Form 990-T (1981) Page 4

Schedule H—EXPLOITED EXEMPT ACTIVITY INCOME, OTHER THAN ADVERTISING INCOME
(See Instructions for Line 10 of Page 2)

3. Expenses di- . Net income 7. Excess exempt
woth 3. Gross ue reetivcannected | fromunretated | 5:,S'2ss income | Expenses at. | expences (Column 6 | 8. Neti income
4. Description of related business with’proguction | trade or business | ToT f Shvelated’ | Wibutable fo | minus eolumn 9 but inchidibe (Column
exploited activity tr os of unrelated (Column 2 minus | {Scot unrelated column 5 hot more than | 4minus column 7)
le or busines business income column 3) column 4)

Total (enter here and on line 10, page 2) ._.
Schedule I—ADVERTISING INCOME AND ADVERTISING LOSS Gee Instructions for Line Ti of Page _
Part I—Income from periodicals reported on consolidated basis

7. If col. 5 exceeds

col.
1 of periodical 2. Gross adver- 3. Direct adver- 5. Circulation 6. Reader- . _
Name of period Zameiincome | *delngtosts et es pot rcome shiprcosts | eee St
6 and 7. If gain, from col. 5 plus col.
complete cols. 2. Enter gain in col. A,
ind 7. Part Ill.

Li,

Totals . . + -

Part Il—Income from periodicals reported on a separate basis

Part Ill—Column A—Advertising Income Part IlI—Column B—Advertising Loss
4 i ‘i " it from col- 4 iodical” (b) Enter total amount from column
(2) Enter “consolidated periodical” or | (b) Enter total amount (a) Enter “consolidated periodical” or
flames of non-consolidated periodicals | 4mn 4 or 7, Part. ang amounts | names of non-consolidated periodicals 4, Part |, and amounts listed in col-

Enter total here and on line 11, Enter total here and on line 28,
page 2. page2. . reer eer
Schedule J—=COMPENSATION OF OFFICERS, DIRECTORS, AND TRUSTEES
1. Name 2. Title 3. Time devoted to | 4, Total compensation

Total compensation of officers, directors, and trustees (enter total here and on line 14, page 2)... +

ty US, GOVERNMENT PRINTING OFFICE : 1981—O-343-055 343-055-1


990-T Exempt Organization Business Income Sua he
Form = Tax Return (uncer section 511 of the internal Revenue Code) 1981

For calendar year 1981 or fiscal year beginning... _-

1981, and ending
Name of organization A Employer identification number (employees’
trust see instruction for Block A)

Department of the Treasury
Internal Revenue Service

Address (number and street)

B Enter unrelated business activity

City or town, State, and ZIP code codes from page 11 of instructions
© Check box if address changed... - . - - PL] | D Exempt under section... . . . > 501( % )
E Check applicable box. . . . B® (_] Corporation ( Trust (] Section 401(a) trust

F Group exemption number (see instructions for Block F) >

If the unrelated trade or business gross income is $10,000 or less, complete only page 1, Part Ill on page 2, and sign the return.
Complete all applicable parts of the form (except lines 1 through 4) if unrelated trade or business gross income is over $10,000.

| 1 Unrelated trade or business gross income. (State sources P. ). _1
8] 2 Deductions (Complete Part I! instead of line 2 if you have gross income over $10,000). . . . ~ 2 |
= 3 Unrelated business taxable income before specific deduction (Subtract line 2 from line 1.) . . . |_3_
‘S| 4 Specific deduction (see instructions for line 4). . . 4
© | _5 Unrelated business taxable income (subtract line 4 ‘from line 3 or enter amount from line 33, page 2.) | 5
Organizations Taxable as Corporations (See Instructions for Tax Computation) Y
6 (a) Are you a member of a controlled group?. - - - - - + + + + +f] Yes. . . .[] No
« (b) If Yes, see instructions and enter your share of the $25,000 in each taxable income bracket: _
2 @ $ Gi) $_ Gil) $. .- (iv) $.. Wald
| 7 Income tax on amount on line 5, above. Check here P [_] if alternative tax from Schedule D (Form 1120)
= is used. (Fiscal year corporations should use the worksheet in the instructions)... . . - . - 7
8 Trusts Taxable at Trust Rates (See Instructions for Tax Computation) Y
| 8 Tax: Check applicable block and enter on line 8 whichever is les:
(a) [7] Tax from tax rate schedule p>
Multiply the tax by .9875 and enter the result on line 8, or —Y),
(b) [J] Tax from attached Schedule D (Form 1041) .
9 (a) Foreign tax credit (corporations attach Form 1118, trusts attach Form 1116)
(b) Investment credit (attach Form 3468) . . 2. 1 6 6 ee ee ee
(c) Work incentive (WIN) credit (attach Form 4874). . . 2. se we
(d) Other credits (see instructions). . . . - se e+ ee ew ee
10 Total (add lines 9(a) through (d)). «6 6 ee we ee ee ee
11 Subtract line 10 from line Zorline8. 2. 6 1 ee ew we ew ee
12 Tax from recomputing prior year investment credit (attach Form 4255). .
% | 13 Minimum tax on tax preference items (see instructions for line 13). . . . «
. 14 Alternative minimum tax (see instructions forline 14)... 2 6 1 ew
| 15 Total tax (add lines 11 through 14). . . . . - eee er er er ee
8 | 16 Credits and payments: (a) Tax deposited with Form 7004 Pee ee ee er er
= (b) Tax deposited with Form 7005 (attachcopy). - . » » «+ © «+ e « s
xl (c) Foreign organizations—Tax paid or withheld at the source (see instructions) .
& (d) Credit from regulated investment companies (attach Form 2439). . . .
(e) Federal tax on special fuels and oils (attach Form 4136 or 4136-T). .
(f) Other credits and payments (see instructions). . . rs
(g) Total credits and payments (add lines 16(a) through 16) « we
17 TAX DUE (Subtract line 16(g) from line 15). See instructions for depositary method of payment > 47 —
18 OVERPAYMENT (subtract line 15 from line 16(g)). . .- - . - oe ee ee dL
Under penalties of perjury, | declare that | have examined this return, includi accompanying schedules and statements, and to the best of my
Please knowledge and belief, it is true, correct, and complete. Declaration of preparer fi (other than taxpayer) is based on all information of which preparer
by has any knowledge.
Sign
Here -aaax of officer Date Dax
Paid Propare’s Date heck it Preparer’ social security no.
D ployed b> C) i
Prepare’s \-rinve name or Et. Ne
Use Only yours, if self-employed) o>
and address ZIP code b>

For Paperwork Reduction Act Notice, see page 1 of instructions. 343-055-1


Form 990-T (1981)

Page 2

Part I—Unrelated Trade or Business Income

1 (a) Gross receipts or sales .., (b) Less returns and allowances .. Balance >
2 Cost of goods sold (Schedule A) and/or operations (attach schedule). . . «© 2 ee 2 ee ee
3 Gross profit (Subtract line 2 from line 1(c)). . . - + ee
4 (a) Capital gain net income (attach separate Schedule D) (see instructions) rn
(b) Net gain or (loss) from Part Il, Form 4797 (attached). «©. ee ee ee ee ee
(c) Capital loss deduction for trusts. . . - - ey
5 Income or (loss) from partnerships (attach statement) . Se
6 Rent income (Schedule C). . . . - + Se
7 Unrelated debt-financed income (Schedule E, line 2. see i
8 Investment income of a section 501(c)(7) or (9) organization (Schedule Fhe ww ww ee ee
9 Interest, annuities, royalties, and rents from controlled organizations (ScheduleG). . . . . -
10 Exploited exempt activity income (Schedule H). «6 6 6 6 ee ee ee ee ee ee
11 Advertising income (Schedule |, Part III, Column A). - ee ee ee ee ee ee ee
12 Other income (see instructions for line 12—attach schedule) ~ . 2 - / ee oe ee ee ee
13 TOTAL unrelated trade or business income (add lines 3 through 12)... ee ee ee

14 Compensation of officers, directors, and trustees (Schedule J) .
15 (a) Salaries and wages .....  (b) Less WIN credit .

16 Repairs (see instructions). . «©. + 6 + ee ee ee

17 Bad debts (see instructions) . . - - ss se es

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

19 Taxes. 6 6 ee ee ee ee

20 Contributions (see instructions for tine 20). so ee ee

21 Depreciation (attach Form 4562). «© 2 6 6 6 ee et ee

22 Amortization (attach schedule). «© - - ee 6 8 8 ee ee ee ee ee ee ee

23 Depletion © 6 6 ee ee

24 (a) Contributions to deferred compensation plans (see instructions for line 24(a)). . . - . «+ + +
(b) Employee benefit programs (see instructions for line 24(b)). . . ee ee ee ee

25 Other deductions (attach schedule). . . ee

26 TOTAL DEDUCTIONS (add lines 14 through 25) . sore ee

27 Unrelated business taxable income before allowable advertising loss ‘(eubtract line 26 from line 13)...

28 Advertising loss (Schedule I, Part Ill, Column B). 6 6 eee ee ee ee ee

29 Unrelated business taxable income before net operating loss deduction (subtract line 28 from line 27). .

30 Net operating loss deduction (see instructions for line 30)... - - 2 ee ee ee ee

31 Unrelated business taxable income before specific deduction (subtract line 30 from line 29). . . «

32 Specific deduction (see instructions for line 4). - . soe ee

33. Unrelated business taxable income (subtract line 32 from line 31). Enter here and on page 1, line 5 «

Schedule A—COST OF GOODS SOLD (See Instructions for Line 2 above)

Method of inventory valuation (specify) >

1 Inventory at beginning of year... ee ee
2 Merchandise bought for manufacture orsale. 6 6 01 6 ee ee ee ee
3 Salaries and wages. - 6 ee ee et
4 Other costs (attach schedule) . a
5 TOTAL—Add lines 1 through4. 6 6 ee ee

6 Inventory at end of year . :
7 Cost of goods sold, Subtract line 6 from line 5. (Enter here and on line 2, Part, above)...

Part ll—Statements Regarding Certain Activities and Other Information

1 At any time during the tax year, did you have an interest in or a signature or other authority over a bank account, securities

account, or other financial account in a foreign country (see instructions)?. . . - « 2 2 © © ©
2 Were you the grantor of or transferor to a foreign trust which existed during the current tax year, whether or not you had any benefic
If Yes, you may have to file Forms 3520, 3520-A or 926.

| interest in it? .

Yes |_No

WW,

The books are in care of D> Telephone number D>

343-055-1


Form 990-T (1981) Page 3

Schedule C—RENT INCOME FROM REAL PROPERTY AND PERSONAL PROPERTY LEASED WITH REAL PROPERTY
(See Instructions for Part |, line 6 of page 2)

2. Rent received 3. Percentage of rent

for
or accrued personal property

1, Deseription of property

%
4 Complete for any Tem nea neo comers at 0% OF 5. Complete for any item if the entry in column 3 is more than 10% but not more than 50%
(a) Deductions directly con- () Income includible (2) Gross income reportable (6) Deductions directly con. (2) Income includible
nected (Attach schedule) (Column 2 minus column 4(a)) (Column 2 x column 3) ecto with person property (Cou Sta) minus column 5())

Add columns 4(b) and 5(c) and enter total here and on line 6, Part |, page 2.
Schedule E—UNRELATED DEBT-FINANCED INCOME. (See Instructions for Part i, Tine 7 of page 2)

‘3, Deductions directly connected with or allocable
t

2. Gross income from 10 debt-financed property
1. Description of debt-financed property or allocable to debt-
financed property (a) Straight line depreciation (b) Other deductions
(Attach schedule) (Attach schedule)

4, Amount of average - ;
acquisition indebtedness 5. Average adjusted basis | 6; Percentage 7. Gross income 8 Allocable deductions 9. Not income or (toss)

‘on or allocable to debt financed property are reportable (Column (Column 6 x total of columns includible (Column 7 minus
debt financed property tathant schedule) couma'S 2 x column 6) 3(@) and 3(b)) column 8)

(Attach schedule)

%

2 Total (enter here and on line 7, Partl,page 2). - - - + + + 2 ee eee

3 Total dividends-received deductions included in column 8

__3 Total dividends-received deductions included in column 8—-—-_-_-_>_ | ____¥§_.__.__s
Schedule F—INVESTMENT INCOME OF A SECTION 501(c)(7) OR (9) ORGANIZATION (See Instructions for Line 8 of Page 2)

+3. Deductions directly 4. Net investment Set-asides 6. Balance of investment
. 2. Amount ted (Attach income (Column, income (Column. 4 minus
1, Description m connected (Attac roe yy iach schedule) column 5)

Total (enter here and on line 8, page

____ Total (enter here and on line 8, page 2)_-_- ss
Schedule G—INCOME (ANNUITIES, INTEREST, RENTS AND ROYALTIES) FROM CONTROLLED ORGANIZATIONS
(See Instructions for Line 9 of Page 2)

4. Exempt controlled organizations

3. Deductions of

i - (b) Taxable income ( Per-
2. Gross income controlling organi im
1, Name and address of controlled organization(s) ‘from controlled con ation Girectly an (@) Unrelated busi Feet ee Tort on centage
organization(s) 2 income ness taxable 501 (a), or the amount | column (a)
(Attach schedule) income in column (a), whichever is
is more column (6)

5. Nonexempt controlled organizations

6. Gross income report- 7, Mlowable deduct
(Gy Percent. ble (Column 2 Choe colton 8. Net income includible
(a) Excess taxable () Taxable income, or | age which c ain Ae) oF (Column 3 x column (Column 6 minus column 7)
xcess ta amount in column’(a), | 86," umn 40) Go) or column 5)
whichever is more ‘column by

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

343-055-1