Form 990-T (1966)

Page 4

Schedule H—INTEREST ON INDEBTEDNESS (See Instruction 16)

Explanation

Total (enter here and on line 16, page2). - - - - + ee 7 ee ee ee

Schedule I—TAXES (See

Explanation

Total (enter here and on line 17, page2). - - + + + ee ee et ee eee

Amount

Schedule J—OTHER DEDUCTIONS (See Instruction 25)

‘Amount

Total (enter here and on line 25, page2). - - - - s+ + +. ees se ee ee

TAX RATE SCHEDULE FOR TRUSTS TAXABLE AT INDIVIDUAL RATES

APPLICABLE ON AND AFTER JANUARY 1, 1965

If the amount on line 31,
page 2, is:

Not over $500-.
Over $500 but not over $1,00¢
Over $1,000 but not over $1,501
‘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... $1,630,
Over $10,000 but not over $12,000-- $2,190,
Over $12,000 but not over $14,000-- $2,830,

- $1,130,

Over $14,000 but not over $16,000-- $3,550,
Over $16,000 but not over $18,000... $4,330,
Over $18,000 but not over $20,000-- $5,170,

Enter on line 11, page 1:

- 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.

plus 25% of excess over $6,000.
plus 28% of excess over $8,000.
plus 32% of excess over $10,000.
plus 36% of excess over $12,000.

plus 39% of excess over $14,000.
plus 42% of excess over $16,000.
plus 45% of excess over $18,000.

If the amount on line 31,

page 2, i Enter on line 11, page 1:

Over $20,000 but not over $22,000-- $6,070, plus 48% of excess over $20,000.
Over $22,000 but not over $26,000... $7,030, plus 50% of excess over $22,000.
Over $26,000 but not over $32,000. $9,030, plus 53% of excess over $26,000.
‘Over $32,000 but not over $38,000... $12,210, plus 55% of excess over $32,000.
Over $38,000 but not over $44,000. $15,510, plus 58% of excess over $38,000.

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.

$18,990, plus 60% 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.

Over $90,000 but not over $100,000- $48,590, plus 69% of excess over $90,000.
Over $100,000. $55,490, plus 70% of excess over $100,000.

‘evirdrar U.S. GOVERNMENT PRINTING OFFICE : 1955—O-220-051


rom 990-T

U.S. Treasury Department
Internal Revenue Service

Exempt Organization Business

Income Tax Return

(Under Section 511 of the Internal Revenue Code)
For the year January 1-December 31, 1966, or other taxable year beginning

, 1966, and ending

| 1866

“PLEASE TYPE OR PRINT

NAME OF ORGANIZATION

ADDRESS (Number and street)

Employer identification Number

(in case of employees’ trust described in
fection 401Ca) and exempt under, section
OIG), ve the trust's identification

City or town, State, and ZIP code)

Nature of unrelated trade or business activity

NAME OF TRUST'S FIDUCIARY

‘ADDRESS OF TRUST'S FIDUCIARY

Date of current exemption or d
tion letter and code section un
you are exempt.

rmina-
ich

TAX COMPUTATION

ORGANIZATIONS TAXABLE AS CORPORATIONS S (See General Instruction aay)
Taxable income (line 31, page 2)

Surtax exemption (line 1, $25,000, or amount apportioned under section 1561, whichever is essen)
Line 1 less line 2

(@) 22 percent of line 1

(b) 26 percent of line 3 : :
(©) If multiple surtax exemption is elected under section 1562, enter 6 percent of line2

PwUne

If alternative tax computation is made in separate statement, enter such tax here .
6 Total income tax (line 4 or 5, whichever is lesser) .
Less: (a) Foreign tax credit (attach Form 1118).

(b) Investment credit (attach Form 3468).

N

Balance of income tax foe
Tax from recomputing prior year investment credit (attach statement)
Total income tax (line 8 plus line 9. _Enter here and on line 18)

10

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

ey
12
1
4

Tax on line 31, page 2 (from Tax Rate Schedule, page 4) :
If alternative tax computation is made in separate statement, enter such tax here .
Total income tax (line 11 or 12, whichever is lesser) .
Less: (a) Foreign tax credit (attach Form 1116) ar

(b) Investment credit (attach Form 3468). . 2... 7 7

&

15
16 Ti
1

Balance of income tax... ee ee ee ee ee
‘Tax from recomputing prior year investment credit (attach statement) ce ee

1

Total income tax (line 15 plus line 16. _ Enter here and on line 18)

TOTAL INCOME TAX

18
19 Credits: (a) Credit from regulated investment companies (attach Form 2439).
(b) Tax paid with Form 7004 application for extension (attach copy). . . - . «
(©) Credit for U.S. tax on nonhighway gas. and lub. oil (attach Form 4136)

Total income tax (from line 10 or 17, whichever is applicable). . . . . .

20 If tax (line 18) is larger than credits (line 19), the balance is TAX DUE. Enter balance here .

21 If tax (line 18) is less than credits (line 19) . Enter the OVERPAYMENT here .

———>

Under penalties of perjury, | declare that | have examined this return, including accompanying schedules and statements, and to the best of my

knowledge and belief it is true, correct, and complete.
which he has any knowledge.

CORPORATE
‘SEAL

Date individual of firm signature of preparer

If prepared by a person other than taxpayer, his declaration is based on all informatian of

“hddress



Form 990-T (1966)

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 Se

4 Gross receipts (where inventories are not an income- determining factor).

5 Less: Cost of operations (Schedule B). :

6 Gross profit where inventories are not an income: determining factor .

7 (@) Net capital gain from cutting timber (attach statement) .
(b) Net ordinary loss from cutting timber (attach statement) . :
() 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) . Se

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 E)
12 Salaries and wages (not deducted elsewhere) .
13 Rents . So
14 Repairs (do not include cost of improvements or capital expenditures)
15 Bad debts (Schedule F if reserve method isused) © 6. 6 ee ee
16 Interest (Schedule H) .
17 Taxes (Schedule |) . Se
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 So
24 (a) Pension, profit-sharing, stock bonus, annuity plans.
(b) Other employee benefit plans .
25 Other deductions (Schedule J) . a
26 Total deductions on lines 11 to 25, inclusive Se
27 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 . 1,000.00
31 Unrelated business taxable income
Schedule A—COST OF GOODS SOLD (See Instruction 2) Schedule B—COST OF OPERATIONS
Method of inventory valuation— 1 Salaries and wages .
1 Inventory at beginning of year . toe 2 Other costs (to be detailed):
2 Merchandise bought for manufacture or sale . @ .
3 Salaries and wages . Soe cee aro)
4 Other costs (attach schedule). . . . . «| |)
5 Total... Soe en ae
6 Less inventory at end of year. . . —eEeEeEeeen (e)

7 Cost of goods sold (enter here and on line 2,

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



Form 990-T (1966) Page 3
Schedule C—BUSINESS LEASE RENTS (See Instruction 9)

ption of Leased Property 2. Total Rent Received | 3, Taxes and Other Expenses 4 Interest (Exotain eee eee 6)

Continuation of Schedule C

6, Amount af Unpaid |, Adjusted Basi of Leasod| 8, Percentage which | 2. Goss Rental income | 10, Allacable Deductions Total | 11. Net Rental Income (9¢ toss) In
Indebtedness Propotty (Attach Statoment)| » ol. 618 of Gal. 7 | datum 252 Colurm8) | Columns’ and SX Golumn 8) | ctuabte (Column’9 tess Coma 10)

%|

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

Schedule E—COMPENSATION OF OFFICERS

3. Time | Percentage of Organiza-
1, Name, Address, and Social Security Number of Officer 2.Title | Devoted to | _ to. & peavation 1 Expense Account
_ wusiness |

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

Schedule F—BAD DEBTS—RESERVE METHOD Geet Tnetruetion 15)
] | ‘Amount added to reserve
3. Sales on account |" 4. Current year’s. |g
Provision

2, Trade notes and accounts re

| 6. Amount charged | 7. Reserve for bad debts
ceivable outstanding at end of year

1. Year against reserve at end of yes

Schedule G—DEPRECIATION (See Instruction 20)

Taxpayers using Revenue Procedure 62-21: Make no entry in column 2, enter the cost or other basis of assets held at end of year in column 3,
and enter the accumulated depreciation at end of year in column 4.

| Depreciation 5. Method of ¥ jon
1. Group and guideline class 2, Date 3. Cost or ali reation ‘co 6. Life or 7., Depreciation
acquire emputing r :
or description of property acqul id other basis in prior years | depreciation rate for this year

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

Buildings 2. 2 2 we |
Furniture and fixtures. . . -
Transportation equipment . a
Machinery and other equipment .

Other (Specify) ...eeeeeeeeeeeeeeeeeeneee

2Totas. . . . cee :
3 Less amount of depreciation claimed in Schedule C andelsewhere on return. . 6. ee ee ee ee
4 Balance—Enter here and on line 20,page2_. . . . . . ss