Form 990-T (1965) Page 4

Schedule H.—INTEREST ON INDEBTEDNESS. (See Instruction 16)

Explanation Amount

Schedule I—TAXES. (See Instruction 17)

Explanation Amount

Total (enter here and _on line 17, page 2)

Schedule J—-OTHER DEDUCTIONS. (See Instruction 25)

Explanation Amount

Total (enter here and on line 25, page 2)

If the amount on line 31,

page 2, is:

Not over $500........0006+
Over $500 but not over $1,000... .

Over $1,000 but not over $1,500. ....

Over $1,500 but not over $2,000

Over $2,000 but not over $4,000.

Over $4,000 but not over $6,000.

Over $6,000 but not over $8,000...
Over $8,000 but not over $10,000. .
Over $10,000 but not over $12,000...
Over $12,000 but not over $14,000.

Over $14,000 but not over $16,000. ..

Over $16,000 but not over $18,000

Over $18,000 but not over $20,000. ....

APPLICABLE ON AND AFTER JANUARY 1, 1965

Enter on line 8, page |:

.. 14% of the amount on line 31, page 2.
$70, plus 15% of excess over $500.
. $145, plus 16% of excess over $1,000.

«. $225, plus 17% of excess over $1,500.

. $310, plus 19% of excess over $2,000.

- $690, plus 22 % of excess over $4,000.

$1,130, plus 25% of excess over $6,000.

-. $1,630, plus 28% of excess over $8,000.

$2,190, plus 32% of excess over $10,000.
$2,830, plus 36% of excess over $12,000.

«. $3,550, plus 39% of excess over $14,000.
$4,330, plus 42 % of excess over $16,000.

$5,170, plus 45% of excess over $18,000.

If the amount on line 31,

page 2, is:

Over $20,000 but not over $22,000
Over $22,000 but not over $26,000

Over $26,000 but not over $32,000

Over $32,000 but not over $38,000. ....
Over $38,000 but not over $44,000...

Over $44,000 but not over $50,000...
Over $50,000 but not over $60,000.
Over $60,000 but not over $70,000.
Over $70,000 but not over $80,000...
Over $80,000 but not over $90,000. .

‘Over $90,000 but not over $100,000... .
Over $100,000...

TAX RATE SCHEDULE FOR TRUSTS TAXABLE AT INDIVIDUAL RATES

Enter on line 8, page I:

- $6,070, plus 48% of excess over $20,000.

$7,030, plus 507% of excess over $22,000.

- $9,030, plus 53% of excess over $26,000.

$12,210, plus 55% of excess over $32,000.
$15,510, plus 58% of excess over $38,000.

«. $18,990, plus 607% of excess over $44,000.

$22,590, plus 62% of excess over $50,000.

. $28,790, plus 64% of excess over $60,000.
-- $35,190, plus 66% of excess over $70,000.
«$41,790, plus 68% of excess over $80,000.

$48,590, plus 69% of excess over $90,000.

- $55,490, plus 70% of excess over $100,000.

‘etrseok US. GOVERNMENT PRINTING OFFICE :1985—-O-780-647


U.S. Treasury Department—Internal Revenue Service

ron 990-T | EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN 1965

(Under Section 511] of the Internal Revenue Code)
FOR CALENDAR YEAR 1965

or other taxable year beginning 1965, and ending 19
LEASE, NT Employer identificatio: iber (In
P TYPE OR PRI Case of employeos’ trust described in
LEGAL NAME OF ORGANIZATION section 401 (a) andexempt under section
S01(a), give the trust's identification
number.)

ADDRESS (Number and street)

(City or town, State and Postal ZIP code)

NAME OF TRUST'S FIDUCIARY

ADDRESS OF TRUST'S FIDUCIARY

Nature of unrelated trade or business activity | Date of current exemption or determination letter and code section under which you
| o'orom
TAX COMPUTATION
ORGANIZATIONS TAXABLE AS CORPORATIONS. (See General Instruction A(1))
(Component members of controlled corporate group use Form 3920 to compute your tax)
1, Combined normal tax and surtax, If amount on line 31, page 2, is
(a) Not over $25,000—Enter 22 percent of line 31, page 2
(b) Over $25,000—Compute 48 percent of line 31, page 2, Subtract $6,500. Enter difference
2. If alternative tax computation is made in separate statement, enter such tax here. .

3. Total income tax (line 1 or 2, whichever is lesser) .
4. Less: (a) Foreign tax credit (attach Form 1118)...

(b) Investment credit (attach Form 3468)
§. Balance of income tax.

Tax from recomputing prior year investment credit (attach statement)

. Total income tax (line 5 plus line 6. Enter here and on line 15)..

TRUSTS TAXABLE AT INDIVIDUAL RATES. (See General Instruction A(2))

8. Tax on line 31, page 2 (from Tax Rate Schedule, page 4)........ bees ee cbeeeeeeseteeeseeeteeaneeeneeeaaes _—_—__
9. If alternative tax computation is made in separate statement, enter such tax here...........-+0e+eeeeeeeeee ——

10. Total income tax (line 8 or 9, whichever is lesser) .
11. Less: (a) Foreign tax credit (attach Form 1116).

(b) Investment credit (attach Form 3468).......
12. Balance of income tax.....sseseeeeeeeeeeeeseeeeeueeeseeeua ners
13. Tax from recomputing prior year investment credit (attach statement) .

14, Total income tax (line 12 plus line 13. Enter here and on line 15)..................---- senses
TOTAL INCOME TAX

15. Total income tax (from line 7 or 14, whichever is applicable)
16. Credits: (a) Credit from regulated investment companies (attach Form 2439)

(b) Other (specify) -..
17. If tax (line 15) is larger than credits (line 16), the balance is TAX DUE. Enter balance here
18. If tax (line 15) is less than credits (line 16)................+- Enter the OVERPAYMENT here ————__—_>

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the
best of my knowledge and belief it is true, correct, and complete. If prepared by a person other than taxpayer, his declaration is based
on all information of which he has any knowledge.

CORPORATE
SEAL

Signature of officer Tide

Individual oF firm signature of p:



Form 990-T (1965) Page 2
UNRELATED BUSINESS TAXABLE INCOME COMPUTATION

UNRELATED TRADE OR BUSINESS GROSS INCOME

1, Gross sales (where inventories are Less: Returns and
an income-determining factor) . . ; allowances...

2. Less: Cost of goods sold (Schedule A)
3. Gross profit from sales
4. Gross receipts (where inventories are not an income-determining factor) .
5. Less: Cost of operations (Schedule B) oe
6. Gross profit where inventories are not an income-determining factor.
7. (a) Net capital gain from cutting timber (attach statement)

(b) Net ordinary loss from cutting timber (attach statement).

(c) Gain from disposition of depreciable property under sections 1245 and 1250 (attach statement)
8. Income (or loss) from partnerships (attach statement)
9. Business lease rents (Schedule C)
10. Total unrelated trade or business income on lines 3, and 6 to 9, inclusive .

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

11. Compensation of officers or trustees (Schedule D).......... 2... ..0..2005
12. Salaries and wages (not deducted elsewhere) .
13. Rents
14, Repairs (do not include cost of improvements or capital expenditures)
15. Bad debts (Schedule E if reserve method is used).
16. Interest (Schedule H)
11, Taxes (Schedule 1)
18. Contributions (attach schedule—see instructions for limitation)
19. Losses by fire, storm, shipwreck, other casualty, or theft (attach schedule).
20. Depreciation (Schedule G)
21. Amortization (attach schedule)
22. Depletion (attach schedule)
23. Advertising .............
24. (a) Pension, profit-sharing, stock bonus, annuity plans.

(b) Other employee benefit plans.
25. Other deductions (Schedule J)
26. Total deductions in lines 11 to 25, inclusive.
217. Unrelated business taxable income before net operating loss deduction (line 10 less line 26)
28. Less: Net operating loss deduction (attach statement)
29. Unrelated business taxable income before specific deduction
30. Less: Specific deduction.
31. Unrelated business taxable income. ..... 2... seeeeee eee eet cette e eens esse cece neeeeees

Schedule A.—COST OF GOODS SOLD. (See Instruction 2) Schedule B.—COST OF OPERATIONS
(Where inventories are an income-determining factor) (Where inventories are not an income-determining factor)

1. Salaries and wages
-] 2. Other costs (to be detailed):
(a).

1, Inventory at beginning of year............. .
2. Merchandise bought for manufacture or sale.
3. Salaries and wages.
4. Other costs per books (attach schedule)
5. Total....... 6. cece cece eee
6. Less: Inventory at end of year.

1. Cost of goods sold (enter here and on line 2,
page 2).

3. Total (enter here and on line 5, page 2)...



Form 990-T (1965) Page 3
Schedule C.—BUSINESS LEASE RENTS. (See Instruction 9)

1. Description of Leased Property 2. Total Rent Received 3. Taxes and Other Expenses 4 Interest explain rear cy

Continuation of Schedule C

, 7, Adjusted Basis of Leased | 8. Percentage which | 9. Gross Rental Income | 10. Allocable Deductions (Total of | 11. Net Rental Income (or loss) In
&. Amountof Unpaid Indebtedness | property (Attach Statement) | Col.6 is of Col. 7 | (Golumn2 x Column'8) | Columns 3, 4, and'5 X Column 8) | cludible (Column 9 tess Column 10)

Total (enter here and on line 9, page 2)... +. essence eee eee eee ete eet tee eee
Schedule D—COMPENSATION OF OFFICERS

Percentage of Organiza-

, 3. Time | " ‘tion's Stock Owned
1. Name, Address, and Social Security jon’s Stock Owne 6. Amount of 7. Expense Account
Number of Officer 2. Title Devoted to|_________| Compensation llowances

4. Common |5. Preferred’

Total compensation of officers (enter here and on line 11, page 2)

Schedule E.—BAD DEBTS—RESERVE METHOD. (See Instruction 15)

2, Trade Notes and Accounts
1. Taxable Rovevaple Outtanding 3, Sales on Account 4 Gross Amount Added 5: Amount Charged f Reseed ot Year

Year at End of Year

1960....
1961....
1962.
1963,
1964....
1965....

Schedule G.—DEPRECIATION. (See Instruction 20)
This schedule is designed for taxpayers using the alternative guidelines and administrative procedures described in Revenue Procedure 62-21
as well as for those taxpayers who wish to continue using procedures authorized prior to the Revenue Procedure, Where double headings
appear use the first heading for the new procedure and the second heading for the older procedure.

2. Cost or other basis | 3. Asset additions | 4 pcset retirements

, t 6, Method | 7. Class life
1. Group and gui At beginning of year | in year (amount) 5. Depreciation i ‘ati

aw ee | IS GR] asedinea,. | ameter atone | cndhing aati | Degen
Description of property Cost or ther Date acquired ey Prot. 62-21) in prior years de orecatl an or fe is ye

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

3. Less: Amount of depreciation claimed in Schedule C and elsewhere on return

4. Balance—Enter here and on line 20, page 2............-.- sees ee ees