Page 4

FISCAL YEAR TAX COMPUTATION SCHEDULE FOR ORGANIZATIONS TAXABLE
AS CORPORATIONS WITH TAXABLE INCOME OVER $25,000

(Component members of controlled corporate group use Form 3920 to compute your tax)

Unrelated business taxable income (line 31, page 2)

pr

. 50 percent of line 1. .
Subtract $7,000 and enter difference .

3, 48 percent of line 1
Subtract $6,500 and enter difference .

4. Amount on line 2 or alternative tax (attach statement) multiplied by the number of days in the taxable year prior
to January 1, 1965, divided by the total number of days in the taxable year

5. Amount on line 3 or alternative tax (attach statement) multiplied by the number of days in the taxable year after
December 31, 1964, divided by the total number of days in the taxable year......

6. Income tax—Add lines 4 and 5. Enter here and on line 3, page 1

FISCAL YEAR TAX COMPUTATION SCHEDULE FOR TRUSTS TAXABLE AT INDIVIDUAL

RATES

1, Unrelated business taxable income (line 31, page 2)
2, Use Tax Rate Schedule I below to compute tax on amount on line 1..

3. Use Tax Rate Schedule II below to compute tax on amount on line 1.

4. Amount on line 2 or alternative tax (under rates shown in Tax Rate Schedule I) multiplied by the number of days
in the taxable year prior to January 1, 1965, divided by the total number of days in the taxable year

5. Amount on line 3 or alternative tax (under rates shown in Tax Rate Schedule II) multiplied by the number of days:
in the taxable year after December 31, 1964, divided by the total number of days in the taxable year.

6. Income tax—Add lines 4 and 8. Enter here and on line 10, page 1

TAX RATE SCHEDULES FOR TRUSTS TAXABLE AT INDIVIDUAL RATES

SCHEDULE I.—APPLICABLE BEFORE JANUARY 1, 1965 SCHEDULE I.—APPLICABLE ON AND AFTER JANUARY 1, 1965
If the amount on line | above is: Enter on line 2: If the amount on line | above is: Enter on line 3:
Not over $500 ++ 16% of the amount on line 1. Not over $500.......:c.cccerevsee .. 4% of the amount on line 1.
Over $500 but not over $1,000 $80, plus 16.5% of excess over $500. Over $500 but not over $1,000.......... $70, plus 15% of excess over $500.

Over $1,000 but not over $1,500.
Over $1,500 but not over $2,000.
Over $2,000 but not over $4,000. .

$162.50, plus 17.5% of excess over $1,000. Over $1,000 but not over $1,500. ....
$250, plus 18% of excess over $1,500. Over $1,500 but not over $2,000.
$340, plus 20% of excess over $2,000. Over $2,000 but not over $4,000.

«+ $145, plus 16% of excess over $1,000.
.« $225, plus 17% of excess over $1,500.
« $310, plus 19% of excess over $2,000.

Over $4,000 but not over $6,000......... $740, plus 23.5% of excess over $4,000. Over $4,000 but not over $6,000......... $690, plus 22% of excess over $4,000.

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

$1,750, plus 30.5% of excess over $8,000. Over $8,000 but not over $10,000.

$1,210, plus 27% of excess over $6,000. Over $6,000 but not over $8,000. .. $1,130, plus 25% of excess over $6,000.

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

Over $26,000 but not over $32,000....... $9,600, plus 56% of excess over $26,000.
Over $32,000 but not over $38,000.
Over $38,000 but not over $44,000....... $16,470, plus 61% of excess over $38,000.
Over $44,000 but not over $50,000
Over $50,000 but not over $60,000

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

-. $2,360, plus 34% of excess over $10,000. Over $10,000 but not over $12,000. ...... $2,190, plus 32 % of excess over $10,000.
$3,040, plus 37.5% of excess over $12,000. Over $12,000 but not over $14,000. ...... $2,830, plus 36% of excess over $12,000.

$3,790, plus 41 % of excess over $14,000, Over $14,000 but not over $16,000....... $3,550, plus 39% of excess over $14,000.
$4,610, plus 44.5% of excess over $16,000, Over $16,000 but not over $18,000. ...... $4,330, plus 42% of excess over $16,000.
$5,500, plus 47.5% of excess over $18,000. Over $18,000 but not over $20,000....... $5,170, plus 45% of excess over $18,000.
$6,450, plus 50. 5% of excess over $20,000. Over $20,000 but not over $22,000. ...... $6,070, plus 48% of excess over $20,000,
$7,460, plus 53.5% of excess over $22,000. 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 -. $18,990, plus 60% of excess over $44,000.

$12,960, plus 58.5% of excess over $32,000.

«« $20,130, plus 63.5% of excess over $44,000.
$23,940, plus 667% of excess over $50,000.

Over $50,000 but not over $60,000. ...... $22,590, plus 62% of excess over $50,000.
Over $60,000 but not over $70,000. $30,540, plus 68.5% of excess over $60,000.
Over $70,000 but not over $80,000. $37,390, plus 71% of excess over $70,000. Over $60,000 but not over $70,000. ...... $28,790, plus 64% of excess over $60,000.
Over $80,000 but not over $90,000. $44,490, plus 73.5% of excess over $80,000. Over $70,000 but not over $80,000. ...... $35,190, plus 66% of excess over $70,000.
Over $90,000 but not over $100,000. .... $51,840, plus 75% of excess over $90,000. Over $80,000 but not over $90,000....... $41,790, plus 68% of excess over $80,000.
Over $100,000 but not over $200,000. .... $59,340, plus 76.5% of excess over $100,000. Over $90,000 but not over $100,000....... $48,590, plus 697% of excess over $90,000.
Over $200,000 .. $135,840, plus 77% of excess over $200,000. Over $100,000........... ++ $55,490, plus 70% of excess over $100,000.

YeUS. GOVERNMENT PRINTING OFFICE :1964—O-737-710


U.S. Treasury Department—Internal Revenue Service

rorm 990-T | EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN 1964

(Under Section 511 of the Internal Revenue Code)
FOR CALENDAR YEAR 1964

or other taxable year beginning 1964, and ending 19
PLEASE TYPE OR PRINT Employer identification number Gn case
of employees’ trust described in section
LEGAL NAME OF ORGANIZATION 401 (a) and exempt under section 501 (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 tetier and code section under which rou
‘are exem

TAX COMPUTATION (Fiscal Year Taxpayers See Page 4)
(Component members of controlled corporate group use Form 3920 to compute your tax)

ORGANIZATIONS TAXABLE AS CORPORATIONS. (See General Instruction A(1))
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 50 percent of line 31, page 2, Subtract $7,000. 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, or fiscal year tax computation from page 4)
4. Less: (a) Foreign tax credit, (attach Form 1118)

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

6. Tax from recomputing prior year investment credit (attach statement) |__|
1. 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 I, page 4).......00..0secceeeeeeeeeeceeeeseeeeeaeeeens a
9. If alternative tax computation is made in separate statement, enter such tax here...........00seeeeeeeeeees es a
10. Total income tax (line 8 or 9, whichever is lesser, or fiscal year tax computation from page 4)

11. Less: (a) Foreign tax credit. (attach Form 1116).
(b) Investment credit. (attach Form 3468) .

12. Balance of income tax
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)...

TOTAL INCOME TAX

15. Total income tax due (from line 7 or 14, whichever is applicable)... ..... 2.2... sees eee eee eee

SIGNATURE AND VERIFICATION
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



Form 990-T (1964) Page 2
UNRELATED BUSINESS TAXABLE INCOME COMPUTATION

Line and yo, 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 (from Schedule A)
3. Gross profit from sales
4. Gross receipts (where inventories are not an income-determin-
ing factor)

5. Less: Cost of operations (from Schedule B)............0.008
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)
(©) Gain from disposition of depreciable property under sections 1245 and 1250.

{attach statement)........ 26.0. .c cece sense eee eee

8. Income (or loss) from partnerships. (attach statement) .
9. Business lease rents (from 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 (from Schedule D)
12. Salaries and wages (not deducted elsewhere) .
13.
14. Repairs (do not include cost of improvements or capital expenditures)
15. Bad debts (from Schedule E if reserve method is used)...
16. Interest ................
11. Taxes. (attach schedule)
18. Contributions or gifts paid. (attach schedule—see instructions for limitation]
19. Losses by fire, storm, shipwreck, or other casualty, or theft, (attach schedule).
20. Depreciation (from Schedule G) :
21. Amortization. (attach schedule) .
22. Depletion. (attach schedule)...
23. Advertising........ 0.6. .c cee eee ee eee ee eens
24. Amount contributed under: (a) A pension, profit-sharing, stock bonus, annuity plan
(b) Other employee benefit plans.
25. Other deductions. (attach schedule) .
26. Total deductions in lines 11 to 25, inclusive.
21. 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

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, Inventory at beginning of year
2. Merchandise bought for manufacture or sale.
3. Salaries and wages

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

4. Other costs per books, (attach schedule) . (b) -
5. C) .
6. Less: Inventory at end of year. @. -

1. Cost of goods sold (enter here and on line 2, ©).
page 3) _ 3. Total (enter here and on line 5, page 2)...



Form 990-T (1964) 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 cextiatn in Sehedute 6)

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-
6. Amountof Unpaid Indebtedness | Property attach Statement) | “Col. Is0f Cal.7| (Column 2 x Columns) | Columns 3, 4, and 5 x Column 8) | cludible (Column'9 fess Column 10)

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

Schedule D.—COMPENSATION OF OFFICERS

1h Percentage of Organiza-
to |_tion’s Stock Owned 6. Amount of 7. Expense Account
Compensation Wlowances

3
1, Name and Address of Officer 2. Official Title oe
usiness /1 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 4, Gross Amount Added 5, Amount Charged 6, Reserve for Bad Debts
Year Receivable Outstanding 3. Sales on Account to Reserve ‘Against Reserve at End of Year
ind of Year
1961
1962

1963....
1964....

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. Gost or other basis | 3. Asset additions

1, Group and guideine cass at begining of year | “ia year amount) 4, Aesat catrorey®

in year (amount)
cable only fo
Proc. 62-2

5, Depreciation
allowed or allowable
in prior years

6. Method | 7. Classi

computing | Rate (%
depreciation] or life

8, Depreciation for
this year

Description of property Cast or other Date acquired *) Gppli

1

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

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

4. Balance—Enter here and on line 20, page 2..
5. Cost or other basis of fully depreciated assets still in use