (D Arount of
number tobusiness_["(@)Gommon | (e) Preferred compensation
1 ‘ % %
% % %
& 3 x
% % %
% % %
— % % %
% % %
2 Total compensation of officers . . - - i
3 Less: Compensation of officers claimed on n Schedule A and elsewhere on 1 this return )

4 Compensation of officers deducted on line 12, page 3
Schedule Jf Tax Computation (see instructions) _
1 Check if you are a member of a controlled group (see sections 1561 and 1563) . | |

2. If the box on line 1 is checked:
a Enter your share of the $50,000 and $25,000 taxable income bracket amounts (in that order):

ais L sa ls ee
b Enter your share of the additional 5% tax (not to exceed $11,750) . . $
3 Income tax (see instructions to figure the tax). Check this box if the corporation is a qualified personal
service corporation (see page 11 of the instructions)» LJ... .. . . . .. bs
4a Foreign tax credit (attach Form 1118). . . . . 4a
b Credit for fuel produced from a nonconventional source (see instructions) 4b
¢ Orphan drug credit (attach Form6765) . . . . . 4c
4 General business credit. Enterhere and check which formsareattached: | 4d

LJ Form 3800 LL] Form 3468 Li Formssaa | 77
U Form 6478 CI Form 6765 LJ Form 8586 7/
e Credit for prior year minimum tax (attach Form 8801). . . . . . L4e
5 Total—Add lines 4a through 4e_

6 Subtract line 5 from line 3 .

7 Recapture taxes. Check if from: [] Form 4255 [J Forms611

8a Alternative minimum tax (attach Form 4626). See instructions
b Environmental tax (attach Form 4626) .

wo 12S IN em for

9 Total tax under section 882(a)—Add lines 6 through 8b. 8b. Enter here ‘and on nine 2, page 7

“U.S. Government Printing Office: 1991 —

265-256 (2)


Form 1120F (1990)

Page 6

Additional schedules to be completed with respect to Section I! or Section III (see instructions)

Balance Sheets

Beginning of tax year End of t

‘ax year

ASSETS
1 Cash . - :
2a Trade notes and accounts receivable -
b Less allowance for bad debts
Inventories . .
U.S. government obligations
Tax-exempt securities (see instructions)
Other current assets (attach schedule) .
Loans to stockholders
Mortgage and real estate loans
Other investments (attach schedule) .
10a Buildings and other fixed depreciable assets.
b Less accumulated depreciation

11a Depletable assets - .
b Less accumulated depletion

12 Land (net of any amortization) .

13a Intangible assets (amortizable only) .
b Less accumulated amortization

14 Other assets (attach schedule) .

15 Total assets - :

LIABILITIES AND STOCKHOLDERS’ EQUITY
16 Accounts payable . .
17 Mitges., notes, bonds payable in less than 1 year .
18 Other current liabilities (attach schedule)
19 Loans from stockholders
20 = Mtges., notes, bonds payable in 1 year or more
21 Other liabilities (attach schedule) .

22 = Capital stock: a Preferred stock .

b Commonstock .
Paid-in or capital surplus .
Retained earnings—Appropriated (attach schedule)

wananaw

23
24

(b) (c)

@)

WU)

25 Retained eamings—-Unappropriated .
26 Less cost of treasury stock... ( ) )
27 Total liabilities and stockholders’ equi
Reconciliation of income per Books With Income per Return (You are not required to complete this
schedule if your total assets (line 15, column (d), above) are less than $25,000.)
1 Net income per books. 7 Income recorded on books this year
2 Federal income tax not included on this return (itemize):
3 Excess of capital losses over capital gains a Tax-exempt interest. . $
4 Income subject to tax not recorded on _
books this year (itemize): -
- - 8 Deductions on this return not charged
5 Expenses recorded on books this year not against book income this year (itemize):
deducted on this return (itemize): a Depreciation $
a Depreciation a . b Contributions carryover $

'b Contributions carryover $
¢ Travel and entertainment $

6 Total of lines 1 through 5

9 Totaloflines7and8. .
10 Income (line 29, page 3)—line 6 less line 9.

SCUSCIMe Analysis of Unappropri

complete this schedule if

jated Retained Earnings per Books (line 25 above) (You

are not
5,000.)

required to

1 Balance at beginning of year
2 Net income per books
3 Other increases (itemize):

your total assets (line 15, column (d), above) are less than $2!
5 Distributions: a Cash
b Stock .
c Property .

6 Other decreases (itemize):

7 TotaloflinesSand6. .
8 Balance at end of year (line 4 less line 7)_.



1120F

U.S. income Tax Return of a Foreign Corporation

OMB No. 1545-0126

Form
Department of the Treasury > See separate instructions. 1990
Internal Revenue Service For calendae year 1990 or other tax year beginning...» 1990, and ending.

= [Name Employer entation number

a

5 : -

‘Number, street, . r

g | Number. stret, and room or suite no. See instructions) Check all applicable boxes:

? __ 1 initiat return. [] amended return

& | Gity or town, state and ZIP code, or country

3 C1 tinal return [] change of address

a

A Country of incorporation G (2) Did any individual, partnership, corporation,

5 : ; estate, or trust at the end of the tax year own,
B Foreign country under whose laws the income reported on this return is Girectly or indirectly, 50% or mare of your vating

subject to tax

o

Date incorporated ______________.--.----
Your books and records are maintained by:

Were you, at any time during the tax year, engaged in 2
trade or business in the U.S.?

.Clves C1 No

Did you, at any time during the tax year, have a
permanent establishment in the U.S. for purposes of
applying section 894(b) and any applicable tax treaty
between the U.S. and a foreign country? .

Oves LI No

If “Yes,” enter name of foreign country

(2) Did you at the end of the tax year own, directly or
indirectly, 50% or more of the voting stock of a U.S

corporation? (For rules of attribution, see section 267(c).) . yes L] No
lf "Yes," attach a schedule showing: (a) name, address, and identifying
number of such U.S. corporation; (b) percentage owned; and (c) taxable

income or (loss) before NOL and special deductions of such U.S.
corporation for the tax year ending with or within your tax year.

Cves LJNne

address, and

stock? (For rules of attribution, see section 267(c).)
If "Yes," attach a schedule showing: (a) name,
dentifying number, and (b) percentage owned

Have you filed a U.S. income tax return for the
preceding tax year? CO yes L1No

If you had an agent in the U.S. at any time .edurng the tax year, enter:

Kind of agent
Name

Adcress.

Are you a foreign personal holding company? (See
section 552 for definition.) .

. Oves no

has Form 5471 been filed? (ec. 6035) Cl yes C]No

If "Yes,"
K Ate you a personal holding company? (See section

542 for definition.) . : yes LJ No
L Are you a controlled foreign corporation? (See

section 957 for definition.) . Cres No

M Are youa personal service corporation? (See Temporary
Regulations section 1.441-AT for definition.) Ores
Note: Additional information 1s required at the bottom of page 5.

Dine

Computation of Tax Due or Overpayment

1 Tax from Section I (line 11, page 2) 1 _
2 Tax from Section Il (line 9, Schedule J, page 4) 2
3 Tax from Section ill (add line 6, Part |, page 5 and line 4, Patti, page 5) 3
4 Personal holding company tax (attach Schedule PH (Form 1120)) 4
5 Total tax—Add lines 1 through 4 . 5 |
6 Payments:
a 1989 overpayment credited to 1990. .| 64 77
b 1990 estimated tax payments &b
Less 1990 refund applied for on Form 4466 |_6e_[( )|Bal>| 6a
e Tax deposited with Form 7004 . be
Credit from regulated investment companies (attach | Form 2439) Sf
g Credit for Federal tax on fuels (attach Form 4136) 4
h US. income tax paid or withheld at source (add line 12, page 2, and amounts
from Forms 8288-A and 8805 (attach Forms 8288-A and 8805)) 6h
i Total payments—aAdd lines 6d through 6h . 61
7 Enter any penalty for underpayment of estimated tax—Check > [_] if Form 2220 is attached 7
8 Tax due—tf the total of lines 5 and 7 is larger than line 6i, enter amount owed 8
9 Overpayment—f line 6i is larger than the total of lines 5 and 7, enter amount overpaid . on)
10 _ Enter amount of line 9 you want: Credited to 1991 estimated tax > l Refunded | 10 I
Under penalties of perjury, | declare that | have examined this return, including accompanying schedules and statements, and to the best of my knowledge and
Please belief, it is true, correct, and complete. Declaration of preparer (ather than taxpayer) is based on all information of which preparer has any knowledge.
Sign |
Here > Signature of officer Date » Title
Date “Preparer’s social security no,
Paid Preparer's > | Check if
Preparer’s signature self-employed > [_]
Use Only | etre sal ermloyed) £1.no__P
and address ZIP code >
For Paperwork Reduction Act Notice, see page 1 of the instructions. Form 1120F (1990)


Form 1120F (1990)

Page 2

SECTION I.—Certain Gains, Profits, and Income From U.S. Sources That Are NOT Effectively Connected With the

Conduct of a Trade or Business in the U.S.—See Instructions

\f you are required to complete Section II or are using Form 1120F as a claim for refund of tax withheld at source, include below ALL
income from U.S. sources that is NOT effectively connected with the conduct of a trade or business in the U. S. Otherwise, you may include
only those items of income on which the U.S. income tax was not fully paid at the source. The rate of tax on each item of gross income —
no deductions are allowed against these types of income —- listed below is 30% (4% for the gross transportation tax) or such lower rate
specified by tax treaty. Fill in treaty rates where applicable. If the corporation claimed a lower treaty rate, also complete Item R, page 5.

Name of treaty country, if any

fa)
Nature of income

(b) (c)
Gross income Rate of tax (%)

(d)
Amount of tax

(e)
Amount of U.S. income tax
paid or withheid at the source

1 Interest
2 Dividends .
3 Rents .
4 Royalties .

5 Annuities .

6 Gains from disposal of timber, coal, or
domestic iron ore with a retained
economic interest (attach supporting
schedule) . a

7 Gains from sale or exchange of patents,
copyrights, etc. woe ee .

8 Fiduciary distributions (ettach supporting
schedule) .

9Gross transportation income (see
instructions) . La i

10 Other fixed or determinable annual or
periodic gains, profits, and income .

11 Total—Enter here and online 1, page 1 .

oo

12 Totai—Enter here and include on line 6h, page 1



Form 1120F (1990) Page 3

SECTION !1.—Income Effectively Connected With the Conduct of a Trade or Business in the U.S.—See Instructions

IMPORTANT—Fill in all applicable lines and schedules. If you need more space. see General Instruction E3.

la Gross receipts or sales |_| Sib Less returns and allowances L_} ¢ Bab | te
2 Cost of goods sold (Schedule A, line 7). oo : . .L2
3 Gross profit (subtract line 2 from line 1c) . 3
| 4 Dividends (Schedule C, line 14) . 4
€| 5 Interest 5
8] 6 Gross rents 6
=| 7 Gross royalties 7
8 Capital gain net income (attach Schedule D (Form 1120)) 8
9 Net gain or (loss) from line 18, Part II, Form 4797 (attach Form 4797) 9
10 Other income (see instructions—attach schedule) . 10
11 _ Total income—Add lines 3 through 10 and enter here Tn ae!
G42 Compensation of officers (Schedule E, line 4). Deduct only amounts connected with a U.S. business . | 12
§ | 13a Salaries and wages {________|___| bess jobs credit | |_ _}  c Bal |13¢
1/14 Repairs . Ce  L4
BliS Baddebts. re © 2 en
¢|16 Rents . ns fn oe . 16
S
B27 Teresa
2/18 Interest : 18
2 19 Contributions (see instructions for 10% limitation) Fo ee 19
= |20 Depreciation (attach Form 4562). . . . - . . L2ot I
Siar Less depreciation claimed on Schedule A and elsewhere on return 21 | !
§|22 Balance (subtract line 21 fromline20) . . . an . . . . £22
%|23_ Depletion a 23
£124 Advertising . Loe 24
= |25_ Pension, profit-sharing, etc.. plans . Lo 25
3B 26 Employee benefit programs . . son : : an 26
2/27 Other deductions (attach schedule) Lo . nn . 27
{28 Total deductions—Add lines 12 through 27 and enter here oo > 28
3 29 Taxable income before net operating loss deduction and special deductions (subtract line 28 from line 11) . 29
2 30 Less: a Net operating loss deduction . 30a j
b_ Special deductions (ScheduieC, line 15) 30b 30c |
31 Taxable income or (loss) — Line 29 less line30c_ . . . . woe _. | 31]
Cost of Goods Sold (see instructions)
1 Inventory at beginning of year . 1
2 > Purchases 2
3 Cost of labor . . 3
4a Additional section 263A costs (ee instructions —attach schedule) . . . . 4a
b Other costs (attach schedule) . Ab |
5 Total—Add lines 1 through 4b. 5
6 Inventory at end of year . 6
7 Cost of goods sold—Subtract line 6 from line 6. Enter here and on line 2, Section II. Z

8a Check ali methods used for valuing closing inventory:
() (Cost
(ii) (1 Lower of cost or market as described in Regulations section 1.47 1-4 (see instructions)
(iii) (_] Writedown of “‘subnormat’’ goods as described in Regulations section 1.471-2(c) (see instructions)
(iv) (J Other (Specify method used and attach explanation.) >
b Check if the LIFO inventory method was adopted this tax year for any goods . Se ...0
If checked, attach Form 970.

¢ If the LIFO inventory method was used for this tax year, enter percentage (or amounts) of closing
inventory computed under LIFO .. . L8e __

d Do the rules of section 263A (wth respect to property produced or secu for resale) appy to the
corporation? . woe . . Dyes CNno

e Was there any change i in determining quantities, cost, or valuations between opening and closing inventory? . Llyes CINo
if 'Yes,”’ attach explanation.