Form 5471 (Rev. 1-85)

Page 4

Reconciliation of Book Profits to Earnings and Profits. Do not complete this schedule if total assets

(Schedule F, line 13, column (b)) are less than $25,000.

Earnings and profits are determined under: C Section 902 im Section 964(a)

1 Profit or (loss) for the year per books of account (before reduction for any income, war profits, and excess
profits taxes) . we

2 Net adjustments to book profit in 1 determining earnings “and

Net additions Net subtractions
profits for U.S. tax purposes (see instructions):

(a) Capital gains or losses

(b) Depreciation

(c) Depletion

(d) Investment or incentive allowance

(e) Charges to statutory reserves .

(f) Inventory valuation adjustments .

(g) Other (attach schedule—exclude income, war 1 profits, and
excess profits taxes) .

Totalnetadditions. 2. 1 1 ee ee Ml

Total net subtractions .

3

4

5 Line 1 plusline3lessline4 .

6 Unrealized exchange gain or (loss) under section gee) (omit if ea armings and profs are snot computed under
section 964(a)) .

7 Earnings and profits for the year (before reduction for: any income, war ar profits ‘and excess profits taxes) (edd
lines 5-and 6)

8 Income, war profits, and excess profits taxes paid oracerued (from fine 5, column © Schedule —).
r Earnings 7" profits (subtract line 8 from line 7) o

.

7

8

9

Analysis of Unappropriated Retained Earnings. Do not. complete this schedule it total assets (Schedule

F, line 13, column (b)) are less than $25,000.

1 Balance at beginning of annual accounting period .
2 Netincome per books .

3 Other increases (itemize) >.
4

5

Total (add lines 1 through 3) .
Distributions out of earnings and profits:
(a) Paid during first 60 days of annualaccountingperiod . . 2 2. 2 wwe 5(a)

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(b) Paid during remainder of annualaccountingperiod . . 2 2 2. we ee 5(b)

(c) Add lines 5(a) and 5(b) .
6 Other distributions (itemize) >,
7 Other decreases (itemize) >. ._
8 Total (add lines 5 through 7) .
9_Balance at end of annual accounting period (subtract line 8 from line 4)

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Pcie Summary of Subpart F Income (see worksheets contained ‘in the instructions) ~

1 Subpart F income
2 Increase in earnings invested i in United: States property
3. Previously excluded subpart F income withdrawn from qualified investments

4 Previously excluded export trade income withdrawn from investment in export trade assets.
5 Total of lines 1 through 4 (Enter here and on your income tax return.)

on |e) ro]

Was the income of the foreign corporation blocked (see section 964(b))?

- Yes[ | No[ |

Saicicaag Accumulated Earnings and Profits Since 1962 :
Earnings and Profits Taxed
Total Earnings Under Subpart F

and Profits Investment in
U.S. Property Other

Other Earnings
and Profits

1 Balance at beginning of year

2 Current year earnings and profits

3 Actual distributions in current year

4 Balance at end of year

Tania Persons with Whom, or on Whose Behalf, this Return is Filed (d) Check applicable box(es)

(a) Name (b) Address (c) Identifying number |Shareholder| Officer | Director



rom 9471 Information Return with Respect to a

Rev. J 1985 OMB No. 1545-0704
(Rev. January 1985) _ Foreign Corporation — Pence y-ai-8y
Department of the Treasury Information furnished for the foreign corporation's annual
Internal Revenue Service accounting period beginning 19 and ending 19
Name and address of person filing this return Identifying number

important: Fill in all applicable lines and sections. All information must be in the English language AND all amounts must be
stated in U.S. dollars unless otherwise indicated.

1 (a) Name and address of foreign corporation (b) Employer identification number, if any

(€) Country under whose laws incorporated

(a) Date of Incorporation (e) Principal country in which business | (f) Business code number _| (g) Principal business activity
is conducted

2 Provide the following information for the current accounting period of the foreign corporation:

If U.S. income tax returns were filed, please indicate:
Name, address, and identifying number of Ty _lfthe foreign corporation A tof U.S.
branch or agent in U.S. (if any) oF joined in filing baie eg incomeor income tax baud
return filing the consolidated return (loss) (after all credits)
SEE TIEN.Y © Stock of the Foreign Corporation
(b) Beginning of annual accounting period (c) End of annual accounting period
(a) Description of each class of stock Number of shares Number of shares
(1) Par or stated (1) Par or stated

value pershare | (2) Issued (3) |_| valuepershare | (2) Issued Q3)
Outstanding Outstanding

aisticw:y U.S. Shareholders of Foreign Corporation

(c) Number of shares of outstanding stock held at
(a) Name, address, and iden- inning of annual ting period] End of 7 (d) Pro rata share
titying number of shareholder (0) Class Beginning of annual accounting peri nd of annual accounting period of subpart F and G

qd) (2) (3) Con- (4) (5) (6) Con- income
Directly | Indirectly | structively | Directly | Indirectly | structively

Total percentage of voting stock of the e foreign corporation o owned iby ‘you at the end of the annual accounting period of of
the foreign corporation . . wee be eee ee %



Form 5471 (Rev. 1-85)

Page 2

BSREEMIEa Earnings and Profits

1 Net sales (gross receipts less returns and allowances):
(a) Unrelatedcustomers . 2. 1 1 1 we ee ee (a) - .
(b) Relatedcustomers . 2 2 1 1 we ee ee 1(b) 7; Mi
| — (€) Add lines 1(a) and 1(b) . 1(c)
& 2 Cost of goods sold and/or operations (line 7, Schedule b) 2
2 3 Gross profit (subtract line 2 from line 1(c)) . 3
| | 4 Dividends 4
S| 5 Interest . . . 5
© | 6 Gross rents, royalties, ‘and license fees . 6
7 Net gain or (loss) on sale of capital assets 7
8 Other income (attach schedule) 8
9 Total income (add lines 3 through 8) . 9
10 Compensation not deducted elsewhere . 10
11 Rents, royalties, and license fees . 11
2 [12 Interest. : 12
2 13 Depreciation not deducted elsewhere 13
3 |14 Depletion . 14
3 15 Taxes (exclude income, 2, war profits, ande excess profits taxes) . 15
16 Other deductions (attach schedule—exclude income, war profits, and excess profits taxes) . 16
17 Total deductions (add lines 10 through 16) . reer eres . 17
18 Earnings and profits (before reduction for any income, war profits, or excess pets taxes):
o (a) Subtractline 17 fromlineQ . 2. 18 (a)
HE (b) Unrealized exchange gain or (loss) under section 964(2). (omit if
< é earnings and profits are not computed under section 964(a).) . . . . (28(b Mi
S| — (c) Combine lines 18(a) and 18(b) . [18(c)
41/19 Income, war profits, and excess profits taxes paid or accrued rom line 5, column (a), Schedule f). 19
20 Earnings and profits (subtract line 19 from line 18(c)) 20
Cost of Goods Sold and/or Operations
1 Beginning inventory . . . 1
2 Merchandise bought for manufacture orsale:
(a) Fromunrelated suppliers . 2... . ee ee ee ee [2
(b) Fromrelatedsuppliers . 1... we ee 2(b) Us
(c) Add lines 2(a) and 2(b) . 2(c)
3 Wages and salaries 3
4 Other costs (attach schedule) . 4
5 Total (add lines 1 through 4) 5
6 Endinginventory . §
7 Cost of goods sold and/or operations (subtract line 6 from line 5). Enter here and online 2,ScheduleC | 7

Renee Income, War Profits, and Excess Profits Taxes Pald or Accrued

(a) Amount of tax

Name of country or U.S. possession (b) c)
In foreign currency Conversion rate

(d)
In U.S. dollars

US.

lw irl

5 Total. Enter here and on line 19, Schedule C



Schedule F Balance Sheets

(a) (b)
Beginning of End of annual
Assets annual accounting accounting
period period
1 Cash . .
2 Trade notes and accounts receivable :

(a) Less allowance for bad debts
Inventories .
Other current assets (attach schedule), woe
Loans to stockholders and other related persons (complete Schedule G, line 1
Investment in subsidiaries (attach schedule) .
Buildings and structures .
(a) Less accumulated depreciation
8 Other fixed depreciable assets .
(a) Less accumulated depreciation
9 Depletable assets .
(a) Less accumulated depletion
10 Land (net of any amortization)
11 Intangible assets: (a) Goodwill
(b) Organization costs .
(c) Patents, trademarks, and other intangible assets
(d) Less accumulated amortization for lines 11(a), (b), and ©
12 Other assets (attach schedule) .

Noauonw

13 Totalassets_.

¢ dC )
¢ iC )
¢ anKG )
¢ NC )
¢ YC )

‘Liabilities ‘and Stockholder’ 's Eau
14 Accounts payable .
15 Other current liabilities (attach schedule) . +
16 Loans from stockholders and other related persons (complete Schedule 6, line 2)
17 Other liabilities (attach schedule) .
18 Capital stock: (a) Preferred stock
(b) Common stock
19 Paid-in or capital surplus (attach reconciliation)
20 Retained earnings: (a) Appropriated .
(b) Unappropriated .
21 Less cost of treasury stock

22 Total liabilities and stockholders’ equity

WU.

BSEREEIEG Loans to and from Shareholders and Other Related Persons

Complete the following summary showing the total amount of outstanding balances at the beginning and end of the foreign corporation’s
annual accounting period represented by indebtedness and loans of the foreign corporation (column (a)) to persons described in columns
(b) through (f). Exclude open accounts which arise and are collected in the ordinary course of business.

(a) (b) (c) (4) (e) (0)
/ 10% or more U.S.
. , Any domestic Any foreign 10% Ss.
Outstanding balances of foreign us ft corporation corporation eatareneider of oirehowerat
corporation s ‘iistetun controlled by U.S. | controlled by U.S. | Corporation ‘other domestic
person fing this | person flingthis | SHyporaton ter | corporation fing
return return tanalien this return

1 Loans to persons described in columns (b)
through (f):
(a) At beginning of foreign corporation's an- .
nual accounting period

(b) At end of foreign corporation's annual ac-
counting period

2 Indebtedness to persons described in : columns
(b) through (f):
(a) At beginning of foreign corporation’s an-
nual accounting period

(b) At end of foreign corporations annual
accounting period . .