Form 990-T (1975) Page 4
Schedule I.—ADVERTISING INCOME AND ADVERTISING LOSS (See Instruction 11)
Part I—Income from periodicals reported on consolidated basis

4. Advertisin, 7. If Col. 5 exceeds
Gain or Loss (Col, Col. 6, enter in Col.
i less Col. 3.) If Ae Part Ut the, gain
i joss, enter in Col ireulati shown in Col. 4. |.
1. Name of Periodical 2, Gross Adver- |3. Direct Adver- | g, Part Ill. Do not | 5: Circulation 6. Reader: 6 exceeds Col. 5, sub-
tising Income |” tising Costs | Complete Cols. B Income ship Costs | fract Gol, 6 plus Col, 3
6 and 7. If gain, from Col. 5 plus Col.
complete | Gols. 2, Enter gain in Col. A,
6 and 7. Part Ill.

als reported on a separate basis

jaa

Totals. . . .
Part 1l—Income from period

Part Ill—Column A—Advertising Income Part IlI—Column B—Advertising Loss
” (b) Enter total amount from col- |" (a) Enter “consolidated periodical” | (b) Enter total amount from column
ea eee cated erica aes, | umn 4 or 7, Part { and amounts | and/or names of non-consolidated | 4, Part I and amounts listed in col-
pet listed in cols. 4 and 7, Part Il iodi umn 4, Part II

Enter potal here and on tine 11, Enter total here and on line
page2. 28, page 2.
Schedule J.—COMPENSATION OF OFFICERS
, 4 Time
1, Name 2. Social Security 3. Title Devoted to Gomponsation & Eptowances

Total compensation of officers (enter here and on line 14, page 2)... . . WMMMM|e««

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 elec-
tion this taxable year to use [] Class Life (ADR) System and/or [] Guideline Class Life System. See Publication 534.

4, Depreciation | 5. Method of
allowed or allow- | computing _|® Life or) 7. Depreciation for

able in prior years| depreciation rate this year

1. Group and guideline class or

3. Cost or other
description of property 2. Date acquired basis

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

2 Depreciation from Form 4832... . . . |. WY
3 Depreciation from Form 5006 . . . . . . |Z Y/),
4 Other depreciation:

Buildings woe ee
Furniture and fixtures . . . 1
Transportation equipment . . . .

Machinery and other equipment ~
Other (specify).

5 Totals . ee ee .
6 Less amount of depreciation claimed in n Schedule tn
7_Balance—Enter here and on line 21, page 2.

Schedule L.—RECORD OF FORM 503 FEDERAL TAX DEPOSITS (List deposits in order of date made—see Instruction “E”)

Serial number Date of

Serial number Date of
Amount ‘of Form 503 deposit Amount

of Form 503 deposit

‘¥r US, GOVERNMENT PRINTING OFFICE : 1975—O-575-048. 16—-82676-1


corm 990 T Exempt Organization Business Income

Department of the Treasury

Tax Return (under section 511 of the Internal Revenue 1¢ Code)

i For the calendar year 1975 or other taxable year beginning

Internal Revenue Service y able year began

Name of Organization Gheck box if address ¢. Employer Identification Number
changed. «+ LD | di case of employees” trust described in

Eton 401G) and exempt

Number and street ‘A. Foreign organization ni SONG), insert the trust
an office or place of bu:
the U.S. check here .

City or town, State, and ZIP code B. Enter activity code(s) from page | D. Dé ‘of current exemption letter and

8 of instructions. code section under which you are exempt.

Name and address of trust’s fiduciary

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

Complete only page 1 if unrelated trade or business gross income is $5,000 or less.

U

Unrelated trade or business gross income. (State sources .........

Less

Less

1
2
3 Unrelated business taxable income before specific | deduction
4
5

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

-)

deductions

specific deduction (see instruction “Key") Ce

Unrelated business taxable income

Organizations Taxable as Corporations
(See General Instruction B(1))

Tax Computation

(Fiscal year corporation, omit lines 7 through 10 and enter on line 11, the amount from line 5, Part III, Form 1120-FY 1975-78)
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.)

8 Line 6lessline7. . . 1. cee

9 Enter line 8 or $25,000, whichever is lesser (Members of a controlled group, see instructions.)
10 Line 8 less line9. . 2. 1 1 we

11 Income tax. Sum of: 20% of line 7 .. . 22% of line 9.
or, alternative tax from separate Schedule D, whichever is lesser. Check

12 Less: (a) Foreign tax credit (attach Form 1118) . .
(b) Investment credit (attach Form 3468). . . . . . se ee
(c) Work incentive (WIN) credit (attach Form 4874). . . . 1.
13 Balance of income tax . . . . .- ee eT
14 (a) Tax from recomputing prior year investment credit (attach Form 4255)

(b) Tax from, recomputing a prior year work incentive (WIN) eredit (See instructions—attach
computation) .

15 Income tax (line 13 plus line 14). Enter here and on line 21.

, 48% of line 10
ere [| if alternative tax use

Trusts Taxable at Trust Rates
(See General Instruction B(2))

16 Tax on amount shown on line 5 above or line 33, page 2 (from Tax Rate Schedule on page 7 of instructions), or alternative
tax from separate Schedule D, whichever is lesser. Check here  [_] if alternative taxused - . - - - - + «

17 Less: (a) Foreign tax credit (attach Form 1116) . .
(b) Investment credit (attach Form 3468). . . . . . -
(c) Work incentive (WIN) credit (attach Form 4874). . . .

18 Balance of income tax . . . sone :
19 (a) Tax from recomputing prior year investment credit (attach ‘Form 14255) .
(b) Tax from recomputing a prior year work incentive (WIN) credit (see instruc-

tions—attach computation) .
20 Income tax (line 18 plus line 19). Enter here and on line 21

21 Income tax (from line 15 or 20, whichever is applicable) .
22 Minimum tax on tax preference items. (See instructions—attach Form 4626) .

i sone

£ 23 Total tax (add lines 21 and 22). © 2/1 ee ee ee

o 24 Credits (a) Tax deposited with Form 7004 (attach copy) + rs

E (b) Tax deposited with Form 7005 (attach copy). +. - oe

2 (c) Foreign organizations—Enter U. income tex bald or e withheld at the source (see instruc:

= tions and section 1443(a)) + .

cf (d) Credit from regulated investment companies (attach Form 2439) -

er (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 (line 24 less line 23). .- : ——

Under penalties of perjury, | declare that | have examined this Faturn including accompanying schedules and statements, and to the best of my
ige and belief it is true, correct, and complete, Declaration of preparer (other than taxpayer) is based on all information of which the preparer
nowledge.

knowledge
has any

is used,
it here.

The Internal Rev-
enue Service does

not require a seal on oo -
this form, but if one Bate ‘Signature of officer or trustee

lease place



Form 990-T (1975)

Page 2

Unrelated Business Taxable Income Computation

Unrelated Trade or Business Income
1 Gross receipts or gross sales ... ... Less: Returns and allowances ....
2 Less: Cost of goods sold (Schedule A) and/or operations (Schedule B) .
3 Gross profit
4 (a) Net capital gains —(attach separate. Schedule D) Lo
(b) Ordinary gain or (loss) from Part II, Form 4797 (attach Form 4797)
(c) Capital loss deduction for trusts . . .
Income or (loss) from partnerships (attach statement) .
Rent income (Schedule C) . oo
Unrelated debt financed income (Schedule 5). ee ee
Investment income of a 501(c)(7) or (9) organization (Schedule ) toe rs
Interest, annuities, royalties, and rents from controlled organizations (Schedule @)
10 Exploited exempt activity income (Schedule H) . . 2 0. 0. ee ee ee ee
Advertising income (Schedule I, Part Ill, Column A) .
12 Other income (see instructions—attach schedule) . woe ee
13 TOTAL unrelated trade or business income (add lines 3 3 through 12) ey

DEDUCTIONS

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

14 Compensation of officers or trustees (Schedule J)

15 Salaries and wages (not deducted elsewhere) .

16 Repairs (see instructions) .

17 Bad debts (see instructions) .

18 Interest (attach schedule). . . 2. 2... ee eee

19 Taxes (attach schedule). . . . 1. . we ee ee ee

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

21 Depreciation (Schedule K). . 2. 6 ee ee ee

22 Amortization (attach schedule)

23 Depletion . . . . .

24 (a) Pension, profit- sharing ete. plans ‘ce instructions) (enter number of plans >
(b) Employee benefit programs (see instructions) .

25 Other deductions (attach schedule) . to

26 TOTAL deductions (add lines 14 through 25).

27 Unrelated business taxable income before allowable advertising loss ine 1: 13 less line 26) .

28 Less: Advertising loss (Schedule I—Part !II—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). . 2. 6. 1 we ee

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)...

woxnan

a
iy

Schedule A—COST OF GOODS SOLD (See Instruction 2), Schedule B—COST OF OPERATIONS
Method of inventory valuation (specify) > 1 Salaries and wages .
1 Inventory at beginning of year . a 2 Other costs (to be detailed):
2 Merchandise bought for manufacture or sale. . . (a)
3 Salaries and wages . . woe eee (b) _
4 Other costs (attach schedule) . . . . (c)
5 TOTAL . none | (d)
6 Less inventory at end of y year... ee (e)
7 Cost of goods sold (enter here and on line 2,
page2). 1... ss. eye. 3 Total (enter here and on line 2, page 2).

10—82676-1


Form 990-T (1975) Page 3
Schedule C—RENT INCOME FROM REAL PROPERTY AND PERSONAL PROPERTY LEASED WITH REAL PROPERTY (See Instruction 6)

3. Percentage of rent
1, Deseription of property 2. Rent received attributable to
personal property

Continuation of Schedule C

4 Complete for any item in column 3 which is more than 50%, or for 5. Complete for any item in column 3 which exceeds 10% and is not more than 50%

any item if the rent is determined on the basis of profit or income
Deductions directly con-
(a) Deductions directly con- (b) Income includible, (2) Gross income reportable ©) (©) Income includible,
nected (Attach schedule) column 2 less column 4¢a ‘eal. 2X col. 3) macted with personal property column 5(a) Tess. 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)
3. Deductions directly connected with or allocable
2. Gi fr
1. Description of debt-financed property or alfocable to debt: to debt-financed property
financed property (@) Straight line depreciation (@) Other deductions

(Attach Schedule) (Attach Schedule)

Continuation of Schedule E

acjultion indebtedness 5. Average adjusted basis] 6, Percentage | 7. Gross income 8. Allocable deductions some (or loss)
‘on or allocable to debt-financed. property tis of reportable (Column (Total of columns 3(a) and ineludibe (Column 7 Tess
debt-financed property Mtituch schedule) cdlunn's 2X column 6) (b) x column 6) column 8)

(attach schedule)

%.

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

____Total (enter here and on line 7, page 2)_—___—=_ | _________§_
Schedule F—INVESTMENT INCOME OF A 501(c)(7) OR (9) ORGANIZATION (See Instruction 8)

(©) Deductions Directly (d) Net investment (ec) Set Asides ( Balance of investment
(a) Description (b) Amount Connected (artach income (col. ® (attach schedule) income (col. d less col. e)

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

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

‘4. Exempt controlled organizations

3. Deductions of
(@) Taxable income © Per
2. Gross income controlling organt- cor though cat
1. Name and address of controlled org from controlled | ,Zaton (directly (0) Unrated bus camped, 9s though pentage
organization(s) > income) nee ome ‘501(a) or the amount column (a)
(attach “schedule) in col. (a), whichever is of
is greater column (b)

Continuation of Schedule G

5. Nonexempt controlled organizations cera | ios insame op 7. Allowable deduetions 8. Net income in-
i 3 lumn 2X i .
(a) Excess taxable (0) Taxable income, or G9 which, cl aeolumn Ate) oF (Column 3X column cludible (Column 6
yess ta amount in column (2), wing 9 eolamnn Ste) ‘4(@) or column 5(C)) less column 7)
column

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

7. Excess exempt

3. Expenses di-

2. Gross 4. Net income 5. Gross income +

ralated business | TRU cONMEGted | from unaated | trom activity that | Situtebectat | ‘exe et but | inedible (ol &

Cepolted acthiy income from | HM production | wago"or business, | snot unrelated | TMDutabe less col. 5 bu ludible (ol.
trade or business | ,,0f,unreiated | (col. 2 less col. 3) | business income amount in col. 4) 7

Total (enter here and on line 10, page 2)... . . - + + + + 1

16—82076-1