Document MM2mj1jBaE0rO6ab6ezL4xxwL

+ 4 r S' 1312a U.S. Treasury Department Internal Revenue Service Check 1C this is a-- A. Sole proprietorship or partnership electing under sec. 136) to be taxed as a corporation. B. Coneolidaled return. G. Personal Holding Co. D. Business Code Ho. (see Instructions) - . U.S. CORPORATION jfjCO TAX RETURN--1883; of other taxable year beginning ..Lnr.f./. /.... 1963. ending ........19.-L . (PLEASE TYPE OR PRINT) Name SMITH * /, /<AllZL PC Co/PPo f/i 7a , >/_ . Employer Identification No. j;_ ju9.(o ?9 Number and street *. Past uusetr AVf/toz F. County In which located/ 'll Plull City or town and Stale ' Postal ZIP code G. Enter tolalasseU from line 13 Sch. L (see Instruction R). ' //A'"Dt N 'fJewJXS'~\> s .77 ^ /, l/L "" IMPORTANT--All gpplicobla linas and schedules must be filled in. ii the lines on the schedule./ore not sufficient, see instruction Q. ' 1. Gross receipts or gross sales__ :..............*................... Less: Returns and allowances__ H 2. Less: Cost of goods sold (Schedule A) and/or operations (attach schedule)...................... jSJ.?..2..Q.y.SLC:. 9- 7o 4-^7 3. Gross profit................................... .......................................................................................... 4. Dividends (Schedule C)........................ ............................... ..................................... ........... 5. Interest on obligations of the United States and U.S. instrumentalities............................... ..........'7} .............. /*. ............... 6r Other interest......................................................................................................................... W If} 7. Rents . :.......... ...................... '.......................................... -j o ...... ...................... ...............1 o 9. Net gains (losses) (from separate Schedule D)......... % ................................................ 10. Other income (attach schedule).... ^) .. A 1,7. 7/ S-fl '.U.O.i. .-1"................................, 11. __'TOTAL Income, lines 3 to 10, inclusive... ............................. .............................. 12. Compensation of officers (Schedule E)................................... ............... 7'.foT.T :i nSn2MJZJST1Pf n 7.(' ho 13. Salaries and wages (not deducted elsewhere)...................... ................. 14. Repairs (do not Include cost of Improvements or capital expenditures). 15. Bad debts (from Schedule F if reserve method is used)........................ 16. Rents................ -- ............................ ..................................................... 17. Taxes (attach schedule)...................... ................................................... .18. Interest.............................................. ....................................................... w 19. Contributions or gifts paid (attach schedule--see instructions for limitation)... ..H 20 Losses by fire, storm, shipwreck, or other casualty, or theft (attach schedule).. 21 Amortization (attach schedule)........ .................................................................. O 22. Depreciation (Schedule G)....................... ...:................................................... & 23. Depletion (attach schedule).......................... ....................................................... o w 24. Advertising................................................ .................................................... .. a 25. (a) Pension, profit-sharing, stock bonus, annuity plans (see instructions)........ (b) Other employee benefit plans (see Instructions)......................................... Other deductions (attach schedule).................................................................... TOTAL deductions in lines 12 to 26, Inclusive................... ................... Taxable Income before net operating loss deduction and special deductions (line 11 less line 27). Less: (a) Net operating loss deduction (see Instructions--attach schedule).... o. .... zjjizi:? 3x11107 "T$Twn'~yy- rri.c /.'<3~7T7 4.q.Q$:u---M (b) Special deductions (Schedule I)....................................................... Taxable Income (line 28 less line 29)........... .................... ................................ .31 TOTAL Income tax (from line LO, Tax Computation Schedule, page 3).. .32 Credits: (a) Tax paid with Form.7004 application for extension (attach copy). . Jnn \ // ' , (b) Payments and credits on 1963 Declaration of Estimated Tax......... .K! (c) Credit from regulated Investment companies (attach Form 2439) . 33 If tax (line 31) Is larger thhn credits (line 32), the balance is TAX DUE. Enter balance here .34 II tax (line 31) is less than credits (line 32)............................ Enter the OVERPAYMENT here .35 Enter amount of line 34 you want: Credited on 1964 estimated tax............................................. Refunded Lu. t.u -V 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. . DANA-062 form 1120 Q963) Pago 2 Schedule A.--COST OF GOODS SOLD. (See Instruction 2) 1. Was inventory valued at--Cost ; lower of cost or market Q; (Whore InveMorte* are an Income-determining (actor) .LIFO ; other Q? If other, attach explanation. . ' - 2. Have write-downs been made to inventory? Yes No Q. If 1. Inventory at beginning of year................... .B.Mli1AUqXj2. Merchandise bought for manufacture or sale. ''Yes," were the write-downs computed on the basis of: (a) O Percentage reductions from parts of the inventory (b) Percentage reductions from the total inventory '. 3. Salaries and wages...................... . iq.Hu.AkQ 4. Other costs per books (attach schedule)....... (c) O Valuation of individual items. If "a" or "b" is checked, enter the percentage, of write downs.............%. For "a," '`b," or "c" enter the dollar amount of write-downs $.......................... (If not available, 5. Total I'ySll-ZjJU. estimate and indicate that the figure is an estimate.) 3. Was the inventory verified by physical count during the year? 6. Less: Inventory at end of year...................... Yes No . If "No," attach explanation'of how the closing in O 0 ventory was determined. 4. Was there any substantial change in the manner of determining 7. Cost of goods Bold (enter here and on line 2, page 1)................................................................ quantities, costs or valuations between the opening and closing in ventories? Yes No If'"Yes," attach explanation. ' , NOTE: If a direct answer connot be given to o question, oltach explanation.__________ Schedule C.--INCOME FROM DIVIDENDS 1. Neme of declaring corporation 2, Domestic corporations taxable under chapter 1, Internal Revenue Code 3. Certain preferred stock of public ulilltfes taxable under chapter 1, Internal Revenue Code 4. Foreign corporations S. Other corporations Totals.................................................. ........................ Total of columns 2, 3, 4, and 5................................................................................................................... .................................................... . Add amount includable by shareholder of controlled foreign corporation (attach Form 3646)............. .................. ................................ Total (enter here and on line 4, page 1).;..................................... >........................................................................................ ..................... ' ' Schedule D.--Separate Schedule D (Form 1120) should be used in reporting sales or exchanges of property. (See Instruction 9) Schedule E.--COMPENSATION OF OFFICERS. (See page 5 of Instructions) iuf) A yj~ 1. Name and address of officer ' . 7) r> - /V -ri . 2. Official title 3. Time de Percent of corporation voted to stock owned business 4. Common 5. Preferred 6. Amount of compensation 7. Expense account * allowances .................. 4/-L.. 'info* ML.X .' aaaa ......... 'KI.AAAL.................... i ..Sa... M.rzc to ............. ..2212UA1. --....................... . ' Total compensation of officers (enter here and on lin a 12, page 1).. 2,nj/-C0 Schedule F.--BAD DEBTS--RESERVE METHOD. (See Instruction IS) I. Tax 2. Trade noles and accounts re able . ceivable outstanding at end of year year 3. Sales on account 4. Gross amount added to reserve S. Amount charged against reserve 6. Reserve lor bad debts at end of year 1960 1961 1952. 1963. ............ VMa................ /- ' r NOTE: Securities which are capital asaola and which became worthless w.ithin the taxable year should be reported in separate Schedule D. O Schedule G.--DEPRECIATION. (See Instruction 22, page 3) 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. \. Group andjjuideline class Description of property 2. Cast or other basis at beginning of year Cost or other basis 3. Asset additions in yeaMamount) * Oale acquired 4. Asset retirements in year (amount) (applicable only to Rev. Proc. 62-21) 5. Depreciation allowed or allowable m prior years 6. Method 7. Class life of -------OR------- computing Rate (%) depreciation or Me 8. Depreciation lor this year /./,# 2. Less: Amount of deprecial edule A and elsewhere on return. 3 Balance--Enter here and on line 22, page .4 Cost or" other basis of lul ly depreciated assets still in use. .. h / .3>, r /r/* - -------------------------------------- 1 ----------------------- VPD1-I15m8-0000835 Form 1120 Q963) Schedule H.--SUMMARY OF DEPRECIATION AND AMORTIZATION SCHEDULES DEPRECIATION Under Rev. Proc. 62-21 Other AMORTIZATION / 6 /.j, 7 1. Emergency facilities................... v'vV- j v .. 2. Research or experimental......... 3. Sum of the years-digits method ... V --c--c ` 'C 3. Exploration and development.. . 4. Organizational.......................... 5. Trademark and trade name... . .7 Total depreciation claimed ...,. S. Other (specify).......................... b'L- 7 Vts' v 7 7. Total amortization claimed....... Schedule I.--SPECIAL DEDUCTIONS * Page 3 2. Total dividends-received deductions (sum of lines 1 (a), (b), and (c) but not to exceed 85 percent of the excess of line 28, page 1 over line 4 of this schedule). (The 85 percent limitation does not apply to a year in which a net 3. pniH nn r^rtnin preferred stock of Dublic utilities (see instructions in case of net ODeratina loss)................... 4. V/ofliAfn HmiRphrR trnd corporations (not allowable in ysar of net operatinq loss)...................................................... 5. Total special deductions (enter here and on line 29(b), page 1)................................................................................................. TAX COMPUTATION SCHEDULE 1. Taxable income (line 30, page 1)........... ........................................................................... /nr, fit 2. If amount ol line 1 is: .' (a) Not over 523,000--Enter 30 percent of line 1 (32 percent if a consolidated return). (b) Over $25,000--Enter 52 percent of line l (54 percent if a consolidated return)...... Subtract $5,500, and enter difference. . S-C~- /i-Jls)rHc.f.. .3 Income tax (line 2, or line 22 of separate Schedule D, whichever is lesser)..................... 5,500.00 4. Foreign tax credit (attach Form 1110)................................................................................ 5. Balance (line 3 less line 4)................................................................................................ 6. Investment credit (attach Form 3468)........................................ 7. Balance of income tax (line 5 less line 6).................. ....................................................... 8. Tax under section 541 of the Internal Revenue Code (from Schedule 1120 PH)............... 9. Tax from recomputing prior year investment credit (attach statement)......... 10. Total tax (sum of lines 7, 8 and 9). Enter hero and on line 31, page 1. H. Date incorporated ....... 1:Ir.IJ..... I. (1) Did the corporation at the end of the taxable year own di L. Did you at any time during the year own directly or indirectly. any stock of a foreign corporation?............Yes No If "Yes," attach statement as required by Instruction N. rectly or indirectly 50 percent or more of the voting stock of a domestic corporation?..,......... . Yes No (2) Did any corporation, individual, partnership, trust, orassociation at the end of the taxable year own directly or M. Amount of income (or deficit) for: 1960.. .l.i? 1961.. IXILQ.11.... 1962.. jJj.JJS.Qj/ N. If a cooperative association, check type: ' Indirectly 50 percent or more of the corporation's voting Btock?...................................................... Yes Q No Q (1) farmers' purchasing or marketing; (2) Q consumers', (For rules of attribution, see section 267 (c).) If the answer to (1) or (2) is "Yes," attach separate schedule showing: ... (a) name, address, and employer identification no.; or (3) other. O. Did you claim a deduction for expenses connected with: (If answer to any question is "Yes," check applicable boxes within that question.) (b) percentage owned; (c) dale acquired; and (d) the District Director's office in which the income (1) A hunting lodge Q working ranch or farm'Q fishing camp , resort property Q pleasure boat or yacht Q or other tax return of such organization for the last tax similar facility Q? (Other than where the operation of the able year was filed.. If the answer to (1) above is "Yes," include the income facility was the principal business.) Yes No ^ ' .(or loss) from line 30, page 1, Form 1120 of such corporation for the taxable year ending with or within your taxable year. . If the answer to (2) above is "Yes," include (a) the . amount of cash or stock dividends paid to such indi vidual or organization and (b) Identify form of or ganization. (2) The loosing, renting, or ownership of a hotel room or suite , apartment Q, or other dwelling , which was used by customers or employees or members of their families? (Other than use by employees while in business travel status.) Yes O No f3 (3) The attendance of your employees' families at con-( ventions or business meetinqs? Yes Q No J. Were Forms 1096 and 1099 filed for the calendar year 1963 in connection with: Taxable dividends............................... . ..YesQ No Other payments................................... .. .Yes Q No (4) Vacations for employees or members'of their families? (Other than vacation pay reported on Form W-2.) , Yes'D No ft P. Refer to instructions and state the: n >* Principal business activity..... jv)JJJ] i_ U'J/J-O'* X. Did you have any contracts or subcontracts subject to the Renegotiation Act ol 1951.................. . . Yes No ^ . If "Yes," see Inst. K. Enter amount here .......................... .At-Mxii..Principal product or service ...... .............................. _____ SmI.. C^r/A`l'.S. -- ---------------------------- VPD-158-0000836 form mo (1983) Schedule L.---BALANCE SHEETS, (Soo Inctructicno) ?cgo 4 ASSETS . Oejlnnlnj of tiubt yair (A) Amount (0) Totil End ot tsuils yonr (C) Amount (0) Totil Cash...................................................................................... Notes and accounts receivable............................... ........ (a) Less: Reserve for bad debts....................................... Inventories............................................................................ Investments In Government obligations........... ................. ? yC .ri.ro c o ...itiu-JL .3f/p 'cro .U.A./.uO'} zUM, .Ji.pi.ili Other current assets (attach schedule)............................... Loans to stockholders......... ................... .............................. Other Investments (attach schedule) .................................. yU3LLt U31.2D.22Buildings and other fixed depreciable assets................... L4 /, n rt IkllKlL ImD r- (a) Less: Accumulated amortization and depreciation.. Depletable assets............................... ..................... ............ (a) Less: Accumulated depletion................................... . .10 Land (net of any amortization).............................................. 11. Intangible assets (amortizable only)....... ........................... (a) Less: Accumulated amortization................................. 12. Other-assets (attach schedule)........................................ ... 13. Total assets................................. .......................... ... LIABILITIES AND CAPITAL 14. Accounts payable.......................................... ...................... .... IVTTC TtWT333JU3 US "3 mrtwra/ ...yi/yjr 15. Mortgages, notes, and bonds payable in less than 1 year. IS. Other current liabilities (attach schedule)............................ 17. Loans from stockholders.. i...................... ........................, ...LS.ilL.Ll 18. Mortgages, notes, and bonds payable In 1 year or more..., 19. Other liabilities (attach schedule)......... ............................. . J/ <o20. Capital stock: (a) Preferred stock ....................................... / n n c c- '<:(b) Common stock........................................ qqoo 21. Paid-in or capital surplus (attach reconciliation)............. . 22. Surplus reserve (attach schedule)......................................... 23. Earned surplus and undivided profits... ............................ iLo'cacrce .1.3.9..9.33. ! n VvO VrlYir a c 24. Total liabilities and capital..................................................... lyvyii ENTRIES MADE BELOW MUST BE IDENTIFIED 3Y ACCOUNT It, O b 0 77T/T7CW . Q/.d L vL us Schedule M-l.--RECONCILIATION OF INCOME PER BOOKS WITH INCOME PER RETURN 1. Net income per.books........... ............................ 7. Income recorded on books this year not in- 4. Taxable Income not recorded on books this year (itemize)...................................................... MY: 233........ .Ml.3di3.u..r:23Jr....llri3^L:...... ...iLY.o.o.t 8. Deductions in this tax return not charged 5. Expenses recorded on books this year not de- 3. Total of lines 7 ond S.......................... 3 J 00 -6 hYY'YYi 3 /;S. Total oi lines 1 through o'..................... 10. Income (line 23, page 1)--line a less 9....... uH~rr`--: ---h:-------- Schedule M-2.--ANALYSIS OF EARNED SURPLUS AND UNDIVIDED PROFITS PER BOOKS (line 23,' page 4) .UYlD-U. 5. Distributions: (a) Cash................................. (b) Stock................................. (c) Property............................ - - .4 iLimSOiATotal of lines 1,2, and 3........................ 8. Balance end of year (line 4 less 7)............... Y7i o /v O GOVERNMENT PRINTING OFFICE ;IKJ-O-603-28S VPD-158-0000837