SCHEDULE PH OMB No. 1545-0123
(Form 1120) U.S. Personal Holding Company Tax 4990
interne! Rovere Sense D> See separate instructions. Attach to tax return.

Name Employer identification number

Part |—Undistributed Personal Holding Company Income

an

1 Taxable income before net operating loss deduction and special deductions. Enter amount from
line 28, Form 1120. See instructions . oe .
2 Contributions deducted in figuring line 1. Enter amount from line 19, Form 1120.

3 Excess expenses and depreciation u under section nSA5(BNE).E Enter amount nt from line 2, Schedule
A.Seeinstructions. . . »L3

Total. Addlines1through3 . . «ee ee |
Federal and foreign income, war profits, and excess profits taxes not deducted in ‘figuring | line 1.

See instructions (attach schedule) . .
Contributions deductible under section 545(b\(2). See instructions for limitation . .
Net operating loss for the preceding tax year deductible under section 545(b)(4). See instructions.
Net capital gain. Enter amount from Schedule D (orm 1120), line
10. Foreign corporations see instructions . . . 8a

b Less: Income tax on this net capital gain (see. section SAO.
Attachcomputation . . 8b

Additions

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gue

9 Amounts used or irrevocably set aside to pay or retire qualified indebtedness. See instructions. 9

10 Deduction for dividends paid (other than dividends paid a after the end of the tax year), Enter
amount from line 5,ScheduleB. . . . . . {10

Deductions

11 Total.AddlinesSthroughlO 2 2 1 1 we ee ee eee PD

12 Subtractlinellfromline4 2 2 1 6 ee ee ee ee ee LD

13 Dividends paid after the end of the tax year (other than deficiency dividends defined in section
547(d)) but not more than the smaller of line 12 or 20% of line 1, Schedule B. See instructions . |_13
14 Undistributed persona! holding company income. Subtract line 13 from line 12. Foreign
corporations see instructions... 14

Part I|—Information Required Under Section 6501(/). i the information on personal holding company income and stock
ownership is not submitted with the corporation's return, the limitation period for assessment and collection of personal
holding company tax is 6 years.

Personal Holding Company Income (See instructions.)
15 Dividends .
16a Interest .
b Less: Amounts excluded under section 543¢@)(1XA), 54300K00),
§43(a)(1)(D), or 543(b)(2)(C). Attach schedule. . .
17 Royalties (other than mineral, oil, gas, orcopyright royalties) .
18 Annuities . a

19a Rents

b Less: Adjustments described in in section 1543(b)(2XA) (attach schedule) 19b 19¢
20a Mineral, oil, andgasroyalties. . . . 20a

b Less: Adjustments described in section S43 xBNetac seed) 20b 20c
21 ~~ Copyright royalties oe . coe Se ee ee LOh
22 Producedfilmrents. . . + woe ee ee . £22
23 Compensation received for use of corporation | property by 25% shareholder . we £88
24 Amounts received under personal service contracts and from their sale . Le
25 Amounts includible in taxable income from estates and trusts. oe» [25
26__ Personal holding company income. Add amounts in right column forlines 15 through 25. 26

Part III—Tax on Undistributed Personal Holding Company Income

27 Personal holding company tax. Enter 28% of line 14 here and on line 7, Schedule J 3 orm 1120),
or on the proper line of the appropriate taxreturn . ._. 27

For Paperwork Reduction Act Notice, see page 1 of the Instructions for Forms 1120 and 1120-A. Schedule PH (Form 1120) 1990



Schedule PH (Form 1120) 1990 Page 2

Enter the names and addresses of the individuals who together owned directly or indirectly at any time during the
Stock Ownership last half of the tax year more than 50% in value of the outstanding stock of the corporation.

Highest percentage of shares
(2)Name | (b) Address owned during last half of tax year

(©) Preferred (a) Common

% %
% %
% %
% %
% %

Excess of Expenses and Depreciation Over Income From Property Not Allowable Under
MUAEIEAT Section 545(b)(6). See instructions for Part |, line 3.

(@) Repairs,
insurance, and (g) Income from | (fh) Excess
(a) Kind of pro (b) Date | {¢) Cost or other | (4) Depreciation | other expenses (0 Total of rent orother | (col. (f)less
@ property Quire basis (@) Dept & scion iee columns (€)and(e) | _Smveneation G mi ee

2 Total excess of expenses and depreciation over rent or other compensation. Enter here and on line 3, Part I.
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 Se ee i
2 Consent dividends. Attach Forms972and973. . 2 1... ee ee ee ee  P
3 Taxable distributions.Addlinesland2 0. 1 ww PS
4 Dividend carryover from first and second preceding tax years. Attach computation 4
5 __ Deduction for dividends paid. Add lines 3 and 4 and enter the result here and online 10, Part! . . . | 5

“U.S. GOVERNMENT PRINTING OFFICE: 1990-285.278,