Form 5471 (1-83)

Page 4

EMG Reconciliation of Book Profits to Earnings and Profits. Do not complete this sc
(Schedule F, line 13, column (b)) are less than $25,000.

hedule if total assets

Earnings and profits are determined under: [_] Section 902 (_] 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) .

2 Net adjustments to book profit in 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 2 allowance .

(e) Charges to statutory reserves

(f) Inventory valuation adjustments .

(g) Other (attach schedule—exclude income, war profits, and
excess profits taxes). 2 2 2 2 ee ee
3 Total net additions . 2 2... eee Yd,
4 Total net subtractions an
5 Line 1 plusline3lessline4. . . . toe toe toe
6 Unrealized exchange gain or (loss) under section 964(2) (omit if earnings and profits are not computed under section 964(a)) .
7 Earnings and profits for the year (before reduction for any income, war profits, and excess profits taxes) (add lines 5 and 6) .

8 Income, war profits, and excess profits taxes paid or accrued (from line 5, column (d), Schedule E) .
9 Earnings and profits (subtract line 8 from line 7) .

_

sctcae

Schedule { Analysis of Unappropriated Retained Earnings. Do Trot complete This “schedule if total assets

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

1 Balance at beginning of annual accounting period .
2 Net income per books .
3 Other increases (itemize) >
4 Total (add lines 1 through 3) .
5 Distributions out of earnings and profits:

(a) Paid during first 60 days of annual accounting period .

5(a)

(b) Paid during remainder of annual accounting period. . . . . . . |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). . 2 1. Se
9 Balance at end of annual accounting period (subtract line 8 from line 4) .

[sles

5(c)

Summary of Subpart F Income (See worksheets contained i in the instructions)

1 Subpart F income. 6 1. 6 we ee ee ee
2 Increase in earnings invested in United States property. . . 2. 2. 1 1 ee ee ee

3 Previously excluded subpart F income withdrawn from qualified investments. . . «se 8 ee
4 Previously excluded export trade income withdrawn from investment in export trade assets rr

5 Total of lines 1 through 4 (Enter here and on your income tax return.)

wr [us| | php

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

~ | Yes [] No [J

EES Accumulated Earnings and Profits Since 1962

Earnings and Profits Taxed

Total Earnings Under Subpart F Other Earnings
and Profits Investment in Other and Profits
U.S. Property
1 _Balance at beginning of year
2 Current year earnings and profits
3 Actual distributions in current year
4 Balance at end of year
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

343-373-1 8.8. GOVERNMENT PRINTING OFFICE: 1984 - 750-529

Form 5471 (1-83)


rom DAT1 information Return with Respect to a Foreign | ,,,, ,.. ss1s-070

Ganuary 1983) Corporation iniormotion tumished for the foreign corporation's annual

Department of the Treasury Expires 11-30-84
Internal Revenue Service accounting period beginning eseeeeecnnseeeney WQesseecey AMD ENING oo. sececstsnscee 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

(c) Country under whose laws incorporated

(d) Date of (e) Principal country in which (f) Business code (g) Principal business activity
incorporation business is conducted number

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 branch If the foreign corporation
Type i Taxable Amount of U.S.

‘of agent in U.S. (if any) joined in filing a consolidated
8 » of return, name of corporation income or income tax paid

return filing the consolidated return (toss) (efter alll credits)

SIME Stock of the Foreign Corporation

- (b) Beginning of annual (c) End of annual
(a) Description accounting period accounting period
of each class
(1) Par or Number of shares (1) Par or Number of shares
of stock stated value [———@ 7G) Out. | stated value Ta} @) Out
per share issued standing per share Issued standing

Rote Meme U.S. Shareholders of Foreign Corporation

(a) Name and address and b) Cl (c) Number of shares of outstanding stock held at (d) Pro rata share
identifying number of © gass Beginning of annual accounting period tes of annual accounting Pet of subpart F and
1) (2) (3) Con- (5) (6) ° ji
shareholder vitetly |_indvecty | structvely |_piveety |_tndirectiy_|_structieiy_|_@ income

Total percentage of voting stock of the foreign corporation owned by you at the end of the annual accounting
period of the foreign corporation. . . . . . . wee we ww gw se %

For Paperwork Reduction Act Notice, see page 1 of the instructions. 343-373-1 Form 5471 (1-83)



Form 5471 (1-83)

Page 2

EainrMcmems Earnings and Profits

1 Net sales (gross receipts less returns and allowances):
(a) Unrelated customers. . . . |_2(@)
(b) Related customers . . . . |_2(b)|
o (c) Add lines 1(a) and 1(b) . Ac) |
E 2 Cost of goods sold and/or operations (line 7, Schedule D) . 2
E| 3 Gross profit (subtract line 2 from line 1(c)) . 3
w| 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) . 38
9 Total income (add lines 3 through 8) . 9
10 Compensation not deducted elsewhere . 10_
11 Rents, royalties, and license fees il
2 12 Interest . . 12
| 13 Depreciation not deducted “elsewhere 13
3 14 Depletion 14
B| 15 Taxes (exclude income, war r profits, and excess s profits taxes) . . | ase
16 Other deductions (attach schedule—exclude income, war profits, and excess 5 profits taxes) . 16—
17 Total deductions (add lines 10 through 16) . 17
18 Earnings and profits (before reduction for any income, war profits or excess profits taxes):
az (a) Subtract line 17 from lineQ. . . oe. {28(a)
ES (b) Unrealized exchange gain or (loss) under section 964(a). (Omit if
‘ea earnings and profits are not computed under section 964(a).)._. |18(b)
ae (c) Combine lines 18(a) and 18(b) . . 18(c)
©! 19 Income, war profits, and excess profits taxes paid or accrued (trom line 5, column ®), schedule E). _i9 |
20 Earnings and profits (subtract line 19 from line 18(c)) . wee 20
MECLTEIEDE «Cost of Goods Sold and/or Operations .
1 Beginning inventory . Be on
2 Merchandise bought for manufacture ¢ orsale: (a) From unrelated suppliers . | 2(a)
(b) From related suppliers. . | 2(b)
(c) Add lines 2(a) and 2(b). . 2. we 2(c)
3 Wages and salaries . . « Se 3
4 Other costs (attach schedule) . So 4 |
5 Total (add lines 1 through 4). 06 6 ee 5
6 Ending inventory . . . . . {6
7. Cost of goods sold and/or operations (subtract line 6. from line 5). Enter here and on line 2, Schedule. | 7

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

Amount of tax

(c)

(a)
Name of country or U.S. possession _(b)
In foreign currency — rate

(d)
In U.S. dollars

US. WW MMCT@@"|#§ CU,

1
2
3
4

5 Total. Enter here and on line 19, ScheduleC. «es

343-373-1

Form 5471 (1-83)


Form 5471 (1-83)

Page 3

Balance Sheets (a) (b)
Beginning of End of
Assets antag period” | "Ing period
VCash. 2 ee ee
2 Trade notes and accounts receivable. . . . . . + ee
(a) Less allowance forbaddebts. 6 6 6 6 ee ee ee ee ew yo )
3 Inventories. 2. 2 6 ee we ee ee ee eee ee
4 Other current assets (attach schedule) . . . . . ee ry oe
5 Loans to stockholders and other related persons (complete Schedule G, line 1) . o.
6 Investment in subsidiaries (attach schedule) . . 2 6 ee ee ee ee ee
7 Buildings and structures . 2 . 2 se + + e . ee ee ee
(a) Less accumulated depreciation . . 2. 2 2 ee ee ee ee ee ( )|o )
8 Other fixed depreciable assets. . 2 2 1. 1 e+ oe
(a) Less accumulated depreciation . . . . | )\4 )
9 Depletable assets. . . er soe ee ee
(a) Less accumulated depl 1 . se ee . ( ) | )
10 Land (net of any amortization). . . . 2 6 ee coe sone .
11 Intangible assets: (a) Goodwill. . 2 2. 2 2. ee te
(b) Organizationcosts. . . . 2. 2 ee oe
(c) Patents, trademarks, and other intangible assets .
(d) Less accumulated amortization for lines 11 (a), (b), and (c). ( jf )

12 Other assets (attach schedule). . . . . . . e

13 Totalassets. . . -

Liabil
14 Accounts payable. . 2 1 1 1 ee ew ee
15 Other current liabilities (attach schedule) . . . .

ies and Stockholders’ Equity

16 Loans from stockholders and other related persons (complete Schedule G, line 2) .

17 Other liabilities (attach schedule). 2 . 2. 2 ee
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. . . 2... ee

22 Total liabilities and stockholders’ equity .

WCCO 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 cor-
poration’s annual accounting period represented by indebtedness and loans of the foreign corporation (column (a)) to persons de-
scribed in columns (b) through (f). Exclude open accounts which arise and are collected in the ordinary course of business.

(a) (b) (©) (d) (e) 10)
10% of more U.S.
Any domestic Any _forsien shareholder of "| 109% oF mare U.S.
i i corporation ‘corporation contralte areholder of

Outstanding balances of foreign Pa aa eontrotted by ontrolied by | foreign corporation | domestic corpora
corporation ng this return | U.S, person U.S. person (other than tion filing this

filing this return | filing this return | controlling return

shareholder)

1 Loans to persons described in columns (b) through (f):
(a) At beginning of foreign corporation's annual ac-
counting period. ©. ee ee ee ee
(b) At end of foreign corporation’s annual accounting
period © 6 6 ee we ee ee ee
2 Indebtedness to persons described in columns (b)
through (f):
(a) At beginning of foreign corporation’s annual
accounting period . . . 2 2 ee ew ee

(b) At end of foreign corporation’s annual accounting
period . ww...

343-373-1

Form 5471 «-83)