Form 990-T (1973) Page 4

Schedule 1.—ADVERTISING INCOME AND ADVERTISING LOSS (See Instruction 11)
Part I—Income from periodicals reported on consolidated basis

Z, \f Col. 5 exceeds
6, enter in Col.

4. Advertising Gain |%&
Aolpsre“htne gain

or Loss (Col. 2 less

Gol. 3. loss, en: shown in Col.

i ter in’ Col sreulati
fod 2. Gross Adver- | 3. Direct Adver- . 5. Circulation | 6 Readership | Goi"G excesds Col,

1. Name of Periodical tising Income | tising Costs | Ml. Po not gom- Income Costs” | 5° subtract Gol, 6
and 7. If gain, com: plus Col, 3 from Col-

plete Col’s. 5, 6 5 plus Col. 2. Enter

ain in Col. A,

Part III—Column A—Advertising Income Part I1i—Column B—Advertising Loss

(@) Enter “consolidated periodical” | (b) Enter total amount from col- | (a) Enter “consolidated periodical” | (b) Enter total amount from column.
and/or names of non-consolidated | umn 4 or 7, Part | and amounts | and/or names of non-consolidated | 4, Part | and amounts listed in col-
periodicals listed in cols. 4 and 7, Part Il Periodicals umn 4, Part Il

Enter total here and on line Enter total here and on line
11, page 2 28, page 2
Schedule J.—COMPENSATION OF OFFICERS
1 Name 2 Social Security 2, Title aiotedio | S,tmount ch (6 Expense count

Total compensation of officers (enter here and on line 14, page 2)... MMH
Schedule K.—DEPRECIATION Gee Instruction 21)

Note: If depreciation is computed using the Ciass Life (ADR) System for assets placed in service after 1970, or the Guideline Class Life System for assets placed in
service before 1971, you must file Form 4832 (Class Life (ADR) System), or Form 5006 (Guideline Class Life System) with your return. Except as otherwise expressiy pro-
vided in income tax’ regulations sections 1.167(a)-11(b)(5)(vi) and 1.167(a)-12, the provisions of Revenue Procedure 62-21 and 65-13 are not applicable for taxable years ending
after 1970.

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

4. Depreciation
allowed or allow-
able in prior years

5. Method of | |
¢ 6. Lite or | 7. Depreciation for
computing, |" rate |

7/\

1. Group and guideline class or

3. Cost or other
‘description of property basis

7
2. Date scquired

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

2 Depreciation from Form 4832 . V/// ”///

3 Depreciation from Form 5006 . YW W ZZ Yl.

4 Other depreciation:
Buildings . .
Furniture and fixtures . . . e
Transportation equipment
Machinery and other equipment .
Other (specify)

5 Totals . . . se ee es
6 Less amount of depreciation ¢ claimed in Schedule A

7 Balance—Enter here and on line 21, page2 . .

Schedule L. —RECORD OF FORM 503 FEDERAL TAX DEPOSITS! (ist deposits i in order of date made—see Instruction

Serial number Date of Serial number Date of
‘of Form 503 deposit Amount ‘of Form 503 deposit Amount

Did the organization, 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? [_] Yes (—] No. If “Yes,” attach Form 4683. (For definitions, see Form 4683.)
FF US. GOVERNMENT PRINTING OFFICE + 1813—O-500-045 16831801



990 -T Exempt Organization Business Income

orm

Denartentot me Treasury | EaX Return (under section 511 of the Internal Revenue Code) 1 7

Internal Revenue Service For the calendar year 1973 or other taxable, year beginging _ _

Name of Organization Foreign organization not having loyer Identification Number
an office or ce Of business in or employees’ trust described in

the U.S. check here .

401(a) and exempt under section

Number and street

trade or busin

activity.

City or town, State, and ZIP code

Enter activity code from Instructions
for Form 990 if stated. If not
stated, describe nature of unrelated

ect
50i(a), insert the trust’s identification
number.)

Date of current exemption letter and
code section under which you are exempt.

Name and address of trust's fiduciary

Complete only page | if unrelated trade or business gross income is

$5,000 or less.

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

Unrelated business taxable income computation—When unrelated trade or business gross income is $5,000 or less

1 Unrelated trade or business gross income. (State sources
2 Less deductions.
3 Unrelated business taxable i income before ‘specific deduction . see
4 Less specific deduction (see instruction “«a") re ee ery . sone
5 Unrelated business taxable income . oo . :
6 Unrelated business taxable income ine 5 above, or line 33, page 2).
0 7 Surtax exemption (line 6 or $25,000, whichever is lesser). (Component members of a ontrolted group see page
4 7 of instructions and enter your surtax exemption or line 6, whichever is lesser.)
IB =} 8 Line 6 less line 7 Le ne coe
ssi 9 (a) 22% of ling B - .  -
Bs (b) 26% of limeS8 . 2 2 2. a
° 3 (c) If multiple surtax exemption is elected under section 1562, center 6 percent of fine 7 woe
$ E| 10 Alternative tax from separate Schedule D . . woe
SB
is S| 11 Income tax—(line 9 or, if applicable, line 10, whichever i is lesser)
\@ S| 12 Less: (a) Foreign tax credit (attach Form 1118) .
5 g A (b) Investment credit (attach Form 3468) . woe
sige (c) Work incentive (WIN) credit (attach Form 4874) . .
S/S 3] 13 Balance of income tax . Ce a
ale gl
£/S ~| 14 (a) Tax from recomputing prior year investment credit (attach Form 4255).
815 (b) Tax from recomputing 2 prior year work incentive (WIN) credit (see instructions.
attach computation) — arrrran
Fy 15 ‘Income tax (line 13 plus line 14), Enter here and on line 23. .
Flaa
3 & 16 Tax on amount shown on line 5 above or line 33, page 2 (from Tax Rate Schedule on last page of instructions).
le a) 17 Alternative tax from separate ScheduleD. . . 2... 1 ee eee wee
' S| 18 Income tax—(line 16 or, if applicable, line 17, whichever is lesser) . . . woe
= 8] 19 Less: (a) Foreign tax credit (attach Form 1116). . . . . .
eB
e% (b) Investment credit (attach Form 3468) . Loe
in = (c) Work incentive (WIN) credit (attach Form 4874)... .
gs
§ 5| 20 Balance of income tax « . .
9 &| 21 (a) Tax from recomputing prior year + investment | credit (attach F: Form m 4255) -
Zo (b) Tax from recomputing 2 prior year work incentive (WIN) eredit (see instructions—
33 attach computation) Soe eee
= @| 22 Income tax (line 20 plus line 21). ‘Enter here and on Tine 23 ee : -_:
23 Income tax (from line 15 or 22, whichever is applicable) ary soe
x 24 Minimum tax on tax preference items. Check here (_] if Form 4626 is attached .
£ 25 Total tax (add lines 23 and 24) . . . . . eee ee ee
£ 26 Credits (a) Tax deposited with Form 7004 (attach copy)
8 (b) Tax deposited with Form 7005 (attach copy)
2 (c) Foreign organizations—Enter U.S. income tax ald or withheld at the source see
= instructions and section 1443(a)) - :
g (d) Credit from regulated investment companies (attach Form 2439) . .
F (e) U.S. tax on special fuels, nonhighway gas and lubricating oil (attach Form 4136).

27
238

TAX DUE (line 25 less line 26). See instruction E for depositary method of payment
OVERPAYMENT (line 26 less line 25) .

Under penalties of perjury, | declare that 1 have examined this re
true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which he has any knowledge.

including accompanying schedules and statem

The

Internal

Service di

ot require a seal on

this form, but If one

|s used, please place
here.’

Date" “Signature of individual or firm preparing the return Preparer’s address

Te—s3180-1

‘and to the best of my knowledge and bellef it is

Emp. Ident. or Soe. Sec. No.


Form 990-T (1973)

Page 2

Unrelated Business Taxable Income Computation

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) :
Gross profit . . . ee
(a) Net capital gains—(separate Schedule)... Se
(b) Ordinary gain or (loss) from Part Il, Form 4797 (attach Form 4797) :
(c) Capital loss deduction for trusts... Be

RWNE

5 Income or (loss) from partnerships (attach statement) an
6 Rent income (Schedule C) . . . Ce
7 Unrelated debt financed income (Schedule E) . . So
8 investment income of a 501(c)(7) or (9) organization (Schedule F) . . . . 2. st
9 Interest, annuities, royalties, and rents from controlled organizations (ScheduleG) . . . ...

10 Exploited exempt activity income (Schedule H) . . . 2. ee eee ee

11 Advertising income (Schedule |, Part Ill, Column A). 2 2 ee ee ee
12 Other income (see instructions—attach schedule) . a Lo

13 TOTAL unrelated trade or business income (add lines 3 through 12)... 1.

DEDUCTIONS (Other than deductions claimed in Schedules C, E, F, G, H, and 1)

(Except for contributions, deductions must be directly connected with the unrelated business income)

14 Compensation of officers or trustees (ScheduleJ) 2 6. 1 ee ee ee ee ee

15 Salaries and wages (not deducted elsewhere) . . . - - se ew ee

16 Repairs (see instructions). 2 6 6. ee ee

17 Bad debts (see instructions). © 2 6 6 ee ee ek

18 Interest (attach schedule). © 6 6 ee ee ee

19 Taxes (attach schedule) :

20 Contributions (see instructions for “limitations.” Attach n schedule) . ee ee

21 Depreciation (Schedule K) ke

22 Amortization (attach schedule)

23 Depletion . .

24 (a) Pension, profit: sharing etc. plans ‘(see instructions).
(b) Employee benefit programs (see instructions)

25 Other deductions (attach schedule) .

26 TOTAL deductions (add lines 14 through 25).

27 Unrelated business taxable income before allowable advertising loss “(ine 13 less line 26)

28 Less: Advertising loss (Schedule I—Part IlI—Col. B).

29 Unrelated business taxable income before net operating loss deduction and dividends, received “deduction
on unrelated debt-financed dividend income (line 27 less line 28) . .

30 Less: (a) Net operating loss deduction (see instructions—attach schedule) .

(b) Dividends received deduction on unrelated debt-financed dividend income (see instructions) .
31 Unrelated business taxable income before specific deduction (line 29 less line 30) .

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

x

2

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

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

2 Other costs (to be detailed):

1 Inventory at beginning of year. . . .

2 Merchandise bought for manufacture or sale . (a) .
3 Salaries and wages soe (b) ..
4 Other costs (attach schedule). . . . (©) ..
5 TOTAL. fo @d).
6 Less inventory atend of year. . . « (e) ..
7 Cost of goods sold (enter here and on line
2,page2)..... 2... ee 3 Total (enter here and on line 2, page 2).

Te—8a180-1


Form 990-T (1973)

Page 3

Schedule C—RENT INCOME FROM REAL PROPERTY AND PERSONAL PROPERTY LEASED WITH REAL PROPERTY (See Instruction 6)

1. Description of property

2. Rent received
or accrued

3. Percentage of rent
attributable to
Personal property

Continuation of Schedule C

. Complete for any item in column 3 which is more than 50%, or for
any item 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%

(b) Income includible,
column 2 less column 4(a)

(a) Deductions directly con- (a) Gre
net

sted (Attach schedule)

(col. 2X col. 3)

(b) Deductions directly con-
nected with personal property
(Attach schedule)

‘oss income reportable

(c) Income includible,
column 5(a) less column ‘5(b)

Add 4(b) and 5(c) and enter total here and on line 6, page 2 -

Schedule E—UNRELATED DEBT- FINANCED INCOME See Instruction 7)

1, Description of debt-financed property

2. Gross income from
‘or allocable to debt

3. Deductions directly connected with or allocable
debt-financed property

financed property (@ Straight Tine depreciation

(Explain_in Schedule K)

(b) Other deductions
(Attach Schedule)

Continu;

ation of Schedule E

4. Amount of average
acquisition indebtedness
‘on or allocable to
debt-financed property
{attach schedule)

5. Average adjusted basis
of or allocable to
debt-financed property
{attach schedule)

6. Percentage
which column 4
is of column 5

8. Allocable deductions
(Total of columns 3(a) and
(b) X column 6)

7. Gross income
reportable (Column
2X column 6)

9. Net income (or loss)
includible (Columa 7 less
‘column 8)

%
%

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

Schedule F—INVESTMENT INCOME OF A BOI) “OR ©) ORGANIZATION (See Instruction 8)

(©) Deductions
Connected (At
schedule)

(a) Description (b) Amount |

Directly (d) Net investment.
(e) Set Asides
tach | ingame (fol | caftach schedule)

(f) Balance of investment
income (col. d less col. e)

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

Schedule G—INCOME (Annuities, Interest, Rents and Royalties) From Controlled Organizations (See Instruction 9%)

3. Deductions of

4. Exempt controlled organizations

i i. (b) Taxable income | (@) Per
2. Gross income | Controlling. organi

1, Name and address of controlied organization(s) | “from controlled |eonmectes with col. | ®),,Unrelated, bus- not ceomot under eee.| Centage

organization(s) oem ss taxa S01(2) or the amount | column (a)

edule) is greater coltmnn (b)

Continuation of Schedule G

5. Nonexempt controlled organizations

6. Gross income report-

(b) Taxable income or
(@) Excess taxable | amount in column (a),
" whichever is greater

column.

(©) Percentage which
‘column (a)

able (Column 2 x
column 4(c) or

is of column 5(c))

()

7, Allowable deductions
(Column 3.x column
‘4(¢) or column 5(c))

8. Net income in-
cludible (Column 6
less column 7)

Total (enter here and on line 9, page 2) .

Schedule H—Exploited Exempt ACTIVITY INCOME: “Other “than Advert ng income Gee Instruction 10)

3. Expenses di-
rectly connected
with’ production
of unrelated
usiness income

2. Gross un-
related business
income from
trade or business | ,,

4. Net
1. Description of

exploited activity trade or

from unrelated

(col. 2 less col. 3)| business income

5. Gross income
from activity that
is not unrelated

income 6. Expenses at-

‘tributable to
column 5

less

business leas

7. Excess exempt|
expenses (col. 6

8. Net income
includible (col. 4
less col. 7)

col. 5 but
to exceed

amount in col. 4)

16—83189-1