‘ caine ne ice aillaiial oS at ci RARER SNARE SS ERLE SL RAGA MLA ATS FAERIE RT 4 Schedule C (Form 540) (Rev. 1974) SCHEDULE C-2. Explanation of Lines 7 and 9 Amount ’ SCHEDULE C-3. DEPRECIATION (See Schedule C Instructions for line 6). NOTE: Depreciation may be computed by using the Asset Guideline Classes specified in Federal Revenue Procedure 72-10, regardless of when assets were: placed in service. If this method is used, do NOT use the Lower Limit or the Upper Limit (ADR) Ranges. Attach detailed statement of depreciation computation. eclation . Met f : 1 Total additional first-year depreciation (do not include in items below) . 2 Asset Guideline Class System (See Note above) 3 Other depreciation Buildings . Furniture and fixtures . Transportation equipment . Machinery and other equipment . _ Other (specify) _ 5 Less: Amount of depreciation claimed “elsewhere in n Schedule Cc-1 6 Balance—Enter here and on page 1}, line 6 . SCHEDULE C-4. Expense Account Information (See Schedule C Instructions for Schedule C-4) Enter information with regard to yourself and your five ' highest paid employees. In determining the five highest paid employees, expense account allowances must be _ added to their salaries and wages. However, the infor- mation need not be submitted for any employee for ‘ whom the combined amount is less than $10,000, or for yourself if your expense account allowance plus tine 21, page 1 is less than $10,000. Did you claim a deduction for expenses connected with: _(1) Entertainment cility (boat, resort, ranch, ete)? . (3) Employees’ families at conventions or meetings? - wee [] Yes No ae {] Yes © No (2) Living accommodations (except employees on business)? = ~— (4) Employee or family vacations not reported on Form W. 27° (1 Yes in No Bs ° Ta22eeoss Page 70
NW 55923 .Docld:32245535 Page 71 SCHEDULE CAPITAL GAINS AND LOSSES Attach to Form 540 or 540NR FORM S40 Use this schedule to report gains and losses on stocks, bonds and similar investments, and gains (but not losses) on personal assets such as a home or jewelry. Name as shown on Form 540-pr SAONR 4 : . a - Soclal Security Number tar A PHYLLIS UF ee JFK Act 6 (3) PART I—Assets Held One Year or Less ae —_ 7 : D. e. Cost or other basis as adjusted, cost of subse- 7 d. Gross sates quent improvements (if f. Gain or loss © price ‘not purchased, attach . 7 | Ud. fesse.) . explanation) and = ex- coe : pense of sale : ct. Date sold (mo., day, yr.) b. Date acquired (mo., day, yr.) a. Kind of property and description (Example, 100 shares of ‘‘2" Co.) TeeCH TEETH IN DEEL] _ JOUCHIEFTA) ye | Pe 2. Enter . gain tor loss), ‘if “Gpplicable, “from ‘line 18, ‘Schedule D- 1 (540) (attach copy) . 3. Enter your share of net gain or loss from partnerships and fiduciaries . 4. Net gain or loss, combine lines 1, 20nd3 . 2. 2. 2 - - ee ee es ee ok, -f 2¥3°3 | PART ll—Assets Held More Than One Year But Not More Than Five Years . iM YE ROO EE uy case [toe 5 7. Enter your share of net gain or loss from partnerships and fiduciaries . 8. Net gain or loss, combine lines 5, 6 and 7 10. Enter gain (or loss), if applicable, from line 22, Schedule D-1 (540) (attach copy) . 11. Enter your share of net gain or loss from partnerships and fiduciaries . Lo 12. Net gain or loss, combine lines 9, 10 and 11 PART 1V—Summary of Capital Gains and Losses 13. Enter amount from line 42 6 1 6 eee 4 2 7.) 14. Enter 65% of the amount on line 8 . 1... ee ee ee ADE po Y an - wee - 15, Enter 50% of the amount on line 12... Lo ae om. pe - 16. Enter unused capital loss carryover from preceding taxable years (attach compotion wi 39 ae ‘ 17, Combine the amounts shown on lines 13, 14, 15 and 16 3... er er 203260 . 18, If line 17 shows a gain, enter here and on page 2, Part Il of Form 540. or '540NR rs i . 19. If line 17 shows a loss, enter here and on page 2, ‘Part MW of Form 540, or 540NR the smallest of: en ae ; (a) amount on lines 17; : . (b) the taxable income for the taxable year (computed: without: regard to gains or esses from sale or exchange of capital assets; or oo (c) $1,000 ($500 in the case of a husband or wife filing a separate return). Do ae, a es . {xD aN
ei Accreo uate UE EASE eRe ata ERS BN ar OA APR ES ORY A FE EB aon aren RE ON NAME ces Kuay CALENDAR “YEAR 19 JFK Act 6 a: rn vw. OE. . ., ADDRESS DEDUCTION SCHEDULE a MEDICAL STATE f FEDERAL CONTRIBUTIGNS ; STATE FEDERAL 2 o> ASUALTY OR THEFT LOSS(ES): 25 LOSS BEFORE ADJUSTMENT | 6 INSURANCE REIMBURSEMENT 7 Difference (not less than zero) B ($100 LIMITATION PER CAS.) | 9 TOT. CAS. OR THEFT LOSS MISCELLANEOUS DEDUCTIONS 0 ALIMONY 1 UNION/PROFESSIONAL DUES 2 CHILD & DEP. CARE (Form 2441) PROSTHETIC. APPLIANCES -HEARING AID ~ NO 6¢ AMBULANCE LABORATORIES TRAVEL FOR MED. | () U7 vw Ro] Ro Ziep\cINg/ORUGS Cy [Pateastvensi sna Jd | BLESS 1% AGI. (Line 18-1040) | | ———s| ss Girt/poy scouts 2 ee ee 4 NET MED/DRUGS fe gy t— HEARTFUND/CANCERFUN® | | of GH & A INS. (% + EXCESS) -——_ SOF af MON Le yb te Ba DR. \ | —-—+—+—_——}-} "XMAS & EASTER SEALS Ee rn Aa | MSE ORGANIZED CHARITIES i ae DR. {| bm gpgat POLITICAL CONTRIBUTIONS/ | Pf. of. > a a OR. fi pf J tt OR. ae Pt ee ee ee DR. ) em ES J p22 otHER THaNcasH fT |. dE 23 caRRY OVER FROM PRIOR YRS FP 6b HOSPITAL P24 TOTAL CONTRIBUTIONS > ( | (50 | Pt pt pt po a | PO] | w MEDICARE INS. GLASSES 7 MEDICAL EXPENSES LESS REIMBURSED BY INS. 8 LESS 3% ADJ. GROSS INC. ow 3 INCOME TAX PREPARATION UNIFORMS/PROTEC. CLOTHING w a 9 2 &| | sMALL TOOLS AND SUPPLIES j 1 +:% (TO $150) OF H&A INS. | fF Ol] | Launory AND CLEANING _ - : Auto Use___ Mi INVEST, COUNSEL & PUBS.(Sched 10 TOTAL MEDICAL DED. TAXES 11STATE & LOCAL INCOME _ 12 REAL ESTATE ‘ 13 STATE & LOCAL GASOLINE 14 GENERAL SALES TAX 15a PERSONAL PROPERTY 15b PERSONAL PROPERTY AUTO 16STATE DIS.INS.H W SALES TAX AUTO = A EMPLOYMENT AGENCY FEES SAFE DEPOSIT BOX TEL. REQ. IN BUSINESS a SRREREEREEREEEE 34 TOTAL MISC. DED ee SUMMARY OF ITEMIZED DED. STATE FEDERAL 35 TOT. DEDUCTIBLE MEDICAL & DENTAL EXPENSES (FROM LINE 40) 36 TOTAL TAXES (From LINE 17} 37 TOTAL INTEREST (Line 20) | 38 TOTAL CONTR. (Line 24) 139 CAS. & THEFT LOSS(ES) (Line29) OAT | DEDUCTIONS (FROM LINE 34) 17 TOTAL TAXES INTEREST (TO WHOM PAIB) 18 MORTGAGE a ~ +) i i “19 INSTALLMENT LOANS obs PCC STINE 4 TOTAL ITEMIZED DEDUCTION ENTER ON FORM 1040 LINE 45 REMARKS wr HA TELE STE TT REITE Pt PEEP ELL 20 TOTAL INTEREST pl 29924 | MW RE BEGSEON Moetial GEASS LoPaapeles? Zalif. Form 10 ; _ J j a x F
Reference copy, JFK Collection: HSCA (RG 233) f Elf CALENDAR YEAR 19 i = RENO Se ee | : SOC. SEC. NO. D ULE MEDICAL P stare | Feoerat _ |CONTRIBUTIONS 2MEDICINE/DRUGS ee 3 LESS 1% A.G.1. (Line 18 - 1040). | | 2 \] V ib PARTNERSHIP SHARE 4 NET MED/ORUGS GIRL/BOY SCOUTS 5H & AINS. (% + EXCESS) fon DR. STATE FEDERAL - XMAS & EASTER SEALS SVSUSMRUBMMAS STE Oh 6b HOSPITAL _ PROSTHETIC APPLIANCES HEARING AID CASUALTY OR THEFT (LOSS(ES) _b¢ AMBULANCE LABORATORIES "TRAVEL FORMED. | OTT » MISCELLANEOUS DEDUCTIONS SO ALIMONY MEDICARE INS. GLASSES oe . 7 MEDICAL EXPENSES ; LESS REIMBURSED BY INS. _B LESS 3% ADJ. GROSS INC. 9 — 1+:%(TO $150) OFH&AINS 10 TOTAL MEDICAL DED. TAXES 11 STATE & LOCAL INCOME 1ZREALESTATE T3STATE & LOCAL GASOLINE 14 GENERAL SALES TAX 15a PERSONALPROPERTY 1Sb PERSONAL PROPERTY AUTO _ 16 saLEsS TAX AUTO 31 UNION/PROFESSIONAL DUES TZ2-F |_| 32.cuir0 & per. CARE (Form 2441) | [33 1NCOME TAX PREPARATION | | __ LAUNDRY AND CLEANING AUTO USE/VAMAGE TEL. REQ. IN BUSINESS POLITICAL CONTRIBUTIONS | |SUMMARY OF ITEMIZEO DED. STATE FEDERAL INTEREST (TO WHOM PAID) ; 36 TOTAL TAXES (From LINE 17) 18 MORTGAGE 37 TOTAL INTEREST (Line 20) 38 TOTAL CONTR. (Line 24) 39 CAS. & THEFT LOSS(ES) (Line29) ae AQ TOTAL MISCELLANEOUS Po OEDUC TIONS (FROM LINE 34) Ay Tort TTEMIZED DEDUCTIONS ENTER ON FORM 1040 LINE 45 REMARKS ne le FY 20 TOTAL INTEREST _ db] 2434 Professional Stationers, ire ; . RS] aS Form Val SCHEDULE MW 55923 DBocid: 232245535 Page 152 - ; |
~ NAME ADDRESS __ Reference copy, JFK Collection: HSCA (RG 233) the 19 FISCAL YEAR ENDING CALENDAR YEAR 19 t t ! SCHEDULE OF PROFIT ¢ OR LOSS J) FROM BUSINESS OR PROFESSION PRiNCERSL BUSINESS ACTIVITY BUSINESS NAME BUSINESS ADDRESS TOTAL RECEIPTS nr te INVENTORY AT BEGINNING OF YEAR a MERCHANDISE PURCHASED TOTAL tNVENTORY AT END OF YEAR LeSS GROSS PROFIT a OS i EMPLOYERS NO. LYE 92Y ca a A LS AS, NOD INCOME 5S DEDUC TIONS OTHER BUSINES ADVERTISING atetar SNP TRUCK &XPENSE ce A Rao. be BIS COMM SS FONS ee Ott JIVEer ULL} OF pec IAT TON ( SCHEDULE DUES AND SUSCRIPTIONS ean —= ENTERTAINMENT ANG PROMOTIONAL | INSURANCE INTERES! PANTTOR ANU HAUL ue GAL. AND ACGUUNT ING OMrECE SUPPLIES ANU ret nst RENT REPAIRS AND MAINTIONANCE a SALARIES AND WAGES SUPPLIES TAXES AND LICENSES TAXES PAYROLL TELEPHONE AND UTILITIES~ a _ NEY PROFIT itoss } DERAL NE 1 PROFIT {Loss ) KIND AND LOCATION OF PROPERTY Queen . RETU SCHEDULE OF DEPRECIATION YEARS | GOST OR METH. | OR % OTHER BASIS AS 7 Yk | 10928... . | acguiRco ie ouct R R [bEPRECTATION THIS YEAR PRIOR DEPREC. ~ te. 0 Wikia baby ae aS <5 7 = ee PROFESSIONAL STATIONERS INC FORM 104A LOS ANGELES, CALIF. S5923 Docid: 32245535 Page i184 SCHEDULE
Nw 555 wuca, Jept of freasury ~ ~ . avs S Brie Daye ee a VaneeTSLb, Suben See i 1) Name: Cobo Cleaners “3 Total Number of Partners or Shareholders: 4 Total Number of Qualified Partners or Shareholders from Part I!—enter here and on C-8000, line 60a... | 4 | paar ai| QUALIFIED PARTNERS OR SHAREHOLDERS ‘Inc. SOCIAL ee ee i ariners or nstructions on reverse side ‘A NAME AND ADDRESS |B . SECURITY NO. : : 3) Earl Ruby _ 380 Stoney River; | | - iaNinr dv} NON-QUALIFIED PARTNERS OR SHAREHOLDERS. If more space is neede i Q Oo | | af * a Birm. routes @Y TOTALS (Part Ul and Part Ill) 23—4Doocld: 32245535 Page 225 | i Cc % E % Time} _SALARY 10m | 144,600 | 0 | 106 | 00 | 00 ; 3 | 00} .% | 00 {| 004 th 100} 9 | 00 | 00 | f | 00 “L004 th 00] 4 | 00 00 }00) 4 | 00 00 | th oO; «2 00 00 7 D SHAREHOLDER'S ase Pee | Qaim Ag aater S Corp., Professional Corp. 2 Account Number: ~T bona 38-1806433 PARTNER'S oF SHAREHOLDER'S d submit separate schedule and enter totals on line 7. » a | Ae | , . — Poa) 00 00 Q So 3a (am) oa Q Qo 00 Qa mar dag” JFK Collection: #8SCA (RG 233) Reference copy,
mete, Sept. oe sreasury ~ . ~ wee ene won eal ORV AY) eed | eer arets Subchagter e Ca; Punta ional c eed OLiherSiip, OULCHARET SO UGTD., e7Oressicial VOT. See instructions on reverse side | 1 Name: - 2 Account Number: . | Cobo Cleaners, inc. 38-1806433 Cuan. | SUNIMIARY | | | | | 3 Total Number of Partners or Shareholders... Lecce ence ete eter eens ee - | 4 Total Number of Qualified Partners or Shareholders from Part {l—enter here and on C-8000, line 60a__. | 4 | aya i! QUALIFIED PARTNERS OR SHAREHOLDERS A NAME AND ADDRESS B SOCIAL C % |DSHAREHOLDER’S |E % PARTNER'S or SHAREHOLDER’S SECURITY NO. Time; SALARY __| Own. | F Share of Bus. Inc. | G Share of SBT Paid : ae Earl Ruby 380 Stoney River; Birm.| QE, 100 | 144,600 | 00 | 00 | 00: % 0! /00) | 00 rE o| __j00 | oof. fh | | 2 | 00 00) % 00 | | | % 00 th 00 % 00 & . 00 % 00 | . 1 " palit ie) NON-QUALIFIED PARTNERS OR SHAREHOLDERS. If more space is needed submit separate schedule and enter totals on line 7. I | : ' ww 58053) DOIRHS 3 SBarb aad Pat JU) o06 ir] ee t mom erm it JFK Collection: HSCA (KG 233) Reference copy,
roar t : COL ay Soe as SUMSUUEE Ff om LAARE MUL CERS SHANE © eae ‘ (lf additional space is needed, attach schedule) (1) Name and Address of Each Shareholder (4) (5) Amount taxable as ordinary Distributive income from income {schedule KK, total page 1, line 5, or page 2, of lines 4 and 8 US. . schedule B, line 6 1120-S) fal$ Ff $49,6 169.69 (b) G34. 45 4165.09 (c) (d) ie) (2) Social Security Number (6) Amount to be used by shara- holder on MI-7040 (enter on page 2, schedule 1, line 37 or on page 2, schedule 2, line 46} difference between column 4 and column 5 (see instructions) GaN eet AN Ii (3) Numoai oF ' Snares (7) Enter here anc ‘on form Mi-1040, pace 1, line 25 each snarehoicer’s aro- poritionate share of per- sonai property taxes paid on inventories or the credit for franchise fees paid, (see instructions) (j) NW 35923 Doold:32245535 Page 242 ms te Fe need