SCHEDULE PH Computation of U.S. OMB No. 1545-0123
(Form 1120) P. .
ersonal Holding Company Tax | 9 89
Department of the Treasury
Internal Revenue Service > See separate instructions. Attach to your tax return.
Name Employer identification number
Part |—Computation of Tax on Undistributed Personal Holding Company Income
1 Taxable income before net operating loss deduction and special deductions (Form 1120, line
g 28—-see instructions) . aa a 8
= | 2 Contributions deducted in figuring line 1 (Form 1120, ‘ine 19). : 2
% | 3 Excess expenses and depreciation under section 545(b)(6) (Schedule A, line 2) 3
<
4 Total—Add lines 1 through 3 4
5 Federal and foreign income, war Profits, and excess profits taxes not deducted in figuring line 1
(attach schedule) Loe . .. LS
6 Contributions deductible under section 545(b\(2) (ee instructions for limitation) . 6
7 Net operating loss for the preceding tax year (deductible under section 545(b)(4)) . y 7
8a Net capital gain (from Schedule D (Form 1120), line 10) (Foreign
corporations see instructions). . . . 8a
b Less: Income tax on this net capital g gain ees section 58506)
wo attach computation) . . . . L8b 8c
<
S
%S | 9 Amounts used or irrevocably set aside to pay or retire qualified indebtedness (see instructions) 9
3 10 Deduction for dividends S pad (other than d dividends aid at after the end of the tax year (Schedule B,
a line 5)). . 10
11  Total—Add lines 5 through 10 . 11
12 Subtract line 11 fromline4 . . 12
13 Dividends paid after the end of the tax year (other than deficiency d dividends defined in section
547(d)) but not more than the smaller of line 12 or 20% of Schedule B, line 1 . 13
14 Undistributed personal holding company i income—Subtract line 13 from line 12. "Foreign
corporations see instructions) . oa : | 14
x
© |15 Personal holding company tax (enter 28% of line 14 here and on Schedule J (Form 1120), line 7,
or on the proper line of the appropriate tax return) 15

Part II—Information Required Under Section 6501(). | If the information on personal holding company income and stock

ownership is not submitted with the corporation's return, the limitation period for assessmet

holding company tax is 6 years.

nt and collection of personal

Personal Holding Company Income (See instructions.)

1 Dividends . = 1
2a Interest . 2a
b Less: Amounts excluded under ‘section 543(a)(1)(A), 543(a)(1)(B),
543(a)(1)(D), or 543(b)(2)(C) (attachschedule). . . . . [2b 2c
3 Royalties (other than mineral, oil, gas, or copyright royalties) . : 3
4 Annuities FD 4
5a Rents . . . . {Sa
b Less: Adjustments ‘described i in section 543(b)(2)(A) (attach schedule) . {Sb y 5c
6a Mineral, oil, andgas royalties . . . . 6a
b Less: Adjustments described in section 543(b)(2)(B) (attach ‘schedule) . L6b 6c
7 Copyright royalties . woe rr fn 7
8 Produced film rents . : 8
9 Compensation received for use of corporation | property ‘by 25% shareholder . 9
10 Amounts received under personal service contracts and from their sale 10
11 Amounts includible in taxable income from estates and trusts . 11
12 Total personal holding company income—Add lines 1 through 11 . . 12
For Paperwork Reduction Act Notice, see page 1 of the Instructions for Forms 1120 and 1 1201 “A. Schedule PH (Form 1120) 1989


Schedule PH (Form 1120) 1989

Page 2

Stock Ownership

landing stock of the corporation.

Enter the names and addresses of the individuals who together owned directly or indirectly at any time during the
last half of the tax year more than 50% in value of the outst

Highest percentage of shares
owned during last half of tax year

(a) Name (b) Address

(©)Preferred | (d) Common
% %
% %
% %
% %
% %

Schedule A Excess of Expenses and Depreciation Over Income From Property Not Allowable Under
Section 545(b)(6) (See instructions for Part I, line 3.)
_e) Repairs, @! ft We
by Dat Cost or oth ; insurance, an Total of income from xcess
(2) Kind of property seaured | ORaseM* | Denesaton | anstowerses | coumnscaanace| certorater | Ca, (ess
(attach schedule)

2 Total excess of expenses and depreciation over rent or other compensation. Enter here and on Part |, line 3.
Note: Attach a statement showing the names and addresses of persons from whom rent or other compensation was

received for the use of, or the right to use, each property.

Deduction for Dividends Paid (Determined Under Section 562)

1 Taxable dividends paid (do not include dividends considered as paid in the preceding tax year under
section 563, or deficiency dividends as defined in section 547) . 1
2 Consent dividends (attach Forms 972 and 973) . 2
3 Taxable distributions—Add lines 1 and 2 3
4 Dividend carryover from first and second preceding tax years (attach computation) . 4
5 Deduction for dividends paid—Add lines 3 and 4. Enter here and on Part, line 10 5