Document Mo4XjnyKNEd0aVEnG25aVkN8x

m 4 m.." December 29, 1977 Ms. Linda Sutton Bureau of Corporation Taxation Judicial Section 308 Finance Building Harrisburg, PA 17127 Dear Ms. Sutton: Re: John T. Lewis & Brothers Co. - Merger Enclosed is the composite tax return of our wholly owned subsidiary, John T. Lewis S Brothers Co. for the years 1950-1976. | Also enclosed are affidavit supporting the composite tax return and our check in the amount of $166.00 in payment of the filing fees due. If we can be of further assistance, kindly advise. Very truly yours. Roland R. Winkler Corporate Tax Department /jP cc: J. Bailey (file) R. J. Craig D. P. Kenny E. Scherer enclosures NL Industries, Inc. P.O. Box 1096, Hightstown, N.J. 08520 NL 000041898 CT"10i <12-74) . - . .... COMMONWEALTH w ruwuTkVANiA ^fw... CAPITAL STOCK - LOANS - CORPORATE NET INCOME TAX REPORT., For Use by Domestic Corporations, Limited Partnerships, Jaint-Stack Associations, etc.,. For Calendar Year 19 . ' or Fiscal Year began_______ 19- (PRIHTOR TYPE PLAINLY BELOW BUSINESS HAMB dom 77d?o. ,,19_ COMPUTATION OP CAPITAL STOCK TAX ST TAXPAYER-; ~ f*roperesi of Taxable Assets ( From Insert 5W* Apportionment Compvtstisfl below, r Manufacturing BxemptEen Sebeduftsi) Vtalw f Cogslt! $tosfe m App91**^ . .Officers l Compenp - ..PL.:.. ...... .-4-.-;-r . Taxabia Value f CspiSsl Ss@sis Tax at Rate of fen (10) mills.......... .......................... ................. $- Penalty (See Instruction Sheet) ........................ ................................................. +. TOTAL.TAX.ifltP PENALTY ............. .......^........| |.............y^ | , .*.. >i...% COMPUTATlbfi OF LOANS'TAX'BY TAXPAYER Taxable Indebtedness (Page 3)............................... ..................... ................................... ................ $. Tox at4 wills 5. Deducttreasurer's commission (Seepage 3) .................................. .. --_ a. Tax less commission................................................................ .. $. b. Pehalty (Se* Instruction Sheet) .................................................. +_ TOTAL TAX AND PENALTY...................................................... $. Sk COMPUTATION OF CORPORATE NET INCOME TAX BY TAXPAYER income (from line 28 of copy of Federal Form 1120 . MUST BE ATTACHED)../......,.. $_ (o) Corporate Dividends received .................... $ ________ _ !i (b) Interest on Unlted'Stptes Securities............... S , (e) Other allowable deductions (Submit Schedule) ...... $________ * 3. Lt.n 1 less Lin 2 ....................... ... ......... .. ..,. 4. Tax Preference Items (Per Instructions Federal Form 4626 must be attached)............... j_ 5. If entire business is transacted in Pennsylvania reflect Pennsylvania Corporate--___,_____ . Net Incense Tax. (See Instructions) ........... ..-- ,.*............*--- 6 Toxohle Income (Line #3 plus Lines 4 and 5) .7. Tnx9)f:ofLtae#6 . ./&?.......... .. 8 If entire business is net trlunsacted In Pennsylvania continue the computation below. . S ,, .. $. -- (Omit Linos 4, 5, 6 and 7) ...... ~ 9. Tax Preference Items (Per Instructions -- Federal Form 4626 must be attached).$ _ .10 Add Lines 3<and 9.................. ................... ............................... ..................................................... $_ 11. Total Non-Business income (or Loss) (Table 4, Total of Column 3)............... .. . 1Z Income to bei; apportioned (Line 10 plus Less or Minus Income Reflected on Line 11.)..... $ _ 13. ApprHbWfif Percentage(Fro Computation Below) ................................. ,, 1-4. Incdn* apportioned t Pennsylvania (Lin 12 multiplied by Lin 13).................... $_ 15. Non-Business Income Allocated to Pennsylvania (Table4, Total of Column 1).............. $_ 16. Add Income jor Deduct loss reflected on Line 15 to or from Line 14..................... $_ 17. Feniisylyqnip Corporate Net Ineom Tax (See Instructions)............................ $ _ 18. PomtsylyoBiB Taxable Ineorii (Lin* #16 plus Lin #17) .............................. $ 19. W foxof Lis #18.......................................................... $1 . (b) Penalty (See instructions) ................................... + $_ 20 Total Tax aitd Penalty...................................................... "SC s: Divide (A) by (B) To Obtain Decimal ..Carry Out Decimal Six Places.. APPORTIONMENT PERCENTAGES TAX 1e(A)Atfgo value of Tangible Prepo in Pa* (3)Avg value fall Tangible Property $ 2e(A)Wagss, Salaries, *te assignable te Pc % (B)Total Wogas, Salaries, etc 3e(A)Sol Assignable te Pee (BUTofal Seles Everywhere $ V & A JSs. - 4 Tstol f itoss i, U+SHvidm h? *thm ,,***3)- -- S* Tsafel@ Preparti <SajM>ffis te ---- enly Tw *f A % t 4f t&lfjmo ja_ _&u fte tshm | TR JS>_ JR. e svtse 4l*eU& ^ I h.retry oHirm under penalties prescribed by law that this raport (Including eny accompanyingf sebedet&s sndl try me and to the best of my knowledge and belief is a true, correct and complete report, if prepared by a -Arciarafion . lfdsllbsd4,etrt as!lIl tIofeematian of wbieh ^ J r- 1 r i Ltt- Jigs tote yCim TitC JSk. JSL fp ku . MWlrluoi er Plrm Ilprshuo NL 00004183S N 27482.01 Corporation's books are located at i--... ______________ ______ IRSe^T of - Commercial Domicile (Principal place from which the trade or business of the taxpayer is directed Ofmcmaged) Peg What basis of accounting is used? ........ --. - - - - ... -- - ........... --- ... For Federal Tax purposes? ... --. --....... ......................................... ....................................... . Has the Federal Government changed the net income as originally reported for any prior year for which Reports of Change m Corporate Net Incone have not been filed with Pennn,? i YES OR NO) If yes, indicate the year (s) If all or a majority of the stock of this corporation is owned by another corporation, give name of such corporation; indicate if it files in Pennsylvania and, if so, give Box Number __ _ ___ ____ If the reporting corporation owns sit or a majority of the stock of any other corporations, list tk names of such corporations; indicate which of these file reports in Pennsylvania {also list appropriate Bax Numbers). (Submit Balance Sheets and Income Statements of Subsidiaries not filing in Penna.) * SCHEDULE A TITLE President Vice-President Secretary NAME AND ADDRESS OF CORPORATION'S OFFICERS NAME ADDRESS Treasurer STREET ADDRESS LOCATION OF BUILDINGS AND LAND (TITLED IN THE CORPORATION'S NAME WITHIN PENNSYLVANIA) CITY 1 COUNTY SCHEDULE C CLASS PAR PER SHARE Common ...... ........ % Preferred. ............ CAPITAL STOCK (Must b completed) *N0. SHARES OUTSTANDING SELLING PRICE DURING YEAR HIGHEST LOWEST AVERAGE %: ' ~~~ $ S IS THIS A MEAN OR WEIGHED AVERAGE? NO. OF SHARES TRADED Amount Paid in on Said Stock: In Cash S _________________ In Property $ ______________________ Total $ Date and Amount of ony issue since lost Report ______________________________________________________________ Date and Amm.ni of any retirement of Stock since lost Report _______________________________________ On which exchonge (s) is this Stock listed? * This means shares issued ond not held by the company in treasury SCHEDULE D HISTORY OF EARNINGS AND DIVIDENDS (Mutt be completed) CONSECUTIVE 5 YEAR PERIOD BOOK NET INCOME AFTER FEDERAL TAXES (INDICATE LOSS) 19......................... S % m CASH 19.................. 19 ... .. ........ . 19......................... .. 19.................V. TOTAL AVERAGE $ % % s * Give descriptions. ' This year must be identical with th year for which this report was filed. DIVIDENDS IN KIND * $ $ s IN STOCK * $ $ $ NL 000041900  w- T . U - Page'S LOANS TAX - SCHEDULE OF INDEBTEDNESS 1. This schedule must show all items of indebtedness of whatever nature outstanding during all or any fractional preceding calendar or fiscal year. 2. All figures required must be filled in. Where space is insufficient, submit schedule. 3. All questions on this page must be completely and properly answered. 4. Nam and Address of Fiscal Officer performing his official duties in Pennsylvania_________________________ NAME OF HOLDER OF LOAN Individual Residents of Pennsylvania or Partnerships Residence (State) State whether indebtedness was held(a)ln own rig]hf (b) As Trustee(c) As Agent ;:lf ( b) or (e) indicate ;for whem held Date Issued or Incurred Amount of Indebtedness at beginning of period covered by this report Amount of indebtodnens at end of period covered by this report 1 Stat ament of I .Interest Paid (| Writ # `None' if fsdebfe dness in not infers: t bearing) [ Rote if : of | Interest Amount of Interest Paid Taxable Inde bfedness * Sank and Trust Companies . Domestic Corporations Foreign Corporations and Non-Resident Individuals TOTALS '. 1 Total of interest on above indebtedness shown as expense for the period covered by this report Interest actually paid on above indebtedness during the same period _________________________ If difference, attach rider explaining the difference ........ ........ _______ Has interest been paid during the period covered by this report that was due and peyable for prior years? ** `YES OR NO) If Yes, state the amount (s) on which such interest was paid and the periods covered by such payments; and the names and addresses of the holders of such obligation at the time that the interest payment fell due during such periods. (Attach rider if necessary on any of the above) * If interest is paid at fixed interest-paying periods, use these columns to designate the amount of indebtedness at the end of the first interest period and the amount at the end of the second interest period. * * Under the Act of July 15, 1919, P.L. 954, whenever interest is paid for a prior period, the Treasurer of the corporation is required to report the names and locations of the holders thereof during such prior periods. Treasurer's Commission is S% on first $1,000 of.tax or fractional part thereof; 1% on amount of tax over $1,000 but not over $2,000; H of \% on amount of tox over $2,000. (See Computation of Loans Tax, page 1). NL 000041901 PENNSYLVANIA CAPITAL STOCK, LOANS AND CORPORATE NET INCOME TAX RtPORT Record Extensions here: !?*<=* ived Calculated Copy nailed Fag 4 - n n S' % !I =r m o X DEPARTMENT OF REVENUE CAPITAL STOCK TAX - LOANS AND CORPORATE NET INCOME TAX SETTLED AND DELIVERED TO THE AUDITOR GENERAL Dote . 19-- {FOR THE SECRETARY OF REVENUE) DEPARTMENT OP THE AUDITOR GENERAL CAPITAL STOCK TAX-LOAMS AMO Q APPROVED CORPORATE MET INCOME TAX AUDITED AND f~| DISAPPROVED Dete st. 1 FOR THE AUDITOR OSHSRAL) NL 000041902 .) f AFFIDAVIT STATE OF- NEW YORK ) ) ss. S. COUNTY OF NEW YORK ) DANIEL P. KENNY, being duly sworn, deposes and says: That he is the duly elected Vice President of John T. Lewis & Brothers Co., a corporation incorporated under the laws of the Commonwealth of Pennsylvania; that said corpora tion did not have any assets or liabilities during the taxable years 1950-1976, and did not conduct any business or earn any income during those years; that this affidavit is made in support of a composite tax return covering the years 1950-1976 to be filed with the Department of Revenue of the Commonwealth of Pennsylvania by affiant on behalf of said corporation. (Notarial Seal) No;; Certif CoinmisskKi Expire; fciycii 30, 1370 ML 000041903 N 27482.02