Form 1120-POL (1977)

Page 5

mediate credit item. Additional information
can be obtained from a commercial bank
or FRB. Each deposit must be accompanied
by a Federal Tax Deposit Form preinscribed
with a Tax Class Number 503. Do not remit
directly to Internal Revenue. Records of
deposits will be sent to Internal Revenue
for crediting to the organization's account.

The timeliness of deposits will be deter-
mined by date received by a commercial
bank depositary or FRB. If a tax payment
is made by mail, a deposit received after
the due date will be considered timely if
the taxpayer establishes that it was mailed
on or before the second day before the pre-
scribed due date as provided by section
7502. Tax deposits made at FRBs which
are not in compliance with deposit require-
ments will nevertheless be processed by
the receiving FRB rather than returned to
the taxpayer. Furthermore, such tax pay-
ments received by an FRB will be dated as.
paid based upon the date when the pro-
ceeds of the accompanying payment in-
strument are collected by the FRB, and if
made by mail, section 7502 will not apply.

Organizations needing Federal Tax De-
posit Forms preinscribed with a Tax Class
Number 503 may obtain them from the In-
ternal Revenue Service Center where they
will file their returns. The application
should include the organization's name,
identification number, address, and the
taxable year to which the deposits relate.

In Schedule K, list all Tax Class Number
503 deposits that relate to the taxable year
for which this return is filed and which were
made before or simultaneously with the
filing of this return.

J. Change in Accounting Period.—To
change your accounting period, see section
1.442-1 of the regulations and Form
1128, Application for Change in Account-
ing Period.

K. Accounting Methods.—Taxable in-
come must be computed using the method
of accounting regularly used in keeping the
organization's books and records. In all
cases, the method adopted must clearly
reflect taxable income. (See section 446.)

Unless the law specifically permits, you
may not change the method of accounting
used to report income in prior years (for
income as a whole or for any material item)
without first obtaining consent on Form
3115, Application for Change in Account-
ing Method.

L. Rounding Off to Whole-dollar
Amounts.—The money items may be
shown as whole-dollar amounts by elimi-
nating any amount less than 50 cents and
increasing any amount from 50 cents
through 99 cents to the next higher dollar.

M. Attachments.—If more space is
needed on forms or schedules, attach sepa-
rate sheets. Attach schedules in alphabeti-
cal order and forms in numerical order to
the back of Form 1120-POL. Be sure to
put the taxpayer’s name and employer
identification number on these separate
sheets.

N. Signature—The return must be
signed and dated by the president, vice
president, treasurer, assistant treasurer,
chief accounting officer, or any other offi-
cer (such as tax officer) authorized to sign.
A receiver, trustee, or assignee must sign
and date any return required to be filed
on behalf of an organization.

An individual who prepares Form 1120—
POL for pay must manually sign the return
as preparer. Signature stamps or labels
are not acceptable. If someone prepares
Form 1120—POL for free, that person does
not have to sign that return.

If more than one person prepares the
return, the individual preparer with the pri-
mary responsibility for the overall accuracy
of the return must sign as preparer. The
preparer required to sign the return shall
also enter his or her social security num-
ber to the right of that signature. If the
preparer is self-employed, he or she must
write SE" to the right of the preparer's
social security number.

If the individual is paid by another to
prepare (or is a partner in a partnership
preparing) Form 1120-POL, the payer's
(or partnership's) name and identification
number must be entered below the pre-
parer signature line. (Special rules apply
to identification numbers for foreign tax
return preparers. Such preparers should
see sections 1.6109-2(a) and 301.7701—
15(a)(5) of the regulations.)

The return must also show, below the
preparer's signature, the address of the
preparer’s place of business where the
preparation of the return was completed.
However, if this place of business is not
maintained on a year-round basis, the re-
turn should show the address of such pre-
parer’s principal business location which
is maintained on a year-round basis or, if
none, the preparer's residence.

The preparer must give the taxpayer a
copy of Form 1120-POL in addition to the
copy filed with IRS. Employers, partner-
ships, and self-employed preparers must
file Form 5717, Annual List of Income Tax
Return Preparers.

Note: A $25 penalty may be charged a
paid preparer who does not give the tax-
payer a copy of Form 1120-POL in addi-
tion to the copy filed with IRS. A penalty
may also be charged a preparer required
to sign who does not show an original sig-

nature or a photocopy of the original sig-
nature in the space provided. A penalty
may be charged a self-employed preparer
who does not show his or her identifying
number in the space provided.

If the individual is paid by another to
prepare (or is a partner in a partnership
preparing) Form 1120-POL, the payer or
partnership may be charged a penalty if
the return does not show the individual's
social security number and the payer's
(or partnership’s) employer identification
number.

If Form 1120-POL is prepared by the
taxpayer's regular, full-time employee,
such as a clerk, secretary or bookkeeper,
or by the taxpayer’s partner (if an individ-
ual), that person is not subject to the
above rules.

0. Identifying Number.—All political
organizations (including separate segre-
gated funds described in section 527(f)(3)
and newsletter funds) must use an em-
ployer identification number. If you do not
have an employer identification number for
the political organization, apply for one
from your Internal Revenue Service Center
on Form SS-—4, available from any Internal
Revenue or Social Security Administration
district office.

P. Penalties.-

Avoid penalties and interest by correctly
filing and paying the tax when due.

1. A political organization that fails to
file its tax return by the prescribed due
date including any extensions of time for
filing may be subject to a penalty of 5% a
month, up to a maximum of 25%, for each
month the return is not filed.

2. A political organization that fails to
pay the tax when due may be subject to a
penalty of 14% a month or fraction of a
month, up to a maximum of 25%, for
each month the tax is not paid.

The penalties mentioned above are im-
posed on the net amount due—see section
6651(a)(1) and (2).

The above penalties will not be imposed
if the political organization can show that
the failure to file or to pay was due to
reasonable cause and not to willful neglect.

The penalties are in addition to the in-
terest charge imposed on unpaid tax at a
rate established pursuant to section 6621.

Q. Possession Tax Credit.—See Form
5712 for rules on how to elect to claim the
possession tax credit (section 936). Com-
pute the credit on Form 5735 and include
the amount of the credit in the total for line
7, Schedule A (Form 1120—POL) if appli-
cable. Write in the margin next to the

235-124-2 (Continued on page 6)


Form 1120-POL (1977)

Page 4

General Instructions

(References are to the Internal Revenue Code.)
A. Who Must File Form 1120-POL.—

1. A political organization, that is, a
party, committee, association, fund (in-
cluding a separate segregated fund (de-
scribed in section 527(f)(3)) set up by a
section 501(c) organization), or other or-
ganization, organized and operated pri-
marily for the purpose of accepting contri-
butions or making expenditures, or both, to
influence the selection, nomination, elec-
tion or appointment of any individual to any
public office or office in a political organi-
zation, or the election of Presidential or
Vice-Presidential electors, must file Form
1120-POL if such organization has any
taxable income (defined in C below).

2. A newsletter fund (as described in
section 527(g)) must file Form 1120-POL
if it has political organization taxable in-
come. Taxable income is the same as
described in C below with these modifica-
tions:

(a) the $100 specific deduction is not

allowed and

(b) the exempt function shall be only

the preparation and circulation of
the newsletter.

For further information,
527(g).

3. (a) Under section 527(f) certain or-
ganizations described in section 501(c)
and exempt from tax under section 501(a),
must file Form 1120—POL if they:

(i) expend any amount during the tax-
able year directly (or through
another organization) for an exempt
function (defined in E below) and

(ii) have taxable income.

(b) For purposes of a section 501(c) or-
ganization, taxable income shall be an
amount equal to the lesser of:

(i) the aggregate amount expended
during the taxable year for an ex-
empt function (defined in E below)
or

the net investment income of such
organization for the taxable year.
Net investment income, for this pur-
pose, means the gross amount of
interest, dividends, rents, royalties,
plus the excess (if any) of gains
from the sale or exchange of assets
over the losses from the sale or ex-
change of assets, over the deduc-
tions directly connected with the
production of this income.

Both of the above amounts are computed
by taking into account the modifications
described in C.2. below.

Section 501(c) organizations will not
take into account items taken into account
for purposes of the tax imposed by section
511.

see section

0)

(c) If a section 501(c) organization sets
up a separate segregated fund (section 527
(f)(3)), the taxable income of such fund
will be determined in accordance with i
struction C.

For further information, see section
527(f).

B. Tax Imposed.—The tax imposed con-
sists of a normal tax and surtax computed
as provided in section 11 as though the
political organization were a corporation
and as though the political organization
taxable income was the taxable income re-
ferred to in section 11. The surtax exemp-
tion (section 11(d)) is not allowed.

C. Taxable Income.—

Note: Campaign contributions are not
includible in income; expenditures for cam-
paign purposes are not deductible.

Taxable income is the excess of:

1. gross income for the taxable year
(excluding any exempt function income
which is defined below) over

2. the deductions allowed which are di-
rectly connected with the production of
gross income (excluding exempt function
income) computed with the following modi-
fications—

(a) a specific deduction of $100 is
allowed,

(b) anet operating loss deduction (sec-
tion 172) is not allowed, and

(c) a deduction under part VIII of sub-
chapter B (relating to special de-
ductions for corporations) is not
allowed.

D. Exempt Function Income.—Exempt
function income is any amount received as:

1. contributions of money or other prop-
erty,

2. membership dues, fees, or assess-
ments from members of the political or-
ganization, or

3. proceeds from a political fund-raising
or entertainment event, or proceeds from
the sale of political campaign materials,
which are not received in the ordinary
course of any trade or business,

to the extent such amount is segregated
for use only for the exempt function of the
political organization.

Note: Income received in the course of
an ordinary trade or business is to be in-
cluded in line 7, ‘‘other income,"’ page 1.

E. Exempt Function.—For purposes of
section 527, the term ‘‘exempt function”
means the function of influencing or at-
tempting to influence the selection, nomin-
ation, election, or appointment of any indi-
vidual to any Federal, State, or local public
office or office in a political organization, or
the election of Presidential or Vice-Presi-
dential electors, whether or not such indi-
vidual or electors are selected, nominated,
elected or appointed.

F. Where to File-——

If the political organiza-
tion’s main office is lo-

Use this address

Vv

New Jersey, New York City and Internal Revenue Service

counties of Nassau, Rockland, | Center

Suffolk, and Westchester Holtsville, NY 00501
Internal Revenue Service

enter
‘Andover, MA 05501

New York (all other eounties),
Connecticut, Maine, Massa-
chusetts, New Hampshire,
Rhode Island, Vermont

Alabama, Florida, Georgia,
Mississippi, South Carolina

Internal Revenue Service
center
Atlanta, GA 31101

Internal Revenue Service
enter

Cincinnati, OH 45999

Internal Revenue Service
enter

Austin, TX 73301

Internal Revenue Service
Center

Ogden, UT 84201

Michigan, Ohio

Arkansas, Kansas, Loui
New Mexico, Oklahoma,

jana,
as

Alaska, Arizona, Colorado,
Idaho, Minnesola, Montana,
Nebraska, Nevada, Nort
Dekotay Gregor, South Dakota,
Utah, Washington, Wyoming

Internal Revenue Service

Alinois, lowa, Missouri,
Center,
Kansas City, MO 64999

Wisconsin

Internal Revenue Service
enter.
Fresno, CA 93888

California, Hawaii

Indiana, Kentucky, North

Internal Revenue Service
snnessee, Virginia, | Cer

inter

Memphis, TN 37501

Internal Revenue Service
Genter

Philadelphia, PA 19255

ware, District of
Columb, ‘Maryland,
Pennsylvania

G. When to File—In general, Form
1120-POL must be filed on or before the
15th day of the 3rd month after the end
of the taxable year.

You may request an automatic 3-month
extension of time to file Form 1120-POL
by filing Form 7004,

Form 7005 may be used to request an
additional extension but only by organiza-
tions that have previously obtained an
automatic 3-month extension by filing
Form 7004,

H. Period to be Covered by 1977 Re-
turn.—File the 1977 return for calendar
year 1977 and fiscal years beginning in
1977 and ending in 1978. If the return is
for a fiscal year, fill in the taxable year
space on the form.

I. Depositary Method of Tax Payment.—
The balance of the tax due (line 22) must
be paid in full when the return is filed or in
two installments, 50% by the 15th day of
the 3rd month and 50% by the 15th day of
the 6th month after the end of the taxable
year.

Organization income tax payments must
be deposited at an authorized commercial
bank depositary or Federal Reserve Bank
or Branch (FRB), with a Federal Tax De-
posit Form preinscribed with a Tax Class
Number 503, in accordance with instruc-
tions appearing on the reverse of that form.
Deposits made at a FRB must be made with
the FRB servicing the geographic area
where a taxpayer is located. The deposit
must be made in a form of payment that
the receiving FRB considers to be an im-

(Continued on page 5)

235-124-2


Form 1120-POL (1977)

Page 6

entry on line 7, the amount of the credit
and identify it as being a section 936
credit.

R. Estimated Tax, Minimum Tax and
Investment Credit.—Estimated tax, mini-
mum tax and investment credit do not
apply to political organizations defined in
section 527.

S. Financial Statements.—Section 501
(c) organizations do not have to complete
Schedules L and M.

T. Foreign Bank, Securities and Other
Financial Accounts.—If at any time during
the taxable year, you had an interest in or
signature or other authority over a bank
account, securities account, or other finan-
cial account in a foreign country or were
a grantor of, or transferor to a foreign
trust, which trust was in being during the
taxable year, you must check the appro-
priate Yes box(es) in questions 1 and 2.
(If you own more than 50 percent of the
stock in any corporation that owns one or
more foreign bank accounts, you must
check the Yes box for question 1.)

If you had any interest in or signature
or other authority over a bank, securities,
or other financial account in a foreign
country (except in a U.S. military banking
facility operated by a U.S. financial institu-
tion), you must file Treasury Department
Form 90-22.1, Report of Foreign Bank,
Securities, and Other Financial Accounts.

This form, which is due before July 1,
1978, should be filed with the U.S. Treas-
ury Department at P.O. Box 28309, Cen-
tral Station, Washington, D.C. 20005.

Form 90-22.1, which replaces Internal
Revenue Service Form 4683, U.S. Informa-
tion Return on Foreign Bank, Securities
and Other Financial Accounts, and Foreign
Trusts, may be obtained from Internal Rev-
enue Service offices or by writing to the
above address.

Instructions for Schedule D

This schedule provides for the reporting
of sales or exchanges of capital assets.
Every sale or exchange of property must be
reported even though no gain or loss is
indicated.

For reporting sales or exchanges of
property other than capital assets includ-
ing the sale or exchange of property used
in a trade or business and involuntary con-
versions (section 1231), see Form 4797
and related instructions.

Capital Assets.—The Tax Reform Act of
1976 increased the holding period for long-
term capital gains and losses from more
than 6 months to more than 9 months for
taxable years beginning in 1977 and more
than one year for taxable years beginning
in 1978 and after.

For amounts received from an install-
ment sale, the holding period rule in effect
in the year of sale will determine the treat-
ment of the amounts received as long-term
or short-term gain.

Gains and losses on futures transactions
(but not options on futures transactions)
in any agricultural commodity subject to
the rules of a board of trade or commodity
exchange will retain the more than 6-
month holding period rule for long-term
treatment. See section 1222.

Each item of property held by a political
organization (whether or not connected
with a trade or business) is a capital asset
except:

1. inventoriable assets or property held
primarily for sale to customers;

2. depreciable or real property used in
a trade or business;

3. certain copyrights, literary, musical,
or artistic compositions, letters or memo-
randums, or similar property;

4. accounts or notes receivable ac-
quired in the ordinary course of trade or
business for services rendered or from the
sale of property described in (1) above;

5. certain short-term Federal, State,
and municipal obligations; and

6. a publication of the United States
Government (including the Congressional
Record) which is received from the United
States Government or any agency thereof,
other than by purchase at the price at
which it is offered for sale to the public,
and which is held by (a) a taxpayer who
so received such publication, or (b) a tax-
payer in whose hands the basis of such
publication is determined, for purposes of
determining gain from a sale or exchange,

‘Yr US. GOVERNMENT PRINTING OFFICE : 1977—0-235-124

in whole or in part by reference to the basis
of such publication in the hands of a tax-
payer described in 6(a).

Capital Losses.—Capital losses are al-
lowed only to the extent of capital gains.
A net capital loss, however, may be carried
back three years and forward five as a
short-term capital loss. The capital loss
may be carried back only to the extent it
does not increase or produce a net oper-
ating loss in the taxable year to which it
is being carried.

Under the provisions of section 6411,
a quick refund of the tax overpayment
created by the capital loss carryback may
be obtained by filing Form 1139.

Basis.—In determining gain or loss, the
basis of property will generally be its cost.
However, where the political organization
receives appreciated property after May 7,
1974, then the basis of this property will
be the same as it would be in the hands of
the transferor, increased by the amount of
gain recognized to the transferor.

Exchange of “Like Kind” Property.—
Although no gain or loss is recognized
when property held for productive use in a
trade or business or for investment (not
including stock in trade or other property
held primarily for sale, nor stocks, bonds,
notes, choses in action, certificates of
trust or beneficial interest, or other secu-
rities or evidences of indebtedness or in-
terest) is exchanged solely for property of
a “like kind” to be held either for produc-
tive use in a trade or business or for in-
vestment, you must report the transaction
‘on Schedule D or Form 4797, whichever is
applicable. If Schedule D is applicable,
identify the property disposed of in column
(a). Enter the date of acquisition in column
(b) and write the date of exchange in col-
umn (c). Write “like kind exchange” in
column (d) and enter the adjusted basis
in column (e). Enter zero in column (f).
(See section 1031.)

Alternative Tax Computation.—!f you
have an excess of net long-term capital
gain over net short-term capital loss, com-
pute the tax using the alternative method
(Part IV) to determine if the resulting tax
is less than the tax computed using the
regular method.

235-124—2


U.S. Income Tax Return
om 1120-POL for Certain Political Organizations | 1977

Department of the Treasury To be filed by those organizations having taxable income (line 19).
Internal Revenue Service (Under Section 527 of the Internal Revenue Code)
For calendar year 1977 or other taxable year beginning , 1977 and ending 719
Note: If you are a section 501(c) organization and described in instruction A.3, check here » [1].
| Name of organization Employer identification number (see instruction 0)
= | Number and street Date organization formed
H City or town, State and ZIP code Were the required forms 1087, 1096, and 1099
= filed? . . s+. + + + +f] Yes [] No
Enter name of candidate D>
The books are in care of > ___ Telephone No. > ___
Located at >
Important—Fill in all applicable lines and schedules.
1 Dividends (attach schedule). . . . 2. 2. . ee ee ee ee
© 2 Interest on obligations of the United States and U.S. instrumentalities ee ary
|} 3 Other interest . 2 6 1 ee we ee ee
S| 4Gross rents
oO 5 Gross royalties . . . . a
8 6 (a) Capital gain net income from line 9, Schedule D soe eee ee er
6 (b) Net gain or (loss) from line 9, Part II, Form 4797 (attach Form 4797) wo ee ee
7 Other income (see “Note” in instruction D—attach schedule). . . . 2. 1 ee eee
8 Total income (add lines 1 through 7). . . . . . . . 1 ee ee eee ee
9 Salaries and wages © ww ww ee ee
1O Repairs. 6 ee ee
Tl Rents 2. 6 1 we ee ee ee
12 Taxes (attach schedule) . - 6 6 ee ee ee ee ee ee ee ee
13 Interest 2 2 6 1 ee ee ee ee ee LE
2 | 14 Depreciation from Form 4562 (attach Form 4562) . ., less depreciation claimed
2 elsewhere on the return . soe ee ee ee ee es Balance p> [14 |
§ | 15 Other deductions (attach schedule). . 2 6 ee eee ee ee ee ee LB
3 16 Total deductions (add lines 9 through 15). . . . 1 2 we re or Coe
17 Taxable income before specific deduction of $100 (line 8 less line 16). (Section 501(c) organizations
show: (a) amount of net investment income (see Instruction A3(b)(ii)) D-
(b) aggregate amount expended for an exempt function (attach schedule) p>.
and enter on line 17, the lesser of (a) or (b)). . . . - ee
18 Less specific deduction of $100 (not allowed for newsletter funds defined under section 527(g)) .
19 Taxable income (line 17 less line 18)... + ee
20 Total tax (from line 10 of Schedule A). ©. 1 6 ee ee ee ee ee ee
21 Credits: (a) Tax deposited with Form 7004 (attach copy). . . . . » « s
a (b) Tax deposited with Form 7005 (attach copy). . . . . . +s
Fe (c) Credit from regulated investment companies (attach Form 2439) .
22 Tax due (line 20 less line 21). See instruction | for depositary method of payment . . . . » |_22_|
23 Overpayment (line 21 less line 20)... . + os ee tL
1 Did you, at any time during the taxable year, have any interest in or signature or other authority over a
2 2 bank, securities, or other financial account in a foreign country (except in a U.S. military banking facility
Ss 8 sa wial inetititi
& 2 = operated by a U.S. financial institution)? . 2. 2. - ee ee ee ee ee ee ee + Yes [No
= & | _ If “Yes,” see instruction T.
=  & | 2 Were you the grantor of, or transferor to, a foreign trust during any taxable year, which foreign trust was
cs in being during the current taxable year, whether or not you have any beneficial interest in such trust?. . [] Yes [] No

If “Yes,” you may be required to file Forms 3520, 3520-A, or 926.

Under penalties of perjury, | declare that | 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 the preparer has any knowledge.

> Signature of officer Date » Paid preparer’s signature and identifying number (see Instructions)

> Title > Paid preparers address (or employer's name, address and identifying number)
235-124-2


Form 1120-POL (1977)

Page 2

Schedule A.—Tax Computation Schedule

Taxable income (line 19, pagel). . . . . Se
46% of the first $25,000 of taxable income onlinel. . ...... 2...

48% of taxable income on line 1 in excess of $25,000 . cee
Total of lines2and3. . . . an sone
Income tax (line 4 or alternative tax from line 16, 5, Schedule D below, whichever is lesser) .

(a) Work incentive (WIN) credit (attach Form 4874)... .

(b) Foreign tax credit (attach Form 1118). . .

AOR wWn nw

bE

7 Total of lines 6(a) and (b). ©... _7_ |

8 Line 5 less line7. . . . ton Soe ee —8_)}.

9 Tax from recomputing a prior year WIN credit (attach computation) Soe ee ee —a

10 Total tax (add lines 8 and 9). Enter here and on line 20, page 1 . : 10

Schedule D.—Capital Gains and Losses

Short-term Capital Gains and Losses—Assets Held 9 Months or Less
. Kind of rt) id de iptis . De i te 3 i .
SOSA IBB EAs GATES”) Mebateyacauired | (g.Date.seld, la, cross sales price] S,Cpsterothen basis | f. Gain,or dass

2 Unused capital loss carryover (attach computation) . . 2. 1 1 1 ee ee ee
3 __Net short-term capital gain or (loss). _. Ce

Part Il Long-term Capital Gains and Losses—Assets Held More Than 9 Months

4 Enter section 1231 gain from line 4(a)(1), Form 4797...) + + + + + +

5

6 Net long-term capital gain or (loss)... - a

[ziaa1m Summary of Schedule D Gains and Losses

7 Enter excess of net short-term capital gain (line 3) over net long-term capital loss (line6) . .
8 Enter excess of net long-term capital gain (line 6) over net short-term capital loss (line3) . .

9 Total of lines 7 and 8. Enter here and on line 6(a), pagel. . . . . . . . .

[zual@m Alternative Tax Computation

10 Taxable income (line 19, pagel). . . . . ws er ry
11 Excess of net long-term capital gain over net short-term capital loss (line8) . . 2. 2. se
12 Line 10 less line 11. 6 1 ww we ee ee ee
13 46% of the first $25,000 of taxable income online12. . 1 ww we ee ee
14 48% of taxable income on line 12 in excess of $25,000. . . . . 1... ee eee
15 30% oflineli. 2 1 ee ee

16 Alternative tax (total of lines 13, 14, and 15). If applicable, enter here and on line 5, Schedule A

Schedule K.—Record of Federal Tax Deposits Tax Class Number 503
(List Deposits in Order of Date Made—See Instruction I)

Date of
deposit

Date of
deposit

gate or Amount Amount Amount

Date of
deposit

Amount

235-124-2


Form 1120-POL (1977)

Page 3

Schedule L.—Balance Sheets

Beginning of Taxable Year

End of Taxable Year

»

©

10

1.

fay

12
13

14
15
16
17
18

19

21
22

Assets
Cash: (a) Savings and interest-bearing accounts .
(b) Other. 2. eee
Accounts receivable net . . . . . 1 we
Notes receivable net (attach schedule). . .
Inventories... - ee ee ee

Government obligations: (a) U.S. and instrumentalities
(b) State, subdivisions thereof, etc. . . .

Investments in nongovernment bonds, etc, (attach schedule) .

Investments in corporate stocks (attach schedule) .
Loans:

(a) Mortgage loans (number of loans P» _____)
(b) Other loans (attach schedule) . . . . .
Other investments (attach schedule) . . .

Depreciable (depletable) assets (attach schedule):
(a) Held for investment purposes. 2...

(b) Less accumulated depreciation . . . .
(c) Held for campaign purposes . . . .
(d) Less accumulated depreciation . . 2...

Land: (a) Held for investment purposes. . .
(b) Held for campaign purposes. . . .
Other assets (attach schedule). . . . .

Total assets 2 1 ee ew ee ee
Liabilities

Accounts payable. - . . . . ww ee

Contributions, gifts, grants, etc. payable. . .

Mortgages and notes payable (attach schedule) . .
Other liabilities (attach schedule). . . . .
Total liabilities. . . . . os

Net Worth (Fund Balances)
Principal Fund

Income Fund

Total Net Worth (Fund Balances) .
Total liabilities and Net Worth (line 18 plus line ay.

(A) Amount

(8) Total

(C) Amount

(D) Total

Schedule M.—Analysis of Changes in Net Worth

1 Total net worth at beginning of year—tline 21, column (B), Schedule L .

2
3
4

5 Other increases not included above (itemize) >»

6
7

8 Expenses attributable to other nontaxable income
9 Other decreases not included above (itemize) >.

10

Enter amount from line 17, pagel. . . .
Nontaxable income from contributions . .
Nontaxable income from other sources . .

Total (add lines 1 through 5) . . .
Campaign expenses . . . «. . ee e

Total of lines 7,8and9.. . .
11 Total net worth at end of year (line 6 less line 10)—line 21, column (D), Schedule L -

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