Form 5471 (Rev. 10-90)
Sas Current Earnings and Profits

Schedule!

Page 4

1 Current year net income or (loss) per foreign books of account .
2 Net adjustments to line 1 in determining current earnings

and profits in accordance with U.S. financial and tax
accounting standards described in Regulations sections Net additions Net subtractions
1.964-1(b) and (c) (see instructions):

Capital gains or losses

Depreciationand amortization. . . . . . 2. —

Depletion

Investment or incentive allowance

Charges to statutory reserves .

Inventory valuation adjustments

Section 263A costs

Taxes.

—-smrteaaoce

Other (attach schedule) .

3 Total net additions

4 Total net subtractions

ZZ,

Current earnings and profits—Line 1 plus line 3 less line 4 .

5

\\\

Vi

Summary of Shareholder's Pro Rata Share of Income Under Subpart F ‘(Gee instructions)

1 Subpart F income (line 40, Worksheet A in the instructions) . . 1

2 Increase in earnings invested in U.S. property translated at the year-end spot rate (es defined i in section
989(b)) (line 14, Worksheet B in the instructions) . 2

3 Previously excluded subpart F income withdrawn from qualified investments “(line 6, Worksheet tc in the
instructions) : 3

4 Previously excluded export trade income ‘withdrawn from investment in export ‘trade ‘assets (line 7,
Worksheet D in the instructions) . 4

5 Factoring income (see instructions) . 5.

6 Total of lines 1 through 5 (enter here and on your income tax return—see instructions) . 6 |

Was any income of the foreign corporation blocked OR did any become unblocked during the tax year (see section 964(b))?

If the answer to either part of the question is “Yes,” check the “Yes” box and attach an explanation.

. Yes

No]

Accumulated Earnings and Profits (E&P)

(d) E&P Previously Taxed Under

(a) Post-1986 | (b)Pre-1987 | (c) Total Accumulated
Accumulated Aecumulated | E&P (combine columns | Subpart F (section 259(c) balances)
abana Gi investment in (i Other
U.S. Property

1

Balance at beginning of year _.

2a Plus current year E&P .

b Less current year deficit in E&P .

3

Total undistributed earnings
(combine lines 1 through 2b) .

4

Less distributions during the
current year out of current E&P.

5

Less distributions during the current
year out of accumulated E&P

6 Balance at end of year (subtract the

|
Sage Person(s) on Whose Behalf This Information Return Is Filed

sum of lines 4 and 5 from line 3)

(@) Check applicable box(es)

(a) Name (b) Address (©) Identifying number

[Shareholder

Officer

Director

“U.S. Government Printing Office: 1995 — 387-095/00352


: 5471 Information Return of U.S. Persons With (OMB No. 1545-0704
Respect To Certain Foreign Corporations Expres 9-30-98

(Rev. October 1990)

Department of the Treasury Information furnished for the foreign corporation's annual accounting period (tax year required by To Be Filed
Internal Revenue Service section 898) (see instructions) beginning 19 ,and ending il In Duplicate
Name of person filing this return A Identifying number

Number, street, and room or suite no. (or P.O. box number if mail is not delivered to street address) | B Category of filer (see Gen. Instr. B and check applicable box(es) below):

MO @0 @®0 TM0 ®O

City or town, state, and ZIP code C Enter the total percentage of voting stock of the foreign corporation
you owned at the end of its annual accounting period ........... %
Filer’s tax year beginning 119 __,andending 119

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 translated from functional currency at the weighted average exchange rate
for the year (as defined in Temporary Regulations section 1.989(b)-1T) unless otherwise indicated. Enter
the relevant functional currency and the exchange rate used throughout the form >»

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

© Country under whose laws incorporated

d Were any of the foreign corporation's accounting/tax records maintained on a computerized system? .. . . O Yes [J] No

e Date of incorporation f Principal place of business g Principal business activity | h Principal business activity
code number

2 _ Provide the following information for the above-stated accounting period of the foreign corporation
b If U.S. income tax returns were filed, please indicate:
(iii) Amount of

a Name, address, and identifying number of i) ¥ the foreign corporation joined in filing a
branch office or agent in U.S. (if any) Osi etee return, name of corporation (ii) Taxable income US. income fax
filing the consolidated return or (loss) pe Gite) al

¢ Name and address of foreign corporation's statutory or resident agent in| d Name and address (including corporate department, if applicable) of
country of incorporation person (or persons) having custody of the books of account and
records of the foreign corporation, and the location of such books and
records if different from such address

Stock of the Foreign Corporation
Part I—Information With Respect to ALL Classes of the Foreign Corporation's Stock
(b) Number of shares issued and outstanding
()_ Beginning of annual accounting period (ii)_End of annual accounting period

(a) Description of each class of stock
(A) Issued (B) Outstanding (A) Issued (B) Outstanding

Part !I—Additional Information With Respect to Classes of the Foreign Corporation's PREFERRED Stock (To
Be Completed Only By Category (1) Filers With Respect to Foreign Personal Holding Companies)
(d) Indicate whether

(a) Description of each class of PREFERRED stock the stock is
(Note: This description should match the corresponding (b) Par value (c) Rate of dividend cumulative or
description entered in Part |, column (a).) noncumulative

i
For Paperwork Reduction Act Notice, see page 1 of the instructions. Form 5471 (Rev. 10-90)



Form 5471 (Rev. 10-90)
Series U. S. Shareholders of Foreign Corporation

ic

Page 2

(Number of | (a)

(a) Name, address, and identifying

‘number of shareholder (Note: This description should match the corresponding | beginningof | en

accounting period,

(b) Description of each class of stock held by shareholder | sharesheldat | shares heldat

description entered in Schedule A, Part |, column (a).) annual accounting

Number of
id of annual

period

(e) Pro rata share

of subpart F
income (enter as
a percentage)

Important: Schedules C, D, F, and G request financial accounting information that is computed in functional currency in
accordance with US. Generally Accepted Accounting Principles and translated into U. S. dollars using the
weighted average exchange rate for the year (as defined in Temporary Regulations section 1.989(b)-1T).

Income Statement

la Gross receipts or sales Lo b Less returns and allowances | | 4 c Bal > | le
2 Cost of goods sold (line 7, Schedule D) . rs
@ | 2 Gross profit (subtract line 2 from line 1c) 3
£ | 4 Dividends . 4
8 | 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
w {11 Rents, royalties, and license fees . 11
§ |12 Interest . 12
% |13 Depreciation not deducted elsewhere 13
3 [14 Depletion . 14
Q /15 Taxes (exclude provision for income, war ar profits, "and excess profits taxes) . 15
16 Other deductions (attach schedule—exclude provision for income, war profits, and excess profits taxes), 16
17 Total deductions (add lines 10 through 16) . woe 17
aw |18 Net income or loss before extraordinary items and prior period adjustments and before the provision Ve
E | for income, war profits, and excess profits taxes (subtract line 17 from line 9) . . L318
2 |19 Extraordinary items and prior period adjustments . . 19
3 20 Provision for income, war profits, and excess profits taxes 20 | ¢ )
= 21_ Current year net income or loss per books (combine lines 18 through 20) 21
[Schedule D [GET of Goods Sold
1 Beginning inventory . 1
2 Purchases . 2 -
3 Wagesandsalaries . . 3
4 Other costs (attach schedule) 4
5 Total (add lines 1 through 4) 5
6 Endinginventory . . wo 6
7 Cost of goods sold (subtract ‘ine 6 from line 5). Enter here and on line 2, Schedule C 7



Form 5471 (Rev. 10-90)

Page 3

Sis Income, War Profits, and Excess Profits Taxes Paid or Accrued

(@) Amount of tax _
) spot comtersion rate ®
Name of country or U.S. possession In foreign currency (see instructions) In U.S. dollars _
TUS. oo
2 ee
3 _ —
4 ee a _ a __
Schedule Balance Sheets _
(a) (b)
Assets Beginning of annual End of annial
accounting period accounting period
1 Cash . . . Soe 2... fd —
2 a Tradenotesandaccounts receivable...) . 1... pee —
b Less allowance for bad debts 2b |¢ d{¢ 2
3 Inventories . Ce EB
4 Other current assets (attach schedule) . Co ee LA 1
5 Loans to stockholders and other related persons . 5
6 Investment in subsidiaries (attach schedule) . 6 —
7 Other investments (attach schedule) Coe 2... LZ
8 a Buildingsandotherdepreciableassets. 2 2. 2. 2 1. 1. we ee 8a
b Lessaccumulateddepreciation . . 2. 2 2. 2 1 ee ee ee 8b |( dC )
9a Depletableassets 2 2. ee fi ~
b Lessaccumulateddepletion . . . . . . Co 9b |( dC )
10 Land(netofany amortization) 2 2 6 2 10
11 Intangibleassets: a Goodwill . . 2 2 2... Ca —
b Organization costs . . . foe 11b
¢ Patents, trademarks, and other intangible assets. lle
d Less accumulated amortization for lines 1la,b,ande . Lid |( dC )
12 Otherassets(attach schedule). 2 2 2. ee 12
13_Total assets soe ee 13
Liabilities and Stockholders’ Equity Up
14 Accountspayable . . . Se 14
15 Other current liabilities (attach schedule) . Loe Coe ee ee LAB —
16 Loans from stockholders and otherrelatedpersons. . . . . . . ... . . [16 —
17 Other liabilities (attachschedule) . 2 2 2... ee LAD _
18 Capital stock: a Preferredstock. . . 2 2... 1... . . [8a —
b Commonstock . 2. 2... ee PRB B —
19 Paid-in or capital surplus (attach reconciliation). . . . 2... . . . . [9
20 Retainedearnings: a Appropriated. . . . . 2... 1... 20a —
b Unappropriated. 2 2 2 2... ROD
21 Lesscostoftreasurystock. © 2... PRA dC )
'2_Total liabilities and stockholders’ equity

Schone (j Analysis of Unappropriated Retained Earnings per ‘Books (line sor 2 schedule F). This schedule does not
have to be completed if the total assets on line 13, column (b) of Schedule F are less than $25,000.

Balance at beginning of annual accounting period wo

Current year net income or loss per books (enter the amount from line 21, Schedule ©).

Other increases (itemize) Penne eee eee ee

Total (combine lines 1 through 3)

Distributions during the current year out of current earnings and profits (enter the amount from ‘Schedule
J, column (c), line 4) tone soe

Other distributions (itemize) P .................
Other decreases (itemize) >. .
Total (add lines 5 through 7) .

OaRwne

o OND

Balance at end of annual accounting period (subtract line 8 from line 4).

1

Biwi

FN oon

Ko