Form 990-T (1976) Page 4
Schedule 1.—ADVERTISING INCOME AND ADVERTISING LOSS (See Instruction 11)

Part I—Income from periodicals reported on consolidated basis

4. Advertising 7. If Col. 5 exceeds
Gain or Loss (Col. Col. 6, enter in Col.
2 less Col. 3.) if A, Part Wil, the gain
L. Name of Periodical 2, Gross Adver- | 3. Direct Adver- | I98% enter in Col | 5, circulation | 6, Reader | shown in Col. 4..1f Col
tising Income tising Costs | Somolete Cols s income ship Costs fract Gol, 6 plus Col. 3

6 and 7. If gain, from Col.

complete £ol's. 2. Enter gait

Part

aa

Totals . :
Part ll—income from. periodicals reported on a separate basis

Part 11i—Column A—Advertising Income Part III—Column B—Advertising Loss

. (b) Enter total amount from col- TM " . () Enter total amount from, column
(a) Enter “consolidated periodical” and/ | ( (a) Enter “consolidated periodical” and/or
Sr names of non-consolidated periodicals | Umm 4 or 7. Part | and amounts | “names of non-consolidated periodicals | * Part | and amounts listed in cok

Enter gota here and on line i, Enter, total he here and on line 28,
page2. page 2.
Schedule ,—COMPENSATION OF OFFICERS, DIRECTORS AND TRUSTEES

5. Amount of 6. Expense Account

4.
Devoted to Compensation ‘Allowances

Business

3. Title

2. Social Security
1, Name Nuanbsr

Total compensation of officers (enter here and on line 14, page 2)... . WMMT@Z€@ZZ@Z?=7TM

Schedule K.—DEPRECIATION (See Instruction 21)

Note: if depreciation is computed by using the Class Life (ADR) System or the Guideline Class Life System, you must file Form 4832 (Class
Life (ADR) System) or Form 5006 (Guideline Class Life System) with your return.

Check box(es) if you made an election this taxable year to use [] Class Life (ADR) System and/or [1] Guideline Class Life System.
See Publication 534.

‘det . Depreciation 5. Method of jati
1. Group and guideline class or 2. Date ac 3. Cost or other | fi ‘ 6. Life or | 7. Depreciation for
d - quired 4 allowed or allow: ‘computing ‘
description of property basis see Aor yonrs | depreciation rate is year

Total additional first-year depreciation (do not include in items below; -

Depreciation from Form 4832 . . YWvDolldM~MMMMQOHA
Depreciation from Form 5006 a Vy =

Other depreciation:
Buildings. © 2 ee ee ee —_ _ —
Furniture and fixtures
Transportation equipment .
Machinery and other equipment. .
Other (specify)...

RwWNnH

STotals. ..... se ee
6 Less amount of depreciation claimed in Schedule A a

7_Balance—Enter here and on line 21, page 2
Schedule L.—RECORD “OF FEDERAL "TAX DEPOSITS CLASS TAK “NUMBER 503

(List deposits in order of date made—see Instruction ‘“E”)

Date of Date of Amount

Date of
2 Amount deposit Amount deposit

deposit

‘YeUS, GOVERNMENT PRINTING OFFICE: 197—O-218-050 59-1417-526


Tax Return (under section 511 of the Internal Revenue e Code)

Department of the Treasury For the calendar year 1976 or other taxable year beginning -
Internal Revenue Service , 1976, and ending :

om 990-T Exempt Organization Business Income | 1976

Name of Organization A Check box if address ¢ Employer identification ni
(in case of employees’ trust desi

changed. . . + [1] section 401(a) and exempt under section
501(a), insert the trust’s identification

Number and street B Enter activity code(s) from | number.)
page 10 of instructions.

ber
id

D Enter code section under which

City or town, State, and ZIP code
you are exempt.

The books are in care of pp... Telephone No. pp.

Located at pm

Complete only page 1 if unrelated trade or business gross income is $10,000 or less.
Complete all applicable parts of the form (except lines 1 thru 5) if unrelated trade or business gross income is over $10,000.

Unrelated business taxable income computation—When unrelated trade or business gross income is $10,000 or less.
1 Unrelated trade or business gross income. (State sources

2 Less deductions. . . foe Se
3 Unrelated business taxable income before specific deduction. . . ......... «4
4 Less specific deduction (see instruction “Ka") Se
5 Unrelated business taxable income . we.
6 Unrelated business taxable income (line 5 above, or line 33, page 2). . . . . .
7 Enter line 6 or $25,000, whichever is lesser (Members of a controlled group, see instructions. )
Bline6lessline7. 2... . eee ee Loe cee

9 Enter line 8 or $25,000, whichever is lesser (Members ofa controlled g group, see instructions.) .
10 Line 8 less line 9 . oo
11 Income tax. Enter the lesser of—(a) The sum ot 20% of line 7. . 22% of fine 9 .. "48% of
line 10 .. ..} Of, (b) The alternative tax from separate Schedule D. Check here D> [_] if alternative tax used
12 Less: (a) Foreign tax credit (attach Form 1118)... .. 2...
(b) Investment credit (attach Form 3468) . . . 2. . 2. we
(c) Work incentive (WIN) credit (attach Form 4874)
13 Balance of incometax. . . . . . see soe
14 (a) Tax from recomputing prior year investment credit (attach Form 4255)
(b) Tax from recomputing a prior year work incentive (WIN) credit (see instruc-
tions—attach computation) : .
15 Income tax (line 13 plus line 14). Enter here and on n tine 21 :
16 Enter the lesser of—(a) The tax on amount shown on line 5 above or line 33, page 2 (from Tax Rate Schedule on page 9 of
instructions); or, (b) The alternative tax from separate Schedule D. Check here P> [_] if alternative taxused . . . .
17 Less: (a) Foreign tax credit (attach Form 1116). . . .. 2... |
(b) Investment credit (attach Form 3468) Soe ee
(c) Work incentive (WIN) credit (attach Form 4874) . . . . 2. .
18 Balance of income tax . . . . see .
19 (a) Tax from recomputing prior year investment t credit (attach Form 4255)
(b) Tax from recomputing a prior year work incentive (WIN) credit (see instruc:
tions—attach computation) . . to ee ee
20 Income tax (line 18 plus line 19). Enter here and on 1 line 21 Ee
21 Income tax (from line 15 or 20, whichever is applicable). . . . . ey
22 Minimum tax on tax preference items. (See instructions—attach Form 4626) . ar
23 Total tax (add lines 21 and22). . . a
24 Credits (a) Tax deposited with Form 7004 (attach copy) .
(b) Tax deposited with Form 7005 (attach copy) . . .
(c) Foreign organizations—Enter U.S. income tax paid or withheld at the source
(See instructions and section 1443(a)). . . . . rr
(d) Credit from regulated investment companies (attach Form 2439) woe
(e) U.S, tax on special fuels, nonhighway gas and lubricating oil (attach Form 4136)

25 TAX DUE (line 23 less line 24). See instruction E for depositary method of payment. . . . ———<<$—$=$>
26 OVERPAYMENT ine 24 less line 23) . . we Fe ad

s of perjury, | dec! ined this return including accompanying schedules and statements, and to the best of my knowledge and belief it is true, correct, and
on of preparer (other than taxpayed) is basod on all information ef which the preparer has any Knowledge,

(See General Instruction B(1))

Organizations Taxable as Corporations

Tax Computation

Trusts Taxable at Trust Rates

(See General Instruction B(2))

8

Total Income Tax

Title’ ~~ Taentifying’ umber (see instructions) ‘Kadress and ZiP" code


Form 990-T (1976) Page 2

Unrelated Business Taxable Income Computation

14
15
16
17
18
19
20
21
22
23
24

25
26
27
28
29

30

31

32
33.

Unrelated Trade or Business Income
Gross receipts or gross sales Less: Returns and allowances .
Less: Cost of goods sold (Schedule A) and/or operations (Schedule B) . . 2. 1 6 ee ee ew ee
Gross profit. . . ... +. ee oe
(a) Net capital gains—(attach separate Schedule D). Se
(b) Ordinary gain or (loss) from Part Il, Form 4797 (attach Form 4797)... 6 1 ww ee ee
(c) Capital loss deduction for trusts . . . a
Income or (loss) from partnerships (attach statement) . a
Rent income (ScheduleC) . . . . Se
Unrelated debt financed income (Schedule 5. soe ee er
Investment income of a 501(c)(7) or (9) organization (Schedule A. oo see eh ee
Interest, annuities, royalties, and rents from controlled organizations (Schedule @) re es
Exploited exempt activity income (Schedule H) . . - . - ee 6 ee ee ee ee
Advertising income (Schedule I, Part Ill, Column A). 1 1 ee ee
Other income (see instructions—attach schedule) . . . - Ce
TOTAL unrelated trade or business income (add lines 3 through 12). ee
Deductions Not Deducted Elsewhere
(Except for contributions, deductions must be directly connected with the unrelated business income)
Compensation of officers, directors and trustees (ScheduleJ) . 6 6-1 ee ee ee ee
Salaries and wages. «©. - ee ee ee ee ee ee ee
Repairs (see instructions) . 2 6 6 ee ee ee ee ee ee ee ee
Bad debts (see instructions) . 2. 2. 1 ee eee ee
Interest (attach schedule). 2 6 6 ee ee ee
Taxes (attach schedule) . .
Contributions (see instructions for “
Depreciation (Schedule KK). 6 6 ee ee ee
Amortization (attach schedule) 2. ©. 6 ee ee ee ee ee ee
Depletion . . toe ..
(a) Contributions t to deferred compensation | plans (see instructions) (enter r number of plans >.
(b) Employee benefit programs (see instructions) . . 2... ee ee
Other deductions (attach schedule)... 6 ee ee ee ee ee
TOTAL deductions (add lines 14 through 25). . . . - ed
Unrelated business taxable income before allowable advertising loss (ine 13 less line 26) .
Less: Advertising loss (Schedule I—Part III—Col.B). . . . . + se ee eee
Unrelated business taxable income before net operating loss deduction and dividends received deduction on un-
related debt-financed dividend income (line 27 less line 28) soe eee
Less: (a) Net operating loss deduction (see instructions—attach schedule) . . . . 2 1 e
(b) Dividends received deduction on unrelated debt-financed dividend income (see instructions) .  .
Unrelated business taxable income before specific deduction (line 29 less line 30) .

Less: Specific deduction (see instruction “K(4)") - 6 6 ee ee ee ee
Unrelated business taxable income (line 31 less line 32) -

Sc

hedule A—COST OF GOODS SOLD (See Instruction 2) Schedule B—COST OF OPERATIONS

Method of inventory valuation (specify) > 1 Salaries and wages. . 2. 1. wwe

1
2

Inventory at beginning of year . 2 Other costs (to be detailed):
Merchandise bought for manufacture or sale . (a) _..
Salaries and wages soe ee (b)
Other costs (attach schedule) . soe ee (c)

TOTAL. 2. we (d)

Less inventory at end of year. . _| © -_
Cost of goods sold (enter here and on line 2, page 2) 3 TOTAL (enter id on line 2, page 2.)

re

3
4
5
6
7
E

Did you, at any time during the taxable year, have 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
institution)? . . . . . woe . Be ee ee ee ee ee ee ee fF Yes [No

It “Yes,” attach Form 4683 (For definitions, see Form 4683.)

F Were you the grantor of, or transferor to, a foreign trust during any taxable year, which foreign trust was in being during

the current taxable year, whether or not you have any beneficial interest in such trust? . . . . . . . . . « [J Yes [] No
If “Yes,” attach Form 4683 (For definitions, see Form 4683.)



Form 990-T (1976) Page 3
Schedule C—RENT INCOME FROM REAL PROPERTY AND PERSONAL PROPERTY LEASED WITH REAL PROPERTY (See Instruction 6)

+3. Percentage of rent
1. Description of property 2, Rent received Ptinutabte te
personal property

Continuation of Schedule C

@. Complete for any item in column 3 which is more than 50%, or for item | , ~ 7
any llom if the rent is determined on the basis of profit or income 5. Complete for any item in column 3 which exceeds 10% and is not more than 50%

(2) Deductions directly con- (b) Income includible, (a) Gross income reportable | — ,(D) Dequetions directly con. (@) Income includible,

ected (Attach schedule) column 2 less column 4(a) (col. 2 X col. 3) (ittach schedule) column 5(a) less column '5(b)

add 4(b) and 5(c) and enter total here and on line 6, page2 ._.
Schedule E—UNRELATED DEBT-| FINANCED ‘INCOME Gee Instruction a}

‘3. Deductions directly connected with or allocable

2. Gross income from to debt-financed property
1. Description of debt-financed property ‘or allocable to debt- -
financed property (@) Straight line depreciation () Other deductions
(Attach Schedule) (Attach Schedule)

Continuation of Schedule E

4. Amount of syerone, 5. Average adiusted basis | 6, Percentane

sition indebtedness tage 7. Gross income 8. Allocable deductions 9. Net income (or loss)
econ or allocable to whieh, column reportable (Column (otal of columns 3(a) and include” (Column 7 Teas
debt-financed property column 5 2 X column 6) (b) X column 6) column 8)
“Attach schedule)
%

Total (enter here and on line 7, page 2)

Schedule INVESTMENT INCOME OF A 501(c)(7) OR (9) ORGANIZATION (See Instruction 8)
(a) Description (b) Amount © conned tach © ne eae ast Mise i (0, Balance a (eveatmen

Total (enter here and on line 8, page 2)

Schedule G—INCOME (Annuities, Interest, Rents and Royalties) From Controlled Organizations (See Instruction 9)
4. Exempt controlled organizations

3. Deductions of

2. Gross income controlling organi- (b) Taxable income © Per

. tion (directly ie computed as though centage
1, Name and address of controlled organization(s) from controlled connected with col. (a) Unrelated busi: not exempt tr a. whiel
organization(s) ne incom ness taxable BOUG) or the amount | column te

2 income)
(Attach schedule) income

column (0)

Continuation of Schedule G

5. Nonexempt controiled organizations & Gross Income report:

- a 7 7. Allowable deductions 8. Net income in-
(a) Excess taxable (6) Taxable income or | 40) farsent. ate (palm 2X ‘(Column 3.x column cludible (Column 6
wees amount in column (2), | S8¢,Waich cok alumn 4) 9 ‘4(€) or column 5(c)) Tess column 7)

whichever is greater ‘column _(b)

Total (enter here and on line 9, page 2) . woe
Schedule H—Exploited Exempt ACTIVITY INCOME: ‘Other than Advertising Income (See Instruction 10)

7. Excess exempt

3. Expenses di- i
2. Gross un- 4, Net income Gross income
1. Description of related business recty connected | ism unrited | from'actwy tat | &,fnenses at- | “expanses Gol © |B. Net income,
exploited activity income from wot unrelated trade or business | is not unrelated ‘column 5 ot to exceed less col. 7)
trade or business puri tnrelated || (col. 2 tess col. 3) | business income amount in aatt ay

Total (enter here and on line 10, page 2). - ee