HomeMy Public PortalAbout05-10-94 LYNWOOD LOCAL DEVELOPMENT COMPANYLYNWOOD LOCAL DEVELOPMENT COMPANY
BOARD OF 1r�aECTORS
1
Thursday, May y, 1994
3:00 p.m.
LEIGHTON HULL
PRESIDENT
ROBERT HERRERA
SECRETARY /TREASURER
City Council Chambers
Lynwood City Hall
11330 Bullis Road
Lynwood, CA. 90262
CELIA ARROYO
MEMBER
I. OPENING CEREMONIES:
A. CALL TO ORDER
1. Flag Salute
2. Roll Call
B. Certification of Agenda Posting
II. APPROVAL OF MINUTES -
III. INFORMATIONAL ITEMS
IV. ITEMS FOR CONSIDERATION:
e e
� RECEIVEp�
CITY OF LYNWCOG Ii
CITY CLERKS OFFICE'
MAY 0 5 194
AM PIN
718191101U112111213i4AIS
f4DA
VICE PRESIDENT
ALFREDDIE JOHNSON
MEMBER
A. REQUEST FOR FINANCIAL ASSISTANCE
Business concern J & A Express is seeking a loan extension in the
amount of $15,000 in order to meet and execute obligations to the
United Stated Postal Service. The funds will be used to purchase
additional parts and equipment that would be used to facilitate a
testing center for gear box units.
B. REQUEST FOR FINANCIAL ASSISTANCE
Business concern C & J Sweeping Services is requesting financial
assistance in the amount of $20,000. Calvin Thomas, owner of
business concern feels his business will grow at a faster rate if he
could finance proper marketing of his business, coupled with an
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additional street sweeper This combination would result in not only
more business but it would also create jobs for the community C &
J Sweeping Services has been located in the City of Lynwood since
1993, however Mr Thomas failed to apply for a business license
upon his relocation
C. REQUEST FOR FINANCIAL ASSISTANCE
Business concern Harvey's Barber Shop is requesting financial
assistance in the amount of $20,000. Roosevelt Harvey, owner of
business concern has operated out of the City of Lynwood since
1975. The business has a gross income of approximately
$5,400 /month with net earnings of approximately $3,100 /month.
Due to the length of time Mr Harvey has been in business along
with the earnings he claims to be producing, it is felt by staff that
Mr. Harvey should be able to obtain a commercial bank loan.
D LLDC BY -LAWS
LLDC By -Laws have been amended per Board and Staff
recommendations and has been prepared and furnished herein.
Board shall review and make a motion for preliminary approval.
E. LLDC BALANCE SHEET
A Balance Sheet has been prepared and is furnished herein for
review and approval.
V. STAFF ORALS
A. TRANSFER OF FUNDS
Staff is requesting the transferral of funds in the amount of $2,000
from LLDC's Bank of America savings account to LLDC's World
Savings checking account. Purpose for transaction is to have the
ability to provide funds for future annual and or monthly debts
without taking the balance of the account below the minimum
allowed before service charge.
VI. BOARD ORALS
G. GRANT SEEKER FOR LLDC
Pursuant to the needs of our community and the recapturing of
financial base for the LLDC, a trained professional has been
nominated by Leighton Hull, President of the LLDC to seek out
grant opportunities, present them to the Board and implement them
at the Boards discretion. The grants and alternative means of funding
being sought will be utilized through the BDAP This issue was
discussed at the last special meeting and is ready to be finalized.
With concurring nominations from Board members, this issue will
be reviewed and a fee for this service will be evaluated and
determined by the Board.
VII. ADJOURNMENT
To the next scheduled meeting of May 25, 1994
LYNWCSD LOCAL DEVELOPMETS COMPANY
MINUTES
April 27, 1993
LLDC Board Members Present:
Chairman Leighton Hull
Vice Chairman Bernard Lake
Robert Herrera
Absent:
City Staff Present:
OPENING CEREMONIES:
Chairman Hull opened the meeting at 3 10 p.m.
Celia Arroyo
Alfreddie Johnson
Bruno Naulls
Administrative Analyst III
Susan Fowler, Administrative Aide
Roll call was taken, with Celia Arroyo and Alfreddie Johnson being absent.
Mr. Naulls stated the Agenda had been posted in accordance with the Brown Act.
APPROVAL OF MINUTES:
A motion was made by Bernie Lake to approve the minutes of July, 1992. Motion seconded and
passed.
ITEMS FOR CONSIDERATION:
A. AMENDING LLDC BYLAWS
Mr. Lake stated he had received a copy of the LLDC Bylaws from Mr. Morton, however,
these Bylaws are not the latest edition. Mr Lake further stated that the LLDC is now 1
year late with elections, but he felt we must make the changes to the Bylaws regarding
the election process before the election. As all members were in agreement with Mr
Lake, this item was tabled to the next meeting of the LLDC. Mr. Naulls will poll all the
Board Members as to the date and time when each can be available and make the
necessary arrangements for the next meeting. Chairman Hull said he would research his
files for the latest edition of the LLDC Bylaws.
B. LLDC WARRANT REGISTER
Mr. Lake moved to pay the warrant register as presented. Motion seconded by
Mr. Herrera and passed.
STAFF ORALS:
Mr. Naulls congratulated Mr. Herrera on his appointment to the position of Secretary/Treasurer
of the LLDC.
BOARD ORALS:
Mr. Lake inquired as to any new applications for LLDC loans. Mr. Naulls said we have not had
any Mr. Lake further stated that he had a conversation with Neva Douglas regarding her interest
in an LLDC loan. Mr. Lake said he encouraged Neva Douglas to apply for a loan right away,
but the LLDC has not received an application from her as yet.
ADJOURNMENT
The meeting adjourned at 3.40 p.m. to the next meeting of the LLDC.
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0
ITEM - A
10
DATE: May 5, 1994
TO: Honorable Chairman and Members of the LLDC Board
FROM: Bruno Naulls, LLDC Staff Liaison
SUBJECT. REQUEST FOR FINANCIAL ASSISTANCE BY J & A EXPRESS
PURPOSE
To purchase. materials and equipment in order to uphold contractual responsibilities
with the United States Postal Services.
BACKGROUND
Mr Gene Johnson, in representation of subject company, J & A Express, has entered into
a Contractual Agreement with the United States Postal Service for a long term project.
The project entails the repair of nine (9) Philadelphia Gearboxes. Each unit weighing
approximately 4,000 pounds and each holds 55 gallons of oil. Testing and completely
rebuilding of each unit will require the removing and replacing of all old oil, all seal,
gaskets and bearings; and replacing gears where needed. Repair time per unit is
approximately 20 working days. The repair cost of each unit ranges between $7,000 and
$15,000 (depending on the extent of the repairs).
The loan money will be used for materials, parts, and equipment to facilitate a testing
center for the gear box units.
ANALYSIS
Mr. Johnson has the potential to create a situation that permits his business to grow at
least 30% over the next 12 months. In order for Mr Johnson to capitalize on this
opportunity, due to his financial status, he will need assistance in obtaining the
necessary parts and materials to do the prescribed work. Mr. Johnson has previously
received financial aide from the LLDC in order to establish his concern as a credible
business. At this point, it is apparent that the LLDC's initial assistance to J & A Express
has proven to be effective in providing their company with the pertinent enhancements
to compete in the economic market and establish working relationships with top name
businesses. In addition, Mr Johnson has proven his business to be profitable, referring
to his 1993 financial statement whereas J & A achieved a profit margin of 20.1% of total
income. Total income as of June 1993 was $153,878.56. 20.1% of total income being
$30,867.90 shows that J & A is a thriving business and with the LLDC's assistance, can
potentially become more productive and continue to grow
The contract with the United States Postal Services will definitely enable Mr Johnson to
broaden his business structure. In addition, this endeavor will benefit the City in many
ways concerning the economic growth of our community The LLDC's main objective
is to assist in nurturing the growth and expansion of the small business throughout the
City of Lynwood.
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CONCLUSION
Mr Johnson has continued to be a model businessman in our community He is making
his business more productive year after year He is in the position to increase his
productivity and expand his business options for future endeavors. His commitment to
our City is commended and his patience as a businessman is honored. From all
standpoints it is rightfully noted that Mr Johnson would serve as a good investment for
the LLDC and a loan for progress is in order.
RECOMMENDATION
Staff respectfully request that after deliberations and reviewing of case and documents,
the Honorable Board Members consider the allocation of a loan in the amount of $15,000
in favor of the progression of Lynwood businessman Mr.Gene Johnson and business
concern J & A Express.
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J &A EXPRESS
Electric Motor Service, Inc.
2640 Industry Way, Suite C Lynwood, California 90262 -4000
310 - 608 -0304 Fax 310 - 608 -2651
August 9, 1993
Board of directors
Lynwood Local Development Company
11330 Bullis Road
Lynwood, CA 90262
Enclosed please find an updated Financial Statement which includes:
1 Balance Sheet as of June 30, 1993
2. Current Profit and Loss Statement
3 1993 State and Federal Tax Returns
Additional information on our company is on file with the City of Lynwood.
Also attached is a copy of our Statement of Purpose for the Loan Extension request of
$15,000
The U.S. Postal Service has approved repair of the first unit. Your immediate attention to this
request is most appreciated.
Thank you for your continued support.
Sincerely, * �
-t Gene A. Johnson
Owner /Operations Manager
.gah
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J&A EXPRESS
Electric Motor Service, Inc.
2640 Industry Way, Suite C Lynwood, California 90262 -4000
310 - 608 -0304 Fax 310- 608 -2651
STATEMENT OF PURPOSE
REQUEST FOR LOAN EXTENSION
We at J & A Express Electric Motor Service are requesting that the
Lynwood Local Development Company extend our loan by $15,000.
The Purpose of this Loan Extension is for the start -up costs for a
long -term project with the U.S. Postal Service - Los Angeles Bulk
Mail Center: the repair of nine (9) Philadelphia Gearboxes. Each
unit weighs approximately 4,000 pounds and holds 55 gallons of oil.
Testing and completely rebuilding of each unit will require the
removing and replacing of all old oil; all seals, gaskets and
bearings; and replacing gears where needed. Repair of each unit will
take approximately 20 working days. The repair cost of each unit will
range between $7,000 - 15,000 depending on the extent of the repair.
The loan monies will be used to buy material, construct a test center,
and the disposal of all old oil. The loan will enable J & A Express
Electric Motor Service to grow by at least 30% over the next 12
months. And, with the loan for this project the company will also be
able to hire one additional employee.
For further information on the project please feel free to contact:
Rick Morales, Maintenance Supervisor
U.S. Postal Service - LABMC
5555 Bandini Boulevard Bell, CA 90201 -9997
213 - 729 -4244
•
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3anking OI(ice --_ -- SECURITY PACIFIC BANK
Date__ PERSONAL LOAN APPLICATION
HOW TO COMPLETE THIS APPLICATION (Please check one of the boxes below)
I AM APPLYING FOR CREDIT- (Re garde ISO( your marital Motu,. YOU mayspply for Credit In Your name alone)
O In my name Mon.. Complete all the Information That applies to You and sign on TM rawrse aide, It maartad and drying on community prOl arty touch as our uiary W the, of your
spouse)• also complete the Mpevei a section.'
❑ Jointly with my spouse: Both you and your spouse Complete the applititlon and sign on the awns ob..
❑JOlntty wlln another penen: Compete all the information that aDplle. to you endsign on TM awnHave th er*
. old.. He Other par. <ompleo and .I tea- - Delete appec-Ilon. If You . -.
and niying on community property (such a your uory or that of Your Spouse). ciao complete The spouts s uctlon4 o
'NOTE: It Vase .ie darned out relying Solely ....Peter* Dapeny (provide documentation of the operate pmpertY), w If you ors married but separated. do not complete IM spout* • section,
LOAN REQUEST
PU'. -- Am unr ..one led For hnw lone Payinenl del nreou000
- Financing for sp JJ e 11 c $$ if lIia i lI{ g ( c proj $1 e rp c e t g - A.dy Post ly a pl l ly , S ( e r i rg c a� e yy s y 5, gP 008_ ❑ * dy yy Moor 0 h, Wt*O n
S, So apahcalinn re ed a w'l J./d 11'd891 a a F�.1bid1T17fi6dia7Nltly a a a Fj. 6nT T 3 ihq Ill fr" AdFI'b Al nT 1 Sn �/3 'A, .A M1 C.F,.,, I r .(lAA..:i .� w
NOT AVAILI�BLE I.. o vv Ip * *a1 J � 1,µ 'why i
1 n wno re Ferreome Tons Dank
PERSONAL INFORMATION"
Last name (J,.rS,.)
J & A. EXPRESS Fr,t:r-r
Current areal addnea
2640 Industry Way, S
Mow long at a Home phone no
, 4 Yra y Moe ( )
F,evicus 4Ireel addles. - - --
Moaong r Social Se<unty number
Y's Moa
Mndal sums. Unmanned No. of depend
O Married ❑ S<panled �(411ude $ell)
street eddies$ - _ - -� — "� CI
MOw tong �MOnlhly gre -f
Yra. Mesa 3
name Initial
TY1R RF'RV, TTY`
star. ZlP Cade
e C, LynWTKc , CA _
Wo k ono < no
2131608 -0304
state Zip code
Driver's license number Age
Eduutlon:0 Under 12 firs• O 12.15 fill
O t2 fin. O 16. firs.
Position
stale ZIP code
try Monthly take -home eatery
3
Mowlong — - -- MOnl Ely, roe, ute:y Monthly lake -home .. vie Mos. '
k
Oe$<r0e other Income" Monthly amount "'
6
:COUNTS
SPOUSE'S INFORMATION. a
Last name (Jr.lW /A F
First name I
Inlllal
CUlrsnt e,nel addtea C
City 51.1. Zip code
How long at address H
Home phone no. W
Work phone no.
pavlova e,reel adds$ C
City State ZIP Code
Now long S
So<IaI Security number D
Driver s license number A
Age
No. of dependents E
EEUatlon'O Under 12 firs. O 13.15 fire,
Current employer S name P
Povllon
Street address C
City Zip code
Mow long M
Monthly g,a....I., M
Monthly Iahbhame uiary
Previous employer'. name P
Position
How long M
Monthlygrou .is, M
Monthly texe home t*ory
casettes Other Income' - M
Monthly amount ..
6
Bank Savings account number 1nMlluia.leank name
G64 09126 Sanaa
IT REPAYMENT
❑AulomA¢ ally Ilan,ter lands Iron my SPND checking account no. for my monthly payments on due data along as Iher, as
adequate
'until on deposll Or there Is avallable Credit In my account until into loan is paid or the bank receives written notice to cancel.I understand the bank
rser vee Ma right to terminal. the automatic repayment plan without notice. Cancellation of Ihia plan for any noon dry affect the Interval rate on my loan,
I wtll lee m loan documents tar deolo.
fly
1
Attach copy of payroll alip.11 sell- employed or commissioned, attach financial Statement and copies of last Iwo DUi Is. return&
'You do not have to list Income from alimony, child support, or separate maintenance, unless you wan' us to consider It for the purpose of applying for this lose.
Attach separate falling If necessary.
RED /T EXPERIENCE
0
FINANCIAL STATEMENTS
J & A Express Electric Motor Svc, Inc.
2640 Industry Way Suite C
Lynwood, CA 90262
AS OF 06/30/93
Prepared By BEST BOOKKEEPING SERVICES, INC.
TO THE BOARD OF DIRECTORS
J & A EXPRESS ELECTRIC MOTOR SERVICE, INC.
LYNWOOD, CA 90220
0
The accompanying statement of assets, liabilities, and equity of
J & A Express Electrical Motor Service, Inc., as of June 30, 1993,
and the related statement of income for the year then ended have
been compiled by me in accordance with the standards established by
the American Institute of Certified Public Accountants.
A'compiliation is limited to presenting in the form of-financial
statements, information that is the representation of management.
I have not audited or reviewed the accompanying financial
statements and, accordingly, do not express an opinion or any other
form of assurance on them.
Management has elected to omit substantially all of the disclosures
required by generally accepted accounting principles. If the
omitted disclosures were included in the financial statements, they
might influence the user's conclusions about that Company's
financial position and the result of operations. Accordingly,
these financial statements are not designed for those who are not.
informed about such matters.
Best Bookkeeping Services., Inc.
August 6, 1993
bdoc6046
k
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J & A Express Electric Motor Svc, Inc.
2640 Industry way Suite C
Lynwood, CA 90262
ASSETS
BALANCE SHEET
AS OF 06/30/93
CURRENT ASSETS
Cash - General Checking
Accounts Receivable
Employee Advances
Misc. Receivables - Other
Misc. Deposits - Other
State Income Tax Deposit
Inventory
TOTAL CURRENT ASSETS
$ 480.36
11,927.29
600.00
1,000.00
1,121.58
200.00
52,601.14
FIXED ASSETS
Plant Equipment
Vehicles
Office Equipment
Accm Dep - Plant Equip.
Accm Dep - Vehicles
Accm Dep - Office Equip
TOTAL FIXED ASSETS
TOTAL ASSETS
LIABILITIES and CAPITAL
CURRENT LIABILITIES
Note
Payable
- D. Crosby $
12,000.00
Note
Payable
- Sec Pao
12,497.34
Note
Payable
FMCC
12,696.51
FUTA
Payable
116.24
Sales
Tax Payable
1,286.00
Note
Payable
- FMCC
6,056.87
TOTAL CURRENT LIABILITIES $
CAPITAL
Capital Stock
Retained Earnings
NET PROFIT or LOSS
TOTAL CAPITAL
TOTAL LIABILITIES and CAPITAL
29,722.72
44,652.96
$ 26,200.00
- 4,067.77
30,867.90
$ 53,000.13
Prepared By BEST BOOKKEEPING SERVICES, INC.
UNAUDITED
$ 67,930.37
$ 58,474.98
19,841.48
1,200.00
- 46,299.74
- 2,294.00
- 1,200.00
97,, 653.09
97,653.09
• INCOME STATEMENT •
J & A Express Electric Motor Svc, Inc.
2640 Industry Way Suite C
Lynwood, CA 90262
YEAR TO DATE
AS OF 06/30/93
INCOME
Sales
- Labor
74,560.36
48.50
Sales
- Materials
41,923.47
27.20
Other
Sales - Resale
15,434.95
10.0°%
Sales
- Sub- Resale
10,673.82
6.90
Misc.
Sales - Non - Taxable
- 512.90
-0.3%
Sales
- Misc A/R Adj
11,798.86
7.7%
TOTAL INCOME 153,878.56 100.0%
COST OF SALES
Inventory - Beginning
12,000.00
7.8%
Other Parts - Resale
51,327.23
33.4%
Direct Labor - Mfg.
15,600.44
10.1%
Building Repair /Maint.
364.50
0.2%
Equipment Repair /Maint.
250.00
0.2%
Shop Supplies
2,579.07
1.7%
Utilities
1,837.02
1.2%
Uniforms
521.53
0.3%
Freight
23.58
0.0%
Contract Labor
29,266.95
19.0%
Inventory - End
- 52,601.14
-34.2%
TOTAL COST OF SALES
61,169.18
39.8%
GROSS PROFIT
92,709.38
60.2%
OPERATING EXPENSES
Advertising
662.41
0.4%
Auto Expense
8,111.90
5.3%
Bank Charges /Payroll Svc
724.95
0.5%
Dues /Memberships
525.00
0.3%
Business Expense (CC)
0.00
0.0%
FICA (er's) Expense
1,636.81
1.1%
FUTA Expense
115.17
0.1%
SUI Expense
475.06
0.3%
Donations
545.00
0.4%
Dues /Memberships
130.00
0.1%
Insurance
6,857.57
4.5%
Janitorial /Cleaning
1,291.00
0.8%
Legal /Accounting
3,315.00
2.2%
License /Permits
145.00
0.1%
Office Supplies /Expense
6,460.84
4.2%
Outside Services
100.00
0.1%
Penalties
346.04
0.2%
Postage
247.48
0.2%
Rent - Business Prpty
12,274.97
8.0%
4.
1
Rent - Equipment • •
Salaries /Wages
Security /Safety
Telephone /Communication
Travel /Entertainment
TOTAL OPERATING EXPENSES
NET OPERATING INCOME
OTHER INCOME & EXPENSE
Interest Expense
Interest - Sec. Pacific
TOTAL OTHER INCOME & EXPENSE
INCOME (or LOSS)
NET INCOME or LOSS
2,787.36 1.8%
9,300.00 6.0%
180.00 0.1%
1,819.51 1.2%
500.38 0.3%
58,551.45 38.1%
34,157.93 22.2%
- 1,428.45
-0.9%
- 1,861.58
-1.2%
- 3,290.03
-2.1%
30,867.90
20.1%
30,867.90
20.1%
Prepared By BEST BOOKKEEPING SERVICES, INC.
UNAUDITED
6
jk
L
15J ♦ i n� 05. Corporation Income Tax &turn
OMB No 1545 -0123
Form 1 ! L
Department 0f the Treasury For ppJ.,da, r ear 1991 or tax y ear beginning Dec. 1 1991, end 30 19 92
�j 91
Internal Revenue Service I Instructions are separate. See page 1 for Paperwork Reduction Act Notice.
(1 Check if te - Use
Cons a turn
B Employer Iden, no.
(1) re
(.,t m IRS
label.
Personal For onal nolmng
8
J & A EXPRESS ELECTRIC MOTOR SERVICE
95- 4139266
C
12'14-87
(2) i ng co
(attach (aaph sch PH) co
wi
(3) Personal service corp. please
2640 INDUSTRY WAY, UNZ O�nlf
2640 D CA 90262
(as defined m Temp. print
Regis. sec. t 441 -4T Or type.
V
D Total assets (see spec, instr )
- see 1etructlon5
58 052.
E Check a hcable boxes: 1
Intlial return 2 Final return 3 Chan a In adtlress
I a Gross receipts or sales 199,757. b,ess,ewrnsandaunwances cSal►
2 Cost of goods sold (Schedule A, line 7)
3 Gross profit Subtract line 2 from line 1c
n
4 Dividends (Schedule C, line 19)
VC1
c
5 Interest.
0
6 Gross rents.
m e
7 Gross royalties
8 Capital gain net income (attach Schedule D (Form 1120))
9 Net gain or (loss) from Form 4797, Pan 11, line 18 (attach Form 4797)
9
10 Other Income (see Instructions - attach schedule)
10
11 Total Income. Add lines 3 through 10 ►
11
110
12 Compensation of officers (Schedule E, fine 4)
12
12,000.
S
e
13a Salaries and wages b Less lobs credit IS Balance ►
13c
14 Repairs
14
173.
15 Bad debts
15
D r
16 Rents
16
15,742.
d
17 Taxes
17
5,156.
0
18 Interest.
16
5, 633.
u
c
19 Contributions (see Instructions for 10% limitation)
19
It m
20 Depreciation (attach Fonn 4562) 20 1 16 ,645.
1
21 Less depreciation claimed on Schedule A and elsewhere on return 21a I
21b
16,645.
n o
22 Depletion.
22
s s
23 Advertising
23
- 2,716.
p
24 Pension, profit - sharing, etc., plans
24
n
25 Employee benefit programs
25
d
e
26 Other deductions (attach schedule)
26
43,075.
27 Total deductions. Add lines 12 through 26 ►
27
101,140.
0
28 Taxable Income before net operating loss deduction and special deductions. Subtract tine 27 from One 11
28
9,761.
s
29 Less: a Net operating loss deduction (see Instructions). 29a 18 ,334.
b Special deductions Schedule C, line 20 29b
29C
18,334.
T
30 Taxable Income - Subtract line 29c from line 28.
30
— 8,573.
%
31 Total tax (Schedule J, line 10)
31
0.
32 Payments a1990 overpayment credited to 1991 1 32a
a
b 1991 estimated tax payments. 32b
n
It
c Less 1991 refund applied for on Form 4466 32C d Sal ► 32d
p
e Tax deposited with Form 7004 32e
a
f Credit from regulated investment companies (attach Form 2439). 32f
m g
Credit for Federal tax on fuels (attach Form 4136). See instructions 32g
32h
0.
e
33 Estimated tax penalty (see page 4 of instructions). Check it Form 2220 is attached ► L J
33
f 34
Tax due. if the total of Ones 31 and 33 is larger than One 32h, enter amount owed
34
s
35 Overpayment. If line 32h Is larger than the total of lilies 31 and 33, enter amount overpaid
35
36 Enter amount of line 35 you want: Credited to 1992 estimated tax No Refunded 1-
36
Please
Under penalties of per(ury, l declare that l have examined this return, including accompanying schedules and statements. and to the best of my knowledge and
belief, It Is true, correct, and complete. Declaration of preparer (other than taxpayer) Is based on all Information of which preparer has any knowledge
Sign
Here
'
1 11f
Si n Lure of officer Date Title
Preparer'
Check If self-
Preparer's social security no.
Paid
signature
06 -14 -93
employed
546 -23 -2868
Preparer's
Flrm'sname Best okk ep qs VCS. Inc.
Use Only
(or yours. If _________ __ ------------------- _______.._
self - employed) 2070_ Old n S rims_Dr_, Suite 201
- --- -- -- _ - - __ Su _ ----- - - - ---
E.I. No. l- 95- 4234789
and address Diamo Ba C
zlPCOde ► 91789
0193 For Paperwork Red fiction Act Notice, see ins If. Cop yrlgh (99(torm sot (ware o niy Center Poe ce Soft ware, Inc, Form 1120p99n
lk
L415] •
Form 1120 (1991)
Tax
n
1 Check it you are a member of a controlled group (see sections 1561 and 1563) ►
2 If the box on line 1 is checked:
a Enter your share of the $50,000 and $25,000 taxable Income bracket amounts (In that order):
(1) (11)
b Enter your share of the additional 5% tax (not to exceed $11,750) M.
3 Income tax (see Instructions to figure the tax). Check this box if the corporation Is a qualified personal
service corporation (see Instructions on page 13). ► 3
4a Foreign tax credit (attach Form 1118) 4
b Possessions tax credit (attach Form 5735) 4b
c Orphan drug credit (attach Form 6765) 4
d Credit for fuel produced from a nonconventional source (see
instructions) 4d
e General business credit. Enler here and check which forms are attached:
Form BForm 6865 8 Form 8586 8 Form 8830 8 Form 8826. 4e
If Credit for prior year minimum tax (attach Form 8827) 4f
5 Total. Add lines 4a through 4f.
6 Subtract line 5 from line 3. 16
7 Personal holding company tax (ahach Schedule PH (Form 1120)) - 7
8 Recapture, taxes. Check it from. O Form 4255 7 Form 8611 8
9a Alternative minimum tax (attach Form 4626) See Instructions 9
b Environmental tax (attach Form 4626). 9 b
10 Total tax. Add tines 6 Through 9b Enter here and on line 31 page 1. . 10
i
n (SPP n,TmP 1S nI th= InOtriiminnc 1
For Paperwork Reduction Act Notice, see mstr
- upynym icl l se l Form sp aware only i-en ter rmce bprtware, Inc. Form 1120 (1991)
Iii
(:
3
1 Check method of accounting.
a Cash
Yes
No
6 Was the corporation a U.S shareholder of any controlled
foreign corporation? (See sections 951 and 957 )
Yes
No
X
b X Accrual
It "Yes ", ahach Form 5471 for each such corporation.
c Other (specify) ► ________________________
Enter number of Forms 5471 attached 11- 0
2 Refer to the list in the instructions and state the principal:
_______________
a Business activity code no.' ► 7 6 0 0
7 At any time during the tax year, did the corporation have an
b Business activity ► REPAIR SERVICE
interest In or a signature or other authority over a financial
c Product or service ►ELECTRIC MOTORS
account in a foreign country (such as a bank account,
3 Did the corporation at the end of the tax year own,
securities account, or other financial account)?
X
directly Or Indirectly, 50% Of more of the voting
(see page 15 of the Instructions for more Information,
stock of a domestic corporation? (For rules of
Including riling requirements for Form TO F 90- 22.1.)
attribution, see section 267(c).)
X
IF'Yes, "enteF name or foreign country ►
t'Yes, "attach a schedule showing (a) name, address, and
8 Was the corporation the grantor of, or transferor to, a foreign
Identifying Turn bar; (b) percentage owned;and To taxable income
IT LIST that existed during the current lax year, whether of
or (loss) before NOL and special deductions of such corporation
not the corporation has any beneficial Interest in It?
X
for the tax year ending with or wit hm your tax year,
II Nes, the corporation may have to the Forms 3520, 3520 -A, or 926.
4 Did any individual, partnership, corporation, estate,
9 During this tax year, did the corporation pay dividends (other
or trust at the end of the tax year own, directly or
than stock dividends and distributions in exchange for stock)
Indirectly, 50% or more of the corporation's voting
In excess of the corporation's current and accumulated
stock? (For rules of attribution, see section 267(c).)
earnings and profits? (See sections 301 and 316.)
X
If "Yes," complete a and b.
X
If "Yes," Isle Form 5452. If this Is a consolidated return,
a Attach a schedule showing name, address, and
answer Here for parent corporation and on Form 851,
Identifying number.
Affiliations Schedule, for each subsidiary
b Enter percentage owned ►55 0
10 Check this box if the corporation Issued publicly offered debt
i Did one foreign person (see Instructions for definition)
Instruments with original issue discount ►
at any time during the tax year own at least 25% of
If so, the corporation may have to file Form 8281
a The total voling power of all classes of stock of the
11 Enter the amount of lax- exempt interest received or accrued
corporation entitled to vote, or
during the tax year ►
b The total value of all classes of stock of the corporation?
X
It "Yes," the corporation may have to file Form 5472
12 II there were 35 or fewer shareholders at the end of the
If "Yes," enter owner's country(Les) ► _
tax year, enter the number b- 0
Enter number of Forms 5472 attachetl 1. 0
______________________
1
J & EXPRESS ELECTRIC MOTOR VICE
2640 INDUSTRY WAY, UNIT
LYNWOOD, CA 90262
95- 4139266
SCHEDULE OF TAXES
CA FRANCHISE TAX BOARD - 800
PAYROLL TAXES 4,104.
LICENSE MISC. 252
TOTAL TAXES
5,156
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
SCHEDULE OF OTHER DEDUCTIONS
- - - - - - - - - - - -
2,705
- - - - - - - - - - - - - - - - - -
BANK CHRGS /PAYROLL SVC
- - - - - - - -
1,295.
PROMOTION
4,228.
INSURANCE
12,242.
DUES /SUBSCRIPTIONS
959
LEGAL /ACCOUNTING
4,562.
OFFICE SUPPLIES /EXPENSE
11,365.
SECURITY /SAFETY
450.
TELEPHONE /COMMUNICATION
5,495.
EMPLOYEE BENEFITS
650.
POSTAGE
259.
PRINTING
338.
JANITORIAL
1,212.
MISC EXPENSE
20
TOTAL OTHER DEDUCTIONS
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
43,075.
- - - - - - - -
SCHEDULE OF OTHER COSTS
REPAIRS /MAINTENANCE
2,705
EQUIPMENT RENTAL
4,514.
SMALL TOOLS
500.
UTILITIES
2,407.
UNIFORMS
777
FREIGHT
68
CONTRACT LABOR
11,917.
TRUCK /VEHICLE EXPENSE
3,479.
TOTAL OTHER COSTS
- - - - --
26,367.
6
i
J & A EXPRESS ELECTRIC MOTOR SE VICE
• 2640 INDUSTRY WAY, UNIT (
LYNWOOD, CA 90262
95- 4139266
Net Operating Loss Use /Carryover jAmt Used 1 911Carryover
Pursuant to IRC Section 172(b)(3)(C),
taxpayer hereby elects to relinquish
entire carryback period with respect to
the net operating loss incurred in this taxable
year ending 11/30/92. 9,761. 8,573.
TOTAL
9,761.
8,573.
COMBINED TOTAL I 18,334.
•
(CS] • •
Form
4562 depreciation and Amortization Department of the Treasury (Including Information on Listed Property)
Internal Revenue Service ► See separate Instructions. ► Attach this form to
Name(s) shown on return
J & A EXPRESS ELECTRIC MOTOR SERVICE INC.
Business or activity to which this form relates
g91
Attachment C7
Se u ence No O
Identifying number
95- 4139266
Part IJ Election To Expense Certain Tangible Property (Section 179) (Note: If you have any "Listed Property,"
complete Part V.)
1 Maximum dollar limitation (see instructions)
2 Total cost of section 179 properly placed in service during the tax year (see Instructions)
3 Threshold cost of section 179 properly before reduction In limitation
4 Reduction In limitation - Subtract line 3 from line 2, but do not enter less than -0-
5 Dollar limitation for tax year - Subtract line 4 from line 1, but do not enter less than -0-
1
10,000.
2
7,445.
3
5 200,000
4
0
5
10, 000 .
(a) Description of property
(b) Cost
(c) Elected cost
c 7 - year property
6SEE STATEMENT ATTACHED
40 yrs
MM
S/L
'
d 10 -year properly
7 Listed property - Enter amount from line 26 7
8 Total elected cost of section 179 property - Add amounts In column (c), lines 6 and 7
9 Tentative deduction - Enter the lesser of line 5 or line B.
10 Carryover of disallowed deduction Isom 1990 (see Instructions)
11 Taxable Income limitation - Enter the lesser of taxable income or line 5 (see instructions)
12 Section 179 expense deduction - Add lines 9 and 10, but do not enter more than line 11
13 Carryover of disallowed deduction to 1992 - Add lines 9 and 10, less line 12 ► F13
!
8
7 , 445.
9
7, 445.
t0
11
12
7,445.
revs. w nut use ran if or ran III oelow for aulolmoo ies, certain other vehicles, cellular telephones, computers, of property used for
entertainment, recreation, or amusement (listed property) Instead, use Part V lot listed property
I
Listed P
For Assets
During Your 1
Not Include
(b) Mo. and yr. (c) Bass tar depreciation
(a) Classification of property placed (Business /investment use (tl) Recovery
I
__. In sermce only -see inztrucbn�si panod (e) Convention (f) Method (g) Depreciation deduction
14 General Depreciation System (GDS) (see Instructions).
a 3 - year property
S/L
b 5 -year property
12 yrs.
SA
c 7 - year property
40 yrs
MM
S/L
'
d 10 -year properly
e 15 - year property
f 20 - year property
g Resfdentral rental property
27.5 yrs
MM
S/L
275 yrs.
MM
S/L
h Nonresidential real properly
31 5 yf s.
MM
S/L
31 5 yis.
MM
SIL
to Alternative UeDreclanon Svsfem taus flee mslnlrhnnc)
a Class life
S/L
b 12 -year
12 yrs.
SA
C 40 -year
40 yrs
MM
S/L
'
[: Pa — r — t - 11 - 11 Other Depreciation (Do Not Include Listed Property)
16 GDS and ADS deductions for assets placed in service u1 tax years beginning before 1991 (see
instructions). 16
17 Property subject to section 168(t)(1) election (see msouctions) 17
18 ACRS and other depreciation (see Instructions ) 9 , 200.
Part IV Summary
19 Listed property - Enter amount from line 25. 19
20 Total - Add deductions on line 12, lines 14 and 15 In column (g), and lines 16 through 19. Enter here
and on the appropriate lines of your reluul. (Paftneiships and S corporations - see Instructions) 20 16,645.
21 For assets shown above and placed In service during the current year, enter the portion
of the basis attributable to section 263A costs (see instructions) 21
For Paperwork Reduction Act NODC , see iostr Copyright (c) 1991 corm software only Center Piece Software. Inc Form 4562 (i99 q
)t
CENTER PIECE
INCOME YEAR Arnie rnie Corporation Franchise or Income ax Return
FORM
1991 100
For Income year beginning Dec. 1 1991
, and ending 30 1992
1
Affix Preaddressed Label
D Is this corporation to be treated as a Real Estate Mortgage
investment Conduit FEMIC) for California purposes?
• ❑yes❑X No
California corporation number
Federal employer ID number
1424618
95- 4139266
E Did this bank or corporation, determine lts income pursuant to
Ewaters - edge electiehl(If yes, attach Form loo - and 100 -FEE)
• ❑yes❑X Np
J & A EXPRESS ELECTRIC MOTOR SERVI
2640 INDUSTRY WAY, UNIT C
It yes, indicate date contract be hetocon-
gins tract ends
26
LYNWOOD, CA 90262
F Does this Corporat or bank and Its related entities have either
9
10 , 561.
t) property, payroll or sales in foreign countries that exceeds S 10,000.000,
m2) total assets everywhere thatexceed S2SO,000,000
• ❑Yes [MNo
A Finalreturnp Dissolved Surrendered(Withdrawn)
❑ M ergedlReorgan¢etl IRCSecbon3385a1e
G Did this corporation or its subsidiarypes) have a change in control or
If all Income Is derived from California sources, transfer the amount from line 18 to line 19. If Income Is derived from sources both within
and outside of California. complete Schedule R and transfer the amount from Schedule R. inn 24 m line to hole.
11 a box is checked, enter date
ownership, or acquire ownership or control of any other legal entity
27
B Is mmmemcludeb inacombined report of a
this year leave blank)
1
• ves No
unitary group • 7yes FNo
H Principal business activity code. (Do not leave blank)
• 600
It yes, indicate.
I Check here it claiming enterprise zone or program area tax benefits.
•
❑ wholly within California ❑ withm and outside of California
J Check here if claiming technological property contribution tax benefits.
•
8
C IS corporation to be treated as a credit union? • Flyes FRI
K Date incorporated 12 -14 -87 •Where +CA
State
Adjust-
ments
1 Net Income (loss) before state adjustments See Instructions
2 Amount deducted for foreign or domestic tax based on Income or profits
3 Amount deducted for tax under the provisions of the Bank and Corporation Tax Law
4 Interest on government obligations
S Net capital gain from Schedule D, line 11
6 Depreciation In excess of amount allowed under California law Attach form FTB 3885
7 Amortization In excess of amount allowed under California jaw. Attach form FTB 3885
8 Other addlllons. Attach schedule(s)
9 Total. Add Imes 1 through 8.
10 Intercompany dividends (Schedule H) 10
11 Other dividends (Schedule H) 11
12 Water s -edge dividend deduction Attach form FTB 2411 12
13 Capital gain from federal Form 1120 of 1120A, line 8 13
14 Contributions 14
15 Net interest deduction for enterprise zone /program area Investment. 15
16 Other deductions Altach schedule(s) 16
17 Total. Add Imes 10 through 16
18 Net Income (loss) after state adjustments. Subtract line 17 from line 9 1
1
9,761.
2
800.
3
22 Tax. 9 . 300 % x line 21 (not less than minimum franchise tax, If applicable)
23 Tax credits. See instructions. 0 23
24 Balance. Subtract line 23 from line 22 (not less than minimum franchise tax, II applicable)
25 Alternative minimum tax. Attach Schedule P (100) See Genetal Instruction 1 0
26 Total tax. Add line 24 and line 25 E
4
982.
5
24
6
"
7
26
8
'
9
10 , 561.
17
27b
18
10,
If all Income Is derived from California sources, transfer the amount from line 18 to line 19. If Income Is derived from sources both within
and outside of California. complete Schedule R and transfer the amount from Schedule R. inn 24 m line to hole.
Calif.
Net
Income
19 Net income (loss) for state purposes. If net loss, see Instructions •
20 Disaster loss carryover deduction. See Instructions • 20
21 Net Income for tax purposes. Subtract line 20 from line 19 •
19
21
10 561.
Taxes
22 Tax. 9 . 300 % x line 21 (not less than minimum franchise tax, If applicable)
23 Tax credits. See instructions. 0 23
24 Balance. Subtract line 23 from line 22 (not less than minimum franchise tax, II applicable)
25 Alternative minimum tax. Attach Schedule P (100) See Genetal Instruction 1 0
26 Total tax. Add line 24 and line 25 E
22
982.
24
982.
25
26
982.
Pay-
ments
27 a Overpayment from prior year allowed as a credit
b 1991 estimated tax payments
c Amount paid with application for extension of tune to file return
If Dissolving /Withdrawing - potapplicable it formed after 1971) See Gen lost,N
27a,
"
27b
800.
27c
27d
27
800.
Amount
Due or
Refund
28 Tax due. Subtract line 27 from line 26. Proceed to line 32 0
29 Overpayment. Subtract line 26 from line 27
30 Amount of line 29 to be credited to 1992 estimated tax 30
31 Amount of line 29 to be refunded.
32 Penalties and Interest See General Instructions L and M 32
Check box if estimate penalty was computed using Exception C or Exception D and attach form FT8 5806.
33 Total amount due. Add line 28 and line 32 Pay this amount with this return.
28
182 .
29
31
33 F 182.
Copyright(c) 1991 torm software only Center Piece Software, Inc
Farm lee 1991 Side 1
t�
CENTER PI •
.aMncHUra e. iaxey ✓eaucrea ube auamonal sneers
a necessa
(a) Nature of Tax
(b) Taxing Authority (c) Amount
SEE STATEMENT ATTACHED
Check If self-
Prepares SSNIFEIN
Paid
signature
Total Taxes Deducted.
5,156.
. C a ✓we k✓ a.aemsn la Map cam an L osses
PART I Short-Term Capital Gains and Loss - Assets Held One year or Less Use additional shew(sl It necessary.
(a) K,nd of propertyand description
(Example. too shares of'2 "Co.l
2
3
4
5
Imes 1, 2 and 3
s - Assets Held More Than One year Use additional
2
6 Enter gain from Schedule D -1, line 7 or line 9 6
7 Long -term capital gain from Installment sales from form FTB 3805E, line 22 or line 30 7
8 Net long -term capital gain (loss). Combine lines 5 through 7 8
9 Enter excess of net short-term capital gain (line 4) over net long -term capital loss (line 8) 9
10 Net capital gain, Enter excess of net long -term capital gain (line 8) over net short-term capital loss (line 4) 10
i t Total of lines 9 and 10. Enter here and on Form 100, Side 1, line 5 11
Note: If losses exceed gains, carry forward losses to 1992
Schedule J Add -on tax es or recapture of tax credits on Imes 28 and 29. See Instructions.
Installment payment of tax attributable to:
1) LIFO recap ture due to S Corp election (IRC Sec. 1363(d) deferral - $
under the look -back method for
Credit recapture name (type:)
Interest on tax attributable to Installment.
a) Sales of certain timeshares and residential lots
b) Method for nondealer installment obhbations
L uate business began In California of date income was first derived from
California sources 12 -14 -87
M Accounting method used ACCRUAL
N Location of principal accounting records Same
O Has the IRS redetermined your income tax liability for any prior year(s)
which has not previously been reported to California? EJ yes QX No
If yes, turhish a copy of the Revenue Agent's Report under separate cover
P First return? (Check appropriate box(es).
New business or successor to previously existing business operated as a:
sole pro- dnner5hl Omt
prtetOrSh,p p p ❑ VeniWS COrpoldt,On ❑ other
(attach statement showing name, address & FEIN of previous business)
O Corporation's "doing business as" (name).
R Was the corporation's Income included in a consolidated
federal return? El Yes allo
S Is this corporation a regulated investment company for
California purposes? 1:1 Yes �X No
form FTe
Amount owed Amount credited
) Side 1, If 28) (to Side 1, line 29
T At any time dunng the income year was more than 50% of voting stock.
a of the corporation owned by any single Interest? X yes No
b of another corporation owned by this corporation? yes B% No
c of this and one or more other corporations owned or controlled,
directly or Indirectly, by the same Interests? 0 yes MM No
If a, b or c is "yes" furnish statement of ownership Indicating pertinent
names, addresses, and percentages of stock owned. It the owner(s)
is an Individual, provide the social security number.
U Have all required Information returns (federal Forms 1099) been filed
with the Franchise Tax Boat d? E NIA OX yes ❑ No
V Corporation headquarters are: OM within California
Outside of Cal,tom,a, within the U.S. El Outside of the U.S.
W Corporation is: ❑ APP.rtomng u.s.,ncome to Camomia
Apportioning worldwide income to California ❑ NOtapp.,romngmcome
Electing to hie pit a water s -edge basis ands aitihated with a bank
or corporation which is not electing to file on a water's -edge basis
X How many affiliates are claiming immunity under
Public Law 86 -272? 0
Please I Under penalties of perjury, I declare that l nave examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief.
it is true, Correct and Complete Declaration of preparer (other than the taxpayer) is based on all Information of whmh preparer has any knowledge.
Sign
Here signature
of officer , Title I n.,. --------
(b) Date acquired (c)Oatesold (e) Cost or other basis, MGam (loss)
, (tl) Gross sales pace
( mo da yr.l I plus expense of safe um i... 1.11
Short-term capital gain from Installment sales from form FTB 3805E, line 22 or line 30
Unused capital loss carryover from 1990
•
Prepares'
Check If self-
Prepares SSNIFEIN
Paid
signature
Date 06- 14- 93 wee►
46 -23 -2868
Preparer's
Use On
Fxpts name
d, if '
Best Bookkee in s Svcs.
p_ g =
20709 Golden S rims Dr.
I nc.
I►
Suite 201
FEIN 95- 4234789
sel f-emp loyed)
_
_________________ P ___ _ J_______!-
T elephone
and add,. ss
Diamond Bar CA 91789
____________________
P-909-594-2462
Side 2 Farm 100 1991
Copyright (d 1991 form software only Center Piece Software. Inc.
(b) Date acquired (c)Oatesold (e) Cost or other basis, MGam (loss)
, (tl) Gross sales pace
( mo da yr.l I plus expense of safe um i... 1.11
Short-term capital gain from Installment sales from form FTB 3805E, line 22 or line 30
Unused capital loss carryover from 1990
•
Sctletlule l: Tax Credits If the corpor ompletetl Schedule P (100), do not complete this Jule
1 Jobs credit(FTB 3524) 6 Research credrt(FTB 3523)
2 Enterprise Zone hying /sales and use tax credltiFTB 38052) 7 Orphan drug credit(FTB 3528)
3 Program area hiring /sales and use tax credit(FTB 38052) 8 Low- .ncpme housing cr.c
4 Employer child care program credit(FTB 3501) 9 Other (attach form, schedule or statement)
5 Employer child care contribution credit(FTS 35ol) 10 Total Enter here and on Side 1, fine 23
Schedule F Computation of Net Income For California computation (General Instruction H), disregard the reference to federal schedules,
i
a Grossrece.pts 199 757. b Less returns
or gross sales r and allowances
Balance Ill
to
11
199, 757.
2
Cost of goods sold Attach federal Schedule A (Calif. Schedule V)
12
2
88,856.
3
Gross profit. Subtract line 2 from fine 1c
173.
3
110,901.
4
Dividends. Attach federal Schedule C (Calif Schedule H),
5, 15 6 .
4
5 , 633.
19
5
a Interest on obligations of the United States and U S. Instrumentalities
21b
Sa
22
23
b Other Interest. Attach schedule
24
5b
25
6
Gross rents
27
6
and on Side 1, line 1
28
7
Gross royalties
9,761.
7
8
Capital gain net Income. Attach federal Schedule D (or Calif. Schedule D)
8
9
Ordinary gain (loss). Attach federal Form 4797 (Calif. Schedule D -1)
9
a Payer
O y
10 Other income. Attach schedule
11 Total income. Add lines 3 through 10
10
(dl unitary
(Yes/No)
If yes enter
al. Ic)amf.
in col (e)
11
110,901.
Deduc—
dons
12 Compensation of officers Attach federal Schedule E or equivalent schedule
13 Salaries and wages (not deducted elsewhere).
14 Repairs
15 Bad debts
16 Rents
17 Taxes (Calif. Schedule A)
18 Interest
19 Contributions. Attach schedule
20 Depreciation. Attach fed. Form 4562(Ca.FTB 3885) 20 16,645.
21 Less depreciation ciaimedsisewh ere anreturn 21a
22 Depletion. Attach schedule
23 Advertising
24 Pension, profit- sharing, etc., plans
25 Employee benefit plans
26 Other deductions. Attach schedule
27 Specific deduction for 23701r or 237011 organizations
28 Total deductions. Add lines 12 through 27
29 Net income before state adjustments. Subtract line 28 from line 11 Enter here
12
12,000.
13
14
173.
15
16
15,742.
17
5, 15 6 .
18
5 , 633.
19
21b
16,645.
22
23
24
25
26
43,075.
27
and on Side 1, line 1
28
101,140.
29
9,761.
Schedule H Dividend Income Use additional sheet(s) if necessary See Schedule H Instructions.
a Payer
O y
co(III
or
preferred
stock
(c)Dividentl
received
(dl unitary
(Yes/No)
If yes enter
al. Ic)amf.
in col (e)
(e) Allowable
Intercompany
dividend deduction
(Side I, tine tot
M
, Deductible
%
(g) Deductible
d.v.den0
(h)
Lim. tabon
%
01 Allowable other
dividend deduction
(Side 1, line 11)
Total. Add columns a and I . Enter here d on Side t, fine to & line I I
Schedule V Cost of Goods Sold
1 Inventory at beginning of year. 1
2 Purchases - 2 46, 664.
3 Cost of labor 3 27,825.
4 a Additional IRC Section 263A costs Attach schedule. 4a
b Other costs. Attach schedule 4b 26, 3 67 .
5 Total. Add lines 1 through 4b 5 100, 856.
6 Inventory at end of year 6 12 , 000.
7 Cost of goods sold. Subtract line 6 from line 5. 7 8 8 , 856.
Method of Inventory valuation ► COST
Was there any substantial change in the manner of determining quantities, costs or valuations between opening and closing inventory? Yes 1XI No
It "Yes," attach an explanation. Enter California seller's permit number (It any) ►
Check if the LIFO Inventory method was adopted this Income year for any goods. If checked, attach federal Form 970
If the LIFO inventory method was used for this income year, enter percentage (or amounts) of closing inventory under LIFO
Do the rules of IRC Section 263A (with respect to property produced or acquired for resale) apply to the corporation? Yes X No
Copyright (c) 1991 form software only Center Piece Software, Inc. Form 100 1991 51de 3
l\
CENTERPIECE •
Schedule L Balance Sheets
Beginning 0 1 Income year
End of Income year
Assets
1 Cash
2 a Trade notes and accounts receivable
b Less allowance for bad debts
3 Inventories
4 Federal and stale government obligations
5 Other current assets. Attach schedule(s)
6 Loans to stockholders /otticers. Attach schedule.
7 Mortgage and real estate loans
8 Other Investments Attach schedule(s)
9 a Buildings and other fixed depreciable assets.
b Less accumulated depreciation
to a Depletable assets
b Less accumulated depletion
11 Land (net of any amortization)
12 a Intangible assets (amortizable only)
b Less accumulated amortization.
13 Other assets. Attach schedule(s)
4 Total assets
.labllitles and stockholders' equity
5 Accounts payable
6 Mortgages, notes, bonds payable in less than I year
7 Other current liabilities. Attach schedule(s)
8 Loans from stockholders
9 Mortgages, notes, bonds payable m t year or more
'.0 Other liabilities. Attach schedule(s)
t Capital stock a Preferred stock.
Ito Common stock.
2 Paid =m or capital surplus Attach reconciliation
3 Retained earnings - Appropriated. Attach schedule
4 Retained earnings - Unappropriated
5 Less cost of treasury stock
6 Total liabilities and stockholders' e ul
(a)
(b)
(c)
(d)
9,983.
2 292.
9 1 7 6 1 .
9,761.
15 , 654 .
1 Balance at beginning of year
2 Net Income per books
3 Other Increases (Itemize
(
5 Distributions: a Cash
b Stock
c Property
Other decreases
6 (ltem¢e)
(
15
12 000.
1,149.
1 , 497.
7 Total. Add line 5 and line 6
8 Balance at end of year. Subtract line) from line 4.
4 Total. Add lines 1 through 3.
— 4 068.
4 9 , 117.
G15,968.
7 6 , 4 0 3 .
( 33 ,149.
49,794.
26,609.
27 100.
5 8,052.
2,033.
12,696.
35,920.
26,200.
26,200.
26,200.
26, 200.
'
— 13,829.
- 4,068.
27 100.
58 052.
2
2
2
2
2
Schedule M - 1 Reconciliation of Income per books with income per return
This schedule does not have to be completed it the amount on Schedule L, line 14, column (d), is less than $25,000. — 1 Net income per books 9 , 7 61 . 7 Income recorded on books this year not
2 Federal income tax Included in this return (Itemize)
3 Excess of capital losses over capital gains a Tax - exempt ant. $
4 Taxable Income not recorded on books this
year (Itemize)
}
8 Deductions in this return not charged
against book Income this year (Itemize)
a Depleclahon $
State tax
b refunds $
5 Expenses recorded on books this year not
deducted In this return (itemize)
a Depreciation $
b State taxes $
C Travel& entertainment $
9 Total. Add line 7 and line 8
10Netmcomepe rreturn. Subtract lme9tromlines
6 Total. Add lines 1 through 5
9 1 7 6 1 .
9,761.
Schedule M - 2 Analysis of unappropriated retained earnings per books (Schedule L, line 24)
This schedule does not have to be completed It the amount on Schedule L, line 14, column (d), Is less than $25,000.
1 Balance at beginning of year
2 Net Income per books
3 Other Increases (Itemize
-13
5 Distributions: a Cash
b Stock
c Property
Other decreases
6 (ltem¢e)
9,761.
7 Total. Add line 5 and line 6
8 Balance at end of year. Subtract line) from line 4.
4 Total. Add lines 1 through 3.
— 4 068.
-4
Side 4 Form 1010 099 t Copyright (c) 1991 form software only Center Piece Software. Inc
}
J1 -8
INCOME YEAR Net Operatieg Loss (NOL) Carryover At
1991 Disaster Loss Deduction Corporations
,&lion name shown on the return
p
� ExpEess elec tee, t7 sin.. Inc.
9 — ) j
CALIFORNIA FORM
3803Q
'orporarion number
Ul /8
During me year the corporation Incurred the NOL, the corporation was a(n). W C Corporation O S Corporaton ❑ Exempt Corporation
Part 1 Computallon of N et Operating Loss
I Nei loss Im state purposes (Form 100. line 19; Form 109. line 2 or Form 1005, combined amounl of Iurus 17 and 18, if a
nel loss results)
2 Disaster (01,01 tosses for taxable or income years beginning in 1991 (enter as a positive number) 2
3 Difference between line 1 and line 2. See Instructions , , 3
/ NOL carry forward. Multiply line 3 by 50% (.50) Go to Part 11. .. +
Ptrt 11 Computalf of net operallnto loss carrvovar and
(a) Descnpbon 1500 msirucnons for column (a)
for loss othnn,ons)
(b) Carryover from
(C) Amount used
(d) Balance avadab,t to
(e) Carryover
5
prior years
this year
be olfwt by losses
Net income (loss) for state
Purposes (see instructions)
6 pualdied loss carryover,
years beginning in 1964
7 Disaster relief loss carryover,
%%i /� %• j,;;/ ;
het instr
years beginnuig In 1985
a Oualihod loss carryover,
years beginning in 1985
9 Disaster repel loss carryover,
years beginning in 1986
so%lsss vuuunwm)
10 Qualified loss carryover,
- ^ ^- -•-- --
•----- ••- - - - - -_
Years beginning in 1986
I I Disaster relief loss carryover,
years beginning In 1987 ,
12 General NOL carryover,
years beginning in 1981
13 Disaster relief loss carryover,
ywrs beginnin2 in 1988
11 General NOL carryover,
years be mnm in 1988
,
IS Disaster relief loss carryover,
years beginning In 1989
16 General NOL carryover,
- -•-- --
oars D mnm m 1989
•�• , "
17 Disaster relief loss carryover,
ears beg inning in 1990. ,
--- ----- ---- -- •• -_••
11 General NOL carryover.
—"—
4 (DlO
y uars beginning in 1990 ... ......... .
4(p�0
19 Disaster relief losses,
beginning in 1991
, '•;• , ;,
���;� >," , • ; • , • • ,
20 General NOL lot 1991 Enter
the amount from Part 1, line 4
,.,
%// %7
., ;
, .
j
/
21 Toler) used this year. Add amounts entered in column
(c) hero and on
,
—
Form 100, line 20: Form 100S. line 19; or Form
109, line 3 ... .
22 Total NOL to be carried forward. Add the amounts m column a of lines 6 through 20 .............
L ft v/O
FTB 38050 1991 Side 1
i
1
Form 7004
(Rev. October 199 1)
Department of the Treasury
0
J & A EXPRESS
2640 INDUSTRY
LYNWOOD, CA
Check type of return to be filed:
I^ I Form 1120
rH `y Form 1120 -A
Form 1120 -DF
Form 1120F Form 1120L
Form 1120 -FCS Form 1120 -NO
Form 1120 -H Form 1120 -PC
vorm 112OF filers: Check hone If you do not have an office or place of businoss In the Unnad States. Fof m 990 - T
1a I request an automatic e- P g month extension of time until _ _ _ _ _J_ u 1 15 , 199 3 , to life the mcomo lax ratu,n of u,a
corporation named above lot so y - - - r b -
calendar y 19 dr ► X 28,x year bogmnhl9 December 1 1991 ,
end ending November 30 1992
b If this tax year Is for loss than 12 Inontlls, chock reason.
Initial return Final rolurn Chan n in occountol (nod
P C msuhcLllud lu IO bu hied
2 If this application also covers subsidiaries to be included in a consolidated return,compieto [he following,
Name enw _
th — - -- - -- -• - -.•• ••,a•,• ..at yr ere connate roe
Em to er I.D. number
Tax period
3 Tentative has (see instructions)
4 Credits:
a Ovetpaynlonl credited hem pilot year q
Estimated tax payments for the tax year 4b
c Lose rotund for the tax oar applied
Y II jIi' I II I I ill'
for m1 Form 4400. n..I 0 d I hlh''idl;l,;l up,a:
' 4c Bal ► 4d
a Credit from regulated Investment companies. 4e
f Credit for Federal tax on fuels 4t
5 Total. Add lines 4d through 4f.
5 Balance due. Subtract Line 5 from line 3. Deposit this amount with a Federal Tax Deposit (FTD) Coupon
see Instructions
3 0
r ,, •:
Ipin:l pyl�,� IIW. n,l;
a,.
5 0 .0 0
6
Signature. - Under penalties Of perjury, I declare that I have been duthenred by the above -named corporation to make In,a appl¢abpn
and to the best of my knowledge and belief, the statements made are true, correct, and complete.
Accountant
- - -- - -- •------ -- - - -- -- ----------------------
I5 � n p • of all¢sr or genii .- .. .
O 19) For Papvwork neduction Act Notice, gee Inalr.
0
Employer Identlllcatlon number
95- 4139266
FIE COPY
Form 1120 -POL Form 11205
Form 1120 -REIT Form 990 -C
Form 1120 -RIC
2/11/93
Copynghl (c) 19021orm snllware only Center Rece Soltwan, Inc
d
ELECTRIC MOTOR SERVICE, INC.
WAY #C
90262
Application for Automatic Extension of Time I OMB No. 1545-0233
To File Corporation Income Tax Return Expllus 10 -31 -94
Furor 7004 (na in 911
,
ITEM - B
;0
DATE: May N, 1994
E
TO: Honorable Chairman and Members of the LLDC Board
FROM: Bruno Naulls, Staff Liaison to the LLDC
SUBJECT: LOAN REQUEST BY C & J SWEEPING SERVICE - CALVIN THOMAS,
PRINCIPLE OWNER
PURPOSE
To obtain proper back -up equipment and insurance to create a more productive and
effective equipment maintenance program.
BACKGROUND
C & J Sweeping Services was established in 1992. The span of operations ran from the
Inland Empire out to Riverside and surrounding areas. In the beginning of 1993 C & J
Sweeping Services moved its scope of business to Lynwood where the business is based
and operating to date. With the assistance of a loan from the LLDC Mr. Thomas feels
that his business, though it hasn't shown a positive cash flow going into its second year
of operations, will begin to generate positive cash flow before the end of the second
year of operation. One of Mr. Thomas's main reasons for the absence of growth thus far
is the inability to properly market his business. With capital available to utilize proper
marketing methods, Mr Thomas feels that by mid /early 1995 his gross contract sale will
increase by $59,450.00.
Mr. Thomas's sweeping services, according to tax statements, place of operations has
been his home address at 12156 Louise Avenue. The fictitious name which his business
filed taxes under is titled R.C.'s Sweeping services. According to Mr Thomas's Business
Plan, the Company titled R.C.'s Sweeping Services was sold in June of 1991. Tax returns
for the year of 1993 should reflect C & J's first year of operation. Additional research
has revealed the absence of a Lynwood business license ever being on record with the
City.
ANALYSIS
Mr. Thomas appears to be an outstanding candidate for assistance from the LLDC. He
has a well prepared business plan that demonstrates his sincerity and professionalism.
His projections are not outlandish, in fact they are quite plausible providing there is a
need for this particular type of assistance within the surrounding areas. With an
emphasis on Lynwood, it is not a new finding that our City streets could use a good
cleaning on a regular basis. This establishes the business as viable and a potential asset
for the community C & J also proclaims in the business plan to hire exclusively from
the City of Lynwood. Generating jobs within our community is one of the LLDC's
primary goals. At the present time,the job creating potential of this business is not great.
Due to the type of business, one could foresee the creation of approximately two more
positions after business starts to increase.
Mr Thomas has been operating out of Lynwood for approximately two years, however,
per Lynwood code he has been in operation illegally C & J Sweeping Services has never
0 •
been licensed with the City of Lynwood. Therefore, in view of the City, this business
never existed. With that information the request for assistance could be terminated due
to disqualification per BDAP guidelines which state a business must be located in the
City for at least one year
CONCLUSION
Calvin Thomas is requesting assistance in the amount of $20,000.00 from the LLDC. His
business has potential and would ultimately benefit the City by keeping areas clean
throughout the City and generating jobs in our community The funding will be used
to buy equipment and insurance for expanding operation and marketing his business
within the surrounding areas. The only judgement call is whether or not C & J
Sweeping Services is in fact a business in Lynwood and has been for a minimum of one
year By City standard and regulation it appears to be false.
RECOMMENDATION
Staff respectfully request that after reviewing this case and document, the Honorable
LLDC Board determine the validity of this business and compile a decision regarding
the subject request.
A BUSINESS PLAN
PRESENTED
, TO
LYNWOOD LOCAL DEVELOPMENT
COMPANY
PRESENTED BY
CALVIN VERNON THOMAS
FEBRUARY 18, 1994
0 0
C & J SWEEPING SERVICE
12156 LOUISE AVENUE
LYNWOOD, CALIFORNIA 90262
Telephone (213) 774 -6829
PRINCIPLE- OWNER: Calvin V. Thomas
NATURE OF BUSINESS: parking Lot Maintenance
HISTORY OF BUSINESS: After spending 13 years as a general warehouseman, and
finding little or no gratification, I decided to venture into business. Since cleaning was one of
my strong points, I researched the entire cleaning and maintenance industry, as a result of my
findings I decided to start a sweeping service.
In August of 1981 I purchased my first parking lot sweeping unit, and established my first
sweeping company, bearing the name of R.C.'S SWEEPING SERVICE. Through hard work,
persistence, and service follow -ups the business grew from $6,000 00 annually, with one
sweeping unit, to $158,000 00 gross annually contract sales with two (2) sweeping units, using
one mainly for back -up, all in a frame of seven (7) years.
Based on what appeared to be sound Data, I decided in June of 1991 to sell R.C.'S SWEEPING
SERVICE, to venture into the fast food arena, thereby entering into an agreement with I J New
berry Department Stores, too set up food counters in seven of their locations,
however due to the various ordinances throughout the difference Cities, coupled with the fact of
J.J Newberry filing Chapter 36, the agreement became more expensive and risky than originally
though out to continue.
Early in 1992, I decided too return to the sweeping business, establishing C &J
Sweeping Service and operating in the Inland Empire, Riverside and surrounding areas, moving to
my present and permanent location in 1993, in the City of Lynwood, California.
k
C &J SWEEPING SERVICE
FACILITIES Due to the nature of the sweeping business, I find it advantageous to operate out
of a designated area of my residence. This have enabled me in the past as well as the present to
be more accessible to late hour emergencies, allowing me the flexibility to respond to clients needs
in a timely frame. It has also allowed me the control necessary to keep my overhead at a
minimum and increasing-my bottom line.
MANAGEMENT: Currently I function as Manager, Bookkeeper, Supervisor, and relief
operator
As manager, I am responsible for contract'procurement and negotiations,
service follow -ups scheduling, setting up and overseeing a preventive
maintenance program, drawing up, safety guidelines for more productivity
and proper ways of utilizing equiptment.
PROJECTIONS: As C &J begins it's second year of operating in the city of Lynwood, we
have yet to develop a positive cash flow However, we expect the company to begin to generate
a positive cash flow and profits before the end of the second year of operations.
To accomplish this, however, the company needs a total infusion of $25,000 equity Capital, the
capital which will allow C&J the opportunity to put into place the proper backup equiptment,
covering the cost of insurance to create a more productive and effected equiptment maintenance
program, create a banking relationship by establishing and maintaining a sixty -day payroll and
taxes account, all are plan in the city of Lynwood.
My projections are, if the Equity Capital is in place by the beginning of March 1994, that by
January of I, 995, the gross contracts sales will increase by $59,450 00
This will be achieved by the use of the yellow pages, General and Pacific, direct mailing campaign,
canvassing, cities around Lynwood, and the greater Los Angeles areas.
<Please see Projected cash flow spreadsheet>
Jk
0 0
BENEFITS TO COMMUNITY:
C & J SWEEPING SERVICE
Under our new direction it is my plan to offer the city of Lynwood business establishments
a discount service rate, for maintaining their parking facilities. And donate a certain
number of hours annually to the city facilities, thereby helping the city achieve their goal
of keeping Lynwood beautiful.
At present all employess of C & J Sweeping Service have residence in the city of Lynw000d
and all future employees hired by C &J must be residents of the City of Lynwood. As C &J
grows so will the job opportunities, which will enhance and increase the tax base within
the city of Lynwood.
SUMMARY:
SHORT - RANGE- To maintain present status
LONG - RANGE- To increase present status, and bottom line, to put forth an expansion
program that will include relocating the business from the home to a
facility of its own, which will enable C &J to service its own
equiptment and offer that same service to its competitors, which will
create another base of revenue and at the same time create more jobs
for the unemployed residents in the City of Lynwood.
PRESENT PERSONNEL:
WAGE RATES:
one full -time operator
one full -time helper
one part -time operator
one part-time helper
operator full -time $6.00 per hr.
operator part-time $5.75 per hr.
full time helper $4.50 per hr.
part-time helper $4.50 per hr.
'all employees are of non union status'
0 0
C & J SWEEPING SERVICE
INCOME STATEMENT
1111/93 thru 12131/93
INCOME
EXPENSES:
SWEEPER TRUCK EXPENSES
gas & oil
replacement & parts
tires & repairs
miscellaneous
$13,04800
$ 1,94000
$ 67600
520.00
TOTAL
OTHER EXPENSES:
depreciation
truck insurance
interest
office supply
TOTAL OTHER EXPENSES:
TOTAL EXPENSES:
NET INCOME
$16,18400
$9,564.00
$4,664.00
$3,372.00
$ 72.00
$17.672.00
$85,28000
($33,856.00)
$ 51,424.00
a
C & J SWEEPING SERVICE
PROJECTED CASH FLOW
FIRST NINE MONTHS
r
1994
MAR.
APR.
MAY
JUN.
JUL.
AUG.
SEPT.
BEG. CASH
$000
$776.00
$2,51700
$7,099.25
$4,553.38
$8,00904
$8,23534
LOAN
$10,00000
$5,00000
$5,000.00
$5,00000
SALES
$6,750.00
$9,200.00
$6,650.00
$8,10000
$9,75000
$8,200.00
TOTAL CASH
$10,00000
$12,526.00
$16,71700
$13,749.25
$17,653.38
$17,75904
$16,43534
COST OF SALES
GAS
$80000
$80000
$800.00
$80000
$800.00
$80000
$800.00
MAINT.
$6983
$69.83
$69.83
$6983
$69.83
$6983
$6983
TOT. COST /SALES
$86983
$869.83
$869.83
$86983
$86983
$86983
$86983
GENERAL EXPENSES
-
---- - - - - -- ---- - - - - --
PAYROLL
$5,13000
$5,760.00
$5,44500
$5,10750
$5,211 45
$5,115.00
$4,883.85
TAXES
$15750
$312.50
$236.25
$15188
$17794
$153.75
$95.81
INSURANCE
$71667
$716.67
$716.67
$716.67
$716.67
$716.67
$716.67
TELEPHONE
$15000
$15000
$150.00
$15000
$150.00
$150.00
$15000
OFFICE
$75000
$750.00
$75000
$75000
$75000
$75000
$75000
UTILITIES
$15000
$150.00
$15000
$15000
$15000
$15000
$15000
OFFICE SUPPLIES
$7500
$7500
$75.00
$75.00
$7500
$7500
$7500
LOAN
$000
$000
$0.00
$000
$318.45
$318.45
$318.45
TRUCK
$50000
$500.00
$50000
$500.00
$500.00
$50000
$50000
SWEEPER
$72500
$72500
$72500
$72500
$725.00
$72500
$72500
TOTAL GENERAL EXP.
-
$8,35417
-----------------
$9,139.17
--------------
$8,74792
--- ------- - - - - --
$8,326.04
----------- - - - - --
$8,77451
-------- --- - - - - --
$8,653.87
--------------- -
$8,36478
MONTH END CASH
$77600
$2,51700
$7,099.25
$4,553.38
$8,009 04
$8,235.34
$7,20072
P
0
M
a
0.
OCT. NOV. TOTAL
$7,200.72 $3,412.89
$25,000.00
$5,250.00 $9,500A0 $63,400.00
$12,450.72 $12,912.89 $88,400.00
$80000 $800.00 $7,200.00
$69.83 $69.83 $628.50
$86983 $86983 $7,828.50
$4,726.30
$4,678.85
$46
95
$56.58
$44.71
$1,386.91
$716.67
$716.67
$6,450.00
$150.00
$150.00
$1,350.00
$750.00
$750.00
$6,75000
$15000
$150.00
$1,350.00
$75.00
$75.00
$675.00
$318.45
$318.45
$1,592.26
$500.00
$500,00
$4,500.00
$725.00
$725.00
$6,525.00
$8,16799
$8,108.68
$76,63712
$3,412.89
$3,934.38
$3,934.38
U
I*
Reed & Associates I14F
637 1 -2 East 115th Street
Los Angeles CA. 90059
<213>756 -4742
04 -27 -93
Calvin Thomas
INSTRUCTIONS FOR FILING FEDERAL FORM 1040
.YOUR RETURN HAS A BALANCE DUE OF ..... $ 1,977.00
.YOU MUST SIGN RETURN.
.MAKE A CHECK FOR $ 1,977.00 PAYABLE TO: INTERNAL REVENUE SERVICE
.PLACE YOUR SOCIAL SECURITY NUMBER ON CHECK.
.ATTACH CHECK TO LEFT HAND MARGIN OF RETURN.
.MAIL RETURN ON OR BEFORE 15 APRIL 1992 TO:
INTERNAL REVENUE SERVICE CENTER
FRESNO CA 93888
INSTRUCTIONS FOR FILING CA FORM 540
.YOUR TAX OBLIGATION IS EXACTLY MET.
NO ADDITIONAL TAX IS DUE.
.YOU MUST SIGN RETURN.
.MAIL RETURN ON OR BEFORE 15 APRIL 1992.
FRANCHISE TAX BOARD
P.O. BOX 942840
SACRAMENTO CA 94240 -0000
TH RETURNS ATTACHED TO THIS SHEET ARE YOUR PERSONAL COPIES TO KEEP
tp
1
a 1 040
(2)
Under
ageI
Department of the ury-- Internal Revenue Service 199.
(a) Dependent's
relationship to you
M
U.S. Individ Income Tax Return
Tax- exempt Interest Income (pg 16). DONT incl. on line 8a
24b
9
For the year Jan. - Dec. 31, 1991. or of In or tax Year beginning 1991, on ding
,19 701 No .1545 -0074
Label
Taxable refunds of state and local income taxes, If any, from on page 16
10
11
Your social security number
(See
a
Calvin Thomas
12
432 84 2617
on page 11)
E
-
Capital gain distnbuhons not reported on line 13 (see page 114
JE)18
Spouse's social security number
Use the IRS
label,
L
H
12156 Louise Avenue
16a
Total IRA distributions
16a
Otherwise,
E
Lynwood CA 90262
17a
For Privacy
cyAct and
please print
R
17b mount (see pg 17)
171
Paperwork Reduction
or type.
E
19
Fame income or (loss) (attach Schedule F)
Act Notice, see
Presidential
Unemployment compensation (insurance) (see page 18)
20
21a
Instructions.
Election Campaign
Do you want $1 to go to this fund? }{ as
No Role: cneckingres' ..,n
(See page 11 )
If joint return, does your spouse want $1 to go to this fund? ye
notchangeyour;axor
NO
t X Single
reduce your refund
Filing Status
2 Manned filing joint return (even if only one had income)
Check only
3 Mamed filing separate return. Enter spouse's SSN above & name here. ►
.
one box.
4 Head of household (with qualifying person). (See page 12.) It the qualifying person is a child but not your dependent,
enter this thud's name here. b-
5 Ouallfvin widower) with dependent child (year spouse died ► 19
See
Exemptions.
(See page 12.)
If more than six
dependents,
see page 13.
Income
Attach
Copy B of your
Forms W -2,
W- 2G,and
1099 -R here.
If you did not
get a W -2, see
page 10.
Attach check or
money order on
top of any
Forms W -2,
W -2G, or
1099 -R
Adjustments
to Income
(See page 19.)
Gross income
)..( page 12.)
6a Yourself If your parent (or someone else) can claim you as a dependent on his or her tax l
return, do not check box 6a. But be sure to check the box on line 33b, page 2. F
b n SOOUSe
c Dependents:
lb
(Il Name lfflSt, mdl, and ln5tnamel
(2)
Under
ageI
(3) If age 1 or older
dependent's
Social eeCUnry number
(a) Dependent's
relationship to you
(s1
Mos.
In
name
b
Tax- exempt Interest Income (pg 16). DONT incl. on line 8a
24b
9
Dividend Income (also attach Schedule B if over $400)
9
10
Taxable refunds of state and local income taxes, If any, from on page 16
10
11
Alimony received
11
12
'Business Income or (loss) (attach Schedule C)
12
13
Capital gain or (loss) (attach Schedule D)
13
14
Capital gain distnbuhons not reported on line 13 (see page 114
JE)18
15
Other gains or (losses) (attach Form 4797)
15
16a
Total IRA distributions
16a
16b ount (see pg 17 )
., „ undu ulun t live won you out is claimed as dependent (pre -1985 agreement), check here Be U
e Total number of exemntlnns nlalrtwn
7
Wages, salaries, tips, etc. (attach Form(s) W -2)
23
8a
Taxable Interest Income (also attach Schedule B It over $408a
b
Tax- exempt Interest Income (pg 16). DONT incl. on line 8a
24b
9
Dividend Income (also attach Schedule B if over $400)
9
10
Taxable refunds of state and local income taxes, If any, from on page 16
10
11
Alimony received
11
12
'Business Income or (loss) (attach Schedule C)
12
13
Capital gain or (loss) (attach Schedule D)
13
14
Capital gain distnbuhons not reported on line 13 (see page 114
JE)18
15
Other gains or (losses) (attach Form 4797)
15
16a
Total IRA distributions
16a
16b ount (see pg 17 )
16t
17a
Total pensions & annuities
17a
17b mount (see pg 17)
171
18
Rents, royalties, partnerships, estates, trusts, etc. (attach Sch18
19
Fame income or (loss) (attach Schedule F)
19
20
Unemployment compensation (insurance) (see page 18)
20
21a
Social security benefits I 21a I 21b ount (see,pg 18)
211
22
Other income
23 Add amounts shown in the far right column for lines 7 - 22. This is your total Income . ►
22
23
24a Your IRA deduction, applicable worksheet - page 20 or 21
b Spouse's IRA deduction, appl, worksheet - page 20 or 21
25 One -half of self - employment tax (see page 21)
26 Self- employed health insur deduction, worksheet - pg. 22
27 Keogh retirement plan and self - employed SEP deduction
28 Penalty on early withdrawal of savings
29 Alimony paid. Recipient's SSN ►
24a
24b
25
1 989
26
27
28
29
30 Add lines 24a throw h 29. These are your total adjustments . , ►
31 ubtract line 30 rom tine 23. Is is Your adjusted gross income . I this amount Is
less than $21,250 and a child lived with you, see page 4510 find out it you can claim
the "Earned Income Credit" on line 56 .... ...... ...... .. 0-1
30
31
i
checked on 6a
and 6b 1
No. of your
children on 6c
who:
• lived with you _
• didn't live with
you due to divorce
or separation
(SOO Page 14)
No. of other
dependents on 6c _
Add numbers
entered on 1
hoes above I.
F-.m 11040 40(1991) Th &s 432 84 2617 CN00029 A _. Paee2
32 Amount from line 31 (adjusted gross Income) ..
Tax 33a Check n: 0 you were 65 or older 0 Blind; Spouse was 65 or older Blind.
32
12 600
Compu— Add the number of boxes checked above and enter the total here " III 33a,
tation b If your parent (or someone else) can claim you as a dependent, check here ► 33b
c If you are married filing a separate return and your spouse Itemizes deductions,
If you want or you are a dual - status alien, see page 23 and check here 10 33c
f g ure to sour 34 itemized deductions (from Schedule A. line 26), OR
y
tax, seepage Enter Standard deduction (shown below for your fling status) Caution: If you
24, the: checked any box on line 33a or b. go to page 23 to find your standard
larger deduction. If you checked box 33c, your standard deduction Is zero.
of as Single -- $3,400 a Head of household-- $5,Oo0
your a Married filing jointly or Qualifying widow(er) -- $5,700
18,6 6
a Married filing separately -- $2,850
35 Subtract line 34 from line 32
35
—6 016
36 If line 32 Is $75,000 or less, multiply $2,150 by the total number of exemptions claimed on
line 6e. If line 32 Is over $75,000, see Page 24 for the amount to enter
37 Taxable Income. Subtract line 36 from line 35. (If line 36 is more than line 35, enter -0 -.)
38 Enter tax. Check if from a ® Tax Table, b 0 Tax Rate Schedules, c a Schedule 0,
or d 0 Form 8615 (see page 24). (Amount, if an from Forms) 8814) ► e _� )
39 Additional taxes (see page 24). Check if from a Form 4970 b a Form 4972
40 Add lines 38 and 39 ►
41 Credit for child and dependent care expenses (attach Form 2441) 41
Credits 42 Credit for the elderly or the disabled (attach Schedule R) 42
36
2 15 0
37
0
38
0
39
40
0
(See page 43 Foreign tax credit (attach Form 1116) 43
25.) 44 Other credits (see pa a 25). Check if from a Form 3800
b Q Form 8396 c Form 8801 d 11 Form (specify) 44
45 Add lines 41 through 44
46 Subtract line 45 from tine 40. (If line 45 is more than line 40, enter-0- ... ►
47 Self- employment tax (attach Schedule SE) ,
Other 48 Alternative minimum tax (anach Form 6251)
Taxes 49 Recapture taxes (see pg 26). Check If from: a Form 4255 b a Form 8611 c Form 8828
5o Social security and Medicare tax on tip Income not reported to employer (attach Form 4137)
51 Tax on an IRA or a qualified retirement plan (attach Form 5329)
52 Advance earned Income credit payments from Form W -2 -
45
46
47
0
1 977
48
49
50
51
52
0
53
1,97 7
53 Add lines 46 through 52. This is your total tax.. ►
64 Federal Income tax withheld (any from Form(s) 1099, check Ill ) 54
Payments 55 1991 estimated tax payments & amount applied from 1990 return 55
4ttach 56 Earned Income credit (attach Schedule EIC) 56
�orms W -2, 57 Amount paid with Form 4868 (extension request) 57
t and 58 Excess social Medicare, P9 )
1099 -099- R to security, care, & RRTA tax withheld ( see 27 58
)age 1 59 Other payments (see page 27). Check if from a 11 Form 2439
b 0 Form 4136 59
60 Add lines 54 throw h 59. These are your total payments ... ►
61 If line 60 is more than line 53, subtract line 53 from line 60, This Is the amount OVERPAID ►
4efund or 62 Amount of line 61 to be REFUNDED TO YOU ►
amount 63 Amount of line 61 to be APPLIED TO 1992 ESTIMATED TAX to 1 63
(OU 0 1 We 64 If line 53 is more than line 60, subtract line 60 from line 53. This is the AMOUNT YOU OWE.
Attach check or money order for full amount payable to "Internal Revenue Service." Write your
name, address, social security number, daytime phone number, and "1991 form 1040" on it
99 Ccn..,en..l r i
60
61
0
62
0
64
7 !1 977
under pena loss 0f perurY, I declare that I have eaammed this return and acccmpanymg schedules and statements, and to the best of my knpwle dge and be of.
Sign they are true, correct, an d co m plate. Declaration o f p reparer to t In er t hen ta. payer) n based o n ail information of whit h preparer has any kno wied go.
Here your signature
Dab your occupation
Keep a copy
of this return ' rat Swee er -Operation
for your SpaussYSlgnaturs (if m
f ioturn. BOTH mustslpn) Dab Spousl'soccupation
records.
Preparoes Date reparer'. social security no,
Paid signature check if
cv- -2 7 - -i3 I self - employed 439 34 1940
Preparer's Firm's name (pr yours Reed & Associates Inc E.1• No, 95- 3176143
Use Only Ifaell- employed) and ' 637 1 -2 East 115th Street
address
ZIP code
l
orsrJCrll 11 Co A9.0 1 Ah
Ah
Be sure ro enter on Form 1040, line 34, the LARGER of the
amount on line 26 above or your standard deduction.
For P'Wnrors negluetlon Aq Noui ar Fars 1e/0 Mehaceae�
H774 copyright Forms (Software Only) - 1991 Laser Systems, xayswlie, UT 84037500915
1991
1
Schedule -- Itemized uctions
OMB No. 1545 -0074
(Form 1040)
(Schedule 8 Is on page 2)
1991
Department of the Treasury
Internal avenue Service
ill Attach
ttach to Form 1040. See Instructions Tor Schedule
A and B (Form 1040),
attachment
Sequence No. 07
Names) shown
on Form 1040
Your social security number
Calvin Thomas
432 84 2617
Medical
Caution: Not expenses reimbursed or paid by others.
and
t
Medical and dental expenses. (See page 38.) 1
Dental
Expenses
2
Amount from Form 1040, iine'32 2 12 600
3
Multiply line 2 by 7.5% (.075) 3
945
_
4
Subtract line 3 from line 1. Enter the result. If less than zero, enter -0-
►
4
0
Taxes You
5
State and local income taxes 5
Paid
6
Real estate taxes 6
4 6
(see
7
Other taxes. (List -- include personal property taxes.) ►_
f f g
page 38.)
Auto License 59 7
0
8
Add lines 5 through 7 Enter the total
.►
8
1 8 3 6
Interest
9a
Home mortgage interest & points reported on Form 1098 9e 16,732
You Paid
b
Home mortgage interest not reported on Form 1098. (If
(See
paid to an individual. show person's name & address.) No
page 39.)
Note:
9b
Persona)
10
Points not reported to you on Form 1098. (See instructions
interest is
no longer
for special rules.) 10
deductible.
11
Investment interest (attach Form 4952 if required). (See
page 40.) 1 11
12
Add lines 9a through 11 Enter the total
. 1-
12
16, 2
is to
Caution: If you made a charitable contribution and
Ch
Charity
received a benefit in return, see page 4o.
(see
13
Contributions by cash or check 13
page 40.)
14
Other than cash or check. (You MUST attach Form 8283
if over $500.) 14
15
Carryover from prior year is
16
Add lines 13 through 15. Enter the total .
►
L, 6
0
Casualty and
Theft Losses
17
Casualty or theft loss(es) (attach Form 4684). (Seepage 40.)
Is
17
..
0
Moving
Expenses
16
Movinq expenses (attach Form 3903 or 3903F). (See pa a 41.)
►
18
0
Job Expenses
19
Unreimbursed employee expenses - -lob travel, union dues,
and Most Other
lob education, etc. (You MUST attach Fm 2106 if required.
Miscellaneous
See instr.) ►
Deductions
19
20
Other expenses (investment, tax preparation, safe deposit
box, etc.). List type and amount ►
TAX RETURN PREP FEES 30
(See
page 41 for
20
300
expenses to
21
Add lines 19 and 20 21
300
deduct here.)
22
Amount from Form 1040, line 32 L22 1 12.600
23
Multiply line 22 above by 2 23
252
24
Subtract line 23 from line 21. Enter the result. If less than zero, enter -0-
►
24
48
Other
2S
Other (from list on page 41 of instructions). List type and amount ►
Miscellaneous
Deductions
►
25
Total
26
a If the amount on Form 1o4o, line 32, $100,000 or less ($50,000 or
Itemized
less if manned filing separately), add lines 4, 8, 12, 16, 17, 18, 24, and
Deductions
25. Enter the total here.
►
26
18,616
is If the amount on Form 1040, line 32, is more than $100,000 (more than
.
$50,000 if mamed ffffng separately), see page 42 for the amount to enter.
Be sure ro enter on Form 1040, line 34, the LARGER of the
amount on line 26 above or your standard deduction.
For P'Wnrors negluetlon Aq Noui ar Fars 1e/0 Mehaceae�
H774 copyright Forms (Software Only) - 1991 Laser Systems, xayswlie, UT 84037500915
1991
1
SCHEDULE C # 1 Profit or Loss From Bu * ess
(Form 1040) • (Sole Proprietorship)
Department of the Treasury Partnership, Joint Ventures, Etc., Must File Form 1065.
Internal Revenue Service ► Attach to Form 1040 or Form 1041. ► See Instructions for Schedule C (Form 1040).
proprietor
O M B No. 1545 -0074
1991
Attachment trf�
Sequence No. 0 9
v no.(SSN1
A Principal business or profession, including product or service (see instructions) 8 Principal business code
Lot Sweeper \Service ( from page 2) 1- 7880
C Business name D Employer ID no. (Not SSN)
E Business address (including suite or room no.) ► 12156 Louise Avenue
City, town or post office, state and ZIP code Lynwood CA 9026
F Accounting method: (1) 0 Cash (2) U Accrual (3) QOther (specity) ►
G Method(s) used to Lower of cost Other (attach Does not apply (if
value closing inventory: (1) 0 Cost (2) Q or market (3) 0explanation) (4) ®checked, skip line H) Yes No
H Was there any change in determining quantities, costs, or valuations between opening and closing inventory? (If "Yes." attach explan.) X
I Did you "materially participate" in the operation of this business during 1991? (If "No," see instructions for limitations on losses.) X
J If this is the first Schedule C fled for this business, check here . .. ►
1 Gross receipts or sales. Caution: If this income was reported to you on Form W -2 and the
"Statutory employee" box on that form was checked, see the instructions and check here
2 Returns and allowances
3 Subtract line 2 from line 1
4 Cost of goods sold (from line 40 on page 2)
5 Subtract line 4 from line 3 and enter the gross profit here
6 Other income, including Federal and state gasoline or fuel tax credit or refund (see instructions)
7 Add Imes 5 and 6. This is vour
8 Advertising
9 Bad debts from sales or
services (see instructions)
10 Car and truck expenses (see
instructions- -also attach
Form 4562)
11 Commissions and fees
12 Depletion
13 Depreciation and section 179
expense deduction (not included
in Part III) (see instructions)
14 Employee benefit programs
(other than online 19)
15 Insurance (other than hearth)
16 Interest:
a Mortgage (paid to banks. etc.)
b Other
17 Legal and professional services
18 Office expense
19 Pension and profit - sharing plans
20 Rent or lease (see instructions):
a Vehicles, machinery, & equipment
Enter
10
11
12
13
14
15
16a
KI17
►0 `1
b Meals and
1 7
for business use of your home on line 30.)
_ 21 Repairs and maintenance
21
22 Supplies (not included in Part III)
22
23 Taxes and licenses
23
24 Travel, meals, and entertainment:
_ a Travel
24:
b Meals and
entertainment
c Enter 20% of line
24b subject to
limitations (see
instructions)
241
If Subtract line 24C from line 24b
25 Utilities
25
26 Wages (less jobs credit)
26
27a Other expenses (list type and amount):
Phone 765
Bank Charge 192
.. vu .a. uwmess property 1 ZOO 27b Total other expenses 271:
28 Add amounts in columns for lines 8 through 27b. These are your total expenses before expenses for
business use of your home ► 28
29 Tentative profit (loss). Subtract line 28 from line 7 2g
30 Expenses for business use of your home (attach Form 8829) 31)
31 Net profit or (loss). Subtract line 30 from line 29. If a profit, enter here and on Form 1040, line 12. Also
enter the net profit on Schedule SE, line 2 (statutory employees, see instructions) If a loss, you MUST go
on to line 32 (fiduciaries, see instructions) 31
32 If you have a loss, you MUST check the box that describes your investment in this activity (see instructions) 32a All investment is at risk.
If you checked 32a, enter the loss on Form 1040, line 12, and Schedule SE, line 2 (statutory employees, Y32b Some investment is not at risk.
see instructions). If you checked 32b you MUST attach Form 6198
For Paperwork Reeuc mn Act Nano, aee Finn 10sO losWucti. .
H774 Capynyht Forms(SOftwars Only) - 1991 Laser systems, Kaysvills, UT 84037500915
C (Form 10401 1991
1
SCHEDULE D
(Form 1040)
Department of the Treasury
I nternal Revenue Service
Names) shown on Form 1040
Capital Gains and L es
(Aweconcillation of Forms 1099 -B for Bring Transactions)
► Attach to Form 1040. ► See Instructions for Schedule D (Form 1040).
► For more space to list tra fo r Ur i 1a and Ba get Schedule D -1 (Form 10
OMB No. 1545 -0074
1991
Attachment �^w
2A
Seouence No.
nurlty number
Caution: Add the following amounts reported to you for 1991 on Forms 1099 -B and 1099 -S (or on substitute statements): (a) proceeds from
transactions involving stocks, bonds, and other securities, and (b) gross proceeds from real estate transactions not reported on another form '
or schedule. If this total does not equal the total of Imes 1c and Sc, column (d), attach a statement explaining the difference.
Part I Short-Term Capital Gains and Losses — Assets Held One Year or Less
(a) Oescnotion of property 0 Cates wretl (el Cost r or
Example, t00 shares lR O o k) Oate sold (6) Sal g
es price m LOSS ( y OIN
(MO say, yr.) (Mo. ea I (sennstruc➢pne ath e basis If a amore than d If b amore than (el, role P referre d of 2' Ca.l Y' Yr ' 1 t 11 l I bt tO f (tl)
la Stocks, Bonds, Other Securities, and Real Estate. Include Form 1099 -R and 1n99_C Tra ea,a.. ce_ t_.e_._ «_
-- - - - -- - or.. a luau vile . ear
Sal Stocks, Bo nds, Other Securities, and Real Estate. Include Form 1099 -R and lnoa_c Tranea.u.....
T.D .
6-05-9010-01-911
15,5 0
15 900
400
Bb Amounts from Schedule 0-1, line Bb (attach Schedule D -1)
Bc Total of All Sales Price Amounts.
Add column (d) of lines Be and 8b P-1 Bc 15.50
8d Other Transactions (Do NOT Include real estate transactions from Forms 1099 -S on this line. Report them on line 8a.)
to Amounts from Schedule D -1, line lb (attach Schedule D -1)
-
1c Total of All Sales Price Amounts.
Add column (d) climes is and 1b ► 1c
ld Other T ransactions (Do NOT Include real estate transactions from Forms 1099 -S on this line. Report them on fine Ia.)
9 Long -term gain from sale or exchange of your home from Form 2119, line 10 or 14c 9
10 Long -term gain from installment sales from Form 6252, line 22 or 30 10
/1 Net long -term gain or (loss) from partnerships, S corporations, and fiduciaries 11
12 Capital gain distributions 12
13 Gain from Form 4797, line 7 or 9 13
14 Long -term capital loss carryover from 1990 Schedule D, line 36 14
15 Add lines Be 8b, Bd and 9 through 14, In columns (f) and (g) 15
16 Net Ion -term ca ital In or (loss ). Combine columns (f) and ( ) of line 15
:_ oti....,— o_w......__ .
E401
2 Short-term gain from sale or exchange of your home from Form 2119, line 10 or 14c
3 Short-term gain from Installment sales from Form 6252, line 22 or 30
4 Net short-term gain or (loss) from partnerships, S corporations, and fiduciaries
5 Short-term capital loss carryover from 1990 Schedule D, line 29
6 Add Imes 1a, 1 b, 1d, and 2 through 5, in columns (1) and (g)
7 Net short-term caplUl galn or (loss). Combine columns (f) and (g) of line 6
Dart II 1 nnn_T r`
2
3
....
4
5
'
6
7
O
-- - - - -- - or.. a luau vile . ear
Sal Stocks, Bo nds, Other Securities, and Real Estate. Include Form 1099 -R and lnoa_c Tranea.u.....
T.D .
6-05-9010-01-911
15,5 0
15 900
400
Bb Amounts from Schedule 0-1, line Bb (attach Schedule D -1)
Bc Total of All Sales Price Amounts.
Add column (d) of lines Be and 8b P-1 Bc 15.50
8d Other Transactions (Do NOT Include real estate transactions from Forms 1099 -S on this line. Report them on line 8a.)
9 Long -term gain from sale or exchange of your home from Form 2119, line 10 or 14c 9
10 Long -term gain from installment sales from Form 6252, line 22 or 30 10
/1 Net long -term gain or (loss) from partnerships, S corporations, and fiduciaries 11
12 Capital gain distributions 12
13 Gain from Form 4797, line 7 or 9 13
14 Long -term capital loss carryover from 1990 Schedule D, line 36 14
15 Add lines Be 8b, Bd and 9 through 14, In columns (f) and (g) 15
16 Net Ion -term ca ital In or (loss ). Combine columns (f) and ( ) of line 15
:_ oti....,— o_w......__ .
E401
....
M174 Coppi9ht FOrela (Solt are Only) - 1991 Laser Systems, KAY1111e, UT 84037 $00915
Schedule D (Form 1040) 1991
Schedule 0(Form 1040) 1991 I'
Name(s) shown on Form 1040. (Do not enter name and social security number rt shown on page
ment Sequence No. 12A cage 2
Your social security number
Part III Summary of Parts I and II - -
17 Combine Imes 7 and 16, and enter the net gain or (loss) here. If the result is a gain, also enter the gain
on Form 1040, line 13. (Note: If both lines 16 and 17 are gains, see Part IV below.) 17 —400
18 If line 17 is a (loss), enter here and as a (loss) on Form 1040, line 13, the smaller of:
a The (loss) on line 17; or
b ($3,000) or, if marred filing a separate return, ($1,500) 18 4 0 0 )
Note: When figuring whether line 18a or 18b is smaller, treat both numbers as positive.
Complete Pan V if the loss on line 17 is more than the loss on line 18 OR if Form 1040 line 37 is zero
rent IV laa t unlp ulallun using maximum 1:aplial Gains Rate
USE THIS PART TO FIGURE YOUR TAX ONLY IF BOTH LINES 16 AND 17 ARE GAINS, AND:
You checked Form 1040, You checked Form 1040,
filing status box: AND line 37, Is over* filing status box: AND line 37, Is over
1 $49,300 3
2 or 5 $82,150 4 $41,075
$70,450
19 Enter the amount from Form 1040, line 37 - 18
20 Enter the smaller of line 16 or line 17 ZO
21 Subtract line 20 from line 19
22 Enter: a $20,350 If you checked filing status box 1; b $34,000 if you checked filing status box 2 or 5;
c $17,000 if you checked filing status box 3; or d $27,300 If you checked filing status box 4 22
23 Enter the greater of fine 21 or line 22 23
24 Subtract line 23 from line 19 24
25 Figure the tax on the amount on line 23. Use the Tax Table or Tax Rate Schedules, whichever applies 25
26 Multiply line 24 by 28% (.28) 26
27 Add lines 25 and 26. Enter here and on Form 1040, line 38, and check the box for Schedule D .. 27
Part V _ Capital Loss Carryovers From 1991 to 1992
37 Enter the loss from line 16 as a positive amount S7
38 Enter the gain, if any, from line 7 38
39 Enter the amount from line 31 39
40 Enter the amount, rt any, from line 32 40
41 Subtract line 40 from line 39. If zero or lass, enter -0- 41
42 Add lines 38 and 41 42
Part VI
term capicar toss carryover to 1992. Subtract line 42 from line 37 If zero or less enter -0- 143 l
Election Not to Use the Installment Method (Complete this part only 4 you elect out of the Instalfment method
and report a note or other obligation at less than full face value.)
44 Check here if you elect out of the installment method ► jj
46 Enter the face amount of the note or other obligation ►
46 Enter the percentage of valuation of the note or other obligation .. ....... , , , ► 96
Part VII Reconciliation of Forms 1099 -B for Bartering Transactions Amount ofwrterm
(Complete this part if you received one or more Forms 1099 -B or substitute from Form 1099 -6 or
statements reporting bartering inco substitute statement
reported on form or schedule
47 Form 1040, line 22 47
48 Schedule C, D, E, or F (Form 1040) (specify) ► 08
49 Other forth or schedule (Identify) (if nontaxable, indicate reason- -attach additional sheets If necessary):
49
50 Total. Add lines 47 through 49. This amount should be the same as the total bartering income on all
Forms 1099 -B and substitute statements received for barteri transactions .. ...... ...... 5o
H774 Copyright Forms (Software Only)- 1991 Laser Systems, xaywlls, UT84037 Sa491S
K I
►.
Section A.-- Carryover UmN
28
Enter the amount from Form 1040, line 35. If a loss, enclose the amount in parentheses
26
-6 6
29
Enter the loss on line 18 as a positive, amount
29
400
30
Combine lines 28 and 29. If zero or less, enter -0-
30
31
Enter the smaller of line 29 or line 30 .... , , ,
31
Section B.-- Short-Term Capital Loss Carryover to 1992 (Complete this section only if there is a loss on both Imes 7 and 18.)
32
Enter the loss from line 7 as a positive amount
32
33
Enter the gain, if any, from line 16
33
34
Enter the amount from line 31
34
35
Add lines 33 and 34
35
36
Short-term capital loss carryover to 1992. Subtract line 35 from line 32. If zero or less. enter -0-
36
Section C. -- Long -Term Capital Loss Carryover to 1992 (Complet this section only if there is a loss on both lines 16 and 18.)
37 Enter the loss from line 16 as a positive amount S7
38 Enter the gain, if any, from line 7 38
39 Enter the amount from line 31 39
40 Enter the amount, rt any, from line 32 40
41 Subtract line 40 from line 39. If zero or lass, enter -0- 41
42 Add lines 38 and 41 42
Part VI
term capicar toss carryover to 1992. Subtract line 42 from line 37 If zero or less enter -0- 143 l
Election Not to Use the Installment Method (Complete this part only 4 you elect out of the Instalfment method
and report a note or other obligation at less than full face value.)
44 Check here if you elect out of the installment method ► jj
46 Enter the face amount of the note or other obligation ►
46 Enter the percentage of valuation of the note or other obligation .. ....... , , , ► 96
Part VII Reconciliation of Forms 1099 -B for Bartering Transactions Amount ofwrterm
(Complete this part if you received one or more Forms 1099 -B or substitute from Form 1099 -6 or
statements reporting bartering inco substitute statement
reported on form or schedule
47 Form 1040, line 22 47
48 Schedule C, D, E, or F (Form 1040) (specify) ► 08
49 Other forth or schedule (Identify) (if nontaxable, indicate reason- -attach additional sheets If necessary):
49
50 Total. Add lines 47 through 49. This amount should be the same as the total bartering income on all
Forms 1099 -B and substitute statements received for barteri transactions .. ...... ...... 5o
H774 Copyright Forms (Software Only)- 1991 Laser Systems, xaywlls, UT84037 Sa491S
K I
►.
SCHEDULE SE
(Form 5040)
Department of the Treasury
Internal Revenue Service
Name of person with Sal
*Social Security Self-Empi Went Tax
► See Instructions for Schedule SE (Form 1040).
► Attach to Form 1040.
income (as shown on Form 1040) Social security number of person
with sett - employment income ►
Who Must File Schedule SE
You must file Schedule SE if:
• Your net earnings from self - employment from other than church employee income (line 4 of Short Schedule SE
or line 4a of Long Schedule SE) were $400 or more; OR
• You had church employee income (as defined in the instructions) of $108.28 or more;
AND
• Your wages (and tips) subject to social security AND Medicare tax (or railroad retirement tax) were less than
$125,000.
Exception: If your only self - employment income was from earnings as a minister, member of a religious order, or
Christian Science practitioner AND you filed Form 4361 and received IRS approval not to be taxed on
those earnings, DO NOT file Schedule SE. Instead, write "Exempt -Form 4361" on Form 1040, line 47
Note: Most people can use Short Schedule SE on this page. But, you may have to use Long Schedule SE on page 2.
Who MUST Use Long Schedule SE (Section B)
You must use Long Schedule SE if ANY of the following apply:
• You received wages or bps and the total of all of your wages (and tips) subject to social security, Medicare, or
railroad retirement tax plus your net earnings from self - employment is more than $53,400;
• You use either "optional method" to figure your net earnings from self - employment (see Section B. Part II, and
the instructions); _
• You are a minister, member of a religious order, or Christen Science practitoner and you received IRS approval
(by filing Form 4361) not to be taxed on your earnings from these sources, but you owe sett - employment tax on
other earnings;
• You had church employee Income of $108.28 or more that was reported to you on Form W -2; OR
• You received tips subject to social security, Medicare, or railroad retirement tax, but you did not report
those tips to your employer
OMB N o. 1 545 -0074
1991
Attachment ��
Seauen Ce No.
Section A —Short Schedule SE (Read above to see if you must use Long Schedule BE on page 2 (Section B).)
1 Net farm profit or (loss) from Schedule F (Form 1040), line 37, and farm partnerships, Schedule K -1
(Form 1065), line 15a
2 Net profit or (loss) from Schedule C (Form 1040), line 31, and Schedule K -1 (Farm 1065), line 15a
(other than farming). See instructions for other income to report
3 Combine lines 1 and 2 1
4 Net earnings from self- employment Multiply line 3 by .9235. If less than $400, do not file
this schedule; you do not owe sett - employment tax. Caution: If you received wages or tips, and
the total of your wages (and tips) subject to social security, Medicare, or railroad retirement tax
plus the amount on line 4 is more than $53,400, you cannot use Short Schedule SE. Instead,
use Long Schedule SE on page 2 ► 4
5 Self- employment tax. If the amount on line 4 is:
• $53,400 or less, multiply line 4 by 15.3 (.153) and enter the result.
• More than $53,400, but less than $125,000, multiply the amount in excess of $53,400 by
2.9% (.29). Add $6,170.20 to the result and enter the total.
• $125,000 or more, enter $10,246.60.
Also enter this amount on Form 1040, line 47 5
Note: Also enter one -half of the amount from line 5 on Form 1040, line 25.
For Paperwork Reduc0on Act Not>v, a Faro ld0 instruceone.
SC
11774 Co0yri9ht Forms (Software Onty) - 1991 Laser Systems, xayswile, UT 84037 500915
6
1040)
Form 6251 I alternative Minimum Tax -- Odividuals I OMB No. 1545 -0227
Department of the Treasury
Internal Revenue Service
shown on Form
► See separate Instructions.
► Attach to Form 1040 or Form IHONR. Estat and trusts, use Form 6656.
1991
Attachment �f �I
Se4uenCe Na. 3 L
seeurhy, number
1 Enter the amount from Form 1040, line 35. (If Form 1040, line 35 Is less than zero, enter as negative amount.)
2 Net operating loss deduction, if any, from Form 1040, line 22. (Enter as a positive amount.)
3 Overall itemized deductions limitation (see Instructions)
4 Combine lines 1, 2, and 3
5 Adjustments: (See instructions before completing.)
a Standard deduction, if any, from Form 1040, line 34 Sa
b
Medical and dental expenses. (Enter the smaller of the amount from
Schedule A (Form lo4o), line 4 or 2 1/2% of Form 1040, line 32.)
c
Miscellaneous Itemized deductions from Schedule A (Form 1040), line 24
d
Taxes from Schedule A (Form 1040). line 8
836
e
Refund of taxes
If
'Certain home mortgage Interest
g
Investment Interest expense
In
Depreciation of tangible property placed in service after 1986
1501
I
Circulation & research & experimental expenditures paid /incurred after 1986
j
Mining exploration and development costs paid or Incurred after 1986
k
Long -term contracts entered into after 2.
I
Pollution control facilities placed in service after 1986
m
'Installment sales of certain property
n
Adjusted gain or loss and Incentive stock options
o
Certain loss limitations
p
Tax shelter farm loss
Sp
q
Passive activity loss
5q
r
Beneficiaries of estates and trusts
L Sr
a
Combine Imes 5a through 5r
5
6
Tax preference Items: (See instructions before completing.)
a
Appreciated property charitable deduction
6a
b
Tax- exempt interest from private activity bonds issued after 8/7/86
6b
c
Depletion
ec
d
Accelerated depreciation of real property placed in service before 1987
6d
e
Accelerated depreciation of leased pers property placed in Svc before 1987
6e
f
Amortization of certified pollution control facilities placed in Svc before 1987
6 f
9
Intangible drilling costs
h
Add lines 6a through 6g
61
7
Combine lines 4, 5s, and 6h
7
8
Energy preference adjustment for certain taxpayers. (Do not enter more than 40% of line 7.) See Instructions
8
9
Subtract line 8 from line 7
9
10
Alternative tax net operating loss deduction. See instructions for limitations
1t
11
Alternative minimum taxable Income. Subtract line 10 from line 9. If married filing separately, see instr
11
12
Enter. $40,000 ($20,000 if married filing separately; $30,000 if single or head of household)
1:
13
Enter: $150,000 1 If married filing separately; $112,500 if single or head of household)
11
14
Subtract line 13 from line 11. If zero or less, enter -0- here and on line 15 and go to line 16
14
15
Multiply line 14 by 25% 1
15
16
Exemption. Subtract line 15 from line 12. If zero or less, enter -0- If completing this torte for a child under
age 14, see instructions for amount to enter
16
17
Subtract line 16 from Ilne 11. If zero or less, enter -0- here and on line 22 and skip limes 18 through 21
17
18
Multiply line 17 by 24% (.24)
16
19
Alternative minimum tax foreign tax credit. See Instructions
19
20
Tentative nnnlmum tax. Subtract line 19 from line 18
20
21
Enter your tax from Form 1040, line 38, minus any foreign tax credit on Form 1040, line 43. If an amount
is entered on line 39 of Form 1040, see instructions
21
27
Alternative minimum tax. Subtract line 21 from line 20. If zero or less, enter -0- Enter this amount on
Forth 1040, line 48. If completing this form for a child under age 14, see in structions for amount to enter
22
For Paperwork Redocbon Act Noboe, see sepsrafe W.%V 0ti
11774 Co p ynp h t Forms t5oftwara On 1yj -1991 Loser System, xaysw tie, UT 84037500916
1
H774 •
California Resident
Income Tax Re 1991
Use the Caffomra.1mg li Othernes, pisase print Or type. Fiscal year beginning
Step 1 Your first name Q initial (If Joint return, abo give spouse's name i initial) Last name
Name and Calvin Thomas
Address Present he me addrus - hum ber 6 street including apartment no. P.O. Box or rural route
City. town or post office, state and ZIP Code
FORM
540
99 e , 19
Your social security number
SP -u--'s socal security number
M
1 1 Single
Step 2 2 Married filing joint return (even if only one had income)
Filing Status 3 Manned filing separate return. Enter spouse's social security number above and name here.
Check only one. 4 Head of household wltn qualif
( perspn4 if pual. persona your mild but not your dependent. enter name Hera.
5 Qualifying wldow(er) with depen dent child. Enter year spouse died 19
Step Ste 3 6 If someone (such as your parent) can claim you as a dependent on his or her tax return, check
here, skip Imes 7 through 10 and enter -0- on line 11 e 6 a
Exemptions 7 Personal: 11 you checked box 1, 3 or 4 above, enter 1. If you checked box 2 or 5, enter 2 7
Do not enter 8 Blind: If you or your spouse Is visually Impaired, enter 1. If both are visually Impaired, enter 2 9
dollar amounts
here. 9 Senior: If you or your spouse Is 65 or older enter 1 11 both are 65 or older, enter 2 • 9
10 Dependents: Enter name and relationship Do not Include yourself or your spouse.
11 Total number of exemptions. Add Imes 7 through 10
Step 4
Taxable
Inco
Enter the total number of dependents 10
it
Tax .nxunvn. a ulluer eye 14 ene you nave more than s1 100 of Investment Income,
Attach check read line 20 instructions to see if you must attach form FrB 3800.
or money 21 Exemption credits. Caution: See the instructions for line 21 and the worksheet and instructions
order here. In Step 6 before entering an amount on line 21.
Check if from [] line 21 instructions 0 line 21 worksheet or ® Schedule P (540) De 21
22 Subtract line 21 from line 20. 11 less than zero, enter -0- 22
23 Tax from 11 Schedule G-1, line 21 and from a form FTB 5870A a 23
24 Add line 22 and line 23. Continue to Side 2 20
For wivaryM Notre, aw Yubupbona Form 540 1991 Side 1
Copyright Forms (Sottwere Only) - 1991 Laeo Syll Kayevdle, UT (140]7 500915
1
12 Slate wages from your Form W -2, box 25 a 12
13 Federal adjusted . gross income from line 31 of your Form 1040, line 16 of your
H774
0
Steps
25 Amount from Side 1, line 24
for
25 0
26 Credit child and dependent care expenses. See instructions a 26
Credits
27 Credit for taxpayers with military Income. See instructions a 27
28 Enter credit name code no. _ & amount ► 28
29 Enter credit name code no. _ & amount ► 29
30 Enter credit name code no. _ & amount ► 30
31 To claim more than three credits, see Instructions a 31
32 Credit for taxpayers with income under $22,841. See Instructions a 32
33 Total credits. Add lines 26 through 32
33
34 Subtract line 33 from line 25. If less than zero, enter -0-
34 0 0
Step 7
35 Alternative minimum tax. Attach Schedule P (540)
a 35
Other
36 Other taxes. See Instructions
a 36
Taxes
37 Total tax. Add lines 34 through 36
a 37 Q
Step 8
38 CA income tax withheld. Enter total from 1991 FOrn1(S) W -2 & 1099 -R 0 38
Payments
39 1991 California estimated tax and amount applied from 1990 return.
Include amount paid with extension payment voucher (form FTB 3519) 0 39
40 Renter's credit. Enter amount from Schedule H (540), line 9 040
41 Excess California SDI withheld. See Instructions E 41
42 Total payments. Add lines 38 through 41
42 0 1
Step 9
43 Overpaid tax. If line 42 is larger than line 37, subtract line 37 from line 42
43
Overpaid Tax
44 Amount of line 43 to be applied to your 1992 estimated tax
0 44
or Tax Due
45 Amount of overpaid tax available this year. Subtract line 44 from line 43
0 4S
46 Tax due. If line 37 is larger than line 42, subtract line 42 from line 37
08
Step 10
47 Contribution to California Seniors Special Fund. See Instructions
a 47
Contributions
You may make a contribution of $1 or more to: "
48 Alzheimer's Disease /Related Disorders Fund • 48
49 California Fund for Senior Citizens • 49
50 Rare and Endangered Species Preservation Program a 5o
51 State Children's Trust Fund for the Prevention of Child Abuse a 51
52 Veterans Memorial Account a S2
California Election 53 Your political party ($25 max) 11- 53
Campaign Fund 54 Spouse's political party ($25 max) ► 54
55 Total voluntary contributions. Add Imes 48 through Sa
• 66
56 Total conmbutions. Add line 47 and line 55
0
Step 11
57 REFUND OR NO AMOUNT DUE. Subtract line 56 from lino 45. Mail your return to:
Refund or
Franchise Tax Board, P.O. Box 942840, Sacramento, CA 94240 -0000
N S7 �.
Amount You
Owe
58 AMOUNT YOU OWE. Add line 46 & line 56. Attach check or money order for full amount payable
to "Franchise Tax Board." Write our social seou
Y my number and "1991 Form 540" on it. Mail it
with your return to: Franchise Tax Board, P.O. Box 942867, Sacramento, CA 94267 -0001
use
Step 12
59 Interest and late return and late payment penalties
Interest and
60 Underpayment of estimated tax. If form FTB 5805 or 5805F Is attached, check box at right a
59
e 60
Penalties
61 To reduce State printing costs, if you and your tax preparer do not need California income tax
forms and instructions mailed to you next year, check box at right
a 6110
Sign
IMPORTANT You must attach a copy of your federal Income tax return and federal schedules.
4
H ere
UnderpenalLes of Perjury, I declarethat i bavee.ammee th,sraturn, mcludmgamompanpng scheduiesand statements, and to the bestof my knowledge
and belief, it sinus, correct and complete.
Attach copy of
your signature Spouse's signature (,f hlinp jointly, both must si gn )
9 ) Date
federal return
X X
t0 this return.
Signature of pud prepare, (deciarabon of prepare,,. based on aomformabon of which praparer has any knowledge.)
Preparer's SSN /FEIN
It is unlawful to
forge a spouse's
fY -s7 - 9s 439 34 1940 95- 3176143
Fvm'a name for yours ,i sell- employed)
signature.
Firm's addnsa
Reed & Associates Inc
6 1
37
-9 Fast 115th Street Los Angeles CA 00
Side 2 Form 540 1981
CopMght Forme (Software
only) - 1991 Laser Systems, mysvins, UT 84037 500913
6
TAX • •
TAXABLE YEAR
SCHEDULE
1991 California Adjustments CA
Important: Attach this schedule directly behind Form 540.
Names) as shown on return Social security number
IJAHT I ADJUSTMENTS TO FEDERAL ADJUSTED GROSS INCOME
Step 1
1
State income tax refund from federal Form 1040, line 10
1
Subtractions 2
Unemployment compensation from federal Form 1040, line 20, or Form 1040A, line 12
2
3
Social security benefits from federal Form 1040, line 21b, or Form 1040A, line 13b
3
4
California nontaxable interest or dividend income. See Instructions
4
5
Railroad retirement benefits and sick pay. See instructions
5
6
California Lottery winnings. See instructions
6
7
Difference between state and federal wages. See instructions
7
8
IRA distributions. See instructions
6
9
Pensions and annuities. See instructions
9
10
Passive activity. See instructions
10
11
Depreciation and amortization from form FTB 3885A, line 6a and line 10a
12
Capital gains or (losses) from California Schedule D, line 11a
11
12
13
Other gains or (losses) from California Schedule D -1, line 21a and line 38
13
14
Other subtractions:
a Total California disaster loss carryover from 1990 form FTB 3805V
14a
b Other. See instructions. Specify
15 Total subtractions. Add lines 1 through 14b. Enter here and on Form 540, line 14
1 is
15
Step 2 16 Interest on state and municipal bonds from a state other than California. See instructions 16
Additions 17 Difference between state and federal wages. See instructions
17
18 Passive activity See instructions 18
19 Depreciation and amortization from form FTB 3885A, line 6b and line 10b 19
20 Capital gains or (losses) from California Schedule D. line 11b 20
21 Other gains or (losses) from California Schedule D -1, line 21 b and line 38 21
22 Other additions:
a Federal net operating loss deduction from your 1991 federal Form 1040, line 22 222
b Other. See instructions. Specify
22
23 Total additions. Add lines 16 through 22b. Enter here and on Form 540, line 16 23
PART II ADJUSTMENTS TO FEDERAL ITEMIZED DEDUCTIONS
24 Federal itemized deductions. Add the amounts on federal Schedule A, lines 4, 8, 12, 16, 17, 18,
24 and 25 24 18,6 6
25 State and local income taxes from federal Schedule A, line 5 and foreign income taxes. See instr 25
26 Subtract line 25 from line 24 28 18 616
27 Other adjustments. See instructions. Specify
28 Combine line 28 and line 27 27 28 18, 616
29 California itemized deductions 29 18 616
• If your federal adjusted gross income on forth 540, line 13 is not more than:
-- $100,000 if single or manned filing separate
-- $150,000 if head of household
-- $200,000 it manned filing pint or qualifying widow(er) enter the amount on line 28 on line 29
• It your federal adjusted gross income on Form 540, line 13 is more than the amount listed above for your filing status, complete
the worksheet on page 4 of the instructions to figure the amount to enter on line 29.
If your California itenxzed deductions on line 29 are larger than your standard deduction, enter your California itemized deductions
on Form 540, line 18. Otherwise, enter your standard deduction on Form 540, fine 16.
Copyrtpftt Forms rsoftvsrs only)- 1991 LUST Systems, Keysvills, UT U077 500915 Schedule CA 1991
1
TAXABLE YEAR Alternativ#Minimum Tax and CAUFORNIA SCHEDULE
1991 Credit Limitations -- Residents P (540)
Attach this schedule to Form 540.
Name(s) as shown on Form 540 Your social secunty number
Fart I Tentative Minimum Tax and Alternative Minimum Tax Computation
1 Taxable income from Form 540, line 19 (may be less than zero)
2 Amount, It any, from line 9 of the worksheet in the Instructions for Schedule CA, line
3 Combine line 1 and line 2
4 Adjustments (See Instructions before completing.);
a Standard deduction from Form 540, line 18
b Medical and dental expense
c Miscellaneous Itemized deductions from federal Schedule A (Form 1040), line 24
d Personal and real property taxes
e Refund of personal and real property taxes
f Interest
g Combine lines 4a through 4f
h Depreciation of property placed in service after 1986
1 Circulation'& research & experimental expenditures paid or Incurred after 1986
1 Mining exploration and development costs paid or incurred after 1986
k Long -term contracts entered Into after 2/28/86
1 Pollution control facilities placed in service after 1986
m Installment sales of certain property
n Adjusted gain or loss
o Certain loss limitations
p Tax shelter farm activities
q Passive activities
r Beneficiaries of estates and trusts
s Combine lines 4h through 4r
5 Tax preference Items (See instructions before completing.):
a Appreciated property charitable deduction
b Depletion
c Add line 5aland line 5b
d Accelerated depreciation of real properry placed in service before 1987
e Accelerated depreciation of leased personal property placed in svc. before 1987
f Amortization of certified pollution control facilities placed in service before 1987
g Intangible drilling costs
h Add lines 5d through 5g
6 Alternative minimum taxable income. Combine lines 3, 49, 4s, 5c and 5h. If marred fili
7 Enter: $40,000 ($20,000 If married filing separate; $30,000 if single or head of house
8 Enter: $150,000 ($75,000 if mamed filing separate; $112,500 if single or head of ho
9 Subtract line 8 from line 6. If zero or less, enter -0- here and on line 10
10 Multiply line 9 by 25% (.25)
11 Subtract line 10 from line 7 If zero or less, enter -0- If this schedule is for a child un
12 Subtract line 11 from line 6. If zero or less, enter -0- here and on line 15
13 Tentative minimum tax. Multiply line 12 by 8.5% (.085) (If larger than zero, also co
14 Regular tax before credits from Form 540, line 20. If an amount is entered on Form 540
15 Alternative minimum tax. Subtract line 14 from line 13. If zero or less, enter -0- If
under 14, see instructions. 11 you do not have Part 11, Section D credits, also enter this
•
1
29 2 ( )
................ .. 3 0
4a
4b
4c 48
1,83
4e
41
..... .. .... ..... .. 49 1 884
p4q
4r
.... .. 48 6
V59
5h 0
ngseparate, see instructions 6 1 884
hold) 7 30 000
usehold) a 112 500
9 0
10 0
der 14, see instructions 17 30 000
12 0
mplete Part II) 13 0
, line 23, see Instructions 14 0
I
If you have entered an amount on line 15, see the special note on page 6 of the Schedule P
rt 11 Credit Umitations
.don A -- Tax In excess of tentative minimum tax
1 a Regular tax from Part I, line 14 minus tentative rrxnimum tax from Part I, line 13. Not less than zero
to Exemption credits. See instructions. Note: do not enter more than amount on line 1 a. If exemption credits are
greater than line 1a, enter amount shown on line 1 a on Form 540, line 21, & check Schedule P(540) box
2 a Enter the amount from Form 540, line 24 (use refigured amount if exemption credits are limited by line 1a)
to Tentative minimum tax from Part I, line 13 . .... .... ... .... .. .
Co9ynpht Forms (Software Only( - 1991 Laser Systems, xaym Ile, UT UO37 S0091S Schedule P (540) 1991 SIde 1
d
IL
schedule is for a child
amount on Form 540, In -5.
15
If you have entered an amount on line 15, see the special note on page 6 of the Schedule P
rt 11 Credit Umitations
.don A -- Tax In excess of tentative minimum tax
1 a Regular tax from Part I, line 14 minus tentative rrxnimum tax from Part I, line 13. Not less than zero
to Exemption credits. See instructions. Note: do not enter more than amount on line 1 a. If exemption credits are
greater than line 1a, enter amount shown on line 1 a on Form 540, line 21, & check Schedule P(540) box
2 a Enter the amount from Form 540, line 24 (use refigured amount if exemption credits are limited by line 1a)
to Tentative minimum tax from Part I, line 13 . .... .... ... .... .. .
Co9ynpht Forms (Software Only( - 1991 Laser Systems, xaym Ile, UT UO37 S0091S Schedule P (540) 1991 SIde 1
d
IL
H174 ThIL 432 84 2617 CN00029
Part II Credit Unittations
-- Credits that may not reduce excess
Code
3 Subtract line 2b from line 2a. If less than zero, enter -0-
4 Credit for child & dependent care expenses - 540 instr. wksht
5 Credit for taxpayers with rrolitary Income - Form 540 instr wksht
170 6 Credit for pint custody head of household - Form 540 instr. wk
173 7 Credit for dependent parent - Form 540 instr. wksht
163 8 Credit for senior head of household - Form 540 instr wrksht
164 9 Credit for head /household w /nondependent relative - 540 instr.
165 10 Credit for the elderly or disabled - Form 540 instr wksht. or
credit for public retirees under 65 from Schedule RP
184 11 Credit for political contributions from statement
162 12 Prison Inmate labor credit from form FTB 3507
166 13 Jobs credit from form FTB 3524
160 14 Low - emission vehicles credn -form FTB 3554
169 15 Enterprise zone employee credit - form FTB 3553
161 16 Credit for qualified parent
171 17 Rideshanng credit: Carryover - FrB 3518
191 18 Ridesharing credit: Large employer program - FTB 3518
192 19 Rideshanng credit: Small employer program - FTB 3518
193 20 Rideshanng credit: Employer subsidized transit passes -FTB 351E
194 21 Rideshanng Employee vanpool program - FTS 3572
176 22 Enterprise zone hiring /sales and use tax credit - form FTB 38052
177 23 Program area hiring /sales and use tax credit - form FTS 38052
178 24 Water conservation credit carryover from statement
179 25 Solar pump credit carryover from statement
182 26 Energy conservation credit carryover - form FTB 3514
186 27 Residential rental and farm sales credit - form FTB 3529
189 28 Employer child care program credit - form FTB 3501
190 29 Employer child care contribution credit - form FTB 3501
174 30 Recycling equipment credit - form FTB 3527
175 31 Agricultural products credit - form FTB 3534
180 32 Solar energy credit carryover - form FTB 3805L
181 33 Commercial solar energy credit carryover - form FTB 3805L
196 34 Commercial solar electric system credit - form FTB 3556
183 35 Research credit - FTB 3523. (start-up co's use FTB 3505)
185 36 Orphan drug credit - form FTB 3528
172 37 Low - Income housing credit - form FTB 3521
188 38 Credit for prior year a0ernative minimum tax - form FTS 3510
Secti C -- Credits that may reduce tax below tentative minimum lax
Sid* 2 Schedule P (540) 1991
Copyright Forms (3oftwars only( - 1991 Laser Systems, Kayswiie, UT 84037 300915
6
39 If line 3 is zero, enter the amount from fine 2a. If line 3 is more
than zero, enter the total of line 2b and line 38, column (c)
39
0
180
40 Solar energy credit carryover - line 32, column (d)
40
0
181
41 Commercial solar energy credit carryover - line 33, column (d)
41
0
196
42 Commercial solar electric system credit - line 34, column (d)
42
0
183
43 Research credit - line 35, column (d)
43
0
185
44 Orphan drug credit - line 36, column (d)
44
0.
172
45 Low-income housing credit - line 37, column (d)
45
0
187
46 Other state tax credit from Schedule S .
46
0 - -
Section D -- Credits that may reduce alternative minimum tax (AMT)
47 Enter your alternative minimum tax -Part 1, line 15
47
"' 0
48 Solar energy'credit carryover - line 40, column (d)
48
0
49 Commercial solar energy credit canyover - line 41, column (d)
49
- 0
49 Adjusted AM T. Enter bal.- -line 49, col.(c), here & on 540. line 35
50
n
0
--
a
Sid* 2 Schedule P (540) 1991
Copyright Forms (3oftwars only( - 1991 Laser Systems, Kayswiie, UT 84037 300915
6
39 If line 3 is zero, enter the amount from fine 2a. If line 3 is more
than zero, enter the total of line 2b and line 38, column (c)
39
0
180
40 Solar energy credit carryover - line 32, column (d)
40
0
181
41 Commercial solar energy credit carryover - line 33, column (d)
41
0
196
42 Commercial solar electric system credit - line 34, column (d)
42
0
183
43 Research credit - line 35, column (d)
43
0
185
44 Orphan drug credit - line 36, column (d)
44
0.
172
45 Low-income housing credit - line 37, column (d)
45
0
187
46 Other state tax credit from Schedule S .
46
0 - -
Section D -- Credits that may reduce alternative minimum tax (AMT)
47 Enter your alternative minimum tax -Part 1, line 15
47
"' 0
48 Solar energy'credit carryover - line 40, column (d)
48
0
49 Commercial solar energy credit canyover - line 41, column (d)
49
- 0
49 Adjusted AM T. Enter bal.- -line 49, col.(c), here & on 540. line 35
50
n
Sid* 2 Schedule P (540) 1991
Copyright Forms (3oftwars only( - 1991 Laser Systems, Kayswiie, UT 84037 300915
6
Reed & Associates Inc
637 1 -2 E 115th St
Los Angeles CA 90059
213 - 756 -474.2
05 -23 -93
Calvin Thomas
INSTRUCTIONS FOR FILING FEDERAL FORM 1040
.Your return has a balance due of $2626.00.
.Your underpayment penalty is included.
.You must sign your return.
.Make a•check for $2626.00 payable to: INTERNAL REVENUE SERVICE
.write your social security number on the check.
.Attach the check to the left hand margin of your return.
.Mail your return on or before 15 APRIL 1993 to:
INTERNAL REVENUE SERVICE
FRESNO CA 93888
INSTRUCTIONS FOR FILING CALIFORNIA 540
.Your tax obligation is exactly met. No additional tax is due.
.You.must sign your return.
.Mail your return on or before 15 APRIL 1993 to:
FRANCHISE TAX BOARD
P.O. BOX 942840
SACRAMENTO, CA 94240 -0000
THE RETURNS ATTACHED TO THIS SHEET ARE YOUR PERSONAL C OPIES TO KEEP
6
1
F Department of the sury-- Internal Revenue Service
a 1040 1992 •
U.S. Indiviai Income Tax Return
IRS usa poly - -OO not wore or staple In in Is space.
Single
Taxable interest income. Attach Schedule B it over $400
Far the year Jan 1 - Dec. 31 1992, or other tax year begmnmg 1992, ending
t9 ; OMB No. 1545 -0074
Label
Married filing joint return (even it only one had income)
9
Your social Security number
instructions
n
Cd1V In Th OIRdS
432 84 2617
on page 10.)
E
Head of household (with qualifying person). (See page 11.) If the qualifying person is a child but not your dependent,
Spouse's socal security number
Use the IRS
L
12156 Louise Avenue
Capital gain or (loss). Attach Schedule D
label.
H
Lynwood CA 90262
14
Otherwise,
E
Yourself If your parent (or someone else) can claim you as a dependent on his or her tax
For Privacy Act and
please print
a
return, do not check box 6a But be sure to check the box on line 33b, page 2
Paperwork Reduction
or type.
b
Spouse
Act Notice, seepage 4.
Presidential
c De
Dependents:
p
(1) Name Itvst, ir:I! and lastname i
','or
U
(a) Rage lorOmer,
dependent's
Election Campaign
, Do you want $1 to go to this fund?
your
children on fx
Yes
211
X
No
Nata: Cfteckfng - yes ., will
(See page to
If Lori return, does your spouse want $1 to go to this fund?
0 liliv
•ved with you
not change your taxor
Yes
No
retlute your refund.
If more than six
dependents,
see page 12
Income
Attach
Copy 8 of your
Forms W -2,
VV-2G, and
1099 -R here.
If you did 'not
get a W -2, see
page 9
Attach check or
money order on
top of any
Forms W -2,
W -2G, or
1099 -R.
d It child didn't live with you but is claimed as dependent (pre -1985 agreement), check here ►
e Total number of exemptions claimed
7
1
X
Single
Taxable interest income. Attach Schedule B it over $400
8;
Filing Status
2
Married filing joint return (even it only one had income)
9
Dividend income. Attach Schedule B if over $400
(See page 1o.)
3
Married filing separate return. Enter spouse's SSN above & name here. ►
1f
11
Check only 4
Head of household (with qualifying person). (See page 11.) If the qualifying person is a child but not your dependent,
one box.
Business income or (loss) Attach Schedule C or C -E2
1;
enter this child's name here. ►
Capital gain or (loss). Attach Schedule D
L
5
Qualifying widower) with dependent child (year spouse died ► 19 ). (See pa 2e 11.)
14
15
6a
Yourself If your parent (or someone else) can claim you as a dependent on his or her tax
No. of boxes
Exemptions
161
return, do not check box 6a But be sure to check the box on line 33b, page 2
checked on 6a
(See page 11)
b
Spouse
and 6b 1
No. of
19
c De
Dependents:
p
(1) Name Itvst, ir:I! and lastname i
','or
U
(a) Rage lorOmer,
dependent's
(e) Dependent's
(sl
M^s.
your
children on fx
Social security benefits 121a 21b Taxable amount (see pg 17)
211
22
age t
so I
relauonsnio to you
n
0 liliv
•ved with you
If more than six
dependents,
see page 12
Income
Attach
Copy 8 of your
Forms W -2,
VV-2G, and
1099 -R here.
If you did 'not
get a W -2, see
page 9
Attach check or
money order on
top of any
Forms W -2,
W -2G, or
1099 -R.
d It child didn't live with you but is claimed as dependent (pre -1985 agreement), check here ►
e Total number of exemptions claimed
7
Wages, salaries, tips, etc. Attach Form(s) W -2
7
8a
Taxable interest income. Attach Schedule B it over $400
8;
b
Tax - exempt mterest income (pg 15). DONT Incl. on line 8a Bb
9
Dividend income. Attach Schedule B if over $400
9
10
Taxable refunds, credits, or offsets of state & local income taxes from wksht on pg 16
1f
11
Alimony received
11
12
Business income or (loss) Attach Schedule C or C -E2
1;
13
Capital gain or (loss). Attach Schedule D
L
14
Capital gain distributions not reported on line 13 (see page 15)
14
15
Other gains or (losses). Attach Form 4797
1,
16a
Total IRA distributions 16a 16b Taxable amount (see pg 16)
161
17a
Total pensions & annunSs 17a 17b Taxable amount (see pg 16)
171
18
Rents, royalties, partnerships, estates, trusts, etc. Attach Schedule E
18
19
Farm income or (loss). Attach Schedule F
19
20
Unemployment compensation (see page 17)
20
21a
Social security benefits 121a 21b Taxable amount (see pg 17)
211
22
Other income
23 Add amounts shown in the far right column for lines 7 - 22. This is your total Income, . ►
24a Your IRA deduction, applicable worksheet - page 19 or 20 24a
Adjustments b Spouse's IRA deduction, appl. worksheet - page 19 or 20 24b
to Income 25 One -half of self - employment tax (see page 20) 25 1 265
(See page 18.) 26 Self- employed health insurance deduction (see page 20) 26
27 Keogh retirement plan and self - employed SEP deduction 27
28 Penalty on early withdrawal of savings 28
29 Alimony paid Recipient's SSN ► 29
• diI live with
you due to divorce
or separation
(See Page 13 )
No. of other
dependents on 6c _
Add numbers
entered on 1
lines above ..
30 Add lines 24a through 29. These are your total adjustments .. . ► 30 1 265
Adjusted 31 Subtract fine 30 come. If from line 23. This is Your adjusted gross In this amount is
GLOSS Income less than $22,370 and a child lived with you, see page EIC -1 to find out if you can claim
the "Earned Income Credit" on line 56
nna c pr gdtE is n o i 0
► 3t 16 24
6
c prm,oao 0992) Th &S 432 84 2617 CN0 0029 •
P, 2
32 Amount from line 31 (adjusted gross Income)
Tax 33a Check d: 0 You were 65 or older 0 Blind: a Spouse was 65 or older QBlind.
32
16 240
Compu- Add the number of boxes checked above and enter the total here ► 33a
tation to If your parent (or someone else) can claim you as a dependent, check here Ill- 33b
c It you are married filing separately and your spouse Itemizes deductions, or you
(See page are a dual- status alien, see page 22 and check here 10 33c a
22') 34 Itemized deductions from Schedule A, line 26, OR
Enter Standard deduction shown below for your filing status. But If you checked
the: any box on line 33a or b, go to page 22 to find your standard deduction.
larger If you checked box 33c, your standard deduction Is zero.
of • Single -- $3,600 • Head of household -- $5,250
your: Married filing jointly or Qualifying widow(er) -- $6,000
34
19 218
• Married filing separately -- $3,000
3S Subtract line 34 from line 32
35
-2 978
36 It line 32 is $78.950 or less, multiply $2,300 by the total number of exemptions claimed on
line 6e If line 32 is over $78,950, see the worksheet on page 23 for the amount to enter
If you want 37 Taxable Income. Subtract line 36 from line 35. It line 36 Is more than line 35, enter -0-
the IRS to 38 Enter tax. Check If from a ® Tax Table, b Q Tax Rate Schedules, c O Schedule D,
figure your
tax, see page or d 0 Form 8615 (see page 23). Amount, If any from Form(s) 8814 ►e
23' 39 Additional taxes (see page 23) Check if from a a Form 4970 b 0 Form 4972
40 Add Imes 38 and 39 Be
41 Credit for child and dependent care expenses. Attach Form 2441 41
Credits 42 Credit for the elderly or the disabled. Attach Schedule R 42
ff
40
(See page 43 Foreign tax credit. Attach Form 1116 43
23.) 44 Other credits (see pa a 24) Check d from a a Form 3800
b LJ Form 8396 c Form 8801 If a Form (specify) 44
45 Add Imes 41 through 44
46 Subtract line 45 from line 40 If fine 45 Is more than line 40, enter -0- ►
47 Self- employment tax Attach Schedule SE. Also, see line 25
Other 48 Alternative minimum tax. Attach Form 6251
Taxes 49 Recapture taxes (see pg 25) Check If from: a 0 Form 4255 b Form 8611 c Form 8828
45
46
47
0
2 530
48
49
50 Social security and Medicare tax on lip income not reported to employer. Attach Form 4137
50
51 Tax on qualified retirement plans, including IRAs. Attach Form 5329
51
52 Advance earned income credit payments from Form W -2
52
0
53
2 530
53 Add lines 46 through 52. This is your total tax ►
54 ,Federal Income tax withheld Any from Form(s) 1099, check ► 54
Payments 55 1992 estimated tax payments & amount applied from 1991 return 55
4ttach 56 Earned Income credit. Attach Schedule EIC 56
rorms W -2. 57 Amount paid with Form 4868 (extension request) 57
vY -2G. and 58 Excess social security, & RRTA tax withheld see
1099 -R on N. (see 26) 58
Dage 1 59 Other payments (see page 26). Check It from a Form 2439
b [] Form 4136 59
_ 60 Add lines 54 through 59. These are your total payments ►
aefund or 61 It line 60 is more than line 53, subtract line 53 from line 60 This Is the amount OVERPAID Be
kmount 62 Amount of line 61 to be REFUNDED TO YOU ►
IOU OWe 63 Amount of line 61 to be APPLIED TO 1993 ESTIMATED TAX ► 63
60
61
0
62
0
%t ach check 64 If line 53 is more than line 60, subtract line 60 from line 53 This Is the AMOUNT YOU OWE.
tr money order Attach check or money order for full amount payable to "Internal Revenue Service." Wnte your
m top of name, address, social security number, daytime phone number, and "1992 Form 1040" on it
m
ir ') W -2,
itrt nn �� I wr c...,,,,....,.._.. ----,_. ,--- -- -- __. .. i i
64
2 626
-__.. ._ .. ........... ....... r .. .. �, mio.. ,ii�m�o vu ni le ow I cD y
Under penalties of perjury, I declare to at I have eaammed this return and accompanying schedules and statements, and td the best of my knowledge and belief,
Sign they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on ail niormation of which preparer has any knowledge.
H ere Your aighature
Oate Your occupation
Keep a copy 01, of this return ' Sppuse'4 signature I., lomtreturn, 90TH mustai SWee er-O eration
for your sig Oate spouse's occupation
records.
Preparers' Date Preparer's s-CW security no.
Paid signature Check if
Preparer's
self - employed 01 439 34 1940
Pirm'aham.(orydurs Reed & Associates Inc E. I, No. 95- 3176143
Use Only if self -emPioyed)and' 637 1 -2 E 115th St
address
ZIP coda
1
Form 2210
Department of the Treasury
Internal Revenue Service
shown on tax return
Underpayment c&
Amated Tax by Individuals aM Fiduciaries
► See separate Instructions
► A ttach to Form 104 0, Form 1040A, Form 10401411, or Form 1041.
cvi7
Note: In most cases, you do not need to file Form 2210 'The IRS will figure any penalty you owe and send you a bill. File Form
2210 only if one or more boxes In Part I apply to you. Ii you do not need to file Form 2210, you still may use it to figure your penalty.
Enter the amount from line 20 or line 36 on the penalty line of your return, but do not attach Form 2210.
Part I Reasons For Filing — If la, b, c, or d below applies to you, you may be able to lower or eliminate your
penalty. But you MUST check the boxes that apply and file Form 2210 with your tax return. If ie or f below
applies to you, check that box and file Form 2210 with your tax return.
1 GneCK whichever boxes apply (if none apply, see the Note above):
a Q You request a waiver. (In certain circumstances, the IRS will waive all or part of the penalty. See the Instructions for
Waiver of Penalty.)
b You use the annualized Income Installment method. (If your Income varied during the year, this method may reduce
the amount of one or more required Installments. See Instructions for Schedule a.)
c Q You had Federal Income tax withheld from wages and you treat it as paid for estimated tax purposes when It was actually
withheld Instead of In equal amounts on the payment due dates. (See the instructions for line 22.)
d (1) You made estimated tax payments for 1989, 1990, or 1991 (or were charged an estimated tax penalty for any of those years), AND
(2) Your adjusted gross Income (AGI) is more than $75 000 (more than $37,50011 married filing separately), AND
(3) Your 1992 modified AGI exceeds your 1991 AGI by more than $40.000 (more than $20,000 if married filing separately), AND
(4) Your 2nd, 3rd or 41h required Installment (column (I (c), or (d) of line 21) is based on either your 1991 tax or 90%
of your 1992 modified tax.
See Instructions for Schedule A for more Information.
e Q Conditions (1), (2), and (4) (but not condition (3)) In box ld apply to you, and your 1992 AGI exceeds your 1991 AGI by
more than $40,000 (more than $20,000 it married filing separately). If you check this box, you must also attach a computabon
of your 1992 modified AGI
I One or more of your required Installments (line 21) are based on your 1991 tax and you filed or are filing a joint return for
either 1991 or 1992 but not for both years.
Part II All Filers Must Complete This Part.
2
Enter your 1992 tax after credits (see Instructions)
3
Other taxes (see Instructions)
4
Add lines 2 and 3
5
Earned income clean
6
Credit for Federal tax paid on fuels
LIS
7
Add lines 5 and 6
8
Current year tax Subtract line 7 from line 4
9
Multiply line 8 by 90% (.90)
I g
10
Withholding taxes. Do not Include any estimated tax payments
on this line (see instructions)
11
Subtract line 10 from line 8. If less than $500, stop here;
do not complete or file this form. You do
not owe the penalty
12
Prior year (1991) tax (Caution: See Instructions.)
13
Enter the smaller of line 9 or line 12 (see Instructions)
Part III Short Method -- (Caution: Read the instructions to see If you can use the short method. It you checked
box tb, c, or d In Part I, skip this part and go to Pan IV )
14 Enter the amount, if any, from line 10 above 14 p
15 Enter the total amount, if any, of estimated tax payments you made 15 IJ
16 Add lines 14 and 15 ,a
17 Total underpayment for year. Subtract line 16 from line 13. (If zero or less, stop here; you do not
owe the penalty Do not file Form 2210 unless you checked box 1e or f above.)
18 Multiply line 17 by .04846
19 • If the amount on line 17 was paid on or after 4/15/93, enter -0-
• 11 the amount on line 17 was paid before 4/15/93, make the following computation to find the amount
to enter on line 19. Amount on Number of days paid
line 17 x before 4 /15/93 x .00019
20 PENALTY Subtract line 19 from line 18. Enter the result here and on Form 1040, line 65; Form 1040A,
line 33; Form 1040N line 65; or Form 1041, line 26
For Paperrork Reduction Act Nob., sea page 1 of separate 1131mi ons.
H774 Copyright FIorms(Software Only)- 1992 Laser Systems, xaysv0le, UT $4037 600925
OMB No. 1545 -0140
1992
Attachment o6
Sequence N.. V
7
(1992)
II.
Cr`LICr11 It CC .A e e I Idibk. A�
.uv W, S chedule A -- Itemized Ructions
OMB No. 1545
-0074
(Form 1040)
Department of the Treasury (Schedule 8 Is on page 2)
1992
nternal Revenue §ernce ► Attach to Form 1040. ► See Instructions for Schedule A and B
B ( Form
1040
Attac:n
Sequ
07
Name(s) shown on Form 1040
e
.
e ce NO.
n Your
social security number
Calvin Thomas
432 84 2617
Medical Caution: Not expenses reimbursed or paid by others.
and 1 Medical and dental expenses (see page A -1) 1
Dental
Expenses 2 Amount from Form 1040, line 32 2 1 6 240
3 Multiply line 2 by 7 5% (.075) 3 1.218
4 Subtract line 3 from line 1 If zero or less, enter -0- Is
4
0
Taxes You 5 State and local income taxes 5
Paid 6 Real estate taxes (see page A -2) 6 2 028
(S 7 Other taxes List -- include personal property taxes ►
_
page A -t l Auto License 69 0 7 690
8 Add lines 5 through 7 Is
8
2 718
Interest 9a Home mortgage interest & points reported on Form 1098 9a 16 500
You Paid
b Home mortgage Interest not reported on Form 1098. If
(S paid to an Individual, show person's name and address. le
page A -2.)
Note: 9b
Personal 10 Points not reported to you on Form 1098. See page A -3
interest is
not for special rules 10
deductible 11 Investment interest If required, attach Form 4952. (See
page A ) 11
12 Add lines 9a through ll Is
12
16 500
Gifts to Caution: It you made a charitable contribution and
Charity
received a benefit in return, see page A -3.
(See 13 Contributions by cash or check 13
page A -3) 14 Other than cash or check If over $500, you MUST
attach Form 8283 14
15 Carryover from prior year 15
16 Add Imes 13 through 15 Ill,
16
0
Casualty and
Theft Losses 17 Casualty or theft loss(es). Attach Form 4684. (See page A -4) ►
17
0
Moving
Expenses 18 Moving expenses. Attach Form 3903 or 3903F (See page A -4.) ►
19
0
Job Expenses 19 Unrelmbursed employee expenses - -lob travel, union dues,
and Most lob education, etc. Ii required, you MUST attach Form
Other 2106. (Seepage A -4.) ►
Miscellaneous
Deductions -
19
20 Other expenses -- investment, tax preparation, safe deposit
box, etc. List type and amount ►
(See
page A -4 for 20
expenses to 21 Add lines 19 and 20 21
deduct here.)
22 Amount from Form 1040, line 32 1 22 16,24 0
23 Multiply line 22 above by 2a/ (.02) 23 3 2 5
24 Subtract line 23 from line 21 If zero or less, enter -0- ►
24
0
Other 25 Other - -from list on page A -5. List type and amount ►
Miscellaneous ,
Deductions
►
25
Total 26 Is the amount on Form 1040, line 32, more than $105,250 (more than $52,625 if
Itemized married filing separately)?
Deductions • NO. Your deduction Is not limited. Add lines 4, 8, 12, 16, 17, 18, 24, and 25. ►
26
19, 218
• YES. Your deduction may be limited. See page A -5 for the antount to enter.
For Paperwork Re4acoon M Nottm, see Farm 104(i Instnio on ,
11)74 Cgpyn4ht F01-it software Only) - 1992 Laser Systems, I(yyswlle, UT $4037 500925
Caution: Be sure to enter on Form 1040, line 34, the LARGER of the amount
on line 26 above or your standard d educhnn.
1040)
R
SCHEDULE C 1
(Form 1040)
Department of the Treasury
Internal Revenue Service
Name of proprietor
OMB No 1545 -0074
199
Atta r !!
Sequence No. 09
security no. (SSN)
A Principal business or profession, including product or service (see instructions) B Principal business code
Lot Sweeper \SerylCe
C Business name (fr p age 2) 1 " 78
-
D Employer ID no. (Not SSN)
E Business address (including suite or room no ► 12156 Louise Avenue
City, town or post office, state. and ZIP code Lynwood CA 90262
F Accounting method (1) Cash (2) Accrual (3) Other (speaty) ►
G Method(s) used to Lower of cost Other (attach Does not apply (if
value closing inventory: (1) 0 Cost (2) or market (3) 0explanation) (4) ®checked, skip line H) ZYesNo H Was there any change in determining quantities, costs, or valuations between opening and closing inventory? If "Yes." attach explan. I Did you 'materially participate" in the operation of this business during 1992? If "No," see page C -2 for limitations on losses J Was this business in operation at the end of 1992? K How many months was this business in operation during 1992? L It this is the first Schedule C filed for this business, check here
1 Gross receipts or sales. Caution: If this income was reported to you on Form W -2 and the "Statutory
employee" box on that form was checked, see page C -2 and check here ► 0
2 Returns and allowances
3 Subtract line 2 from line 1
4 Cost of goods sold (from line 40 on page 2)
5 Gross profit. Subtract line 4 from line 3
6 Other income, including Federal and state gasoline or fuel tax credit or refund (see page C -2)
7 Gross Income. Add lines 5 and 6 ►
Part II Ex ens
1
49 12 0
2
line
8 Advertising
3
4 9 12 0
4
21
5
49 120
22
6
lies (not included in Part III)
services (see page C -3)
10 Car and truck expenses
(see page C -3 -- also attach
7
4 9 12 0
es (Caution, Do
not enter
expenses for business
use of your home on lines 8 -27 Instead, see
line
8 Advertising
8
rs and maintenance
21
22
9 Bad debts from sales or
lies (not included in Part III)
services (see page C -3)
10 Car and truck expenses
(see page C -3 -- also attach
9
and licenses
l, meals, and entertainment:
23
gT
Form 4562)
10
l
24a
11 Commissions and fees
12 Depletion
13 Depreciation and section 179
expense deduction (not included
in Part III) (see page C -3)
a nment 0% of line
2
b let to
it
12
13
limitations (see
14 Employee benefit programs page C -4)
(other than online 19) 14 d Subtract line 24C from line 24b 241
15 Insurance (other than health) 15 5 490 25 Utilities 25
16 Interest: 26 Wages (less lobs credit) 26
a Mortgage (paid to banks, etc.) 16a 27a Other expenses (list type and amount)
b Other 16b 1 146 Phone 790
17 Legal and professional services 17 Bank Charge 147
18 Office expense 18
19 Pension and profit- sharing plans 19
20 Rent or lease (see page C -4):
a Vehicles, machinery, & equipment 20a 9
b Other business property 20b 27b Total other expenses 127b
28 Total expenses before expenses for business use of home. Add lines 8 through 27b in columns
29 Tentative profit (loss). Subtract line 28 from line 7
30 Expenses for business use of your home. Attach Form 8829
31 Net profit or (loss). Subtract line 30 from fine 29 If a profit, enter here and on Form 1040, line 12. Also
enter the net profit on Schedule SE, line 2 (statutory employees, see page C -5) If a loss, you MUST go
on to line 32 (fiduciaries, see page C -5)
31
32 If you have a loss, you MUST check the box that describes your investment in this activity (see page C -5) 32a All investment is at risk.
If you checked 32a, enter the loss on Form 1040, line 12, and Schedule SE, line 2 (statutory employees, 32b LJ Some investrrlent is not at risk.
see page C -5). If you checked 32b, you MUST attach Form 6198.
For Paiom Bork Neduc6on Act Nob, W. Form 104q kmtrugbona
Schedule C (Perm 1040) 1992
H774 CoGynght Forms(sottware Onlyf- 1992 Lase ge
Laser Systems, Kayam, UT 84037 500925
Profit or Loss From BL ,
(Sole Proprietorship)•
► Partnership, Joint Ventures, Etc., Must File Form 1065.
► Attach to Form 1040 or Form 1041. ► See Instructio for Schedule C (Form 1
►
SCHEDULE D
;Form 1040)
Department of the Treasury
Internal Re Servi
Name(s) shown oni Form 1040
Capital Gains and Losses
(Aeconciliation of Forms 1099 —B for Bring Transactions)
► ach to Form 1040. ► See Instructions for Schedule D (Form 1040).
► For more space to list transac for Ines to and 9a, get Schedule D -1 (Form 10
OMB No. 1545 -0074
1992
Attachment r�
�). Se9uence No. 12A
social security number
Caution: Add the following amounts reported to you for 1992 on Forms 1099 -8 and 1099 -S (or on substitute statements): (a) proceeds from
transactions involving stocks, bonds, and other securities, and (b) gross proceeds from real estate transactions not reported on another form
or schedule. If this total does not equal the total of lines 1c and 9c, column (d), attach a statement explaining the difference.
Part I Short—Term Capital Gains and I nssca_ Li 1iA n..., v___
(a) Ofiwipvon of property
(Enample. 100 snares °b
Preferred Of 'X VT " CGi
1a Stocks. Bonds, Other Securities, and
(D) Oate acp1 ''
(Mp pay, p)
Real Estate. Include
GJJ
(c) Oate solo (d) Sales pnce let Cost or (f) LOSS (d GAIN
(MO. Gay, yr.) (see page O -21 other Dasis II (el is more than(dl, 11(d),re than (e), pa "orI Dt t( 1 from (d)
Form 1099 -8 and 1099 -5 Transactions. See page D -3.
10 Long -term gain from sale or exchange of your home from Form 2119, line 17 or 23
11 Long -term gain from Installment sales from Form 6252. line 26 or 37
12 Long -term gain or (loss) from like -kind exchanges from Form 8824
13 Net long -term gain or (loss) from partnerships, S corporations, and fiduciaries
14 Capital gain distributions
15 Gain from Form 4797, line 8 or 10
16 Long -term capital loss carryover from 1991 Schedule D, line 43
17 Add lines 9a, 9b, 9d and 10 through 16, in columns (1) and (g)
18 Net Ion -terin capital gain or (loss). Combine columns (1) and (g) of line 17
nr Fer,_rk . —U..n -
1
...
10
ffiSChedule
11
" 12
13
9b Amounts from Schedule D -1, line 9b.
9c Total of A ll Sales Add colu Price Amounts. mn (d) of tines 9a and 9b c
gd Mh.. T.n......Sa
15
16
tb Amounts from Schedule 0-1 line 1 b Attach Schedule D -1
17
45
1c Total of All Sales Price Amounts.
Add column (d) of Ines 1a and 1b i
1H nth.. T.�..��..n__..
tc
18
—A 00
2 Short-term gain from sale or exchange of your home from Form 2119, line 17 or 23
3 Short-term gain from Installment sales from Form 6252, line 26 or 37
4 Short-term gain or (loss) from like -kind exchanges from Form 8824
5 Net short -term gain or (loss) from partnerships, S corporavons, and fiduciaries
6 Short-term capital loss carryover from 1991 Schedule D, line 36
7 Add lines la, 1b, 1d, and 2 through 6, in columns (f) and (g)
8 Net short-ter capital gain or (loss). Combine columns If) and (0) of hna 7
rarl n li erm capital Gains and Losses — Assets Held More Than One Year
9a Sto cks, Bonds, Other Securities, and Real Estate. Include Form 1099 -R and 1n99 -s Tea...,ti ... c__ - -__ m_�
H774 Copyright Forms ( Software Only) - 1992 Laser Systems, Kaysw le, UT $4037 S0092S
Jcr a tine O (Form 1040) 1992
d
la
10 Long -term gain from sale or exchange of your home from Form 2119, line 17 or 23
11 Long -term gain from Installment sales from Form 6252. line 26 or 37
12 Long -term gain or (loss) from like -kind exchanges from Form 8824
13 Net long -term gain or (loss) from partnerships, S corporations, and fiduciaries
14 Capital gain distributions
15 Gain from Form 4797, line 8 or 10
16 Long -term capital loss carryover from 1991 Schedule D, line 43
17 Add lines 9a, 9b, 9d and 10 through 16, in columns (1) and (g)
18 Net Ion -terin capital gain or (loss). Combine columns (1) and (g) of line 17
nr Fer,_rk . —U..n -
1
...
10
ffiSChedule
11
" 12
13
9b Amounts from Schedule D -1, line 9b.
9c Total of A ll Sales Add colu Price Amounts. mn (d) of tines 9a and 9b c
gd Mh.. T.n......Sa
H774 Copyright Forms ( Software Only) - 1992 Laser Systems, Kaysw le, UT $4037 S0092S
Jcr a tine O (Form 1040) 1992
d
la
10 Long -term gain from sale or exchange of your home from Form 2119, line 17 or 23
11 Long -term gain from Installment sales from Form 6252. line 26 or 37
12 Long -term gain or (loss) from like -kind exchanges from Form 8824
13 Net long -term gain or (loss) from partnerships, S corporations, and fiduciaries
14 Capital gain distributions
15 Gain from Form 4797, line 8 or 10
16 Long -term capital loss carryover from 1991 Schedule D, line 43
17 Add lines 9a, 9b, 9d and 10 through 16, in columns (1) and (g)
18 Net Ion -terin capital gain or (loss). Combine columns (1) and (g) of line 17
nr Fer,_rk . —U..n -
1
...
10
11
" 12
13
14
15
16
400
17
45
18
—A 00
H774 Copyright Forms ( Software Only) - 1992 Laser Systems, Kaysw le, UT $4037 S0092S
Jcr a tine O (Form 1040) 1992
d
la
:Chad We 0 (Form 1040) 1992
Name(s) shown on Form 1040
t Ottachm nt Sequence N 12A Page 2
not enter name and social security number if shown on page 1 1 Your social security number
19 Combine Imes 8 and 18 and enter the net gain or (loss). If a gain, also enter the gain on Form 1040,
Enter the amount from Form 1040, line 35. If a loss, enclose the amount in paremheses
Enter the loss on line 20 as a positive amount
Combine lines 30 and 31 If zero or less, enter -0-
Enter the smaller of line 31 or line 32
Note: If both lines 8 and 20 are losses, go to line 34; otherwise, skip lines 34 -38
30
31
3Y
line 13
19
—400
34
Note: If both Imes 18 and 19 are gains, see Part IV below.
Enter the gain, if any, from line 18 35
36
Enter the amount from line 33 36
20 If line 19 1s a (loss), enter here and as a (loss) on Form 1040, line 13, the smaller of.
37
38
Add Imes 35 and 36
Short-term capital loss carryover to 1993. Subtract line 37 from line 34 It zero or less, enter -0-
Note: It both lines 18 and 20 are losses, go to line 39; otherwise, skip Imes 39 -45.
37
38
a The (loss) on line 19; or
39
40
Enter the loss from line 18 as a positive amount
Enter the gain, if any, from line 8 40
39
b ($3,000) or, if married filing a separate return, ($1,500)
Enter the amount from line 33 41
20
42
Enter the amount, if any, from line 34 42
Note: When figuring whether line 20a or 20b is smaller, treat both numbers as positive.
43
Subtract line 42 from line 41 If zero or less, enter -0- 43
40
)
Add lines 40 and 43
Complete Part V it the loss on line 19 is more than the loss on line 20, OR if Form 1040, line 37, is zero.
Part IV Tax Computation Using Maximum Capital Gains Rate
USE THIS PART TO FIGURE YOUR TAX ONLY IF BOTH LINES 18 AND 19 ARE GAINS, AND:
You checked Form 1040,
filing status box: AND line 37, Is over:
You checked
filing status box: AND
Form 1040,
line 37, Is over*
1 $51,900
2 or 5 $86,500
3
4
$43,250
21 Enter the amount from Form 1040, line 37
21
22 Enter the smaller of line 18 or line 19
22
23 Subtract line 22 from line 21
23
24 Enter' $21.450 d you checked filing status box 1 $35,800 if you checked filing status box 2 or 5;
$17,900 it you checked filing status box 3; or $28,750 it you checked filing status box 4
24
25 ' Enter the greater of line 23 or line 24
25
26 Subtract line 25 from line 21
26
27 Figure the tax on the amount on line 25. Use the Tax Table or Tax Rate Schedules, whichever applies
27
28 Multiply line 26 by 28% ( 28)
28
29 Add lines 27 and 28. Enter here and on F orm 1040, line 38, and check the box for Schedule 0
04
30
31
32
33
Enter the amount from Form 1040, line 35. If a loss, enclose the amount in paremheses
Enter the loss on line 20 as a positive amount
Combine lines 30 and 31 If zero or less, enter -0-
Enter the smaller of line 31 or line 32
Note: If both lines 8 and 20 are losses, go to line 34; otherwise, skip lines 34 -38
30
31
3Y
33
34
Enter the loss from line 8 as a positive amount
34
35
Enter the gain, if any, from line 18 35
36
Enter the amount from line 33 36
37
38
Add Imes 35 and 36
Short-term capital loss carryover to 1993. Subtract line 37 from line 34 It zero or less, enter -0-
Note: It both lines 18 and 20 are losses, go to line 39; otherwise, skip Imes 39 -45.
37
38
39
40
Enter the loss from line 18 as a positive amount
Enter the gain, if any, from line 8 40
39
41
Enter the amount from line 33 41
42
Enter the amount, if any, from line 34 42
43
Subtract line 42 from line 41 If zero or less, enter -0- 43
44
Add lines 40 and 43
44
4o Long -term capital loss carryover to 1993. Subtract line 44 from line 39 If zero or less enter -0- 45
Part VI Election Not to Use the Installment Method (Complete this part only if you elect out of the installment method
and report a note or other obligation at less than full face value.)
46 Check here if you elect out of the Installment method ►
47 Enter the face amount of the note or other obligation ►
48 Enter the percentage of valuation of the note or other obligation ► %
Part VII Reconciliation of Forms 1099 —B for Bartering Transactions Amount of barteriogincomn
Complete this part only if you received one or more Forms 1099 -8 or substitute from Form to99 -B or
statements reporting statement ng bartering Inco reported on form or echedme
49
50
51
Form 1 040, line 22
Schedule C, C -E2, 0, E, or F (specify) ►
Other form or schedule (Identify) If nontaxable, indicate reason - -attach additional sheets if necessary:
52 Total. Add lines 49 through 51. This amount should be the same as the total bartering income on all
Forms 1099 -8,and substitute statements received for bartering transactions
11774 Copy,, oht Foims(soft... only) - 1992 Laser Systems. NSysvd la, UT 84037508925
Is,
SCHEDULE SE
(Form 1040)
Department of the Treasury
Int R ev e n ue Service
Name of person with self -e
• Self- Employment �r
► See Instructions for Schedule SE (Form 1040).
► Attach to Form 1040.
income (as shown on
Social security number of person
with self - employment income ►
OMB No 1545 -0074
1992
Attachment 7
Sequence n No. 1 1
Who Must File Schedule SE
You must file Schedule SE if
• Your wages (and tips) subject to social security AND Medicare tax (or railroad retirement tax) were less than $130.200; AND
• Your net earnings from self - employment from other than church employee income (line 4 of Short Schedule SE or line 4c of Long
Schedule SE) were $400 or more:
OR
• You had church employee Income (as defined on page SE -1) of $108 28 or more.
Exception: If your only self - employment Income was from earnings as a minister, member of a religious order, or Christian Science
practitioner AND you filed Form 4361 and received IRS approval not to be taxed on those earnings, DO NOT file
Schedule SE. Instead, write "Exempt -Form 4361" on Form 1040, line 47
May I Use Short Schedule SE or MUST I Use Long Schedule SE?
Did you receive wages or lips In 1992?
No Yes
Are you a minister, member of a religious order Was the total of your wages and tips subject to
or Christian Science practitioner who received Yes social security or railroad retirement tax plus your Yes
IRS approval not to be taxed on earnings from
these sources, but you owe self - employment tax net earnings from self - employment more than
on other earnings? $55,5007
No No
Are you using one of the "optional methods" to Yes Was the total of your wages and tips subject to
figure your net earnings (see page SE -3)? Medicare tax plus your net earnings from self- Yes
employment more than $130.200?
No No
Did you receive church employee income Yes NO Dld you receive tips subject to social security, or
reponetl on Form W -2 of $108 28 or more? Medicare tax that you did not report to your Yes
employer?
No
YOU MA ( USE SHORT SCHEDULE SE BELOW VOV MUST USE LONG SCHEDULE SE ON PAGE 2
Section A —Short Schedule SE. Caution: Read above to see it you must use Long Schedule SE on page 2 (Section B).
1 Net farm profit or (loss) from Schedule F, line 36, and farm partnerships, Schedule K -1 (Form
1065), line 15a 1 0
2 Net profit or (loss) from Schedule C, line 31: Schedule C -EZ, line 3; and Schedule K -1 (Form
1065), line 15a (other than tanning) See page SE -2 for other Income to report 2 17 9 05
3 Combine lines 1 and 2 3 17,90
4 Net earnings from self - employment Multiply line 3 by 92.35% (.9235) If less than $400, do
not file this schedule; you do not owe self - employment tax P. 4 16,535
5 Self - employment tax. 11 the amount on line 4 is:
• $55,500 or less, multiply line 4 by 15.3% (.153) and enter the result.
• More than $55,500, but less than $130,200, multiply the amount In excess of $55,500 by 2.9%
(.029) Add $8,491.50 to the result and enter the total.
• $130,200 or more, enter $10,657.80.
Also enter this amount on Form 1040, line 47 5 2, 530 1
Note: Also enter one -half of the amount from line 5 on Form 1040, line 26.
For Papervrore Reduction Act Notice, see Form logo instructions. Schedule SE (Form 1040) 1992
H774 Copyright Forms(Software Only) - 1992 Laser systems, Kaysvle. UT 84037 500925
i
1
Form
6251 40 Iternative Minimum Tax -- IOdividuals OMB NO. 1545 -0227
Depanment of the Treasury ► See separate Instructions. 1992
Internal Revenue Service 1 - 3
C
Attach to Form 1040 or Form 1040NR. Estates and trusts, use Form 8656. Attachment �
anca Na.
Sevu
Name(s) shown on Form 1040 Your social security number
Calvin Thomas A,n Oa
1 Enter the amount from Form 1040, line 35. It less than zero, enter as a negative amount
2 Net operating loss deduction, if any, from Form 1040, line 22. Enter as a positive amount
3 Overall itemized deductions limitation amount (see Instructions)
4 Combine lines 1, 2, and 3
5 _Adjustments: (See Instructions before completing.)
a Standard deduction, it any, from Form 1040, line 34 Sa
b Medical and dental expenses Enter the smaller of the amount from
Schedule A (Form 1040), line 4 or 2 112% (.025) of Form 1040. line 32 5b
c Miscellaneous itemized deductions from Schedule A (Form 1040), line 24 Sc
d Taxes from Schedule A (Form 1040), one 8 Sd 2 718
e Refund of taxes Se
f Certain home mortgage interest 5f
g Investment interest expense 5
In Depreciation of tangible property placed In service after 1986 Sh
I Circulation & research & experimental expenditures paid /Incurred after 1986 51
I Mining exploration and development costs paid or Incurred after 1986 51
I Long -term contracts entered into after 2/28/86 5k
I Pollution control facilities placed In service after 1986 51
in Installment sales of certain property 5m
n Adjusted gain or loss 5
o Incentive stock options So
p Certain loss limitations Sp
of Tax shelter farm activities - 5
r Passive activities Sr
s Beneficiaries of estates and trusts Ss
1 Combine lines 5a through 5s
6 Tax preference Items: (See Instructions before completing.)
a Appreciated property charitable deduction 6a
b Tax- exempt Interest from private activity bonds Issued after 8/7/86 6b
c Depletion 60
d Accelerated depreciation of real property placed in service before 1987 6d
e Accelerated depreciation of leased pers property placed In Svc before 1987 6e
1 Intangible drilling costs 6}
g Add lines 6a through 61
7 Combine lines 4. 5t, and 6g
8 Energy preference adjustment for certain taxpayers. Do not enter more than 40% of line 7 See instructions
9 Subtract line 8 from line 7
10 Alternative taxinet operating loss deduction. See Instructions for limitations
11 Alternative minimum taxable Income. Subtract line 10 from line 9. If married tiling separately, see mstr
12 Enter: $40,000 ($20,000 it married filing separately; $30,000 If single or head of household)
13 Enter $150,000 ($75,000 If married filing separately; $112.500 it single or head of household)
14 Subtract line 13 from line 11 If zero or less, enter -0- here and on line 15 and go to line 16
15 Multiply line 14 by 25% (.25)
16 Exemption. Subtract line 15 from line 12. It zero or less, enter -0- If completing this form for a child under
age 14, see instructions for amount to enter
17 Subtract line 16 from line 11 It zero or less, enter -0- here and on line 22 and skip lines 18 through 21
18 Multiply line 17 by 24% (.24)
19 Alternative minimum tax foreign tax credit. See Instructions
20 Tentative minimum tax. Subtract line 19 from line 18
21 Enter your tax from Form 1040, line 38, minus any foreign tax credit on Form 1040, line 43. It an amount from
, Form 4970 is entered on line 39 of Form 1040, also Include the amount from Form 4970 on this line
22 Alternative minimum tax. Subtract line 21 from line 20. If zero or less, enter -0- Enter this amount on
Form 1040, lin 48. It completing this form for a child under age 14 see instructions for amount to enter
For Paperwork Raduchon Act fill see separate meihn pons
M174 Cap ynght Forms (Software only) - 1992 Laser Systems, Koyevi Ile, UT84037 500925
3
1
Form 6251 (1992)
1
M774
California Resident
Income Tax Return 1992
Step 1
Name
and
Address
Use the
Fiscal
Step 2
Filing Status
Check only one.
Step 3
Exemptions
Do not
enter dollar
amounts in
the boxes.
Attach check or
money order here.
432 84 2617 Thom
Calvin Thomas
12156 Louise Avenue
Lynwood CA 90262
1 Single
2 Married filing joint return (even it only one had Income)
3 Married filing separate return Enter spouse's social security number above and name here.
4 Head of household (with qualifying person). If qual. person la your Child but not your dependent, enter name here._
5 Qualifying wldow(er) with dependent child. Enter year spouse died 19
6 If someone (such as your parent) can claim you as a dependent on his or her tax return, check the box here,
skip Imes 7 through 10 and enter -0- on line 11
7 Personal. It you checked box 1 3 or 4 above, enter 1 if you checked box 2 or 5, enter 2
8 Blind* If you or your spouse is visually Impaired, enter 1 If both are visually impaired, enter 2
9 Senior If you or your spouse Is 65 or older, enter 1 If both are 65 or older, enter 2
10 Dependents. Enter name and relationship. Do not include yourself. your spouse or the person listed on line 4.
• 6
7
6
• 9
11 T otal number of exemptions. Add Imes 7 through 1 0
Enter the total number of dependents 10
11
Step 4 12 State wages from your Form W -2, box 25 • 12 C �
Taxable d 13 Federal adjusted gross Income from our Form 1040, line 31
Income Y your
Attach Copyot your
Form 1040A, line 16 or your Form 1040E2, line 3 13
Forms
Forms) WQ, W -1G
and 1099 -R here 14 California adjustments - subtractions. Enter the amount from Schedule CA, line 15 • 14
15 Subtract line 14 from line 13. If less than zero, enter the result In brackets. See instructions 15
16 California adjustments - additions Enter the amount from Schedule CA, line 23 • 16
17 California adjusted gross Income. Combine line 15 and line 16 • 17
18 Enter the • your standard deduction (see Instructions), OR
larger of • your Itemized deductions (from Schedule CA, line 29). ] • 18
19 Taxable Inc ome Subtract line 18 from line 17 If less than zero, enter -0- 14
Step 5 20 Enter tax. Check If from ® Tax Table or Tax Rate Schedule or a FTB 3800 0 FTB 3803
Tax Caution: If under age 14 and you have more than $1,200 of Investment income,
read the line 20 instructions to see If you must attach form FTB 3800.
21 Exemption credits.
Caution: See the instructions for line 21 and the worksheet and Instructions in Step 6
before entering an amount on line 21.
Check if from 0 line 21 instructions a line 21 worksheet or ® Schedule P (540)
22 Subtract line 21 from line 20. It less than zero, enter -0-
23 Tax from 0 Schedule G -1 and from 0 form FTB 5870A
24 Add line 22 and line 23. Continue to Side 2
FORM
5
Do Not Write
In These Spaces
p
M
A
R
• 20
Qi 21
22
• 23
24
For Pnvuy Act hopper see Instr9eeoiu.
Form 540 1992 Side 1
copyright FOrmsiaofiwen Only) - 1982 Laser ayatams, Kaysvdla UT 64031 500925 ,
0
1►
r
ro 74 • •
TAXABLE YEAR "
SCHEDULE
1992 California Adjustments CA
Important: Attach this schedule directly behind Form 540
Names) as shown on return Social secunry number
Part I Adjustments To Federal Adjusted Gross Income V 1 r
Step 1
1
State Income tax refund from federal Form 1040, line 10
Subtractions
2
U
Unemployment compensation from federal Form 1040, line 20, or form 1040A, line 12
1
y
3
Social security benefits from federal Form 1040, line 21b, or Form 1040A, line 13b
3
4
California nontaxable Interest or dividend Income. See Instructions
4
5
Railroad retirement benefits and sick pay See Instructions
5
6
California Lottery winnings. See Instructions
6
7
Difference between state and federal wages. See Instructions
7
8
IRA distributions See Instructions
9
Pensions and annuities. See Instructions
8
10
Passive activity See Instructlons
9
11
Depreciation and amortization from form FTB 3885A, line 6a and line 10a
10
12
Capital gains or flosses) from California Schedule D, line 11a
11
13
Other gains or (losses) from California Schedule D -1 6ne21a and line 38
12
13
14
Other subtractions.
a Total California disaster loss carryover from 1991 or certain losses from enterprise zones,
program areas or the LA Zone
14a
b Other See instructions. Specify
15 Total subtractions. Add lines 1 through 14b. Enter here and on Form 540, line 14
Step 2 16 Interest on state and municipal bonds from a state other than California. See instructions
Additions 17 Difference between state and federal wages. See Instructions
18r Passive activity See Instructions '
19 Depreciation and amortization from form FTB 3885A, line 6b and line 10b
20 Capital gains or (losses) from California Schedule D. line 11b
21 Other gains or (losses) from California Schedule D -1, line 21 b and line 38
22. Other additions:
a Federal net operating loss deduction from your 1992 federal Form 1040, line 22
b Other See Instructions Specify
23 Total additions. Add Imes 16 through 22b. Enter here and on Form 540, line 16
1
15
16
17
18
19
20
21
22a
22b
23
Part II Adjustments To Federal Itemized Deductions
24 Federal Itemized deductions. Add the amounts on federal Schedule A, lines 4, 8, 12, 16, 17,
18, 24 and 25
25 State and local income taxes from federal Schedule A, line 5 and foreign Income taxes. See instr
26 Subtract line 25 from line 24
27 Other adjustments. See Instructions Specify
28 Combine line 26 and line 27
29 'California itemized deductions
• If your federal adjusted gross income on form 540, line 13 is not more than:
-- $103,600 If single or married filing separate;
-- $155,400 if head of household; or
-- $207,200 If married Kling joint or qualifying widow(er);
transfer the amount from line 28 to line 29.
24 19 218
25
26 19 218
27
29 19 218
29 19 218
e It your federal adjusted gross Income on Form 540, line 13 Is more than the amount listed above for your filing status, complete
the Itemized Deductions worksheet In the instructions to figure the amount to enter on line 29.
If your California itemized deductions on line 29 are larger than your standard deduction, enter your California itemized deductions
on Form 540, line 18 Otherwise, enter your standard deduction on Form 54o, line 18.
Copyntlh l Formsj5oftware Only) - 1992 Las or Systems. xaySvtlle. UT 84037 S0092S Schedule CA 1992
i
1.
1774
•
T A X ABLE YEAR
0
SCHEDULE
1992 California Adjustments , CA
Important: Ankh this schedule directly behind Form 540
anle(s) as Shown on return
8(t I Adjustments To federal Adjusted Gross Income
Step 1
1
State Income tax refund from federal Form 1040, line 10
Subtractions 2
Unemployment compensation from federal Form 1040, tine 20, or Form 1040A, line 12
3
Social secunry benefits from federal Form 1040, line 21 b, or Form 1040A, line 13b
y
3
4
California nontaxable interest or dividend Income See Instructions
4
5
Railroad retirement benefits and sick pay. See instructions
5
6
California Lottery winnings See instructions
7
Difference between state and federal wages. See Instructions
6
7
8
IRA distributions See instructions
9
Pensions and annuities. See Instructions
a
10
Passive activity See instructions
9
11
Depreciation and amortization from form FTB 3885A, line 6a and line 10a
10
12
Capital gains or (losses) from California Schedule D. line 11a
11
13
Other gains or (losses) from California Schedule D -1 line 21a and line 38
12
13
14
Other subtractions'
a Total California disaster loss carryover from 1991 or certain losses from enterprise
zones,
program areas or the LA Zone
to Other See instructions. Specify
142
15 Total subtractions. Add lines 1 through 14b Enter here and on Form 540, line 14
1 is
15
step 2 16. Interest on state and municipal bonds from a state other than California. See Instructions
Additions 17 Difference between state and federal wages See Instructions
18 Passive activity. See Instructions
19 Depreciation and amortization from form FTB 3885A, line 6b and line lob
20 Capital gains or (losses) from California Schedule D, line 11 b
21 Other gains or (losses) from California Schedule D -1, line 21b and line 38
22 Other additions:
a Federal net operating loss deduction from your 1992 federal Form 1040, line 22
b Other See instructions Specify
23' Total additions. Add lines 16 through 22b. Enter here and on Form 540, line 16
16
17
18
19
20
21
0
22b
23
P81"t II Adjustments To Federal Itemized Deductions
24 Federal itemized deductions. Add the amounts on federal Schedule A, lines 4, 8, 12, 16, 17,
18, 24 and 25
25 State and local income taxes from federal Schedule A, line 5 and foreign Income taxes. See mstr
26' Subtract line 25 from line 24
27 Other adjustments. See instructions. Specify
24 19 21 "8
25
26 19
27
28 Combine line 26 and line 27 28 19 218
29 California itemized deductions 29 19,218
• If your federal adjusted gross income on form 540, line 13 is not more than: _
-- $103,600 if single or married filing separate;
-- $155,400 If head of household; or
=- $207,200 if married filing joint or qualifying mcfow(er);
transfer the amount from line 28 to line 29.
• If your federal adjusted gross income on Form 540, line 13 is more than the amount listed above for your filing status, complete
the Itemized Deductions worksheet in the Instructions to figure the amount to enter on line 29.
If your California itemized deductions on line 29 are larger than your standard deduction, enter your California itemized deductions
on Form 54o, line 18. Otherwise, enter your standard deduction on Form 540, line 18.
Capyn4rtt Forms(Sottware Only( - 1992 La4er Systems, &ayeviIle, UT 8403I S0092S Schedule CA 1992
1
- 74
0
t Part II Credit Limitations. Note: Be sure to attach your credit forms to Form 540.
Section A -- Tax Inr excess of tentative minimum tax
1 a Regular tax from Part I, line 17 minus tentative minimum tax from Part I, line 16. Not less that zero to 0
b Exemption credits. See instructions. Note: do not enter more than amount on line 1a. If exemption credits are
greater than line 1a, enter amount shown on line 1a on Form 540, line 21, and check the Sch. P(540) box lb 0
2 a Enter the amount from Form 540, line 24 (use refigured amount if exemption credits are limited by line 1a) 2a 0
b Tentative minimum tax from Part I, line 16 2b 0
Section 8 -- Credits that may not reduce excess tax below (a) Credit (b) Credit used (c) Tax (d) Credit
tentative minimum tax amount this year balance carryover
Code 3 Subtract Pt II, Sec. A In 2b from In 2a. If less than zero, enter -0- 3 11 n
4 Credit for child & dependent care expenses - 540 instr wksht
170 5 Credit for joint custody head of household - Form 540 instr wksht
173 6 Credit for dependent parent - Form 540 insir wksht
163 7 Credit for senior head of household - Form 540 instr wrksht
184 8 Political contributions credit carryover
162 9 Prison inmate labor credit (FTB 3507)
166 10 Jobs credit, (FTB 3524)
160 11 Low - emission vehicles credit (FTB 3554)
169 12 Enterprise zone employee credit (FTB 3553)
161 13 Credit for anew infant (from Form 540 instructions worksheet)
171 14 Ridesharing credit: Carryover
191 15 Ridesharing credit: Large employer program (FTB 3518)
192 16 Ridesharing credit: Small employer program (FTB 3518)
193 17 Ridesharing credit: Employer subsidized transit passes(FTB 3518)
194 18 Ridesharing credit: Employee vanpool program (FTB 3572)
176 19 Enterprise zone hiring /sales and use tax credit (FTB 38052)
177 20 Program area hiring /sales and use tax credit (FTB 38052)
159 21 L.A Revitalization Zone hiring /sales & use tax credit (FTB 3806)
178 22 Water conservation credit carryover
179 23 Solar pump credit carryover
182 24 Energy conservation credit carryover
186 25 Residential rental and farm sales credit carryover
189 26 Employer child care program credit (FTB 3501)
190 27 Employer child care contribution credit (FTB 3501)
174 28 Recycling equipment credit (FTB 3527)
175 29 Agricultural products credit carryover
180 30 Solar energy credit carryover
181 31 Commercial solar energy credit carryover
196 32 Commercial solar electric system credit (FTB 3556)
183 33 Research credit (FTB 3523) (start-up companies use FTB 3505)
185 34 Orphan drug credit (FTB 3528)
172 35 Low - income housing credit (FTB 3521)
188 36 Credit for prior year alternative minimum tax (FTB 3510)
Section C -- Credits that may reduce tax below tentative minimum tax
C
5
8
7
8
9
11
1 •.
1:
'1;
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37 If PI II, Sec. A. line 3 is zero, enter amount from Pt II, Sec. A,
line 2a. If line 3 is more than zero, enter total of Pt Il, Sec. A,
line 2b and Pt ll, Sec. B. line 36, column (c)
180 38 Solar energy credit carryover from line 30, column (d)
181 39 Commercial solar energy credit carryover - line 31, column (d)
196 40 Commercial solar electric system credit - line 32, column (d)
183 41 Research c "om line 33, column (d)
185 42 Orc* crL , from line 34, column (d)
172 43 Lc. _ome, „ edit from line 35, column (d)
187 44 C: :tale tax .:redil Schedule S)
Section D -- - recilts that may re duce altemative minimum tax (AMT)
45 Enter your AMT from Pan I, line 18 45 0
46 Solar energy credit carryover from line 38, column (d) 46 0
47 Commercial solar energy credit carryover from line 39, column (d) 47 0
48 Adjusted AMT Enter bal.- -line 47. Col.(c), here & on 540, line 35 48 0
Side 2 Schedule P (540) 1992
Cogyn9ht forms (Software Only) - 1992 user Systems, xaysvdle, UT 64037 S0092S
0
0
k
0
0
0
0
0
0
45 Enter your AMT from Pan I, line 18 45 0
46 Solar energy credit carryover from line 38, column (d) 46 0
47 Commercial solar energy credit carryover from line 39, column (d) 47 0
48 Adjusted AMT Enter bal.- -line 47. Col.(c), here & on 540, line 35 48 0
Side 2 Schedule P (540) 1992
Cogyn9ht forms (Software Only) - 1992 user Systems, xaysvdle, UT 64037 S0092S
,.
•
ITEM - C
10
DATE: May 5,, 1994
TO: Honorable Chairman and Members of the LLDC Board
FROM: Bruno Naulls, Staff Liaison to the LLDC
SUBJECT: LOAN REQUEST BY ROOSEVELT HARVEY - PROPRIETOR,
HARVEY'S BARBER SHOP
PURPOSE
To remodel old building and upgrade and purchase beauty supplies and equipment for
the purpose of expanding the business and creating job opportunity
BACKGROUND
Harvey's Barber Shop has been operating out of Lynwood since 1975. The nature of the
business is the design, cutting and treatment of hair and nails. Financially, Mr Harvey
gross income, according to his statement of income, is approximately $5,400.00 /month
less his expenses ($2,300.00) which brings his net earning per month to approximately
$3,100.00. Mr Harvey states in his request that if Granted a loan by the LLDC he will
be able to expand his business and create at least one more job at his shop.
ANALYSIS
After reviewing Mr. Harvey's request it appears to be a question of need. His credibility
as a businessman is well defined in the number of years he has served the community
His income proves his shop to be a thriving business with great potential. These
elements would lead a commercial lender to be inclined to offer a loan to a business of
this sort. Within the City of Lynwood, inquiries can be made into commercial loans from
commercial lenders such as Bank of America and First State Bank. The LLDC is inclined
to emphasize the assistance to those who need this type of assistance. Businesses who
have trouble obtaining loans from commercial banks come to the LLDC as a last resort
for assistance. In this case, Staff has reason to believe that Harvey's Barber Shop is
capable of obtaining a loan from a commercial lending source.
CONCLUSION
Harvey's Barber Shop is in a position to expand and create a new job for our
community Mr. Harvey has been dedicated to his work and the for many years and it
is felt that he is entitled to assistance. However, it also felt by staff that his assistance
should be sought from another entity rather than that of the LLDC. He has all the
elements that- make him eligible for a commercial loan, therefore he should seek
assistance from a commercial lender prior to the LLDC.
RECOMMENDATION
Staff respectfully request that after reviewing the case and documents, the honorable
Board members deny assistance to Harvey's Barber Shop and recommend that Mr
Harvey seek assistance from a commercial lender first. Once he has made these inquiries
for assistance and in the event that he is denied assistance from at least three separate
lending entities, two which are located in the City of Lynwood, then he may re -apply
for LLDC assistance and be reconsidered for a loan.
BUSINESS DEVELOPMENT ASSISTANCE PROGRAM
SERVICE REQUEST PORK
Date:
Contact Person x ''
Business Name: p //►►,,,
Address: 1110, 4Q rTL01t -,
Phone Number: / t ?It)1 to57-
ek One
Phone -In Walk -In ( )
0 osed Use of Bunds:
Referred to:
By: .
Name
Title
f: \rQdwtlp \lldt \bdWerf \041690 \!f
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EMPLOYEE OF HARVEY BARBER SHOP
1. Darryn Booty -- BARBER
2. Yolanda Harvey -- BEAUTION & BARBER
3. Faye Hinderson -- BARBER
* ALL OTHER WORKERS
Robert Hinderson- Fourteen years of age
Joanna- Thirteen years of age
Randy- Nine years of age
Brian- Nine years of age
Man- Twelve years of age
i
i
•
HARVEY BARBER SHOP (11395)
Items for' Shop:
1.
2.
3.
4.
5.
6.
Four New Barber Chairs
Four New Shampoo Sinks
New Mirrors For Shop
Built in Stations For Everyone
Five New Standing Floor Mats
One New Shampoo Chair
7. New Carpet On Floor
8. New Hair Dryers
9. Fix a New Area in Shop
10. Have All New Waiting Chairs For Costomers
11. Have All New Lighting Inside The Building
TOTAL COST ESTIMATE $13,000 .
i
0
rI
1. One New Business Sign ( ESTIMATE COST $3,000.
2. I will be putting in more Beauty Supply.
creat one more job.
3. I am going to put in one more Barber Chair
creat one more job.
However, this will
However, this will
0 TA Lynwood Local Development Company
11330 BULL13 ROAD LYNWOOD, CALIFORNIA 00262 603 -0220
••n „tii
July 28, 1993
Mr. Roosevelt Harvey
11395 Atlantic Avenue.
Lynwood, CA 90262
Dear Mr. Harvey,
Thank you for obtaining information requested for the processing of your loan application.
The information obtained'by you however, is still incomplete. Please review the attached
letter sent to you. It is a copy of the original letter of request. The information that has
not been provided will be highlighted. If there are any questions, please do not hesitate in
contacting
BRUNO NAULLS
ADMINISTRATIVE ANALYST III
(310) 603 -0220 EXT.253
Again, thank you for your interest:
Sincerely,
e4
F
Bruno Naulls,
Administrative Analyst III
a
PROFESSIONAL BUSINESS SERVICES
3201 N. ALAMEDA STREET, STE. G
COMPTON, CALIFORNIA 90222
310/637 -7790
JULY 22, 1993
MR. ROOSEVELT HARVEY
HARVEY'S BARBER SHOP
11395 S. ATLANTIC AVENUE
LYNWOOD, CALIFORNIA 90262
DEAR MR. HARVEY,
THE ACCOMPANYING STATEMENT OF INCOME & EXPENSES FOR THE
PERIOD THEN ENDED, WAS COMPILED BY ME IN ACCORDANCE WITH
GENERALLY ESTABLISHED STANDARDS.
A COMPILATION IS LIMITED PRINCIPALLY TO INQUIRIES OF COMPANY
PERSONNEL AND TO CERTAIN ANALYTICAL PROCEDURES APPLIED TO
FINANCIAL DATA. IT IS SUBSTANTIALLY LESS IN SCOPE THAN AN
EXAMINATION IN ACCORDANCE WITH GENERALLY ACCEPTED AUDITING
STANDARDS, THE OBJECTIVE OF WHICH IS THE EXPRESSION OF AN
OPINION REGARDING THE FINANCIAL STATEMENTS TAKEN AS A WHOLE.
ACCORDINGLY, I DO NOT EXPRESS SUCH AN OPINION.
RESPECTFULLY SUB ITTED,
EDWARD G. HEBERT, ACCOUNTANT
Page - 1
0 V
HARVEY'S BARBER SHOP
STATEMENT OF INCOME AND EXPENSES
FOR THE PERIOD(S)
4
i
06/01/93 - 06/30/93
01/01/93 - 06/30/93
ACTUAL $
------- ------
Pct $
- - - - - --
ACTUAL $
---------------
Pct $
- - ---
INCOME:
Gross receipts $
5,394.34
-- ----- - -- - --
100.0% $
32,406.24
100.0%
TOTAL INCOME
5,394.34
- - -- --
100.0
- ------ - -- - --
32,406.24
- - - - --
100.0
'EXPENSES:
Advertising
35.00
0.6
210.00
0.6
Auto expense
133.21
2.5
824.44
2.5
Bank service charges
14.82
0.3
100.96
0.3
Contributions
75.00
1.4
375.00
1.2
Dues & Subscriptions
26.33
0.5
324.14
1.0
Insurance - General
90.32
1.7
541.92
1.7
Legal.& Accounting
60.00
1.1
435.00
1.3
Miscellaneous expense
28.73
0.5
187.84
0.6
Office expense
13.22
0.2
50.13
0.2
Rent expense
1,126.84
20.9
6,673.54
20.6
Repairs & Maintenance
46.73
0.9
163.20
0.5
Supplies expense
189.66
3.5
1,051.59
3.2
Taxes & licenses
78.21
1.4
403.21
1.2
Telephone & utilities
240.61
4.5
1,408.55
4.3
Linen
83.76
1.6
513.41
1.6
' Uniforms
39.46
0.7
226.90
0.7
Rubbish
'
22.33
------
0.4
133.98
0.4
TOTAL EXPENSES
- -- - ---
2,304.23
- -- - --
42.7
----- -- - -----
13,623.81
- - -- --
42.0
NET OPERATING INCOME (LOSS)
-- -- --- - - - ---
3,090.11
---- -- ---
- - - ---
57.3
- ------ - -- - --
18,782.43
--- - --
58.0
NET INCOME (LOSS) BEFORE TAX
- - --
3,090.11
- - - - --
57.3
------ - - - ----
18,782.43
- - - - --
58.0
NET INCOME (LOSS) $
- ------ - -- ---
3,090.11
- - - ---
57.3% $
---- --- -- -- --
18,782.43
- - - ---
58.0%
4
i
' 420]
F
m
Label
((
fns�tructions
on page 11).
Use IRS label.
Otherwise.
please print
or type.
Filing Status 1
2
Check only 3
one box. 4
5
Oepanmsnt of the Traa_ Internal Revenue Serwee
For the you Jan. -Oac. 51, 1991 or other Us you
ROOSEVELT & EVA HARVEY
1527 HELMICK STREET
Do you want $1 to go to this fund?
n
ending , 19 1 We NO. 1 545 -0074
Your sou,1 security number
431 -82 -5277
Speuss'e social security number
410 -68 -0366
For %IVaeY act and Paperwork
RedYdlOn act No0C.. ace
instructions.
Yes 151,1' li X "No TNtw. cn.ok,ny�.r
If pint return, does your spouse want $1 to go to this fund ?.. Yes X No a
Single.
Married filing joint return (even IF only one had Income)
Married filing separate return. Enter spouse's SSN above & full name here. ►
Head of household (with qualifying person). (See page 12.) If the qualifying person is a child but not your
dependent, enter this child's name here. ►
Exemptions
(See page 12.)
If more than six
dependents,
see page 13.
6a X Yourself.
b n Spouse
on pace 2.
Joni child (year spouse died ► 19
none else can claim You es a de
not check 9x 6a. But be sure to
box on } No. of boxes
cbacked on Be ,
and 81,
c Dependents:
(1) Name hint,�mbal, and last name)
c0a
under
soel
(3) If age 1 or oldw,
dependent's
social aecwlt number
(4) Dependeors
relationship o
ou p
(5) No. of
months !wed
In Yni991me
Y. HARVEY
1 g 0 .
50 -41 -0680
DAUGHTER
12
R. HARVEY
11
14 -15 -8467
ON
12
13
4 T
14
15
26 Self health Insurance deduction, tram worksheet on page 2 ZB
t6b
17b
'
18
jig
20
Penalty on early withdrawal of savings . 28
2111:f
lh'
122
No. of your
children on Sc
ono:
• Ined w th you 2
e d,tl Wt Nv w,in
yyou cue to aw rce
Tor aeparatian isea
page 1l)
No. of other
dependents on Ito
a if your cn9O Otani give wnn YOU butu calmed"your dependent under a pro-19e5agreerrent, check here 10 Li Add nusiben
tions claimed .. I Nterad an
e Total number of exemptions .. ............... ........ .. ... enea above ►
4
Income 7 Wages, salaries, rips, etc. (attach Form(s) W -2)
8a Taxable interest income (also attach Schedule 8 if over $400)
Attach b Tax- exempt interest Income (see pg. ley DONT include on line ea I 8b
Copy B of your 9 Dividend Income (also attach Schedule 8 fl over $400).8
Forms W -2, 10 Taxable refunds of state and local Income taxes, if any, from worksheet on page 16 .
W -2G, and
1099 -R here. 11 Alimony received... .. .. ..
12 Business income or (loss) (attach Schedule C).. .. .. ...
If you did not 13 Capital gain or (Toss) (attach Schedule D) .. .... ..
get see
page a 10. 14 Capital gain distributions riot reported on line 13 (see page 17)
10.
15 Other gains or (Tosses) (attach Form 4797)
Attach check or 16a Total IRA distributions ... I 116a 16b Taxable amount (seepage 17)
money order on 17a Total pensions and annuities.. 17a 17b Taxable amount (see page 1r)
top of any 18 Rents, royalties, partnerships, estates, trusts, etc. (attach Schedule E)
Forms W -2,
W-2G, or 19 Farm Income oPlbss) (attach Schedule F)
1089 -R. 20 Unemployment Compensation (irtsttraroe) (see Page 16). .. .. ..
21a Sold security benefits ..... 121a I 21b Taxable amount (see page 1e)
22 Other income (let type and amount - see page 19)
7
10 360.
8a
1 g 0 .
Cii1 ?i
10
bSpouse's IRA deduction,fromapp9nbin worksheeta n page 200,21 24b
11
ll
12
34,48 6 .
13
4 T
14
15
26 Self health Insurance deduction, tram worksheet on page 2 ZB
t6b
17b
'
18
jig
20
Penalty on early withdrawal of savings . 28
2111:f
lh'
122
0192 For Paperwork Reduction Act Notice, see matt.
Copyright (c) 1991 form software only Center Were Softww,. In,
1
Form 1040 (1991)
------------------------------------------------- ----------- -- --- ---
23 Add the amounts town In the far M column for lines 7 thru 22. This b your total Income
ipY!
45,036.
Adjustments
24a Your IRA deduction, from applicable worksheet on page 20 or 21 244
�
Income
bSpouse's IRA deduction,fromapp9nbin worksheeta n page 200,21 24b
ll
25 One - half of sell employment tax (see page 21) 25 2
4 T
�
page 19J
26 Self health Insurance deduction, tram worksheet on page 2 ZB
27 Keogh retirement plan and self- employed SEP deduction. 27
III28
Penalty on early withdrawal of savings . 28
lh'
29 Alimony paid. Reciplent's SSN Is 29
------------------------------------------------------- ----------------
30 Add lines 24a through 29. These are your total adjustments .......... .......
' 111�illlil��
30
2,437.
Adjusted
Gross Inenmw
31 Subtract line 30 from IInB 23 This Is V r alt tsd aroes Income. II U ts amount b less
then $21 250 and a child W with you. q5 o find out 0 can claim the
4 c....e r f..,........1._.:., __ "lie you r
_.
0192 For Paperwork Reduction Act Notice, see matt.
Copyright (c) 1991 form software only Center Were Softww,. In,
1
Form 1040 (1991)
[420] ROOSEVELT & EVA HARVEY
few,".
32 Amount from Ilne 3 vested gross Income)
32
42
Tax 33a Cheek it' E] You were e3 or older, El Blind; E] Spouse was e5 or older, Q Blind.
- - - - - - - - - - -----i!
...... ..... ►
53
Compu= Add the number of boxes checked above and enter the iotel here. ► 33a
id r
50
55
SO
67
tellOn Is 8 your parent (or someone else can claim you as a de endent e. 33b
c 8 you are married filing a separate check her 110- te return and your spouse itemizes deductions,
;m
u
679 .
4 800•!;:,
Or you are a dual- status alien, see page 23 and check here ► 33c
II you want
P
34 Itemized deductions ( from Schedule A, line 26), OR
the IRS to Enter the )
figure your Standard deduction (shown below for your filing status. Caution: If you
tax, see larger checked any box on line 33a or b, go to page 23 to Intl your standard
34
16 236.
l , y ,,:,
�"Ilm "I,!
' l 'li 1 i',;;
page 24. deduction. It you checked box 33c, our standard deduction is zero.
of a Single - ,400 JHead of household - $5,000
your. • Mng Jointly or Oualifyln widow(er) - $5,700
Married a fil
rig separate) $2,850
3S Subtract line 34 from line 32 . . .
i!i >II'
35
2 6 3 63 .
36 If fine 32 is $75,000 or less, multiply $2,150 by the total number of exernptions claimed on
fine 69. If line 321s over $75,000, see page 24 for the amount to enter
38
8 , 600.
37 Taxable Income. Subtract line 36 from line 35. (If line 36 is more than line 35, enter -0 -.).
37
17 , 763.
38 Enter tax. Check if from a ❑X Tax Table, b ❑ Scftiilu ll. e ❑ Schaduls 0,
ord❑ Form eel5(see gage 24 ).(Amount,if any, from For m(s)1114 ►e
)
39 Additional taxes (see page 24). Check If from a ❑ Form 4970 b 0 Form 4972
36
2
39
_______ III
' 40 Add lines 38 and 39 . � 40
41 Credit for child and dependent cars expenses (attach Form 2441) 41 717
Credits 42 Credit for the elderly or the duabled(attach Schedule e) 42
(See page 43 Foreign tax Credit attach Form 1116
25.) 9 ( ) 43 hi!I:
44 Other credits (See P. 25). Check If from a Form 3800
b ED Form $390 C 1:1 Form lsol d onn y) 44
For.
_______________________________ _______________________________
45 Add lines 41 through 44.
46 Subtract line 45 from line 40 (If line 45 is more than line 40 enter -0 -) Be.
47 Self - employment tax (attach Schedule SE).. ,
Other 48 Alternative minimum tax (attach Form 6251)
Taxes 49 Recapture taxes (a•e page 2e)1 Check if from a Form 4253 b 1:1 Form Ben C ❑ Form $628
50 Social security and Medicare tax on tip Income not reported to employer (attach Form 4137),
51 Tax on an IRA or a qualified refirement plan (attach Form 5329) ,
52 Advance earned Income credit payments from,Form W -2 .
431 -82 -5277
2.666.
H
Refund or
Amount
You Owe
Sign
Here
(Keep a
otfhb return copy
for your
records.)
Paid
Properties
Use Only
0.
2,060.
On 1 H information of which (arguer has any
Yaw occupation
BARBER
Spouse's occupation
Check If pa-
employed
PROFESSIONAL BUSINESS SERVICES
_
' 32U1 N ALAM .... TRSST Ste G
as*matr. Copyright le) 1991 form soflwan only Center Re11 Softwere, Ina
61 If Bne 60 to more than One 53, subtract One 53 from line 6o. This Is the amount you OVERPAID Ill-
62 Amount of One 81 to be REFUNDED TO YOU ►
63 Amountof Me at to Abe A To YOUR 1992 ESTIMATED TAX al 63
I f One m ore = o r tier'f subtract r f ount payable to "Internal Revenue Y .* Write your
name, address, social security number, daytime phone number, and 1991 Fomn 1040' on it
85 Estimated tax penalty ($ee P92!). Also include on one e4 .. . , 1 65 1
Yows,gnaturo
' spouse's sign
Preparees '
sil mem,
Firm's name
(or yows if
e•tI employed)
and address
Popoevs social Security no.
435 -56 -4363
3109071
(1991)
1
S3
Add lines 46 through 52. This is your total tax ..............
- - - - - - - - - - -----i!
...... ..... ►
53
7, 539.
Payments
Attach Forms
W 099
and 1089 -R
50
55
SO
67
Federal Income tax withheld (if any is from Formts) to e, check ►
/Bat estimated tax paymmmndamount ppded from 1990 return.
Earned Income credit (attach Sch EIC)
Amount paid with Form 4668 (extension request )
54
SS
679 .
4 800•!;:,
111
"ij
, Ili
Illi �"
56
57
to page l.•
58
Excess social security. Medicare, and RATA tae w,ih hold (see page 27).
59
Other payments (see page 27). Check if from a ❑ Form 2439
b Forth 4138 ....
it v'aii.
r.:.
6o
------------ ____--------------------------------------
Add Ones 54 ffxoudh 59. These are your total payments
_______!�I��I�i����l
_--------- _ ►
60
5.479.
Refund or
Amount
You Owe
Sign
Here
(Keep a
otfhb return copy
for your
records.)
Paid
Properties
Use Only
0.
2,060.
On 1 H information of which (arguer has any
Yaw occupation
BARBER
Spouse's occupation
Check If pa-
employed
PROFESSIONAL BUSINESS SERVICES
_
' 32U1 N ALAM .... TRSST Ste G
as*matr. Copyright le) 1991 form soflwan only Center Re11 Softwere, Ina
61 If Bne 60 to more than One 53, subtract One 53 from line 6o. This Is the amount you OVERPAID Ill-
62 Amount of One 81 to be REFUNDED TO YOU ►
63 Amountof Me at to Abe A To YOUR 1992 ESTIMATED TAX al 63
I f One m ore = o r tier'f subtract r f ount payable to "Internal Revenue Y .* Write your
name, address, social security number, daytime phone number, and 1991 Fomn 1040' on it
85 Estimated tax penalty ($ee P92!). Also include on one e4 .. . , 1 65 1
Yows,gnaturo
' spouse's sign
Preparees '
sil mem,
Firm's name
(or yows if
e•tI employed)
and address
Popoevs social Security no.
435 -56 -4363
3109071
(1991)
1
itu)
SCHEDULE A S�edule A - Itemized Deduct��s
(Form 1040) OMB No. 1545 -0074
Department of the Treasury ► Attach to Form 1040. �J 91
See Instructions for Schedule A (Form 1040).
Internal Revenue Service Be See
Name(s) shown on Form 1040 Your social security number
ROOSEVELT & EVA HARVEY 431 -82 -5277
Medical Caution: Do not Include expenses reimbursed or pall by others. , IIpIII,P„
and
Dental 1 Medical and dental expenses. (See page 38.). 1 '�illj!j;jl
I I :a
FxpOnlO! 2 Enter am0vn4 from Form 1040, hoer 02 1 Z 4
ly l,,, ; ,
3 Multiply line 2 above by 7.5% (.075). g
1 Subtract line 3 from line 1. Enter the result. If less than zero, enter -0 - 4
Taxes You 5 State and local Income taxes 5 626. VyiGtil
Paid 6 Real estate taxes
6 1 559.
(See 7 Other taxes. (List - Include personal property taxes.) 11 ;�IIICP.I
page 38.) ______
____________________________
SEE STATEME_N _ T _ __ __ 7
_
8 Add lines 5 through 7 Enter the total. B 2 435
Interest 9a Home mortgage interest and points reported to you on Form 1098 9a 10 Y ^,
You Paid b Home mortgage Interest not reported to you on Form 1098. If .1" i
(See paid to an Individual, show that person's name and address.) 00
page 39.)
---- ------------- ----- -----.I:..
Note: _ _____________________
Personal ____________ ____ 9b
_
Interest is 10 Points riot longer
reported to you on Form 1098. See Instructions for
no loo P Y (
special rules.) 1 6'I I��il'
deductible. 11 Investrnent Interest (attach Form 4952 H required). =
I j I , ; r 4 l
:
(Sea page 40 )•
'Zltl!
12 Add Imes 9a through 11. Enter the total .. 10.061.
Gifts to Caution: If you made a charitable contribution and received a 11, j,;j; 1
p 12.11
Charity benefit in return, see page 40. ,�i{p;tlj ''lli�icll
(Sae 13 Contributions by cash or check 13 3,290.
page 40.) t.!
14 Other than reran or check. (You MUST attach Form 8283 H over $500.) 10 4 5 0.
15 Carryover from prior year is
...
16 Add lines 13 throw 15. Enter the total ... 16 3,740.
Casualty and h
Theft Losses 17 Casualty or theft lo es attach Form 4684. See page 4 0. ) .................. 17
Moving
Exp enses 18 Moving expenses attach Form 3903 or 3903 See PaQe 41. 18
Job Expenses 19 Unreimbursed employee expenses - job travel, union dues, job V ll I'IIIlU6111
and Most Other education, etc. (You MUST attach Form 2106 0 required. II Miscellaneous See instructions. 10, li _ _______________________________ i Deductions _20 Other expenses (Invesmteftt, tax preparation, safe deposit box,
(see I etc.), List type end amount ► I page 41 for SEE STATEMENT experues to _ _ _ _ 210 . Ili; Ill
deduct here.) 21 Add lines 19 and 20.. .. ----- .. _; --' - 21 210. I! li III
22 Enter amount from Form lWO , One ]Z . . 22 4Z 599. IM
23 Multiply One 22 abot(e by 2% (.02). 23 852 . IIII II
24 Subtract line 23 from One 21. Enter the result. if less than zero, enter - 0- ............ Or 24
Other 25 Other (from list on page 41 of Instructions). List type and amount Be
Miscellaneous -------------------
Deductions 1c
26 a 11 the amount on Form 1040, line 32,13 $100,000 or less ($50,000 or less
Total H married filing separately), add lines 4, 8, 12, 18, 17, 18, 24, and 25. Enter
Itemized the total here.
Deductions o If the amount on Form 1040, line 32, is more than $100,000 (more than $50,000 If
married filing separately), see page 42 for the amount to enter.
Caution: Be sure to enter on Form 1040, One 34, the LARGER of the
amount on One 26 above or your standard deduction.
40tce, aeom4lr• COP yngot(q igh l form software only Cantu NOW software ,Ina
6
26 16,236.
I
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1
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I
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501 0111110101M
Fora 1040 aohaduwA light)
SCHEDULE A SUPPORTING STATEMENTS
ROOSEVELT & EVVEY 431 -82 -5277
— — — — — — —
OTHER TAXES
AUTO LICENSE 250
FEDERAL TOTAL 250
STATE TOTAL 250
— — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
OTHER CONTRIBUTIONS
Church 2,940
Misc. organized charity 350
FEDERAL TOTAL 3,290
STATE TOTAL 3,290
— — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
MISCELLANEOUS DEDUCTIONS SUBJECT TO 2% AGI LIMIT
Tax prep fee 50
UNIFORMS & CLEANING 160
FEDERAL TOTAL 210
STATE TOTAL 210
i
1.
[420]
SCHEDULE C P rofit or Loss From Business
(Form 1040) (Sole Proprietorship)
Department of the Treasury No Partnerships, joint ventili etc., must his Form 1085.
Internal Revenue service ► Attach to Form 1040 or Form 1041. Is See Instructions for Schedule
Name of proprietor
ROOSE VELT HARVEY__
A Principal business or profession, Including product or service (see Instructions)
C Business name
HARVEY'S BARBER SHOP
OM9 No. 1545 -0074
100 91
o
140. 09
Social security number (SSN)
431 -82 -5277
B Principal business code
(from page2) ►5277
D Employer ID no, (Not SSN)
E Business address (Include suits 11395 S. ATLANTIC AVE. LYNWO0 CA. 90262
or roam no.) City, town or poet
Office, state, and 21P code
F Accounting method: (1) I •• u cash (2) Li Accrual (3) 0 Other(apaclfy) ►
G Method(s) used to -"'----""-"------------------
veluecbsinginventory: (1) cost (2) Lower of cost Other (attach Doaanotapply(rt
� or market (3) explanation) (4) ❑ chocked, skip line H) yes N0
H Was there any change in determining quantities, costs, or valuations between opening and closing Inventory? pt yes.•attach explanation.) g
I Did you "materially participate" in the operation of this business during 19917 (If "No," see Instructions for limitations on losses.) )(
J 11 this Is the first Schedule C filed for this business, check here .. ................... .. , , . ►
Part 1 I income
I Gross receipts or saies. Caution: If this Income was reported to you on Form W -2 and
the "Statutory employee" box on that form was checked, see the instructions and check here
2 Returns and allowances ,
3 Subtract line 2 from line 1
4 Cost of goods sold (from line 40 on page 2) ,
5 Subtract line 4 from line 3 and enter the gross profit here ,
6 Other Income, including Federal and state gasoline or fuel tax credit or refund (see instructions)
► E]
600.
7 Add lines 5 and 6. This is your gross Income . .......................... . ...... .► 7 55 600.
Part 11 Expenses (Caution: Enter ex m
Skip for business use of our hoe on line 30.)
8 Advertising 8 250. 21 Repairs and maintenance 21
22
310.
9 Bad debts from sales or services 22 Supplies (Trot included in Part fir). 1,844 .
(see instructions). 9 23 Taxes and licenses
10 Car and truck expenses (sea,mwetions 1U
also attach Form 4582). 316. 24 Travel, meals, and entertainment: : ^ 2.3 728.
ia
11 Commissions and fees 11 a Travel 24a
12 Depletion. 12 b Meals and
13 Depredation and section 179 entertainment
expense deduction (not included In c Enter 20% of line 24b -
put I14 (see Instructions) 13 subject to limitations
14 Employee benefit programs (other (see instructions).
than on One 19) .. . 1A d Subtract line 24C from One 24b . E26
15 Insurance (other than health)... 15 817. 25 Utilities 2 2,471.
t6 Interest 111111 26 wa (less jobs credit)
a Mortgage (paid 10 banks, etc.) . 16a 27a Other expenses (list type and amount ) : I I I' !1 f , ii i �r
is Other. .. ... ... 16b LINEN _ _ _ ill! � I I'I� �l�l � � l " ;9 02
ice !
17 Legal and professional services n 375 I III �I '
. CONTRIBUTIONS
- ------ ---- -------
18 O .n
f ce expense ,!s
19 'Pension and
-- ; rill I „ ,I ,
P to 86. UNIFORMS Ij� ;;�f'�I "50
rofi �
p t- sharirgp t9 MISCELLANEOUS
------- -- -------------- •----------- --
20 Rent or lease (see Instruction MAINTENANCE
it I
i, u Ili 'Il,y ill; y; 4'MQ'
aV and equipment 20i
. �n,lia,ni,w6t,lt'y %x.,6 �I
bother business ro ..... 20b 11 800. 27bTotal others penses _ - - - - -- .... , 274 2 117.
28 Add amounts In columns for Ones 8 through 27b. These are your total expenses before expenses for business
use of your home ► 28 21,114.
29 Tentative profit (loss). Subtract One 28 from One 7.. . ... ... 29 34,486.
30 Expenses for business use of your home (attach Form 8829) 30
31 Net profit or (loss). Subtract One 30 from One 29. If a profit, enter here and on Form 1040, line 12. Also enter
the net profit on Schedule SE, One 2 (statutory employees, see Instructions). If a loss, you MUST go on to line
32 (fiduciaries, see Instructions.) 31 34
32 If you have a loss, you MUST check the box that describes your investment in this ac" Uve mswctions) i 32a All Investment Is at risk.
If you checked 32a, enter the loss on Form 1040, line 12, and Schedule SE, One 2 (statutory employees, 32b Some Investment is not at risk.
see instructions). If you checked 32b, you MUST attach Form 6198.
For Paperwork Reduction Act Notice, oaslnstr. CoPlim (c)taet fore software only Center Pie" soltwal Ina Form 1040 Schedule C (i99l)
r
its
420]
SCHEDULE SE Self-Employment Tax
(Form 1040) • . OMB No. 1545 Op74
Department of the Treasury No See Instructions for Schedule SE (Form 1040), no 91
Internet Revenue Service ► Attach to Form 1040. 17
Name of person with self- employment Income (as shown on Form 1040) Social security number of person
ROOSEVELT HARVEY with self-employment income 1. 431 -82 -5277
Who Must File Schedule SE
You must Ole Schedule SE If:
• Your net earnings from self - employment from other than church employee income (line 4 of Short Schedule SE or
One 4c of Long Schedule SE) were $400 or more; OR
• You had church employee Income (as defined In the Instructions) of $108.28 or more;
AND
• Your wages (and tips) subject to social security AND Medicare tax (or railroad retirement tax) were less than $125,000.
Exception: If your only self - employment income was from earnings as a minister, member of a religious order, or Christian
Science practitioner, AND you filed Form 4361 and received IRS approval not to be taxed on those earnings, DO
NOT file Schedule SE. Instead, write "Exempt-Form 4361' on Form 1040, line 47
Note: Most people can use the Short Schedule SE on this page. But you may have to use the Long Schedule SE on page 2.
Who MUST Use Long Schedule SE (Section B)
You must use Long Schedule SE O ANY of the following apply:
• You received wages or tips, and the total of all of your wages (and ups) subject to social security, Medicare, or railroad retirement
tax plus your net earnings from self- employment is more than $53,400;
• You use either "optional method' to figure your net earnings from self - employment (see Section B, Part 11, and the instructions);
• You are a minister, member of a religious order, or Christian Science practitioner and you received IRS approval (by riling
Form 4361) rat to be taxed on your earnings from these sources, but you owe self- employment tax on other earnings;
• You had church employee income of $108.28 or more that was reported to you on Form W -2; OR
• You received Ups subject to social security, Medicare, or railroad retirement tax, but you did not report
those Ups to your employer.
Section A - Short Schedule SE (Read above to see if you must use Long Schedule SE on page 2 (Section B).)
1 Net fans profit or (loss) from Schedule F (Form 1040), One 37, and farm partnerships, Schedule K -1
(Form 1065), line 15a .. ... ...
1
,
2 Net profit or (loss) from Schedule C (Form 1040), line 31, and Schedule K -1 (Form 1065), line 15a
(other than farming). See instructions for other income to report..
2
34
3
34,486.
3 Combine lines 1 and 2...
4 Net earnings from self- employment Multiply line 3 by .9235. If less than $400, do not file
this schedule; you do not owe self - employment tax. Caution: If you received wages or tips, and
the total of your wages (and Ops) subject to social security, Medicare, or railroad retirement tax
plus the amount on One 4 19 more than $53,400, you cannot use Start Schedule SE. Instead,
use Long Schedule BE on the back .... .... .. ... .. ►
4
31,848.
S Self- employment tax. If the amount on One 4 is:
• $53,400 or less, multiply One 4 by 15.3% (.153) and enter the result
' • More than $53,400 but less than $195,000, multiply the amount In excess of $53,400 by
2.9%(-029). Add $8,170.20 to the result and enter the total.
• $125,000 or more, enter $10,246.60.
Also enter this amount on Form 1040, line 47 ..
5 1
4,873.
Note: Also enter one -half of the amount from line 5 on Form 1040 line 25.
For Pe9erwork aeducbon Act Nab", ueunrtf.
Ca9yn9kt(c) 1991 form wttwoe only Cmtw Pbae Software, Ina
Form 1040 aclwdute SE (1991)
CENTERPIECE [420]
Step 4 12 State wages from your Form W -2, box 25 a 12 10 - 36 - 0 - . 1
Taxable 13 Federal adjusted gross income from line 31 of your Form 1040, line 16 of your Form 1040A, or
Income line 3 of your Form 1040EZ 13 42,599,
Attach copy of
F
W-2 .W2 -0. ana 2 14 California adjustments - subtractions. Enter amount from Schedule CA, line 15. • 14
- x -O.
1099 -R hers.
15 Subtract line 14 from line 13. If less than zero, enter the result in brackets. See instructions 15 42,599 .
16 California adjustments - additions. Enter amount from Schedule CA, One 23. a 16
17 Callomia adjusted gross Income. Combine One 15 and line 18 ..... ... ... • 17 42,599.
16 Enter the *Your standard deduction (see Instructions), OR
larger of: { *Your Itemized deductions (from Schedule CA, One 29). } • 18 15,610.
19 Taxable Income. Subtract One 18 from One 17 If less than zero, enter -0- 19 26,989.
Step 5 20 Enter tax. Check If from Q Tax Table or Tax Rate schedule or FfB 3800 20 576.
Tax Caution: If under age 14 and you have more than $1,100 of Investment Income,
Attach check read line 20 Instructions to see If you must attach form FTB 3800.
or money
rdor hoe. 21 Exemption credits. Caution: See the instructions for line 21 and the worksheet
a
and Instructions In Step 6 before entering an amount on line 21 . , . , , ,
Check if from 1X One 21 Instructions F-1 One 21 worksheet or Schedule P (510).. Q• 21 240.
22 Subtract line 21 from line 20. If less than zero, enter -0- .. ... 22 _ 336.
23 Tax frorri Schedule G -1, line 21 and from ❑ form FTS 5870A y 23
24 Add line 22 and line 23. Continue to Side 2 .... .. /... 24 336.
For Privacy Act No lice, see met, Copyrigh I(c) 1991 form software only Center Race software, lna. Form 540 1991 bide J
1
California
Resident
FORM
Income
Tax Return is 91
540
Step 1
Use the California mailing label. Otherwise, please print or type.
Fiscal year beginning 1991, ending 1g
Do Not Use
These Spaces
Noma
and
Address
ROOSEVELT & EVA HARVEY
1527 HELMICK STREET
CARSON, CALIFORNIA 90746
Your social security num bar
431 -82 -5277
P
M
Spouse's eofJal security number
410 -68 -0366
A
R
E
Step 2
1
2
Single
Married Using joint return (even If only one had Income)
X
Filing Status
3
Marred filing separate return. Enter spouse's SSN above and full name here.
checkonfyon..
4
5
Head of household lw,th 4u,bfy,ngpenon Ilths qualifying person is your child but not
your dependent, enter child's name here.
Qualifying widow(er) with dependent child. Enter year spouse died: 19
Step 3
Exemptions
per not ante,
dollarameunts
here.
6
7
8
9
10
If someone (such as your parent) can claim you as a dependent on his or her tax return, check
Isere, skip lines 7 through 10 and enter -0- on line 11 , e
Personal: If you checked box 1, 3 or 4 above, enter 1. .If you checked box 2 or 5, enter 2.
Blind: It you or your spouse is visually impaired, enter 1. It both we visually impaired, enter 2
Senior: If you or your spouse is 65 or older, enter 1. If both are 65 or older, enter 2. •
Dependents: Enter name and relationship. Do not include yourself or your spouse.
6 E]„
7 2
8
g
Y. HARVEY /DAUGHTER —R. HARVEY /SON
Enter the total number of dependents
10 2
11
Total number of exemptions. Add lines 7 through 10.
11 4
Step 4 12 State wages from your Form W -2, box 25 a 12 10 - 36 - 0 - . 1
Taxable 13 Federal adjusted gross income from line 31 of your Form 1040, line 16 of your Form 1040A, or
Income line 3 of your Form 1040EZ 13 42,599,
Attach copy of
F
W-2 .W2 -0. ana 2 14 California adjustments - subtractions. Enter amount from Schedule CA, line 15. • 14
- x -O.
1099 -R hers.
15 Subtract line 14 from line 13. If less than zero, enter the result in brackets. See instructions 15 42,599 .
16 California adjustments - additions. Enter amount from Schedule CA, One 23. a 16
17 Callomia adjusted gross Income. Combine One 15 and line 18 ..... ... ... • 17 42,599.
16 Enter the *Your standard deduction (see Instructions), OR
larger of: { *Your Itemized deductions (from Schedule CA, One 29). } • 18 15,610.
19 Taxable Income. Subtract One 18 from One 17 If less than zero, enter -0- 19 26,989.
Step 5 20 Enter tax. Check If from Q Tax Table or Tax Rate schedule or FfB 3800 20 576.
Tax Caution: If under age 14 and you have more than $1,100 of Investment Income,
Attach check read line 20 Instructions to see If you must attach form FTB 3800.
or money
rdor hoe. 21 Exemption credits. Caution: See the instructions for line 21 and the worksheet
a
and Instructions In Step 6 before entering an amount on line 21 . , . , , ,
Check if from 1X One 21 Instructions F-1 One 21 worksheet or Schedule P (510).. Q• 21 240.
22 Subtract line 21 from line 20. If less than zero, enter -0- .. ... 22 _ 336.
23 Tax frorri Schedule G -1, line 21 and from ❑ form FTS 5870A y 23
24 Add line 22 and line 23. Continue to Side 2 .... .. /... 24 336.
For Privacy Act No lice, see met, Copyrigh I(c) 1991 form software only Center Race software, lna. Form 540 1991 bide J
1
CENTERPIECE [420] ROOSEVELT & EVA HARVEY
431 - 82 -5277
Step 9
25
Amount from Side 1, O1W
u
336.
.Step 6
26
Credit for child and dependent care expenses. See instructions
• 26
-�--
-'
Credits
27
Credit for taxpayers with military income. See instructions
• 27
46
Tax due. If line 37 is larger than line 42, subtract line 42 from line 37 .
28
Enter credit name Code no. andamount
► 28
Contribution to California Seniors Special Fund. See instructions
• 47
29
Enter Credit name Coda no. and amount
No 29
Contributions
30
Enter credit name Cods no. and amount
to 30
49
31
To claim more than three credits, see Instructions
• 31
-
Rare and Endangered Species Preservation Program •
32
Credit for taxpayers with Income under $22,841. See Instructions
• 32
51
State Children's Trust Fund for the Prevention of Child Abuse •
51
33
Total credits. Add lines 26 through 32
52
33
52
34
Subtract line 33 from line 25. If less than zero, enter -0- .
California Election
34
336.
S tep 7
35
Alternative minimum tax. Attach Schedule P (540)
Campaign Fund
• 35
54
Other
36
Other taxes. See instructions
Total voluntary contributions. Add lines 48 through 54..
• 36
• 55
Taxes
37
Total tax. Add lines 34 through 3 6..
• 37
336
Step 8
38
CaNlomgmcomele. . thhold .Entertotalfmm you, 1991FOrm(a)W -land 1099 -R
.38
26.
Payments
39
1991 California estimated tax and amount applied from 1990 return.
include amount paid with extension payment voucher (form FT8 3519)
39
600.
40
Renters credit. Enter amount from Schedule H (540), fine 9
40
41
Excess California SDI withheld. See instructions.
41
42
Total payments. Add lines 38 through 41
42
626.
Step 9
43
Overpaid tax. If line 42 is larger than line 37, subtract line 37 from line 42.
43 2957
Overpaid
or
44
Amount of line 43 to be applied to your 1992 estimated tax
44
Tax
Tax Due
45
Amount of overpaid tax available this year. Subtract line 44 from line 43
45 290.
46
Tax due. If line 37 is larger than line 42, subtract line 42 from line 37 .
46
47
Contribution to California Seniors Special Fund. See instructions
• 47
Step 10
You may make a contribution of $1 or more to:
Contributions
48
Alzheimer's Disease /Related Disorders Fund. •
48
49
California Fund for Senior Citizens •
49
50
Rare and Endangered Species Preservation Program •
50
51
State Children's Trust Fund for the Prevention of Child Abuse •
51
52
Veterans Memodal Account •
52
California Election
53 Your political parry Amount(525 max) ►
}54
53
Campaign Fund
Spouse's political party Amount ($25 max) ►
54
'
55
Total voluntary contributions. Add lines 48 through 54..
• 55
56
Total contributions. Add line 47 and line 55.
56
Step 11 57 REFUND OR NO AMOUNT DUE Subtract line 56 from line 45. Mall your return lo:
Refund or Franchise Tax Board, P.O. Box 942840, Sacramento, CA 94240 -0000 g 57 290.
'Amount You 58 AMOUNT YOU OWE Add One 46 and line 56. Attach check or money order for fun amount payable
Owe to "Franchise Tax Board.' Write your social security number and '1991 Form 540• on it. Mal it with
your return to: Franchise Tax Board P.O. Box 942867, Sacramento, CA 94267 -0001 68
Step 12 59 Interest and late return and IWO payment penalties .. .
69
Interest 60 Underpayment of estimated tax. If form FTS 5805 or 5805F Is attached, check box at right at 60
and Penalties 61 To reduce State printing costs, if you and your tax preparer do not need California income
tax forms and instructions mailed 10 you next year, check box at right. • 61 O
1
IMPORTANT: You must attach a copy of your federal Income tax return and federal schedules.
H Sig n Underponaabs of perjury. I declares hat l hw•esimmed this ret urn, locks ding accompany , nfitch.dul•sandshtements r and to the best of my knowledge
ere and baNf,dlsfine, collect. and eomph,W
Attach copy of
federal return
to this return.
It Is unlawful
10 forge a
Spouse's
Your signature Spouse's signature (iI filing jointly, both must mgn) Date
X x
Signature of paid preparer (declaration of prepmer is based on all information of which prepare has any knoaedga.) Preparers SSN /FEIN
Firm's Name (at yours ROFESSIONAL BUSINESS SERVICES / 435 -56 -4363
if self-employed) 201 N. ALAMEDA STREET Ste G
_______________.--_----_-______--_-______-_____-________-_____-
and address OMPTON. CAT.TFr1ATiT_a ono -S
Side 2 Form 640 1991
Copyright (c)1991 form software only Center Rep Software, Inc.
1
CEWERNECE [420]
TAXABLE YEAR . 'SCHEDULE
19911 CalifoMa Adjustments CA
Names) as shown on return Social security number
ROOSEVELT & EVA HARVEY 431 -82 -5277
Step 1
14b
Subtractions 1 State Income tax refund from federal Form 1040, line 10.
1
2 Unemployment compensation from federal Form 1040, line 20, or Form 1040A, line 12
2
3 Social security benefits from federal Form 1040, line 21 b, or Form 1040A, line 13b.
3
4 California nontaxable interest or dividend income. See Instructions
4
5 Railroad retirement benefits and sick pay. See Instructions .
5
6 California Lottery winnings. See Instructions.
6
7 Difference between state and federal wages. See instructions
7
8 IRA disinbutions, See instructions.
a
9 Pensions and annuities. See instructions
9
10 Passive activity. See Instructions.
10
11 Depreciation and amortization from form FTB 3885A, line 6a and line 10a
11
12 Capital gains or (losses) from California Schedule D, line tta
12
13 Other gains or (losses) from California Schedule D -1, line 21a and line 38.
13
14 Other subtractions:
a California disaster loss deduction from your 1991 forth FTB 3805V
14a
b Other. See Instructions. Specify
lines
on Form
M F
24 Federal itemized deductions. Add the amounts on federal Schedule A, lines 4, 8, 12, 16, 17, 18,
24 and 25. I .. 24 16,236.
25 State and local Income taxes from federal Schedule A, line 5 and foreign Income taxes.
See instructions . ... ... 25 626.
26 Subtract One 25 from One 24. ... .. .. ... 26 15,610.
27 Other adjustments. See instructions. Specify
29 Combine line 29 and line 27
29 California itemized deductions.
27
26 1-51-61-0.
... 29 15.610.
e If your federal adjusted gross Income on form 540, line 13 is not more than:
- $100,000 if single or married filing separate
- $150,000 if head of household
- $200,000 If married filing joint or qualifying widow(er) enter the amount on One 28 on One 29
e If your federal adjusted gross Income on Form 540, One 13 Is more than the amount listed above for your filing status,
complete the worksheet on page 4 of the Instructions to figure the amount to enter on One 2B/
11 your California Itemized deductions on One 29 are larger than your standard deduction, enter your California tteniaed de-
ductions on Form 540, line 18. Otherwise, enter your standard deduction on Forth 540, fine 1a.
Copyaeotw t99r form Software ant' Cmisr Piou Suftras, in,, scimmow AI+99p
1
14b
15 Total subtractions. Add lines 1 throuqh 14b. Enter here and on Form 540 One 14
15
Step 2 16 Interest on state and municipal bonds from a state other than California. See instructions.
16
AddlBons 17 Difference between state and federal wages. See instructions
17
16 Passive activity. See instructions. . , .
18
19. Depreciation and amortization from form FTB 3885A, line 6b and line 10b
19
20 Capital gains or (losses) from California Schedule D, line 11 b
20
21 Other gains or (losses) from California Schedule D -1, fine 21 b and line 38.
21
22 Other additions:
a Federal net operating loss deduction from your 1991 federal Form 1040, line 22
22a
to Other. See Instructions. Specify
lines
on Form
M F
24 Federal itemized deductions. Add the amounts on federal Schedule A, lines 4, 8, 12, 16, 17, 18,
24 and 25. I .. 24 16,236.
25 State and local Income taxes from federal Schedule A, line 5 and foreign Income taxes.
See instructions . ... ... 25 626.
26 Subtract One 25 from One 24. ... .. .. ... 26 15,610.
27 Other adjustments. See instructions. Specify
29 Combine line 29 and line 27
29 California itemized deductions.
27
26 1-51-61-0.
... 29 15.610.
e If your federal adjusted gross Income on form 540, line 13 is not more than:
- $100,000 if single or married filing separate
- $150,000 if head of household
- $200,000 If married filing joint or qualifying widow(er) enter the amount on One 28 on One 29
e If your federal adjusted gross Income on Form 540, One 13 Is more than the amount listed above for your filing status,
complete the worksheet on page 4 of the Instructions to figure the amount to enter on One 2B/
11 your California Itemized deductions on One 29 are larger than your standard deduction, enter your California tteniaed de-
ductions on Form 540, line 18. Otherwise, enter your standard deduction on Forth 540, fine 1a.
Copyaeotw t99r form Software ant' Cmisr Piou Suftras, in,, scimmow AI+99p
1
(420)
F
F
•
Label
on pegs
Use the IRS
label.
otherwise,
please print
or type.
Filing Status
(See page 10.)
Check only
one box.
Exemptions
(See page 11.)
If more than six
dependents,
see page 12.
1
2
3
4
6a
SPOUeay sock-'. eeo,nry numoar
410 -68 -0366
For Rrvacy Actand Paperwork
Reduction Act Nosy, see
instructions.
Do you went $1 to go to this fund?
If a Int return, does your spouse want $1 to go to this l . 1 y�i' i 1 ] �
Single
Married filing joint return (even If only one had Income).
Married filing separate return. Enter spouse's SSN above & full name here. ►
Head of household (with qualifying person). (See page 11.) If the qualifying person Is a child but not your
dependent, enter this child's name here. ►
Qualifying widower) with dependent child (year spouse deed ► 19 ) (See petoil.
)
Yourself. If your peen (or someone else, can Gafm Vou as a dependent on his
or her tax return, do not check box ea But be sure to check the box on
line 33b On page 2. ,
b j Spouse
No. of looses
and 61 edanL 2
and sb
c Dependents:
(1)Nams(IinQimbat. and last name)
Y. HARVEY
R. HARVEY
k f
under
ages
(3) If age 1 or older,
dependent'.
30CW..CUnt number
50 -41 -0680
14 -15 -8467
(4) Oependenrs
relationship to
AUGHTER
ON
No. of
ao tnshyed
Yourhome
1
12
Income
7 Wes, selari8s• lips, etc. Attach Forms) W -2 ..
-
,
8a Taxable Interest Income. Attach Schedule B if over $400.
l
'Attach
b Tax - exempt interest Income (see p9. 1 s) DON'T include on Una 8a
8a
;p!,I :;
Copy B of your
9 Dividend income. Attach Schedule B if over $400
qr ..
9 ''
Forms W -2,
W- 2G,and
10 Taxable refunds, credits, or ottseb of state and local income taxes n page 19
du
1099 -R here.
it Alimorry received.
0193 For Paperwork Reduction Act Notice, ao insa.
Copynght (c)1992 form software only Canter Ray Softwws, I
Or
L
No. of your
ch,ldren an 6,
who:
e lived with you 2
e didn't w,tn —�
You due t O 6vorCe
raepan twee
page 13)
No. of other
dependents on tle
on
,ere ►
56
44,29
Fares 1040 (1992)
1 11527 HELMICK STREET I
your child did, t fly* with you but s Claimed "your dependent under pre- 1985 agreement check here ►
"
e Total number of axe TPtions claimed . ,
Income
7 Wes, selari8s• lips, etc. Attach Forms) W -2 ..
-
,
8a Taxable Interest Income. Attach Schedule B if over $400.
l
'Attach
b Tax - exempt interest Income (see p9. 1 s) DON'T include on Una 8a
8a
;p!,I :;
Copy B of your
9 Dividend income. Attach Schedule B if over $400
qr ..
9 ''
Forms W -2,
W- 2G,and
10 Taxable refunds, credits, or ottseb of state and local income taxes n page 19
10
1099 -R here.
it Alimorry received.
12 Business Income or (loss). Attach Schedule C or C -
11
If you did not
.
13 Capital gain or (loss), Attach Schedule D,
j
12
13Pat
�W - 2, see 14 Capital gain distributions rat reported on line 13 (see page 15)
15 Other gains or (losses), Attach Form 4797
14
15
16b
16a Total IRA disirfbutbns 18a page 16)
Attach check or b Te
t maney nrder on'
17a TOtel pensions and annulties. 17a b T page 16)
17b
F=s W-Z
18 Rents, royalties, partnerships, estates, trusts, etc. Attach Schedule E18
W -2G, or
19 Fans Income or (loss). Attach Schedule F
19
1099 -R.
•
20 Unemployment compensation (see page 17) .. .
21a Soda) security be . 21a b Taxable amount (see page 17)
21b
22 Other Income. List type and amount -see page la
--- -
3
2 Add the emounb I the far ht for
h
nY
column lines 7 throw h 22. This is ur total Inwme ►X23
Adjustments
24a Your IRA deduction from applicable worksheet on page 19 or 20 242
to Income
'
Spouses IRA deduction from
b applybN warhaMet an paps l9 or 24b
25 One -half of Self-employment tax (see page 2o). .. 25 2 5 5 7 .
(See page is.)
26 Self-employed health Insurance deduction (see page 20).. 28
27 Keogh retirement plan and self - employed SEP deduction. 27
28 Penalty on early withdrawal of savings 28 '
III I
29 Alimony paid. Redplont's SSN Is 29 IIII
lil n
------------------ ------ ----------------------•-- ----------•---
30 Add Ames 24A flarruiunh 29. These are your total ad ustments
19�II�11
Adlusted
' Gross Income
31 6 S 2 u 2 b tract 11r1ae 30 from line 2$. This Is your adWsted gross'Income. If this amount is lacy the
fnxx 37 p C r n e a d A on liri 5 6 "' . R h y pB6 EIC -no find out d you can claim the ^Erred
30
_-
0193 For Paperwork Reduction Act Notice, ao insa.
Copynght (c)1992 form software only Canter Ray Softwws, I
Or
L
No. of your
ch,ldren an 6,
who:
e lived with you 2
e didn't w,tn —�
You due t O 6vorCe
raepan twee
page 13)
No. of other
dependents on tle
on
,ere ►
56
44,29
Fares 1040 (1992)
1 11527 HELMICK STREET I
(420) ROOSEVELT & EVA HARVEY
Form 1040 1992
431 -82 -5277
•
32
Amount from line 3 lusted gross Income)
32
44,299.
Tax
33a Check its F YCU wen 05 orabar,� 9And: a Spouse wo es or older, Oepnd.
II�I'I I
Compu-
Add the number of boxes checked above and enter the total here. 10 33a
(11i,III
tation
b If.your parent (or someone else) can claim you as a dependent, check here.. ►
I'II'il�l
e It you are married filing soParately and your spouse Itemizes deductions
or you are a dual- status
(See p a g e
22.)
34
alien, see page 22 and check here 1 33c
Itemized deductions from Schedule A, line 26, OR
�I,i ;ally:
Enter the
Standard deductlon shown below for your filing status. But If you checked
larger any box on line 33a Cr b, go to page 22 to find deduction.
:f;i; r,
34
16
your standard
It you checked box 33c, your standard deduction is
of zero.
Single - $3,600 • Head of household - $5,250
your: • MarrieO filing jointly or ln ualifyingg widower) - $8,000
n9 separately - $3,000
+li ;i ;'I ; i�
a
35
Subtract line 34 from line 32
35
27 941 .
36
If line 32 is $78,950 or less, Multiply $2,300 by the total number of exemptions claimed on
If you want
the IRS to
line tie. If line 32 is over $78,950, see the worksheet on page 23 for the amount to enter
36
9,200.
figure your
37
Taxable Income. Subtract line 38 from line 35. If line 36 is more than line 35, enter -0-
37
18 7 4 1
P� 38
23.
Enter tax. Check it from a QX Tea Table, b� �cn2.1.., C ❑ schedule D.
or d ❑ Form 8815(see page 23). Amount, if any, from Form(s) 8614 ► •
3a
2, 809.
39
Additional taxes (see page 23). Check if from a0 Form 4970 b Form 4972
39
'I l,11,
_____ - - --- - ------------------------------------------ -----------
40 Add lines 38 and 39
.. .... .... ...... .... .. .. .. .. . ►
40
2 8 09 .
41
Credit for child and dependent care expenaea. Attach Form 2481 41
Credits
42
Credit for the elderly or the disabled. Attach Schedule R. 42
re,:
2 3.) page
43
Foreign tax credit. Attach Form 1116 43
44
r�
Other credits (300 page 24). Check if from a t i Form 3800
b [:] Form 8396 C [:] Form 6601 d Form 44
(spec /y)
45
_____________
Add Imes 41 through 44. ,
45 r
46
Subtract line 45 from fine 40. If fine 45 Is more than line 40, enter -0 - ........ .... . ►
46
2,809.
47
Self - employment tax, Attach Schedule SE. Also, we line 25
47
5,113.
Other
48
Attemative minimum tax. Attach Form 6251....
48
Taxes
49
..
Recapture taxes (see page 25). Check if from a DFor. 4255 b 1:1 Form 6011 C t Form 6828
49
50
Social security and Medicare tax on tip income not reported to employer. Attach Form 4137
50
51
Tax on qualified retirement plans, including IRAs. Attach Form 5329
51
52
Advance earned Income credit payments from Form W -2
82
53
Add lines 46 through 52. This is your total tax. ...... ........ I .. I ...... ►
y
53
7 922 ,
Payments
54
Federal income tax withhold. it an is from Form(s) 1099, check ► S• 357.
1i 1'
55
1992 estimated tax payme nts and amount applied from 1991 return. I S5 6, 000.
iln
Attach Forms
56
Earned Income Credit Attach schedule Etc se
''II �i1
W - W-23,
W -2
and 1099 -R
Amount paid with Form 4888 (extension request) 57
I Iillillli
to page l:
58
Excess social sew0ty, Medicare, and ARIA tax Mthheld(so page 20). SS
11
59
Other payments (see page 26). Check If from a ❑ Form 2439
b F Form 4136 .. 59 :I
l
1
,I
i l In!
60
Add lines 54 through 59. These are your total payments . . ... ... .. P.
60
6.357.
Refund or
Aunt
61
If fine 60 is more than One 53, subtract One 53 from fine 60. This Is the amount you OVERPAID I.
81
0 .
You Owe
62
Amount of One 61 you want REFUNDED TO YOU ►
62
Attach check or
63
Amt. of line el you want APPLIED TO YOUR 1993 ESTIMATED TAX 63 ;
money order on
top of Form
64
If line 53 u more than Ana 8p subtract line 80 from line 53. This b the AMOUNT Y U OWE '���I
Attach check or rr14 order for lisp �mountpayable to "Internal Revehue ServlC� u rge
il: 'l1
W 2, etc., on
Vocar
name address, sodsecurity rlulnber, daynhle plane number, end'1992 Fonn 1040' on it
64
1 565
pap I.
85
Estimated tax en (... pg try Abc m<mae on tine 64.... ... 85 (111
i11i ;!'
: "
an,d,Ilil,llllilu RINI
Sign
Under penaltiq of psr }cry,Ideclare thatI have •aamm.d inm return area acwmPar noaen•euhs line sbbm •nb,.ne to tn• lootof
bead,tneyu•bu•, wrr•et •ndoomObt• D•c aratlon ofpnpuar(.Ih Man bxpayarlp OUed Mall N /ormatlon of which
my tnewMdge area
of ykn
Here
'
Your ugnatun Dab YouracwPadid
p
xeeP a copy
Ot l feNfD
BARBER
for y our
'
Sp•uo1 a nature. If • olnt return, BOTH moat a
9 I Sri•
Dal•
ap•uoS Oewpatson
retards.
EDUCATION
Paid
Prepanh ,
sig
Dab '
Check N NN-
P•parers ••W aeoxrly no.
435 -56 -4363,
Preparer's
Firm's PROFESSIONAL BUSINESS SERVICES
Use Only
; ;�;,;p
name
; ' 3201 N. xt:la ED.A STFt_E__E_T_� E.I. No.
95- 3109071
An address COMPTON CALIFORNIA •- 21 Coe• 90222 -1430
0192 For Paperwork Reduction Act Notice, w• units. Copynght(C)1092 farm software only Center Pie" Software, Inc.
Farm, 1080 11 99 2)
e
r
420]
16
Moving expenses. Attach Form 3903 or 3903F. See Paqe A -4.
► 18
SCHEDULES A &B S dule A - Itemized Deducts
(FOrfn 1040)
OMB N0.15/5-007•
Unreimbursed employee expenses - job travel, union dues, job
and Most Other
education, etc. If required, you MUST attach Form 2108
:
II!IIIi II
(Schedule 8 Is on page 2)
Miscellaneous
���
DePxt of the Treasury 0- Attach to Form 1040. ► See Instructions for Schedules A and 8 (Form
1040).
Internal n ... Samoa
Deductions
07
Name(s) shown on Form 1040
I I�I j
'
Your social security number
ROOSEVELT &
EVA HARVEY
431 -82 -5277
Medical
I
Caution: Do not Include expenses reimbursed or paid by others.
( See
li
and
Dental
1
Medical and dental expenses see page A -1
( P 9 )
SEE STATEMENT
----------- -------------------------------
Expenses
2
Enter amount from Form 1040,IIne22. 2 1 44,299
Add Tines 19 and 20.. .
tlijtlntl.
ijll.,
3
Multiply line 2 above by 7.5% (,075).
3
:Ip
23
4
Subtract line 3 from fine 1. If zero or less, enter -D- ......
....
.. ► 4 4
.......
Taxes You
5
State and local Income taxes
5
25
620. 'j,W:f l'
Paid
6
Real estate taxes (seepage A -2)
1
�.(:LI^
621.
8
(See
7
Other taxes. Ust - Include personal property taxes ►
---------------------•-------------------•-------------•--
------------
page A -1.)
- • - - - -
AUTO LICENSE
� 25
300. ill`
-- ---•------ ------ --- --------------
7
•
8
Add lines 5 through 7
.
.........................
. ► B 2 541.
Interest
9a
Home mortgage Interest and points reported to you on Form 1098
9a 9 , 568.
You Paid
b
Home mortgage Interest not reported to you on Form 1098. If
'j: 4
(See
paid to an Individual, slaw that person's name and address. ►
page A -2.)
Note:
-- - -•__________ _______________________________
Personal
________________ ____ ^-_-__- _____----_----------
91b
Interest is
10
Points not reported to you on Form 1098. See A -3 for
not
deductible.
page
specal rules.
i
10
'
11
Investment Interest. If required, attach Form 4952.
(See page A-3)
11
12
Add lines 9a through 11
. ► 12 9. 568.
Gltta to
Caution: If you made a charitable contribution and received a
',':''
' r:r
Chanty
.;j "„ i;6,
benefit In return, see page A -3. mil
}
(See
13
Contributions by cash or check ...
13 3 3
7 9 9 IIIj�i;;ll,l
Page A -3.)
14
other than by wn or check. f over M. you MUST attach Forth 8283
14
Ilo.6!i
450. tilI II
15
Carryover from prior year
15
Ayl
16
Add lines 13 ihrou h 15 .. .. ................ ..
... .... .......
be 16 4,249.
Casualty and
Theft Losses
17
Casualty or theft loss( Attach Form 4684. See page A -4. .....
, , ....
le 17
Moving
u enses
16
Moving expenses. Attach Form 3903 or 3903F. See Paqe A -4.
► 18
Job Expenses
19
Unreimbursed employee expenses - job travel, union dues, job
and Most Other
education, etc. If required, you MUST attach Form 2108
:
II!IIIi II
r
Ii II
Miscellaneous
(See page A-4.) I-
'I�IIiLIII
liii
I
Deductions
___________________ _
19
I I�I j
'
20
Other expenses-- Irnflsarlent, tax preparation, safe deposit box,
etc. list and amount ►
type
I
++ I
( See
Page for
expenses ses to
SEE STATEMENT
----------- -------------------------------
20
i
220. �:ii!�!I
deduct here.)
21
Add Tines 19 and 20.. .
4
` :I,I!:,,,
220. yj!li
22
Enter amountfrom Form 1040, lint, 32. 22 1 44 299
�p'u.
• n':np "L
:Ip
23
Multiply line 22 above by 2% (.02).
23
iii , i s
886.
24
Subtract One 23 from One 21. It zero or less, enter -0- .............
..... ► 24
Other
25
Other --from list on page A -5. List type and amount ►
Mi scellaneous
-----------------------------
Declarations
---------------------•-------------------•-------------•--
------------
� 25
26 Is the amount on Form 1040, fine 32, more than $105,250 (more than $52,825 if
Total manned filing separately)?
Itemized
Deductions a NO. Your deduction IS rot limited. Add lines 4, 8, 12, 18, 17, 18, 24, and 25.
e YES. Your deduction may be limited. See page A -5 for the amount to enter.
Caution: Be sure to enter on Form 1040, One 34, the LARGER of the
amount on One 26 above or your standard deduction.
For Paperwork Reduction Act Notice, age 06o. Copynght fef 1902 form"llwwo only Center Pep software, in,
OF?
58.
►
SCHEDULE A SUPPORTING STATEMENTS
ROOSEVELT & EVAIiARVEY • 431 -82 -5277
OTHER CONTRIBUTIONS
Church 3,411
Misc. organized charity 388
FEDERAL TOTAL 3,799
STATE TOTAL 3,799
MISCELLANEOUS DEDUCTIONS SUBJECT TO 2% AGI LIMIT
Tax prep fee 50
Job supplies 170
FEDERAL TOTAL 220
STATE TOTAL 220
i
(420]
SCHEDULE C
" (Form 1040)
the Treasury
4 6 rofit or Loss From Busine0
(Sole Proprietorship) )
No Partnerships, joint ventures, etc., must file Form 106S.
► Attach to For 1040 or Form 1041. ► See Instructions for SchwArrl.
Name of proprietor Social security number (SSN)
ROOSEVELT HARVEY 431 -82 -5277
A Principal business or profession, Including product or service (see instructions) B Enter principal business code
BARBER (tromp z) ►5277
HARV
C Bu E name S BARBER SHOP D Employer ID no. (Not SSN)
E Business address (including 11395 S. ATLANTIC AVE
Awte "room naJ City, townor NWOOD CA. 90262
t---------
_________ _______________________________
Post othc•, stets, and ZIP code
F Accounting method: (1) lJ Cash (2) 0A .... 1 (3) 01har(speclfy) ►
G Method(s) used to
vetuecbsing inventory: (1) COSt (2) prmark•t (3) ❑ Othar(Attach Doeanatap IY if
••planation) ( F checked, ak p hn• N) Yea No
H Was there any change in determining quantities, costs, or valuations between opening and closing inventory? u 'Yea, "attach explanation g
1 Did you "materially participate" in the operation of this business during 1992? If "No," see Instructions for Iimi tatlon3 on losses }(
J Was this business In operation at the end of 19927 X
K How many months was this business in operation during 19927 ► 12
L If this is the first Schedule C filed for this business, check here .... .
.......................... ...
Part 1 Income
g
9
10
11
i Gross receipts or sales. Caution: If this income was reported to you on Form W -2 and
13
14
15
�lll(iil
16
161
the "Statutory employee" box on that form was checked, see the instructions and check here
►
1
201
58
58
280.
2 Returns and allowances
3 Subtract line 2 from line 1
4 Cost of goods sold (from line 40 on page 2)
3
58-
5 Gross profit. Subtract line 4 from line 3
4
..
6 Other Income, including Federal and state gasoline or fuel tax Credit or refund (see Instructions)
S
5-8,28-0.
7 Gross Income. Add lines 5 end 6 .........................
6
...... ... ...
[ ,''Part If. arises (Caution: Do not enter exdensas for busing use of your ho O
.... .►
-
7
--
58
280.
9 Advertising
9 Bad debts from sales or services
(see instructions).
10 Car and truck•apanses lastinstructions-
ALSO attach Form 4562).
11 Commissions and fees....
12 Depletion.
13 Depredation and section 179
expense deduction (not included In
Part I'D ("a instructional . .
14 Employee benefit programs (other
than on line 19)
15 Insurance (other than heahh),
19 Interest
a Mortgage (paid to banks, etc.)
III Other. .. , ,
17 Legal and professional services
18 Offlceexpense. . . .
19 Pension and profit - sharing plans.
20 Rent or lease (see instructions):
. a Vehicles, machinery, and equipment
g
9
10
11
12
13
14
15
�lll(iil
16
161
17
to
201
me on nes 8 -27 Instead see
21 Repairs and maintenance ,
22 Supplies (not included In Part III)
23 Taxes and licenses , ,
24 Travel, meals, and entertainment:
a Travel
to Meals and
entertainment
c Enter 20% of line 24b
subject to limitations
(see Instructions). . .
d Subtract line 24C from line 24b
2s Utilities .
26 Wages (less jobs credit) . .
27a Other expenses (list type and amount):
24a
RIBUTIONS
__ _________ nm�mlkT'"YAAiWaaJL'� - '°
Oth er business roe _ ______ _____________ __
206 12 800. 27bTotalother expenses.
.... 27b 2 410
28 Total experuea beloie expenses for business use of home. Add Ones 8 through 27b in cotunms ... . ► 20 22,097
29 Tentative profit (loss). Subtract One 28 from line 7 .. 29
36 183
30 Expenses for business use of your home, Attach Form 8829 . 30
31 Net profit or (loss). Subtract line 30 from line 29. if a profit, enter here and on Form 1040, line 12. Also, enter
the net profit on Schedule SE, One 2 (statutory employees, see Instructions). 11 Sloss, you MUST go on to tine
32 (fiduciaries, see Instructions.) 31 36 183 ,
32 If you have a loss, you MUST check the box that describes your Investment In this activity pee Instructions) 1 326 AO invesnrent b at risk.
If you checked 32a, enter the loss on Form 1040, One 12, and Schedule SE, One 2,(statutory employees, J r 32b Some Investment Is not at cis
see Instructions). 11 you checked 32b, You MUST attach Form 6198.
Far Paperw erk Reduction Act Nob", see msid. Copyright lU 1992 form software only Center Race sottwsrs, Inc. Form 1040 sche4,le app;
fit
1
420)
SCHEDULE SE Self -Em )o mart Tax
(Form 1040) P y oMel
Department of the Treasury Be See Instructions for Schedule SE (Form 1040),
Internal Revenue Sernce ► Attach to Form 1040.
Name of person with self- employment Income (as shown on Form 1040) Social security nu of person
ROOSEVELT HARVEY with self income ► 431 -8
Who Must File Schedule SE
You must fife Schedule SE H:
e Your wages (end tips) Subject to social Security AND Medicare tax (or railroad retirement tax) were less than $130,200; AND
e Your net earnings from self- employment from other than church employee Income (line 4 of Short Schedule SE or
line 4c of Long Schedule SE) were $400 or more; OR
• You had church employee Income (as defined In the instructions) of $108.28 or more.
Exception: If your only self- employment Income was from earnings as a minister, member of a religious order, or Christian
Science practitioner, AND you filed Form 4361 and received IRS approval not to be taxed on those earnings, DO NOT
file Schedule SE. Instead, write "Exempt -Form 4361" on Form 1040, line 47
May I Use Short Schedule SE or MUST I Use Long Schedule SE?
in 1
Are you a minister, member of a religious order,
or Christian Science practitioner who received
IRS approval not to be taxed on earnings from Yes
these sources, but you owe self - employment tax
on other earnings?
No
Are you using one of the optional methods fo
figure your net earnings (see Instructions)? Yes
No
Did you receive church employee Income
reported on Forth W-2 0l $108.28 or more? Yeses
No
YOU MAY USE SHORT SCHEDULE SE BELOW
17
Was the total of your wages and tips subject to
social security or railroad retirement tax plus
your net earnings from self- employment more than Yes
$55,5007
[ Wmployment he torsi of your. w =from care tax plus your Yes
more
No
Did you receive ups subject to sods) sewriry or,
No Medicare tax that you did not report to your yes employer?
YOU MUST USE LONG SCHEDULE SE ON PAGE 2
Section A — Short Schedule SEe Caution: Read above to NO 9 you must use Long Schedule SE on page 2 (Section B).
1 net Tenn profit Or (1033) from Schedule F, Ine 36, and farm partnerships, Schedule K -1
(Form 1065), one 15e .......................... ..................... 1
2 Net profit or (loss) from Schedule C, Ire 31; Schedule C-EZ fine 3; and Schedule K -1
(Form 1065), One tsa (other than fwrrdgM. See Instructions for other Income to report 2 36,183.
3 Combine Ones 1 and 2 ...... 3 36
4 Net earnings from $ 4111- employment Multiply One 3 by 92.35% (.9235), If leas than $400, do not
file titb schedule; you do not owe self- eng10yment tax ................... .......... ► 4 33,415.
5 Self- flmployrrrent tax. If the amount on one 4 Is:
e $55,500 or lase, multiply one 4 by 15.3% (.153) and enter the result
e More than $55,500 but less than $130,200, mulOply the amount In excess of $55,500 by
2.9% (.029). Then, add $8,491.50 to the remit and enter the total.
e $130,200 or more, enter $10,857.9o.
Also. enter this amount on Form 1040, Ins 47... ....... 5 5,113.
Note: Also, enter one -hale of the amount from one 5 on Form 1040 line 25.
For Papaworn Reduction Act Notice, see 1nst,
Copyright (c) 1992 form soNwars only Cents Piece Software, Inc
Form 1040 Schedule SE (to"
AL
[4201 •
CENtER PIECE ,
California Resident
Income Tax Return 1992
Fiscal year beginning , 19112, ending
HARV 410 -68 -0366
HARVEY
HARVEY
Step 1 431 -82 -5277
Name ROOSEVELT
and EVA
Address
1
Step 2 s
Fillnu Status 3
Check only one. 4
5
1527 HELMICK STREET
907
FORM
540
1 ° Do Not Write
In These Spaces
M
Single
Married filing joint return (even If only one had Income)
Married filing separate return. Enter epouso's sodaisecuritynum"rabove and full name here.
Head of household (Wth auanfyino pnsonF If the auaurying person Is yyour child but net
your dspendenl,mLrebld's Mme here. _
Oualilying widow(er) with dependent child. Enter year spouse died 19
E
Step 3
Exemptions
Co not enter
dollaramounts
In the boas.
Attach check
B
7
a
9
10
If someone (such as your parent) can Claim you as a dependent on his or her tax return, check the box
here, skip lines 7 through 10 and enter -o- on line 11 .. •
personal: if you checked box 1, 3 or 4 above, enter 1. If you checked box 2 or 5, enter 2
Blind: If you or your spouse Is visually Impaired, enter 1. If both are visually Impaired, enter 2
Senior. If you or your spouse Is 65 or older, enter 1. If both are 65 or older, enter 2 •
Dependents: Enter name and relationship. Do not Include yourself, your spouse or the person listed on lime 4.
Y. HARVEY /DAUGHTER —R. HARVEY /SON
6 F-
7
8
g
2
or money
order here.
Enter the total number of dependents
10
2
4
11
Total number of exemptions. Add lines 7 through 10 . ...... ... .. . . .......
11
Step 4 12 State wages from your Form(s)W -2, box 25... . .... • 12 1 10 208.
Taxable 13 Federal adjusted gross Income from your Forth 1040, One 31, your Forth 1040A, line 16
Income or your Forth 1040E2, One 3 ...................... . ............ 13 44 , 299.
Attach Copy of -
you
2, w� o end 14 California adjustments - subtractions. Enter the annum from Schedule CA, One 15..... . • 14 290.
1090-R hxe.
15 Subtract Brie 14 from line 13. If less than zero, enter the result In brackets. See Instructions , 15 44 , 009.
16 California adjustments - additions. Enter the amount from Schedule CA, Brie 23.... .... • 18
17 California adjusted gross Income. Combine One 15 and One 16 .... .... , .. • 17 44 , 009 .
9 --
18 Enter the I *Your standard deduction (see instructions), OR.
LvW of • Your ltsmlzed deductions (from Schedule CA, Brie 29). } ..... , , .... • 1e ___ 15 1 738-
19 Taxable Income. Subtract One 16 from One 17. If leas than zero, enter -0- ..... , ..... 19 28,271.
Step 5 20 Enter tax Check If from a Tax Table or Tu Rats Schedule E] FTS 3800 or ❑ FT 3803.. • 2B
Tax Caution: lf under age 14 and you have more than $1,200 of investment Income,
read the One 20 instructions to gee it you crust attach form FTS 3800.
21 Exemption credits. Caution: See the Instructions for One 21 and the worksheet
and Instructions In Step 8 before entering an amount on line 21.
Check lf from ❑X 'line 21 InsvucdOrm ❑ Ins 21 worksheet or ❑ Schedule P (s4o).. Q 21
22 Subtract line 21 from One 20. it lees than zero, enter -0- .................... 22
23 Tax from ❑ Schedule O-1 and from ❑ lorm FT 1 5870A ................r23
609.
248.
361.
24 Add One 22 and One 23. Continue to Side 2 ........ . . ................. 24 361.
For Privacy Act Nob", see Instr. CePynght 10 1992 form sothware only Center Place soffwue, lee. Form 5401992 Skis 1
1
CENTERPIECE (4201 ROOSEVELT & EVA HARVEY
431 -82 -5277
25
Amount from Side 1, d ..
25 3
Step 6
26
Credit for chid and dependent care expenses. See Instructions , • 26
Credits
28
Enter Credit name pile do, and amount No 29
- -
29
Enter Credit name =do no. and amount ► 29
30
Enter credit none pdsno. and amount ► 30
•
31
To claim more than trues credits, see Instructions .. .. • 31
33
Total creClb. Add Ones 26 through 31 ..... ... ...
33
34
Subtract line 33 from line 25. If less than zero, enter -0- .. .... .. ...... . ......
. 34
Step 7
se
Alternadve minimum tax. Attach Schedule P (540) ..
• 35
Other
36
Other taxes and credit recapture. See Instructions ..
... • 36
Taxes
37
Total tax. Add lines 34 through 36. ........
• 37 361,
Step 8
38
California mmme tax wthh*ld . Enter total from your 1992For.(,)W -2 and 1099 -R .38
20,
Payments
39
1992 California estimated tax and amount applied from your 1991 return.
Include the ara. pd. with extension payment voucher (form FTB 3519). N 39
600.
40'
Renter's credit. Enter the amount from Schedule H (540), line 9 ... 40
41
Excess California SDI withheld. See Instructions.... 41
42
Total payments. Add Ones 38 through 41 ... ..
.. 42 620.
Step 9
43
Overpaid tax. If line 421s lager than line 37, subtract One 37 from line 42
43 259.
Overpaid
44
Amount of One 43 to be applied to your 1993 estimated tax
44
'Ta or ue
45
Amount of overpaid tax available this yea. Subtract line 44 from line 43
45 259.
06
Tax due. If line 37 is lager than line 42 subtract line 42 from fine 37
46
47
Contribution to California Seniors Special Fund. See Instructions • 47
Step 10
You may make a contribution of $1 or more to:
Contributions
46
Alzheimees Disease /Related Disorders Fund. ..... • 48
49
California Fund for Senior Citizens .. .. .. • 49
50
Rare and Endangered Species Preservation Program ... .. • 50
tit
State Children's Trust Fund for the Prevention of Child Abuse .... • 51
52
California Breast Cancer Research Fund .............. . • 52
53
Veterans Memorial Account .. ......... . :.. . • 53
Caldomia Election 154 Your posbpl party mnt.($25 max) 11- S4
CampagnFund f 55 spouss'spood"Iparty son. ($25max) ► 55
56
Total contributions. Add Ones 47 through 55 .. .. .....
• 56
Step 11
57
REFUND OR NO AMOUNT DUE Subtract line 56 from line 45. Mail your return to:
Refund or
Franchise Tax Board, P.O. Box 942940, Sacramento, CA 94240 -0000 . .
057 '2 5 9 .
Amount You
58
AMOUNT YOU OWE Add One 46 and One 56. Attach check or money order for full amount payable
Owe
to "Franchise Tax Board.' Write your social security number and "1992 Forth 540" on O. Mad it with
your return to: Franchise Tax Board, P.O. Box 942867, Sacramento, CA $4267 -0001 ...
. g 68
Step 12 59 Interest and late return and late payment penalties ... .... .
59
Interest 60 Underpayment of oftmeted tax. If form FTB 5805 or 5805F Is attached, check here . .. Flo 60
and Penalties 61 To reduce State printing coat, ti you and your tax preparer do not need California income
tax forns and Instructions mailed to you next year. check here ................. • 61 QX
IMPORTANT: Sea ft Instructions for Information on who must attach a copy of their federal Income, s
Sign tax return and federal achedul•. 4
Here llnderpualbu of pe Jury,ld"Are that l have examined this return, u:pmpuy,ng achoduhsand statemenb, and to the, but of my knowledge
and belles tie trve. eornetudecmabb.
It Is unlawful Your signature Spouse's signature lif filing jointly, both court sign) Date
to forge e X X
spouse's Signature of paid preparer ( de Wration of proparerb hued on all bformabon of which pr•pusr has any knowledge.) Preparers SSN /FEIN
signature. 435 -56 -4363
Firm'sname(oryours PROFESSIONAL BUSINESS SERVICES
____________________
IfuN- empbyd) 201 N. ALAMEDA STREET,Ste_G
an add OMPTON CALIFORNIA 90222 -1430
Id• 2 Form 6411 1992 copyright lU 1992 form uftyre only Center Rep aoftwme, Ina
1.
CENTERPIECE [420]
TAXQ3LE YEAR • 'SCHEDULE
1992 Califola Adjustments CA
Nms(s) as shown on return
_ Social security number
ROOSEVELT & EVA HARVEY 431 -82 -5277
Step 1
Subtractions
1 State income tax refund from federal Form 1040, line 10.
1 290.
2 Unemployment compensation from federal Form 1040, line 20, or Form 1040A, Brie 12
2
3 Social security benefits from federal Form 1040, line 21b, or Form 1040A, line 13b . . ...
3
4 California nontaxable Interest or dividend Income. See instructions .... , , . , ,
4
5 Railroad retirement benefits and sick pay. See Instructions ... , . , .
5
e California Lottery winnings. See Instructions . ...... .. ..
5
7 Difference between state and federal wages. See Instructions ..
7
8 IRA distributions. See Instructions , , ,
9
9 Pensions and annuities. See Instructions
9
10 Passive activity. See Instructions .... ..
10
I I'DePredation and amortization from font FTEI 3885A, line 6a and line 10a
11
12 Capital gains or (losses) from California Schedule D, line 11a
12
13 Other gains or (bases) from California Schedule D -1, One 21 a and line 38
13
14 Other subtractions:
a Total California disaster loss carryover from 1991 or certain losses from enterprise
14a
zones, program areas or the LA Zone ... ... .. .. ..
,
b Other. See Instructions. Specify
15 Total subtractions. Add Ones 1 through 14b. Enter here and on Form 540, line 14... , ,
14b
15 290.
Step 2
municipal state See Instructions
Additions
17 Diff ante between st eand federal wages. See instructions
17
18 Passive activity. See instructions .. .. ... ..
to
19 Depreciation and'amortizabon from form FTS 3885A, line 6b and line 10b
19
20 Capital gains or (losses) from California Schedule D, line ttb
20
21 Other gains or (losses) from California Schedule D -1, One 21 b and One 38 ..... ..
21
22 Other additions:
a Federal net operating kiss deduction from your 1992 federal Form 1040, One 22 ........
22a
b Otter. Sea Instructions. Specify
23 Total additions. Add Ones 16 through 22b. Enter here and on Form 540, One 18 ... . ..
22b
23
Part 11 . Adjustments To Federal Itemized Deductions
24 Federal Itemized deduction& Add the amounts on federal Schedule A. Ines 4, 9, 12,10,17, 19,
24 and 25 ... . ........ .. ... . . .... ' , ... 24 16,358.
25 State and local Irloorne taxes from federal Schedule A, fine 5 and foreign income taxes.
SeeInstructors ............... .... ...... .. ....... 25 620.
28 Subtract Ina 25 from tine 24 ..... ................. .. ... ... 26 15,738.
27 Other ad)uatrnema See instructions. Specify
27
28 Combine One 26 aril Ire 27... ... ..... 28 15,
29 California ttemized deductions ..... .... .. ... ... 29 15,738.
a N your federal adjusted gross income on form 540, One 13 Is riot more than:
- $103,800 if single or marred filing separate;
- $155,400 N head of household; or
- $207,200 4 married filing joint or qualifying widow(er);
transfer the amount from Ina 28 to Brie 29.
a If your federal adjusted gross income on Form 540, Tina 13 Is more than the amours Rated above for you BON status,
complete the Itemized Deductions worksheet In the instructions to figure the amour to enter on one 29.
N your CaWornfa ItmYzed deductions on Ina 29 are larger than your standard deduction, enter yotrc California IeMzed de-
ductions on Form 54o, line 1a. Otherwise, enter your standard deduction on Font 540, Ins I&
COPYrlaat(O 1092 NIM110nwarl OOlY center Place 301wars, IOC. schedule CA te92
b,
0 0
LYNWOOD LOCAL DEVELOPMENT COMPANY
BUSINESS DEVELOPMENT ASSISTANCE PROGRAM
SERVICE REQUEST FORM
Date:
Cr one
Phone -In ( Walk -In ( )
Contact Person: T O /7 . &fjd'Ue,r
Business Name:
Address: //,3 Al i C �C y/V1C�pe d C /DoZ6vZ
Phone Number: 6 3 7— -5 F
Proposed Use of Funds:
5� /=uN 1s /�/Z,C- Fo2
7o 2 e- Zvi o /— I /L/9 0 m y 3 ui /d„ClC
e w U SU
Referred to:
By:
Name
. Title
f \redevelp \Udc \bdapsrf \041690 \sf
6
b"
shallow
Banking Office � SECURITY PACIFIC BANK •
ntte PERSONAL LOAN APPLICATION
NOW M COMPLETE MIS A PPLKrATMN(P OM check one d M e bores beim)
b APPLYING FOR CREDIT:
(P4"wdlt" W Year menial "-t-y4, ms, apptY for Crisis M year name, MGM.)
- 1
my Mme slily:
= M the Mbmstbn the apptlw b yann ape sage M the Itwraa skis. N rhetya and "me M cpnmMy property' Iwch as your salary or that W your
Currentstreet adore" Cty Stab 2y eoW
6s. elIWI /� C.f�25cN
spouse), aw epmpleb tIN apwae• faetbn'
• J ntly with my spousal
Beth you and your spews, Complete the applkahon and sign M the nsaarM side.
• JWntty whin mother penpn.
Cempleb ag the Wormatbn that ill "to you and sign M the mtrw slda Nee the Whey person eannpltb and SW a wpnM apPrHAtbn. N YOU an marred
NowlMg
rR Nov
and nlybq M eemmuniry ptogrry yetM a Ypur Waty wtM1 al year apwwl. ape eempbla the spear's wctton.'
' NOTE: N you an nam" but relying foltily M aapaMa Property IpioYba daeumenbtbn W the aapMa Property). or it you an marble out fapenten. W Mt complete the spww s aaetw.
LOAN REQUEST
New IM9
/l,2 /�� n7ci iYv�G��e¢vtl'
reeuaslea
St n l s TngoSn yu rTtrlr k e it yM
PERSONAL INFORMARON ' a
me to the
Last name lJC/Sr.)
a e- r
F.M
me
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Mow IM9 at address
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9~ address
YMeal status: O Unma nwo
a W dependents
EW Wtion:0 UnW 17 era O 1}1! ym
0 alanyp 0 sepaMw
(esluds w11)
012 ym O H. yR
Current empioyer's name
b6 Nk 5/}l,
Posit n
nQ 2
Street aoshes CIry
11 3 95 ANI-Ir i
sled Zb piss,
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YMthly grow salary
Yenthhy Y4 -nenle Wary
O
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Ol,serss mM tneoma'''
amourd'
S
SIBMUT INFORMATION""
Letts 1j"Sr.)
First name
Initial
Cynnt almsaJema -
CHr Sun. ZipoaW
NOW king W address
yrs. Ales.
lbws phone M.
1 1
W era pMM M.
1 1
pmiwastmt addnw
City State Zip eoW
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socle15weumy number
n
, /� N /nei2ic.
Other s l"mis nurriGr,
Age
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(wrWPdf
EAMatromO Vhhal,r tz Yn. 013 -15r19.
0 12 ym 0 td. yet.
CYTnllntplbyertrnma
( p0D 60
PoMiM
9~ address
CM SWa Zip coal,
How WV
rn wa
MPrnMy gross salary
s
MM1Wy ISM" -hCml, salary
s
pmlpsengloyer'anmw
I
Position
NOW ling
Ym Ypa
wntnp grow salary
s
Monthly take home salary
S
11ssp4 atlw M¢Onlna' ••
MMIMY amwnl'
S
— Amen copy W payroll slip. N self-emphr od or mmmiesi a, a flnmNal statement and coo= W itr has, Ware' W nbr14
• • •Yew 0l, Mt Ilse to Nay Irheerrne Inoiri alNnony, eMb sappily, r aaphwab tnaintl,hharlee,hnnhbfayew hsale W bcMWr N IOIthe pppsa W wptYin9 br t is bon.
Atbeh wprab Ibhnq fl MOessary.
CREW EXPERIENCE
NOTE: Litt M da0tt. Ywn and ywr tpeuse C Int:k ding Wm", chid support. aaPaMa mWnbnmca. other pay ment obligations. Monthly payment
IMleab whin M wlenY 1'1 say What b he npW tram the proewda W this lam. OMIUW taws.
LMaddhwW swop sled. Oahe To somr had hna. asset weft
RESIDENCE
0M. Mpbl Value �y S� Q O C �
0Rml 0Other O�
( 3C)e 0
CREDIT
C AN0
3V-42S 2ve6a��CO
OTHER
DEBTS
n
, /� N /nei2ic.
—7
! 60(1
7000
o�.5
� e /✓ /=v N�
ro 3 00 d
( p0D 60
I
ibblsN a n d tymanb
tytr• tela spousal
a
i
AUTOMATIC REPAYMENT
msrnraay lnetnrar ronW lror ety YNw elltowYlg O
MM U —.ter — yL c• " s nak" dypNmrlta"
was bnW Me Whenever, wah,, lamb rtlrleise
I ftw wrNbn MllesbW
Yew Ms loo, b tsrhndrnala Una aulamwk npeymrN plan w11MN noUW. Crlp�bt W Mb plan /M my wtaM may OISe1 M
aN mil lam apeYihharnb bI dWlla
L
Mary
then set
W CeM
• FAIR LENDING NOTICE •
To: All applicants for areal property secured loan to purchase, construct, rehabilitate, improve or refinance an
owner - occupied one -to -four family residence; and all owner - applicants for a real property secured home
improvement loan to improve a one -to -four family residence (whether or not owner occupied):
"The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit
applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided that
the applicant has the capacity to enter into a binding contract); because all or part of the applicant's
income derives from any public assistance program; or because the applicant has in good faith
exercised any right under.the Consumer Credit Protection Act. The Federal agency that administers
compliance with this law concerning this creditor is the U.S. Comptroller of the Currency, Consumer
Affairs Division, Washington, D.C. 20219."
The California Housing Financial Discrimination Act of 1977 provides in part as follows:
"35810. No financial institution shall discriminate in the availability of, or in the provision of, financial
assistance for the ,purpose of purchasing, constructing, rehabilitating, improving, or refinancing
housing accommodations due, in whole or in part, to the consideration of conditions, characteristics,
or trends in the neighborhood or geographic area surrounding the housing accommodation, unless
the financial institution can demonstrate that such consideration in the particular case is required to
avoid an unsafe and unsound business practice.
35811 No financial institution shall discriminate in the availability of, or in the provision of, financial
assistance for the purpose of purchasing, constructing, rehabilitating, improving or refinancing
housing accommodations due, in whole or in part, to the consideration of race, color, religion, sex,
marital status, national origin, or ancestry
35812. No financial institution shall consider the racial, ethnic, religious, or national origin composi-
tion of a neighborhood or geographic area surrounding a housing accommodation or whether or not
such composition is undergoing change, or is expected to undergo change, in appraising a housing
accommodation or in determining whether or not, and under what terms and conditions, to provide
financial assistance for the purpose of purchasing, constructing, rehabilitating, improving, or refi-
nancing a housing accommodation. No financial institution shall utilize appraisal practices that are
inconsistent with the provisions of this part."
If you wish to file a complaint, or if you have questions about your rights, contact:
Comptroller of the Currency
Administrator of National Banks
Fourteenth National Bank Region
Consumer Complaint Department
Steuart Street Tower, Suite 2101
One Market Plaza
San Francisco, California 94105
I (We) received a copy of this notice.
SIGN HERE
(Signature Of Applicant) (Date) (Signature of Applicant) (Date)
SECURITY PACIFIC NATIONAL BANK
An Equal Housing Lender IENOER
101739 2-e6
fa
0 a
SECURITY PACIFIC NATIONAL BANK
OFFICE
CALIFORNI n
DAT 7
Name: /�on`xx✓� /f-/�/��v� ct/UCK� Cf} `/Oo76�Z
Address: l! 39_t +4 t.1I1 11 7 IL-1 C G- 1 /V
Refers to-
In an application for credit the above named person has given us your name
as reference and has authorized you to release to us credit - related
information which we may request. To assist us in giving proper
consideration to this application will you please give us the information
requested below. Your reply will be held in our credit file and maintained
confidentially.
For your convenience, please feel free to use the bottom of this letter for
your reply.
Yours very truly,
Date loan made or account opened?
Original amount or recent high credit? $
Balance owing? $ C�/ oco Monthly payment? $ o
Number of payments? Fully amortized? E§?e ❑ No
If Real Estate loan: Title stands in name of
Is loan any form of adjustable rate mortgage? Yes ❑ No
Does loan have a balloon payment?. ❑ Yes ❑'No Amount
When is balloon payment due?
Average balance bank accounts? $
Payment record. ❑ Prompt ❑ Slow ❑ Unsatisfactory
Is loan or account past due? Number days past due?
Number of late charges assessed during prior 12 months? 46 A'�
(APPLICANTS SIGNATURE) (APPLICANTS SIGNATURE)
525507 2y5• 50 CASY Request For Credit Information
0 6
SECURITY PACIFIC NATIONAL BANK
OFFICE
CALIFORNI /
r DAT � 6 — 93-
1
L J
Name: ROOSc lied ��T/�
Address:
Refers to
In an application for credit the above named person has given us your name
as reference and has authorized you to release to us credit- related
information which we may request. To assist us in giving proper
consideration to this application will you please give us the information
requested below. Your reply will be held in our credit file and maintained
confidentially.
For your convenience, please feel free to use the bottom of this letter for
your reply.
Yours very truly,
Date loan made or account opened?
Original amount or recent high credit? $
Balance owing? $ Monthly payment? $ fSz' 0
Number of payments? Fully amortized? ❑ Yes ❑ No
If Real Estate loan. Title stands in name of FfetoAf Al juNd
Is loan any form of adjustable rate mortgage? Yes ❑ No
Does loan have a balloon payment? ❑ Yes ❑ No Amount?
When is balloon payment due?
Average balance bank accounts? $
Payment record ❑ Prompt ❑ Slow ❑ Unsatisfactpq
Is loan or account past due? Iry Number days past due? 4y6
Number of late charges assessed during prior 12 months? Wo Mr,
(APPLICANTS SIGNATURE) (APPLICANTS SIGNATURE)
023507 2-63* 50 CA3Y Request For Credit Information
L.ntun ten. I Gaup l
Banking Office No. S ECURITY PACIFIC BANK
Date • 1 CREDIT APPOATION
NOW TO COMPLETE THIS APPLICATION (Plow" chock ono of the poses below)
V 9 AM PLYING FOR CREDIT
In my name form
❑ Jointly wen my spouse.
❑ Jointly with another parson
(Regardless of Your mantel soles• you may Al o Creation your name wont.)
COmpleb AN Information Ma apples b you and Sign ten aWs,,,n If married and mymq on ,,Ml property Isucn as your sale a the of our s
was CumpNh the spouse a salmon 0 Y ry Y peusel
Bon you as your spouse CompNls and Sign den apaption
COmpbh n the mbrmabon MM Spam to you and sign ten apot"W Have me ow person c,M,, and sign a separate appllCattpn II you are mantled an-
re" oin Communes Property Isucn as your Nary or no of your spouse /. rw Cprrfplele Ind Spouse a >aKtprl
'NOTE If you are married out ey ng solely on sePSrats property, you must provide, d=umMbtgn of Thee "Panto Property, pr If you we marned out separated. do not compyh MS ]douse s uhmor,
an"Cli
Al
If
If any of the proceeds are used to Improve. purchase or refinance residential real "i now much of die Am reouesbd For bow png payment dab reouesma
MC
PI s wen a used for mat purposes f $ o O O A 9 25 Momma 9 — / —9�
FOR SECURED AND UNSECURED LINES/LOANS
CREDIT INSURANCE (Optlonall sepd,rah appNaron required. Cheek one, boa only And! initial.
DOaorty and involuntary unempbyment insurance coverage are avasai fig m• primary ooledwer OMs) ❑ i d> not want credA msufance
ALL CONSUMER LOANS
❑ Single Ills ❑ Single life 8 disedlllty, ❑ Smi life 8 Involuntary unempbyment ❑ Single file. dumbei 6 Involuntary unempbyment
Jomt'I'll&, — ❑ Joint lh d v N d rn life & d em t ������IIV„„```,n g peers Nperp t
AL Single GNUNES /,� ■ ■ / ` �se r
r N nvJlu
C3 Single lh IOny Ai Product)
I acknovaNdg l MSI A I were credit Insurwhim. a separab Cradt InsprarKa apptemlon moat a cdr,l by me.
.rya -wwny uy uw sane InarrwO rears, wanes o ]tser
of goods pr senitn 1 am puedmarng.
PLEASE TELL US ABOUT YOURSELF PLEASE TELL US ABOUT YOUR SPOUSE••
First name
MI Wt name
- --
e
/t06 -5
(urJua Sam
BW&KW"
How Meng M adOase 110I Plic, numDar
soar sea," No.
Pmn0Vs, aid ad&M CAy (Please spstl oun S" ZIP cola Now bug at adrns
-
D11Rer11 MrNlldyer
3 —Q5,',l
Martyr staNa.
paNOn
No. of aepardenb
�ame0 ❑ SepvaNd ❑ UlrrwrNe
(eaAtre as,lR
Current street addeas
CM IPNaae spew outt a"" Zp pow
�S" e
ic.E✓ CfF25 C4
9e)7V-(,
Now log At taunt
Hone phown, minister
Oatbb odNl IllpaM^
Yrs Ma
j
(e,/3 ) Y03p A6Q—a—
p "ms strut addms
City (Please spew oA) State Zipood
lbw a ng M adortse
Ym. Ma,
Current empI0yN
;; pp
(
Nova lung
Poarbon
Mors,# Pas, salary
Yrs Mom
S
Prav"a emdoyar
)low bug
pose"
YM Ma
Desdroe OPNr mcdns—
Mor" sammare
S
Nearest rralne ride wh ng wen you
Ph" No.
/ylo 1 4 71
f s•
63s-44?? 7
•• AtWn Copy o f payed, alp, w sewl llpbys,d pr tcrraraalrorned, swadl mplw d NM two #tan' m ,mm
•.• Ye, a tad nave to Ire Ilaoms from 0 all alad ■lodMl Or aaparSN rMalenrro. N,eM you warp a to mbs a b dr lupoaa a eppgeg b ate, Nun anti ye, m pop w lkwjon of ors norms
PLEASE TELL US ABOUT YOUR CREDIT EXPERIENCE
NOTE: Ust AS deob, yours and Your spouses. InChgNg mir,I chid support. seParab mamwwp, ddw ppmterlt oo,gewrxa. MANY peYment
IrldKah wAn N asaarlew ( wens dWh ro a rpad hole oils, drooteda o tlq Ipen.
Vat I tar aid aid OW" T& Oren (Ms, aaaeCNlbll dues)
RESIDENCE Own Marken vall f O
Rent f Mo Rene Payment f
OtlMr
CREDIT
CARD S C N 45
AND J
OTHER 1 366 3 0 0
DEBTS
N c 7, 000 7ei o a "olso
•
If any of ew amore ]eCUrAwe are Cum "ny pNd,ed or t w plwlped ro Serum den xne. phase tmeq
ACCOUNTS A AUTO MATIC REPAYMENT
CneCkxrq xcounl numav
InsbNlromBaM name
Savings sccoum nrarpar
InabbappNBank name
❑ S"WWAd ❑ LMarlarrla0
(urJua Sam
Curare SVW address, City (Please Spe Oka Sbb Zlp cow
lsa7 //�� r Kl C5n/L� Cq /�''i
How Meng M adOase 110I Plic, numDar
Yrs Mpe (W3 ( G3B 1 1
Pmn0Vs, aid ad&M CAy (Please spstl oun S" ZIP cola Now bug at adrns
Yrs. Moo.
D11Rer11 MrNlldyer
4utomaUCally transfer funds from my Bank Checking account no 3 ��0 �/' a-- Ior my mommly wynenb on due aid w long as ten are
a0eppate li,ri on deMS4 01 there iS ava Credit In my aCCOunt until the loan s paid or the oink recrvn ".flit" MIICe to Cal I understand Bank
IeSeryes me right to terminate me automat¢ repaymanl plan without nonce CanceltatlM of this plan for any reason may awed Me interest rate on my roan
xiil see 1 , �Odn docum "is for :erali
Applicanesl
Initials
First rMnle MI. Last name,
eedd.r sorer >KyMy la
'
No of depaxi
❑ S"WWAd ❑ LMarlarrla0
(urJua Sam
Curare SVW address, City (Please Spe Oka Sbb Zlp cow
lsa7 //�� r Kl C5n/L� Cq /�''i
How Meng M adOase 110I Plic, numDar
Yrs Mpe (W3 ( G3B 1 1
Pmn0Vs, aid ad&M CAy (Please spstl oun S" ZIP cola Now bug at adrns
Yrs. Moo.
D11Rer11 MrNlldyer
/ Work priory
l
lbw Meng
paNOn
MpnpMy Pwt hied
Yrs,. Ma.
$
PrMON en
Mow MYg
p osroen
Ym. Mos,
Oatbb odNl IllpaM^
Mon"amount
Nearest rMebve not eveyg wen you
P am flu.
,nn pen pen
I+) try apprdpneN camm� n addmnel apart a r.otred ro deenee CdlrarY altacn a ]epraN psdg
PERSONAL FINANCIAL STATEMENT AS OF
(C rnOWb r dPNWW for Aaso. Samnds. Shot Sleek 9. o I ....,i
Aaawld
AMWAII
Dew Pl
Can - Securty Paull Bank N
a MrlmlYy
IS
Loon all crew LOSS, - SSMMwwk Brw
A,gwet
OHap
f
IEarLw Peraoffol n,alormN
f
Casty - Cow Fowhessl InsoNeona
f T al M O q��y
Lorn Ofto Crew Lana - Dtltar FYwrLnal krW0a0aM
U
Gwe Name
!
lE•cluds Pars" Readrlp)
f
Non, Shia Accounts RaeweaptvTnW Orpa Ownso
%a Ow w'n,
Npfw payw10 - Dptam
f
r a
s
f P
s
MHtetapld $eCSlntiea (AdsCn brad neon )
Personal Reswarfda
_
f
f
Caen Sunene,r Value ul, Isurahall
O0w RMI Esldts
f
(Cor ll) n CRIW Rao, Estate Secodea Befowl'
f
Pwsonal Aosrowce
LOrI - CaN SW mw V" IJI* In,YtY1y
f
f
Omar Real Esu10
Taxer, Paywld
Compnn Cuts RW Estate Section avloar
f
f
Autoa (year - Make) (Yee - Meael
DVIR LaatOBtiee (Oeswb)
f
A l saparN infeyg d nw"WV
p
Omar Assets IOesrmpl
Station sparaM1 4swV It MCMWy
f
Too, LaawN10t
f
Too, Aaono
f
NO Wad IAww, mesa, Lobill )
f
............ 1616.. ....... •....,•......n.....,e...y.wnw.r ., — V w
OTHER REAL ESTATE (CIRCLE ONE I - IMPROVED. U - UNNPROVED)
U
SOw[ +ddnu Lary Suld
Dew Pl
Caw
a MrlmlYy
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0 0
ITEM - D
BY -LAWS
OF
LYNWOOD LOCAL DEVELOPMENT COMPANY
ARTICLE I
The name of this corporation is the Lynwood Local Development Company
ARTICLE II
Principal Office
The Board of Directors shall establish the principal Executive Office of the
corporation in the City of Lynwood, County of Los Angeles, State of California. The
company must maintain an accessible place of business open to the public during
normal business hours and a separately listed telephone.
ARTICLE
Membership
Section 1. MEMBERS. Membership shall be extended to those who are
concerned with the economic development of the Lynwood community Each such
member shall be entitled to one vote in the conduct of the affairs of the membership
of the corporation, providing an individual has been as member for at least 30 days,
and be eligible for election as a Director and officer of the corporation. A member of
corporation may be an officer or employee of the City of Lynwood, or any agency
thereof. The corporation must have at least twenty -five (25) members at all times.
Section 2. TERM OF MEMBERSHIP. Members shall serve indefinitely,
unless membership is terminated in accordance with Section 3 of this Article III.
Section 3. TERMINATION OF MEMBERSHIP. The membership of any
member shall terminate upon the occurrence of any of the following events:
(a) The resignation or death of the member
(b) The determination by the Board of Directors or a committee
designated to make such determination after compliance with the provisions of
Section 5341 of the Nonprofit Public Benefit Corporation Law that the continuation
of the person's membership is inimical to the purposes and the requirements of the
corporation.
Section 4. TRANSFER OF MEMBERSHIP. No member may transfer a
membership or any right arising from it. All rights of membership cease on the
member's death.
-1-
0 0
ARTICLE IV
Meetings of Members
Section 1. PLACE OF MEETINGS. Meetings of members shall be held at
any place in the City of Lynwood designated by the Board of Directors.
Section 2. ANNUAL MEETING. The annual meeting of members shall be
held on the first Tuesday of May each year, unless the Board of Directors fixes
another date and so notifies the members as provided in Section 4 of this Article IV
At t4ie annual meetings, Directors shall be elected and any other proper business may
be transacted.
Section 3. SPECIAL MEETINGS. Special meetings of members for any
purpose may be called at any time by a majority of Directors, or by a majority of the
members. Notices shall be given at least 24 hours prior to the meeting according to
the rules set forth in Article V. Notice of any special meetings shall set forth the
business to be transacted. No other business shall be considered at such special
meetings.
Section 4. NOTICE OF MEMBERS' MEETINGS. All notices of meetings
of members shall be sent or otherwise given in accordance with Section 5 of the
Article IV not less than 10, nor more than 90, days before the date of the meeting.
The notice shall specify the place, reason, date and hour of the meeting. The notice
of any meeting at which Directors are to be elected shall include the name of any
nominee or nominees whom the Board intends to present for election. If action is
proposed to be taken at any meeting for approval of any proposal, the notice shall
also state the general nature of the proposal.
Section 5. MANNER OF GIVING NOTICES. Notices of each meeting of
members, whether regular or special, shall specify the date, place and hour of the
meeting and shall be given to each member by the Secretary - Treasurer, either
personally or by mail or telegram, addressed to such member at his address
appearing on the records of the corporation.
Section 6. QUORUM. One -Half (1/2) of the members entitled to vote shall
constitute a quorum for the transaction of business at a meeting of the members.
Section 7. RULES OF ORDER. Except where otherwise provided in these
by -laws, all meetings of the membership shall be conducted according to the then
current edition of Robert's Rules of Order
Section 8. VOTING. Voting may be by voice or ballot, provided that any
election of Directors be by ballot. ballots shall be distributed at Election Meeting
only.
-2-
• •
ARTICLE V
Directors
Section 1. POWERS. The business and affairs of the corporation shall be
managed and all corporate powers shall be exercised, by or under the direction of the
Board of Directors, subject to the provisions of the California Nonprofit Public Benefit
Corporation Law and any limitations in the Articles of Incorporation and these by-
laws relating to actions required to be approved by the members Without prejudice
to such general powers, and subject to the same limitations, the Directors shall have
the power to:
(a) Select and remove all agents and employees of the corporation,
prescribe any powers and duties for them that are consistent with law, with the
Articles of Incorporation, and with these by -laws; fix any compensation; and require
from them security for faithful service.
(b) Change the principal Executive Office or other office from one
location to another; designate any place for the holding of any members' meetings,
including annual meetings; and set the dates for the fiscal year of the corporation.
(c) Adopt, make and use a corporate seal, prescribe the form of
Certificates of Membership and alter the form of the seal and certificate.
(d) Borrow money and incur the indebtedness on behalf of the
corporation, and cause to be executed and delivered for the corporation's purposes,
in the corporate name, promissory notes, bonds, debentures, deeds of trust,
mortgages, pledges, hypothecations and other evidences of debt securities.
Section 2. QUALIFICATION AND NUMBER OF DIRECTORS. Each
Director shall be a member of the corporation and, if a person ceases to be a member
of the corporation, such person shall also cease to be a Director of the corporation.
The number of Directors of the corporation shall be seven R) five (5). No publicly
elected official or City staff may serve on the Board of Directors. At least five (5)
Directors must be maintained at all times.
Section 3. ELECTION AND TERM OF OFFICE OF DIRECTORS. The
election of ]!Directors holding Officer positions shall occur every 3 years, and elections
for Directors holding member positions shall occur every 2 years. The Directors shall
be elected at the annual meetings of members, but if any such annual meeting is not
held or Directors are not elected there at, the Directors may be elected at any special
meeting of members held for that purpose. Members shall be given a reasonable
means of nominating persons for election as Directors, and all nominees shall be
given a reasonable opportunity to communicate to the members and solicit votes. All
Directors shall hold office until their respective successors are elected. Election of
Directors shall be by ballot. Every member entitled to vote at any election of
Directors shall have seven (7) yes one vote per open position to use as that member
sees fit. The seven (7) candidates receiving the highest number of votes shall be
elected.
Section 4. VACANCIES. Any vacancy in the Board of Directors caused by the
death or resignation of any Director, or in any other manner, may be filled by a
majority of the remaining Directors. If the Board of Directors accepts the resignation
of a Director tendered to take effect at a future time, the Board shall have power to
elect a successor to take office when the resignation is to become effective.
-3-
Section 5. REMOVAL FROM OFFICE. Any member of the Board of
Directors may be removed from office with cause upon the vote of two - thirds (2/3) of
the Board of Directors or the membership, and shall be removed from office if absent
from three consecutive meetings without the official excuse of the Chairman of the
Board.
Section 6. REGULAR MEETINGS. Immediately following each annual
meeting of members, the Board of Directors shall hold a regular meeting for the
purpose of organization and the transaction of other business. Notice of this meeting
shall be held without call at such time as shall from time to time be fixed by the
Board of Directors. In addition, the Board shall meet a minimum of every two
months to transact corporation business.
Section 7. SPECIAL MEETINGS. Special meetings of the Board of Directors
for any purpose or purposes may be called at any time by the Chairman of the Board,
the Vice Chairman, the Secretary - Treasurer, or any two (2) Directors. Such meetings
of the Board of Directors shall be held at the principal Executive Office of the
corporation or at any place that has been designated in the notice of the meeting.
Section 8. NOTICE. Notice of time and place of special meetings shall be
delivered personally or by telephone to each Director or sent by first class mail or
telegram, addressed to each Director at the Director's address as it is shown on the
records of the corporation.
Section 9. MEETINGS BY CONFERENCE CALLS. Any meeting, regular
or special, may be held by conference telephone or similar communication equipment,
so long as all Directors participating in the meeting can hear one another, and all
such Directors shall be deemed to be present in person at the meeting. Polling may
be utilized for administrative purposes and/or personal emergencies.
Section 10. QUORUM. A majority of the authorized number of Directors shall
constitute a quorum for the transaction of business. A meeting at which a quorum
is initially present may continue to transact business notwithstanding a withdrawal
of Directors if any action taken is approved by at least a majority of the required
quorum for that meeting.
Section 11. WAIVER OF NOTICE. The transactions of any meeting of the
Board of Directors, however called and noticed or wherever held, shall be as valid as
though taken at a meeting duly held after a regular call and notice, if a quorum is
present and if, either before or after the meeting, each of the Directors not present
signs a written waiver of notice, a consent to holding the meeting, or an approval of
the minutes. The waiver of notice or consent need not specify the purpose of the
meeting. All such waivers, consents and approvals shall be filed with the corporate
records or made a part of the minutes of the meeting. Notice of a meeting shall also
be deemed given to any Director who attends the meeting without protesting before
or at its commencement about the lack of adequate notice.
ARTICLE VI
Committees
Section 1. COMMITTEES OR DIRECTORS. The Board of Directors may,
by resolution adopted by a majority of the Directors then in office, designate one or
more committees, each consisting of two or more Directors, to serve at the pleasure
of the Board.
0 0
ARTICLE VII
Officers
Section 1. OFFICERS. All officers of the corporation shall be members of the
corporation and members of the Board of Directors. The officers of the corporation
shall be a Chairman of the Board of Directors, Vice Chairman of the Board of
Directors, and Secretary- Treasurer. Drie hold two ffi
that the offiees of GhaiFman and Seer-etar-y Treasurer- may not be eembined
Section 2. ELECTION OF OFFICERS. The officers of the corporation shall
be chosen apqxally every 3 gears by the Board of Directors and each shall hold office
until he shall resign, be removed, or otherwise disqualified to serve, or his successor
shall be elected and qualified.
Section 3. CHAIRMAN OF THE BOARD. The Chairman shall be the Chief
Executive Officer of the corporation and shall generally supervise, direct and control
the business and the officers of the corporation. He shall preside at all meetings of
the members and at all meetings of the Board. He shall have such other powers and
duties as may be prescribed by the Board of Directors or the by -laws.
Section 4. VICE CHAIRMAN. In the absence or disability of the Chairman,
the Vice Chairman shall perform all the duties of the Chairman and when so acting
shall have all the powers of, and be subject to, all the restrictions upon the Chairman.
The Vice Chairman shall have such other powers and perform such other duties as
from time to time may be prescribed by the Chairman, the Board of Directors, or the
by -laws.
Section 5. SECRETARY- TREASURER. The Secretary - Treasurer shall be
both the Secretary and the Chief Financial Officer of the corporation. The Secretary -
Treasurer shall keep at the principal office of the corporation a book of minutes of all
meetings of Directors and members, with the time and place of holding, how called
or authorized, the notice thereof given, the names of those present at Directors'
meetings, the number of members present or represented at member's meetings, and
the proceedings thereof. The Secretary- Treasurer shall keep and maintain adequate
and correct books of account showing the receipts and disbursements of the
corporation, and an account shall at all reasonable time be open to inspection by any
member or Director.
The Secretary- Treasurer shall deposit 0 moneys of the corporation with such
depositories as are designated by the Board of Directors, and shall disburse the funds
of the corporation as may be ordered by the Board of Directors, and shall render to
the Chairman or the Board of Directors, upon request, statements of the financial
condition of the corporation.
Section 8. SUBORDINATE OFFICERS. Subordinate officers shall perform
such duties as shall be prescribed from time to time by the Board of Directors or the
Chairman.
-5-
0
ARTICLE VII
Miscellaneous
Section 1. EXECUTION OF DOCUMENTS. The Board of Directors may
authorize any officer or officers, agent or agents, to enter into any contract or execute
any instrument in the name of, and on behalf of, the corporation and such authority
may be general or confined to specific instances; and unless so authorized by the
Board of Directors, no officer, agent or other person shall have any power or authority
to bind the corporation by any contract or engagement or to pledge its credit or to
render it liable for any purpose or to any amount.
Section 2. INSPECTION OF BY -LAWS. The corporation shall keep in its
principal office the original or a copy of these by -laws, as amended or otherwise
altered to date, certified by the Secretary, which shall be open to inspection by the
members at all reasonable times during office hours.
Section 3. ANNUAL REPORT. The annual report shall conform to Section
6321 of the California Nonprofit Public Benefit Corporation Law
Section 4. FISCAL YEAR. The fiscal year of the corporation shall begin May
1 and end April 30 of each year, except the first fiscal year which shall run from the
date of incorporation to the date of the next year
Section 5. CONSTRUCTION AND DEFINITIONS. Unless the context
otherwise requires, the general provisions, rules of construction and definitions
contained in the California Nonprofit Public Benefit Corporation Law shall govern the
construction of theses by -laws. Without limiting the generality of the foregoing, the
masculine gender includes the feminine and neuter, the singular number includes the
plural and the plural number includes the singular, and term "person" includes a
corporation as well as a natural person.
Section 6. LIMITATIONS. The Local Development Company shall not
participate in any SBA programs other than those permitted by part 108.503 -1(d) of
SBA's Regulations.
ARTICLE IX
Amendments
Section 1. POWER OF MEMBERS. New by -laws may be adopted or these
by -laws may be amended or repealed by the vote of members entitled to exercise a
majority of the voting power of the corporation, or by the written assent of such
member, or by the vote of a majority of a quorum at a meeting of members duly
called for the purpose, except as otherwise provided by law or by the Articles of
Incorporation.
Section 2. POWER OF DIRECTORS. Subject to the right of the members
as provided in this Article to adopt, amend or repeal by -laws, any by -law other than
a by -law or amendment thereof changing the authorized number of Directors may be
adopted, amended or repealed by the Board of Directors.
nolr�d .1710,, _'.i. % NP. !
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-6-
ITEM E.
DATE: May t 1994
TO: HONORABLE CHAIRMAN AND MEMBERS OF THE BOARD
BY: Bruno Naulls, Administrative Analyst III
Community Development Department
LYNWOOD LOCAL DEVELOPMENT COMPANY (LLDC)
BALANCE SHEET
March 31, 94
Assets
Cash
Saving ...............$43,887.75
Saving ................14,912.34
Checking ...............1,038.63
Total Cash Balances $59,838.72
Outstanding Loan Balances
Smith .................$ 0.00
Lang .................. 5,663.94
Shook .................15,531.69
Johnson ............... 8,909.38
Rusted ................ 6,795.06
Ramos .................15,898.28
Moon ..................15,733.35
Total Outstanding Loan
Balances Mar. 31
Total Cash & Loan Balance
Accounts Receivable
(Monthly Debt Payments)
Smith ..................$000.00
Lang ....................264.26
Shook ...................266.83
Johnson .................265.94
Austed ..................496.19
Ramos ...................318.73
Moon ....................284.46
$66,153.72
$125,992.44
Total Monthly
Payments Receivable 1,896.41
Payments received $1,400.22
Total Capital Assets ......... $125,992.44
Liabilities
Accounts Payable ......... ........................$350.00
(service fee to Bank of America)
Tax Payable ..... ............................... .$150.00
Total Liabilities ......................$500.00
LLDC's Equity
LLDC, capital Equity ..... ....................$125,492.44
f: \redevelp \lldc \balance \062091 \sf