Form 990-T (1984)

Page 4

SCHEDULE H—EXPLOITED EXEMPT ACTIVITY INCOME, OTHER THAN ADVERTISING INCOME

(See Instructions for Part I, line 10)

3. Expenses
2. Gross
1. Description of unrelated business deci eanrectea
exploited activity income from or

trade orbusiness | pUcinass income

trade or business attributable to
ofunrelated | (Column 2 minus | ,s net unrelated

4.Netincome ;
ffamunrabtes | 2,6tseieome | 6, Expenses

column 5
columin'3) | business income

7. Excess exempt i
expenses (Column | 8. Netincome
6 minus column 5, |includible (Colum

n

but not more than |4 minus column 7)

column 4)

Total (enter here and on line 10, Part |, page2) .. . .

SCHEDULE [—ADVERTISING INCOME AND ADVERTISING LOSS (See Instructions for Part I, line 11)

Income from periodicals reported on consolidated basis

4, Advertising gain or
loss (col. 2 minus col.
3). Ifloss, enter in col.

7. col 5 exceeds col. 6,
enter in col. A, Part Ill, the
gain shown in cal. 4. Ico,

2. Gross 3. Direct B, Part Ill. Do not 5. Circulation 6. Readership
1. Name of periodical advertising advertising complete cols. 5, 6 income costs cara ol subtract
income costs and 7. If gain, plus col. 2. Enter gain in col.
complete cols. 5,6 A, Part Ill
and7. .
Ms
Totals........
iclaaig Income from periodicals reported on a separate basis

ing Income

| Part 111 Column A—Adver

Column B—Advertising Loss

(b) Enter total amount from

(a) Enter “consolidated periodical” or | coidmn 4 or7, Part and amounts

names of non-consolidated periodicals listed in cols. 4 and 7, Parti

(a) Enter “consolidated periodical” or
names of non-consolidated periodicals

(b) Enter total amount from column
4, Part |, and amounts listed in
column 4, Part I

Enter total here and on line 11,
Partl,page2...........

Enter total here and on line 28,
Partll,page2...........-

SCHEDULE J—-COMPENSATION OF OFFICERS, DIRECTORS, AND TRUSTEES

t Home 2-Tite vinedertesto | Congenital
business
&
%
&
%
&
&

Total (enter here and on line 14, Part II, page 2) . «



Exempt Organization Business Income Tax Return _|_0TM8No. 1545-0687 _
om 990-T

(Under Section 511 of the Internal Revenue Code) For calendar year 1984 or other tax year 4 9 8 4

Department of the Treasury 1984, and ending

Internal Revenue Service beginning. ........ settee

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

‘Address (number andstreet)

B_ Enter unrelated business activity

City or town, State, and ZIP code codes from page 10 of instructions
C Check boxifaddresschanged. . . . . B® | D Exemptundersection . . . . . . Ph 501 ( ») ¢ )
E Check applicable box . . ® [J Corporation [I Trust [J 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.

E | 1 Unrelated trade or business gross income (state sources 1
2 2 Deductions (complete Parts | and II instead of lines 1, 2, 3 and 4 if you have gross income over $10, 000) . 2
2 3 Unrelated business taxable income before specific deduction (subtract line 2fromlinel1) . . . 3
¢ 4 Specific deduction (see instructions) 4
e 5 Unrelated business taxable income (subtract line 4 from line 3 or enter amount from line 33, page 2) 5
c Organizations Taxable as Corporations (See Instructions for Tax Computation)
3 6 (a) Check if you are a member of a controlled group (see sections 1561 and1563) . . . . .O
s (b) If checked, see instructions and enter your share of the $25,000 in each taxable income bracket:
= (i) $
E 7 Income taxon amount on line 5, above. Check here ® (1 if alternative tax from Schedule D (Form
S 1120)isused. . . . 7
& Trusts Taxable at Trust Rates (See Instructions for Tax Computation)
8 Enter the tax from the tax rate schedule in the instructions onthe amountonline5 . . . . . . | 8
9 (a) Foreign tax credit (corporations attach Form 1118, trusts attach Form 1116) . |9(@)
(b) Other credits (see instructions) . . eae 1.)
(€) General business credit — Check if from 9c)
Form 3800 [_] Form3468 [_] Forms884 — L] Form6478
10 Total (add lines 9(a) through 9(c)) 2 we 10
11 Subtract line 10 from line 7 orline8 . . . rere 22
12 Tax from recomputing prior year investment credit (attach Form 4255) we ee ee. [2
% | 13 Minimum tax on tax preference items (Corporations only- see instructions)... ...... 13
5 14 Alternative minimum tax (Trusts only-see instructions) . . . 6 . 6 1 ee ee ee 14
£
8 | 15 Total tax (add lines 11 through 14 15
g ghl4).
= 16 Credits and payments:
s (a) Tax deposited with Form 7004 orForm2758 . . . . , £6)
e (b) Foreign corporations—Tax paid or withheld at the source (see instructions). . 16(b)
(c) Credit from regulated investment companies (attach Form 2439). . 6(c
(d) Credit for Federal taxon gasoline and special fuels (attach Form 4136) 2-6(4
(e) Other credits and payments (see instructions) . . . . . . P6E)
(f) Total credits and payments (add lines 16(a) through 16(e)) -: 16(f)
17 TAX DUE (subtract line 16(f) from line 15). See instructions for depositary method of payment . ~< 17
18 OVERPAYMENT (subtract line 15 from line 16(f)) . . . |. -.. . .P» 118
Under penalties of perry, | declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and
Please belief, itis true, correct, and complete. Declaration of preparer (other than taxpayer) 1s based on all information of which preparer has any knowledge.
Sign
Here D snare of officer Date » Title
Paid brenarers Date salen a Preparer's social security no.
Preparer’s 7 Ployed Pr
Use Only Fours felt Gorployed) El. No. >
and address ZIP code

For Paperwork Reduction Act Notice, see page 1 of instructions. Form 990-T (1984)


Form 990-T (1984)

Page 2

GEE] Unrelated Trade or Business Income

1 (a) Gross receipts or sales 'b) Less returns and allowances _ Balance > |1(c)
2 Cost of goods sold and/or operations (Schedule A) . 2
3 Gross profit (subtract line 2 from line 1(c)) . . re 3
4 (a) Capital gain net income (attach separate Schedule D) (see instructions). tee eee ee . 4)
(b) Net gain or (loss) from Part Il, Form 4797 (attached) 4(b)
(c) Capital loss deduction for trusts woe eee 4(c)
5 Income or (loss) from partnerships (attach statement) Ce ee ee ee LS
6 Rent income (ScheduleC) . . . Loe 6
7 Unrelated debt-financed income (Schedule | E, line 2) woes oe 7
8 Investment income of a section 501(c)(7) or (9) organization (Schedule F) woe ee 8
9 Interest, annuities, royalties, and rents from controlled organizations (Schedule G) . 9
10 Exploited exempt activity income (Schedule H) . _ 10
11 Advertising income (Schedule |, PartIll,ColumnA) . . . 2. 11
12 Other income (see instructions for line 12—attach schedule) 12
13 TOTAL—Unrelated trade or business income (add lines 3through12) . . . . . . - - +. - | 13
Deductions Not Taken Elsewhere
(Except for contributions, deductions must be directly connected with the unrelated business income.)
14 Compensation of officers, directors, and trustees (Schedule J) . 14
15 Salariesandwages . . 1 we ee ee ee 15
16 Repairs (see instructions) ©. 1. 6 eee ee 16
17 Bad debts (see instructions)... 2. ee 17
18 Interest (attach schedule). 2 2 2. ee 18
19 Taxes . . Loe 19
20 Contributions (see instructions) ee ee 20
21 Depreciation (attach Form 4562) Lat
22 Less depreciation claimed in Schedule A and elsewhere on ‘return . 22@) [22(b)
23 Depletion. . . . vee Ce ee ee £28
24 (a) Contributions to deferred compensation plans (see instructions) So ee ee ee RAG
(b) Employee benefit programs (see instructions) . i24(b
25 Other deductions (attach schedule) . 25
26 TOTAL DEDUCTIONS (add lines 14 through 25) . . 26
27 Unrelated business taxable income before allowable advertising loss (subtract line 26 from line 13) . 27
28 Advertising loss (Schedule |, Part Ill, ColumnB) . . 28
29 Unrelated business taxable income before net operating loss ‘deduction Gubtract line 28 from line 27) . 29
30 Net operating loss deduction (see instructions). . . . . « soe 30
31 Unrelated business taxable income before specific deduction (subtract line 30 from line 29) 31
32 Specific deduction (see instructions for line 4 of page 1). . . [32
33 Unrelated business taxable income (subtract line 32 from line 31). ‘Enter ‘here and on | page 1 line 5. ~. | 33
SCHEDULE A—COST OF GOODS SOLD AND/OR OPERATIONS
(See Instructions for Part I, line 2)
Method of inventory valuation (specify) >
1 Inventory at beginning of year . 1
2Purchases. 2 2. 2
3 Costoflabor. . . a 3
4 Other costs (attach schedule) ee 4
5 TOTAL—Add lines 1 through 4 . 5
6 Inventory atendofyear . . 6
7 Cost of goods sold and/or operations. Subtract line 6 from line 5. (Enter here and online 2, Part.) 7

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 page 9 of the instructions for exceptions and filing requirements for TD F90-22.1)? . . . 2. 1 e
If “Yes,” write in the name of the foreign country
2 Were you the grantor of, or transferor to, a foreign trust which existed during

ie current tax year, w!

i
If "Yes,"’ you may have to file Forms 3520, 3520-A, or 926.

The books are in care of Telephone number >



Form 990-T (1984)

Page 3

SCHEDULE C—RENT INCOME FROM REAL PROPERTY AND PERSONAL PROPERTY LEASED WITH REAL PROPERTY

(See Instructions for Part I, line 6)

1. Description of property

2. Rent received
or accrued

3. Percentage of rent
for personal property

RIKR/KK

4. Complete for any item if the entry in column 3 1s more than 50%, or
if the rent is based on profit or income

5. Complete for any item if

the entry in column 3 is more than 10% but not more than 50%

(a) Deductions directly con- (b) Income includible
nected (Attach schedule) (Column 2 minus column 4(a))

(2) Gross income reportable
(Column 2x column 3)

(b) Deductions directly connected with
personal property (Attach schedule)

(©) Income includible (Column
5(a) minus column 5(b))

Add columns 4(b) and 5(c) and enter total here and

on line 6, Part I, page 2

SCHEDULE E—UNRELATED DEBT-FINANCED INCOME (See Instruction:

s for Part I, line 7)

1, Description of debt-financed property

2. Gross income from
‘or allocable to debt-
financed property

3. Deductions directly conn

rected with or allocable

to debt-financed property

(@) Straight-line depreciation
(Attach schedule)

(b) Other deductions
(Attach schedule)

4. Amount of average 5. Average adjusted basis | 6. Pe
acquisition indebtedness on of orallocable to which col.
orallocable todebt-financed |  debt-financed property 4isof

property (Attach schedule) (Attach schedule) col. 5

7. Gross income
reportable (Column
‘2xcolumn 6)

8. Allocable deductions
(Column 6 x total of columns
3(a) and 3(b))

‘9. Net income or (loss)
includible (Column 7 minus
column 8)

RRR

2 Total (enter here and online 7, Part|, page 2) .
3. Total dividends-received deductions included in column 8

SCHEDULE F—INVESTMENT INCOME OF AS

(See Instructions for Part I, line 8)

ECTION 501(c)(7) OR (9) ORGANIZATION

3. Deductions

4. Net investment

asi 6. Balance of investment
1. Description 2. Amount directly connected income (Column 2 (anaes oy income (Colum ‘minus
(Attach schedule) minus column 3) column 5)
Total (enter here and on line 8, Part |, page 2)

SCHEDULE G—INCOME (ANNUITIES, INTEREST,
(See Instructions for Part I, line 9)

RENTS AND ROYALTIES) FROM CONTROLLED ORGANIZATIONS

3. Deductions of con-

4, Exempt controlled organizations

2. Gross income trolling organization (b) Taxable income com- (©)
1, Name and address of controlled organization(s) from controlled directly connected with (a) Unrelated buted as though not ex- | Percentage
organization(s) column 2 income (Attach business taxable mpt under sec. 20a). which col
schedule) income orthe amount in co (a)isof col.
whichever is more (b)
%
%
%

5. Nonexempt controlled organizations

6. Gross income reportable

7. Allowable deductions

ecasinave | Gactmedenmes [emeias| COumngsceumss© | Caumgrcauny | dim rimiscaor’
whichever is more is of col. (b)
%|
%|
%|

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