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HomeMy WebLinkAbout96-00817 R~i-c-Ct,- .~!.F".,- Ht~-~ , , lO = " ~ ~ ~ ~ to III " '" _I " 0 lIJ <f) <D E h ~ 0 ~ " " " ~ III ~ , ~ S . I~ 15 z t <i iii Di " It . n: ~ < 0 0 III J:. 0 r z Ul II .( 0 11 III ~ It ( J: '" , ,I- .;! Iii, II t4M'''l''.~I...).tUD.;'''.'. ' ......'.,'--....- 'till A........., 1ll...11'I ~ ESH/RJONES.WIL/DISK: WILLS #9/0CTOBER 25, 1989/bma/#2 LAST WILL AND TESTAMENT OF RICHARD J. JONES I, RICHARD J. JONES, of Mt. Holly Springs, Cumberland County, Pennsylvanin, b~ing of sound and disposing mind and memory, do make, publish and declare this to be my Last Will and Testament I hereby revoking all Wills and Codicils by me at any time previously made. ITEN-1: All inheritance, estate and similar taxes becoming due by reason of my death, except any taxes relating to generation skipping transfers imposed under Chapter 13 of Subtitle B of the Internal Revenue COde, as amended ("D6ath Taxes"), whether such Death Taxes shall be payable by my estate or by any recipient of any property, shall be paid by my Executor out of the property passing under ITEM IV of this will as an expense and cost of administration of my estate; provided, however, that if any property held in any testamentary or inter vivos trust created by my wife, HELEN M. JONES ("My Wife"), is includable in my estate for purposes of any Death Tax, then any Death Tax attributable to the inclusion of any such property in my estate for the purposes of that Death Tax shall be paid out of such Page 1 of 18 pages '. , property or by the recipients of such property; and, if such Death Taxes are nevertheless paid by my Executor, I direct my Executor to obtain reimbursement or contribution for any such taxes paid by my Executor. Except to the extent above provided, my Executor shall have no duty or obligation to obtain reimbursement for any Death Taxes paid by my Executor, even though paid with respect to proceeds of insurance or other property not passing under this Will. ITEM II: I hereby exercise all powers of appointment which I may have at the time of my death in favor of my Executor, and all property sUbject to all such powers of appointment shall be included in my estate and be governed by the provisions of this Will; provided, however, that I specifically decline to exercise any power of appointment given to me in any Will, COdicil, Agreement of Trust or other instrument executed by My Wife. ITEM III: I give and bequeath all of my household furniture and furnishings, automobiles, books, pictures, jewelry, china, crystal, appliances, silverware, wearing apparel and all other like articles of hOUsehold or personal use or adornment to My Wife, if she survives me. If she does not survive me, I give such articles to my children, PENELOPE DEMELLO E. SOUSA page 2 of 18 pages "... 4. and DANIEL M. JONES, living at my death, in as nearly equal shares as they shall select under the supervision of my Exeoutor, or in its entirety to the survivor of them living at my death. If any suoh articles cannot be fairly divided or distributed in kind in the opinion of my Executor, suoh articles shall be sold and the proceeds thereof shall pass as a part of my residuary estate. ITEM IV: I give, devise and bequeath an amount equal to the balance of the dollar amount not taxed in my estate due to the application to my estate of the unified oredit against federal ~state tax (the "Unified Credit"), after deducting therefrom the value, for federal estate tax purposes, of (a) assets included in my federal gross estate whioh pass or have passed other than under the terms of this Will and whioh will utilize a portion of the Unified Credit and (b) adjusted taxable gifts not included in my federal gross estate but included in the computation of the tentative federal estate tax in my estate, to my issue living at my death, per stirpes; provided. however, that (1) should any such issue be a child of mine who has not then attained the age of forty-five years, such child's share shall be retained by my Trustee, IN TRUST NEVERTHELESS, to be held, admini- stered and disposed of as a separate trust e~tate in aocordance with ITEM VI for the benefit of such child (the "Child's Trust"), Page 3 of 18 pages ". . or (2) should any suoh isslle be the issue of a deQsased chi.ld of mine and shall not then have attained the age of twenty-one years, each such issue's share shall be retained by my Trustee, IN TRUST NEVERTHELESS, each to be held, administered and dispossd of as a separate trust estate in acoordanoe with ITEM VII for the benefit of each such issue (the "Grandchild's Trust") . ITEM V: I give, devise and bequeath all of the rest, residue and remainder of my property, real, personal and mi.xed, not disposed of in the precedi.ng portions of this Will, to my Trustee hereinafter named, IN TRUST NEVERTHELESS, to be held, admini.stered and disposed of in accordance with t.hi.s ITEM for the benefit of My Wife and my issue (the "Qualified Terminable Interest Property Trust", herein referred to as the "Q'rIP Trust"). My Executor shall have the right to elect on the federal estate tax return prepared on behalf of my estate to have a portion or all of the property passing under this ITEM treated as "qualified terminable interest pt'operty" in ol:der to qualify such portion or all of the property for the marital deduction for federal estate tax purposes. If my Executor elects to have a portion or a1.1 of such assets so qualify, such elected assets may, at the discretion of my Trustee and so long as the election to qualify e;uoh assets for the federal estate tax mar! tal deduction is not jeopardized, .Page 4 of 18 pages (a) be held and maintained by my Trustee as a separate trust estate with the balance, if any, of the assets which are governed by this ITEM also held and maintained as a separate trust estate or (b) be held and maintained by my Trustee with the non-elected assets as one trust estate. In either case any such trust or trusts shall be held in trust for the fOllowing uses and purposes and be subject to the provisions of the following subparagraphs (a) and (b). My Trustee shall have, hold, manage, invest and reinvest the assets governed by each such trust, collect the income and (a) If My Wife survives me, beginning at my death, my Trustee shall pay over the net income of each such trust to My Wife during her lifetime, in installments not less frequently than quarterly. In addition, my Trustee shall pay such amounts of the principal of each such trust as, in the sole discretion of my Trustee, shall be necessary for the mai.ntenance, support and medical and nursing care of My Wife, taking into consideration any other means readily available for such purposes. Upon the death of My Wife, my Trustee shall, distribute any accumulated income of each such trust to My Wife's estate. Page 5 of 18 pages '. (b) Upon the death of the survivor of My Wife and me, my Trustee shall distribute the principal of each such trust to my issue then living, per stirpes; pro- vided, however, that (1) should any such issue be a child of mine who has not then attained the age of forty-five years, such child's share shall be retained by my Trustee, IN TRUST NEVERTHELESS, to be held, administered and disposed of as a separate trust estate in accordance with ITEM VI for the benefit of such child (~he "Child's Trust"), or (2) should any such issue be the issue of a deceased child of mine and shall not then have attained the age of twenty-one years, each such issue's share shall be retained by my Trustee, IN TRUST NEVERTHELESS, each to be held, administered and disposed of as a separate trust estate in accordance with ITEM VII for the benefit of each such issue (the "Grand- child's Trust"). ITEM VI: My Trustee shall have, hold, manage, invest and reinvest the assets of each Child's Trust, collect the income and (a) until the beneficiary of the Child's Trust (the "Child") shall have attained the age of twenty-one Page 6 of 18 pages years, my Trustee shall from time to time pay to or for the benefit of the Child such amounts of the net income and principal of the Child's Trust as, in the sole disoretion of my Trustee, shall be necessary for the ChJ.1d's maintenance, support, medical and nursing care and ed\lCation, including college and graduate eduoation, taking into consideration any other means readily available for such purposes. At the end of each year any unexpended income shall be added to the principal of the Child's Trust. (b) After the Child shall have attained the age of twenty-one years, my Trustee shall thereafter pay to the Child the net income derived from the Child's Trust in installments not less frequently than quarterly and such amounts of the principal as, in the sole discretion of my Trustee, shall be necessary for the Child's maintenance, support, medical and nursing care and education, including college and graduate education, taking into consideration any other means readily available for such purposes. (c) If at the time of the creation of the Child's Trust the Child shall have then attained the age of Page 7 of 18 pages forty-five years or if the Child shall thereafter attain that age, upon receipt by my Trustee of a written request from the Child, my Trustee shall distribute outright to the Child the fractional portion of the then remaining principal and any undistributed income of the Child's Trust. (d) If a Child shall die before final distribution of the assets of the Child's Trust is made, the then remaining principal and any undistributed income of the Child's Trust shall be distributed to the Child's issue then living, per stirpes; provided, however, that if any such issue shall not then have attained the age of twenty-one years, each such issue's share shall be retained by my Trustee as a separate trust estate, IN TRUST NEVERTHELESS, each to be held, administered and disposed of in accordance with the provisions of ITEM VII for the benefit of each such issue (the "Grandchild's Trust"); or if the Child has no issue then living, to my issue then living, per stirpes; provided, however, that if any such beneficiary is then a beneficiary of a Child's Trust or Grandchild's Trust hereunder, the share of such beneficiary shall be added Page 8 of 18 pages t9the prinoipal of suoh Child's Trust, or Grandohild~s Trust aEl if an integral part thereof, to be held, . administered and disposed of in acoordanoe with the terms thereof. ITEM VII: My Trustee shall have, hold, manage, invest and t'einvest the assets of eaoh Grandohild's Trust, oolleot the inoome and (a) until the benefioiary of the Grandchild's Trust (the "Grandchild") shall have attained the age of twenty-one years, my Trustee shall from time to time pay to or for the benefit of the Grandchild such amounts of the net inoome and principal of the Grandchild's Trust as, in the sole discretion of my Trustee, shall be necessary for the Grandchild's maintenance, support, medical and nursing care and education, including oollege and graduate education, taking into consideration any other means readily available for such purposes. At the end of each year any unexpended inoome shall be added to the principal of the Grandchild's Trust. (b) After the Grandchi.ld Shall have attained the age of twenty-one years, my Trustee shall distribute Page 9 of 18 pages the remaining principal and any undistributed income of the Grandchild's Trust outright to the Grandchild; or, if the Grandchild shall have diad before attaining that age, my Trustee shall distribute the then remaining principal and any undistributed income to the issue then living of the parent of the Grandchild who was a child of mine, per stirpes; or, if such parent shall have no issue then living, to my issue then living, per stirpes. I~~M VIII: It is my intention to conform to the provisions for the allowance of the marital deduction for federal estate tax purposes. I therefore direct that any provi- sions of this Will notwithstanding, the powers granted herein to my Executor and Trustee shall be construed in accordance with said intention and shall not be interpreted or exercised so as to disqualify any portion of the QTIP Trust elected by my Executor to qualify for the federal estate tax marital deduction. ITEM-IX: No interest in income or principal of my esta~a or any trust oreated hereunder shall be subject to attachment, levy or seizure by any creditor, spouse, assignee or trustee or receiver in bankruptcy of any beneficiary of my estate or of any trust created hereunder prior to the beneficiary's actual receipt thereof. My Executor or Trustee Page 10 of 18 pages ! . j shall pay over the net income and the principal to the beneficiaries herein designated, as their interests may appear, without regard to any attempted anticipation (except as may be specifically provided herein), pledging or assignment by any beneficiary of my estate or of any trust created hereunder and without regard to any claim thereto or attempted levy, attachment, seizure or other process against said beneficiary. l.'L~: Any person other than My Wife, who shall have died at the same time as I or under such circum- stances that it is difficult or impossible to determine who shall have died first, shall be deemed to have predeceased me. If My Wife and I shall have died at the same time or under such circum- stances that. it is difficult or impossible to determine who shall have died first, My Wife shall be deemed to have survived me. Any person other than me who shall have died at the same time as any then beneficiary of income of my estate or a trust created hereunder or under such circumstances that it is difficult or impossible to determine who shall have died first, shall be deemed to have predeceased such beneficiary. ITEM X:[: In the settlement of my estate and during the continuance of any trust created hereunder, my Executor and my Trustee shall possess, among others, the following Page 11 of 18 pages powers to bfil exercised for the best interests of the beneficiaries I subject, however, insofar as any portion of the QTIP Trust qualified for the federal estate tax marital deduction is concerned, to the restrictions set forth below: (a) To retain any investments I may have at my death so long as my Executor or Trustee may deem it advisable to my estate or trust so to do. (b) To vary investments, when deemed desirable by my Executor or Trustee, and to invest in such bonds, stocks, notes, real estate mortgages or other securities or in such other real or personal property as my Executor or Trustee shall deem wise, without being restricted to so called "legal investments." (c) In order to effect a division of the principal of my estate or trust or for any other purpose, inClUding any final distribution of my estate or trust, my Executor or Trustee is authorized to make said divisions or distributions of the personalty and realty partly or wholly in kind. If such division or distribution is made in kind, said assets shall be divided or distributed at their respective values on the date or dates of their division or distribution. In making any division or distribution in kind, my Executor or Trustee shall divide or distribute said assets in a manner which will fairly allocate any unrealized appreciation among the beneficiaries. (d) To sell either ilt: p'.:blic or private sale and upon such t.erms find conditions as my Executor or Trustee may deem advantageous to my estate or trust, any or all real or personal estate or interest therein owned by my estate or trust severally or in conjunction with other persons or acquired after my death by my Executor or Trustee, and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, oonveying a fee simple title, free and clear of all trust and without obligation or liability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the Page 12 of 18 pages . validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable in carrying out any of the powers oonferred upon my Executor or Trustee in this paragraph or elsewhere in this Will. (e) To mortgage real estate; provided, however, that this provision shall not apply to real estate which is an asset of any portion of the QTIP Trust qualified for the federal estate tax marital deduction; and to make leases of real estate for any term. (f) To borrow money from any party, including my Executor or Trustee, to pay indebtedness of mine or of my estate or trust, expenses of administration, Death Taxes or other taxes; provided, however, that this provision shall not authorize borrowing from any portion of the QTIP Trust qualified for the federal estate tax marital deduction. (g) From the same source as from which Death Taxes are to be paid in accordance with ITEM I, to pay all costs, Death Taxes or other taxes, expenses and charges in connection with the admin1stration of my estate or trust, and my Executor shall pay the expenses of my last illness and funeral expenses; provided, however, that no such costs, Death Taxes, expenses or charges in connection with the administration of my estate shall be paid from the assets of any portion of the QTIP Trust qualified for the federal estate tax marital deduction. (h) To vote any shares of stock which form a part of my estate or trust and to otherwise exercise all the powers incident to the ownership of such stock and to actively manage and operate any unincorporated businesia, including any joint ventures and partnerships, and to incorporate any such unincorporated business, with all the rights and powers of any owner thereof. (i) In the discretion of my Executor or Trustee, to unite with other owners of similar property in carrying out any plans for the reorganization of any corporation or company whose securit~es form a part of my estate or trust. Page 13 of 18 pages deoision made in good faith to use a particular valua- tion datel nor, as a result of such decision, shall any oompensating adjustment be made in the amount of any gift under this will to my spouse intended to qualify for the marital deduction for federal estate tax purposes. (d) My Executor is authorized to elect under Section 2652(a) (3) of the Internal Revenue Code of 1986, as amended, (the "Code") to treat me as the transferor of any qualified terminable interest property with respect to Which my estate was allowed a deduction under seotion 2056(b) (7) of the Code and to allocate any of my exemption from federal generation Skipping transfer tax under Section 2631 of the Code to any property as to which I am the deemed transferor under Section 2652(a) of the COde, regardless of whether or not the property with respect to which such election or allocation is made is part of my probate estate. Any such election or allocation shall be made in the sole discretion of my Executor and shall be binding upon all persons, including the then trustee of any inter vivos trust created by me, and such Executor shall not be personally liable for exercising any such discretion in good faith. My Executor or Trustee is authorized to divide any trust created hereunder or by inter vivos trust created by me into two or more separate trusts if such separation, in the sole discretion of my Executor or Trustee, is advantageous to my estate and the benefioiaries of my estate or a trust created hereunder or by inter vivos trust for the purposes of application of the federal generation skipping transfer tax; provided, however, that such separated trusts shall be held, administered and disposed of in accordance with terms hereunder or of the governing instrument as identical trusts in all "ther respects. ITEM XIII: If at any time any minor shall be entitled to receive any assets free of trust by reason of my death, whether payable hereunder, by operation of law or Page 15 of 18 pages otherwise, I appoint the Trustee hereunder as Guardian of such assets authorized by law payable to such minor. The Guardian may receive, administer and shall have full authority to use such assets, both principal and income, in any manner the Guardian shall deem advisable for the best interests of the minor, including college, university, graduate or other education, without securing a court order. The Guardian shall have all the rights and privileges in its capacity as Guardian as are herein granted to my Executor and Trustee as to my estate and any trusts created hereunder. ITEM ~: I hereby appoint my son, DANIEL M. JONES, as Executor of this Will. If for any reason he should fail or cease to act, I appoint FARMERS TRUST COMPANY, of Carlisle, Pennsylvania, as Executor. All references in this Will to my "Executor" shall refer to my Executor or to my successor Executor, as the case may be. ITEM XV: I hereby appoint my son, DANIEL M. JONES, and FARMERS TRUST COMPANY, of Carlisle, Pennsylvania, as Co-Trustees of any trust created hereunder. If for any reason either of them should fail or cease to act, the other or others shall act or continue to act with all of the powers granted to the two of them. So long as my son is Co-Trustee, he shall not Page 16 of 18 pages . participate in any discretionary determination of the Trustee to distribute principal or income of any trust to or for his benefit. The income beneficiary of any trust hereunder (or his or her legal representative) shall have the right from time to time for any reason to remove the corporate Trustee and to appoint a successor corporate Trustee which shall be a banking corporation with flduciary powers. Within 120 days from receipt by the then acting Trustee of a written request to remove from said income beneficiary, the then acting Trustee shall prepare a final accounting and turn over the trust assets to the newly designated Trustee. Such change shall not be made more often than once in any consecutive 24-month period. All references in this Will to my "Trustee" shall refer to my Co-Trustees or to my sole successor Trustee, as the caRe may be. ITEM XVI: Any Guardian, Executor or Trustee shall qualify and serve without the duty or obligation of filing any bond or other security. Any corporate fiduciary shall be entitled to compennation for services in accordance with the standard schedule of fees in effect when the services are rendered. Page 17 of 18 pages COHHONW't:.U TH OF PENNSYlVANIA DfPAIHHf.Nl or REVUlllF. 8URHU OF IHDIVtoUAl TAXES DElll. Z80601 tlARRISauRO, PA 17128-0601 * INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DAn NO. 21 . 'J' 96151(,03 10-28-96 1'/ .n-IUI U." I1-Ml EST. OF RICHARD J JONES 5.5. NO. 188-14-2812 DATE OF DEATH 09-7.4-96 COUNTY CUMBERLAND TYPE OF ACCOUNT Ix] SAVINGS [I CHECKING D TRUST D CERTIF . ALBERTO DEMELLOESOUZA RUA PERI 126 RIO DE JANEIRO RJ BRAZIL OC 22460 REMIf PAVMENT AND FORMS TO, REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 FINANCIAL TRUST COHPAN hili providad the Depart.ent with the Inf(lrntlun lilted b,low whIoh ha. b..n u..d In oalnvlatlng the pot.ntlal tax dUI, Their record. Indicate that at th_ daath of the above decedent, you WIre a joint ownlr/blneflolary of thi. account. If you f..l thl. Inforllatlon i. incorrlot, pi.a.. obtftln wrItten corr.ntion froll tho fInan~lal lnltltl,ltlon, attach a oopy to thll forM :":1 rrt:qrn Ii:: tl' tt,,, ",1-,"'"1 IItlrlr,...., Thl... ""r1l\U"t '" t"'Il'Ihle in It(ltlOrdllnrfl with Ihe Tnherltannl l'<x In'''l 'If the Coaaonw.alth of Plnn..,lvanh, Que.tlon. May b. an.w.rld by celling (717) 141-8327. COMPLETE PART 1 BELOW M M M SEE Account No. 1-385355 Dlt. ElhbU.h.d REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS 12-29-92 To Inlurl propflr eredit to yeur Hooount, lwo eZl oopl.. of thll netloe eUlt accoepllny your paYllent to the Rtg:llter of Wllls, Hake chlllck payable tOl "RClgl.hr of Willi. Agent", Acoount O.lIno. 1,392.74 Porc.nt T.x.bll K 16.667 HOTEl If hx pl'lYllllnh "re mllde withIn thr.. Altount Subj.ct to Tax 232,13 (3) 1Il0nthll M the decedenl's dlth of dAl5th. Tax Rat. )( ,15 yoU IIIlY dado'ot II 5;: dl.count of the tax due. - Any Inherltflncl, tQX due 101111 becoe. dtllnquent Pot.ntial rax Dua 34,82 nlne (9) Mor,thl' nft"r the dl'lte of death, Nn TAXPAYER RESPONSE . l!J I. I'AXt.UIlETO.R!l!I'O"A lIXt.LFlESU~ T I"AfoI OFF.XCXALTAXA$S~l!S"E~!:~SEDO" THIS NlIT.ICE J A. r11 The ftbovt Infor.l!ltlon I'Incl tl'lX due Is cor'rllct. (I 1, You Illfty chaeR" to rAlIllt plly.ent to thll Reulster of Wills Idth two ~llpIIII of thllllotJca to olltllln a discount or l'lvold lnterelt, er you lIlay check bOl( "A" and rtturn llll. notice to the RIghter of Willa tlnd !in officIal ftuuutnt will blil lUlled by the PA nepltrt..' ( of Rllvenuo, [- CHECK ] ONE BLOCK ONLY . R, 0 Thll above auet ha. beon or 101111 be reporte(1 ftOd tftX pftld with the r.nr,sylvan1l'l InhtrltMlce Tax return to be filed by the decedent's ropre.entfttlvt. C, 0 The above Inforutlon Is Incorrect and/or dtbh IInd deductIon. werll Pfftd by YOU, You Ml,llt co.plett PART 0 and/or PART 0 btlow, PART ~1 fAX LINE K~fuKN . ~UM~UIAltUh 1. Dat. Eatablish.d 2, Account Balanc. 3, Parc.nt TaxeDl. 4. Altount Subject to Tax S, Debt. and Deduction. 6, A.aunt Taxable 7. Ta)( Rat. 8. Ta)( Du. I AA Urt ,",U,1,rt-j.; 'I "'u~ i A.w'uui. Tb OmCJAk ~SE ONLY 0 AAf" PADF.PARTM.E~T OF REVENUE If ~ou indicat. a different tax rat., ple.s. .tate your r.laUonlhip to decadent I UI" 1 2 3-lL- 4 S~ 6 7 K 8 "1', -....~ "". 11 PART ~ DATE ~EBTS AND DEDUCTIONS .t'AiJ 1 .. "'."2.. 3 4 S 6 1 8 CLAIMED i1i!j "/1 -- -"."."'.. - PAID PAYEE 1- DESCR I PTI ON AMOUNT PAID L . E TOTAL (Enter on Line S of Tax Co.putation) Under panelti.. of p.rjury, I declar. that th. fact, X hay. report.d above er. true, corr.ct and eOMpI.t. to the be.t of MY knowledge and beli.f. ~_OML.~. WORK ( ) 1 ELEPHONE NUMBER GENERAL INFORMATION 1. FAILURE TO RESPOND WILL RESULT IN AN OffICIAL lAX ASSESSHENT wtth applicable tnt.r..t based Of'! Jnfor...UM ,utNllttlCf by thl fltlM<llel In.tltuthm, Z. IntlIr!tano. tal! bfICDIl.. c.'IlltlqlMnt nlm. aonth. flftlr the dtt<:ad."t '. dltt. of rKllIth, :5, A Joint IKlCOUtl't 11 tllllRble IlVIfl though the d..ted.."t'. nMlIll \IIn. added III " .attar of conv8nlonoa, 4, Aocountl <tncllJdlng tho.. h.ld butw..n hUlbMe/ 1!I1\(j .11';.) which the dcteod.nt put In joInt Me.. within 00tI y.ar prior to d..th are fully taxbbl. III trmnlf.rl, S. ACCOlJnh ..tr.blhhttd ,101ntly blh/..n hll.bond and wlf. 1101"' than ana yur prior to w.llth tire rnlt tftl(ltbh. 6. Aooooo\l h4Ild bV ,. de(Jadltf,t "In trust for" MCthlr or othflrl tn-. tftl(abllll fully, REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE 1. BLOCK A - I( the 1"for"tltlan lInd cowputnt Wtl In the notice ore correct and d.ductlon. lire not boiling olalHd, pJ1Ml1I an "X'" In bltH:k "A" of Pt'lrt 1 of HI. "lllxPlIyur Rupof1U" 'Ictlon. SAg" two coplin flOtl IOOI1t th.. 141th your ohm for thfl IlIIOUl'lt of tine to th. Reght.r of \.lUll of tit.. GOullt... lrnllcllh,d, The PA Olparhllnt of Rllvonue ",111 h.ue an ofHoial ........,t (For. REV-154ft DO upon roclllpt of tho rot'...rt't froll the Replthr of wilt., ?, BLOCt( 11 k If the auet .pacifled on thh: f\:It101l hu been or 101111 bll reported and tax paId with the Penn.YlVMla Inhllritlll"KlI TalC Return fllod by the doc.dont'. r.pru"n~lItlv., plac. 1'111 "X" In blook "S" of p"rt 1 of thti "Taxpay.r R..'Dn.... lectlon, Sign OM copy and return to the PA DlIpart.ant of Revonull. Bl,lr$lau of IndIvidual TB)(IloI. Oept 260601, Harrhbur'g, f1A 17128M0601 In the .nvelop~ provided, 5, 81.0(:1( C - If the notice Infor,..tIon 11. lncof'ro:ct nod/or deduction. are beIng clal..d, ch.ck block "C" and cOMflI.to P.rh 2 and;S "::::;":H:,,.r. hl ~~.: ::.~~:-~;:lt:r.:--_~ ;",:.", :11;.'; ~..o ""p:... .."..; lI...i.;...t ~;,,,Ool ,,;U, YU\.t, \,1,,11I1.1;', rUf .illil UlttJUII. of tlllK pByool. to tho Koghter of WAll. of tho county indlcBted, Tho PA nllpBrtl.nt of R.~.nue ~111 ISlue an offJcJ"l as,o"lIent (For. REV~IS48 EXi upon r&Clllpt of tho r.turn frOll tho ReAI,ter of WIll.. TAX RETURN - PART 2 - TAX COMPUTATION LINE 1. E:nter NOTEl the dlllte the a(';oount oriuJnallv WlIS utabll,hed or t1t16id In thll nnner exhtlng ftt date of d.ath, For a dlcedent dvini after 1?'/12/8ll Account. whIch tho declldont put In joint ne..e wIthIn on. (1) yaar of death are tnxabla fully !III trrmsferl, How...."r, th(1re III 1111 exclu.ion not to exceed n,llOO pllr tran.fere. rQl1ardlln of the value of the account or the nUllIber of !tCcounh h-IIld. If II double ut.rlll< (MM) 8ppellr. bllfor" your first M.. 11"1 tho addre.. pOI'Hon of thh notice, thti n,ooo exclusion alre!ld~ hu been dodUtlted froll the Hccount b!llrmce a, reported by the flmlltlohl in.tHutlon, 2, Enter the total belanoe of tho l'lccount Incl.ll(tlng Interest IIccrued to th.- datil of dlleth. .5, The perc:.nt of tho IICCollnt that I. tflKabl" for ollch aurvJvor' Is dlltllrllIned u follow'l A, The percent hHftbh for joint ("Ults llIliltftblhhed iliaI'D th'!ln onll ye8r prior to thtl dlHledent'. dlllthl 1 DIVIDED BY fOTAl NUHBEll Jf JOINT OWHEflS EXlulplel A joInt ftnllt rflglflhr"d !JIVIDED bY TOTAL NUMBER OF X 100 .. PERCEHT TAKABLE SURVIVING JOINT OWNERS In thM na.e of the dvclld.nt and two other person., 1 DIV10fD BV 3 (JOHn OWHER';) otVlOED BY 2 (S~VIVORS) .. .167 X 100 .. 16,7i( (TAXABLE fOR EACH SURVIVOIU 8, The p4lrcent t!lxl'lblll for uuts oront.d withIn on. YlIl!lr of the do.clld.nt's d.lIth or accounts owned by the dlced..,t but held In tru.t for anQthllr Indl~ldlli.ll(a) (trust be'lof1cIlIrI.vI): 1 DIVlOEO BY TOTliL NUM8ER Of: SURVIVHW JOINT OWNERS OR TRUST BENEFICIARIES X lOll .. PERCENT TAXA8LE ExallPlel Joint 8(jcount rllglNttlflllld In the nu. of the defl.d.nt I'lnd two athflr perlon. Itl'ld oatablhh.d within on. ~.ar of d..th by tho deceDent. 1 DIVJl)ED BY l (SURVIVORS) .. .!lO X 100 .. 50% CTA)(ABlE FOR EACII SURIIIIIOR) 4. fh, a.ount subjoot to tnx (Un. 4) hi dlilhrllined by lulthllylng th. account balanoe (Un. Z) by the p.rcclInt taxable (l1011 3,), 5. Fnt.r tho tot'll of th. rhlt-t, !'Owl ,.1<.r1"etIM'~ ',I......" In p....t 1; 6, The ..ount taxable (11m. (I) 11 dot.reined by luhtrl'lctJng the debt. hnd doduotlon. (lIne 5) frOll tho altOUnt .ubject to taH UIM 4), 7. Entlr the approprJBte tsx retll (line 7) as dltel'lIllnod b.IoloJ, A, Fur dateft of death occurrJn~ after 6150/94, the tl'lX ratel for trftn~fers to spauee. are as follow. I 1, Date. of death on or after 7/1/94 and b~forQ 1/1195 the rat. II 3%, 2, Date. of death on or after 1/1/95 tranlf8r. to SpaUII. ",111 be taxed nt O~ tsx rate, Hotel For d~te' of death prIor to 711194 trMllflln tr.! s.j'oua811 ar. taKl'lble et iiI:, B, TrBnwfer. to lin8s1 delloendanta incILlding father. .other, lon, dftUljJhter, grMdehIldron, son-In-law, uftUghteraln-lftw, stepchild 61\t1 theIr ll-lue are taxnble I'lt IlK PQrcent (6;D. C, Tren.fer. tcJ all othor. Inoluding brother, .!star, unclo. lIunt, nophQw and nil,,:e ar'e h:.;ftbll\ lit flH~an percent (1S;(). D. If YOU oh!llrlQe tho tax r~te, plen.. r,pII(dfy your rCllstlonlhlp to the dKedent In till are. pnwtded, 8, The MIOUr'It of tax due (line 8) 11 deterlllnad b" MultJplylng thll e..aunt taxftble {lIn. CIl by the tax rat. (11ne 'I), CLAIMED DEDUCTIONS - PART 3 DEBTS AND DEDUCTIONS CLAIMED Allpwsble dlbts and dllduct!cm. are dlltoreIn.d III follow'l A. You hll.ll~ arlit r..ponlible for pftYllIent, or the utfltll Subject to adcsInhtratJon b~ II per.onal rlpr.l,"ht1~1 II In,uffJcl~t to pay the doduotlbl. ite.., a, Vou l'Kltulllly p81d thVl debts ftfhr death of the decedent BOd Ct., f'.lrnhh proof of pli!l~t. C. OMIt. being clal"ld .ust he It..lud full:.' in Pftrt:s. If addlt10nlll SPllKlfl It neodld, UIl. plaIn pllpllr . In'" )( 11", Proof of P"Y..nt ..ey be requ.et~d by the PA nepart..ent of Re~.nu., "",'1"';':':'::;""""""'" ",::::" ":':":" :, "':" '"":',, ,,:,' "t''\XPAVER AS$lSTAiiCE "', ':' ,', ' ' , , , """,,, :",::,,:',:, :,~,:::,",::::: :','if! VOU NEED FURTHER INFORMArtON OR ASSISTANCE; CONTACT ANV '" ,,,,,<::::,i,i "", I::, "REeUHR OF WILLS, PA DEPARTMEtn OF RE\lENUEDI$TRICT al'I'lCE ,,", '", ",', ..:' ',' ' , ", " OR CALL THE llUREAU OF INDIVIDUAL TAXES/. TAXPAVU INQUlI1;Y:UNlt:t!l:i:::':':::.~"'~/4::':':"" " ' ,HARRISaURljl AT (717) 7117.II~ll7.TDll',(7,m 7{2~lll1S2(HI!ARINOU1,"AUl!:Il'lINlii\l~,\il~1i!i~~ "C":"'i'::'C;':C:'-;' .':c.;c::,'_:.:;:...:::.:':.:':.:_:':cc:......:::c_, .....;...'.'.:......:...:...;jj,;;;,/'..<<'>:.;':"':.;.;"".:;:.',..,:,'-:........' ..:..:.',:" ..... ....... '.:'" . . .:< ...... . .' ". :... ........'... '...".....".,..:':,.,:c,..:.;':".:':-:,.".:'!...!':''.:, /-~;:rr;:'J ,,'-:'. ,,-......~_._-,......-' l-~- " _ "~"..l_, '\i,',-:,;, /"._-/~~"~-::-:~-'---'" \ r- "'_.' ~".'\" - .;....~....;"""r-_...~ ~' : ') :: ., ".:::,+:-.,::iL':::::;~':::t~=: , I.' ,. ......";t.,-..>... ~. - ..._'-:!'~.......c_._ ." .. , 1'1,' "'. _ f:., ....J L -, .... .;, ,'..', l?\)Xy,..$ 1:,:,S\\j.,~S::",-,-",_, ,..F.... ..... ,....". '" ,.,'" CERTIFIED . UUOAlll'I ll: SINON 1.1.1' ATTORNEYS AT I..AW ,e i;) 3i! 113 'I 1,'1L1 MAlt ONt SouTH MARI<;!':T SQUARe: BBG Pi1 p,O, BOX 1146 HARRISBURG, PA 17106-1146 Mary C. Lewis Regist<:r ofW ills County of Cumberland Cumberland County Courtho!1se I Courthouse Square Carlisle, p;\ 17013 17013)3322 U 11\.11111\1111,"111111111"11.1111.11111.11\111.."11111..111 .-H \,11\ ' ; _,t< t. LJ~- ,* ..' .." ,t , - : 'f ~' , )I, I ~f; .'.' _ IoF ,lIE,,' ,') '}",:., r,~ l "l '" t :,,- i ,,'\''"-',.' ,,"" , :.t.' "'" '. , t -, ).,... ,...' "I ef' ,... '. ,-' ,A lr' " ' '1.L ..." " 4' ;'.~ ! ~f .~ V"..,-- -'M'~~_~:-'~~';_"''''''''''''''''.Jl1-_ r r-"~'-. r- . . . - .' \ ,<< \ , . '~ '0. I - t ~.4 --..... . or AeOOf'CiJcI, C','ric,~ (,f rr'~(li'h r i)1 \'\lI//s '9G DIG 23 All :44 Cltiii, Cum!.". LI'.1rt "\, 1"1^ "U" r("\ f 'Ilvf>lope to tl1(' I I I II 1111(' OVflt top 0 ( . 1) ( , I ht,,- c, I 'Ill' rt'lI/11l <II ( , rlqllt fl r --="-""~'f", _,_"p__ . '- ~ t-:( ~Jl: .-. ~ .~ ''I ;;.t' _\ tt" ',f ~ · ',r 0' \ '" " ;} '.~ .\~:t_,"'f_ ';! ,. ,. t J i {fI' _ 't_ ~~I ,. "', ,,... .1 I' . TL ',-, ~( r. \. -, ill, ,. J ~f . --~- H...._.......--.. ;rM' --"-- - . v"""'-- ~- ,... . t iI' ( ~ j j ~L_ co .,- o ;. too' _,_~r' '.1 a~ t'~- ~T. ~ N n:l L.l,t w... u Q) 0: 1'-' P' (I) f: _::l 0(,) PURPOSE OF NOTICE I To fulfill the r.q..drtHnh of SflOt1on 2140 of ,ttM Inherltanc. end eltat. iax Aot, Act 21. of 1991. (72 P.S. S~Uon 2140'), PAVHENT I O,taoh the top pol'tton of thh Notice and tubIIlt with your pay...nt to Uti R'lIhhr of WIlls prlntld on the rIver.. side. h Meke Ch'Clk or -.ur'lIlY order paYDble to: REIH5TER Of WILLS, AGENT. All paYlenh received .hall f1rlt b, applIed to any Intttrut whioh NY bll due, with MY r..alnd.,. app1Jed to the tax, REFUND ( CR) I A refund of II tax oredIt, which Wit. not raqUlltad on the tax return. lIay bit requuted by cOllplet1ng an "Applloation for Rlfund of Penfuyl..."nh, Inhef'lhmce and E,tab Tax" (REV.1313L APpl1cutlonl l!lrll a...dlabl. at the Offlc. of t~ Register of Willi. any of the 23 Revenue Oi.trIat Offlc.. or by clll11ng the ,peolal ?4.hour &ntworlng ..rvlce rnMbIr. for foru ordering: In PennlylvMh 1-800-361,-2050, outsIde Pennlylvant. and wHhln looal lit,rrhburg area (17) 787-8094, TOOl (711) 77Z~Z252 (HCll'Irlno Iupa!rlKl Only), oaJECTlOHSI Any pllrty in Int.r'lt not ut!lflad with the 8ppr"he_"t, "l1ow~" or dh:f111oW8nce of deduction. or fl......ant of tax (loolud!ng clhC:OU1t or InhruU as shown on thh Notlc. "flY object !.I1th!n sixty (60) days of rlllC.lpt of thll MoUcu by I MMMrlttan prnh,t to tho PA o.pllrtMnt of R.v8OlJ1t, DOllrd of Arpaals, Dept, 281021, HarrIsburg, PA 17128-1021, OR ~-1l1e<lt1ng to have the IltllUer dIItar.in.d at t~ lloo1t of tM ttccount of ttw\ pfolrsonnl rapre'Wltnt1Vtl, OR --appeal to the rJrphans' Court ADHIN~ ISTRAl'lYE CORRECTIONS I f'actu~l .rrors dhcov.rud on this lIUllunent should b4t lKklr..sltd In !.Ir1Ung tOt PA DllfJart.ent of Revenue, !uraltU of Indlvldulll lax.... ATTN: Po.t Auuullnt f{lIvlew iJnlt. DEPT. 280601, Harrhb\Jra, PA 17IZ8"OMl Phone (17) 787-6505, See pagll 5 of tho booklet nIn.tructJons for tnher1tlM\ce Ta1< RAturn for., Ruident Decadent" (REI/-ISOl) for an e)(plnnlltlon of Mhlnhtrrttlve.\y cOIToot&ble error., DISCOUNT l If any tax dutl Is paid within thr.lI (3) cltlendar IfOntlu after the d.cedant'l d.llth, a flvlI percent (S:() dhcO\l"It of the tax paId Is allowed, PENAL TV: Tho 15:< tlUC Mn..ty nonMpart101pation penalty Is co.putad 01"; thel total of the tax 8nd Jnt.rut alln,tKl, and not PIJd before Janutsry 18, 1996, the flrlt dflY flft"r the "nd of the tax sarnellty period. Thh non-pert1clpat1on pe.naltll Is eppealebl. in the .au .nnnar ami 1n the the SMltt tiN period as YOU t<K)Yld appoad the tit)( and Inhr..t thttt hll8 been ".....ad !II Indic-'ltfld on thlt notica. IN'(EREST I Int.ra.t 1. charged b~lnnlng with first dsy of d.ll~y, or nl~ (9) ~ths ~ one (1) dRY frOll tho d~t. of death, to thtl date of PSYll8f'1t. Tax.,. whIch bcKllYMI dlsUnqu.nt b.fore Jan>.Jnry I, 19dZ ~.r Inter..t at the rat. of I1x (61:) perofWlt ptlr ~ calouhted lilt a daHy rllt. of ,000164. All t81<tII whIch baeHO dellnq\lant 01'\ or lIftol' JMUllIry 1, 19ftZ will btaer !nter..t l!lt a rute which 14111 vllry frOll oalendar year tn cl'IlflndPJr y.ltr with that rllt. 1tf\l10UllC-.d by the P^ nepart.."t of Rev.,..,.,., The applicable Inhr..t ratflll for 19ftl through 1991 t'lr.: Year tnt.rut Rat. DlIlly Int.rut Factor Yur Inter'lt Rat. Deily interest factor 1982 2'~ ,000548 1987 9~ ,000247 1983 16;( .OO043a 1988-1991 11i .000301 1984 11% ,000301 199Z 9;( ,000241 1985 13;( ,D003S6 199J~1994 n ,000192 19116 10)( ,000274 1995Ml997 9~ .000241 uInt.rut It naloulat.d .. follow'l INTEREST. BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR nAny Notice luued l!lftar the tax becolM. dallnquent will r.f1a.Qt en inhr..t calcuht10n to flU.., (1!i) den btyond the d.t. Ctf the 1I......."t, If F'aYHflt Is IIfKM aft.r tho Inter.st cMP\ltatlon dIIt, Ihol<<'! Qn the NoUc., mddltiDnlll Int.rut Illl,t be oalculated. ,. .- / '.J ()", I {.) .- ).1 - ." ,_;(;~~ !,1O,\.jWI AI. 1!1 Of PI ""~~iYL '1M,'A OU1AfHI,\lN.'OF nr:vtNlll: lJ1Y1280601' HAHflISOuflO, PA \7128 -060 I INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGI TER OF WILLS i Of! t" \11 ';')1 tf ^ ';P<,)W1AI f'\JIlI.HIV\,;l\LUj! FILE NUMBER ,q'V ",()(J ,\!.;.I.<}_II 1)1 ,\ I" ,\1 I! 'I 'i J I ~..I ' ,OJ .,", "I HI ,;.d,';LIIIM~U I I 21 1996 OB1" COll~j IY r~OOI: YtAfI ~il, '.\ III " me! D(NT S NAME (l fiST, f InST AND M DOl I INITIAL) ')[ ero! NT', COI,H't lIE AODnf Sf, o I'Jone.--fl~~ch~r~_~____ ___ 21-1 North Baltimore Avenue ~ ,0e'Al SECUIl"YNuM"'R 10ATEOI D,;:;;:;'-"FATI 01 A'''''' Nt, Holly .spnngs, P/\ 17065 ~ ,__ ~ 88 - 1_4 - 28] 2 ._.-1 .o_~n..4.L~_O.?j2 5 U 2._ (,O,O]'~l. Cl11i~I!;~Ll\NO-b)--- .m...__'____nu T W.' Al'eueAflL'I'UR""NO srOll"E'S NAM' ILASl,"RST AND M'DDLE INlTrAl.i SOCIAL SE ClI III " NI.IM"'" AMollNI flEel'IVEO I"" <N"H'""",,,,, A H~J)~Jl ~,~ln~~~~~-"""-~-[]2'--s~PPI'me';;~1 RelUrn-' __~Q_4..:;i.U981_ 3.R~;";~;~d~~R~lu~--212'iG. 00 C p ~ __ 4. limited Estate [J 4a. Future IntQro~1 Compromise (for dalos of doath pnor to 12. 13-8?) H P 0 r.:J C~ R C (for dal('s of death after 12.12.82) L~_ 5 Foderal ESlale Tax Return ReqUired K ~ ~ Q 6, Decedent Died Testate [J 7 Decedont Main1alned a living Trust _0_8. Total Number of Salo DopoSJ1 Boxes ___ __.__JMach~J of Will) (Attach a coEl, 01 Trus1l..~_______.__.__,.~_______,._ C P ALLf,ORRESPONDENCE AND_c;,ONFIOENTlAL TAX INFORMATION SHOULD BE DIRECTED TO: ___..._......___. o 0 NAME R N R D E E S N TELEPHONE NUMBER T '717 233-5731 I Real ESlale (Sc~ledule A) 2. Slacks and Bonds (Schedule B) 3 Closely Held Slock/Parlnership Interest (Schedule C) 4. MOrlgages and Noles Recelvahlo (Schedule 0) 5. Cash, Bank Deposits & Miscellanoous Personal Property (Sch. E) 6. JOlnlly Owned Properly (Schedule F) 7. Translers (Schedule 0) (Schedule Ll 8. Total Gross Assets (total lines 1-7) g, Funeral Expenses, Adrnlnistratlve Costs, Miscellaneous Expenses (Schedule H) 10. Debts, MOrlgage liabilities, Liens (Schedule I) 11 Total DeduC1ions (total lines 9 & 10) 12, Net Value 01 E'tate (Une 8 minus Line 11) 13. Charitable and Governmental Bequosts (Schedule J) J4. Net Value SU~~C1 to Tax (Line 12 minus Line 13) IS Spousal Transfers (for dales of death after 6-30-94) See Instructions for Applicable Percentage on page 2 (Include values tram Schedule K or Schedule Mo) 16. Amounl of line 14 tAxable at 6% rate (Include values ~om Scileelule K or Sch,dule M) 17. Amount of Line '14 taxable., 15% rate (Include values ~om Schedule K or Schedule M.) 18 Principal tax due (Add tax ~om Line 15, 16 and 17.) 19 Credits Spousal Poverly Credrt Prior Payments Discount 0,00 + 25,000,00, 1,236.38 20. II line 191s reater than Une 18, enler the difference on Line 20 Thl. is the OVERPAVMENT, ~x[J Q)eck her~~,ye reqtieS'llng. refund of you, over~.!!!!J 21 If Line 18 i. greater than Une 19, enler lI1e difference on line 21 This IS Ihe TAX DUE. A. Enter the interest on the balance due on Line 21A B. Enlor Ihe lotal of line 21 and 21A on line 21B. This IS Ihe BALANCE DUE. Make Check Pa able to: Re 1st.. of Wills A ent ~ ~ BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECHECK MATH <l <l Under plnallill 01 perjulY. I declarelhlll I h,,~e uamin,,'d Ihit r\tl~~: IncludlngaecomptlrlVing Icheduln and tt....lemenll,llnd 10 thl belt 01 my knowllldgll-Ilnd bellll, II Iltru;;-- corllcl Ind comlClllll. I declarl Ihat III re,I"IIlI11 hat been reported al Irue market ~'luI. Olcllrallon of preparer olher thin Ihl perlul'\ll( reprellnllltlve II buee! on ,UlnlorlNl,110n of ::!hjCh~arer ~a..nYk~owledge, ~____'_'____'_'_______,__,,,~,_,__,______,_______ __.__..h__~ St~nley /\, _Smith, Esquire R E C A P I T U L A T I o N T A X C o M P U T A T I o N SIGNATURE or. PERSON RESPONSIBLE Fon f:tLlNG R~ TURN AODRU1S /' / COMPl.ETE MAILING ADDAESS Rhoads & Sinon p, O. Box 1146 Harrisbur P/\ 17108-1146 (1) _________ (2) 0,00 ~) 468,536.9! (4) ____ (5) (6) (7) 2,297.00 _____~J..",ll 16,62..9,00 (8) ___ig,ll.., 34 7-'..9.2 (9) 4},309.25 (10)_ 30,662,44 (11) (12) (13) (14) 73,971,69 414 , 375 ,.J} 0,00 414,322.c..2..3 (15) 2,250,00 x'Q.Q..' 0,00 (16) 412,125,33 X 06. 24,727,_~ (17) 0,00X.15. 0,00 (18) 24,727.52 Interest 0,00. (1g) (20) 261236.38 1, 508_~ (21) (21A) ( 21B) 0,00 ,--...Q..Jl.,o 0,00 DATE _._:..:.._-_._---_--=-:..-----'-:::~~-~.::...~.._-_. SIONA1}JRE.?F PREPAA/J7!ER It'iAN fH:rRER[ N1ATlVl -~~ rmlofIWIII"Or1ly(;f'Ryllllml,lnc I??_f1~,~;t..~! _ .~C?~l~.~ '- _ f.-,o;~s:~.t_<?;-. . _ .... . . . _ _ _ _ _ _.. _ __ m._E12..Bl'oacl,s."--iiJnon____._._n____.____.._.___ AOOf~r.'lS Rh,oadn. ,&. .si.non.", p.', ,0,. .8ox~ 146... . . _Iiar~,;,sbllrg L.J'/\ ...1.!.lQI3..:..1_,\..4_6....._____ f.~:-:'~,.::..._s!.'1 (' DATE (~!P form 1500 IRftv 7 04) IlL'/ 1'i0'][;'\'11;>-881 COM"\0~WI.;.~_'1 H OF PENNSYLVANiA INH :n I NeE TAX Hnl1AN fl .SID 'NT fH!bEDENT ESTATE OF Richard J, Jones FILE NUMBER 21-96..0817 Joint 'onant(.). NAME ______'__ADDRESS..___._____ __..' RElATIONSHIP TO DECEpENT __ A. Penelope de Mello E Souza Rio de Janeiro, Bl-azil Daughter B, Alberto de Mello E Souza Rio de Janeiro, Brazil Son-in-law C, Thomas de Mello E, Souza Rio de ,Janeiro I Brazil Grandson Jointly. owned property: ITEM NUMBER LETTER fOR JOINT TENANT DATE MADE JOINT DESCRIPTION Of PROPERTY TOTAL VALUE . OF ASSET DECO'S DOLlAR VALUE OF % INT. DeCEDENT'S INTEREST 1 A 07/20/81 Dauphin Deposit Bank ar.d Trus Company Checking Acct. #0049148486, titled in joint names of Rior,ard J, Jones or p, M. Souza 864,90 50 432.45 2 B C 12/29/92 Farmers Trust Savings Acct, #1-385355, opened 12/29/92, titled Alberto De Mello E Souza or Richard J. Jones or Thomas De Mello E souza 1,395,94 33 460.66 TOTAL ~_~Qter o'l.!!!l~ Recapitulation) (II more .paco I. noeded In.ert additional .hoots of .ame ,'zo) Copyrighl(c) HI04 f(jrm loftwllrl only OPSYlllmi, Inc, .L_.__-1!.93 . 11 Form '1500Schtdull F(R,v, 12-0l'l) ."......" r-., I'XIII'llTl' It .' . ' , ' ." . LAST WILL AND TESTAMENT OF RICHARD J'. JONES I, RICHARD J. JONES, of Mt. Holly Springs, Cumberland County, Pennsylvania, being of aound and disposing mind and memory, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time previously made. ITEM I: All inheritance, estate and similar taxes becoming due by reason of my death, except any taxes relating to generation skipping transfors imposed under Chapter 13 of Subtitle B of the Internal Revenue Code, as amended ("Death Taxes"), whether such Death Taxes ahall be payable by my estate or by any recipient of any property, shall be paid by my Executor out of the pr.operty passing under ITEM IV of this Will as an expense and cost of administration of my estate; provided, however, that if any property held in any t.estamentary or inter vivos trust created by my wife, HELEN M. JONES ("My Wife"), is includable in my estate for purposes of any Death Tax, then any Death Tax attributable to the inclusion of any such property in my estate for the purposes of that Death Tax shall be paid out of such Page 1 of 18 pages ~ .....---.-" -...---.... .-----.. property or by the recipients of such property; and, if such Death Taxes are nevertheless paid by my Executor, I direct my Executor to obtain reimbursement or contribution for any such talCes paid by my Executor. Except to the extent above provided, my Executor shall have no duty or obligation to obtain reimbursement for any Death Taxes paid by my Executor, even though paid with respect to proceeds of insurance or other property not passing under this Will. ITEM II: I hereby exercise all powers of appointment which I may have at the time of my death in favor of my Executor, and all property subject to all such powers of appointment shall be included in MY eotate and be governed by the provisions of this Will; provided, however, that I specifically decline to exercise any power of appointment given to me in any Will, COdicil, Agreement of Trust or other instrument executed by My Wife. ITEM III: I give and bequeath all of my household furniture and furniShings, automobiles, books, pictures, jewelry, china, crystal, appliances, silverware, wearing apparel and all other like articles of household or personal use or adornme~t to My Wif~, if she survives me. If she does not survive me, I give such articles to my children, PENELOPE DEMELLO E. SOUSA Page 2 of 18 pages ".- and DANIEL M. JONES, living at my death, in as nearly equal shares as they shall select under the supervision of my Executor, or in its entirety to the survivor of them living at my death. If any such articles oannot be fairly divided or distributed in kind in the opinion of my Executor, such articles shall be sold and the proceeds thereof shall pass as a part of my residuary estate. ITEM IV: I give, devise and bequeath an amount equal to the balance of the dollar amount not taxed in my estate due to the application to my estate of the unif.ied credit against federal estate tax (the "Unified Credit"), after deducting therefrom the value, for federal estate tax purposes, of (a) assets inoluded in my federal gross estate which pass or have passed other than under the terms of this will and which will utilize a portion, of the Unified Credit and (b) adjusted taxable gifts not included in my federal gross estate but included in the oomputation of the tentative federal estate tax in my estate, to my issue living at my death, per stirpes; provided. however, that (1) should any such issue be a child of. mine who hae not then attained the age of forty-five years, such child's shar.e shall be retained by my Trustee, IN TRUST NEVERTHELESS, to be held, admini- Atered'and disposed of as a separate trust estate in accordance with ITEM VI for the benefit of such child (the "Child's Trust"), Page 3 of 18 pages ..- or (2) should any such issue be the issue of a deceased child of mine and shall not then have attained the age of twenty-one years, each such issue's share shall be retained by my Trustee, IN TRUST NEVERTHELESS, each to be held, administered and disposed of as a separate trust estate in accordance with ITEM VII for the benefit of each such issue (the "Grandchild's Trust"). ITEM VI I give, devise and bequeath all of the rest, residue and remainder of my property, real, personal and mixed, not disposed of in the preceding portions of this Will, to my Trustee hereinafter named, IN TRUST NEVERTHELESS, to be held, administered and disposed of in accordance with this ITEM for the benefit of My Wife and my issue (the "Qualified Terminable Interest Property Trust", herein referred to as the "QTIP Trust"). My Executor shall have the right to elect on the federal estate tax return prepared on behalf of my estate to have a portion or all of the property passing under this ITEM treated as "qualified terminable interest property" in or.der to qualify such portion or all of the property for the marital deduotion for federal estate tax purposes. If my Executor elects to have a portion or all of such assets so qualify, such elected assets may, at the discretion of my Trustee and so long as the election to qualify such assets for the federal estate tax marital deduction is not jeopardized, Page 4 of 18 pages ~ (a) be held and maintained by my Trustee as a separate trust estate with the balance, if any, of the assets which are governed by this ITEM also held and maintained as a separate trust estate or (b) be held and maintained by my Trustee with the non-elected assets as one trust estate. In either case any such trust or trusts shall be held in trust for the following uses and purposes and be subject to the provisions of the fOllowing subparagraphs (a) and (b). My Trustee shall have, hold, manage, invest and reinvest the assets governed by each such trust, collect the income and (a) If My Wife survives me, beginning at my death, my Trustee shall pay over the net income of each such trust to My Wife during her lifetime, in installments not less frequently than quarterly. In addition, my Trustee shall pay such amounts of the principal of each such trust as, in the sole discretion of my Trustee, shall be necessary for the maintenanoe, support and medical and nursing care of My wife, taking into consideration any other means readily available for such purposes. Upon the death of My Wife, my Trustee shall distribute any accumulated income of each such trust to My Wife's estate. Page 5 of 18 pages (b) Upon the death of the survivor of My Wife and me, my Trustee shall distribute the principal of each such trust to my issue then livi.ng, per stirpes I pro- vided, however, that (1) should any suoh issue be a child of mine who has not 'chen attained the age of forty-five years, such child's share shall be retained by my Trustee, IN TRUST NEVERTHELESS, to be held, administered and disposed of as a separate trust estate in accordance with ITEM VI for the benefit of such child (the "Child's Trust"), or (2) should any such issue be the issue of a deceased child of mine and shall not then have attained the age of twenty-one years, each such issue's share shall be retained by my Trustee, IN TRUST NEVERTHELESS, eaoh to be held, administered and disposed of as a separate trust estate in accordanoe with ITEM VII for the benefit of eaoh such issue (the "Grand- child's Trust"). I'l'EM VI: My 'rrustee shall have, hold, manage, invest and reinvest the assets of eaoh Child's Trust, collect the income and (a) Until the beneficiary of the Child's Trust (the "Child") shall have attained the age of twenty-one Page 6 of 18 pages -- yaars, my Trustee shall from time to time pay to or for the benefit of the Child such amounts of the net income and principal of the Child's Trust as, in the sole discretion of my Trustee, shall be necessary for the Child's maintenance, support, medical and nursing care and education, including college and graduate education, taking into consideration any other means readily available for such purposes. At the end of each year any unexpended income shall be added to the principal of the Child's Trust. (b) After the Child shall have attained the age of twenty-one years, my Trustee shall thereafter pay to the Child the net income derived from the Child's Trust in installments not less frequently than quarterly and such amounts of the principal as, in the sole discretion of my Trustee, shall be necessary for the Child's maintenance, support, medical and nursing care and education, including college and graduate education, taking into consideration any other means readily available for such purposes. (c) If at the time of the creation of the Child's Trust the Child shall have then attained the age of Page 7 of 18 page. ~ forty-five years or if the Child shall thereafter attain that age, upon receipt by my Trustee of a written request from the Child, my Trustee Shall distribute outright to the Child the fractional portion of the then remaining principal and any undistributed income of the Child's Trust. (d) If a Child shall die before final distribution of the assets of the Child's Trust is made, the then remaining principal and any undistributed income of the Child's Trust shall be distributed to the Child's iasue then living, per stirpes; provided, however, that if any such issue shall not then have attained the age of twenty-one years, each such issue's ahare shall be retained by my Trustee as a separate trust estate, IN TRUST NEVERTHELESS, each to be held, administered and disposed of in accordance with the provisions of ITEM VII for the benefit of each such issue (the "Grandchild's Trust"); or if the Child has no issue then liVing, to my issue then living, per stirpes; provided, however, that if any such beneficiary is then a beneficiary of a Child's Trust or Grandchild's Trust hereunder, the share of such beneficiary shall be added Page 8 of 18 pages - - to tho prinoipal of such child'. Trust or Grandohild's Trust as if an integral part thereof, to be held, adminidtered and disposed of in aooordance with the terms thereof. 1TEM VII: My Trustee shall have, hold, manage, invest and reinvest the assets of eaoh GrandChild's Trust, colleot the inoome and (a) Until the benefioiary of the GrandChild's Trust (the "Grandchild") shall have attained the age of twenty-one years/ my Trustee shall from time to time pay to or for the benefit of the Grandchild such amounts of the net income and pr.incipa1 of the Grandchild's Trust as, in the sole discretion of my Trustee, shall be necessary for t.he Grandchild's maintenance, support, medioal and nursing care and education, inoluding college and graduate education, taking into consideration any other means readily available for such purpoles. At the end of each year any unexpended income shall be added to the pr.incipal of the Grandchild's Trust. (b) After the Grandohild shall have attained the age of twenty-one years, my Trustee shall distribute Page 9 of 10 pag.. ~-- the remaining principal and any undistributed income of the Grandchild's Trust outright to the Grandchild; or, if the Grandchild shall have died before attaining that age, my Trustee shall distribute the then remaining principal and any undistributed income to the issue then living of the parent of the Grandchild who was a child of mine, per stirpes; or, if such parent shall have no issue then living, to my issue then living, per stirpes. ITEM VI~: It is my intention to conform to the provisions for the allowance of the marital deduction for federal estate tax purposes. I therefore direct that any provi- sions of this Will notwithstanding, the powers granted herein to my Executor and Trustee shall be construed in accordance with said intention and shall not be inter.preted or exercised so as to disqualify any portion of the QTIP Trust elected by my Executor to qualify for the federal estate tax marital deduction. ITEM IX: No interest in income or principal of my esta~e or any trust created hereunder shall be subject to attachment, levy or seizure by any creditor, spouse, assignee or trustee or receiver in bankruptcy of any beneficiary of my estate or of any trust created hereunder prior to the beneficiary's actual receipt thereof. My Executor or Trustee Page 10 of 18 pages shall pay over the nNt inoome and the prinoipal to the benetioiari.. herein de.iQn~ted, ~B their interests may appear, without regard to any attempted anticipation (except as may be speoiticallY provided hereinl, pledging or assignment by any benefioiary ot my e.tate or ot any trust created hereunder and without regard to any claim thereto or attempted levy, attachment, seizure or other process against said beneficiary. ITEM Kl Any person other than My Wife, who shall have died at the same time as I or under such circurn- .tance. that it ia difficult or impossible to determine who shall have died firet, .hall be deemed to have predeceased me. If My Wife and I .hall have died at the same time or under such circum- .tanoe. that it i. difficult or impossible to determine who shall have died firat, My Wife shall be deemed to have survived me. Any pereon other than me who shall have died at the same time as any then benefioiary of inoome of my estate or a t~1st created hereundsr or under auoh circumstances that it is difficult or impollibl, to determine who shall have died first, shall be deemed to have predeoea.ed such beneficiary. ITEM XII In the settlement of my estate and during the oontinuance of any trust created hereunder, my Executor and my Trust.. .hall possess, among others, the following Page 11 of 18 page. to - powers to be exercised for the best interests of the beneficiaries; subject, however, insofar as any portion of the QTIP Trust qualified for the federal estate tax marital deduction is concerned, to the restrictions set forth below: (a) To retain any investments I may have at my death so long as my Executor or Trustee may deem it advisable to my estate or. trust so to do. (b) To vary investments, when deemed desirable by my Executor or Trustee, and to invest in such bonds, stooks, notes, real estate mortgages or other securities or in such other real or personal property as my Executor or Trustee shall deem wise, without being restricted to so called "legal investments." (c) In order to effect a division of the principal of my estate or trust or for any other purpose, including any final distribution of my estate or trust, my Executor or Trustee is authorized to make said divisions or distributions of the. personalty and realty partly or wholly in kind. If such division or distribution is made in kind, said assets shall be divided or distributed at their respective values on the date or dates of their division or distribution. In making any division or distribution in kind, my Executor or Trustee shall divide or distribute said assets in a manner which will fairly allocate any unrealized appreciation among the beneficiaries. (d) To sell either at pUblic or private sale and upon such terms and conditions as my Executor or Trustee may deem advantageous to my estate or trust, any or all real or personal estate or interest therein owned by my estate or trust severally or in conjunction with other persons or acquired after my death by my Executor or Trustee, and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purChasers, conveying a fee simple title, free and clear of all trust and without obligation or liability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the Page 12 of 18 pages -- validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable in carrying out any of the powers conferred upon my Executor or Trustee i.n this paragraph or elsewhere in this Will. (e) To mortgage real estate; provided, however, that this provision shall not apply to real estate which is an asset of any portion of the QTIP Trust qualified for the federal estate tax marital deduction; and to make leases of real estate for any term. (f) To borrow money from any party, including my Executor or Trustee, to pay indebtedness of mine or of my estate or trust, expenses of administration, Death Taxes or other taxes; provided, however, that this provision shall not authorize borrowing from any portion of the QTIP Trust ~Jalified for the federal estate tax marital deduction. (g) From the same source as from which Death Taxes are to ue paid in accordance with ITEM I, to pay all costs, Death Taxes or other taxes, expenses and charges in connection with the administration of my estate or trust, and my Executor shall pay the expenses of my last illness and funeral expenses; provided, however, that no such costs, Death Taxes, expenses or charges in connection with the administration of my estate shall be paid from the assets of any portion of the QTIP Trust qualified for the federal estate tax marital deduction. (h) To vote any shares of stock which ferm a part of my estate or trust and to otherwise exercise all the powers incident to the ownership of such stock and to actively manage and operate any unincorporated business, including any joint ventux'es and partnerships, and to incorporate any such unincorporated business, with all the rights and powers of any owner thereof. (i) In the discretion of my Executor or Trustee, to unite with other owners of similar property in carrying out any plans for the reorganization of any corporation or company whose securities form a part of my estate or trust. Page 13 of ],8 page. ...... ~eoision made in good faith to use a partioular valua- tion datel nor, as a result of such deoision, shall any oompensating adjustment be ma~e in the amount of any gift \.m~er thi.s Will to my spouse intende~ to qualify for the marital deduction for federal estate tax purposes. (d) My Executor is authorized to elect under Section 2652(a) (3) of the Internal Revenue Code of 1986, as amended, (the "Code") to treat me as the transferor of any qualified terminable interest property with respect to which my estate was allowed a deduction under Section 2056(b) (7) of the Co~e and to allocate any of my exemption from federal generation skipping transfer tax un~er Section 2631 of the Co~e to any property as to which I am the ~eemed transferor under Section 2652(a) of the Co~e, regardless of whether or not the property with respect to which such election or allocation is ma~e is part of my probate estate. Any such election or allocation shall be ma~e in the sole ~iscretion of my Executor and shall be bindi.ng upon all persons, including the then trustee of any inter vivos trust created by me, and such Executor shall not be personally liable for exercising any such discretion in good faith. My Executor or Trustee is authorized to divide any trust created hereun~er or by inter vivos trust created by me j,nto two or more separate trusts if such separation, in the sole discretion of my Executor or Trustee, is a~vantageous to my estate and the beneficiaries of my estate or a trust created hereunder or by inter vivos trust for the purposes of application of the federal generation skipping transfer taxI provided, however, that such separated trusts shall be held, administered and disposed of in accordance with tenns hereunder or of the governing instrument as identical trusts in all other respects. ITEM XIII: If at any time any minor shall be entitled to receive any assets free of trust by reason of my death, whether payable hereunder, by operation of law or Page 15 of 18 pages otherwise, I appoint the Trustee hereunder as Guardian of such assets authorized by law payable to such minor. The Guardian may reoeive, administer and shall have full authority to use such assets, both principal and income, in any manner the Guardian shall deem advisable for the best interests of the minor, inoluding college, university, graduate or other education, without securing a court order. The Guardian shall have all the rights and privileges in its capacity as Guardian a13 are herein granted to my Executor and Trustee as to my estate and any trusts created hereunder. ITEM XIV: I hereby appoint my son, DANIEL M. JONES, as Executor of this Will. If for any reason he should fail or cease to act, I appoint FARMERS TRUST COMPANY, of CarliSle, Pennsylvania, as Executor. All references in this will to my "Executor" shall refer to my Executor or to my successor Executor, as the case may be. ~: I hereby appoint my son, DANIEL M. JONES, and FARMERS TRUST COMPANY, of Carlisle, Pennsylvania, as CO-Trustees of any trust cre~ted hereunder. If for any reason either of them should fail or cease to act, the other or others shall act or continue to act with all of the powers granted to the two of them. So long as my son is CO-Trustee, he shall not Page 16 of 18 pages III i ''In'l',~ I n '1;'1 CO\IMONWt:t\l.1110f f'f NNc;VI. 'IM..jI^ IN!!! fll r Mj(;f: fflX PL rUlIN flr ~llL1E N 1 O[ (:1 Of N 1 SCHEDULE C 1 CLOSELY HELD CORPORATE STOCK INFORMATI N REPORT Ploaso T 0 or Pllnl ESTATE OF Richard ,), ,Tone" " FILE NUMBER 1\~~~~~3~~~:~I~~~~;~~~~;~~i:rc:~~~~If,~~~~;~~~I~:,~,~~~~I~~:'~~:~~:h~::o~e;~':':~;I~Ck=='~=:':'.~':'....= I B Complete copiCS of financIal statementt 01' complete copies of the Foderal Tax Returns (Federal Form 1120) for the year 01 death and 4 I preceding years C, Statement of dIVidends paid each year, Llstlhoso doclared and unpaid o List names 0/ oHicors, salaries, bonuses and any other bone fits received from Corporation E. II tho Company owned roal eslate, submit a lisl showing tho complote address/os and otllmated Fair Market Value/s If Roal Estate Appraisals have been secured, please attach copies F List pnnclpal stockholders al date 01 death, number of shares held, and relationship to decedenl. _9.:.A'lY...Q!h~.~.!.Qrmatlon r,elative to the yal~E!!9lLof the _C!9..c.sdont's. inter~L.~~.__~_~_____~ ______.__~"___._._____.._.__.. ;~:1..96. 0817 1. Name 01 Corporation _$j) V~:t;_._f2pr i~.h~~ t~.~~_1.._J.rlQ.'_~_~__ Stale 0/ Inc, PA d_____"... Street Address 214 North Ba1timoF~.Avel).H~______ Daleoflnc 01/06/1949 .____._.~... Cily Mt, HollySprinqs Slate PA Zip Code 17065 TOIaI Number of Shareholders ...1__._____. 2. Federal LD. Number 23-1623180 BuSiness Reporting Vear 01/01/1996 !0--.!-_lli!.L1.9_9.~., (Same As Federal Form 1120) 3. Type of Business Entertainment Product Outdoor Theater 4. STOCK TYPE TOTAL' SHARES PAR VALUE T . ""." _rn ] OUT,?TANDING =t= BY,jlECEDENT ___ Common ~O,OO 0,00 1,255,00 ,___ Preferred 0,00 0.00 __Q.."QL..___ ProvIde all rights and restrictions pertaining to each clan of stock. 5. Was decedent employed by the Corporation? W Yes 0 No If yes, Position Theater manage.r Annual Salary $ (part'-time) 6. Was the Corporation indebted to the decedent? D Ves [i] No II yes, provide amount of Indebtedness $ 3 ,000. OOlime Devoled to business 10 hrs per wk.'--,_ (Seasonal) 1. Was lhere life Insurance payable to the corporation upon death of decedent? Dves [!] No II yes, Cash Surrender Value: $ Net Proceeds Payable: $ Owner of Policy 8. Old the decedent sell or transfer slock of lhls compan~l"ln on~ar prior to death If the dale of death was on or after 12/13/82 or within two yoars lIthe date of deatl1 was prlorto 12/13/82? ~ Ves U No Ilyos WTransfer o Sale lofShares___~...!..CWansfereeorPurchaser Daniel M, Jones Consideration $ ____.2..:. 0 Dale 12 / 31 / 19 9 5 Attach 11 separate sheellor additional transfers and/or sales. 9. Old the corporalion have an Interest In other corporatlons or pannershlps? D Ves [i! No If yes, report the necessary information on a separa\e sheet, including Schedule "e. 1" or "C.;!" for each Interest. 10, Was there a wrlUen shareholders' agreement In effeC1al the lime of the decedent's death? OVes Ii] No If yes, provide a CCtpy 01 the agreement 11. Was Ihe decedent's stock soldl 0 Ves [i] No If yes, provide a copy of the agreemenl of sale, ele 12. Was the corporallon dissolved or tlquidaled after the decedent's death? 0 Ves Q No If yes. provide a breakdown 01 liquidation distributions, etc, Attach a soparate sheet. COPYright (e) \994 'o~m I('dl~.r& onlv CPRy.lllml. loc form 1500 Sctled\JIIl C-1 (nfl~ .1f1?l FOln' 1120S U.S. IlIcome Tax Return for an S COlporatlon "I ~__~~~!~~__! ".~_r~.-:~~. , I 1992 ..I (J~pl'tm',iI nll/Ht TI~.uVII' 1'111'''/11 R.~.nu. :.',II''''~' ""' ,:,lll1'ldM ,~~I \'.'11 'J! I~. ylM 1)~'J'n""\~ , , 'I Il. ~II,! nll'l'''iJ , C Employer IdenUllcallon no, 23-1623180 --- o Dalo II1corpl)ralOd 01/06/49 E Tol.1 ."01. (.eo SpoClllc InSlrllGtlonS) 78,335 Amonded ralum (4) ChICk thl' b(l~lf thl, 5 corpOfltlon It .UbJICllo lh, 00'1'0110"'0 IU(!11 ploe,ourU of 1tcliorIJ 1124' ItHough 1I24!1lulln'!fIlCllon. blrOr. chlcklng lht~ bo_) Enler number 01 shareholders In the corporation 81 end oll1m lax year, ~o .. 4 CIUllon: Include ontv tTade or business Income and Ol<DOnSOS on lin09 18 throuah 21. 1. atoU'le'IPttorlAl..1 29 I .30Q b l...ulIluln.lndluowlnc.-;-r 2 COS! 01 goods eold (Schedule A, line B), 3 Gross profit. Subtract line 21rom line 10 4 Nel gain (1088) Irom Form 4797, Par1 II, line 20 (allsch Form 4797) 5 Olt,,,, Income (loss) (sooln9lructlons) (anach schodule) 8 Total Income (loss), Combine line. J Ihrounh 5 7 Compen8lUon 01 offIcers, , . .. 5a1arles and wag.sl 9 Repairs, 10 Bad debls 11 Renls, , 12 Taxe.. , , , , , , 13 Inler98l, , , , 141 Depreciation ('00 InalT\JcUon.) , . , , . , .. , . . b Depreclallon claimed on Schedulo A and oIsewhere on relurn. c 5ub~aclllne 14b from IInel4a. """ " 15 Depletion (00 nol deducl 011 and gu dtpl.Uon,) , 1. AdvenJslng, . . , , , , , , . . , , 17 Pension, pront-sharing, olc" plan. . 18 Efll'loyoo benefit programs, , , , , 19 Olher deductlona (Boolnslructlons) (alloch schedule), 20 Total _cUon., Add IIn.. 7 Ihrough 19 . , , , . , 21 Ordlnarv Income Ooaollrom Irado or busln..s acllvlll... 5ubtraclllno 20 Irom line 6 22 Tax: I Ex..... nel puslve Income lax (anach ochedule) . , , , . b Tax Irom Schedule D (Form 11205) , , , '. " '" c Add lines 22. end 22b (900 Instrucllons lor .ddltlonallax..) 23 Plymonta: I 1992 ..tlmalod lax plymenl8, ."" " 230 b Tax depoolle<l wllh Form 7004, ."., 23b c Credit lor Fedelallax paid on fuel. (anach Form 413B) , ,230 , d Add II_ 231 Itvough 23c , , , , , , , , ,. " 23d 24 EOUIT141od lax penalty (see Inslructlons), Checl< II Fonn 2220 Is ."ached , , . ~ 0 24 21 'ru du... Ilth,'otalaf Mn.. 220' 2ClIl&flltf thin ~n. 2Jd, anta, Imount owed, S..lnlt, lor d'POlltary method of Plym.nt .. 25 211 Ov<llplymlnl - II line 23<1 Is larger Ihln Ihe 10lal 01 IIn.. 22c Ind 24, enl'" amounl oVllfllald . ~ 28 27 Enl'" amounl 01 line 2e you want: Crodlled 10 1993 ..Umlled \.ax ~ Refunded ~ 27 Und.r p.n.ltftt 01 ~"IU'y, I daolar,'hlll hili. 'XI~nfn.f.I till. "furn, Includlnglccompanylllg .ch.dul.. .nd 'l.l.m.n~}o ~b"l of my .I'\OWI'Ull'ij' .1111(1 Pi.... b,hl, Illltru" eon,c,t, Il'\d co"'plet.. O,clltatJon 01 ptlpltl' (oth.r lhln tuply.r)I' bU.lt on IlIlnlO''''lllon 01 W~I~I'I""..;I: 11'\1 b"~ . Sign I I~' Here ~ J ~ r Skinllure 01 01flc8r ol'e r Title ~%f.a ~ /je: ", (,.I ,(' I-!!~, ,114,/,11, ~T~ I{ //.1 ~=v~r'. r"m''"'~' ~ ~9Y.~..&., ~~ .t:~~r;,f.. ~f~~.... __... _.. _..... __ __. :~1~i~H~:'dl' 2~f," .~?~L?_3_g~.... 0"...0".. ........ - -....". .0" Soo tho lnslrucllons lor moro inlormation. I c Sel ~ 10 2 3 4 5 ~ 6 7 Bo .. 9 10 11 12 13 91, , .,,,: 14c 15 16 17 16 19 . ~ 20 21 . , ... See Sf! a'a'e Instruction!, A Dale 01 (llocliOn 88 an S Corporallon U.. IRS lab.l, Oth.r.. wi.., pleu. print or typo, SILVER SPRINGS THEATRE CORP .J2].D 7 7 2 8 Business code no. (900 Spoclflc InstrucUona) 214 N BALTIMORE STREET MT HOLLY SPRINGS, PA 17065-1203 7830 F Chock applic.bla box"": (I) G H IIl!\jaJ relurn (2) FInal rolurn (3) Chango In addross I n c 0 m . . . . I , 0 . 0 , d , u ., c I I I . 0 , n 0 I I m I , . I I . , . ~ b Loss lob. cledll c Bal .. "I ;401 . , ,114b I T . x .12201 ,I 22b I . P I V m . n I I 29~ 303 28,997 28 997 694 7,954 2.966 91 433 7 ,541 19.679 9.318 " 22c , Plld ~~ u I Preparer's social socunty no. nl 209-12-6630 .-.-----. prep.r.r'. UHOnIy EI. No. ~ 23-1311005 ZIP Co do ~ 17001-8300 0113 FOt PlpltWIHk R.ductlon Act Notle., J.U Inlt,. CIlPynght (e11U210rm lollw". only e.nl.r PI.e. SollwI".lnc.. Fori'll 11205 llg92l SILVER NGS THEATReS INC WI 23 11.80 Cost or Goods Sold (SOEl in~tnlcllon~.) Irwanlory 81 boginnlng or YOnt Purchases, COst 01 labor. Additional section 26JA cosls (s&O Instructions) (aUach schodulo) Other cosls (attach schedulo) , Tol.Il, Add lines 1 Ihrough 5, , , Inventory al end 01 yoar ' COlt of goods .old. Subtract line 7 Irom line 6, Enlor hero and Or) page 1, IIno 2- Check all methods usod lor vnlulng closing Inventory: (I) ~ Cost (II) Lower of cost or mar1<slss doscrlbed In Rogulallons SOCllon 1.471-4 (Ill) Wrltodown of "subnormal" goods as described In RegulalJons sectlon 1.471-2(0) (Iv) Olho< (spoclfy roolhod usod and Inach e'planllion) ~ b Chock If tho LIFO Invontory roolhod was Idoplod IhlslOJ( yo" lor s~y 9~~d; ili ch';;;ko'd~ 'Iilach 'F~;r;'; gio')" : '.' ............ . ... ... ~ D" e Illhe LIFO Invontory 1l18lhod was usod lor Ihlslax yosr, onlor porconlsgo (or amounls) 01 closing Invonlory conlluted und.. LIFO, , , , , , , , , , , , , , , , , , , , d Do Ihe rul.. 01 BOCtion 2&:lA (lor property produced or acquired lor r..aIe) apply 10 Ihe corporation7 , . Wu there any chlnge In dolermnlng quantlUes, cost, or valuations between opening and clOSing invenlor)l? . If "Yes," anech ellplanatlon, I Sohedule' 811- Other Information P;,ge 2. \ 2 3 4 S & 7 8 303 303 303 '~o .. Yes ~NO- . ' Yes D No Yes No 1 Chock roolhod ollCCOunllng: (I) CRJ Cash (b) 0 Accrual (e) D Olhe, (.poclly) ~ . _... ..... _....... _ _. _., _ 2 Refer 10 Ihe Ust In the In~trucUons and slate (he corporation's prlnclpaJ; (I) Business acW11y ~ .~l:I:I:l?R'!'A!~f:lF1l:1:I:......... (b) Produol or aotvlce ~ ~l!:I:1?~9R. :r:1:I.~~:r:I3.~........ 3 Old the corporallon III the end 01 the tax lJear own, dlroclly or IndlrecUy, ~% or more of the vollng stock 01. dOfllQsUc corporaUon? X (For ruleo 01 IltI1bution, NO aection 287(0),) II 'Ye.: Inach I schedule showing: (I) name, addrasa, and employer IdenUllcltion number Ind (b) p..conllge owned. , , 4 W.. the o.orporltion I member oil conuolled group .ublocllO Ihe provl.lens olsocUon 15617 , X 5 At any time during catendar year 1992, did the corporation have an Interest In or I signature or olher aUlhorlty OVOf a financial account In I foreign country (such as a bank account, securltles lecount, or Olh8f' fInancial Iccount)? (See lnstrucllons lor e,ceptionoand nllng requlremenl8 lor lorm TO F 90-22.1.). . , X II 'Y..', ent..lhe name ollhe lorolgn counlry ~ ... _ . . .. . . " _ .. .. . . .... .. . _ . . " . .. . . . __ . .. . . . " . .. . _ .. . . .. .. . .. __ . . 8 Was the corporation lhe grlntor 01, or tranaferor 10, a for8ign trust that existed during the cuneol la>c year, whelher or not (ho corporltion has Iny beneflcjal Inl""lln"7 II "V..: Ihe corporlllon mlY hive 10 me Fonns 3520, 3520-A, or 926 X 7 ChocIc Ihls box" lhe corporltion has med or I. required 10 file Form '2114, Appllcallon lor Reglsuallon 01 a TOJ( . ~=;hl~ ;,.;,'" t~ ~~o~l~n"~e~ ~I;~~O~~~ 'd~b; I~~~';"nI' wilh orIglnol I..uo discount. .: 8 If 90, the corporlllon mlY hive 10 IIIe Form '2'1, Inlormltion Rerum lor Publicly Oll..ed Original I..ue Dlscounllnslrumenls I Illhe corporltlon: (I) mlld Ita election to be In S corporltion 1110< 190&, (b) was I C corporlllon beloreII elocled 10 be In S corporltion or the corporltion acquired In ...., with I basis determined by rel..ence 10 Ila blsla (or Iho basi. ollny other property) In lhe hlnde oil C co'porlllon, Ind (e) has nel unrealized bul"-In gain (delined In aecllon 1374(d)(1)) In e,ceaa 01 the nel recognized buiHn gain Irom prior year., anter Ihe nel unrealized built-In geln ,educed by nel recognized buUHn geln Irom prior yoar. (see InsUucllons). , , , , , , , ,~ _...... _........ _.. _..... 10 ChocIc IhilI box" the corporltion hid subchaplo< C earnings Ind prollts lllhe close ollhe IOJ( year (.eelnslrucllons), ,. ~ [R] 11 W..lhl. corporltion In operltion "' the end 0119927 X 12 How mony monlha In 1992 waslhl. corporlllon In opo<allen7 12 C"'gnatlon of Tax Matle,. Peraon (See Instrucllons,) En'o< below the shl/ehold'" deoJgnllad as Ihe lax man,,", per..n (iMP) lor lhe Ill( year 01 thll re\Urn: Name 01 II. Idenllfylng II. ~naledTMP , HELEN M JONES number 01 TMP , 204-26-9981 Addr...ol II. 214 BALTIMORE AVENUE ~lledTMP , MT HOLLY SPRINGS, PA 17065 F 0' P,p.,work Mlduchol'l Atl Nolin, ... HIll', ClIPI'1!ghl Ie) 1"2 fnrm loft......" Dilly C,ntl! F'IIIU ~af\W.f'. Inc. ro,m 11205 PUll SILVU, NGS TIiI::A'!'I{E~j !tIC IIJ# .~ l Form 1 \205 ~_ SCh8duIQ~~reholders' Shares or Income, Credits, Deductions, elc, liBO P:l'jo3 ---'-~'.'._~-,--- -----. - ---_._---~ ~- _._ . ..____.__.__m.__.____. ___._------1~~.::~.::~<1IO 110~~___..__~~_ (b) TI)lal c1r1'oOllnl -_.._~---- 1 OrdlnalY income (loss) hom trodo or bUSIIlOS9 actlvltlos (page 1, IIno 21) -'-. .9..LJ_~.f!. 2 Nollncome (loSs) Irorn rDnlal roal oslate ac\JvlllOS (allactl Fornl 8825) 2 J.Cl.J 0 0 0 3.11 Gross Income from other ronlaJ aclJVltlos, , ~ I b Expenseslrom othOI rental aclivllies (anech SChodule). .31> n c c Nellncome (loss) Irom othor rontal Bellvillo9, Suhlraclline Jb from II no 3a 30 0 m 4 Ponlollo income (loss): 0 . lnlorosllncome , 40 JL~~ L b DIvIdend Income 4b 0 o ROYltty income , 40 . . d Nol.hon-I.,m Copllol goln (Ioos) (OI1.ch Sch.dul. D (Fo,m \1205)) 4d , . o N.,long-,.rm copllol g.ln (loss) (.I1.ch Sch.dul. 0 (Form 11205)). 40 I OlhOl portfolio Income (Ios.) (1l1lch sch.dule) 41 5 N., glln (loss) undOl oooUon 1231 (olh.r '''.n duo 10 c.,uolly or Ih.h) (1110Ch Form 4797) . 5 I OlhOl Income (1099) (.n.ch .ch.dulo). , 8 1 Ch..11.ble conl1lbuUon. (....In.trucUons) (.l1ech sch.dul.). . . , 1 0 I SocUon 119 .xpen.. d.ducUon (.l1ech Fo,m 4562), , 8 8,000 0 d . O.ducUon. r.lat.d 10 portfolio Income (loss) ('00 Insl,ucllon,) (lI.m,.). 9 . 10 Olher d.ducllons (.naeh ,ch.dul.1 , \0 II 11. lnt8f'Mt elCpense on investment dabts . 111 nn b (1) Inv..tmonllncome Includ.d on IIn.. 4.,h,ough 4f lbov.. ~ill ~.2 v I (2)lnv..tmenla,p.n."'nclud.d on line 9 abovo llb(2 121 Cr.dll for alcohol u...d IS . luel (.lIlch Form 6418), . 12. b Low~jncome housing Cl'Qdll (nee Instructions): (1) F,om partn.r.hlpllo which oectlon 42U)(5) oppll,,'or prop.rty plac.d In servlca bolor. 1990, Il1l(1 C (a) Olher Ihln on line 12b(l) lor p,opony pl.c.d In sorvlce bolor. 1990, J.2!?0 r "',' . 1---- r (3) F,om partner. hip. 10 which oecUon 42U)(5) oppll.. 10' p,op.rty plllC8d In llOIVlc. .hOl 1969, 12b(3 (4) Olher Ihln on line 12b(3) lor propony pl.c.d In llOIVlc. ah.r 1969, " , , , Il1ll4 I o Quollflod 'oh.bllllatlon .xpendlill,.. ,elol.d 10 ,.nIN r.oI "III. ooUvlUes (al\och Form 3458) , 120 d C,.dllll (oll18llhan cr.dll. .hown on II""" '2b and 12c) relal.d 10 r.nlol '.01 ..191. .cUvIU.. ' ,,', (.... In.trucUon.) , , ",. , , , ,." . " , '" , 12d o C,.dlt. ,eI.,.d 10 olher ,.nlll acllvlU.. (.... InsUucUons) 120 13 Oth9f credit! (see Instnlctlons) . , 13 y~ 1411 Oop,ocIoUon adlustmenl on p,oporty pl.c.d In servlc. .lIor 1988. 14. -J6 b Adlulled goln or 100. ... , , , , , , , 14b " o OopleUon (Olher thon 011 .nd g..). , " , , , , , 140 T I d (t) GrOIS Incamo from oU, SU, or (I00lhormol p,oportl.. . , , 14d11 00 (2) D.ducUons lllocoble 10 011, gu, or goolhermol p,oportlaa, , 14d{2 .m 0011181 .dlustmonlO and lax pr.f...nce Itomo (.n.ch sch.dule) , . 140 15. Typ. 01 Income ~ ............................................................................ !i]'!!!II:!'I!' ~T b Nomo of lo,elgn oounlty or V.S, po_lIIon ~ ..................................................... r I o TollI gro..lncoll>l1 lrom lOurc.. outside lhe Unll.d 51.1.. (al\ooh schadul.) , , , 150 o. d TOIII oppltclble deducUona .nd 10_ (.l1ach schedul.) . 15d I 0 . . , . X. o Tolllloroign lax.. (cheel< one): ~ 0 Paid D Accru.d, " , leo .'-- , Reduction In tax.. .1I"oblo lor credit (.nach schedule) ". , , , 151 a Olher fo,oIon lax Informollon (.l1ach schedul.) . lSa I" Tolal oxp.ndltur.. lO wl1lch 0 oecllon 69(.) oIocUon mov oppl'f ' , , 18. b Typ. 01 oxpondl1u,.. ~ .........................................".................................. !!,,:, ,11.: !. 11 TIII-.xOl'fllt Inl..09t Income, 11 11 Olher 11II-.xOl'fllt Income, , , , .., , " , ,.",." , ",..,., , 18 11 NondeducUbIe oxp.nsoo , , ., , " , ,'.'" , "".", , 11 X ao TOlal property dlatrtbullono (Incllldlng c..h) other Ihln dMdencla '&poned on Une 22 below. .~ . 21 Other ~omo .nd amounto ,.quUed 10 bo r.pon.d .&pOl.tely to .h....hold... (.... In.truoUon.) r (1l\och schedule) :12 Tolal dividend dlstribullona paid f,om occumulal.d oOlnlngs ond proffls, , , , , 22 :l3 lnoon,o (10") (R.qul,ed onl'f II Schedule M-l musl be co"..,lel.d,), Combine II_ 1 Ihrough 8 In column (b), F,om tho r..u", subUocllh. .um of lin.. 1lh,ough "., Hlo, .nd 18. , 23 14,681 For P.~"wllrtl R,ductlon Act nolitt, 1I'llnlll. Copyright (e)1RU 101m lollw." only Ctnll' P.lce Sollw,", Int, Form 1120S (liHI ~F~~;,~~~gs~-lJ Shareht. ... '5 Shar; ~~ ~~~:~~~~I~~;O~:ts, Dt.:,,~~t10I1S, etc. I')'M\""'~~:I:~:)\]I)__ ()~lllflnl'''! 'JI Ill" 1'~'lu'Y For calend.u year 1992 or tax year I 1992 Inl",,_1 fh...n""~= begInning , 1997., olnd endln , 19 I Shareholdor'. Id.nUlylng numb.r ~_l2.1- 3.2.- 5 2 iL.___ Co Or!1I0n:S~.nUlylng numb., ~~ 162 3 1~.__, ~hftrohDldor'9 n&mO, addross, lInd ZIP r;ode Corporllllo,1's rlarTlO, IIddro~3. und ZIP codo PENELOPE DEMELLO E SOUSA SILVER SPRINGS THEATRE CORP RUA PERI 126 JARDIM BOTANICO RIO DE JANERIRO, BRAZIL 22460 214 N BALTIMORE STREET MT HOLLY SPRINGS, PA 17065-1203 A Shl1;~d&f'8 p8rcenlage of stock ownership lor llJ( year (see In91llJcUon9 lor Schodule K-l). ,.. 4 . 811"io B IniOln81 Rovonuo Servlco Conlo' whoro co,porallon lIIed 119 relurn ~ .~f:l.I.~!\I?_E;~RJ:l.I.~.... .~~..........,........... ......,..'......,..'.... C (1) TBX .hollorrogi.traUon numbor ('00 In,'rueUons lor Schodulo K'l) . ~ .... . . .. .. . .. .. .. .. .. . .. . . . . . . .. (2) TVpo 01 IBX shellOl ~ 0 Chock .oollc.bl. bo'e.: . iii' n 'Fi~~I'K--"" ... i:il Tl' A;';';~,j~d' i<:; . ....... ............ .. ... . . .......... ....'....." (a) Pro rala share IIams (bl Ar<1Ounl (e) Form 1040 Wers ontor 1110 IIfnounl ~ column (b) on: 1 OrdInary Income (loss) from trade or business actlvltios . 1 449 ~~oe Shareholder's 2 Nellncome (loss) from rontal roal 091810 aclivlUos 2 481 Inslruellons lor SChodulo 3 Net Income (loss) from olher rontal aellvlllos, 3 K-l (Form 1 \205), . Portfolio Income (1089): I',.;, a InIOl..I , " , . , 4a 162 Sch. B, Part I. line 1 Income b Olvldond.. , 4b Sch. 0, Part II, line 5 (Lo..) 0 ROVllU.. , , " , , , 40 Seh, E, Part I, IIn. 4 d N., .hort-IOIm capll81 g8ln (loss) 4d Sch. 0, IIn. 5, col. (~ 0' (g) . N.,long-term capll81 g.ln (1089). ,. , " , 4. SCh, 0, Iino 13, col. (~or (g) f Olher portfolio Income (1089) (In.eh sch.dul.) 41 lEnt.ron.ppl.lln.olyourr.turn,j 5 N., gain (1089) undOl secllon 1231 (olhOllhan duo 10 cI.u8lly !i11!":!;1 Su 5h.f.hold./,s In~t/ucllons or \110M) , , . , , , .." . .,.,. , . . 5 '0/ Sch.dul. "" \ (Fill"' 11205), . Olher Income 110891 (IMach schodulol. , , , " , . IEnlllon.ppl,hn'o'youfrllurn.1 7 Chartl.ble conlribuUon. (seo InstructJon.) (IMlch schodule). 7 S6h,A, IIno 13 or 14 Deduc- . SocUon 179 .'ponso doducUon, , '" . ..,..., , . 385 Uona . O.ducUon. relalod 10 portfolio Income (10..) (Inach schedule) . ~all' Sh."hold.r'S II\Ilructlon. 10 Olher dOductlon. (aMlch schedulel , . . , 10 10/scherlull K-' (Form 1 \20$). Inv..'- 11a Inler..'o'ponl8 on Inv..lmonl dobts. , . lIa Form 4952, Iln. 1 ment b (I) In...lmonl Income Includod on lines ..Ihrough 4Iabo.., bll 162 Sill Sh.reholdlr'1In.1rucllon. In'ar..' 121 In...lmonl o,o.n... Includod on IIn. 9 lbov. . bl2 lor S"hldull K..l {Folm 11205), 1211 C,.dI1lol' Ilcohol usod .. luel, , " , , , ~ I='orm 6476. line 10 b Low-Income housing crod~: (1~ From IIc110n 420)(5) plttnlf.llip. lor pfOPlfty plaCid In UNlce before "110 , bll (:.1~ Ollllf Ihln on Wi'll 12b(I)forpfopltty plaCid In UNite b.folll110, , . . b(2 Form 8588, IIno 5 (3) Prom IIctlon 42ij)(5) p.rln.,.hlp, fo' p,op.rly p!lced In ..Nlceafllt 1'''. b(3 -- Craclta (4) Olliff than on Nnl 12b(31'0' properly pl.lced In "Nice,ller lR... . bl4 a Quallllod rehlbllllaUon o"".ndltur.. relalod 10 'onl81 ro.' ..,II. :-iilt' 11,,11111111 ICtJvIUeo (180 InotrucUon.). . , , . " . ~ d Cr.dIts (olher Ihan crodlts shown on IIn.. 12b and 12c) ,olll.d 10 S..Sh.llholder'.JnllluctIO!\l ronlal real oalal. acUvIUoa (800 InstructJonsl, '. , 12d Cr.dlts ,lIlalod 10 olh.. r.nl81 scIMtJeo (.... In.trucUon.) 12. 10f Schldull K-I (Form \1105). . " , 13 Olher cr.dlts (.... InstrucUon.l , 13 AdjuII- 140 OeproclltJon Idju.lmonl on property placod In 8OIV1ce IMOI1986 . 14a -2 Soo Shll.hold.,'. monta b Adlu8lod gain or 10.. , , . '. . ." , " , ~4b InslrucUons lor and Tu a DepIoUon (olher 'hln oU Ind g..) , ,. , "...,. . " , 140 Sch.dul. 1<-1 (Form Pral.,- d (I) Gro.. Income hom o~, gu, or geolhermal proportJoa , , . d(1 ..... (2) OeductJono 81locable 10 oU, goo, or goolherrnIJ proportift , d(2 11205) .nd In.trucUons la, Form 8251 lIaml . Olher Idluslmonls and IBX pr.I....net ~oms rlnach schadulol , I.. F:n PIPIt..arll Rlductloll ~ct Notlel, ..,lnll" COPYf1ghl!ell.l2lolm loltW'" only e.M.r Plee. SOU".II, Inc. ~orm 11205 SCtl'dui.K~1 (l'it~l Sh."ho,".'" Sh,,, of '",om., C"Olto, Doc "'"0"', "" i'''" ". ."""""._ . See uparate In"trucUons, For col.nd.. yo.r 1992 0' la, y.., 1992 OtplrlmtnlollMtTIUtUly Inl,rllll R.....l\u. SllVlce be Innln , 1992, and endln ,19 Sharoholder'. IdonUfylng numb.~ 188 -14 - 2 m- Co or;tlon'. Idontlfylng ~umbor.' 23 -16 2 3 180_.____ Shlloholdor'y n&mO, address, and ZIP code Corporallorl'a name, addroal!', and ZIP code RICHARD J JONES SILVER SPRINGS THEATRE CORP 214 BALTIMORE AVENUE MT HOLLY SPRINGS, PA SCHEDULE K-l (Form 1120S) 17065 214 N BALTIMORE STREET MT HOLLY SPRINGS, PA 17065-1203 --- -- -- A Shale holder's percentage 01 stock ownership lor lax year \soe InsltuctJons for Schedule K-1). .. 45-:-1890,'0 B Inlernlll Revonue Service Cenlor whero corporollon IlIod ilS relurn . PH I LADELPH IA, PA .. ..... . ' , . C (1) Tax shollor r09lstralion number (soolnslruclions lor Schodule K-ii.... _........ -...... --.~:::::::::::::::::::::::::::::::: (2) Typo 01 lax shelter . D Chock .ppllcablo bo'!": 'i;i'r--TFi~~'K-l"'-"i21'r--T'A;~~d~dK:;'-'-"'--"""'"-........................"... (I) Pro roll sharo 1I0ms (b) Amounl (0) Form 1040 IiICH9 enlor lhe amount in column (b) on . 1 Ordinary Income (10..) ~om trade or buslnoss oclivltles , , , 1 4,211 2 Nollncome (loss) Irom renllll roal eatate acUV'llIs9 . 2 4.519 ~:eo Sharoholdor's , , Instrucllons lor SchOdLJla 3 Net Income (loss) Irom other rElnta! acUV'lUes, , , 3 K-1(Form 1120S), 4 Portfolio Income (loss): I.u"" I Inl"'''' , , , , , . 41 1. 520 Soh, B, Par1I, Ii no 1 Income b Dividendo. , . , , , , 4b Soh, B, Part II. IIno 5 (1.0") e Royalties ., . , . , , 4e Sch. E, Part I, lino 4 d NOI short-term c""llaI g~n (1000) ~d Soh, D, IIno 5, col. (n or (g) I Nellong-Iorm capllal g~n (loss), , , , , 40 Soh. D, line 13, col. In or 191 1 Olher portfolio Income (Ios,) (anach schedule) , , 41 (EnllronIPpl.llnloiYOllrrIlUHl,j 5 Nel gain (loss) under ooclion 1231 (olher Ihan du.,o casually ,lillillil!! 5.. StI"llholdlr'lln.llllcl(oo. or lhoh) , , . , , , ""'" , , , """, , " , 6 10l 5ch,dul, 1':.-1 (Fulm 11205). e Olher Income llossl (an,ch schodule), , , e (Eolllon.ppl.llrI,olyollrrllurn.j 7 Charllablo contrlbullons (soolnslruclions) (anach schodule). , , 7 5ch, A, Ime 13 or 14 lleduo- e Secllon 179 o.ponse doductlon, , . , e 3 615 Uonl 9 Doducllons rolltod 10 portfolio Income (loss) (anach schedulo) , , 9 ~5" Shl"holdlf'llrlICIUClrorll 10 Olher deductions lan.ch ,ch3dule) . 10 fOl SGhldull "'-, (Folm 1\205). Inv..l- 111 Interest expense on Investment debts. , , 111 Form 4952, line 1 monl b (I) Inveslmenllncome Included on lines 41 Ihrough 41 aboVo. b/l 1 520 II Sh,'tl'lold""'IIIC'\lCl(OIlI lnt.r.'1 (2) Inv..lmenl e'pen.es Included on line 9 abovo . b12 10' Schtdult "'-I (FOlm 1120S) 12<1 Credn lor alcohol used ..fuol. , , , " , 12<1 Form 6478, line 10 b I.ow-Income houslng crodlt: 111:1;' (1) Fro," ItC:lIon42(J)(Slp,rlnll.hlp.forj'lfOplflypIlrC:ldln..rvIu blfoFl IUO. (2) OlhIF thin on Wnt 12b(lllo,proplrtypIloCldmllrvrC:I b.,u,. llliO. , , bt2 Form 8586, Uno !l (3) From IIC\101'l4?'{j)j!)Plrlll.,.hlp.forpfoplflypIlC:ldin ..NICI"III' 111I1. b/3 C,_ (4)OlhtrthanonWnI12b(JJIO'PfOp.,Iypllcldi"..rvIC:IIIt111UI. , b14 . Qua/l1\od rohlblllllll.>n o'pondltu'es rolllOd 10 r.nlal roal estalo 1IIIIIIIillll ~ (_Inawcllons), , , . , , . , , , . . , , , 12e d C,odIta (olher Ihan crodllO shown on II"'" 12b and 120) rolaled 10 1111111111,1 5.. Sh""hOldtr', II1,t,utllo", renlal real ...lale octlvlllos (000 I""wcllons), , , " . 12d Crodlla ralllld 10 0""" /.nlalocllvnlos (oeo Instrucllonl) 120 lor SctllduIIK.' (FOlm 11105). 0 , , 13 Olher crodlm (... Insll~ctlon.) , , , , 13 -'dlu.l- 141 Deprocllllon Idiu.ln1Onl on property placed In service Iner 1966 , 1.1 -16 S.. Shareholde..o menll b Adjusled gain or 10.. , 1~ InS1ructlonalor ondTu e Deplellon (Olher Ihln 011 .nd gas), , , . 1.e Schadule K-1 (Form Pr...,- d (I) Gross Income Irom 011, gas, or goolhorrna/ proportlo. eIIl 1120S) Ind Instrucllons anco (2) Dlduc1lo"" allocable 10 011, gas, or goolhenna/ propertIeS , dt2 lor Form 6251 110m. I Olher adlu,tmonlO Ind lax proleroncolloms (anach schedule) . 1.0 r IH Plpll'ilW(Hk Rlduc\lon All! Nnllu, "I (n.lf. CIlPyt'llIl'Il(cl 1111 hllm .nlt",,,," only C,",,, P1lu SOIlWII', IIlC, For'"1120S SCtll~\IIIK"l (IU21 SCtlEDULE K-l (Form 11205) Sl1aroh~ .('S Share of Income, Credits, 0..._ .ctions, otc, I '-'Mil >i" ",,1',.,"'1', .. See ..p.,aleln.ltucllon.. __L' ......-1. 992 For cillen~r VItU 1992 or lax yur , 199,_, and endln .19 Co orallon', Id.nUlylng numb.r.. ~3 -16 23180 _._..._ Corporallon's na/llO, ac1dro~s, and ZIP carlo SILVER SPRINGS THEATRE CORP Uepatlm,n\1l!1I'1IITrutu1y 1"1&,nal fl.....mjl 'i,/v,ce begInning ~~~d'"'" IdenUlylny numb.~ 04 '.2 6 - 9 9 8 1 ShL\toholder'9 name, addra~, and ZIP code HELEN JONES 214 BALTIMORE AVENUE MT HOLLY SPRINGS, PA 17065 214 N BALTIMORE STREET MT HOLLY SPRINGS, PA 17065-1203 ASharahOldor'9 porcenlago 01 !!lock ownership for lax year (soo In9truCtion~ Schodule K~ 1): .. 4""5:"18 9 % B Inlernel Revenue SOrvlce Cenlo< wilero corpor.llon flied II' relurn .. RI:l_I.~[].~r,.RI:l.IJ\J., R~...................... ........................ () (1) TllX 'ilello< regl'trotion numbe, (,.. In'trucllon' lor Sciledule K-1) ... . . ...... ................ ........ (2) Type 01 Ill)( ,helter .. D Chock oppllc.bl. box..: . (~;I.K:1...'.' i2). IT.A;';';~ci~ci i<:;........... ........ - -... ... -.......... -.. ....... (a) Pro r.', shllr. Ilems (b) Amounl (0) Form 1040 Iilars entor the amounl in column {b} on: 1 Ordinary income (lo~) frorn trade orbusinoss activities. 1 4,210 See Shareholder'g 2 Net income (loss) lrom rental real eslate acUvWes , 2 4 519 r'-nstrucIJon$ lor SchedlJle 3 Net lncomo (108S) lrom other rental acUvitles, 3 K-1 (Form 1120S), . Port1ollo Income (Io,s): !i::li!:! . Inter"l , , . , .. 1 519 Seh, 8, Part I, line 1 looom. b Dividends. , , , , , 4b Seh. 8, PMll, line 5 (Lou) 0 RoyeJlios .0 Seil. E, Part I, line 4 d NOI ,horHo<m cepllel g.in (loss) 4d Sch. 0, Ilno 5, col. m or (gl . Nollong-Ierm e.pllel galn (Ios,), , , .. Seh, 0, line \3, col. (Q or (g) 1 Olher p"rt1ollo Income (loss) (.II.eh schedule) , . 41 (Enl.iIHllppl, IIn. 0' y(jur relurn.) -- 5 Nol geln (loss) under .ocllon 1231 (olher Ihan due 10 eooualty iii:!,I'!', 5uSI1.r,110Id,r'.lnslrue!loru or 11le1l) , .L. 'or Schedule 1<.-1 (Form 11205). --- (Enlerllnappl.llneo1yourreturn,1 . Olher Income .JI2,.) (.lIaeilsciledule). , , 6 7 Chlfltable contributions (soe Instructions) (attach schedule), 7 ~cn.~", linG 13 or 14 o.due- . Section 179 9)(pemm deducllon, . ". , . 3 615 tion. 8 DeducUOn'J related to portfolio income (1050) (anseh schedule) 8 r Su SI1.v.hnldll'slnllrucllont 10 Olher deduellon. (all~~..!'Chedule) , 10 'M Schedul. K~1 (Form \1]VS). , , InV"I- 11. Inl&f8$t expense on Investment debts. , , 11a Form 4952, line 1 m"'l b (1) Investmenllncome Included on lines 4.,h,ough 41 above, bl1 1 519 r~" Shlr,t\Old'''llnllrucl,on, lnt...... (:Z~ tnveetment o~nse6l Included on line 9 ftbove . bl2 10' 5ct\.dultl(.~1 {FIHm 1\205). 12. Credit for ticohol ulJod as fuel. . 121 I"orm 6478, hne 10 b Lowplncome housing credit iiillil!I!I!1 (1) From notIon li2UKSjPllln.f,t\ipe'OI prop.rtypil!c.d In nr'l1c. b.lo,. 1UQ , bl1 (2) Oth., Iha" on Mn. 12b(1) Ill' proptrlypllc.d in ",vIe. b.lorll liliO. ." bl2 Form BS66, lin6 5 (3) From ncUon HU.S) p.,ln,r.tl1p.lor prop.'typllcld In ..rvie.lft., tllai. bl3 '-'--- Creclta (4) atlltr lht.non Wrlt12b(31Iurprop.,typllc.din "NIC'III.r \lUt. bl4 0 Qu&lllled mh.blllI.Uon expendl\lJres ral.led 10 mnlal reel e.lOlo ,Iii!!!,,:!, actlvi1les (_lnst,ucUons), . -- d Cledlts (Olher Ih.n credil9 'hown on lines 12b .nd 1~t) ,alaled 10 ,enlll rell &alele activities (... InslnJellon,). 12d !In Shlrltlolde,.,ln.lrucllOnl Cfedl1a ,elaled 10 olher ,onlol octivltles (see In.lruullon.) 12. 'or 9ch,Qul' K-l (rorm 11209). . 13 _~her cr.dll1 (_ Inst!1.lCllon.) 13 . Adlual- I'" DoprOl'J.Uon .dlu.llmnl on properly placed In S<lfVIce aller 1860 , 1<< -16 See Shllraholder's m...ta b Ad/uoled geln 0' 10.. ., . 141> Insln.lcUons lor Ind Tax 0 DopleUon (olher lil.n 011 and gos) , " , He Schedule K-l (Form Prtl.,- d (I) Gro.. Income ~om oU, gos, 0' goolhermal properllot ell 1 (2) Olduellnnl alloelble 10 011, gal, or goolhermal propertlee , d(2 11205) and Inslrucuons - lor Form 6251 11- . Other .dlultmenl9 and Ill)( orelorencellems tOllach solledule' , 14. FQr Paptrwo,k A.duc;:t!ol'l ",ot Notlce,.1I ine\f. Cop'l't'igtlt (Cjlt12 lo,m loltwart only etnt., PI.l.':t Sollw"I, lnc. Porm 11209 5Chtdul.K..1 (U91) SCHEDULE K-l SharehCJ.~"r's Share 01 Income, Credits, DCuuctlons, ctc, I~MB~o 1'>.'>-0\:10_ (Form 11205) .. s.. ..pmt.'nstructlons, L O,"&"mtnl 01111. TIIUlIfy for cillend.lr ve., Ui2 or '-U Y..' 1992 In(II",1 A'Ylnu. S.r"IC' be Innln ,199'2, o1nd endln ,19 ~".holder's Identifying numb.~ 460 - 2 1- ~~~-=--= _CorporoUon'. Id.ntlfylng numb.'" 2 ] - 162] 180 Shareholder', name, address, and ZIP codo Corporation's name, address, and ZIP co do DANn;L M JONES SILVER SPRINGS THEATRE CORP 214 BALTIMORE AVENUE MT !lOLLY SPRINGS I FA 17065 214 N BALTIMORE STREET MT HOLLY SPRINGS, PA 17065-1203 A Shlleholder's percentage 01 slock ownership for IIJl: year (seo In9lrucllons lor Schodule K~ 1). ... ... .4. : !3. ~ .1. % B InterneJ Revenu. SolVlee Cenler where corporallon med II. relum ~ .~':l.l~ ~1?!'~~RJ:l.I.~,1" R~.. __. . . . ".,...." . .." __.. . '" C (1) Tax shottOl regl.~IUon number (... In.truclJOn. lor Schedule K-') ~ .........................,...... (2) Typo 01 tax .hel1e, .. o C"ock applicable be...: "Iii' 0 'Fi~~I'K':""'" (2)' O' A;';';~cio'ci i<:;'" -"". ........ ... - -.. .. ... ...... -'" ......... (I) Pro rlla .haro ne"" (b) Amounl (0) Form 1040 IIlors entor --, the amount In column (b) on' 1 OrdlnlllY Income (10..) ~om trlde or bu.lnos. Ictlvlllos , , , 1 448 2 Nellncome (loss) Irom rental real estale activitJos , 2 481 ~~.. Sh.r.hold.,'. Inalruc1!ons for Schedulo a Not Income (loss) from olher rental 8chvilies. , , 3 K-l (Form 11205), 4 Portfolio Income (loa.): I" I Inlor..t 41 1.62 Sch. B, Part I, line 1 Income b Dividends, , " , 4b Sch, 8, P8I111, line 5 (Lo..) 0 RoyeJtJea , , 40 Soh, E, Plrt I, IIn. ~ d Netohort-Ierm oaptleJ gain (10") , ., , 4d Soh, 0, line 5, col. (n or (g) . N.,long-lerm caplleJ geJn (10"), , , , ,. , 40 Soh, 0, IIno 13, col. (n or (g) I Olher portfolio Income (10..) (Inlch schedule) , , 41 (Enllfonlppl.lin.nlyourr'luln.f 5 Net g..n (1001) under 98CUon 1231 (olher Ihln due 10 c..ueJty niliiliii!, Su SIl."hold.r',ln,tluC;lion, orlheft) , , , , , . , . , , , , , , , , , , , .", , ." , 5 101 SC;hRd\llt KMl IForm 11209). 1 Other Income 110..1 (ItllOh schedule). 1 (Entllon.ppt,lin.01 YOufl"urn.1 7 Charttlble cont1buUon. (....lnstnJcUOns) (Inaoh schedule), , , 7 -3'85 :>cn. A, nnol:!' or 14 Deduo' 1 Section 179 e.pen... deducUon, , , , '" , 1 Uonl 1 Oeductlons ,otlted 10 portfolio Income (1090) (.nach schedule) 1 I~s" 511."hold,,',lnU/uCllon, 10 Other deductions (Inaoh schedule) , 10 lor Sell,dull K-l lForm 1120SI. ,,' . - Inv..l- 111 Intorll91 e.pe""" on InVOSlment debl., , '" . 111 Form 4952, line 1 menl b (I) Inv..lmOnllncome Included on lines 4a Ihrough 41 ebov8, 1>/1 162 I "UStlll'hold't'llnltruellon. Inl.r..' ..J&.'nv..lment o.pen...lncluded ~n line 9 abeve , , , b/2 101 Scllldul. It..l (Form 1\205), 1:11 Crodltlor alcohol u...d .. luol, , , . ., , , , 121 ,orm 6~79, line 10-- b Low-Income housing credit: iliillll~iIi (1) FrO"1 ulltlon 420)(!1 p.r1ntflt\lp, 'or prop.rly plac.d!n .eMee bel ore "10 , b/I rForm ~6, line 5 (2) Olhe, lhan on Mn. 12b(1)lor properly plaCid In U'VlCl belo,. 1810, . , b/2 (3) F,om nctlo" UijK.5jp.rtner.hlp,lor prop.rty plac.d In "'Yle. alia, leal, b/3 Crecl1a (4) Olh., Ihan on Mnl 12b(J) fo, proplflyp,,",cld In n'YIO, Iller IOU. , , b/4 0 Quamktd rehabUt1IUon 8ICpendl1ur89 relaled to renlaJ feN 891118 I:,!I,!;"I: .c1MtIeo (0Ge InatnJcUona), , , , , , , , , , ""," . , , 12. d Cledha (other Itlan credllS shown on IInoo12b and 120) rotaled 10 IIII!IIIIII! S"Sh.,.holder'llnJltruchonl rent.. r811 estate actMtlee (0Ge In.tnJctklns), , , . . 12d CI_ ,elated to other rent.. acllv_ (0Ge Ins~ucUon.) 12. 10rSCh'dull Kwl (Form '12051, . , , " , 13 Olher ",lldIto (.... InstruclJOns) , , , , , , " , , , , , 13 Ad!uI'- 148 Osp,ocIaUon Idluslment on property plllC8d In sorvIce Ih", 1181 , 141 -2 see ShlleholdOl" menla b Adlultlld geJn or 10.. , "'" , "", , 14b InstrucUon. for and Tu . Ospletlon (other Ihan 0" Ind gu), , , , , , ."".. , 140 Sohedull K-' (Form Pr....... d (1) Gto.. Income ham oi, gas, or geolhormal propertlas , , d/l - (2) DlIduotlonl Illoclbll 10 011, gu, 0' !lflOlhermai propertlas , , d/2 11205) Ind InstnJoUons -- lor Form 6251 "..... . Other Idlultmenll and lax D,eIOle"".. noma tlnlOh IOhedll181 , 14. Fo,Paparwo," A.ducllonActNollcl,ualn.lr, COP'I"IQhllc) I 112 lor", loll...,. only C.nter Pile. 501\...,., Inc, FOlm 11208 !lclI'/juI,K.1 (\111) rorm 4562 L Depreciation and Amortization (Including Informallon on Usted Property) I,Mf3 t/r, 1~14"H)'72 ..-..----------.----- In ~.' ~,I 111 v III" I '1" '" r. I s.. separale Instructlon9. ~ Attach thl, form 10 your return. 1992 67 (l.pMlm,lllol I'll T'ut",y Nam'(II.lIoulI OIl/lIIJ'1l l~enUfylng number 23-1623180 SILVER SPRINGS THEATRE CORP Bugjnoss or activity to which thi9 lorm lohU89 OUTDOOR THEATRE I Part IlElecllon To Expense Certain Ta'iiglble Property (Secllon 179) INoto: /I YOll hayo any "lIslod !'roporty,' complatn Pan V before you complete Pari I.) 1 MA;(lmum dollftfllrnUIUon (8M InslruCtlons) , 1 1. 0 I _~ 0 0 :2 Tolal cOfll 01 section 179 property placod In servlco dUring the lax yoar (flOO instlllction9) . 2 J Throshold cost 01 sectJon 179 proporty beloro roduc.tlon In limitation 3 $ 2 0 6~ 000 4 Reduction In Umlation. Subl1lCl Una 3 from lino 2, bul do not enlor loss than ~o~ 4 5 Dollar UrnllaUorl for tAlC year. Subtrlcl Une ~ Irom line 1, but do nol enler less than ~o.. 5 (I) OIlCrl/lllOn of prop'fly (b) COI' 0) Ellctld CO'I e 7 Usled property. Enter amount Irom line 26. . . Total elecled cost 01 section 179 property. Add amounts In column (Cl, IIn09 6 and 7 . . Tentallve deduction. Ent9f lhe smailOf' 0' Une 5 or Uno O. 10 Carryover of disallowed deduction from 1991 (see InSlru~tlons), 11 T&,l(lble Income limitation. (ntor tho smaJlef or ta>eable Income or line:, (see Instructions), 12 SootJon 179 e'pense doduetJon, Add IInoa 9 and 10, bul d'. not ente. moro 111." line 11 , 13 ClnyOIi&r of dlaanowed deduction Ie- 1993. Add Uno9!) a'~..le9S line 12 . .... 13 Notl: Do nol UN Part II or Par111l bok'Iw lor autOf1"Y:.Wlles, certain other vehlel", cellular telephones, computers, or property used for onlerlalnment, recreation, or amusemenl (lIslt'..1 property). Inslead, use Part V for listed property. I'Fll!ltJ.lill:J MACRS Depreclatlo'. For Assell Placed In Service ONLY DuriNg Your 1992 Tax Year (00 Nollnclude Usllld Propertyt 7 a 9 10 11 12 o (I) CI.IIllleAllon nl prop.rty (e) aUII lor d.prlCltllon (bu.lnll.llnv.llmln\ uu (d) Rlcovary p"lod (OM.thod (g) Olprtelthon dtdllcll[ln 1. ;liiil:ili!illl!III!!lIlilii;ill,j, 0 0 0 0 0 0 0 27.5 .a. MM 0 27.5 MM 0 31,5 a, MM 0 31,8 a, MM S/L S/L S/L S/L o o o o o o o o o o g Reejdendll rental p.opany h NonreejdenUIl rell propony 15 A1t...nottvo D I CI... IWe 0 b 12-yoOl 0 .~_ 0 L!L~1 Other Oeproclltlon (00 Not Include Usted Property) 1. GDS Ind ADS deductions lor....18 pllCGd In service In t.. ya.,.. beginning belo.o 1992 (see IMttuetlor..j. , , , '. ".'"., 17 Property .ubject to section 181l(Q(1) elactJon (_In.truetlon.) .!.!..t.CRS ond olller dopreclotlon see Instruction. . U~JM1 Summery 12 rs. 40 MM S/L S/L S/L o o o 18 17 18 91 o o 11 U.ted propony, Enlor NllOunt ~om Une 2a, , 20 Tolal, Add deductlons on Une 12, Unea 1. Ind 151n column (g), Ind lines 16111rough 19. Enl...l1oro Ind on lhe opp,oprlllo linea 01 your roturn. (pannor.hlp. Ind S corporlUono - .oo InatNetlon. , 21 FO.....II .hown oboye and pieced In service during 1110 cunont YOIt, onlOllhe portion 01 the bo.l. .Mbutoble 10 .oollon 263A co.t. (... In.ln,ellon.) 11 o 20 91 o rnr P,p.,work Rlductlon All! NoUn, In "111', COPVt'!ghl(cII1l81 form In/lwlrl only Clnltr PltC' Sollwarl, Inc, ForM 4562 (18'Hl SILVER SPRINGS Till Form 4,562 (1992) [, COEI' 2J-l()(~JldO 67 ~ Tolephones, Computers, and Property r Part V I Uated Property - Automobiles, Certain Other Vehicles, Cellular Used lor Entertainment, Recreallon, or Amusemont For any vohiclo lor which you aro llSlllg tllo standard mloago ralo or doductlnq I08!lEl fJiCpon!Jo, complolo only 2;~a. 22b, columns (a) Ihrouqh (e) 01 SocIJon A, nU 01 Soclion 8, and SQc{jon C II npphcable SttctJon A . Depr.clatlon JCi;utlon: SO(l inslructlons lor hmltUJOnslor ftlllOf,Tbllos 1 22100 you to,v. ,vld,nt.lo .uppar! lilt h\ll,n...Mvutm'r\l 'lit C1''''''d1 Yell No 22b 11 "'Y09." 19 tho oVldonco WIIMOf1? a - c) 0' ( (0) ( ) !IUI,Iot d,pllel.llon {b'jlln.u' ,nv"'I'II.nl , (Ii.\v.nlclt'!illll ,,'vie. Olilln,.. I Invlo.lm,n' ". Pllc'rlttg. CllI' or A,co...".,. M,lIlOd! D.!HI1.141IQI1 Typ.olpropltly D.I.pllc.d In Olhl!hu.' pt/lud ClJnv.nllon ct,dur,lllln tlClwn Iii co ~ I 23 Property used more 'ha!!, 50% In a uahfied business usn 500 inSITLJcllon~): ~, 24 Pro e usod ~;. or less In Do 0;. '!. ualilled business use (800 instrucllons): '!. '!. ';' 5/L. S/L. S/L - 25 o,!,e,'1" i,'" :IS Add amounts In column (h), Enler lhe 10111 hero and on IIno 19, poge 1 28 Add amounts In column (I). Enter the tot., hElro and on line 7, page '1 . s.cuon 8 .. InformaUon Rlgardlng U.. of V.hlcl.. .. If you deduct e)(pensos lor vehicles; . MNI'f9 complote thlt section lor vehicles UMld by tl. sole proprietor, par1ner. or other "morelhan 50/. owner.~ or related person. . If you provided vehk:fea to your 8fl1)loyoes. first answer the quesUons In SocUon C 10 see II you meet an 6KcepUon \0 complellng this section lor lhose vehicles. 26 -- - o (a) (b) (0) (d) (0) In 27 TOI.lbu'./lnvo..lll'l.nlll'lll.. drlvo.n durlnglh. 'fl. (00 NOT Inelud.enll'lll'lullngmll"I. , . 28 Totalr,oll'lmutlngmlllldrl\l.n durlnglh'y.., , :It lotalolhttp.flOn&l(non- commuting) 11'I1111 dti....n , 30 T'ltllmll.. arty.n during lh.y..r. Add NI'1I21 Ihrough21. 31 WUlh.y.hlcl"ytILabl.lor ~.r.on.lu" du,lngoff-dulY OU,.?",.,.", , 32 WIIII"Y'hICl,ulld~n- m.nlybyftlftor.lhtn % own" o"...l.d p"lon7, 33 II,nolhtt\l,hIClI'lvalLabl, lo,p.,.onllu.." , V.IIlC!' \ V,lllcl.2 V,hICI,J V.hlcl, .. Veh,cl. ~ Veh,cl.8 v.. No Vaa No VII No VII No Voa 140 Vao No SooUon C - Ouoollona lor Employoro Who Provldo Valllolaa lor UN by Tholr Employ... A~ 1_ qu_no 10 dotermne n yoU meel an ..eepllon 10 co~IeUng Section B, Nola: Seelio" B mu.t aIwoy. be co~'.'ed lor vehlclee uoed by 0Cl1e prop""lol1, pllt"""', or olher mot. than ~% owne,. Ot talaled pOlson., Vaa No 34 Do you malntaln . _ policy lIalomenllhal prohibits all p....nll u.. 01 vehlcleo, Including co"""'ling, by your IlI1l'loyees1.",."""",."" ""'" 35 Do you maintain a _ policy lIalomenllhal prohlbilO per80nll use 01 v.hicles, ..eepl corromJUng, by your IlI1l'loy_1 (See Inotruc1lono lor vehlc/eO uoed by corporal. ofl1cero, dlreelol1, or ,'" or mote ownOl.,) 34 Do you treat all UM of vehlclerl by IlI1l'loy.... .. personal u..1. , " "",. 37 Do you provldo more than ftvo vonk:lae 10 your """,Ioyees and rellln lhe Inlormallon tecelved Irom YOUt .mploy.... concerning Iho UN ollho ",,_1., ".", 34 Do you mnt the roqulrementa concerning qllallllod aulomoblle demono~allon USO (... Instrucllons)1 Not.: If ur InflWer 10 3", 38, :'fe, 37, or 3811 '"1(88," ou need nol co let. SecUOn B far lhe cavet'ed vehicle!. ; I i Amortization (al il';I';;i" Amo,'I"bl' ,mount Cod. ucllC" a) Alnor,il&Uon pI"odor "unl. I (~ o Ollulpllonof eo.lI Ott.tll'l(l,tlullon b.gl", Amor\III!lon 101Ihl''I'''' 31 AmortiZallon 01 cos11l 'h.t begins during '/, 'f, ~ Amortlzallon 01 co.'a Ihat began belore '992 , 4. TollI. Enter here Ind on "Ol~ Oeductlon." or "Olhef E)( onset" line of OUf ,elUrn ~.~"worlt A.duotlon Att Notlc', ...In,lr, CopyrIQlhl{c)l"r lorm 'Ol\WII'I on IV C,nl., PltCI SoHwtl'l, Inc. 40 41 o -0 FOIm 8825 Rental Real Estate Income and Expenses of a Partnership or an S Corporation "'St'!.lnllrucUonl. ...Atuch to Form 1065 or Form 11205. -..-- (jMB rju 1[14fl-ll11ti 1992 Dlplllmln\ol !Ill T'UIU''f IrIIltnll A....'nu. ':lIr\lI(:1 ame mp over en Clan number SILVER SPRIl'GS 'rHEA'rFlE COHP ?1.-162J180 1 Show lhe kind and location 01 each ~!!L2...~~~~ddili0f181 P.!2~r1109. DRIVE-IN THEATRE MECHANICSBURG PA ----- A ........................ J................. ...., (.......... -.......... .......................................... B ... ............. .................--.........,..................... --. --....... -. --.--.................. ............ c......... ......... ..... ...... .............. --. -.. ................. ................................... ..... --... o ... ........................ ............... --.. -... .......... .................. ... --... -........ -...... --...... ,- -- Propor1Jol Ronlll Rool folllo Incomo A B C 0 2 GrolS fenta, 2 10.000 Ronlll R... follto Expen..1 3 Advenlolng , 3 4 AUlo Ind IrIVol , 4 5 Cle.nlng ond malnlen.nco . 5 I Commieek>no, I - 7 lnsur.nca , 7 . Legallnd oil"" prol_nall_ . . InI8l..t, . 10 Repalrl, 10 11 TaxOl, 11 12 UtINlIeI. 12 13 W"l)8I .nd lallri81. 13 - 14 Deprecl.tIon (_ InatnJctlont) , 14 15 Other (1111) ~ .................... ............................................ 15 .............................................. II TOlale_po".. lor ooch propeny, Add N_ 3 IIvough Ie, II - 17 TOlal groll ronts, Add groll renl. Irom Uno 2, column. A Ih,ough H 17 10.000 II TOlal..pen_, Add tolal..po"..lrom Uno 18, cokJmn. A Ihrough H. ,. II Nel gain (loll) from Form 47a7, Part II, Uno 20, from the dl.poslllon of propeny Irom renlal reel e51.,e actlvtIIeI ,. 201 Net lnoomo (loll) from rental real ....1. actlvtIIeI from plll1""",hlpllnd ftduellll8lln whlc:h Ihll partnollhlp Of S corporltlon III plr1n8l' or benollelll'f (Irom Sohedule K-l) , rim b ldentlty bIIow the partnollhlpl or ftduel_ Irom which nellncomo (loll) 18 lhown on llno 20., AU",h . "'hedlJle n mo," op_ I. needed: Ii ,.!I (11 Name (~) E~lover IdenUllc:ltIon numbet' .. .. ~.. ........ .. .. ........ .. .. .. ........ .. .. .... .. .. .. .. .... .. .... . .. ...... .. .. .. .. .. .. .. .. .... .. .. .. .. .................. ......................................................................... ..................... 1,111: ........................................................................ ......................... 21 Nlllncomo (loll) from renlal ,eal 1IOIIIe ocUvIU... Combine IInel 17 Ihrough 20.. Enler r..un here .nd on Schedule K "no 2 , 21 10 000 For P.~.,warll ill.d"ctlan Act HotlCl', ..,In.t" CopyrilJhl (el '''2101/11 ,011.11. onlv e.M.r PIOU $01l.lfl, Inc. Form aU& 11112) Form 1120S ! U.S., .orne Tax Return for an S C. ,poratlon tow, 'L~,:':"":9_'_~a__ ~ Do flOt IlIe this form unl~9!llhft corporatJol1 ha9 timely lH8d Furm 255.110 .I.cllo b. an S cO'1'oraUon, 1993 ___ ______ __________~ See 9~ille InstrucUon". .__.__.__. (JIIJI,trtlllllnflhIlTrIUUfy 1(llorll,1 R.venuI "Il,~,t. r (I' . 111""1_' (~_, I"'~' H !Il' (11_' l'IlV"\~"'Q .\1''11 In <:I ""1'''9 " A Dale 01 olO<':lIon M In S Corporation SILVER SPRINGS THEATRES INC C Emplov.r IdenU11~Uon no, 23-1623180 03/27 /72 B Bu8Jnoos ctldo no (... Spoclflc Instrucuons) u.. IRS lab.l. Oth.r- wi.., plene print or type, 214 N BALTIMORE AVENUE MT HOLLY SPRINGS, PA 17065-1203 7830 F Ci>9cI< .ppllc.ble bo,..: (II G Chick \hi, bo~ If Ihll 9 to/POri lion II 'Ublltl \0 Ihl to"'oWd,I,d 'ud.' p'octdu'lI of ..Cll0nl 3241 through 824$ (It. !nlttuchon. blfo" thtcklnv Ihl' bo_) , H EntOf' numbof' 01 shareholders In the ~~lton at end 01 tile lax yoar c.uUon: Include on trade or business Income and e)(pensos on tines 1 a Ihrough 21, See lhe Instructtons lor more Informahon. 'a Qfuur'COlpl.oru.I.1I 38~~'''''lurll...nd'lIo~ ~MII> 1~ 2 Co.1 of 90008 oold (Schedule A, line 8) 2 3 Gross pront, Sub~aclllne 2 ~om line 1c 3 4 Nol geln (10..) ~om Form 4797, pen II, ~ne 20 (.ltlCh Form 4797) , 4 5 Olher lnoome (10..) (....In.lruclJon.) (anach schedule) 5 I Tolollncom. (10"), Combine IIn.. 3 Ihrou h 5 . . ~ I 7 Co~nselJoa of offlcers , 7 ~ II Selarloe and wages I I b L... ol'r4'lovmeal credits I 0 Bill ~ I. . . Rap...., and maintenance I I 10 Bed debla . . , , , 10 o : II Renla . II o \ 12 T.... ond lice"""" , 12 d ' u .. 13 IntOfest., . . . 13 i '~ :::::~ =~nC:~1e A an~ ~~e 'o~ ;elurn :: 91111111illllil ~ 0 Sub~1Ct line 14b ~om line 140 , . , , . , , 14. . : IS DeplelJon (Do not doduct 011 and gu depl.Uon,) , 15 m II Advtw1loing, , , , , . , , , , , , , 11 I , 17 Pension, prom-aharlng, .'e" pl."" , , , , , , , , , 11 ~ 11 ~Ioyee benent progrll'T'd , , , . . , . . . , , , 18 I " other deduc1Jone (_lnstruclJona) (.nach schedule) It o , 20 Total_Add llnee 7 Ihrough 19 " , . , , ,~ 20 . 21 Ordln. Income 10.. ~om ~ade or ooaln... actMtl... Sub~1Ct line 20 ~om line e , 21 T :tl Tax, 0 Ex~ net peaslve Income IIlI (.nach IChedUIe) , . , , . , . . , , " 22a 1,1,1111'11111111:,111, o b Till ~om Schedule 0 (Form 1120S) , , , , , . , , , , , , , , , , , , , , , ., :I2b . 0 Add linea 220 .nd 22b (880 l""truclJo"" for .ddllJonlll.....) , , , , , , , , , , , , , , , , , . , 22. : 23 b ~::";.~:::: ~ P~18: : : : : : :: :ilillllllll a 0 Cl'edll lot' F6delOI ~ plld on Ill'" (anoch Form 4136) :I3c ,"11 llili Y m dAddllnee23attvou~h23c.,."""""""""."",.""""""", 23d ~ 24 E.Umoled IIlI peno/1y (_ l""trucIJoM), ChecIc II Form = Is .nached . , , , , , , , , , . . , , ,~D 24 t 21 To due - II lhll tolalo' IIn.. Uo & H 1.Ia,g., lh..n MI''' nd, IInl., .",otln10w.d, S..ln.l, 10f dopUlwy",.lhod of p.ym.nl II> 25 . :It OvOlJ>lymelll - If line 23d Is large< Ihan the 10111 01111180 22c and 24, .al., amounl o,"",OId , , , , . ~ 21 27 Enl., amount 01 line !l!.l:2u w.nt: Credlted to 1m ..Umated lax ~ R.funded ~ 27 Unr.l.r p'Il,lll.. of p'f!ury, I d.cllr.lhlll h.v. 'Qmlnld Ihl. ,.turn. including .ecomp.nylng .chtdu'" .nd .lIl.tII'nI', .nd to the blt.t 01 my knowl.dg. .nd b.W.', 11111I l,u., r.orllel, and tomple'., O.<<:l&Illlan of prepa,.r (oth., than lAItp.ytrlI. bind on .lIln'o,,".llon 01 which prepall' hu Iny ~no",lIdgll. Ir\lUa! return (2) Final rolurn (Jl Ch.ngo in addro.. (4) o Oalo 1n<'-orporalOfJ 01 06/49 E TOlal a.q",*"ls (9OIiI SpecIfic InstrucIJons) 86,571 Amondod return .~ 0 .~ 4 38,954 I n o o m . 38,,95i 38,954 4 879 --2L191 3 413 91 __~81 ~455 12 499 Pl.... Sign H.r. Flrm'lInam. ~ (or ounll l.tr~"I!PIoY'dl .ndllddr... BOYER & RITTER P: 0:' .BOX. .83.00...................-............. Camp' "i(ii Y""" --....... pA--.................. --. I. 0.,. JOII. / ~I ~ n.hlre 01 offic:er Paid Preporor'. U.. Only Plopar"'. algnallJr. ~ E.I No, ~ 23-1311005 ZIP Code ~ 17001-8302-- 0113 FOf PII'l"work ~lldtltllon Acl Notlct, "' !n'lr, CopyrIght (e111l3 101m ,011,.,.,. only CPS'I'.t."'I, Inc. f'nrm 11205 (1113) Fonn1120S(1993 SILVER SPh. ,GS THEATRES INC 23-1623180 P'go2 Schedule A Cosl 01 Goods Sold (SIlO in,'rllC"O"n) t Irwonlory al bogmrung or yOaJ 1 :z Purchases 2 3 Coal allobar 3 4 Addlllonal secllon 21lJA co.1S (soe InnlrucUon.) (aUach achedulo) . 4 5 Olhe< co.t. (allach schedu",) . 5 1 Total. Add lines 1 IIvough ~ 1 7 Invonlory al and of voat, , 7 1 Co.t of goodt told. SlJbtraclllne 7 from line 6, Enler here a"d on page 1, line 2 1 at Check all melhods uood lor valuing clo~ng Invonlory' (I) ~ Co.t (II) Low'" of co.t 0' markelas described In Rogulallono section 1,~71-~ (III) Wrlledown OI'9Ubnorma/" good. as doscrlbed In Rogulallon. secUon 1.471-2(C) (Iv) Othe< (specify molhod u..d ."d allach e'planallon) ~ ........................................ -........ -- '0" b Checl< ~ lhe UFO Invonlory method was .doplod IhlS IlIX voar for ony goods (~ chocked, .l1och Form 970) '" , ", ,~ o ~ the LIFO Inventory melhod was ueod for thlelax VOat, onl'" p",centage (or smounlS) of clo.lng Invonlory oo"lluted under UFO ". , , , . , " ".""",.""",.., d Do lhe ruloo of """Ilon 21lJA (lor property produced or acquired for r"aIe) llppfy to lhe corporotion7. , , . , Y.. No o Was Illere .ny chonge In d81..mnlng quonUtJos, oost, or v""ollono belw..n opening ond closing Invenlory7 y.., No II.".... ollach o'plonallon, I Schedul. 131 Othef Inlofmatlon t Checl< melhod of llCOOunUng: (a) W Cash (1)) 0 Accrulll (0) 0 Olhe< (specify) ~ ..................... _ . . . 2 Rof", to the I18tln lhe I""lructions .nd .tate lhe corporallon'. principal: (0) Ilu..""", actlvlly ~ !;~:r:~~T~!~.F:~:r:......... (1)) Product or sorv\co ~ ~l}:r:I?~9~. :r:1j.F;~:r:I3.E;........ 3 Old lhe corpor.l!on at the end ollhe lax yelll own, dlrocUv or IndlrllCtIy, ~'.. or more 01 the voUng slock ola dorT169iJc corporollon7 (For ruloo of .\tIlbullon, ... section 267(c),) II .".... allach 0 schedu", showing: (a) name, add,..., ond omploVer IdonUflcotion number .nd (1)) percenlogo owned. , , , , , , . . , . . , , , , , , , , 4 Was "'" corporallon a mombor of a controlled group 8lJbject to tho provlslorl8 of secllon 15617, , , , , , , , , , , , , 5 AI any limo during randll( y8t11993, did the corporallon hive In Intor..tln or oiUgnature or otller aulhorlly ovor I nnancllll accounl In . lorelgn country (such as . bani< lCCOun~ oocurllJos accoun~ or olhe< nnancllll llCOOunl)7 (See Inslrucllons for .,captions and IIIlng roqolrornenta lor Iorm TO F 90-22,1.) """"""""""""""""" If ."..', ontor tho name of lhe forolgn country ~ .... __ _.................. ...................................... 1 Wu lho corporation tho gr.nlo< of, 01 transforOl \0, a forolgn trusl thale,loted cklrlng !he currontlax vo", whethe< or 001 tho corporation hu ony benoflcllll Inl",..lln 11'7 If .".... the corporation mav havo to file Fo"",, =, 3il2O-A, or 926 , , , , , , 7 Checl< this bo, ~ the corporotion has lIIed or Is required 10 n", Form 1264, Appllcotlon lor Roglstrotion 01 a Tax 1 ~=t~~'~I~~rporl~n'~~~~~'O~oredd8bllnalr"~..n~;';;ho;~I~II'~e'd;';"'u~I : , ,. ":::: EJ If 10, \he corporallon meV hove \0 file Form 1211, Inlormatlon Return lor Publicly Offored Orlglnlll....e Olscounllns~umenlS. . If lhe corporation: (I) flied Ita election 10 be III S oorporation Inor 1988, (1)) wea I C corporation belorelf oif>cled 10 be an S oorporlllon or !he corporallon acquired an _ wI1h I b.... d8\Omined by reforence 10 I1a boslo (or lhe basis ollnv Olher property) In lhe hllldo of a C corpofltion, Ind (e) hM nol urvollllzed built-In glln (d8nned In section 1374(d)(1)) In ""0001 ollhe nol rocognlZ built-In glln ~om pr10l 1"*", enW tho noI urv_ 1",1It-ln gllln reduced by net recognIZed built-In glln from prlol VOlll1l (_ Inotruc1lona) , , , , , , . , , , , , , . , , . , , , , , , . , , , . " "" ~ .!.!!... Chocl< this bo, ~ the oo'poratlon had subchllplor C oarnlngs and prollta It lho clo.. ollho lax e", ... Inslructlon. O..lgnatlon 01 Tax Mltter. PerlOn (See Insirucllona,) Enlor boIow the Ih",.hoIdor dosIgn",ed as lho tax mallOI'll p"'oon (TMP) lor lhe lax Ve" of Ifilii relUrn: =n~:OO TMP ~ HELEN JONES ~':,"~::~ TMP ~ Acldrl8l of Il. 214 BALTIMORE AVENUE doalgnlledTMP" MT HOLLY SPRINGS PA 17065 204-26-9981 For ""tfWflf. ,.,duotion A4l1 Nollca, ,.. Inllr, CClP'(t'llht fell.n 'or 1ft loll.a,. nnl'l' CPSyl'I"'I, In\,\. x X X ~'I"'''I :,.!!I!'.! ,.IIi'!.' X .. i 'I i ! III i ; Iii; ~ i I: II! i II ;::I!llil;!'III:I:,:,:I!;1 ',~ Iii II:! Ii 11111 i II! i: I! I 'I! 11111' i Ii! ;1 :'1' ~ I: I;; '['[' """"'11\11[," '11111 i ,111111 :! Iii II ~!I! II: il,: :: i I: II! II, i III' ".1<111."111'1 ;Ililllllil' !11!iiilk rorm 11205 ,unl -.-- ~'-' .-- ----- (iI) Pm rnl~ 9hnro IllIm!! (b) TOlnl 1l1l~tH~___ 1 Ordinary incofllfl (lo9.s) from trado Of businos9 IICUVltloS (pago 1, lUll) 2\) 1 12,499 2 N.at income (loss) horn ronlaJ fOal o9talo oclNltlOS (sllach Form 0025) , 2 3.1 (3mss Income from othor rental acUvl\JOS . .ti] I b Expenses from 01/10( ronlN actlvllklS (attach uchoduJe). .- '. n " . . c Not Income (loss) from othcr rontal actiVItieS. Subtrl\CI lino 3b from IIno 3a ., , 3. m 4 Portfolio locome (kl9S): .,i",,. . . InlOl'oot income , 4. J,413 L b Dividend loco"'" 4b 0 . Royally incom. , " . , , , -~- I d Nel .hort-IOITTl copilal gain (kls..) lallach Sch.dula 0 (Form 11205)) ,. , 4d - o Nul klng-Iorm capital gain (kl9S) (attach Schadula 0 (Fo'm 11;!QS)) 4. , Olhar portlollo Inco,,,,, (kl9S) (alloch ochodulo) , , , 41 5 Nel gain (kl9S) under section 1231 (olher Ihan du.,o casually 0' Ih.lI) (aNoeh Form 4797) , 5 -- I Other Incorno (lo~Uanoch scl1ud"I.) I 7 Ch",<<abio contrlo"lIons (_ In.tr"cllons) ('lIoel1 ochodul.) " , " 0 I Section 170 Qxpenoo doductlon (attach Form 4562) ~. 0 ' , d I Daducllons ,00atad 10 partfolkl l'lCOm. (kl..) (500 In.trucllon.) (lIomzo) 0 I 10 Other deducllon. rallocl1 sch<ldul.) . 10 II 118 Intafoot oltpOnsG on lrwesunent debts 110 nn 0(1) Inv,,"lmOnllncorno Includad on """'" 4a, 40, 40, and 41 above llbil J,4lJ v t 12\ Inv...ttnonl .'pan... Included on llna 9 ahov. llbi2 1:la Crudlllor alcohol uood as a fuel (alloeh Form 6478) 120 b Low-lnooma houslng credit (9&8 Instructions): ""..',.Lilll' C (1) F,om pat1nar9hlp9 10 which sacllon 4~(j)(5) appllos lor proporty placad In servic. belora 1990 12b(1 r (2) Olhar Iha" on llna 120(1) lor p'OpOlt'i placod In """,lea belo,01990 12b(2 0 (3) F,om pat1narshlp9 10 which secllon <\20>(5) appllos 10' p,operty placed In """,Ice an", 1989 12b(3 i (4) Olher 111"'1 on line 120(3) 10' proparty placed In ,""vice an", 1989 ,,' , '" . 12bi4 .. -- 0 c Qualified rehabllllaUon ol(pendituros rolalod to rental rbal astale acijvmos (attach Form 3<468) , , 120 d Clad<<. (Olher Ihan cradltll9hown on lines 120 and 120) ,elalod 10 r.nlal ,.01 ..,a'. oeUVillos (SOO Instructlona) . , , . , , , , 12d o Cladl18 ,elaled \0 olhe< ,.nlol oeUvltlas (... In.lrucllon.) , , , . E.'!- -- 13 Olher crodltlll900 Instructions) 13 f~ 141 Oapreclallon odluliU'fMlnl on p,oparty placed In oorvlca 1M'" 1988, 140 -35 b Adjusted gllin or 10.. , , , , 14b ,T - . Daplollon (olhar Ihon 011 and gas) . .., . 14. - T I d (1) Gro..'ncome Mom 011, gas, or goolhormal p,opertl9o . 14d(1 00 (2) Daducllona lIIoc.bio 10 09, gAS, or goolhormal p,opartloo 14cH2 1m o Olhar adlu9l1TMln19 and I.. orol",.nce 11""'" (alloch schedule) 0 14. . Is;, ~:'::;::n :ur;uy ~; U:5:p,;~~ ~ -.._-.-.-.-...-.-.....-.........-.....-.-...-.-.-.-.-.-.- .-.-.-.-.-.-.-.-.-.-.-.-.-.- 1!li!i!llilil:IIII!1 ~T r 0 c Tolal gro.. income Mom sou,ces outaido 1110 Unllad Slal90 (olloeh sr.hodule), , , . , . , . , , , , , , , 150 T: d TOllli applicable doducllons and IoOallach schedlll.), , , , , , 15d HO o TOlollorelgn I.... (cheel< one): .. Paid 0 Acmlad ISo 1 Reduction In UlJ(" Ivallable lor credit (INoeh schedule) . J.~' - a Olhar forlllan 1ft!' Informallon (anach ochadulej , . Is.;, 1" Tolol expondltu'.. \0 which 0 _lion 59(0) 9locllon may apply , 181 b Type of e>pendllu'" .. ...""......__.._______n........"................................................. iilliiiliiiliili 17 r.._..,..,III1I....' Incomo . , , , , , 17 - 11 Ollw 1,,-o'llIr4'llooolOO " , '" , 11 I' NondoduC1lblo ..pa/198$ . , " , 11 ? 20 TOIII proparty dIotr1bulklns (Including oash) olher Ihln dM<1anda 'eponed on line 22 below Hi -- h ~l Olhar IIome Ind omounlll 'oquilod 10 be r.pMod ""P",aloly 10 9h.l9holdors (see Ins1rucllons) 0 r (attach schodule) 22 TollI dMdand dI.ulbullons pold Irom 1lCCU11lJ1.,od .atnlngs and p,ofl18 22 :l3 lnoomo (1001) (Roquilad only II Schedule M-I 11"<'91 be COfTl'lolod,), Combine llnol1 , 111,0ugh 81n ::'1";11:,,, column (b), Fr2,m 1he rosult, subtrac11ha sum Clll:nes 7 through 118, 1~, and 161 , 23 15,912 SILVER Sh,~,.GS THEATRES INC Shareholders' Shares of Incomll, Crodi~oductlo".!t otc. 23-1623180 ~ilg(l3 For PaplrwcHIt AtduCIIM "'I nolle., ...Inllr, 1.0pyl'lght(r,) \"3 101m lo/l..&r. only CP5\'II"U, 1.,,':-, FOfm t 1205 (\lIlI SCHEDULE K-1 (Form 1120S) Sharehc.., ....:r's Share 01 Income, Credits, 0" _Jclions, etc, .. Se. upar.te InstructJons. For c..tlend.1r yur 1993 or lax year ,1990, and endln 19 Co oration', Ident! In number" 2 J - 1623180 CorporatIon's name, aChiross, and ZIP code SILVER SPRINGS THEATRES INC ~<2~A5-0110___ O,panml"tol thll TIIIIII./ly Iflt.rnal RI....nlll S.rVIC. be Inning Shar.hold<or'. Id."Ulylng numb.r ~ 171-) 0 - 5 248 ShAloholdef's name, addfBSa, and ZIP coda PENELOPE DEMELLO E SOUSA RUA PERI 126 JARDIM BO'rANICr:: RIO 1993 DE 22460 214 N BALTIMORE AVENUE MT HOLLY SPRINGS, PA 17065-120) --- A Sh8l0holder'. percenloge 01 .,ocI< ownership for I.. ye81 (000 IrlO!ructJon. 10' Schodule K-l), , ,~ ...~.: ~_ ~ ,1. % 8 Inl...nol Revenu. service CoOler where corporallon filod Its relum ~ Rl:I.I.J,.!\I?P;~.I:l:I.I.~..,.......""...............,..,.. _.".. C T.. .hoIler ,ogl.ttollon nu~rl'nsIruCllons 10' Schor~ K-1) . , , , . , , , , , . . , ,... ChocI< .nnllcable bo,oo: 11 Final K-1 121 Amended K-1 .......--.--...--........"...... D (a) Pro rala .h8le lIome (b) Amounl (0) Form 1040 filers enler the amount In column (b) on: 1 O'dlnary Income (10..) !Tom ~ade or businG" activlU.. . 1 602 See Shareholder's 2 Nellncome (10..) I,om renlal real oolale acUvitloo , . , 2 ""Instructions lor Schodule 3 Nellncomo (loGS) !Tom Olher 'enlal acUvllkl8 " , 3 -- K-1 (Form 11205). 4 PortfOlio Income (10"1: 1""1,, a Inl81'881 , 4a 164 Seh, e, Part I, line 1 Income b Dividendo, , "" , , , " , 4b Seh, e, Part II, lino 5 (Lola) c Aoy_ ,." , , , ,. , 40 Seh, E, Part I, line 4 d Not .Ilon-Ierm capilli goln (10..) , 4d Seh. D, line 5, col, m 0' (g) . Nellong-Ierm caplial goln (10..) , , 4. Sell, D, line 13, col, (I) or (91 1 Olher pornolio Income (10..) (anacll IlChedule) 41 (EnlltOnappl,lIn,ofyourrtlUfn,1 S Nol goln (10..) und... 98ClIon 1231 (olher Ihan due 10 casual1y 0' SI' Sh.,.hold.r'.ln.,rucllon, lhen) .. .. . .... ......... . , , , , 5 for Schedule 1(.-1 (FOIM 1 uos~ . Olher Income 1Ioll$) (anach schedule) ., , . . (Enllron.ppl,llnlol you/ilIum., --, ' , -. 7 Chlli1able con~lblJlIo"" (.... Ino!ruclIons) (anach schedule) 7 Seh, A, line 13 0' 14 Deduc- . SecIIon 179 expo""" deducllon , "" . "". . . tIona . Deducllons ,e1aled 10 porlfolio Income (10..) (anach schedule) . f..~" Sh.r,holn,r',ln.tutl!on, for SQh.duItK-I(Form 1120S~ 10 Other deducUons lanllCh ochedulel , , , ." , " , 10 Inyul- "a Interoo1 expo""" on Inv..tmenl deblJ, , ,. , " , 11a Form 4952, line I - b (1) Invootmonl Incomolncluded on lines 41. 4b, <Ie and 4f abovo bll 164 ..Sh,r.hold.r'.ln.ttueUon. Inl....1 ru InvoatmoOl .,po..... Included on Une 9 above , hl2 for Sch.dull K-l (Fo,", 1120S~ 1:la Cfodlllo< alcohol uoed as fuel ",.,.,,'., , "". , 121 Form 6478, line 10 b Low-Income houolng cr9dlt lillllllllllll (I) From _n 420)(5) parlnonlhlpa tor p,operly placed In _ bll beloro 1990 . , , .'."""",.",.." , (2) Other than on Une 12b(1) tor p,operly placed In _ belo,a b/2 1m ,. , ,.,. , ."" , .., , ,.." , (3) F,om _n 42(J)(5) partrwahlpa to< properly placed In service Form &Me. Une & Cf'ecIIa all'''11l8ll,,,,,. , ...",., , "" . "" . , , bl3 (4) Other than on Uno 1~b(3) 10< proPflllY placed In _ all... bl4 11l81l,. , """"""'" , ""..", , " , c Quallllod rllhabllltallon expendl1ur. ,elaled to ,.nlal ,eaI oolalo acUvl1lell (_lnoIruCUons) , . , . . , . . . . , . , , , , , , . , , , , . , , , 12. d Cf_ (other 1Iw1 ,,_shown on Unea 12b and 12C) ,elaled 10 ,.nlll ~Sl" 5h.,.holdlr, In'trutllon. r.aI eatalll ac1IvttIee (_ InotrucIIons) """,. . 12d or Soh,dultK.I(Fo'''' 11208). . C'<edI1lI ,elaled 10 Olher r.nlal ac1lvIlIoo (_ lnolrucllons) "" , 12. 13 other credl19 1_ lns1rucUonol . . , , , , , ", , 13 Ad!uaI- 141 Oepr.....lIon adju.tmonl on proporty placed In oervIce an... 1988 , 14a -2 See Shareholdor'a ",."ta b AdJuIlod goln Of 10.. . . , " , " , " , 141> lnatructlons lor UldTu c Deplellon (other Ihan oU and g"l, , , , , , " , 14c Sehedule K-1 (Form Prelar- d (1) Groaalncome !Tom oU, g.., 0' geolhormal p,oper1loo dll 1120S)andlns!rucUOn. ..... (2) DoducUono allocable 10 oU, g.., or geolhermal proparUea . -di'2 10' Fo,m 6251 Itlm' a Olher adJu.tmenl. and 1/llC p,ol..onco Ilema (anach ochedulel , 14a For ",plrwofll A.duttlon Act Noll~. ."In,'r, Cop'(l'lght (cll"~ 10'''' .oflwa,. onl'( CPS.,.lltM', In... For", 11205 Sell.dul, K"1 (11~U' ,. " THEATRES J ,JONES INC 2J-162J180 188,-14-2812 .!S.U (c) Form 1040 1,lm'3 ontar lhe amount in column (b) on: Ponn 1110, Chock ooxM SILVER SP Sch.dule K-l (Fo,'" 11205) ('0931 RICH.:..-.l) IS. b Fo,.lgn . r.... d . , 160 b 17 0III0r 10 ,. 20 21 n I b 23 ~ _Ill lnlor- "",tlon (b) Arnounl (a) Pro rala sharo IIams $.. Shlr.hOldlf'llnslt\lCIIOnl lor Seh.dull 1'.-1 (Ffmn \UOS}. FOlm '040, line 8b Typoollncorne ~_...... .._ _' aO.....O. ..=:.. .....". Name of 10(0190 counlrY 01 U.S. pOSSO~~1I0n ... Tolal gro.. Income ham oouro.... oul.ld.,he u'.s: i.i\~~h '';'h~d~~i' Tolal appllc.bl. d.ducllons .nd ">l""" (.II.ch sch.dul.), , , , , Tolallol.l9n I.... (chOCk ono): I> 0 PllId 0 Accru.d Reducoon In 11\)(00 Ivail.bffi lor crodl\ (al1ach schodule), , 01h8f lorol9" 11UC Inlorml\llon (attach 5chodlll~ ' . "otll e)(pondl\url)~ to which I:l nocUon 59(e) eloction may apply Typ. ol..pelldlluro.... . --..... -.' -.. -........ -......... T..-..OOV\ InIOf'" Income 17 Olhol ',,-.'.1'T'4'1 Income , , 18 Nondoducllble ..pen.... ' , 11 Proper1Y dl.tr1bullon. (Including cuh) OlhOf lhan dlvld.nd dl.trlbullon'illllilllll!1 reportod \0 you on Form l00Q-DIV . , , . . , , , , ' . , , 20 N'nOunl 01 loin rop.ymonts 101 'Loln. From 5h"'.holdors', 21 Recaptur. ollow-Inco"" housing cr.dlt: itil \11111I From _lion .20)(0) partnor.hlp. 211 Olhe/ Ih.n on line 22. , , , , ' . 22b SupplomOnlallnlorrn.1Io11 requlr.d \0 be r.porl.d sop",.,.,y \0 .ach .h"'.holdOf (enach Iddll\Onal ach.dul.. II me" space 10 noodod): Form 1116, Pl'rt I Form 11'6, Part II Form 1116, P.rt III S..lnltrUGIIM.IGI FQfm IIIC !I.. 5hantloldlr'lln.lrucllonl lor Behedull K-1 (Form 1 \'lOS~ - Form 661', line 8 ...................................................................................................... ...................................................................................................... -..................................................................................................... ...................................................................................................... ...................................................................................................... ...................................................................................................... ....................................................................................................... ...........................................,..........-................................................ ...................................................................................................... ...................................................................................................... ...................................................................................................... ...................................................................................................... ...................................................................................................... ....................................................................................................... ...................................................................................................... ...................................................................................................... ...................................................................................................... ...................................................................................................... Fo'," St.dlllll - (1"11 fo' ".,MW.,II AduG'ioll M' Notice, ...,,,,,,. CopyllVhl ('11"110"" lonw." onl..' CP5y.,.,,,,,If'lG, Sharehol... ,'s Share of Income, Credits, De"...ctions, etc, r.~I~.'~tl~. "A'.()t~ .. SU separate In,tructlon9, For ealondar yo.. 1993 or I." yo.. 1993 O.pt,tmtn\t11lh,r'UlIlIy Intlln,1 A..",nu. 5'''''1(' boe Innln ,1993, and eridln , 19 $i;;,r.hold.... Id.ntllyln.i..!!!:'mb., ~ 188 -14 - 2812 CO'1'orollon'. Id.nl~!Y!~2.!~!!.!!,b.' ~ ~ -1 ~ ) 180 Shll~holdet's name, addross, and liP codo CorporalJon's namo, IIddro9-S, and ZIP codo RICHARD J JONES SILVER SPRINGS THEATRES INC 214 BALTIMORE AVENUE SCHEDULE K-1 (Form 1120S) MT HOLLY SPRINGS PA 17065 214 N BALTIMORE AVENUE NT HOLLY SPRINGS, PA 17065-120) A. Shar;holdor'9 porcerHftgEl 01 slock ow nor ship lor lax yoar (soo In9lruCUOrl9 lor ~'hOdulo K-1), . ,... . .1.5, : ,1. ~~. 0/: 9 Inlemal Revenue service Co",O! whore corporallon filed I" relurn ~ ?~.I.~I?~J;;?~.IJ\............................ .... __...... C Tax ,hoItor rogl'UltIon num~h In'tructlon, lor SehOn K-l) , , , , , , , '" , ,.. .2...S.hock lIpollclblo eo'oo: III Final K-' /21 Arr<lndod K-l ...................................... (I) Pro rill 'haro nOfll9 (b) Amou", (0) Form 1040 liKNB onlOl Ihn amount In col~'mn ~~~ \ Ordinary Income (1099) Irom Uld. or bu~n... acUvl1l&8 . \ 5.648 See 5haroholder'1 2 Nellnoomo (10..) Irom r.nlal real 00111. acUvl1los , 2 I ~in9l1\Jctlon9 lor Schodlllo 3 Nellncome (10..) ~om olher r.nlalacUvlllos . , 3 K-l (Form' 1205), 4 Por11ollo Income (1099): lilllliillli I Inlorost . , 4a 1 542 Seh. B, PI11I, line , Ineom. b DIvidend""". , 4b Seh. a, Plrt II. IIno ~ (Loll) 0 AoValllea ".." , 40 Seh. E, PI11I, IIn. 4 d N.I .hort .Ierm cllpllal gain (10..) , 4d Seh, D, line ~,col. (n or (g) . Nellong-Ierm oapnal gain (1090) , , , , 4. Seh. D, line 13, 001, (n or (gl f Olher por11ollo Income (1090) (Inlch schedule) , , , 41 (E"lll' on .ppl. ~n. 01 yollr ,.turn.) 5 Nol gain (10..) under 9OCUon 12:11 (Olher Ihln due 10 oasually or s.. 5hl'll'told,,',ln,ttuctJon, lhen) ..,.""",." , ""..""" . 5 for Schedule K-l (FofI'll1120.9). . Olher Income (1099) (Inach schedulel ., . (Enl.tonappl. Mnlllcl yourlltu'n.) . , , , . . . . 7 Chat1llblo conlrlbullons (_ Instruotlon,) (Inach schedule) 7 Sch, A, line 13 or H . Deduc- . SecUon 179 ..pen.. ooductlon, , , , , , ",.", . . -- Uonl . lleduc1lons rollled 10 portfOlio Income (1095) (1lIach schedule) 9 ~~.. Sh,r,hOldlr'llnltrucllonl lor SOh,dull 1(-1 (Form IUOS~ \0 Olher de<!,ucllon. ('II'!eh schedulel. , , , , . , , , , , , . 10 Inv..~" "" Inlet88t 8>lpense on lnveslment debts, . , , . , , , , . , , , ". Form 4952. line 1 moot b (I) Inves1menllnoome Included on lines 41, 4b, 4c Ind 4,lbove -~ 1.542 I~.. Shllllholdlf',ln.lrucllonl lnler..' /2\ InV8$lmOnl .'pon.... Incluclod on line 0 lbove , ~ lor Sllh.dul. 1(,-, (Form 11108). 12.a Credll,er alcohol Uoed as luol ",.,."...",.., . 121 Form 647B, line 10 b low-lnoomo hou~ng credit 1IIIillllll (1) From 9OCtIon 420)(B) par1noohlp. lor properly placed In 98rVIce b/l beler.,AOO , , . , , , . . , , , . , . . , . , . , , . , . . , (21 Olher Ihln on Mne 12b(1) Ier properly placed In II8IVIce before 1900 , , ,." , """""""""'" , hl2 (3) From """lion 420)(~) part"""hlp. for properly placed In _ Form Il!l8B, line B C,ecllI In.. 19B1l , . , . , . . . , . . . , . , , , , . , , , , , , , . , b/3 (4) Olher Ihln on 100 12b(3) lor properly placed In II8IVIce In.. hl4 19B1l. , , , , , . , , . . , . . """""" , ,. , . QualifIed r.hlbilltallon e'pendIN'" rollled 10 r.nlol real "III. octivllloo (see lns1ructlona) , . . , . . , , , , , , , , , , , , , , , , "" , 12. d Credlla (olher Ihan credlill .hown on Un.. 12b Ind 12c) rollled 10 renlal h~..Sh.'.hOld.r'.ln.'ructhln. roal MillO activllJeo (_ Inslrucllona) ."."" , 12d or So".du..K"l (Fatllllla08). . Cr8<ll1a rol.,ed 10 olher ,Inlalactivtu.. (_ InslnJctlona) . , ,. , 12. 13 Olher ""edltl (seoln'trucllonal . , "",'.,.."", , 13 AdllIIl- 141 Dep'edatlon Idju.imenl on properly placed In II8IVIce Ih.. 1IIe8 , 141 -16 ::-.:. See Sharehol_. "",,,II b Adju'lod gain or 1095 , , , . . , . ",.,."" , 14b InalNCtIono lor andTIlC . Depletion (Olher Ihln oU Ind gas) , """""" , 14. Sehedule K-1 (Form Prefer- d (1) Gro..lncome hom oU, gas, or goolhormal proportloo , , . "d/; 1 , 205) Ind In'lruollon. en.,. (2) Deductions aIIoclble III oU, gas, or goolhormal proportloo . , "'2 lor Form 8281 Itema I Olher Idlll.lmel1l. Ind Ill( or.'or.ncellofll9 (.nach schedulel , ,.. for Paperwo,' A.duc~lon Act Nollu, ...Inll" COPYl'I"ht (clltU lorm ~oflw.,. only CP!ly'llllll, Inc. Fo,,'11 t120S Seh.ltul.K-1Ill-t3) SCHEDULE K-1 Shareholl..."r's Share of Income, Credits I Deuuctlons, DlcJOMn '~109"9"'-3~-01JO-- (Form 11205) .. See separate Inalructlons, alPtflm,,,1 ollhl T,...u,y For calond.)f year 199J or lax year InlOln,1 R.~.nll' ~,IV'f.. _ begInnIng , 1993, and endIng , 19 _ Sharoh.ld.~. Id.nUlylng num~ 2 U 4 - 2 6 - 9 9 B 1 ~~.T~~~~~~~r" 2 ) - 16 ? ) 18 0 Shlfeholdof', name, add ross, and liP co(Jo Corpor8\Jon's namo, addro~, and ZIP code HELEN JONES SILVER SPRINGS THEATRES INC 214 BALTIMORE AVENUE MT HOLLY SPRINGS PA 17065 ?14 N BALTIMORE AVENUE MT HOLLY SPRINGS, PA 17065-1203 A Shereholder'a pe<cenloge 01 "ock oWOOf'hlp lor lex yoer (000 In",uction, lo,s;;ho'dulo K-l), , , , , , ,.. .. (~:.~ ~ ~.'" B Inlornal R.venu. Sor'IIce COnlor wh.r. corporation m.d 119 ,.Ium .. ?1-'_I_Y\f?~~-?~.I.~......... ............. ........ ........... C Tex ,hellor rogl,tr.tlon numbor 'oo In'iruction, lor 5chOdulo K-l) , , , , , ... o Check appllc.ble 1>0,.., 1 Fino! K.' -1ll..O Amondod K-l ......... ..................... -. (I) Pro r.,a ,her. "."" (b) Amounl (c) Form 1040 lIIora .nlor .- - Ih. ltT'IOunlln column (b) on: 1 OrdlnlllY Incamo (10..) Irom trad. or OO,ln... acUvlUos . " . 1 , 5, 61~ Sou 5her.holder'a 2 N.llooomo (10..) from ,onlal r.aI ,,'a'. activlU.. , " , 2 -- liln'iruCUOM lor Sehodul. 3 N.llooomo (1o..)lrom olhor r.nlal acUvlUos " , 3 K-l (Form 11205), 4 Port1ollo Incarno (10..): Ihllllllll I Inlor..1 , , , , " , 41 1 543 Seh, B, Pill I, line I Income b DMdGnda."",. , , 4b Seh, B, Pill II, line & (lA..) 0 Royallloa ." , , , '" , 40 Soh, e, Pill I, line 4 d Net.hon-Iorm capllo! gain (loss) , ... . 4d Seh. 0, 1100 &, eel. (n or (g) . N.tlong-torm capllal gain (loss) , , , , , . , . . . . , . 4. Seh, 0, 1100 13, eel, (n or (g) I Olhor port1ollo I"""mo (loss) (.lIlCh "'hodul.) . , .... . 41 ,,- (EnttlOn4Ppl.WnlolyoUffllufn,) 5 N.t gain (loss) undor 8<lCtlon 12:11 (olhof Ihan du.lo casualty or s.. Sh."holdl,..ln.tluctJonl thoh) , , . , , , , , , . , , . . , , , , , , , . , , , . , , , , , 5 10' Sch.du~ K"llPofrnl120S). . Olhor Incomo lIo..llenlch schodulo\ . (Entlfon Ippl, Wn~o' your "lUrn.j - ,.,..."",. , 7 Charnlblo contrlootlon3 (SOD Insiructlona) (InlCh schedulo) " . 7 Seh, A, line 13 or 14 Doduo. . SUCtion 171 .xponao doductlon, , , . , , , , , , , , , , . , , . . Uona . DeduC1lono rolllOO 10 port1ollo Iooomo (10..) (anach ochedulo) , . , ~~.. Sh."O"d.e.lnol",\I,", lor SllltlllSul1 I(..t (Fo'rn1120S~ 10 Olhor deductlona (anach 9Chedulo). . , . , . , , , . . . . . , 10 Inv..l- III Inl.....t."""n.. on Invostrnonl dobl8. , . , , , , , . , , , , , , III Form 4152, line I mant b (1) Inv"lm8nllooo,"" Included on II".. ~I, 4b, 4c and 41 abav. bll 1. 54:> 1~0~'SIt'''hOldl'''ln'lfuClI0"' Inl..... ('2) Invostmenl e)(penso~ Included on line 9 above , , , , , bl2 lor SOh. dull I(~ 1 jF"fl'll 11;ros~ 12a Crodlt lor alcohol used IS luol .,.,.'.'.."..", , 121 Form 6<470, line 10 b low-Incomo houalng Clodll: ,ilillll:llli (1) From I18Cbon 420)(&) plIlnorllhlpa for propor1y placed In sorvIco bofor. 1190 , , , ",.,.."."."""" , bll (2) Olhor Ihln on 1100 12b(1l lor prop8l1y pllCOd In 18!V1r.. bolor. 1990 , , . . . . ."""""..,." , .. , bl2 (3) From oecUon 420)(5) plll'loo..hlpalor prop8l1y placed In sorvIco Form 8581, line & Croci" Ih...'I88 , , , , . , . . , , . , , , , , , . , , . . , , . . , 1>13 (4) Olhor Ihon on Moo 12b(3) lor property pllCOd In aervlce Ih... 11l88. , , . , . , , ,.".""""..,."" , bl4 0 Qualified r.h.bIlI1.tIon .xpondllUr" ,oIllod 10 r.nlal r.aI ..Ial. acllvllJos (&eO Instrucbono) , , """...". , ,,','" , 120 d Crodll8 (othor Ihan Cl.dll8 ahown on II""" 12b and 120) r.'aIOO 10 r.nlal SI' Sh'"holdM',ln,lrvoUon' real estl" acllvlUos (&eO In.tructlolll) "",." , , , 12d o'Sohld")tIC.,,l(Fofll,'UOI). . Ctodlta uN.tud to Olhor renlollCUvltlos (_Instructlons) , , , . , 12. 13 Olhorcrod!!!~In3trucboMl , , , , , , , , , , , , , , , , . , 13 AdIu.l- 141 Deproc:llbon Id~'.lmOnt on prop8l1y pllCOd In _ Iher IDOl , 141 -16 See Shareholder'l mOll" b AdjuatOOgolnorlo.. , . , . , , , , , , , , , , . , , , . , , , . 141> Instructions lor IIldTu 0 llopItllon (Olhar Ihln olllld g..), . , , . , , "',', , 140 Sehedule K-l (Form Prof... d (1) GrOIG Inca".. hom oW, gas, or goolhormal propor1loa , , . d/l - 11205) Ind InllrUctlons - (2) OllducUono aItoclblo 10 011, gu, or goolhormal proporllot . d/2 -- lor Form 82&1 It.ml . Olhor sdlustmllnta .nd lax pr.tor.nce II",", (InlCh 9Chodlllo) 14. For Paperwort R.ducUon AIlI Notice, ..,Inler, Copyright (1l11flU 10fM IOUw.r. only Cf5YII.IIl" Inc. Fo'rn1 nos Sllh.du~ K"'111 '~U. SCHEDULE K-l (Form 11205) Sharohf., ..:r'5 Share of Income, Credits, D... ..uetlons, ete, . See tepa,..,. Innl1uctJons, For cal.ndolir V&.lr 1993 or l.1x Yeilr ,1993, Ind endln I 19 Co oration', Identifying nu~_..?2.:J:j 2 J 180 ('...orporQ'JOn'A name, address, and lIP code SILVER SPRINGS THEATRES INC OMS No, 1545-01JO OIPlrlmenl ol1hl r'luIJ,y IId""'l A.....rna 'iefV". ~lnf1fn Shmh~ld.r" Id.nUfyl!:!ll.~" 4 6 0 - 2 1 - J B 04 ShNeholdef"g name, addfQs'l, and ZIP code DANIEL M JONES 214 BALTIMORE AVENUE 1993 MT HOLLY SPRINGS PA 17065 214 N BALTIMORE AVENUE MT HOLLY SPRINGS, PA 17065-1203 A Sh.,eholder's percenlage 01 .UKJ< ow'....hlp lor Ill)( ve., (900 In.tructlons for SeOOdule K-1), . ~ '" .4, : .8. ~.l: % B Inle<nal Revenue Setvk'.e c"nl.. wh..e corporallon filed Ns return ~ !Cl:'.I. ~I?~~.~J:I;~~.....,.............. _............,....... e Tll)( ahel1.. registr.lIon number ~ Inslrucllol19 for Sehodulo K-1) , . , , , , , , , , . ,.. o Chock .ppllcable box..: (1)[,_1 Final K-1 (2) D..Amondod K-1 ......,...................,... __ (ncom. (Lou) Declue- Ilona Inv..t- ....., Int....' er_ ~1lOl- -- Iftd Tax ......- - 11_ - - - (,.~ Pro rala S!1MQ lien\! (b) Amount (0) Form 1040 Iile" enl", I he amount In ~lumn (b) on; os) from tr.do or bu~ne.. octlvllJ.. . 1 601 ~:>"" Shlll'eholders rom renlal real estate &ctlvitles , , 2 Instructions for Schedule rom olhof rental activities 3 K-' (Form 112(5), i!!~~iiI' . OS): 164 Seh. B, Par1I, line 1 , , 4b Seh, e, Par1I1, line 5 40 Seh, e, Part I, line 4 1\81 gain (1098) , , , 4d Seh, D, line 5, col. (I) or (9) 81 gain (10..) ,. , 4. Seh, D, line 13, col, (Q or (9) me (10..) (O"OCh schedule) 41 (Enl.t onlppl, Iinlfol)'ourrlturn,j 9OC1Ion 1231 (olhor Ihan due 10 C8SUally or SII $hl,.holdtr'w Inllrucllon. , , " , 5 lor Seh.dul. 1'\-1 (Form 1120S). Uatloch schedule) - lEnltronlppl,Un.ol)'oUff.lurn,) , , I -. IioI19 (900 In.trucllono) (atloch schedule) 7 -- Sch, A, line 13 or 14 deducllon , , , , , I 10 POrtfolio Income (10..) (."och schedule) e ~rlltShl""0Id'f'lln"ruCllon. I t lor Sch"rlul. 11.-1 (Fo/m 1120S). anoeh schedule) . " , 10 Inv89tr"onl doblS, , , , '. . 11. Form 4952, line 1 me Included on lines 4a, 4b, 40 and 4f above b(1 164 H1_..Sh""hOld.f'llnllructlonl 11.... Incl\Jded on line 9 above . b(2 lor Seh.dull 1(-1 (Form 1120S~ - sed .. tu... , . . , , , 12. Form 6<478, line 10 ng cr.dlt: Wllllilill 1D(5) Pll1l18r1lhlp. 10' prop..1\' placed In ","vice , , " . b(1 -- ne 12b(1) 10, p,opolty placed In 9OlVIoo bofore , . , , " , b(2 G)(5) Pll1norshlp. for property placed In 9<lf'Vk'", Form 8588, line 5 , , , . , , , , b(3 roe 12b(3) for property placed In 00l'\I1r" ah.... . , , . , , " . " . , , b(4 !lon tllCpMdllurea r....led 10 renl81 real "Iale IlCIMtIoo . . ", , , . ,. . , , 120 credtta shown on Woes 12b and 120) relaled 10 renlat rfc..Shlr.holdtr'llnltructlon, (_ lnatrucllons) , , '" , t2d or Slilhldull K~ 1 (Form 1120$). lhor rentllllC1Mtlee (... In..trucllon.) 12. Ins~lIons) , ,,' , " , 13 - ..- - nl on property placed In """Ice att.. 1988 , 14. -1 See Sh....holder'. os, , . , , " , 14b lnstrucuons lor .n 01 .nd gu) . , , , , , , , t40 . om 011, gu, or geothormal prop_ d(1 Sehedule K-l (Fonn 11205) and In.tructlons .bIe 10 011, gos, or geolhermal proper,"", . d(2 lor Form 8251 and Ill)( pre'..ence lIarm (a"ach 9Chodu.l!L:-,-,-, 14. -- . 1 0, dlnOl)l Income (10 2 Nollncoma (10..) f 3 Nellncome (10..) f 4 Ponfollo Inco,oo (10 I Interest b Dividends, e RoV8ltloo . d Nel.hort-leIm cap . NOllong-1eITn capll I Olhor portfolio Inco 5 Nol g8ln (Io..) under IOOh) . , . I Othor Income (10..) 7 Charttable contrtbu I SectIon 17e expense . Deductlona r....1ed 13 Othor doducllona { ". Inloreo1 8xpenso on b (1) Inveotmenllnco (2) Inv..tment "PO 1 aa C<edIt for oleohol u b I.o",-Inco"", housl (1) From _n 42 before 1990 , (2) Other Ihan on II 1990 "" (31 From _n 42 an"'lll8Q , , (4) Other than on 1 188ll. . , , , o Quoiftedr~. (_lnolrUClIono) d eredlto (other than rool ..ale oc.1Mtlea . eredlto r....1ed 10 0 13 O1hor "'edIto _ 1411 Doprodat1on .d/U_ b Ad/U_ goln or 10 o Dep_n (other Ih d (I) Gro"lncome lr (2) Deductions aIIoc . Othor adjull1mon\lJ Fo, ~efwork A.dvClllon -'ell NoUet, ...Inltr, CllpyTlght(c) Illn 1011ll lollw.,. ,,"ly Cf'lSyvlUII, lne. Form 11205 :'teh.dul. K~1 (1'-tJ) SILVER SI' ScheduleK-1 (Form 11;:!QS) (FHJJ) DANl (I) Pro rala share IIams 151 b Foreign . Tu.. d 0 '''' b 17 0111.. II II ao 21 22 0 b 23 SUpple- _1M liIlor- mallon ~ JS M 23-1623180 460-21-3804 Pogo 2 (c) Form 104C lilars ontor \!w, amounlln column (b) on: Form 1110, ChOCk bo,l(os THEATRES JONES INC (b) Amounl Type 01 Income ... u . . . . . . . . . . . . u _ . . . . . . . . . .. .. . . . . . , . Nama of foreign counlry or U.S. possosslon ~.. _... _.. ...... ._ Tolal graBS Income from sources outside tllo U,S. (tllttlch schodulo) TOlal applicable deductions and lassos (allach schodule) . Tolal foro+gn lax89 (check on.): .. 0 Pard 0 Accrued Roduction In tAlCoa available lor crodll (al1ech sctlOdulo). Olt!!f lorelgn tlUl inlonnaUon 41111Ch schedulo TOlal expendllures 10 which 0 section 59(e) elecllon may apply Type 01 expenditures.. ...,.,...,. _ . . , . , ., , , . , , , , . . . , , . , Tu-ex~llnler89\ Income Olher tU"'lII1"4lt Income , . . , , , . Nondeductible e,penses , , , , , Propelly dl8lr1builonB (Including ...h) Olher Ihon dividend dl8l11butlons reponed 10 you on Form I09Q-OIV , . .' """ Amount 01 loon repoymenill lor "Loons From Shareholde<s" . Aecapillre 01 low-Income housing credit: From _n 42U)(6) ponnershlps Olher thon on line 220 22b SUppiemenlllllnlcrmailon required 10 be reponBd separ.,Bly 10 Bach sharBholdBl (Bltach Bddltlonalschedulos It more space 10 need<>d): 150 ISd ISo \51 IS,i lsa Form 1116, pan I Form 1116, Pon II Form 1116, Pan III 5.. lrutructlon. lor FOlrTl 'lIe .s"Sh.r,hold,r',lnl\ructlonl 101 5Ghldul, K~ I (Form I \2QS~ Form 1Q040, line 6b S.. S"."hold,r',lnllrucllonl for SOIl,dul, KM 1 (Form 112Nl~ 221 Form 661 1, line 8 ........,.............................................................................................. ..............................................................................................~....... ....................................................................................................... ...................................................................................................... ...................................................................................................... .........................................................~............................................ ...........................................~.......................................................... ...................................................................................................... ...................................................................................................... .....................................................~................................................ ...................................................................................................... ........................................................................"............................. ...................................................................................................... ...........................................................,........................................... For ...,erwork "'ductlon Act N~tI~, ...In.''. COflyrlgh1lCll'U fa,,,, .oU..,. only CPSytllltll. Ino. Form SCh'du"~3) ~~m4'62('993) SILVEH ~;prL ,..;" TIIEATHES TNC ?]-1.!:.?Jl8~~~ [Part V 1 Usted Property - Automobiles, Certain Other Vohlclo~, Cellular Tolophones, Cortaln Computors, and Property Used lor Entertainment, Recreallon, or Amusement For any vehICle 'or which you IUO u!tlng lt10 slandntd mloago rale or dodllclIng loa90 o)(pon[)o, complfllo only 22a, 22b, COIUnlM (8) through (C) 01 Soction A, all 01 Socuon S, and $oct/on C If apphcablo, Section A - Oeprec:I...Uon i1nd Othtlr Information Ciullo": s~ lnglruclJon9 'or Iimllallon9 lor filllornobllo9, 22100 you n..... Ivld.nn 10 .uppo/lltle bUlln'u/ln..ntM'lIlIlI \/11 cIA.mtd? Vel No 22b If "Yos," Is ltlO ovidnnco wrllion? (0) O.Slllor dlpl'tlallnn (till linIn I Invulmlrl\ (I) Typlol prop.,l'!' (~.l VI''1Iclnllull (b) Oal<<pLlind In UNIC' (e) aUllnlnl 11I....'mlnl '" ptrc,nltgo (d) COllor olhlrbUl' (I) fhtovlry PltlOd (g) M'lhodl Corwon\!t1n (h) Depr'Clltlon (l,(ll/cl,on EI,<:ltd ..<:llon,,,, losl 23 Property uood more than 50% In 8 lJalilied bu~no., u.. :=r~IO"') ~ used e.o% or less in a uaUfled buslness use soo Instructions: F=t _L 24 Pro '/0 S/L. S/L. SIL. 21 Add lImunlllln colulM (h). Enler 1110 10lal her. and on line 19, page 1 , , , , , , , , 2S 21 Add aI'T'Ounls In column! , Entor lhe lotal here and on Uno 1, e 1 . 26 s.oUon 8 .. InformaUon Regirdlng U.. of Vehicle. - II you deducl e)(pense9 lor vehICles; . Atways campisi. Ihle I18CtIon fOf vehlckJs used by a sole proprietor, par1ner, or other "more than ~% owner," or ralatad person. . II you provided v._ 10 your 8l'l1lIoY"" l.sl Inswer IlIe quesUOns In SecUOn C 10 ... II you mo.' an excepllon 10 cornplellng IlIis oocUon 10' lhose v.hlcles, (.) (b) (e) (d) (.) (I) 21 Tolalbul./lnv'lllfttftl mil" V,hitl, t Vahlt!.1 V.hlcl.3 V.hltl.. Vehltl. !I V.hic!te driv.n during lh. 'If. (00 NOT Includ. commuting milt.). . , 2. TolIIl commuting ",111. driv.n durin; lh. y..r. . , , 21 TolIIl othtt p.,aonallnon.. comMutlnll) milt. drl..-.n . 30 Total mU.. drlv.n dUMn, lh. y..r. Add.nt. ar thl'ou;h a... . , , . . . V.. No V.I No VOl No V.. No VII No V.I No 31 Wu th......hlel. ,,,.lklb.. 101' ~.l'Ion.1 un during oU..duly OUrI'...".." . 33 W.. lht "I hie It u,.d ori.. m"lIy by' "'or. tnll'! $" own., or ,..kll.d Pinon" . 33 I. anolhtt ....hleltll....lJ..blt 101' ,._nonll u.., . , . Secllon C - OuMtIona lor Enlf>loV""' Who Provldt VaIllcl.. lor U.. bV Thllr EmpIOV'" "'- .- queeUono 10 de_ne ~ you ".. an excepllon 10 C<Ofl1'leting _n B, Nolo: SecIIon B "..,sl aIwlys be colr4lloled lor vuhlcles used by 001. proprlelO.., part""",, or olhof more Ihln ~% ow""", or ,ellled ptllOOns, V.I No :14 Do you maintain I _ policy ItAloment lhal plohlbl1ll II pers,,,,oI use 01 vohlr.le$, Including COlm'lJUng, by your 8l'l1l1oV-?, ..,.."" ""." "",."",.",.", 3S Do you malntoln I VoTInen policy S1110m0nllhll p,ohib<1ll peroonlll u.. 01 v.hIcIes, .xcepl corm>JUng, by your . 8l'l1lloyeM? (See Il1lIlrucIIons 10< vehldes used by ccrpo,ale olflcers, dIIoeto.., 011% or more owners,) , , :Ie Do you ~.It II u.. 01 veI1lcIet by O!11ployuea .. p<<oonol use? , """""",.",.", 31 Do you provide """. than ftve v_ 10 your """Ioyuea and ,.'aln lhe InlonnaUOn '8C8Ived from your ."'ploy... conoernlng the u.. 01 \he ""_?, , , , , , . , , , , , , . . . . , , . , . , 31 Do you """" the requlr""",nll concerning qualllled automobile dernons~IUOn use (see inslrucllons)? , , , , , , ~~~~i]jr..- to 34, 3~, 36, 37, or 3010 'Y.... you need nol CO!'1'IeI. SecIIon B lor the covered vehicles, , Amortization (b) Dll.,martlntlon blgln. !!!ili"il!I!li':l'i;iLiiH! (I) O..orIptlonof oolll (e) Amortlublt '11I01.11'1' (eI) Cod. ..otlon . (I) AtrlO,\lutlon lnrthl.yNl' 3. AmorUzltlon 01 coS1ll thol begl'lS during your 1993 lax year: -f A"'vl1l&ltlon p.'lodor .re.nll' !!li!i'lliillli'illi ,:11111 '11'lii!! t- 40 Amol1lzltlon 01 com thlt begin belor. 1.93 , 41 Tobll. Enter here Ind on "Olher Deductlons" or .Olher Ex .n....Une 01 our r.\Urn , Fo, PIIlM''lItorll AlfdueUol'l Aclt Nolle., In Inlt,. CopyTIghl (clllU IO'I'II.ollwllf on I.,. CPS.,..,.ml, I"Co 40 41 Fo,,,, 11111131 ,)tpM'flI.nt of Ihl 1'~H\Jry 1<l1~"lAI llh.nut ~'~'.'rt U.S. lI.vorne Tax Return for an S t.VI poration ~ 0" not lite this form unles.9 the corporation has tlmdl( f1lod Form 2553 10 elocl to be an S corpo(allon. ~ !.ioe 90parate In!'ltructlon't. or 1.:1)( YOM bo Inning 1<)q4 Ilnd orH1HI' 19 i'jMflll() 1('..\~J-I)\)0 r,,"" 11205 1994 For calendar yoar 1994, A Dale 01 olocllOn as an 5 corporallon SILVER SPRINGS THEATRES INC -- C Employer Identification no. 23-162Jl80 Us. IRS label. Other- wIse, plea!le print or type. 214 N BALTIMORE AVENUE MT HOLLY SPRINGS, PA 17065-1203 -.-- o Oalo Incorporatod 01/06/49 E Tolal assols (!Joo Spocillc Inslr\lctlolHl) _~27 72 B BU91fl009 codo no. (!lOO Spocllic InstruCllons) 7830 F Check applicable OO'es: (1) G H IMial roturn (2) Final fulurn (3) Change in address (4) 82,725 Al'l1onded roturn Enler number ~~areholdor9 in tho corpar_allon at ond 01 Iho la)( yoar . .0 4 Chle~ ttll, tl(l~ d 'till S e;HpO/ltlon II luul,et '0 'h. conlolld.'td .ulll! j:HOr,ldu'" 01 nellon. 62"lh/Ough 82'~ l'" 1/IIlIUclio/15 belo/I Chtl:~I"g llllt bar) Clutlon: lncludo onlv trado or business Income and e)(pen!109 on Iinos 111 IhroUQIl 21, Soe tile jnelrllcllons lor mora inlormallon, 11 OrOIl/le.IPllo,..I..1 11, 00 cfb LII. /lhll"l .nd lIl10wlInr,u I I c 8al ... 10 11,000 I 2 Cosl 01 goods sold (Schedule A, lino 8) 2 n 3 Gros.s profit. Subtract Iino 2 Irom Ii no 10 , , 3 ,_....J:.!:.L2.Q.Q. 0 0 4 Net gain (10..)1'010 Fo'm 4787, Part II, line 2U (ellach Fo,m 4787) 4 m 5 OUUlr Income (loss) (see InstrucUons) (allaCh schodule) 5 3,500 0 8 Total Incom. tloasl. Combine lines J lhrouah 5 . . 8 14,500 7 Compensation 01 oNICer8 . , , , . 7 s 8 Salaries Ind wag" (less employment credits) 8 . . 9 RepaIrs Ind maIntenance " , , . 9 6~ , 10 Bad deblS 10 , 11 Renla 11 0 . ' , . I 12 Taxes and Iiconsos . ' , 12 5~~ d , 0 . 13 Interoet. . . , . . ' , . ,I ;4'11 ' 13 -- 0 14a Dop'eclallon (aee In.~ucllona) , , , , , , , , , , _1.2 , t I I , b Dep,eclaUon claimed on SChodule A and el.ewhe,e on ,alurn .114b I 0 , o Sub~aclllne 14b I,om line 14a, , , , 140 45 n . . . . . , , , , I I 15 DepleUon (Do not _01 olllnd gll cMploUon.) , 15 I ' . m 18 Ad\lertJ8Ing. . , . , , , , , " , 18 , Penalon, p,oOt-ahanng, otc" plana. 17 I 17 . 11 EfT'4lloyee benefit p,09,ame I' I ,.. , I 19 Olller deductions (aee Insl1llcllono) (1"lch schedule) 19 4 323 , To'" dldoaUon.. Add Ihe tlIOOunlS shown In Ihelar Ilghl column 10' lines 7 th,ough 19 20 16,215 , 20 .. , 21 O'dlnarv Income (los.) lram l..de 0' bu9lne.. acllvllle., Subiraclllne 20 I,om IIno 6 , 21 -1,715, - ' , 22 Tax, 1 Excess nol passive Income lax (1lIsoh schedule) , I 2211 0, T b Tax 1'010 SChedule D (Form 11205), ,12211 I "', I . , , , . a Add line. 22a and 22b (aee In.~ucllona lor addlllonall",ea) , , " , ' , 220 . 23 Plymon..: 11994 e.Umoled lax pay,non" and amI. applied I'om 1993 'elurn 23. 0 b Tax depoalled with Form 7004 231> 0 , P , , I a C,udlllo, Fedelallax paid on luela (a"soh Form 4136) , , 230 0 Y d Add lines 23. 1I110Ugh 230 , 23d m " , . 24 Eallmaled lax ponol1y (aee In.~ucUo".), Checi< If Form 2220 IS IlIsohed . .0 24 n ' , t :IS Tax due. If tho tolal of "nee 22c and :l!4 Is IlIger than line 23d, ent8f' amounl owed. See Instructions lor I depo~tlll)' IT'.alhod 01 poyment . . 25 . , 21 Oy.rpavm.nt. II Hne 23d h, larg8f' th4ln the to1a1 01 lIn" 220 and 2<4, enUw amount overpaid. . . 28 Enter amount 01 line 26 \IOU want Credited to 1995 estlmated t.11C. Refunded ~ 27 -,- 27 Pleas. ".... ..""..." ..,,,., .........' .... ."........ .......,.". .....-. .......... '".....,,~' - ;'21 b,II.I, 111.tru., eO'IIel, .nd eompl.t., O.el,,,.llon of PllP"" (olht' IlIan lupay,,)I. band on llllnfn,matlnn 01 whle Sign ~ ---1--_ ~ 1~1 __ Her. Slonllu'e 01 OfflcOl Dale ntle -- -- ~te [;k il ~If- r-if"'''''' "',,,,,,,,,,, ,,;;-;;;;-- Preparar'. ~ / Plld signature / e loved 209-12-6630 . -- Prepar.,'. F!'IlI'.nlmt ~ ~<?X~!U~ .~~:r:T_E;13".9R~!'!.................. _....- UN Only (t! Ouftlf P.O. BOX 8300 EJ No. .23-1311005 ..l.,mPIOY'd) lnrllldd'UI cAMP"HILL.... - - -...... "Pi>.' ......... ..... - -.. .... ZIP Code. 17001-8300 - Dln Fo, P.p.f....,H_ A.duehon Atl Nollc,. u. Inttf COJlYlIghtlcl1~g410Hn lollw.,t only CP5yll.m'.lnc. ~fl'm 112051In"l ~'()rIll1120S \1901'\) [SChedule A I SILVER SPR",GS THEATRES INC 23-1621lH() P,lqll 2 Cost 01 Goods Sold (500 In9Ir\lCllons.) 1 Inventory al boglf1nll1g of yoar 2 PurchasQs 3 Cost 01 labOr .. AddItional socllon 26JA costs (soo InslruCllOnS) (aMach schodule) 5 Olhor costs (attach schedulo) , 8 TolJIl. Add lines 1 lhrough 5 7 Inventory at end 01 year, 8 Coat of goods aold. Subtract IIno 71rom Iino 6, Enter hore and on page 1, Hn(l 2 8. Check all methods llsed lor valumg clOSing invonlory: (I) ~ Cost (II) LOWOf 01 c091 or markel as doscllbod In Rogulalions section 1.471-4 (III) Wlllodown 01 "subnormal" goods as described In Rogulallons aeclion 1.471-2(c) (Iv) OlhOf (specily melhod used and anach e'plan'lion) ~ b Check II the LIFO Inventory melhod was adopled Ihis lax year lor any- g~~d." (;I.Ch-';'k~d: ~"~C.h. F~r;'; 970j ~ . ,. : ... : .... '. . . . .- : .. . - - ;. . D' . Cl II 'he LIFO Inventory method was used lor this ta'lC year, antor percentage (or amounts) 01 clOSing Inventory computed undOf LIFO , d Do the rules 01 section 2B3A (lor property produced or acquired lor resale) apply to Ihe. corporaUon? , . Was there any chango In determilllng quantiUes, COSI, or valuations between openIng and closlnp Inventory? II "Yes," anech e)(planallon, I 2 3 4 6 6 7 B ,,~o ..' Yos l~ , , Yes D No I Schedule B.I Other Information Yes No t Check maltlod olaccounUng: (I) [K] Caah (b) 0 Accrual (0) 0 Olher (specily) ~ .. ... ...... . . ,_ . .. . . ... __ 2 Refer to the HSlln the Instructions snd alale Ihe corporation's principal: (I) Buainoa.."Uvity ~ ~~:r:;:R,!,^!1'{l:l,E:~:r:....... _. (b) Producl orservice ~ ~Y:r:I?~9R. :r:':I.E:J:.:r:'3.E:... _..__ 3 Did the corporlUon II the end ollhe 18)( veil own, dlrectlv or Indirectly, 50% or more of the voting slock of a domestic corporation? (For rules olaMbution, see aecUon 267(0),) II "Yes,' aMch a schedule showing: (I) name, eddress, and empl',yer Idenl1llealion numbo< Ind (b) pOfconlaga owned, X 4 W.. the corporation I membet oil conuolktd group subject 10 lhe provisions of seclion 1561? . -X- I At any time durtng cwndAf V81l1QQ4, dId the corporaUon hive an Intereslln or a slgnaluro or other authority over a IInanetBI account In I fore6gn country (such as I bank account, 88Cur1tl08 Iccounl, or alMr financial accounl)? (See Instructions lor eKcepllon9 and IIIlng requlrementa lor form TO F 90-22,1,) ., X If "Yes," enl.. the nlllTlO 01 tho foreign country ~ __...,.., __ _ _ _ . . .. .. .. _ __ __ . . .. , . .. . , . . . . . . . .' __ , . . , . __ , .. . . __ _ . Waalhe corporation Ihe granlor of, or transferor to, .'orelgn trust thai o)(ISled during Ihe currenllax year, whelher or nol the corporation haa Iny benellclal inl....t In U? If "Y",'lho corporation may have to IIle Forms 3~, 3520-A, or 926 X 7 Check thla box II the corporation h..llifld or Is required 10 lIIe Form 1264, ApplicaUon lor Roglaualion 01 a Tax Sholt'" . ,~ 8 . Check this bex II lho corporation issued publicly o"Ofed debt InslNmants with orlglnlll issue discounl . ~ If 80, lhe corpllration may have 10 file Form 1281, inlormalion Relurn lor Publicly O"Ofad Original Issue Discount InslrumenlS, 8 If tho corporatk.n: (I) filed Ita election 10 be In 5 corporation IU", 1866, (b) wa. a C corporation belore it elecled 10 be an 5 corporation 0( lhe corporation acquired an .....1 wI1h a b.... delermlned by relOfonce 10 Ita baals (or the basis 01 any olher property) In the hinds oil C corporltion, and (0) haa net unrealized built-In gain (defined In aection 1374(d)(1)) In e,c..s 01 Ihe net recognize buill-In gain Irom prior years, ent'" lho net unrealIZed buill-In gain reducod by net recognized buill-In gain 110m poor years (see Instruotions) , , , . , , ' , , , , , , . , " , ~ J!....9OOC)( this bole If lhe corporation hid !Jubch 191" C eaml! S lInd ronte at lhe ck)se ollhe tax ear S98 In9trucllons Oe.lgnatlon of Tax Mettere per.on (See InsINcUona,) Ent.. below tho shl/aOOid", designated as lho I.. man... pOfson (TMPllor Ihe lax year 01 this relurn: ~=n~:ed TMP ~ HELEN JONES ~~~~n~ TMP ~ Addr_ of It. 214 BALTIMORE AVENUE d..lgnatedTMP r MT HOLLY SPRINGS PA 17065 204-26-9981 For P.plfwork R.ductlon Act Nolle.,,,, In"" CapY'lglll(c) In. form loltlfil"" only CPSyll,m" lnc, Fo,", 11205 (\9Il~1 FOIml120S119941 SILVER SPk_.,GS THEATRES INC ?,J-!62J1RO [jlchedule K I-Shareholders' Shares 01 Income, Credits, Doducllons, elc,-,__.__. (a) Pro lAta 9hflfO IIf)m~ t OrdlnNY Income (loss) Irom tlado or buslnoss actlvltlos (pago 1.lIno 21) :I: Net Income (loss) from (ontal roal estato actlvltlOS (altactl FOfm 8825) 31 Gr09s Incomo from olhor ronlal aclJvlUos , b Expenses Irom other ronlal actlvltlOS (attach schodulo), c NOllncome (loss) from olher 10ntAI acltvities. Sublracllino 3b 110m line 3a ,. P0r1101io Income (loss): I Intorest Income , b Dividend Income c Royalty income d NOlshon-lerm C.Pllal g.ln (loss) (.n.ch Schedule D (Form 11205)) . Nellong-Ierm c.pll.1 g.ln (Io.s) (.n.ch Sohedule D (Form 11205)) I Olher ponlollo InC<lroo (10") (.n.ch schedule) G Net gain (loss) undor seellon 1231 (olhllt Ih.n due 10 ca.u.lly or Ihell) (.nach Form 4797) , 8 Olher Incoroo 1I0.SI I.nech schedule\ 7 Charllable contrlbuUon. (.ee InetrucUone) (anach schedule) 8 Section 179 e'pense deduction (.nach Form 4562) 9 Deductions relaled 10 p0l1101l0 InC<lroo (loss) (s.. inslrucllol\s) (1Ien>'e) 10 Olher deduclions len.ch schedulel, , 111 Inlorest expense on InvsSlmenl dabts ., , . b (1) ltweatment lncomo Included on Unes 41, 4h, 4C, and 41 above /2\ Inv..lroont e,oens,,'nCluded on line 9 above ..,... 12<1 Credlllor alC<lllol used II a luel (.nach Form 6476) bLow-Income housh19 crodlt (see Instructions): (I) From partner.hipslo which seellon 420)(5) .ppll,,'or properly pl.ced In 'ervice belore 1990 (2) OlhOl th.n on line 12b(l) lor properly pl.ced In service belor. 1990 (3) From partn"'shlpslO which secllon 42W(~) appll.. lor properly placed In service .Mer '9S9 (4) Olher than on line 12b(3) lor properly placed In service .Mer 1969 , , o Qualified rehabilitation e'pendllures rel.,ed 10 renlal re.' eslale .cliyltles (a"ach FOlm 3466) d Credita (other Ihan credlls shown on IInes12b .nd 120) rei. lea 10 renl.' realee'.'e .cllvlll" (s.. Instructiona) '" ., , . , , , , . Credits rel.,ed 10 other renlalacUYIU.. (... InstrucUons) " 13 Olher credlls Is.. Inslructlonsl , 14.t Deprecl.lIon adluslmenl on proporty placed In service .Mer 1966 , b Adl"sted gain or 10.. , o Deplellon (olher Ihen 011 and gu) . d (I) Gro..'ncoroo from oil, g.., or goolhefmal propenl.. . (2) Deduction. allocabla 10 011, gll, or goolhOlmal properties , ., . Other .dlustmenlO .nd Ill>( orelerenceitemo I.n.ch schedule\ . 15<1 Type of Incoroo ~ ...'....................................,.................. _... b Name ollorelgn C<luntry or U,S, poaaeeslon ~ ......................................,.,. o Tolal gro.. Income Mom lOur""" oullide lhe United 5,.,,, (anach schedule) , , , d Tal., applicable deductions .nd Io~.n.ch schedule), , . . , , . Total lorelgn ""'.. (checll one): ~ U Paid D Mcwed , , I Reclucllon In ,.... .v,;l.bIe lor cr8dh (.nach ocl\edule) , , , , o Olher lor9lon Ill>( Inlorm.'lon (.nach achedule) 181 Tolalel<pendlrurea'0 which. seellon ~9(.) e4ecllon m.y apply . b Type ole'pendllur..~ . _..,......... _......................... .................,.. 17 Tfl)(-QM8fll)t inloresl income I. Olher t..-..empllncoroo 19 Nond8duoUbIe ..pen... 20 Tal., proporty dlstlibullon. (Including c..h) olher Ih.n dividends reponed on line 22 below 21 Olher hen-e .nd amounl. required 10 be reponed oepar.'eIy 10 sharehOlden (_'I\.,rucllons) (."ach schedule) 22 TOlal dividend dlatlibullon. p.'d Irom lICDufT'IJl.,ed aarnlnga .nd pro Ills , , , , 23 Inoom. (10"). (Requlrod Ol\ly II Schedule M-l musl be compleled,), Combine IIn8'll 1 Ihrough 6 In column (b). From the result, subtract the sum of lines 7 through 11 a, 1~, and 161 , I n o o "' . .~ 3b L o . . o . d a II nl\ Y' C r t . 1~ . T I II am . ~T r. T: X. ? h . r For Plp.rwo,,,, R.ducllon Act 'IOIIC', lilt Inllr, CoPy"g~lltlll1114 101m Inllwlr, only CPS'l"l~m., Inc., 30 4. 4b 40 4d 4. 41 5 a 7 8 9 10 II. llb/1\ Ilbl2\ 12. 12bltl 12b12\ 12b/3\ 12b14\ 120 12d 12. 13 14. 14b 140 14d11\ 14d12\ 14. 11:1.' 15c 15d 15. 151 150 18. : ' 17 18 19 20 ". , 22 23 I 2 P'lqn 3 b) Totnlll')'Il)\llll -1 715 .-::.....L___. ~...~ -1. 715 Form 11205 i1llg'l SCHEDULE K-1 1 Sharehol",<Jr's Share 01 Income, Credits, Deuuctions, etc, \('!'^-~ l1019"9'"-"4'-:"-'-"I1..,- (Form 11205) ~ See ..p"aleln.t,ucllon" "".".." ",,, '<om" Fo' calend" yu, \9940' '" ye.. "",,,I ",,"'" """," beginning , \994, and .ndln ,19 ~holdor'~!tyln~ num_~~~_?..!..:l9.::22- ~ 8 Co orallon:!-I.'!.nlltyln9 num~ ~ 23 - ~~2118 0 --'- SI,.rohOldor" nan"', addra", MId liP codo corporallon" namo, addro.., nnd ZIP coda PENELOPE DEMELLO E SOUSA SILVER SPRINGS THEATRES INC RUA PERI 126 JARDIM BOTANICO RIO A Sr,arohOlde," percenlage ~~;;;;;;;;ipIo;t.;V;';i;;;;In~\rucllol1S lor schedule K-l), . ~ _..~. ~~. ~ ~,'i' 8 Inlern,l Rev.nue Service Conle' where corporollon med It. relurn ~ !".I:IJ.r,.~l?~I,<]?.l:l~:~...,..."""""""""'"'''''' -....' C TO)( .helle, r09I9\r.llon numbe' (S.., In.\rucllonslor schedule K-I) ~ DE 22460 214 N BALTIMORE AVENUE MT HOLLt SPRINGS, PA 17065-1203 (;11"1 Fln.1 K-l 12\ II Amond~d K-, ...........................-.... D CMck applicablO ~'9: (a) Pro rata sharD lloms (b) Amounl (0) Form 1040 IlIe" enle' ----- the amollnt In column (bl on' I Ordinary IncomEI (108s) 110m trade or business ac\lvities , 1 -83 ~~.. Sh.reholder', 2 Net income (loss) !rom rontal faDI aalst'] actiVities. 2 Inslructlons lor Schedule 3 Not income (loss) horn other renlal acUvlllos 3 K-1 (Form 11205), 4 PortfoliO Income (10"): j" . Inlet..1 ' 41 Seh, e, Pan I, line 1 l"earn- b Dividends , 4b 5Oh, B, Pan II, lI"e 5 - (~o..) 0 Royolll" ' , ' , 40 5Oh, E, Pan I, line 4 -- d Nol ,hon-1e(1l1 capitol goln (10") . 4d Sch, D, line 5, col. (n or (9) . Nellong-te,m c..pllo! g.in (10") 4. sch, D, line 13, col. (n or (9) -, , Olhet portfolio InoolOO (Io.s) (eneoh sehedule) 4' (ElIl8rOnapPI,!II\.olyoU/r8\\I/n,1 5 Net gain (lus.'i) under sectlon 1231 (otMr than due to casualty or susnar.lloldll'tlnllrucllonl Ihe<<) 5 !or sell.dul. K-\ (FOrm \\205). 8 Olhe'_lneome ~..) (enaeh .e~~dule) 8 IEnllllonlPpl,hr\eolyourl8lurnj 7 Chlll'i\able contributions (see Instructions) (attach schedule) 7 Sch, A, line 15 or 16 - D.duo- a SocHan 179 o:-:penso deductiOn, , 8 - Uona g Deductions relalod 10 portfOliO lncon'W (loSS) (anach schedule) g jr"SlIlrllloldlr"lllIlrUC\,nn. -- !or selledul' K-\ (Form \\2091, \0 Other deductions (attach schedule) , 10 - - Inv..l- III IntElf98t expense on lnvestmont debts, ' , . ' ' , ill form 4952, line 1 ment b (1) InvestMellt Income included on lines 48, 4b, 4c Md 41 above b(ll ~rU Shartlhold,r's IrollrucllOn! Interest .-EUnV9S\lnent e:-:penses Included on line 9 abOVO , 'bi2l lor Sellldul. 1(-\ (Form \\205). - - - \20 Cr~dlt tor ak;OhOl used .s fuol ' , ' , 121 - Form 6478, hne 10 b Low..income housing credit: [I',i,:" (I) From section 42(j)(5) partnerships 10' propOl1Y placed In 'erv\C<l beloro 1990, b(l\ - (2) OIhe!lhan on line 12b(1) 10' proper1y placed in """Ice belore 1990 ' , ' , \ bJ2\ (3) From _tIon ~20)(~) partnership. 10' properly pieced In """Ice Form 6586, line 6 Crodllo 1<<0,'989 , . , ' , " , b(31 - (4) Othe! than on line 121>(3) lor properl'/ placed In s"",1ce I<<er 1989 ' ' ' , ' , .,.., ' 1>(4\ 0 au-'It\ed rohlbllllltlon e.pondI1Ul" relaled 10 rento! ,e-' ..tale actlvl\l8ll (_ln8INctlono), " , ' , 120 - d c,edtts (othe! \hln e,edlUl8hOwn on lines 12b and 12c) ,elaled 10 rental re-' ","I. acllvltleo (... In.\ructlons) , 12d S..StllrfltlOldlf,.ln1trucllonl jDr Scnldulll(-\ (Form 1120S~ . C,.dIUl ,elllod 10 olhet renlalacOvltleo (see instruCtJons) 12. 13 ~ credt~s i!!!.~uctk)n9) 13 - --- "dlull- ,40 Dep,,,,,,atJon Id\u.,monl on properlY placed In ..rviCe .11.. 1988 . 141 See Shareholder's m_nll b Adlu.led g-'n 0' 10" 14b - lnstrucllons lor Ind ,.. 0 Depletion (011101' thin 011 Ind gill) , 14. - Schedule K~1 (Form Prete,. d (1) GrO&8 inC'.ome Irom oil, gas, or goo\Mrmlll proper1l08 , ! dll\ i 1205) Ilnd InsttuctiflnS _nee (2) Deductlons aUocable 10 011, gu, or gOOlhOnnat proPQrtles Idl2\ -- 101 Form 6251 Item- . Oltlef Idl1l8\rnanlS and \8~~~n'l9 (attach schedule I 140 Form "205 5chetllIIIK~' l1q\l4) DIn for flIP.r\lIDlk r1.duc\!On ""(.1 Nollce,." .n.tr. COP'I'rlght(Cl\\;!iIllorm ,ll!\wlr' only Cf'~'f'I.,,\..lnc. SCHEDULE K-1 L::harChOluer,s Share of Income, Credits, Deaucllons. ctc, 10-"~'-',I.":,~__u (Form 11205) ... See 9Clpllnle Instructions. I nl"ltlm,nt <1' lhl l'lluuly For calend.u V.car 1994 or t.1II year I 1994 Inl"~ll A'~'I"u S"Ylr, beginning , 1994, ,lnd ~ndln ,19 , ~~oldor'. Idonll.!l:~~umbor ~ 188 :l4 - 2 812 i:.orporallon" Idonlltylng numb~ 23- 1623 180 ____' St,alOholdor'9 nan'rO, addross, t.nd ZIP codo Corpofatlol1'9 nall'ltl, addrus9, .111d ZIP coclo RICHARD J JONES SILVER SPRINGS THEATRES INC 214 BALTIMORE AVENUE MT HOLLY SPRINGS PA 17065 214 N BALTIMORE AVENUE MT HOLLY SPRINGS, PA 17065-1203 A Shareholder'g porcentage of stock ownership lor tAl( vatu (900 Instructions for Schedule K~ 1), ... . .1.5. ~ ,1. ~ ~.o/.. B Inl.rnol R.v.nu. Servlco Conl.r whor. corporlllon m.d lIS rolurn. .I:~.~ ~^l?~~?~.I,~............ _.. ...... ......... ..,... . . . C TI)( shelter registration number (S96 Instructions lor Schedule K"1) ... (I/WIIlOIK-I 121 n Amond~~ K-; .......--....................... 0 Chock appUcable boxes: -- (a) Pro rail share l10ms (b) Amounl (0) form 1040 lllors entor lhe amount in column (b) on I Ordinary incoma (loss) Irom trade or business acUvlues , 1 -775 See Shareholder's a Nellncome (los'J) Irom rental roal oslate acllvitlo& . 2 ~ln3lrucUons lor Schedule 3 Nellncome (loss) from other rental acllVlUes 3 K-l (Form 11205) 4 Portfolio incomo (10"): I In,er..' 4. Sch, 8, Partt, hila 1 lncoml b Olvld.nde, . , 4b Sch. e, Part II, hne 5 (LOll) 0 ROYIIII"" 40 -- Sch, E, Pall I, line 4 d Nel.hon-Ierm c.pilll glln (10") 4d Sch, 0, IIn. 5, col m or Ig) . N.'long-lerm capll81 gaJn (10") 4. Sch 0, IIn. 13, colli) or Ig) , Olher por11ollo Incomo (10") (Inach och.dul.) 41 (En\lfOn"ppl, hnlo' yo III rllUfn.1 5 N., golll (10..) under socllon 1231 (olh.r Ihln duo 10 c.I"olly or SuSharlhold,r'.lnltructlolll Ih.h) , . , . . , 5 101 SCh.dull l<.-I (f'Cllln 1120S). . Olher Income (10..). (Inlch .ch.dul.) . ([1I1,Ionaptll.hn,o'YOllll81vrll) 7 Chorlllble COl1tribullon. (800 Instruction.) (Inlch .ch.dul.) 7 Sch. A, line 15 or 16 Olduo- . Section 179 81<pense deduction. . , . , , 8 Uon. 8 Doducllonl ral.l.d 10 por1lollo Income (10..) (.nach achedul.) 8 .~~.. Sh.rlholdtr'llnllruc\lorll 10' Sclltd'Jlt "'-1 (Form 11a05), 10 Olher d.ducllonl ("""Ch achodul.) , '0 Inv..t- lla Inl8l'est expense on Investmont debts, , , "" Form 4952, IIn. I m.nl b (I) InV88lm8nllncome Includ.d on lines 41, 4b, 4c Ind ~f .bov. bill S.. Sh.rtllold.,'.lnll,uC1l0rl' Inl.,..1 /21 Inv""'menl eXD.n.... Included on llno 9 lbov. , b/21 lorSch,dult "'-I (Form '1205), .. -- 12a Crodlllor alcohol used Ie lual ,. , . . ,., , 121 Form 6476, IIn. 10 b Low-Income houalng crodll: :i:llll'l:, 'iill,,,111 (I) From _lion 420)(5) plftnerlhlp.lo, propony placed In servlea belore 1980, , , , , " , , I bill - (2) Olher Ih.n on llno 12b(1) for proper1y pllced In servlea belor. 1800 , , "..', . " , .,.. . b/21 (3) From _lion 420)(5) partner.hlp. lor proper1y plac.d In ."",Iea Form fl588, IIn. 5 Crodlla Iher 1888 , , . , . , bl31 (4) Olller Ihln on lino 12b(3) lor properly pllc.d In servlc. Iher b/41 1088 '.,..,'." , , , , , , , " , 0 Qualified r8h.~.tkm 8lCpendltur. related 10 rent.lll real eslate ac1lvllleo (_ InalnlC1Jono), . . , , , , 12c d Cr.dlla (olller Ihon credlla .hown on linea 12b Ind 12C) ralll.d 10 ,.nlol r.a1 ..,.1. acUvI1Jea (... In.lnIcllona) , , '2d SII Sh.,.lIoldll'.lrI.truellorl' , , , . 10' SClltdultll;-'!Fo'm IIlO5~ . er.dila ralll.d 10 Olher ronlalacUvl1leo (..... In.lrucllona) '21 13 Olher cr.dlll I... Inslrucllon'.! 13 ---.- Aelfult- 141 Oepracllllon Idlu.lmenl on propllr1y plac.d In servlc. Iher 1888 . 14. See Shareholdel '5 m.nla b Adjulled gain 0' 10.. , , , , , . 14b InstrucUons lor Indrlll c Deplellon (Olher Ihln 011 Ind goa) . 140 Schedule K-IIForm Pr.'.,- d (I) Gro.. Incorn. Irom 011, gl', or goolhormol proper1J"" , I dil' 11205) and Instructions .nc. (2) O.ducllona alloclbl. to 011, gll, or g80lhermaJ p,op.r1Je8 . I dl21 lor Form 62~1 -!!!ml . Other adjustments and 1Al( prelerence Ilema (anach !lohedulol . 14. 01') Fot PAplrwork Rtducllon Acl NotlCI, ...In.lr. Copynghl Ie, 1114 lor", Inllw"" Ctnly CP!lYI,tm" Inc, Fllrrn 11205 5cllldllltK-1 ,'1I~4) SCHEDULE K-l Shareholul!r's Share of Income, Credits, DOl.luctlons, etc, (Form 11205) ". See ~ulp.r.le In!ltn.cllon9. lJ811Af1m,~';J! '1'18 l!U'Vly For coilend.1r yeir 1994 or YJI. ye.ar <'1(8''11\1 Rh!r'". ~""('(,' be Inn!!.L___...:..!.!.94, find ~l ,19 Sh.reholder's Id~~i.!'umber" 2 0 4 - 2 6 - 9 ~!l.L..._____ _Col]lo,.lIon" Idenllfylng number" _.2 J -.U> 2 J 180 Shareholder's name, addross, and ZIP coda COfpOln1l0n'~ nan'tO, adaross, and ZIP code HELEN JONES SILVER SPRINGS THEATRES INC 214 BALTIMORE AVENUE (-;tMl ~I() l'i.lr,-f)11i! -----~_.- 1994 MT HOLLY SPRINGS PA 17065 214 N BALTIMORE AVENUE MT HOLLY SPRINGS, PA 17065-1203 .. Sharoholder's percenlaga of stock ownershIp lor 1M yoar (soo lnslrucllonslor SctlodulO K-l), .. .. ~ .5. ~'.l. ~ .9.~;, 8 Inlo'nal Ravenue Sorvlca Cenlo, who,o cOlpo'aUon 1II0d 11. rolurn" R~,I.r,.~I?_E;r,.RI}_I..o;.. _,.. _ _.... _.. . _ _ _....... _ _...". _..,.. C Tax shellor registration num~;rlln9tructlOns for SchOn K<<l) , . , , , . ... Chock eppllc8blo 00'0" (1 Fln81 K-1 (21 An>ondod K-1 ....4........................... 0 (I) Pro rala share llems (b) Amounl (c) Form 1040 lllars onlOf 1M amounlln column (b) on' 1 Ordinary Income (loss) from Irade or bUSiness activltlos . 1 -775 See Shareholder' a 2 Netlncomo (loss) 'rom renlal roal estate acllv!lios . 2 Hnslrucllons for Schedlllo 3 Net Income (loss) Irom other rontal acUvilies 3 K-' (Form 11205) ~ Por11olio Income (loss): I llllelesl . ~. Sch. B, Part I, IIno 1 Income b Olvldond., , 4b Sch, 8, Part II, line 5 (Lo..) 0 AOYllll.. Ie -- 5ch. E, Part I, hne 4 d N., .hort-Iorm c.pl1a1 g.ln (loss) 4d Sch. 0, line 5, col. (I) 0' (g) I Nellong-Ierm c8pl"l gain (10") 41 Sch. 0, IIno 13, col. (n or (91 f Olhor porffollo Income (1088) (.nach schodulo) 41 (Enter on Ippl. line 01 your r~'urll,) 5 Net galn (loss) und8f secUon 1231 (other than due to casualty or 5.. 5111"11010"" In.truClion. Iheh) " , . , , , .", . , , , , 5 lor .'Jell.dul. Kwl (Form 1(205), e Olhor Income 110..1 (an8ch schodulo) 5 (Enl.r nn IppL line 01 your r~'urn) - 7 Chlrttsble conlrtbullon. (soe In.l1Ucllons) (an8ch .chedulo) 7 Sch. A, line 15 or 16 Dodue- e Section 179 expense deduction, , , 8 dona I Oeductiona ,el.,od 10 porffollo Income (10..) (.nech echodule) I f.-~" SI1.r.hold.,'. Inslrllct'OIl! 10/ Sehedllll K-' (Form I \JOS), 10 Olhor deducllons (anoch echedulel . 10 Inv..t.. III Inl&res, e)(pense on Investment debts, , , , 111 Form 4952. Une 1 menl b (1) Inv..tmonllncome Included on lines 4a, 4b, 4C snd 41abovo b/lI ,",5.. Shl"hold.r'!II\S!rucllonl Intl,..1 (2) Inveslment oxpon.... Includod on IIno 9 abovo bl2\ lor Seh'dul. K~1 (Form 112051, 1:h1 Credn 10' sJcohol used as "'eI ". , 121 Form 6478, line 10 b Low-Incomo houelng crodlt i::I,!!!,,! (1) From oeciJon 420)(5) pll'tnershlpslor p,opOf1y placed In aorvlco belo,e 1990 , ,. , ",.'"". , , , , , . , . , b(11 -- (2) Olhor Ihsn on llno 12b(1) lor propOlly placed In aorvIco belo,. 1990 ," , , , ,"" . , , , , , , , , , , , b(2\ (3) F,om seciJon 420)(5) plrtnerahlps lor plOpOf1y plecod In se",l<'o8 Form 8586, line 5 Crldlta ah0l19811. . , " , , , , , b(3\ (4) Olher thin on llno 12b(3) 10' p,opOf1y ploced In aorvlCe 8110r 19811 " , , . . , , , , ., , ." , b(4\ . Qualified reh.bUllaUOn expenditures rErltURd '0 rental real &hlale sclMIIes (aeelnOlruoiJona), , , , ., , 12e d Credits (other Ihln credits ehown on lines 12b and 12c) ,eI.,od 10 ,onlll ,eal..llle oclMtJes (see Inal1UciJons) , ..!.2.!!.. S..5111r1hoI0,r',lnJlrllchon, "" , -- lor 5th'dul. K-, (Form 1\2051, I Crodlts ,elatod 10 olhor renlal ecUVIIIes (... In.11UciJons) 121 13 OlhOl credlls (..... Inatrucllon,) 13 -- -'dlull- 141 Oopleclllion Idluatmont on property placed In service sllOl 1986 . 14. See Shareholder', mlnta b Adlu,'ed glln 0' Ioas '" . , , . , " , 14b Instructions lor IndTu e Ooplellon (other th.n olllnd g..) . 14. Schedulo K-' (Form Prollr- d (1) G,o..lncome 1'0," 011, gas, 0' gOOlhermol pIOpOl1I.. , dtll 1120S) and Inslructlons ene. (2) Oeducllona allocsblo 10 011, gIS, 0' goolhormll p,opllrtlo, -cii21 lor Form 62~1 I1lml I Othet' adlustmonls and ll)( orelerenc8 itoms (sMlch schedule) , 141 01n Fnf f'.ptrworll R.Jlltllon Acl Nollct, ". IllIlr. CIICtytlghl leI ,,,.Iorm ,olt",,". only CIISr'1,rlll, Int. Form 11205 SClltdul.KA1I1Q\l41 SCHEDULE K-1 (Form 1120S) Shareholuer's Share 01 Income, Credits, Deouctlons, etc. OM[1 rln \'-)4r)..,'J\:\f) OIPtllm,,,I{)! (Illl,usury Inle,,,.1 fh....enljl <;e(....'~lI be Innln ~hoid.r'eldenllly.lng number ~ 460 - 2 1- 3 804 Stlaroholdor'o name, address, and ZIP code DANIEL M JONES 214 BALTIMORE AVENUE .. See separate Inslrucllon9. For calendu yur 1994 or tax year ~994, and ending .J..?- Co ~~~~~g number ~ 2 3 - 1 62 3 180 Corporation's narno, .1ddr099, Illl<l ZIP codo SILVER SPRINGS THENI'RES INC 1994 MT HOLLY DPRINGS PA 17065 214 N BALTIMORE AVENUE MT HOLLY SPRINGS, PA 17065-1203 A Shareholder's percent ago 01 slock ownership lor lax year (seo Inslrucllono lor SChod\Jlo K~1), ,.. . .. .4. ~~. ~ .1. < B Inlornal Rovonue ServiCe Cenler where corporeUon IlIed lis rolllrn ~ RI:I.r. ~!\J?~~RI:I.I.J;..... _... . . ...... __ .. .... __ _ __.. .. ... ... C Tax sholter reglstrallon num~:M Instructions lor SChOnK~1) . . . . . , .~ . . _ . . . . . . w . . . . . . . _ . . . . . . . . . . . . ~ . D Chock enollceble 00,,,: (1 Final K-1 (2) Amendod K.' (I) Pro rala sharD lIems (b) Amounl (0) Form 1040 liIors enler the amount in column (b) on' 1 Ordinary income (loss) from trade or business acuvHles . 1 ~B2 SOO Shareholder's 2 Net Income (1058) from rental reaf eslate aellvlUes . , . 2 I ~'nstrucUons lor Schodllle 3 Net Income (los8) from othor rentalacllvilies 3 K-1 (Form 11205). 4 Port1ollo Income (losS): .' I'" I Inl.,est , 41 5ch e, Parl I, hne 1 Inoome b Dlvldonds , 4b Sch, B, Part II, line 5 (LOll) 0 RoyalU.. ' , 40 Sch, E, Part I, Iino ., d Net short-I.rm capital gain (loss) 4d -- Sch. 0, line 5, col. (n or 191 I Net Iong-Ierm capllal gell1 (Ios.) 4e Sch, D, line 13, col. (n or IgI I Olhet' port1ollo Income (loss) (anech schedule) 41 lEnltrOn.appl,lIn,ol)'l)yrlllU,n,l 5 Net gain (loss) under socllon 1231 (olMr Ihan due 10 clsually or s..Sh.a,.holdtr',ln.atIYCIIQrI, theN) ,,' , " , , , , , , , .., . " , 5 !Of Sch,dul,l(~ \ (Form \ 1205). I Olher Income (Ios,) (anech schedule) , , I lEnl"onal'pl.lln,olyc.YlllhJ/n.j 7 Charlllble con~lbullono (.... Inatrucllona) (anach sch.dule) 7 Sch. A. Une 15 or 16 o.duc'" I Secllon 119 e'pen.. deducUon, , , , , , " , I U.n. 9 Deductions rellled 10 port1olio Income (1099) (anech schedole) 9 ~~n Sh.a"hold.,'slnBI'uctlon5 for Sch,dull K~ I (Form 1110S). 10 Other deductions (enach achedul.) 10 Inv..t- III Interest o)(pense on investmenl debts. III Form 4952. hne 1 m.nt b (1) Investmenllncome included on lines 41, 4b, 4c and 41 above b(l) Sn Sha"holdtr', IralluctlOrll Int.r.st r:l\ Invoslmenl 8)(penBeS Included on line 9 abOve 1>(21 ro, Schldull K~ I(Fo,m "2051. lU Credn lor alcohol used IS (uel . Form 6478, IIn. 10 b Low-Income hou9lng credit: (I) From aecllon ~2U)(5) pertnerahlpslor property placed in servlc4l belore 1990 , , , " . " , , , . , 1>(1\ (2) Other Ihan on line 12b(1) lor property placed In servlc4l oo(ore 1990 ....."".' . "". . " , 11>(2) (3) From _lion ~2U)(5) pertnerlhlpe lor p,operty placed In servl<:e Form 8588, line 5 Credlla aN_ 1989 , ,... , . , . . . . , . , , 11>(3\ (4) Other Ihln on Mne 12b(3) lor property placed in service eMer 1989 ,., , , . .' . "" . " , ". . I b/41 0 Quallfled rehll>lll1atlon e'pendltur.. rllllled 10 ronlal real ",al. actlv_ (seelnotrucllon9). , , . . , , 12e d Credllll (othet' Ihan credlls shown on II""" 12b Ind 12c) relaled 10 renlal real ..,I'. acUvlt188 (see Inetrur.lIons) . 12d Sn St..rlholdtr'.lnl\rYCIIO", ro, SCh,dul1 1(;-1 (FOlm 11205). e Cradllll relaled 10 Olhet' renlal ectivlUos (... ln9tructlon.) , , . , 12. 13 Olhet' credna (... Instructlona) " , ... , 13 "dlu.t- 141 Depreclallon adjuatment on property placed In Il8IVlce IN_ 1988 , 141 Sea Shareholder's ment. b Adju.led gain or 1001 , ,., , " , , , , , 1411 - InlJtrucUonB lor Ind Tax 0 Depiellon (Olhef than eN end gos) , , , 14. Schedul. K-11Form Preler- d (I) Grn..lncome Irom 011, gla, or goolhermal prop8f1l.. . d(t) 11205) and Inslrucllons Ino. (2) Deductione allocable 10 011, gIS, or geothermal propertl.. <1(2\ -- lor Form 6251 n.m. e Other adju9tments and la)( oroleronce items lannch schodule\ . 14e D1U Fo, Plptrwn,1l R,duG1IOn Atl NoIlCII, III Inll'. CO)l)'rlght(c) In. hllm Inl!",a" nllly Cf!llY"lml, 1M, Form 11205 Br.lIll1ull K-l (111l''') SILVER SPF ;S Sr.tlOdull'JI<>l (FOf/l11120S)(lfJ941 DANILLI M THEATRES ,JON ES INC 23-1623180 46()-21-3&04 P'g02 (e) Form 1040 films ontor \110 arwHlnt In column (bl on Form 11 \6, Chock bOl109 16. b . For.lgn d T.... . lal b 17 O\hor 18 Ie 20 21 22 I b 23 Supple- m.nul Infor- IlIlIIIon (a) PIO rala 911aro Ilmrls (bl Amount Type 01 incon'M;l ... _ . . . . _ . . . . . . . . _ . . _ . . . . . . . . . _ . . . . . . . " . Name 01 lOlelgn country or U,S, pOssosslon ..,. _. _............ Tolal gross Income from sourcos QUlOldo tho U.S. (attach schodulo) Toll! Ippllcable deducllon. and losses (anoch schedule) . , TOIl! lorelgn "'.ee (check one): ~ 0 Paid 0 Accrued Reduction In tMes available lor credlf (aMach schedule), Othor forol n tax lnlormallon (attaoh 9chedule) Tolal 8xpenditures 10 which a suction 59(0) aleetlorl may apply Type 01 oxpenditures" .. ~ _ . . . . . . . . . . . . . . . . . . , _ ~ . . . . . . _ . Tll)(-Qxompt Interest Income Olher tax..exempt income . Nondeductible oxpenae8 . Property dietribullons (Including caeh) olher Ihon dividend distrIbutions rtlported 10 you on Form 1099..DIV, Amount 01 lOin repaymenl9 for "Loan!! From Shareholdet'9~ , Recapture ollow-IMome housing credit: From _lion 420)(5) pll11nerahlps 22. Olher than on line 228 22b Supplemenlallnlonl'lalion required 10 be reponed soparalely 10 each shareholder (attach addllional schedules If more space Is needed): 15e 16d 15. 16f 16 16. Form 1116, Pan I Form 1116, Part II Form' 116, Part III S~t IrI.llur.tlflnl 'Of F!IIIlI \ 11 ~ Stt S/lllt/lold,,'llrlIHUGIIOrll fllr Schllldull K~ 1 (Fonn 1\2(5). Form 1040, IIna eb 17 16 Ie SIl,S/llftllold,,'III\SfruGl'Ofll 'or Sctl.dullll.-II'-:Olm \1205) Form 8611, line 8 . . . . ~ .. . ~ . .. . . . . .. ~ . ~ .. .. . .. .. ~ .. . f . . . . . . . . . . . ~ . . ~ . .. . .. '. . . . . . .. . . ~ . . . .. .. ~ . .. . . . . .. . .. . . . . . . .. .. " . . . . . .. . . . . . ~ .. . . . . ~ . . - .. ............~........... ....~.. .......... .~~..... ~...~.. ........~......... ......... ............... ...... ~.......~ .....................'............................................................................................................ ......................................................~................................................................~..~.....- ..................................................................._....................~.....................-....~.~.. . .. ~ . .... . ...... .. .. . . .. . .. .. . . .. . .. ...... . ... . . . . . . . ... . . .,.. . . .. . . ..... .. .. . . . . .. . . . .. . . . .. . . .. . . .. . . . .. .. . ~ . . .. . . . . . . . . . ~ . . . . . . - ~ ... . . ..' . . . ..... .. . .. .. .. .. . . . .. . .. ... .. . . . .. . . . . . .... . . . . . .. . .... .. ... . .. . . . .... .. . . .. .. . .. .. . . . ~ . .. . . .. . . . . . . ~ .. . . . . . . . . .. ~ . . . . .............................................................................4.....................................~.. ............................................................................................................................... ............................................................................................................................... ... . .. .. ... ..... .... . ... . ... . . .. ..... . .. . . ... .. . . ... . .. . .. .. .. .. .. . . ... . . . .. . .. . .. .. .. .. . . . . . . .. . . . ~ . . . . . . . . . . . . .. . . .. .. . . . . . . . . . ~ .................................................,................................................................~.......~~..... ... . . . .. . .... ..... ... . ... . .... . . . . . .... . .. .. . .. ... .. . . .. .. . .... . ... .. . . . . .. .. . .. ... . ... .. .... .. . .. . .. . . .. . . .. . .. . . .. .. .. . . . .. ... . .. . . . . . .. ~ . . . ........................................................................................................................................ ...............................................................................................................................'..........~..... ..................................................................................................................................~......... ~ . .. . .. . . . . . . . . . .. .. . .. . .. . . . . .. . .. . . .. . . . . .. .. .. . . . .. .. .. . . .. . ~ .. .. . .. . .. .. . . . . . " .. . . . . .. . . . . .. . .. . ~ . ~ . . . . . . . . .. . . . . . . . . . . . . .. . . .. .. . ~ ... ... . .. .. . . .. .. . .. .. .. .. . . . ... .. . . .. ~ . . . . .. . . .. . . . . .. . . . .. .. .. . . . . . . . . . .. . . . . . .. . . . . .. . . ~ . . . ~ . . . . . . . . . . . - . . , . . . . - . For PlPlfWOllt A.dwcholl Act NIlIIC'"" In"', Capytl.hllel It,. fa,", 10"11I"" only CPSyettll'll, Inc. FOfm 1'208 Sell'dull K-t (It'il\) form 4562 Depreciation and Amortization (Including Inlormallon on Listed Property) "IMl ~/n "'"V,.' 1 1;- Ihf1'''m~nl n~ lhltlrllHuft In l"n~ I R '~'n.I' ~; II' vlCII <I <l .. See separate In9\rucllon9. .. Attach IhlM lorm to your roturn. 1994 6-' NAm.(tl.l'lo....n on Ilh.un SILVER SPRINGS THEATRES INC BIJIII'''U a/jellyl!Y 10 wllleh IIH' 101m '''101.. Trade or business [part JjElectlon To Expense Certain Tangible Property (Section 179) (Nota: II YOll have any "U,'ed Proporty," complOln Part V before YOll complete Par1l) 1 M8JCimum dollar Iimuallon (II an onlorpriso zono bUSiness, 900 InSlrUC\lOflS.) 1 $17 500 :z Tolal cosl 01 soction 179 property phtcod in sorvlce during tho lax year (!loe mSlrucllons) 2 3 Threshold cosl 01 section 179 proporty befora reducUon In limitation 3 $ 2 00 I 000 . Reduction in lin'lltatlon. Subtract hne 3 Irom Une ;2, If zara or loss, enler ~o- 4 5 Dollar limitation lor lax year, Subtract Une 41rom line 1.11 zero or loss, en tor ~O-, (II marriod filing separately, see instructlon8.) 5 17 , 500 lIJ O..l;f1pllon 01 prnp.ny b Cn'I 0) Elected Call 6 7 Usted property, E.nter amountlrom line 26 , 8 Tolal elected cost 01 secUon 179 proporty. Add smoun1s In column (c), lines 6 and 7 . 9 TentaUve deducUon, Enter the smaller olllnA 5 or Une a 10 Carryover 01 disallowed deducllon Irom 1993 (see Instructions) 11 Tl1l<able income UmHaUon, Enter the smaller 01 taxable Income (nolless than lorO) I)r line 5 (see inslruCUons) 12 section 179 ~lIcpenge deduction. Add lines 9 and 10, but do not enler more than Ilno 11 13 Carryover 01 disallowed deduction to 1995. Acid lines 9 and 10, loss line 12 . ,.. 13 Note: Do not use Part II or Part HI below lor listed property (aulomobilos, certam other vehicles, cellular telephones, cortain computers, or property used for entertalnmont, recreation, or amusement, Instoad, use Part V for lisled proper!y. Plrt II': MACRS Depreciation For Assets Placed In Servlcll ONLY During Your 1994 Tax Year (Do Not Include Usted Prope 7 s 9 10 11 12 o (..) Cl.lludiealion of plop,'!y (b) Monltl and (c) aUI, lor dlpraClallon y..,pIaCld (bUllnIU/In\'ulmenlulI ~,\, . Section A .. Gen.r.~claUon 5 (OM'IhOd (g) O'pflClahol1 deducllull 14.. J.. ear fO b ~ - ye.r propeny c 7 - year prop d 10 - ye. propeny t 15.. year pro I 20 - ye.r pro g AeoIdentlol renlll propeny h Nonreoldentlol reol __"p'ropeny 1 S. CI... life b 12-ye. o 40..year FPiirt'lII~ Other Depreciation (Do Not Include Usted Property) 27,5 rs. MM 27,~ re, MM MM MM SecUon B . '''It.m.U.. recllUon S .t.m ADS see Instructions 1111,lli 12 rs. 40 rs, MM S/L S/L S/L SIL SIL S/L S/L t- - - GDS and "'DS deduc\klnslor .....18 placed In lMINlce in IIX ye.s beginning belere 199. (seelnstrucllons), . Propeny ""bjec110 secllon 166ln(l} elecllon (see In'lrucllonsl ACAS Rnd olher depreci.llon (.... Instructions) I: PI!:!iM1 Summary 16 17 16 16 17 '8 45 ,. Ut1.d property, En'.. amount ~om line 25. , . . , , . . , 20 Totol. Add deductions on Woo 12, lines 14 and 1~ In column Ig), and llne\lIS Ihrough 19, En'.. hers and on 1M oppropr,.,ellneo of your relurn, (Port"""'hlpa and S corporallons - seelnstruc\klns) , , 21 For MtMIt8 shown tbov. Ind placed In 88IVtce during the curranl year, entM the portion of the basIs .nrlbulable to 8&CTIDn 26JA costs (900 Instrucllon9 :11 18 20 45 For rapIFwolk R,ducllon Act Nolln,..1 .nlll. COp'(IllIlIl Icl ,,,.In,," lotl.arl only CPSy.lllu, lh~. FOlm 4!in lUg..) For calendar oar 1995, or tax ear ba A J~lo ')1 !1lcctiO'\ H ~n Us. S corpor;\tlon IRS label. other- wise. please print or type, (I) ",,"; " , , f"orm 1120S DIlPdfl'\\Il/11 01 rho T 'o;\'~'lr'l '1lIlHnAI!\oYllnuoSor-/,co innln U. . Income Tax Return lor an S Co'poratlon .. 00 not file thl5 form union tho corpor;l1lol\ has tlmelv flIod Form 2553 to elect 10 be an S corporation, .. Soo separate Instructions, , am! onclln~, l')Mll'U}"J4'l"11'lCl -----_._---~--_._-_.. 1995 B nlJ~in(!~~ COde no. IHII! SrHlcil'c In.,IIW:li0I'1.\1 3/27/72,_ NMM rhm'rlllr, WClll. Hh1 ',}omor will] rlL} (lr ,l P (I hni, <;l]tlIHQO '101 the in,lrl C Emplover Identlfl~lon no, S I L VEl< S?I.'J.tlQ~_-'IUF:l\.T~l;'i. IJ1~:.________ __rr::.16 2 3 L 8IL.._.__.._ 7830 ....-......-- 21'L!:L" 8~~!!..IMQ8E AVENUE: CllyOt (0\'0\, .1!alll, and [IPeo>::!} Check applicable bOKes: MT HOLLY SPRINGS iniUsl return (2) 0 Final return lOA 17065-1203 ~addr.ss o Dale incOrrlO,alod ~Q_~Li2._____ P. TOldl ~g!OI!{Hle SpoclFic In51r.1 $ 67 257 D. .'-'-..-.--...-... (4) Amended return F G Cr.eclC, this b01. if Ihi3 S co'noriltion 1$ Hibloc!10 the consolidaled audit prOCllill;rl!S of _\cclions 8241 throUi~n 62451uB insiluclio!'l! bo'orl! cMci<lru~ tIllS bo~1 H E.nter number of sllarehold~~_!~the 9.2!PoratJon al end of the -lax )lear _.. Caution: Inell/de onlV lrade .or busln6.~~~comB and expenses on lines 1a through 21, See the instrucUons for more Informallon. Income Deductions (seepaQIlIO of the inst/uCllons 1m Ilmilalions) Tax and Payments Please Sign Here Paid Preparer's Use Only Uncler PtlMllIf/! of pIHI\lry, I (loCl,,/lllha;l.I hlVll.XlmJned Ihls felurn, inclUding accomplnylnQ schedules and S!llemenU, and 10 lhe bttU 01 my ~now!llIdoe ~'''''''', ,," ""~.=:~=m"""=:: P"P"':=L~=~:~.~no' .hlen pr.p"" ""ooy'no.I",.. Slna\u(llofoffle8r ~i DIle nIle ""po",', .. ((), A..L -7JP'. I 0". - c""';,, ..". ~~IYr. ~._P-'4.~~-<<-k~ _ ,,9 / 1~ ~mplo1!~_ rlfm~l'1aNl8ior Ke :[lli"~_AS80(, lates L_C;PA ~._..______~__. inur~ilUllt-OmPI('JYlldl~ 17 E~st Hiqh Street, Suite 103 ~Maddr8!' Carl1.s1e...L-..?A 1a GIOH receipls/"alos L-- 129 1.19 71b Lo!" relurn" &. allowanceS L ~ c Bal .. 2 Cosl or goodS sold (Schedule A, line 8) 3 Gross profit. Subtract lint;! 2 from line 10 4 Nat gain (loss) Imm Form 4797, Part II, line 20 (altech Form 4797) 5 Othar Income (loss) (attach schedula) 6 Tot.llncom. loss, COmbine lines 3 Ihrough 5 > 7 Compensation at off\oers 8 Salaries and wages (less employment credtts) 9 Repairs and maintenance 10 Bad dabts 11 Renls 12 Taxes and licenses 13 Intarest 14a DepreclaUon IIr raqulred. attach Form 4562) 14a b Depreciation clallT\ed on Schedule A snd elsewhere on return 14b e SlIbtTftct IIn. 14b tmm line 14a 15 DepleUon (Do not deduct 011 and gos deplotlon,) 16 Advertising 17 Pension, proflt-shar1ng. ate.. plans 16 Employee b.nenl programs 19 Othar deducUons (attach schedul.) See seh 20 Tola' deduellons. Add the amounts shown In the rar right column lor lines 7 through 19 > 21 Ordinary Income (loss) tmm trade 0" business actlvlUes, Subtract IIn. 20 tmm line 6 22 Tax: a Excess net pa.sslve Income tax (attach soh,) 22a b Tax tmm Sctledula 0 (Form 1120S) 22b C Add In. 221" 22b 15eo PO. 13 01 lhe inalr, ro/ addnl,laxes) ~- 23 Payments: a 1995 est. tax pymt. & am<lUllt epplled tmm 1994 return b Tax deposited with Form 7004 c Credit ror Fedar.1 tax paid Oil fuels (etlach Form 4136) d Add IInas 23a thrllllgh 23c 24 EsUmated tax penally, Check II Form 2220 Is attached 25 Tax dUe. If the lolal of lines 22c and 241s larger than 1100 23d, antar amount owed, Sae page 3 of the Instructlorl$ for depositary method of payment OV.rpaym.nt, If line 23d Is larger than the total of lines 22c and 24, enter amount overpaid Enter amount 01 line 26 'lOll want: CrecHt!.d to 19\)6 .stlmated tax '" 23d > 0 24 > 25 > 26 Refunded> 27 26 27 For Paperwork Reduction Act Notice. II.. page 1 01 sepa,", Instructions, o'^ . > [ 4 1c 2 3 4 5 6 7 8 9 10 11 12 13 129 197 101 543 22,2..54 27 ,654 12 , 1?_~ 3 US 2 962 14<: 1S 16 17 16 19 20 21 6,909 13 507 38 622 -10 968 22'2. P,eplllf'j SOCIII security numtHH 207.48..4416 "N . ?2'::"~_i?l. 2 0 4 .:l. 'tIP CCJ110 ,. 17013 ~q(m 11205 (T\lQ5) ~orm1120~.~(19{)fl) :~:'LVEF ::;pf.'.rNl;r, .HE^TRES r:NC ;::3 - 1" I. 11 8 0 Schedule A Cost 01 Goods Sold (saa paga 14 ot Ihe In'\/\IclloosJ 1 Invel1tory at beginning of year 2 Purct1ilsCS 3 Cost of labor 4 Additlor'al section 263A cosls (attach schOC'Jule) 5 Olhar cosls (aMach schedule) See Sch 6 Total. Add lines Ilhrough 5 7 Inventory at ond at year 8 Cost of goods sold. Subtract Une 7 from line 6. Enter ~Iere and on page 1, line 2 9a Check: all methods used for valuing closing Inventory: Ii) IB Cost as descrlbed in Regulations secllon 1.471-3 (il) r Lower 01' cost or market as described In Regulations soctlon 1.471..4 (ili) _ Other (specIfy method used and attach explanation) . b Check If there was a wr1tedown at 4sllbnormal' goods as desor1bed In AeguiaUons section 1.471..2(0) c Check it the LIFO Inventory method was adopted this 18)( year for any goods (If checked, attach Form 970) d It the LIFO Inventory method was used tor this tax year, enter porcentage (or amounts) of closing inventory computed under LIFO . Do Ih. rules ot s.Cllon 263A (tor property produced or acquired tm resale) apply 10 Ih. corporation? Was there any change In determining quantltles, oost, or valuatIons between opening and closing Inventory? If 'Yes,~ attach (Ixplanatlon, Schedul. B Other Information 1 2 3 4 PaQo 2 79 2/.6 _.._-----~-----. 8L50g 6 7 8 13 B 1'1 101 ~43 101 ,543 " 0 · L ~.. y;;;-~- . . .. . .. ~ Ves ~ No 1 Check method ot accounllng: (0) ~ Cash (b) 0 Accrual (c) 0 Other (specify) " 2 Rel.r 10 Ihe IIsl on page 24 ot the Ins\/\lctlons and st.te the corporation's pnnclpal: (a) Business activity" ENTERTAINMENT (b) ProduclorsolVlce . OUTDOOR. THE;ATRE 3 Did Ihe corporation at the end of the tax year own, directly or Indlrectiy, 50% or more of the voting stook of a domestio corporation? (For rules of a<<rlbution, see section 267(0),) If 'Ye.,' at1ach a schedule showing: (a) name, addr..., end employer Id.ntlncatlon number and (b) pen:entage owned 4 Was the corporation a member ot a controlled groop sObJect to the provisions ot section 1561? 5 At any time dur1ng calendar year 1095, dId the corporation have an Interest In or a ~lgnature Of' other authority over a flnanclal account In a foreign country (such as a bank account, securities account, or other nnanelal account)? (See page 14 of the Instrucllon. tor .xcepllons end nllng requirements tor Form TO F 90-22,1,) It 'Yes,' enter the name ot the foreign country . 6 Was the corporation the granlor ot, or tran.feror to, a foreign \/\1st that existed durlng the current lax year, whether or not !hB cctporatlon had any benenclallnterest In It? If "Yes,' the corporation may have 10 nle Forms 3520, 3520-A, or 926 7 Ch.ck Ihls box ~ tho corporation has nled 0( Is required to nle Form 8284, Application tor Registration of B TIlX Sheller 8 Check Ihls box ~ the corporation Issued publicly off.red debt Ins\/\lments wllh onglnall..ue discount It so, Ihe corpol.tlon may have 10 nle Form 8211.lntormation Retum tor Publicly Offered Onglnallssue Discount Instruments. 9 It Ih. corporation: (a) nled Its .'ectlon to be an S corporation after 1966, (b) was a C corporation betorelt .Iected to ba an S corporatJon or the corporation acquired an asset with a basis determined by reference to Its basis (or the basis ot any other property) !n tho hand. of a C corporation, and (c) has nat unr.allzed bul~-!n gain (deftned In aectlon 13'/4(d)(1)) In .xeess of the net recognized bul~-In gain tTOm prlor years, enler Ihe l1et unrealized built-In geln reduced by nel recognized bum-In gul" tTOm prlor yea" (see page 14 ot tho In.\/\Ictlons) " . 10 Check Ihls box If the corporation h.d subchapter C eamlngs and protIU at Ihe clo.e of Ihe lax year (.ee page 15 ot thaln.\/\Icllon.) DeSignation of Tax Matters Person (se. page 15 01 theln"ructlons) Enl.r b.,ow the shareholder deslgnaled as the lax ma<<ers person (TMP) tor the II)( year of Ihls ret\Jm: Name of '" daslgn~ed TMP _L_ HEf.EN JONES .. Identifying number 01 TMP Address of ~ desIgnated TMP ,. 214 BALTIMORE AVENUE MT HOLLY SPRINGS. PA 17065 OM ~ Ve. No x X x X : B " 204-26-9981 ';, '1',', Forlll 11205 ( lL)95) Schedule K ,;aNER Sl'RING.'; H"^TEES INC 2:\-1.",,\180 Shareholders' Shares 01 Income', Credits, Deductlons,jItc, PaQ6 ~ _..--_._~_. ..~-'--"-"._--'- .._..... n_ .,_____....__,~...____~_. _~__._ ----.--. -.-.---.------. ----.....--.-.---.-..--- .. iblT ol~i;-';'~~~;- n_ - (a) Pro rata share items 1 Ordinary Income (Io&sl h'cm trade or bu.slno.s.s aellvllles (p8ge \,lIn(21) 1 -10 %8 ~- ----.---'---... 2 Nelrnwme (loss) from rental real eslale ilcUvt1Jos (attach Form 0025) ._L .___n_____ I 3a Gross income from other rental acUvllles t-fr= b Expensos from other ronlal activities (aUsch schodule) Income c Net income (loss) from othor rental activitIes. Sublract Une 3b from line 3a 3c .-----..-- 4 PortfoliO Income (loss): (loo.s) a Interesl income 4a ----- b Dlvlclend income 4b --------. c Royalty Income 40 n._____ d Net short-Ierm capital gain (Io.s) (all.ch Schedule D (Form 1120S)) 4d . Net long-Ierm capital gain (loss) (allach Schedule D (Form 1120S)) ... .. I Other portfolio income (loss) (at1ach schedule) 41 ~..- 5 Net gain (loss) under secllon 1231 (olhcr Ihan duelo casually or theM) (ellach Form 4797) 5 6 Other income ~loss) (attaCh schedule) 6 -- 7 Charilable contributIons (attach schedule) 7 . 8 Secllon 179 expense deduollon (allach Form 4582) 8 Deduction 9 DeducUons related 10 portfolio Income (loss) (Hemlze) 9 10 Olher deducllons (allaoh sohedule) 10 Invttst- lla Interest expense on Investment debts -.1.1. ment b (1) Investment Income Included on lines 48, 4b, 4c, and 41 abovB !.llijL Interest /2\ Investment exoenses lr,chlded on IIno 9 above 11bl21 - 123 Credll tor alcohol used as a fuel (allech Form 647e) 123 b Low-Income !lousing credit: (1) From partnerships to which secllon 42U)(5) applies tor property pleoed In service betore 1990 12bl1l . (2) O1hcr Ihan on line 12b(1) tor property placed In service batore 1990 12bl21 (3) From partnerships to which secUon 42U)(5) applies tor property placed In service aMer 1009 121>13\ Cr.dM. (4) O1her Ihan on line 12b(3) tor prop.rty placed In service .ner 1009 12bl41 c Quallned rehabllllaUon .xpendhures relaled 10 r.ntal real estate acllvllle. (attach Form 3486) 120 d Credits (other than or.alls shown on In, 1211 & 120) refaled to rental real estate activltIe.s , 12d . Credits related to other rental actIvities 12e 13 O1her credits 13 140 Depreciation adjustment on property placed In service aner 1986 1... AdJuot- b Adjusted 9aln or loss 141> menta - c Deplellon (other than 011 and gas) 140 and'TlIX d 14d11l (I) Gross Income from 011, gas, or geothennal proparUes Preference 14d(2) ttem. (2) Deduction. allocable to oil, gas, or geotl1ermal properUe. -- . O1h.r adjustments and tax preference 11em. (attach schedula) 1... 15a Type of Income .. b Name 01 torelgn couniTy or U,S, possess kin 0 c Total gross Income from .ource. outsld. the United Slale. (attach schedule) 15c Foreign d Total applicable deducllon. and klsse. (attach schedul.) 15d Tax.. 1'olel tor.'gn tax.. (check one): 0 0 Paid 0 Accrued 15a . , Reducllon In taxe. available tor cradH (attach schedule) 151 g O1h.r torelan tax Intormatlon (attach schedule) 150 16 Secilon 59(e)(2) expenditure.: a Type 0 b Arnount 1ab -- 17 Tax-exempt Interest Income 17 18 Other tax-exempt Income 18 18 Nondeductible expenses 11 -- OIh.r 20 Total property dlsttlbullon. (Including cash) other than dividends reported on line 22 below 20 21 OHler Items And amount.l required to be ropor1od separa1ely to shareholdtlrs (attach schedule) 22 Total dividend dIstributIons paid from accumulaled earnings and proftts 22 - 23 Income (10"). (Required only II Schedul. M-1 musl be completed.) C'.ombln.llnes 1 Ihmugh e In col'Jmn (b), From tho roslll', subtract Ihe sum 01 IIn.. 7 through 11a, 15e, and I 18b 23 .10,9G8 - OAA .1,' , I", Shareholuer's Share 01 Income, Credits, Deductions, etc. . See separate Instructions. For calendar year 1995 or tax year t'1e(l4rlmelllor1he l'fl41lWI 1"lllIr>III'IUVll'\'lll ';nr,i1ctJ beginning _ ' and ending ~!,!!.~hold!r'lldenllfylny number~__._18.!l - 14 .. 2 8J.1._____ _.90rp.~Lllllon'~ Identifying number' 23 - 162318 Q___.. Shareholder's name, address, and ZIP code Corporation's name, address, and ZIP ccxle SCHEDULE K-1 (Form 11205) -~::~.~!~."':'~'.~~,~-_. . 1995 RICHARD J JONES 214 BALTIMORE AVE. ~OLLY SPRINGS PA 1706'2--___ SILVER SPRINGS THEATRES INC 214 N. BALTIMORE AVENUE MT HOLLY SI?RINGS_ PA 170_~5-12_Q1.._ A Sh8reholde"~ percenlage of stock ownership tor tax year (see InstNclJons for SchedLlle K"1) B Intornal Rovenue Stlrvlce Center where corporation nled Its return .. ph i 1 ade 1 ph i a I C Tax sheller reglstratJon number (see InstructIons tor Schedule K..1) , 45.189000'. PA 19255 , 0 Check 21ppllcable boxes: (1) [lFinal K-1 (2) n Amended K-1 (a) Pro rala share Ilems (b) Amount (c) Form 1040 flle" enter the amount In colu~.n (b) o~. 1 Ordinary Income (loss) from trade or buslnes.s acUvltles 1 -4 956 Seeplges41nd5ollhe 2 Net Income (loss) from rental real estate aetlvttle,s 2 Shlreho!dOf~ Inslruc.tions tor 3 Net Income (loss) from other rentlllactlvltles 3 Schedule 1<.1 (Form 11105). Income 4 Portfolio Income (loss): (Loss) a Interest 40 Sch, B! p&rt II line 1 b Dividends 4b Sch. S, Part II, line 5 c Royalties 40 Sch. e, Part I, line 4 d Net short-tenn capital gain (loss) 4d Sch. 0, line 6, col. (n or Ig) e Net long-term cep~al gain (loss) . 40 Sch. 0, line 13, col. In or (g) , Other portfolio Income (loss) (attach schedule) 41 (Enteron lppl. In. ofVOUI return.) 5 Net gain (loss) under saction 1~31 (olher than dua to casualty or See Shareholder's lMtructlO!lS theft) 5 lor Schedule 1(., (Form 1120Sj. B Other Income (loss) (attach schedule) B (Emer on apl"ll. In. of vour relurn,) 7 Charltabla conl11buUons (ettach schedule) 7 Sch. A, line 16 or 16 B Saction 179 expense deducUon 8 -- See pagoBol the Shareholds"s Deductions 9 Deducllons releled to portfolio Income (loss) 9 InslruCllons 'or SChedule K.1 10 Other deducllons (anech achedule) 10 (Fcrm \12051. Invest",,"t 11. Interest expense on InvDstment debts 11. Form 4962, line 1 Interest b (1) Investment Incoma Included on lines 4a. 4b, 40, and 41 abcve bill .r See ShlrehOlder'~ lnstruclloM (2) Inveslmant expenses Included on line 9 above bl21 'or Schedule 1<.1 (Form 11205), 12a Credit tar alcohol used as fuel 12a Form 6478, IIna 10 b Low-Income housing eredtt: (1) From sacUon 420)(6) partnerships tor proparty placed In service before 1990 bill -- (2) Other than on IIna 12b(l) tor property placed In se",'ce betare 1990 bl21 (3) From sacUon 420)(6) partnerships tar proparty placad In Form 8688, line 6 Cred"s I servIce after 1909 J!.@l (4) Other than on 11M 12b(3) tar property pieced In se",'ce aner 1989 b/4\ c Qusllflod reh.bllltaUon expend~u... raleted to rental real astate activities 12c d Credits (other then credits shown on line' 12b end 12c) related Seo page 7 or Ihe Sharehoh:ler's to rental real estete acUvlUes 12d Instructions 'or SCh'dule 1(. \ I Credits relaled to other rentel acUvllles 121 (Form 11205), 13 Other credtta 13 Adlulll- 140 DepraclsUon adJuslment on property placed In se",'ce aner 1986 140 St. pag' 701,,,. menta b AdJu'led gain or la's 14b Shlr,nOld.r's InIHuc:I!Of'1& lor Ind Tax c Depletion (olher than 011 and gas) 140 .qc."edul,K.\ (~olm Pr..er- a (1) Groas Income from oil! gas! or geothermal propertJes dl1l 11205) lnd .nc. (2) Deductions ellocable to 011, ge., or goolhermal properties d/21 lnatructlons lor ttern. e Other adjustments and tax pre'erence Items 140 Form&251 Schadule K-l (Form 11205) 1995 For P.p.rwork R.ductlon Act Notlco. III page 1 ollnstructJonllor Form 11209. 0" '".1"'.';', I"'! , 5 CHEDULE .K.1 ~h"'hO'""" Sh." o"",om., C"OIl" o.o,"'on" ..,. I "",".,,, "" (Form 11205) . See ,eflatllle InstruL110ns. for CQlfln{lar YOM 1995 or lax yaM 1995 nl!p4llmlll1l;d Ihfl ('IlA,l<i'1 ;"!~r"dl ~le"'6n"lI ~,lJI'W,lI beginning _ ' Ilnd nndlng ~har.hold.r's Ide.nIl!YJIIJl nu!"beL~__1.Q~_.::.X_U_2_~J._______ c.~rp'~_~~IE."'S Id.n.!f!Y!!1.i-nU~!~.!!..!__~l..:.: 16 21..1J!..Q.___....._ Shareholder's r,llme, address, and ZIP code Corporation's name, address, and ZIP code HEL.EN ,JONES 214 BALTIMORE AVENUE _!1T_J{OI,LY SPRINGS P A __...llQ.6 ~__ SILVER SPRINGS THEATRES INC 214 N, BALTIMORE AVENUE M'I' HOLLY SPJUNGS PA-11.Q.I3.2..-12.Q.L A Shareholder's percentage at stock ownership for tax year (see InSIf\lctlons for Schedulo K-1) B Internal Revenue SelVlce CenterwherG corpcratlon nled Its return .. phi ladelphia I C Tax sheller rogistraUon number (see InstrucUons for Schedule K-1) ~heck applicable boxes: (1) 0 Final K-1 (2) 0 Amended K-t (a) Pro ra . 45.189000Y, PA 19255 . Credn. .. ta sharellems (b) AmotJf\t . (0) Form 1040 nlors enter the amount In colum_IJl~~ n trade or business activities 1 -4,956 See P49fU 4 and 5 0' lho tal real estate actlvltles 2 Shareholder'slnslruclioM 'or er rental actIvities 3 Schedl,lle I(-j (Form 11205). . 4a Sch. 8, Part I, line 1 4b Sch. 8, Part II, line 5 40 Sch. E, Part I, line 4 (loss) 4d Soh. D, line 5, col. (n or (g) (loss) 4. Sch. 0, IIna 13, col. (n or (g) s) (attach schedule) . 4f (EnteronllPpl.ln.otyour rIllurn.) n 1231 (other then duelq casually or See Shareholder's Irlstructlons 5 tor Sohodule 1<.1 (Forrr.1120S). schedule) . . . 6 (Enter on IIppl,ln, 01 your rOlurn.J ch schodule) 7 -- Sch. A, line 15 or 16 cUon 6 Soe page 6 0' the Shareholder's 110 Income (loss) 9 Instructions lor 5chtdulo K-l hodule) 10 (Form t 1205). .-- ment debt.fj. l1e Form 4952, line 1 ludod on line. 4a, 4b, 40, and 41 above b/1l J See Shareholder's IMlrucllons Includod on IIna g above b/21 tor ScneduleK-l (Form 11205). ruel ~ .- Form 6476, line 10 ~: "'; rtnershlps for property placed In b(1) (1) lor property pieced In service before b(2) rtnershlPJ for property placed In Form 6586, line 5 b(31 (3) for p'operty placed In service aner b(41 endltures related to rental real estate 120 shown on lines t2b end 12c) related Se. pag. 7 01 tht Shareholder'! S 12d Instrvctlons tor Sthfldule 1(-1 - tal ac~vl1les 12. Worm 112051. .. 1~ n property placed In servlca aner 1988 1... SIO pig. 70tlh. 14b ShlleMlder's 140 In$tructlons 'or d gas) SChedul. 1(.1 (Form gas, or geothermal prope'lles d/1l 1\20S)and 011, gas, or geothermal propertie.'S d(2) In.tructions lor Rrefflrence Items _ 140 Formtt25\ .- Schedule K-1 (ForM '1206) 1995 '---~ordlnary Incorne (loss) fror I ~ Nellncome (loss) from ran 3 Net Income (loss) from oth Income 4 Portlollo Income (loss): (Loss) a Interest b Dividends c Rcyaltles d Net short-term capital gain . Net long-term capital gain t Other portfoliO Income (Ios 5 Net gain (loss) under sectlo theft) Other Income loss attach Charitable contrlbu~ons (atta Section 179 expense dedu Deductions related to portfo Otherdeductlons (atta~~ Interest expense on Invest (1) Inve!otment Income Inc {2} InvestmeD~xpElnses 120 Credit for alcohol used us b Low-lncom8 housing creel (1) From section 42U)(5) PJ service before 1990 (2) Other than on line t2b 1990 (3) From section 42U)(5) PJ sBlVlce after 1989 (4) Other than on line 12b 1989 c Quallfted rehabilitation exp activities d Credits (other then credits to rental real estate actlvltle o Cr&dlts related to other ren 13 Other credits AdJurt- 140 Depreciation adjustmant 0 menta b Adjusted gain or loss and Tax c Depletion (other than aU an PI.fer- d (1) Gross Income from 011, enc. (2) Deductions ellce.bla to ttems . Other adJustrnents and tax For Poperwork Roductlon Act NotlC4l,". PIllJ. 1 of Inltrucllona for Form 11209. e 7 8 Deductions 9 __ 10 Investment 11a Imerert b DAA ".1"1',,',, ;',1", 1'1 ShareholtH:lr's Share 01 Income, Credits, Deductions, etc. .. !MI. se~rate InslrucUonl. For calendlU year 1995 or lax YOM OepUlmnn!ollhu tfeU\J1'f ~~~Qrv'r.f} be(llnnlng , and ondlng .Sharehold.r'sld'!!'.!!1Y.!!'~mber '_ 1 7 ~.. 30 - 521 8._.________ _"p.!!rporllllo.~-'-'-'dentlfyl!!i..!'..'!!],!>!!...!......__~3 -16 2 3l~___._ Shareholder's name, address, and ZIP Codfl CorporaUon's name, address, arId lIP code PENELOPE DEMELLO E SOUSA RUA PERI 126 JARDIM BOTANF:O __Bl...... _..._ SCHEDULE K-l (Form 11208) OMlI "10 11'~'l"0110 ..~---,-_._.'.._._~._--,- 1995 _...J21';... 2246Q_._ SILVER SPRINGS THEATRES INC 214 N. BALTIMORE AVENUE MT.J:I..9.LL;Y SPRI!,:!.GS _~ 17065-120],._ A Shareholder's percentage 01 slock ownership for tax year (see Instructions tor Schedule K...1) Il Int.rnal Revenue S.rvlce Centor where corporation fll.d Its r.tum . phi lade lphia. C Tax shelter reglstralton number (see Instructions tor Schedule K..1) . 4,811000'1, PA 19255 . 0 Check applicable boxes: (1)-D Final K-1 /2\ 1'1 Amended K-I (a) Pro rala shar. Items (b) Amount (c) Form 1040 fllm enler ----~- the amount In column lEl2!l~ 1 Ordinary Income (loss) trom trade or business activities 1 -528 Soe P~Qes 4 ana Sol the ---"-"-" 2 Net Income (loss) from rental real 9state acMes ~..L Sh.rOhOlder'~ Instructions lar 3 Net Income (loss) from other rental acUvlUes 3 Schedule K~ 1 (Form \ 1 20S). Income 4 Portfolio Income (loss): . (loss) a Interest "" Scr.. 8, Part I, line t b Dividends 4b .- Soh. 8, Part II, IIna 5 c Royalties 40 Sch. E, Part I, line 4 d Net short-term capital gain (loss) 4d Sch. 0, line 5, co!. (n cr (g) e N.llong-tarm capital geln (loss) 4e Sch. 0, line 13, col. (n or (g) I Other portfolio income (loss) (el1ach schedule) ~. (Enter on I.ppl. In, of your return.} 5 Net gain (10") under SllOtiOn 1231 (other than due to casually or See Shar.hOlde,'s InSlructlons lhen) ~. 'or SOhedule K.l (Form 11203). S Other Income (loss) (attach scheduleL . S (Enleron .ppl.ln,olvourrelurn.J 7 Chantabla contributions (al1ach schedule) 7 Sch. A, line 15 or 16 8 S.ctlon 179 expense deduction I-f!.... -- } s.. ".., o""OS"..,,"OI'.", Deductions 9 Deductions related to portfolio Income (loss) V InSlruct!ons 10f Sohedule 1(-' 10 Othar deductions (attach schedule) 10 (Form 11205). . Inves1rnent l1a Interest expense on Investment debts 11a Form 4952, line 1 Imerest b (1) Investment Income Inc!uded on lines 4a, 4b, 4c, and 4( above bl1l J SU Sturehotder', In~truct!ona /2\ Inv.stment exnans.. Included on line 9 above b/2\ for Sohedule K' \ (Form "205). . - 121 Credll for alcohol used as "'al 121 -- Form 6478, line 10 b Low-Income housIng credit: (1) From section 420)(5) partnerships for property placed In b11\ service berore 1990 (2) O1her then on line 12b(1) for proparty placed 111 service before 1990 ~.!!ID (3) From section 420)(5) partnerships for property pieced In Fo,m 8588, line S Cred"s service aner 191\9 b/3\ -' (4) Other than on line 12b(3) for property placed In service aner b14\ '989 c Quallned rehabllllation expendltur.. releted to rental real .state actlvltles. 12c d Credits (othar than credll' shown on IIn.. 12b and 12c) related See page 7 or Ii'll SnlleholdlU" 10 rontal real estate activities 12<1 111'lruollon. lor SOhlC!ulll K. \ e (;redlts related to other rantal activities j-!.~ (Form 1 12081. 13 Q1her credits 13 Adjust- 1"" D.preclation adJustmenl on property placed In service an.r t98ll 1"" S.. pIg. 7 of tl'le menls b Adjusted gain or loss 14b Sh"'hOld.r'~ Instluctlons lot and Tax c Depletion (other tha" 011 Ind gas) 140 .- SChedulel(., (Form Pref.r.. d (1) Gross Income lram 011, gas, or goothermal pmperties dl11 ..- 1120!;I..nd .ncI (2) Deductions allocable to 011, g.., or gllOthermal properties d/21 Inllrur.lrQMfo/ tt.ml . Other lIidlustmentll and tA.,( orflferenco llems 140 FOfmll7.!ll Schedull K-1 (Form 11209) 1V95 For Paparwark Roductlon Act N<;llcI, a.. pogo I ollnllructlonl lor Form 11205. [lAA. .0.,.', i Shareholl,clr's Share 01 Income, Credits, Deductions, etc. ... Se. s.par'" Instrut.1Ions. Fa calendar year 1995 or tax year nflp~IIIT'flI110r 1'11' frfl4,\l,ly ,"llllr41 fl....erHJtI SelVlce b lnnln , and endln Sh.,eholde''!jdentlfylng number' __..'Li?..C?..::lL.::}JlQ.4__._ CorP."Lllllon's .lden1lfy1ng !!.umber > __~~ 6 2 3 l!!tL.-.__~ Shareholder's name, address, and ZIP cocle Corporation's name, address, and ZIP code SCHEDULE K-1 (Form 11205) ,. 'I fI 'In 1 ~4" -I) '10 ~...__.. --~---_.~-._.-._-. 1995 DANIEL M JONES 5046 ERBS BRIDGE RD MECHANIC'iBURG PA 17055 SILVER SPRINGS THEATRES INC 214 N, BALTIMORE AVENUE MT HOLLY SPRINGS PA 17065-1s..Q)__ A Shareholder's percentage 0' stock ownershIp for tax year (soe InstrucUans for Schedule K-1) B Internal Rev.nue Service Center where corporation flied Its return' Phi 1 ade 1 ph i a, C Tax sheller registration number (see InstrucUons for Schedule K-1) , 4.811000'_ PA 19255 , 0 CheCK aoollcable boxes: (1\ n Final K-1 (2\ n Amended K-1 (a) Pro rata share Items (b) Amount (0) Form 1040 nlers enter - the amount In column (bl on; 1 Ordinary income (loss) from trade or business activities 1 -528 1 SOD paQu" and ~ or lhe 2 Net Income (loss) from rental real estate actMtles 2 I SturerlOldlH'S Inslluclion~ 'or 3 Net Income (loss) tram other rental acUvlUes 3 Schedulll 1<.-1 (Form \1205). Income 4 Portfolio Income (loss): (Laas) . Interest 4& Sch. B, Part I, line 1 b Dividends 4b Sch. B, Part II, line 5 c Royalties 40 Sch. E, Part I, line 4 d Net short-term cepltal gain (loss) 4d Sch. 0, line 5, col. (0 or (g) e Net long-term capital gain (loss) 4e Sch. 0, line 13, col. (n or (g) f Other portfolio Income (loss) (attach schedule) . 41 {Enleronappl.ln,olyouf rllturn.) 5 Nel gain (loss) under section 1231 (other than due 10 casualty or See Shareholdur's InslrucUons theft) f-L. lor 5crledule 1<.-' (Form 11205). G Othor incoma (loss) (attach schedule) 6 (EnUH on 11001. In. 01 vour return,) 7 Cha.1table contributions (attach schedule) 7 Sch. A, line 15 or 16 8 Section 179 expense deducllon 8 -.- Sft8pa;e Bol11'18 Srlaret\older's Deduction. 9 Deductions related to portfolio Income (loss) g Instructions for SChedule K..1 10 Other deductions (attach schedule) 10 (Form 11205). Investmen1 11. Interest expense on Investment debts 11. Form 4952, line 1 Interest b (1) Investment Income Included on lines 4a, 4b, 4c, and 41allove b(1) See Snareholdor'1llnstrlJction3 (21 Investment expanses Included on IIna 9 allove bl21 fot Scrlftdule 1<.., (Form 1120S}. "- 120 Cred~ lor alcohol used as fuel 128 Form 6478, line 10 b Low-Income housing cred~: (1) From secllon 42U)(5) partnershlpster property placed In service before 1990 b/11 (2) Othar than on line 12b( 1) 10r property placed In service betere 1990 b/21 -- (3) From secllon 42U)(5) partne...hlps ter property placed In Form 8586, line 5 Cred~. service aner 1989 b(3) (4) Other than on line 12b(3) for property pl.ced In sarvlce aner 1989 b/41 c Quallned rehabilitation expenditure. related to rental real estate acUvltles 12c d Credits (other than credits shown on IIna. 12b and 12c) relaled Snp.glt Tofthe SrltrlMlde,'s to rantal real estate actlvltles 12d IntHucllens for Scrllldullll(-l e Crodltn related to other rental actlvltles 12. (Fotm "2051. .- 13 Other credits 13 - "--- Adlulll- 14& Depreclatlon adJLlstment on property placed In service after 1988 14& S..p'O"0'lrI, menta b Adjusted geln or loss 14b SM,lflnoldtr'! InUHlcllClns for .nd Tu c Deplellon (nther than 011 and gas) 140 SCtl.dufel(,-' (FO(m Pr.f.r- d (1) Gross Incoma from 011, gas, or geot"armaf propertle. dlll !1'ZOSland ence (2) DeducUons alloceble to 011, go., or geo1hormal proparlles d(21 -. In!tructlonllor "1m. e Other 6id.J:.l.!!!!le.i!ts and tAX preference Items 148 f'orfnIU!I1 Sch.dul. K-1 (Form 1120S) 1995 Fa, Paperwork Raductlon Act Notlc., s" peg' 1 01 fnstrucllon.lor Form 11208. D"''' .' AREA ANALYSIS: The subj eot property is located in Silver Spring Township, Cumberland County, which is part of the Harrisburg,Lebanon.Car1isle Metropolitan Statistioal Area (MSA), which consists of Cumberland, Dauphin, Lebanon and Perry oounties, The hub of the area is Harrisburg, the area's largest city and the state oapitol. The Harrisburg.Lebanon.Carlisle MSA is 100ated in the South Central Pennsylvania region Wllich conslSts of thr'ee MSA's, Harrisburg,Lebanon.Carlisle MSA, York MSA an Lancaster MSA, This five county region is one of the most strategically located areas 1n the Eastern United States and the major center for food distribution in the Middle Atlantio market region whioh contains over 40 million people, 1/5 of the national population, Baltimore and Philadelphia are olose enough that their suburban populations are now impacting on southern York County and eastern Lancaster oounty, Four interstates and five major state routes run through Central Pennsylvania. Convenience to major oities, ports and industrial centers is very good with highway distances as follows: Baltimore 85 miles, Philadelphia 103 miles, Washington 100 mUes, New York City 185 miles, Pittsburgh 200 miles, Gettysburg 35 miles, Allentown 81 miles and Lancaster 38 miles, Within a day's drive over half of the nation's population and 45% of the nation's manufaoturing inoome oan be reached, Freight and rail servioes to the area are exoellent. More than 38 truoking lines maintain terminals in Harrisburg which is looated at the hub of the East. West and North.South lines of the Conrail Railway, making the area ideally situated for storage in transit benefits, The Conrail Railway also operates a large freight classification yard in the area. The freight yard, whioh oan process 4,000 freight cars a day, is connected to all major U.S. cities for one and two day deliveries. f Eight major airlines provide regular nonstop service to New York, Philadelphia, Pittsburgh, Washington, Chicago, St. Louis, Atlanta and Boston with oonneotions to anywhere in the world, Every major air.paokage servioe is available through the Harrisburg International Airport, . \ Employment opportunities in the area are good. The State of Pennsylvania employs 35,000 area workers, Harrisburg being the State Capitol and the U, S, Government employs another 14,000+, most of whioh serve the two large supply depots, the Army Supply Depot at New Cumberland and the Ship's Par.ts Control Depot in Meohanicsburg, Aooording to information provided by the Central Penn Business Journal, some the largest employers in the Harrisburg Area inolude AMP, Ino" Hershey 10 AREA ANALVSIS CillJ.I..:!LL Foods Corporation, Pennsylvania Blue Shield, Giant Food Stores, Ino., Capital Health System, Herco, Inc" Polyclinio Medioal Center, and Harsco Corporation. The eoonomic base of the area is diversified and extends from strong government, service related and transportation faoilities to commercial and industrial uses, Unemployment rates are consistently some of the lowest reported in the area, This is due in the most part to high State and Federal Government Employment, as well as, expanding private sector uses of distribution and office f aoili ties, In summary, the area's location with respect to the Eastern United States, the presence of convenient highway, air and rail transportation and the presenoe of State and National Employment opportunities have resulted in bright prospects for oontinued growth in the Harrisburg.Lebanon.Carlisle Metropolitan Statistical Area, L.AN.Q.l. The traot has a gross total of 13,10 acres aooording to the deed less and exoepting thereout and therefrom approximately 1,231 aores taken in oondemnation by the Commonwealth of Pennsylvania. Your appraiser's utilized the net acreage al'ea of 11, B69 acres for the purpose of this report, The subj eot property is an irregular shaped parcel looated on the north side of Carlisle Pike, in Silver Spring Township with approximately 623' of frontage. Approximately 175' of frontage is level with road grade (at entrance of drive-in) and the balanoe of the frontage is slightly below grade in a slight ravine, The site topography is slightly inclined to the rear property line, The site is bounded on the south by the Carlisle Pike and the north by lands of the Silver Spring Speedway, Prima,'y visibility is from the Car'lisle Pike, a U,S. Federal Route whioh benefits from a high amount of traffio, Aooess to {he front of the site is via east and west bound traffic of the Carlisle Pike which is paved for 4 lanes of traffic with a middle turning lane. The subject is not served with sidewslks, oonorete ourbs nor gutters, The site is ourrently utilized as a drive.in theatre and improved with a one story masonry building utilized as a oonoession/projeotion area; one story masonry garage/storage area i and, a one story masonry struoture ourrently utilized as a tioket booth, There is a maoadam entranoe and exit; and, gravel 11 l.A!JUont' d: driveways to the 7201 speakers strategically plaoed throughout the entire oomp1ex, The soreen 1S located in the southwestern seotion of the site with a playground area between the soreen and speakers. No apparent adverse easements, encroaohments, speoIal aesessments, slide area were noted which negatively affeot the subject's value. The property is subjeot to normal utility easements which have no negative effeot on the value of the property, LEGAL DESCRIPTION: See enclosed legal description in Addendum. NEIGHBORHOOD ANALYSIS/TRENDS: The Carlisle Pike (U,S, Route 11), between Camp Hill to the East and Carlisle to the West, is one of the fastest growing oommeroial looations in the West Shore Area, There are a variety of oommercial establishments inoluding automobile dealerships, restaurants and several strip shopping oenters. There are several large truck termirlals located along the Carlisle Pike due to the exoellent acoess to Interstate 11, 15 and 22, The traffic count is over 33,900 oars per day an the Carlisle Pike in the area of the subject as of November 1, 1994, In the immediate area, on the North side of the Carlisle Pike in a westwardly direction lS the ABC Bowling Alley; Super Shoes; and, several retail stores, In a southwardly d1reotion is the Silver Spring Flea Market; several retail stores; and, various other commercial uses, Looated on the south side of the Carlisle Pike is the Triangle Car Wash; Silver Spring Township Building; Johnny K's restaurant and bar; and, directly across the street from the subject is the Lawrenoe Chevrolet car dealership, The Silver Spring Speedway is located to the rear of the subject & the US Navy Depot is located 1,51 miles south.east. Looated adjacent to the Silver Spring Township building, on the south side of the Carlisle Pike, are two parcels currently offered for sale on the open market. Tract #1 is 2,5 acres @ $396,000; Tract #2 is 3.3 aores @ $407,000. Additional activity in the subject neighborhood includes a project by Crossgates Inoorporated whioh 1S planning a retail/off ice complex located approximately 1 mile west of the subject surrounding the PHICO office building located at the oorner of Carlisle Pike and Route 114. The proposed PHICO Business Park will inolude oDmmercial uses fronting the Carlisle Pike and offioe uses surrounding the existing offioe building, Improved retail lots are being offered at $120,000 to $150,000 per acre, 12 NEIGHBORHOOD ANALYSIS/TRENDS cont'dc Prioes within the neighborhood vary and generally depend on the type of property and its existing use, Commeroia1 and residential uses range in prioe from $80,000 to in exoese of $1,800,000, with ages ranging from 75 years. Commeroia1/offioe/warehouse rentals range from $2.75 to $16,50 per square foot depending on the size and type of rental units and the servioes ino1uded. Demand for properties in the neighborhood is moderate with most properties owner oooupied, The area vacanoy rate appears to be in the 3% to 8% range, Planning, zon1ng and rest riot ions for the area permit a mixed blend of uses whioh are favorable to the neighborhood, Properties quallfy for all types of finanoing with mortgage money available for oommeroial and residenUal properties through numerO\ls lending institutions, as well as, possible assistanoe through Cumberland County Industrial Development Authority, Physioa11y the improvement. 1n the area of the property are generally well maintained and in good oondition. With a high emount of traffic and a number of oommeroial and professional establishments, the location of the property is very oompatible with any oommercial usage for people who desire easy aocess, Area is improving due to the proximity of Carlisle, Mechaniosburg Naval Depot I Camp Hill, the State Capitol at Harrisburg and the expanding west Shore Area, as well as, the ccmpletion of the 581/1.81 ccnneotor, IMPROVEMENTS: There sre three structures on the site which oonsist of a oonoession area; garage/storage area; and, a tioket booth. Subjeot improvements are desoribed as follows: Concrete blook, one story stuooo building on slab with built.up roof currently utilized as a concession area with projeotion room. Building oonsists of 3,300i square feet per tax reoords and has a oompletely equipped restaurant with wood panelled walls, plastered oeiling, and asphalt tile floor, There are two men's and two ladies's rest rooms ; offioe area with wood panelled walls, plastered oeiling and asphalt tile floor; projeotion room with plastered oeiling and asphalt tile floor; and J utility room containing oil fired foroed hot air furnaoe, Building is approximately 44; years old and in fair oondition, Conorete blook, 52' x 45' one story buildIng with approximately 2,340. square feet; oonorete floor; asphalt shIngle roof; and, overhead garage door, 13 IMPROVEMENTS oont'd: Conorete blook, 6' x 8' building ourrently utilized as a tioket booth with approximately 481 square feeti oonorete floor; and, built-up roof, For improvements to I'epresent the highest and best use of a site they, among other oriteria, must provide mOl'e p"Dfit than any other uae of the site would generate, The OUITent improvements olearly do not represent the highest and best use of the site, therefore your appraiser's base the subjeots value on the land and not in the utility or funotionality of the improvements, LEASE I S) : There are no leases exoepting hand. shake agreement with Silver Spring Flea Market for over-flow parking privilegee, per Mr. Daniel Jones. Your appraiser was not provided with "hand-shake' agreement details. ZONING: Subjeot property is zoned C-2 Highway Commeroial Distriot. Aoopy of the appropriate zoning ordinanoe whioh outlines allowed uses is inoluded in the addendum of this report, TAXES & ASSESSMENTS: Cumberland County Tax Map #38-19-1608-003 Taxes : County Township Sohool $ 29,680 4.600 - $ 34,280 $ 839,86 239.96 3.666.60 $ 4,936.32 Assessment: Land Improvements Total Assessment: Total Real Estate Taxes 14 UTILITIES: Publio eleotric, telephone and water are available to the subjeot property. Publio sewer is looated at the Golden Corral" Family $taak House whioh is approximately 114 mile west of the subj ect property, Acoording to the Silvar Spring Township Manager, capacity is adequate to aocommodate future development of the subject site. tllQtlI~D BEST USE: The highest and best use of a property is that use to which the land can be put which will create the greatest utility for the land, be it in profit or in amenities, and that which is permitted Dr would be permitted by the local municipal or townshlp authorities, and that whioh would not be unduly objectionable to the character of the surrounding property, and keeping within the soope of the genoral neighborhood development. In estimating highest and best use, there are essentially three states of analysis: A, Posslble use. uses to which it is physically possible to put the site in question, B. Permissible use. legal uses permitted by zoning and deed restrictions on the site in question. C. Feasible use. possible and permissible uses that will produce the hlghest net return or highest present worth. The highest and best use of the land (site), if vaoant and available for use, Inay be diffsrent from the highest and best use of the improved property, This is normally true when the impl'ovement is not an appropriate use and yet makes a oontribution to the total property value in excess of the value of the site. The following test must be passed in determining the highest and best use: A, The use must be legal, B. The use must be probable, not speculative. C. There must be a profitable demand for suoh use and it must return to the land the highest net return for the longest period of time. Based on the foregoing, it is our opinion, the highest and best use of the subject property is as a future commeroial site, Due to its large traot of land it would have a multitude of uses whioh would inolude, but not be limited to, the following: sales and aervioe retail stores, new automobile sales and eervice, motels-hotels and related faoilities suoh as restaurants, and wholesale businesa establishments, 15 COST APPROACH: Approaoh through whioh an appraiser derives a value indioation of the fee simple interest in a pl'operty by estimating the ourrent oost to oonstruot a reproduotion of or replacement for the existing structure, deducting for all evidenoe of acorued depreciation from the cost new of the repro(luction or replaoement structure, and adding the estimate land value plus an entrepreneurial profit, Adjustments amy be made to the indicated fee simple value of the subjeot property to reflect the value indication of the property interest being appraised, (Dictlcnarv of Real Estate Appraisal, Seoolld Editicn, Page 72), Replacement cost may be defined as: The cost of constructicn, at current prices, of a building havlng utility equivalent to the building being appraised but built with modern materla1s and according to current standards, design, and layout, (Dictional'V of Real Estate Appraisal, Second Edition, Page 254), The Cost Approach is based on th~ prcposition that a knowledgeable buyer would not pay more for a property than the cost of building a new property of the same utility, This lS especlally true when the property being appraised is new and represents the highest and best use of the site, It may alsc apply when there are specialized or unusual improvements on a site for which there are limited oomparable sales, This also assumes there is no unusual time delay. The Cost Approach to value oonsists of the following steps and inoludes the valuation of the land. 1, Estimate the value of the land as though vaoant and available to be developed to its highest and best use, 2, Estimate the replacement cost of the building on the effeotive date of appraisal. 3. Estimate the amount of depreciation in the structure inoluding physical deterioration, functional obsolescence and external obsolescence, 4, Deduct the estimated depreoiatioll from the replacement oost of the structure to estimate the buildings contribution to value. S, Estimate the depreciated cost of other structures & site improvements, 6. Add the depreoiated value of buildings, other struoture and site improvements to the site value to arrive at an indication of value by the Cost Approach. The Cost Approach generally will result in an exoellent estimate to value if the building is new or reasonably new, and the improvements refleot the highest and best use of the land, The Cost Approach was oonsidered but not developed. The subject improvements due not refleot the highest and best use of the land, therefore your appraisers valued the land as though vacant in the Market Approach, 18 Mb.ES COMPARISON APPROACH/MARKET APPROAClil The approach through which an appraiser derives a value indioation oomparing the property to be appraised to simila\ properties that have been sold reoently, applying appropriate units of comparison and making adjustments, abased on the elements of oomparlson, to the sale prioe of oomparable. In applying the Sales Comparison Approach, the appraiser takes the following steps: 1. Researohes the market and sel~cts the sales and/or listings of properties most oomparable to the property being appraised. Generally, the most current and similar comparable sales prove to be the best indioators of the value of the subjeot, 2, Colleots and verifies data on eaoh seleoted property's selling and listing prices, dates of sale, physioal differences, locational oharaoteristics and any speoial conditions, 3, Analysis and compares eaoh property with the subjeot as to time of sale, 100ation, physical oharaoteristios, oonditions of sale and other differences. 4. Adjusts the sales or listing prioe of eaoh oomparable for differenoes between it and the subjeot. Adjustments are based on market extraotions and/or judgement. 5. Reconciles the adjusted prices of the comparable properties into an indioation of value for the property being appraised. In an effOrt to arrive at value indioations by the Sales Comparison Approaoh, sales of reasonably similar properties .in surrounding areas were studied. Numero~ls sales were studied, as well as, oUrrent listings and properties under contract. Only the most comparable sales have been selected for inclusion in this report. Verification of sales infOrmation with realtor, grantor, grantee and/or courthouse record were conducted where possible, Speoial attention was given to terms of sale and special conditions to determine that the transactions were 'arms length.' Eaoh comparable property was oompared to the subject property and adj ustments were made for significant differ'ences, The adj usted prioe of eaoh oomparable indioated a value range for the subject whioh was then reoonoiled into a single value indication via the Sales Comparison Approaoh, 20 ADJUSlllENTS SUBJECT SALE 111 SALE 112 SALE 113 SALE 114 SALE PRICE N/A $2,013,689 $2,019,000 $3,205,000 $475,000 PRICE/ACRE N/A $135,891 $125,015 $130,816_ $197,095 DATE OF SALE 12/12/95 0,:/21/92 05/04/95 11/15/93 08/29/94 +15% +5% - LOCATION! AVERAGE SUPER lOR INFERIOR SUPERIOR EQUAL ACCESS .15% +5% .15% SITE/USE 11,R69 15,26 16,15 24.5 2.41 AC. ACRES ACRES ACRES ACRES .30% UTI LI TI ES PRIVATE SUPERIOR SUPER lOR INFERIOR SUPER lOR SEWER ., 0% .10% +5% ,10% NET N/A .10% .5% .5% .40% ADJUSTMENTS ADJUSTED N/A $122,302 $118,764 $124,275 $118,257 PRICE/ACRE COMPARABLE SALES GRID FOR: 11,869 ACRES, SILVER SPRINGS THEATRE INC. The market indicates smaller sites typioally sell for more per aore than larger sites therefore a size adjustment is taken for sale 114. Utility adjustment refleots subj ects inferior private sewer, exoepting oomparable 113 whioh has private sewer and inferior private water. Looation adjustment taken for comparable 112 which does not have direct acoess from US Route 74 or 30, Comparable sale 114 has lnferlor access however an adjustment is not made due to the superior shopplng center lnfluence, In reviewing the adj usted sale prices listed above, the value range indicated extends from a low of $118,257 per aore, to a high of $124,275 per aore. Adjustments were based on market extraotions and/or judgement. Greatest weight is given to oomparable 112 which is the most reoent sale similar in site size. Indioated per acre value is supported by comparable sale 111 whioh is looated in the Subjeots immediate neighborhood and is also similar in site size. Based on the data developed and analyzed Tor this property I the most logioal indioator of value is $120,000 per acre. Appraiser's took into oonsideration the oost of demolition of the conoession area, screens, speakers and speaker system, 11,869 Aores X $120,000 per aore . $1,424,280. (ROUNDED) . $1,425,000. 25 APPRAISERS' CERTIFICATION I/we have researohed ths subject market area and have seleoted a minimum of three reoent sales of properties most similar and proximate to the subj eot property for oonsideration in the sales oomparison Malysis and have made adj ustments when appropl'iate to reflect the market reaotion to those items of significant variat!.on, If a significant item in a oomparable property is superior to, or more favorable than, ths subj ect property, I/we have made a negative adjustment to reduce the adjusted sales price of the oomparable and, if a signifioant item in a comparable property is in'ferior to, or less favorable than the subject property, I/we have made a positive adjustment to increase the adjusted sales price of the comparable, I/we have taken into consideration the factors that have an impact on value in my/our development of the estimate of market value in the appraisal report. I/we have not knowingly withheld any significant information from the appraisal report and I/we believe, to the best of my/our knowledge, that all statements and information in the appraisal report ere true and correct, I/we stated in the appraisal report only my/our own personal, unbiesed and professional analysis, opinions and conolusions, whioh are subjeot only to the oontingent and limiting conditions speoified in this form. I/we have no present or prospective interest in the property thet is the 8ubjeot of this report, and I/we have no present or prospeotive personal interest or bias with respect to the partioipants in the transaction, I/we did not base, eithsr partially or completely, my/our analysis and/or the estimate of market value J.n the appraisal report on the reoe, color, religion, sex, handioap, familial status, or national origin of either the prospective owners or oooupants of the Bubjeot property or the present owners or occupants of the properties in the vioinity of the subject property, I/we have no present or contemplated future interest in the subj ect property, and neither my/our ourrent or future employment nor my/ouI' oompensation for performing this appraisal is oontingent on the appraised value of the property. I/we was/were not required to report a predetermined value or direotion in value that favors the oause of the olient or any related party, the amount of the value estimate, the attainment of a stipulated result, or the ooourrenoe of a subsequent event in order to reoeive my/our oompensation and/or employment for performing the appraisal. I/we did not base the appraisal report on a requested minimum valuation, a specific valuation, or the need to app,'ove a speoifio mortgage loan. 27 APPR~S' CERTIFICATION (CONT'D) We performed thJ.s appraJ.sal J.n conformity with the Uniform Standard8 of Professional AppraJ.sal Practice that were adcpted and promulgated by the Appraiaal Standards Board cf Th~ Appraisal Foundation and that were in plaoe aa of the efteotJ.ve date of thJ.s appralsal, with the e~oaption of the departure provJ.Sion of those Standards, WhlCh does not apply, We aoknowledge that an estJ.mate of a reasonable t1me for exposure in the open market is a oondition in the definJ.tion of market value and the estlmate we developed ie oonsistent with the marketJ.ng tJ.me noted ln the nelghborhood seotion of thia report, unless we have otherwlse stated In the reconclllation section, I/we have personally lnspected the lnterlor and e~terior areas of the sub. jeot property and the exterlor of all properties listed as oomparables in the appraisal report, I/we further certify that I/we have noted any apparent or known adverse conditlons ln the Subject improvements, on the subjeot site, or on any 511ft withJ.n the lmmedla te V1Clnl ty of the subj eot property of whioh I/we am/are aware and have made ad) ustments for these adverse oondition8 in my/our analysis of the property value to the extent that I/we had mark.et evidenoe to support tham, I/we have also commented abou\ the effeot of the adverse oonditions on the marketab111ty of the subJeot property. I/we personally prepared all conclusions and opinions about the real eatate that were set forth in the appraisal report, If I/we relied on signifioant pro. fessional assistance from any indlvldual or individuals in the performanoe of the appraisal or the preparatlon of the app!'aisel report, I/we have named suoh individual(s) and dlsclosed the specifio tasks performed by them in the reoon. ciliation section of thlS appralsal report. I/we certify that any individual so named is qualified to perform the tasks. I/we navo not authorized anyone to make a change to any item in the reporti therefore, if an unauthorized ohange is Made to the appraisal report II/we will take no responsibility for it. The use of th).s report is sub) eet to the requirements of the Appraisal Institute relating to reV1ew by its duly authorized reprelentatives. We oertify that, to the bost of our knowledge and belief, the reported snalyses, opinion and oonclusions were developed, and this report has been prepared, in oonformity with the requirement of the Code of Professional Ethios and the Standards of Profesaional Appr81sal Practice of the ApprEisal Institute. We oertify that Lester Q. Connor, MAl, and Vicki 8, Forrester personally inspeoted the e~terior of the property, Lester Q, Connor prepared this report along with Vioki Forrester who.provlded substential research and input into the value oonclusion oont81ned 1n thisc:port , ) / . '7 ' . . Lestiir Q, Connor, MAl, ASA, SAPA Vicki 8, Forruter, Aut. 28 l Neighborhood Map J I 'J ,'I,',., ,'1," I \ ' ~ Y'~","'_L .- '.~\\t,I'" ~. ~ \ .I\A~OG~ i~~, \ '~'~,i(. \ 'I .' \ <L'~,." (< . I Il{!(II/\ .t ~:'~~~" ~ . / ,I, \" I ,'1 et'\~'t .._ot.'\1 ~ VtiI f,- "II"'I'~_' H,l/t'/II/r' t""" l'" ,"i\IIM(1 Scn. 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'{\~\ , \ ,~ ':/1 i~ f~ :~ " cion )02 hcelon 302.1 c.z I-(ICH'.lAY C~loI~EQ,C IA~ ~I S.p,I:" S~HI/!c Int'"I Ie Is t~1 O~";OIl 01 t"il district to mike .pproprllte provision lor COtrf'!\I"ill Htlvlliel wnlcn .re bule..lly orleneed eo .ueomo" tlve U5e eM treUle, T~ls ioel~des urvlco eype buslnOlsll whlcn ordinHlly r'Oyire ",.jor Hlerl.1 locetlons .nd urve reglon.1 u 1'1011 II loeel euHO"'HS, Use ~eo~IHlo"1 A. Ulel bv ~'O'I . - In .ny C.2 district, I.M, pulldlngl or promllOs sn.ll be used by rlghe lor ono er more 01 Inl followlngl I, Clnerel "'ercnandi$l !toru Including depHemlne 1C0rll, "5 ene 10" verie:v !to.es, gonerll merch.ndl.. dlscoune stOr'l, or'Jg 110"1\, and IPortlng goods. Apo.rel ane H,,"orles ltores Inel~dlng s~oe stores, furr I ers, .nd o.!tom Ie I lors. F~rnl:yre, no"'e fyrnlSnlr,g .nd .oulpmlne Including nouU" ~ole aool lance ItOrel, l'I,rdwHe, pllnt .nd gleu stores, radio .ne lelevlslon Ilores Including ..rylees, FOOd Itores including lupermerKets, b'Kerl" .nd confec" tlonery Il'IooS wnere t~1 production of b'KOd goodS II eo 01 sold only It flull on e~e premises, d.lry produces, .nd muts, Eating es:ebIISM,en:1 Including rest.ur.ntS, lunch eOUn" eers, oellcet....ns, turooms, cafe, t.vernl, eon'eeelon" ery or ,slmller eH.blllMents serving 'ood or blvlrages. . Olfe s~oos, Including e.mer., bOOK, stetlonery, enelque, mus ICII luoollll, eos"'lllcs, e.ndy, c igerettll .nd to. beeeol, fiowers, i'e;by, Jewllry, lutnH end lugg.g. Inopl, Offices fer tne eondye: of medle.1 Ind otn.r prof,sslons, reel estatl .nd Inl.rance .nd b.nkl, Including br.ne~ b.nks, ",esunger or telegr.o~ urvlces, end generel .nd . dm In is t r It I VI 0 I Ii CIS, Business m.e~lne s"oos, s.les .nd services. Person.1 service sl'loos, Including dry clunln9, bHber, buutlcl." I"oe rlP.,r, I.undromet .nd t.llor, Governmen: oUle.. Hrvlng t~, pUblic, Including. PoU Office, or otner pu~1 Ie or seml"publle offiCII. Indoor reerlltlor..1 f.ellielll, In~ludln9 ehuan .nd bOW II n 9 . I I e Y5 ' Artlstl .nd pnot09r.~~erl Itudlol. Feetory .utl\orlzed neVi .utomoblle Ulll, .genclOl .nd ..rvic&I, Including rep.lr Inopl .d).e.nt to .nd In eon" nect Ion t~ere'" tn, Gasol lOG service \tltlonl, lubJect eo speel.1 reguleclonl of Section )02,3. 2, ), ~ , s' 6, 7, e, 9, 10, II, 12, \ 3, 1 ~ , )00.) . SfC.t, 302, I I:ont,: IS, 16, 17, 18, 19, 1"',01' ,,. i C $ , ~I b! ur ies .rld m\Jse'.If'/\s, Mo~els-hOtell, ~rd related 'acllltles luch 1\ rllt.ur.ntl, meetir; rOoml, ~nd auditorium IP~CU .nd Iwlmmlng pooll, "e~IP~p.r pucl!lo!n; ~nd joo printing, Ce'er~1 service or oontractors' IhOP, Inel~dlng carpenter, eaolnet m~i<ir,;, 'urnlture rep~lr, light mlt.1 working, gar" m,.rt m.nu'acturlng, t Inlml th, plumbing, or similar IhOp, hllnell pl.ee 0' . bul ider, cerpenter, elterer, clun. er, oontraetor, oeoorator, dyer, Ilectrlcl.n, lurrlte, mason, o~lntlr, pluMblr, roofer, uPhollterer, end Ilml. I~r non-null.ncl Oulinlllel, excluding open stor.ge 01 m.~teriall and ..oludlng open storage of motOr venlcl.., 20, 21, Sub"HIt lon, telephone eentr,l olflce, eleetrle .nd gll facllltlll, IOw.ge 11ft Hit 10"', w.ter p~mplng Hltlon, subject to the follOl'llng IPecl.1 requlrementsl ., NO stor.;, 0' m~t'rl.11 .nd truckl, .nd no rep.lr fit /II t I II or houll ng 01 rep. I r erewI eM,pt wi tho In complet,ly ,ncloud buildings. b, Th, archltfttur.1 dU 19n 01 th, ,~ttrlor of .ny building Ih,ll be In kteplng wi th othtr ttr~ctur" In tn' neighborhood, c, Scrunlng to b' dev,lop,d In .ecord.nce with Stctlon 102,3.76 of thil Ordlntnc,. All pl,nt. not lurvlvlng on, V"r .fter pl,ntlng mUlt b, r,pl.ced. 22, Automob/l, rfO,lr IhoPI, No outsld, ItOrtg. of mlt"I.ls .nd motor vehlclu II Ptrmltt,d. 2), Tourist, rooming or bo.dlng hoult. 2~, \.Iholll.l, bUlln"l IIt.olllhment. 25, Indoor Hortg' building or w.rehoult. 26. V,ttr Inary hospl t.l, .nd klM,I, provld.d buildings .nd runl ar, not within ISO Iltt of .ny lot zon,d for r"l. deiltl.1 UIO. 27, L,borttory, dent,l tnd mldlo.l, 28, E~ttrmln'tor. 29. Car \.lash Est.olllnment, IUbj,ct to th' Ip.cl,1 r'gu. IltlonS of Section 302.~. 30. Clt,rlng IIt'bll11,m,nt. 31. BUlln," ,nd Instruction.1 Ichool, Including tr.d, lenoo I. 32, O.ne, St~dlos, I. Ac~e'so~v us.s Only th, lollowlng .eetllory UltS sh.11 b. ptrmltc.d: I. Aceeuory ~It on th' Itm, lot wlth'no oUUOIlI.rlly In. old,nt,l to ,ny of th, .bOV' p,rml tt,d ullS. c. Vs.s ~v S:>.-:tal :'(:.~~lo~ Th, lollowlng Ultl sh.11 b, ptr~.ltt'd II . IP,ol.1 ,xe,ptlon whln 'uthQr I zed by th' Zon I ng Hur I ng Boerd lubj ,ct to Art I 0 I. 1100 of thll Ordln.nc,: )OO"~ ,. ;." .'_.._-'--.-"'.-'~-" Section )02,) s,,~~. a I ~,,:.' ~~ :0"$ '?' ~a~oll,,! Servl co Stat 10r'11 Ctlol in, \frvlee Ital Ions IMII be lubJect to the following IPeci.1 regulltior,s: I, 2, ). 1;, 5, 6. " 8, I'Ilnlmum lot Ilze .. )1,160 Iqutre f..t 1'1 I n i mum lot d to t" - - 100 feet 1'1 I n i m"m lot wid t M .. 11;0 f.. t .Inlm"m Ielbac< I In. from Iront prop.rty Iln.. -- 40 feet Mlnim"m dlnano. from ell property linn other th'n frOnt proper ty .. 25 leet. Minimum dln.nce bHwun .ny bulldlngl, Including .ccu- lory uUI, end any ru idenCl dlnr Ict .. 50 feet. Minimum dlstlnce between .ny .ccell drlv.w.y .nd .ny resi- dence dlltrlet .. 50 I..t, ".Inlm"m dlstar,e. oetw..n .ny Iervlce st.tlon .nd rep.lr 9.rage acCI5S dr i v.w.ys .nd the property line of the foil- Owln9ules: eM"rch, Ilbrtry. Ichool, colleg., nurllng home, hOIPlt.l, .nd Ilmlllr Ules .. 200 fut, m"lured e- lon9 lne 5Ime Itrftt line In the Sfme blOCK. Minlm"m dist.nc. b.tw.en Itructurel of ~ny lervlce It.tlon anc/or reoeir oarac. .nd the structur. of .noth.r I.rvlc. st.tlon and/or" rfo~ir 9ar'ge sh.11 be 400 feet, m..sured .Ions the Sf"" s:rtft Iln. In the seme or .djolnlng blOCK. For similar use est.bllsnments locating In confronting adjacent blOCkS the point of beg/nnlng mUlur.m.nt Ih.11 be Ol/Ht to the oPPollte Itrut line, except thn thll provllion sh.11 b. 10p11Clbl. when the common strut II :to.r.ted by . dlvld.r Itrlo, medl.1 strip, or other 11m- liar control device, Minimum dlst.nce between g'lolln. pump 111.ndl, compr"led .Ir connectlonl, .nd 11m/I., e~ulpmlnt .nd facllltl.. .nd .ny strut IlnlS .. 20 flet. M.xlm"m width of curbcutl for .CCIII drlv,w'YI -- 3S flat, Ixceotlng . corr.blnod ontrtnCl .nd Ixlt m.y totll fifty (SO) fut, So.clng of .ccesl drlvew'YI: e. Minimum dilanCl from .d)olnlng proptrty llnll Oft 10 ft, b, Mlnl/!'..m dlst'nCl from Intlructlng strut Iln" .. 200 ft. 9, 10, II. 12. 13. c, Minimum dlot.nOI betw..n ICC.II drlv,w'VI .- 20 ft. tXCIPt for .CCIII orlv.w.y op.nlngl wh.rl Ih. c~rb Ih.11 bl OIOrUlld, . rlised curb of It lust Ilx InChtl In hllght Ih.1I bl proylood Ilong III str..t Ilntl. Hydrlullc holstl, pltl, .nd III lubrlCltlon, gr"lln~1 wllh- Ing Ind rlP.lr .qulpmlnt Ihlll bt .ntlrlly Inclolld within build Ingl. Exterior 119ntln; ah.11 b. Inllldld 10 that It II d.fllCtld .w.y from IdjlClnt prop.rtlll .nd from p'lllng motorlltl. 11'1:.,.10 or JUni<ld or Itrlpp.d venlclll In In InOPlr.tlv. condition 51'.11 be wltl',ln thl It'uctur,. No gl5olln. or petrol.vm oroductl Ihlll b. Illowld to Intlr the City un I tHY or storm drll nlgl w.tlr nWIgI .yet..,," All w.stl petrollvm productl In.11 bl Itor.d In undlrground t.nKI II loprovld by the N.tlon.1 Flrl Protlctlon ^'Iocl.tlon, 1 ~, 1 S, 16. 17, IS, )00-& _" _. ....,... Ltt."~ .- :~.. ,..., loctlon )02,~ hctlon 302.$ Soe~lal ~e:ulatlcOI I:, Car ,ash Es:a:\llhments Car wBh enabll sMmen:! SM II be lubjoct to the following IP.cl.1 r.gulat 10011 I, 2. ), 4. S, 6, 7. a, 9. Minimum lot sl:c ., 2~,000 Iquar. fnt M I n I mum lot 1'1 I d : h on I 20 (n t 1'1 I n I mum lot de 0: h .. 2 CO (.. t Minimum letOIC~ (rOl" all (ront property Ilnll" ~O I.1t Minimum dl s:ance Iro", ai I property Ilnll othor th.n Iront prooerty II nes ". 20 feet Mlni",u'" dlnance ~etweeo any Dulldln9s, Including ,cc,"ory uses, and any Relloence Diltrlcr. .. SO I..t Minimum dls:ance oetween any accels drly.w.y .nd R.sld.nc. Dlstrlc: .. SO (u: Minimum di nanco Petween any .ccess drlYiW.y .nd .ny .d- )oinlng prop.rty line ", 10 (eet ~.Inlmum dlnance ~e:ween any access drly.way .ndthe prop.rty line 0' any o( the 10110win9 uSesl Church, library, ICI\Ool, 1,:01" lege, nursing hCl'le, hospital, and ,Imllar uses" 200 f.1t medsurec Ilong the lI"'e street line In tho um. bloc.k, Ma~ Imum wld:h 0' c.rocuts lor .CCell drIY.IV'YI .. HInt, ,1<" coptlng I combined entrance .nd '1<1t m.y tot.1 fifty (SO) It, P.rking "qulr'emenul 10, II. ., A w.ltln9 or Itlcklng arll on the lot for Incoming .utomoblles ICcesllbl. to the .ntr.nc. .nd of tho wllhing .qulp",on:, to .ccommod.t. .t lust IS 'utO" mob I III lor "Ch Iln. provld'd In the wUhlng ar.., b. An "" boyond the e~lt .nd of the wuhlng .qulpm.nt lor It I,"t 6 .utomoblles lor IIch I.n. provldod In the w,Shlng Ir.a, 12, ~ntranee ICCIII crlvewlyl '1'1.1 I not b. loc.tod within 300 leet 01 tl'lO In:eructlon 01 .ny twO nrut IInll, 1), El<terlor IIgntln9 IMII b. shl.lded 10 that It II dOlloC" tod ,w,y 1rom .d).,ent proo.rtlOI .nd Irom p'lslng motor" l . ~ S t I~. ~I' Plrking 'OHII and ICC.II drlyow,yl sh.ll b. p.v.d I'll t' . wll:herproof mHerl.l, IS. Driooln. y.nieles Inall no: co .llowed on strut' or high' w'YI 10 II to e,uII Ie. huards In fr..zlng wuth.r. Equip. mon: must be Inst.ll.d to pr.vent thll condition. Othe- ~e:vl re"'o':t Off Itre.: p.rklng, IO'diMg .nd unlo.dlng, Ilgnl, op.n 10'C' .nd ~11 o:I'I.r H~lleHI. Suppl.m.~tll R.guletlont I~ Hcord.nc. I'll th Artlel. aoo of tMI, Ordln.ne., ) 00' 7 " II lo6j,(. , .~, · '......x , .j;' " . .....:;- 'I. 'cJ'I :D o - ~ .I> I ~.. '. ( Comparable Sales ) '....'\.Ii, "" (1M ~I;. 10.' /; ~ ,...li~ ,,'- .. 36<1.>9 31, <""'I ~'~. . 121 33.84 ",. . ~ :' 'ij. , -', . bl ~ .~~. ,., I.;:~O( . ./ ~ , 1:\ ....(If ~\".:.. , Xl >JP<" '" ,jj ", r>J ~'1 V' IJ~ . '" iT' . ',~ ~ '. 2l ~ , ,~2~~ ~", I"d " p"" .' " ~,,: l"ttflli ~ ',1,\ 7 ~~ .. .' (; '.. ~)I 1.2 ;;'1J. ",,0'" '^' I~"', .... . , CARL.ISLE - 4,' ' . .. '.. . . -'-, \ ."Z,;.' .:..., . .r.. ~~ PilI'. . C Comparable Sales J ""'1 · . , ..... \",~ I . ...~;', ",., \.,' , . , ,) , ,\. .. ,', .) " ")" ',"\ .. ') I , \ ' Vi'.' ",.' , " ," ,,.' , I.., IN('HI'1I"C I!~..,.ll ,'I I 'I \. '" './ " , ", to. .;' , '\, ',~', I t I" \," > " ,,, , a It.U.., 1. '. 'I H~.. .- J.! 1"1 ~ J ..,.,/ J .a. jg, III U... ".1... " 'I, \:' I~ '" i, 'I "IUrl4 , / 1/ / , ,.. , 'r-....- ~ ; 'f .\ ... .~ ~ """, - .-- 1400,. 1i1;~1 'i, fl/" f. ~ ~'! I .' ( Comparab!!. Sales J 'f':;' ~ ~. ,Ii J :...., ~. ~......, ~' ".~. ,'r "t\~: " '''.. . " , . '. - . . ,., ...... ':.......'.. ... ...,.. '. "~... ' ....~... ' , .. . t .', 4", . 'I .~......",.' '" ~,." / ,. ...': \ ..~ .., I 'If', ~ t ' ~ \., -"-111 "'" 't:'f / #. " . I , 1 ... . I . J -. '.., "J '.. {.. ~ . q " "" I l' . t' ~.~ .. 'I - I "\ ~f~. '7 /1 , t', J "'~ '-, .'. r.......... ,~ ' ..... ~' I "'-"", . ~ ' I ~'"' I _ r . ~ '".P' ""I 1-< I l r f'. ."...,' , f .. .., ~J......,,)oAf ., 7, "'" 1(. '''f ~ "I' ~ ' , . . .. ' "" ~ , \ e, 1~I,q''''\ ., . '. '. .,,,,,. ~~ " , . .... - "" . . -.. . . ( :, , ; ,4 4 r.. J P I , , j'!j \ , " ,. ! , , '.'.. I" I, ~.I" , \ . " I' ,,< '. ......... . " .,,',' ""-:] ,~ . 'II '"010 1I.1f ... ..... ":M" · "I," ... II. ... ,q " ,~,,' ;.. ." ,. ~.. .,. \ ,\ ., f ,I' " '. . .,.....1J(U... (n11 *' SCHEDULE C., CLOSILY HILD CORPORATI STOCK INPORMATlON RIPORT COMMONWEALTH 0' 'INNIYlVANIA INHUiITANC! TAX IUTU~N .IIID~NT Dtc![)!NT Pi.... T . or Print PILI NUMIII ISTATI 0' Tho fqllowing inlormnlion ""'" Ilr. \uh,rj,ill<'rl with t';j\ '"hhlul'" , A. Ootolled dNCriptlCMI ,howl"ll,h. """hod 01 comp"'''''CMI utlhled I. 'M...kIotloo crllho d-o.w', 1IOdl. ., Campi... copl.. of flnond.I,''''......' or complot. copl.. 01 th. ~odor.1 TOK ROtU1n' (~od<wal Form 1120) lor 1M y..r 01 doath and A preceding y.an, C. St"'.m,,", of dlvld...d, paid ..ch y..r. UII tho.. dedored ...d uopald. 0, u.t nam'l of officerl, lalari'l, bonUMI and :tny other bentftt'. r~v.d frOM Corporation, E. "tIl. Compony ow"" ....,1..'01., ""'mlt 0 h.t ","wing th. complet. add""'.. and ...""ared Fair Mon.ot Volllli.. II R..I E1toll Approlool. hove b_ ,",ured, plea.. oItach copl.., F. U., principal IIockholdon '" dOli 01 d.oth, number 01 0110... held, ond rolotlon,hlp to dl<lHlont, G. Any O1Mr In/orrnotion r.l.tlv. to th. volvotlon of !ft. docodoot'. 11It"'", 1. Nom. of Corpal..tlon ._ JONI::S lIARI}'.J^RI'~ CCHIWlY INC StalO 01 Inc. .J.'l-:NNSYLVANIA 51rHt Add.." 113 E INDEPENDENCI'~ STREET DolO of Inc. City. SHAMOKIN Stat. FA .__ ZIp Cod. 17822 Tatal Numb.. 01 Sharonold." Fed.ral!. D. Numb.r 24.0624295 .u".... _",,,"1"11 V..r JANUARY 1 10 (Sam. A. Federal Form 1 f20) SAlES DECl\101BER 'n 2. 3. .. Typo 0/ 8uoln... Produa HAIm.JARE STOCK TV'. TOTAL' SHARIS OUmANDlNG 'A. VALUI . SHAI.. OWNID IV DeelDINT Common 750 100 62.50 Pref.rred PNvw.. oU "'ht, OM rMtrictlon, portabd.. 10 ..... .Iou of 1f0Klc. 5. Wo. dlCed..t ...ployed by ,11. Corporation' 0 V.. 1] No If Y'" 'o,Hloh /innual Solory S n_ D.voted to bu,I.." 6. Wo, 1111 Corporation I.d.bted to ,11. d.cedont' 0 V.. lO No If Y", provld. amounl of Ind.btod.." S 7. Wo, till.. 1110 I.,uro"" poyobl. to ,h. corporation upon d..th of docodont' ~ V.. 0 No If Y'" COlh Sur...d.. Volu", S _ " ~ " Nit Procood. Poyablo: S sn '1 Ii " Own.. of Policy Tr1NF<'; HMillJM~\':...wlFANY I[jC .. Old th. dlC.d.nt .011 or tron".. .,ock of thl. compony wltllln on. y..r prior to dlOlh If !ft. date of d..th wa. on or a".. 12/13/82 or within two y.on if th. dot. of d..th wa' prior 10 12/13/82' 0 V.. IZJ No If Y'" 0 Tran.f.. OSal. , of Shor.. _'___ Tron".... or Purcha..r Conoldoratlcn S Attach a ..paral' ,h..t for addItional trand." and/or 101'1, 9. Did the c-otporatlon have an lnterelf In o,h.r corpor!'Jtlonl or partntnhlp.' 0 Vii ~ No If Y'I, report the nee.nol)' Information on a I'!XIratt ,h.." ln~udlng Schedul. "C.lI1 or IlC.2/1 for ~ch lnt.,,,t, 10. WOI th.r. a wrltt.n ohare holder'. aSte.m..t In .fflCl at !ft. tinll 01,11I d".d.nt'. dlOlh' OV.. :J No If Y'" provld. 0 copy of th. ogrHm.... ATfNlll':1J 11. Wo, ,h. dlC.d.n,'. IIocl< .old' 0 V.. l;:;! No If Y'I, p'ro....ld. a copy of the agrHmenf of 101., .tc, DOli 12. Wo,th. corporation dlnolvod or liquidated a".r th. d".d.nt', d.olh' 0 V.. ~ No If Y", pro....ld. a breakdown of liquidation dIstributions, .tc. Altach a ..parat. Inl.i. ~- ,," -, .. ESTATE OF RICHARD J. JONES Addendum to Sohedul~ Information Reoorj; for Jones Hardware Companv. Ino. Deoedent owned an 8.333% interest in a family-owned oorporation. Neither Deoedent nor his spouse or children have been employed by or aotive in the bueiness for many yeers. A. Valued at 8.333% of book value per shareholdere' agreement attaohed. B. Annual reports for 1992 through 1996 are attaohed. C. Dividende are reported in Statement of Cash Flows attaohed. D. Robert F. Jonee, President, reoeived a salary of $32,400 in 1996. He reoeived no bonuses. None of the other offioers received salaries or bonuses. E. Real estate. See finanoial statemente. Relationehip F. E..!;,QQJ<holder No. of she. held to deoedent Robert F. Jones 375.00 Nephew Riohard J. Jones 62.50 Deoedent Harry Jones 62.50 Brother Estate of Francis Jones 250.00 Estate of brother 1030B7 ..u.". ~ . ... 1 _ T ~ _ "', "''''0..'1 . '. .'~J'f THIS AGREEMENT, made lDd e:uouted. br each at the reapeotive parti.. hereto on the date aet oppolite .aoh or the names ot the respeotive partie. hereto, by lDd betweon ROBER~ S. JONES, RICHARD J. JONeS, HARRY w. JONiS, QEORGE E. JOKES, FRANCIS B. JONES, WILLIAN a. JONES, and OHARLES E. JONES, Jr., allot the BoJ.'OUSh ot 13hamOk1n, 1%1 tho Oount'1 ot !forthulllborland. wd State ot Pennsrlvan1a., and !lIAR()ARE~ J. TAN'N1J:Y, at the Oit1 ot Philo.delphia, Oounty ot Philadelphia and State at ieDD811v~a, partiel ot the tirst PlU't, AID JOlfES RARDWAR3 COlll.PA.NY, . Permaylvan1a o01",po1'&- t1o'n, h&Vlll.6 its pl'in01pal ot~'1oe 111 the Borouab. ot SbamClkin, Oounty and. St.te &tOl'tIla.1d~ partr ot the seoond part, WITNESSnx, WIm.REJ.8, all at the tonlo~ part10e by an agru- e1gnld 'Dr Ohar1.. I. Jon.~'(;n the 21st dar ot Mar. 1941 IJl4 ment bf the remainder ot the above nam.d, partin or the !irst put on the 29th day of lQ..rch, 1941 entered into.. Wl'itten agreement respeot- 1n8 polioiel of insurance on the 11ve. ot the ..toresa1d parti" of the t1,rllt part and tho purob.all8 c,- Jonu RardwA.re Oompmr ot the stook owned 'br the partin of' the firl!lt part mentioned tharein. THIS DfDIm'1'URE WlTNESSE'l'il, thllLt the parties hereto, 1'01' ~ in ~onl1derat1on 01' the exeout1on 01' this agreement ~ each 01' th. other part1u h81'ebJ anerallr sgroe that the atOl'eea1a. "".1 ttlln agreement Ihall btl modi1'ied. in the following put1oularl, J to witl ParagrQPhs thr~e (3) and four (4) on page three (3) of tho atore~aid Igreemect shall bl eliminated therefrom and the following paragrapm ahall be substituted to bave the l1k$, toroe and eUeot as it or1g1nall,. 1ncorpOrated in the at'orudd agreement. Paragraph threl (3) shall read .. tollOwe:- In the event or tn. death ot an'1 ot th. partiea heret:o, Jonea liudware Oompany, party or the seoond part shall oolleot the ~unt due under the said polloy or polioie., to wit:- the eum ot Ten thauaand (~lO,OOO) Dollars, and ehall thereupon upon oon.1derat10n of the alllignment to it ot the Sixty-two and. one-halt (62*) lhares of atock hlretotor. i.eu.d to eald dsosaeed person by hi. or her ezeoutor or l~m4Di.trator pay over to the said exeoutor or admin- istrator or suoh deceased party an amount wb1ch ah,ll equal the book value ot the said Slxt'1-two and one-halt (set) shares ot stook ..a shown on the books ot the partr ot the seoond part on tbt date or transfer atter orediting the laid book. with the rsoeipt of the prooeede or.the aforesaid polior in the aum ot Ten thouaand <$10,000) Dollar.. Paragraph to~ (4) ahall read a. tolloW81- The partie I or the tirst pa~ hereto, eaoh tor h1maelf, hi. heirs, eX- eoutora, adm1niltratorl, or .seigns, agree, for and in cone1derat1on ot the exeoution at this agreement, that the aaid oorporation ehall have the r16bt upon .xpiration ot any or the polioi.. by the death ot ~ ot the parti.1 hereto to purOhae. the outstanding oertifioates tor Slxtr-two and one-halt <62i) ehare. of stook 1n the .aid corp. oration heretotore 1..ue4 to .aid ~ec8aaed party or parties by the parmant ot tue book value ot the .aid Slxty~two and oue-halt (621) .harea ot stock III shown upon eb.. 'cooks ot the oompU17, attel' oNd1.tiD8 ~nA domn.nv _tth the rec.l~t or tbe prooe.de or .idd 1neu~onoe ,polioy i whereupon the said Gertltloatea of stock: shall beaome the property or the said oorporation and the pa~nt ..tor.said of tho book value as herein provided shall be 1n oomplete liquidation or puyment of all interest of sa1d deGeased person 1n the afore. said oorporation in!o!ar as it 1. represented by the aforesaid Sixty-two and one-halt (eat) .hares Qf stoak: heretofore issued. IN WITNESS WHEREOF, the parties hereto, have here- unto set their hands and seals, and the above n~d oorporatlon has oaused its Gorporate seal, duly attested, to be hereunto atflxed, the day and year set opposite eaoh of their respeotive ~elS. WITNESSES DATE - -- r? ,,/ , ~"p.~,~ ~'7'a ( 4f'At..:'c ~..""-,, flJ7~m4.l'.ZI 1f1f3 ~...._~.....:..~~ (SmAIl) A1 (,/ _~?i~M.*'"'1-;"/!~"""4.qat]J''t;l /~~-:"""A-~~-" J.sEAL) $4.~ ~ ~Jc#~~('EALI /Y" ~?/ nt' '1 7)- //1'.~~'1.7":1"44.4i~1 !~t~.J /}J~"-;JL~'0 /d-tfSZAL) . , 1/ . /)k~>19:~ ,^,.w :.l. i4,t;.; ~ r . : \ . (SEAL) --1)~...iJ~~"<<y~'/~~~~~ i~":'~~(SEAL) /, c.-' . ",- ,1 ~r ~.c..o ~ '(~//,AI~~~ ~~~I(:./(SEAI.) , .. (/ ff~#/~) I ,,' ATTEST: JOJmS EWWWARE OOKPANY, ~ ~ /r;Mr8 .-.-'-'. ~ Pl'e cllll1t. ,#Y~~~/ Seol'etll.x7' (/ I :\ I ; I ~ ,. 'i ~ ~' I JONES HARDWARE ~ ~E SHEET DECEMBEB-31. 1992 AND 1991 llll ASSETS CURRENT ASSETS Cash in Bank Cash on Hand Notes Receivable-Vendors Accounts Receivable (Net) Inventory-Hardware Department Inventory-Home Center Inventory-Appliance Department Investments $ 1,717 1,700 3 r 692 463,240 249r721 334r528 107,023 S8.0,il $1,249r664 TOTAL CURRENT ASSETS FIXED ASSETS Land Leasehold Improvements Rental Equipment Land Improvements Buildings Delivery Equipment Building Equipment Building Improvements Office Furniture store Fixtures $ 5rOOO 61,756 3,177 700 177,616 52r405 72,457 23 r 126 155,187 ----135.996 $ 687,420 562.308 $ 125r112 Less: Accumulated Depreciation BOOK VALUE OF FIXED ASSETS DEFERRED CHARGES Prepaid Insurance-General prepaid Postago Meter Rent prepaid Licenses Prepaid postage prepaid UPS Charges prepaid Rent TOTAL DEFERRED CHARGES TOTAL ASSETS $ 13,010 201 382 111 400 30.900 45.004 $l,419r780 ...a...... "See accountants review report" B l.lll $ 4,282 1,700 5,132 393r324 245,377 360,849 133,687 79.849 $lr224,200 $ 5,000 61r756 3 r 177 700 177 r 616 30,595 72,457 23,126 146r439 130.000 $ 650,866 532.541 $ 118,325 $ 10r204 184 58 400 400 30.900 42.146 $1,384r671 ..---....= JONES HARDWARE COMl',. L STATEMENT OF CASH FLOWS FOR THE YEAR ENDEQ DECEMBER 31. 1992 NET CASH FLOWS FROM OPERATING ACTIVITIES Net Income $ Depreciation Increase in Accounts Receivable ( Increase in Prepaid Expenses ( Increase in Investments ( Decrease in Notes Receivable Decrease in Inventories Increase in Accounts Payable Deorease - Other Current Liabilities 54,663 29r767 69,916) 2,858) 8,194) lr 440 48r641 45r678 4.112) NET CASH PROVIDED BY OPERATING ACTIVITIES CASH FLOWS FROM INVESTING ACTIVITIES Payments for Purchase of Furniture $ Payments for Delivery Equipment 14,744 21. 810 NET CASH PROVIDED BY INVESTING ACTIVITIES CASH FLOWS FROM FINANCING ACTIVITIES Shareholders Income Decrease in Notes Payable $( 53r638) ( 7.482) NET CASH PROVIDED BY FINANCING ACTIVITIES NET DECREASE IN CASH CASH JANUARY 1r 1992 CASH DECEMBER 31, 1992 "See accountants review report" E $ 95 r 109 36,554) ( 61.120) $ ( 2,565) 5.982 $ 3r417 ..a....... JONES HARDWARE COMPANY STATEMENt OF REVENUE AND EX~ES-INCOME TAX BAS~S "ClilThVE MONTHS ENDED DECEMBER 31.... 1993 AND 1992 illJ. SELLING & DELIVERY EXPENSES Advertising Home Center Dues & Subscriptions Delivery Expenses Truck Repair Truck License Miscellaneous HIC Wages HIC Wages-Appliance Miscellaneous Miscellaneous Appliance Truck Lease Collection Expense Vacation Pay Equipment Maintenance Credit Card Charges Employee Uniforms Samples & Books CONTINUED $ 32,880 3,346 7,404 3,704 423 823 237,749 28,991 214 Dept. 843 9,307 527 1,582 1,527 6/274 o 3.078 c ~ $ 29,528 1/387 8,937 4,759 460 868 207,775 27/321 458 1/006 6,912 o 1/808 1/250 5,527 1,888 3.656 539.064 470.417 $ 345,442 $ 330,582 GENERAL & ADMINISTRATIVE EXPENSES Executive Salaries $ 27/300 $ 27/750 Office Wages 49,128 46,933 Telephone 10,107 9,806 Postage 3/607 3/479 Office Supplies 14,142 9/645 Computer Expenses 5,698 3/687 Executive Travel 550 1/803 FICA Taxes 38/260 34/576 Pa. Unemployment Tax 8/802 5/747 Federal Unemployment 2/344 2/424 State Capi.tal Stock Tax 4/197 8/361 General Insurance 30/365 28/516 Officers Insurance 7/455 5/451 Employee Profit Sharing 22,404 18/737 Interest Paid 51,926 60,067 Professional Services 7,370 750 Employee Welfare 2/874 4,036 Bad Debts 3,661 43 Contributions 625 348 Bank Charges 1/046 760 Employee Hospitalization 43/017 29,747 Business Privilege Tax 4.892 4.272 339,770 306.938 $ 5/672 $ 23,644 "See accountants review report" C JONES_HARDWARE CQ.M.E.AN1 STATEMENT OF REVENU~S AND EXPENSES - INCOME TAX BAi; is. TWELVE MONTHS ENDED DECEMBER 31. 1993 AND 1992 ill]. . lill FWD. $ 5,672 $ 23,644 DEPRECIATION Store Fixtures $ 7,938 $ 6,776 Autos & Trucks 5,035 10,088 Office Equipment 13,985 3,412 Rental Equipment 0 635 Building Equipment 5,757 7,274 Building Improvement 1.582 1.582 34,297 29,767 $ ( 28,625) $ ( 6,123 ) OTHER INCOME Discounts Earned-Tax $ 2,138 $ 1,891 Discounts Earned-Hardware 7,621 4,426 Cash Over/Short 2,038) 1(168) Interest 1ncome 593 361 Finance Charges 28,275 21,827 Miscellaneous Income 18 130 Job Credit 1,240 1,171 Co-Op Advertising 5,238 4,515 Gain on Sale of Assets 6,557 0 Rebates 2,247 2,738 Patronage Dividend 41.210 26,168 93.099 62,059 $ 64,4'74 $ 55,936 OTHER EXPENSES Discounts Allowed-Hardware $ 1,176 $ 980 Loss on Sale of Assets 1,624 0 Miscellaneous 241 293 3.041 1. 273 NET PROFIT TO BALANCE SHEET S 61,~33 S 54.663 "See accountants review report" J.Qij~ARE COMPA.l-J:Y ~~ATION OF GROSS PROFIT BY DEPARTMENTS COMBINED TWELVE MONTHS ENDED DECEMBER 31. 1993 AND 1992 - D AMOUNTS lllJ. PERCENTS TO SALES AMOUNTS .il22. PERCENTS TO SALES Sales Less: Returns $4,152,495 103,06 123,2933.06 $4,029.202 100.00 $3,859,633 102,98 111.813 2,98 $3,747.820 ~JLQ NET SALES COST OF GOODS SOLD Inventory-Beginning Purchases Freight In COST OF GOODS SOLD GROSS PROFIT $ 691,272 17.16 $ 739,913 19.74 3,014,790 74.82 2,750,948 73.40 54.876 1. 36 30,156 .80 $3,760,938 93.34 $3,521,017 93.94 728.717 18.08 69}.,272 18.44 3,032.221 75.26 2,829,~ 75.50 $ 996.981 24.74 $ 918.075 24. SO GOODS AVAILABLE FOR SALE Less: Inventory-Ending "See accountants review report" JQtlE!L.Hl\RDWARE C.QMPANY QQMPUTATION OF GROSS PROFIT BY DEPARTMENTS TwELVE MONTHS ENDED DECEMBER 31. 1993 AND 1992 D 1m l.ill HARDWARE Sales Less: ReturnS $1,132,850 103.19 $1,072,951 102.78 _34.991 3.19 29,091 -L1.a $1,097,859 100.00 $1,043,860 100.00 744.747 -U....li 639,9li 61.30 ~ 353,11" 32.16 S 403,944 38.70 NET SALES COST OF GOODS SOLD GROSS PROP'IT HOME CENTER Sales Less: Returns $2,658,140 103.34 $2,451,335 103,49 85.979 3.H 82.722 3.49 $2,572,161 100.00 $2,368,613 100.00 1.929.574 75.02 1.878.679 79.32 S 642,587 24.9~ S 489,93i 20.68 NET SALES COST OF GOODS SOLD GROSS PROFIT II See accountants review report II D JONES HARDWARE COMPANY QQMPUJ1lTION OF GROSS PROFIT BY DEPARTMENTS COMBINED JWELVE MONTHS ENDED DECEMBER 31. 1994 AND 1993 Al~OUNTS l.Ui PERCENTS TO SALES AMOUNTS un. PERCENTS TO SALES NET SALES $5,239,908 103,07 156.167 3.07 S5.083,741 100.00 $4,152,495 103,06 _ 123.293 3.06 $4.029.202 100.00 Sales Less; Returns COST OF GOODS SOLD Inventory-Beginning Purchases Freight In COST OF GOODS SOLD $ 728,717 14.33 $ 691,272 17.16 3,941,429 77.53 3,014,790 74,82 54.876 1. 08 54,876 1. 36 $4,725,022 92.94 $3,760,938 93,34 727,239 lj.31 728.717 18.08 3.997.783 78.63 -L032,221 75.26 $1.085.958 21.37 $ 996.981 24.74 GOODS AVAILABLE FOR SALE Less: Inventory-Ending GROSS PROFIT 'See accountants review report" D JONES HARDWARE COMPANX COMPUTATIQN OF GROSS PROFIT BY DEPARTMENTS TWELVE MONTHS ENDED DECEMBER 31. 1994 AND 1993 llll lill. HARDWARE Sales Less: Returns $1,312,614 $1,132,850 39.816 34.991 $1,272,798 100.00 $1,097,859 100.00 936.972 66.45 744,747 67.84 S 335.826 33.55 S 353,112 32.16 NET SALES COST OF GOODS SOLD GROSS PROFIT HOME CENTER Sales Less: Returns NET SALES $3,428,736 $2,658,140 114.163 85,979 $3,33.4,573 100,00 $2,572,161 100.00 2.592.549 75.22 1,929,574 75.0Z S 722.024 24.78 S 642.582 24.98. COST OF GOODS SOLD GROSS PROFIT APPLIANCE Sales $ 498,558 $ 361,506 Less: Returns 2.188 2.324 NET SALES $ 496,370 100,00 $ 359,182 100.00 COST OF GOODS SOLD 407.660 92.67 303.025 84.37 GROSS PROFIT S 88.710 7.3~ S 56.157 J.5.63 "See accountants review report" , JONEf~RDWARE COMPANX B STATEMENT OF ASSETS. LIABILITIES" STOCKHOLDERS EOUITY - INCOr<1E TAX BAS IS DECEMBER 31, 1995 AND 1994 ~ u.2.ft ASSETS CURRENT ASSETS TOTAL CURRENT ASSETS $ 38,893 354,761 197,067 20.6,903 138,750' 25,177 123.589 $1.085,140 $ U, 407, Cash Accounts Receivable Inventory-Hardware Department Inventory-Home Center Inventory-Appliance Department Notes Receivable-Vendors Investments 248, 330,4'"~ 148,5::; 31, 45~ 93 , :; C ~ 51,273,5::' FIXED ASSETS Less: Accumulated Depreciation $ 5,000 61,756 3,1'77 5,600 177,616 37,572 101,820 23,126 ',249,738 198,330 $ 863,735 669.465 S 194.270 $ 5,oe: 61,75- 3,1'"- 5,60: 177,6,.:: 34,07: 101,8:~ 23, l::: 236,48:: 159,95~ Land Leasehold Improvements Rental Equipment Land Improvements Buildings Delivery Equipment Building Equipment Building Improvements Office Furniture Store Fixtures $ 808,62~ 614,1"" BOOK VALUE OF FIXED ASSETS DEFERRED CHARGES S 194.495 Prepaid Insurance-General Prepaid Postage Meter Rent Prepaid Licenses Prepaid Postage Prepaid UPS Charges Prepaid Rent Prepaid Equipment Maintenance $ 14, 115 239 480 257 400 900 5.795 22,186 $ 15, DC 2'")c 3~.. " 5S~ 40C 900 5.945 TOTAL DEFERRED CHARGES TOTAL ASSETS 23,465. iJ.301.596 Sl,491,492 "See accountants review report" B JONES HARDWARE COMPANY STATE:MENT OF ASSETS. LIABILITIES L5.T.QQJiliOLDERS EO\,lITY:..lll.CQ11R-,J:bLBASIS DECEMBER 31. 1995 AND 199i ll2.2. llli LLlI.BILITIES TOTAL, CURRENT LIABILITIES FUNDED DEBT Mortgage Payable-Long Term Less: Installments Due in One Year $ 194,886 90,000 87,777 64,813 30,204 4,280 20,459 25,904 60,832 16,36Q S 595,515 $ 4 :; 8 I :2 5~ 25/',)0: 127,10: 52,9l: 27,~66 3, 996 22 I 9""' ~ 24,560 65,465 22,3l: CURRENT LIABILITIES Accounts payable-Trade Notes Payable-Banks Notes Payable-Floor Plan Notes payable-Due in One Year Notes Payable-Officers Accrued Taxes-payroll Accrued Taxes-sales Accrued Employees profit Sharing Shareholders Undistributed Income Customer Deposits S 800,05~ NET FUNDED DEBT $ 316,839 _ 64, 8U _.lll...9.1..2. $ 290,2~: 52,9l: ~37,r: TOTAL LIABILITIES S 847,541 ~1.037,~:;' STOCKHOLDERS EOUITY CapiLal Assigned to Shares-Common 1,000 Shares @ $100.00/par value Contributions in Excess of Stated NET CONTRIBUTED CAPITAL RETAINED EARNINGS Free or unappropriated prior to January 1, 1958 Appropriated subsequent to January 1, 1958 Stock $ 100,000 $ 1.00,00 Value 327,337 327,3:; $ 427,337 L4~~ " ~~ TOTAL RETAINED EARNINGS $ 411,523 260.167 151.356 $ 'Ill,S: --2.~J 6 151. 3:; TOTAL STOCKHOLDERS EQUITY TOTAL LIABIl,ITIES & STOCKHOLDERS EQUITY $ 578,693 124.638 454,055 $ 578,69 124,6:; Less: Treasury Stock-250 Shares @ Cost 454,05 Sl.301.596 Slt491.4~..; "See accountants review report" "'-,. D JQNES Hl\RDWARE COMPANY COMPUTATION OF GROSS PRQfIT BY DEPARTM.ID':ITil CO~1B I NED TWELVE MONTHS !';NDED DECEMBER 31. 1995 AND 1994 NET SALES ~ l.22i PERCENTS PERCENTS AMOUNTS TO SALES AMOUNTS TO SALES $5,114,148 102.81 $5,239,908 103,07 139,655 -'-...tl 156,167 3.07 ~ 974,493 100,QQ $5,083,741 1,00,00 Sales Less: Returns COST OF GOODS SOW COST OF GOODS SOLD $ 727,239 14,62 $ 728,717 14,33 3,511,020 70,58 3.941,429 77.53 57.348 1.15 54,876 ----1,.....Q.!l. $4,295,607 86,35 $4,725,022 92.94 542.720 10.91 727,23~ 14.31, 3,752,887. 75,44 3,997,783 78.63 il.221.606 24.56 Sl,085,958 21,3.1 Inventory-Beginning Purchases Freight GOODS AVAILABLE FOR SALE Less: Inventory-Ending GROSS PROFIT "See accountants review report" JONES HARDWARE COMPANY COMPUTA,TION OF GROSS PROFIT BY DE~ TWELVE MONTHS ENDED DECEMBER 31.~995 AND 1994 D AMOUNTS 1m PERCENTS TO SALES AMOUNTS U.2.i PERCENTS TO SALES HARDWARE Sales $1,137,670 $1,312,614 Less: Returns 40.M1 _39,816 NET SALES $1,097,323 100.00 $1,272,798 100.00 COST OF GOODS SOLD 745,467 67.94 936,972 66.45 GROSS PROFIT S :l~l, 856 32.~ S 335,826 ~3. 55 HOME CENTER Sales $3,437,527 $3,428,736 Less: Returns 94,498 114,163 NET SALES $3,343,029 100.00 $3,314,573 100.00 COST OF GOODS SOLD 2.507,319 _,1.2....QQ 2,592~ 75.22 GROSS PROFIT $ 835,710 25.00 S 722,024 24.78 APPLIANCE Sales $ 538,951 $ 498,558 Less: Returns 4 .....tiQ. 2,188 NET SALES $ 534,141 100.00 $ 496,370 100.00 COST OF GOODS SOLD 442.753 82,89 407.66Q, 92.6.1. GROSS PROFIT S 91.388 17.11 $ 88.710 7.33 "See accountants review report" JONES HARDWARE~QMEAllX B STATEMENT OF.~~SETS, LIABILITIES & STOCKHOLDE~S EOUITY-INCQME TAX BASIS DECEMBER 31. 1996 AND 1995 LIABILITIES CURRENT LIABILITIES Accounts Payable-Trade Notes Payable-Banks Notes Payable-Floor Plan Notes Payable"Due in One Year Notes Payable-Officers Accrued TaxeS-Payroll Accrued Taxes-Sales Accrued Employees Profit Sharing Shareholders Undistributed Income Customer Deposits ~ ill2 TOTAL CURRENT LIABILITIES $ 440,616 .0 130,704 64,813 2,694 .3,647 19,571 34,578 106,756 18.272 $ 821. 651 $ 194,886 90,000 87,777 64,813 30,20.. 4,280 20,459 25,904 60,832 _16,360 $ 595,515 FUNDED DEBT Mortgage Payable-Long Term Less: Installments Due in One Year NET FUNDED DEBT TOTAL LIABILITIES $ 278,622 64,813 213,809 $1,035.460 $ 316,839 64,813 STOCKHOLDERS EOUIT1 Capital Assigned to Shares-Common Stock 1,000 Shares @ $100.00/par value $ 100,000 Contributions in Excess of Stated Value 327.337 252,026 $ 847 ...ii1 $ 100,000 327.337 NET CONTRIBtITED CAPI~AL $ 427,337 $ 427.337 RETAINED EARNINGS Free or Unappropriated prior to January 1, 1958 Appropriated subsequent to January 1. 1958 Insurance Recovery-Shareholder TOTAL RETAINED EARNINGS $ 411,523 ( 260,167) 50,353 201.709 $ 629,046 124.638 504.408 $ 411,523 260,167) o 15~,356 $ 578,693 124, 9..la 454.055 Less: Treasury Stock-250 Shares @ Cost TOTAL STOCKHOLDERS EQUITY TOTAL LIABILITIES & STOCKHOLDERS EQUITY $3..539.8," Sl.301.596 "See accountants re'lit:iw report" JONES HARDWAR~MPANY C S,TAT]lliENT OF ~.EVENUES AND EXPENSES - INCOME TAX BASIS TWELVE MONTHS ENDED DECEMBER 31, 1996 AND 1995 ll.ll ~ SELLING & DELIVERY EXPENSES (CONT. ) Truck Repair $ 6,096 $ 6,916 Truck License 573 419 Miscellaneous Home Center 9,650 4,141 Wages Home Center 361,580 331,761 Wages Appliance 53,252 53,97:1. Miscellaneous 3,155 3,458 Miscellaneous Appliance Dept. 4,745 1,839 Truck Lease 5,369 5,391 Collection Expense 2,355 1,388 Equipment Maintenance ;254 315 Credit Card Charges 10,933 10,981 Samples & Books 2,244 3,707 672,734 659.059 $ 592,133 $ 444,95-1 GENERAL & ADMINISTRATIVE EXPENSES Executive Salaries $ 32,400 $ 31,200 Office Wages 62,212 58,257 Telephone 11,349 11,370 Postage 5,193 4,412 Office Supplies 15,274 13, 941 Computer Expenses 15,998 11,527 Executive Travel 6,231 6,133 FIC'.A Taxes 49,535 48,965 Pa. Unemployment Tax 8,918 10,486 Federal Unemployment 2,958 2,995 State Capital Stock Tax 3,675 5,015 General Insurance 39,817 40,675 Officers Insurance 11,778 10,314 Employee Profit Sharing 41,838 28,540 Interest Paid 43,57J 49,129 Professional Senrices 3,055 900 Employee Welfare 9,881 8.087 Bad Debts 82,269 31,769 Contributions 3,792 6,046 Bank Charges 487 . 294 Employes Hospitalization 49,576 56,662 Business PriVilege Tax 6.512 6,749 506,31B. 443,466 $ 85,815 $ 1,488 II See accountants reVlew report II ,;[Q.tlES. HARDWARE COMPANY COMPUTATJON OF GROSS PROFIT BY DEPARTMENTS D QI.MI\l.tlE.Q TWELVE MONTHS ENDED DECEMBER 31. 1996 AND 1995 AMOUNTS ~ PERCENTS TO SALES AMOUNTS ~ PERCENTS TO SALES Sales Less: Returns $5,258,116 103.09 157.541 3.09 $5,100,575 100.00 $5,114,148 102,81 139,655 2.B1 S4,974,493 100.00 NET SALES COST OF GOODS SOLD Inventory-Beginning Purchases Freight COST OF GOODS SOLD GROSS PROFIT $ 542,720 10.64 $ 727,239 14,62 3,626,661 71.10 3,511,020 70.5B 58,682 1.15 57,348, 1.15 $4,22B,063 82.89 $4,295,607 B6.35 586,679 ....lL.5.Q. 542.720 10 91 3.641.384 71,39 3,752,887 -1..5....ii $1.459.191 28.61 $1.221.606 -14.56 GOODS AVAILABLE FOR SALE Less: Inventory-Ending II See accountants review report II !..' /'C' -) (I' .') ),1 - / COMMONWEALTH OF PENNSYLVANIA DEPARTMENT ~F REVENUE () BUREAU OF INDIVIDUAL TAXES INltrR1IANCE 'ilK OIVISION tJtPT, 21'10601 ftARRISBURO, PA 1'128-0601 NOTICE OF INHERITANCE lAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 11- 03- 97 JONES 09-24-96 21 96-0817 CUMBERLAND 101 l~=~~~~lo==~"i'~T~== j MAilE CHECK PAYABLE AND REMIT PAYMENT TOl REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iffY': isci;" EX"- AF'ji" f liii:m- -ilcir-icE- -OF - "fNHEiiiTAN"cE- TAiOiP"piliii sE;';Eil:r-;- Al. UiWAN-CE - iili-- -- - --- -"" - - - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX RICHARD J FILE NO. 21 96-0817 ACN 101 ST ANLEY A SMITH RHOADS & SINON PO BOX II 46 HBG ESQ PA 17108 ESTATE OF JONES TAX RETURN WAS, I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. Rual Est.te (Seh~dul. Al 2, stocks and Bonds (Schedule 01 !, Clonely Held stock/Partnership Int.r8~t (Schedule Cl 4, l1ortgaglls/Nol.s Raceivable lSchadula D) 5. Cash/Bank Deposits/Misc. Parsonal Property (Schedule El 6. Jointly Owned Property (Sehudula F) 7. Transfers (Schedula Ol 8. Total Assats I X I CHANGED SEE (II ( 21 131 141 151 1&1 171 ,00_ .00 468.536.91 .00 2,297,00 893, II 17.591.00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS I 9, funeral Expanses/Adm. COllts/Mhc. Expenses ISoheduh H) 10. Dabts/Hortgage Liabiliti../Liens (Schedule X) 11. Total Daductionl 12. Net V.lue of Tax Return 13. Charitable/Goy.rnm.nta1 aaque.tsJ Non-.lected 9113 Trust. (Schedull J) 14. Net Value of Est.t. Subject to Tax If an assessment was issued previously, lines reflect figures that include the total of ALL ASSESSMENT OF TAX: 15. Amount of Lina 14 at Spousal 16. A~ount of Lina 14 taxable at 17. Amount of line 14 taxable at 18. PrincipII Tax Due NOTE: rat. Line.l/tIft's A rat. Coll.taral/CI... 8 rat. TAX CREDITS: r-Pi;y'i1ENT -- DATE -12-::211~96 RECEIPT NUMBER - AAfllt,983 DISCOUNT I') INTEREST/PEN PAID I-I '-'-W'39 ,29 43,309,25 30.662.44 III I (12) 113 ) 114 I (91 (10) r-ff;,".~~' .-!~ I', ' f;, r:fJ~~. ~ IIV.II.1 (III' 1"."1 RICHARD J DATE ATTACHED 11-03-9'1 NOTICE NOTE: To insure proper credit to ~Qur account, submit th_ uppal' portion of this form with ~our tax payment, 489,318,02 73.971 62... 415,346.33 .00 415,346.3~ 14, lS and/or 16, 17 and 18 will returns assessed to date. 1151 11&) 117 I 2,250.00 X ,00, 413 , 096 , 33 X . 06, .:.!Q. X .15, (181 .00 24,785.78 ,00 24,785.1.IL .---- -_.._-'------~'~ -'_.._~~. TOTAL TAX CREDIT 26,239.29 BALANCE OF TAX DUE 1.453.5ICR -~.._- -- ---~._----.._-.._.. INTEREST AND PEN. .00 _.__.-.----------- .-.-.- TOTAL DUE J,453.5ICR ...._________ n.___'__ ,______'____nnn~'_'_'__,_J AMOUNT PAID 25,000,00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CAI.CUI.ATIDN OF ADDITIDNAL INTEREST. IF IOTAL DUE IS I.ESS THAN $I. NO PAYMENT IS REQUIRED. IF TOUL DUE IS REFLECl'ED AS A "CREDIT" ICR), YOU MAY BE DUE A REFUND, SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS, I plJlPOSl! OF NOTICF.1 PAVIENTI REFlJrrlO (CR11 I l" (', ~h_ To f1JUIl! \hie r..,lrllllnt, of Section 214S (b) of the InhtrltlnCl Ind Elt,t. TaM Act, A"t 21 of 1995. (72 P,S. $MUon 914S). D.tach thl top portion of thit Notice atld lubIllt with ~our Ply.."t to the Rqhtlr of willi prlnt~ on th_ rlvarlll llde. -- Hake cMck or 110M)' order payabll tOI REGISTER OF HILLS, AGENT. A refund of a hlC cr.alt ..y be rltqUe.tad by cOllPlet1ng 8n "AppUclltlon for R.fund of Penn,vlvanla Inheritance and Eltat. TIM" (REY~Ul!lJ. AppllcltJonl fire lIyallftbl. .t the Offlol of thl Rtglttlr of WUlI, any of thl> 25 R.y~ Dhtrlct Offlc,. or 'rOIl thl o.part..nt't1 Zit-hoUr an'Wlrlng larylc. nuIltM;r. for fori' ord,rlnQl In P""'Vlvltl"lh 1~800-Ml2-20S0, outllde P,nn,vlVWlla end withIn local Harrhb\lru ar.. (117) 787-8094, TOOl (717) 772-2252 (Harlnv I.ll"e<t Onh'J, OIJECTIOHSI Any pl,'ty In Inhr..t not ..thUld with the u......nt of tIlt ft. shown Otl thlt notlcl uy objlot with1n sIKty (60) days of rlolIpt of thh HoHo. byl --writtln protut to the PA Depllrt.."t of R.vlnlHt, Board of Appeals, Dept. 241021, HerrllbUr" PA 17121.1021, OR --Ilectlng to have the Att.r d.Urllned lit ult of the Plr.onal rapr.....t.Hv., OR --eppeal to tM DrphM" Court AOtnM- ISTRAT1!JE CORRECTIONS I PENAL TV I INTEREST I feotuel .rror. dls.covlred on thh rII......,t should be addr..." In ",rlUno tal PA DepartHnt of "'VItnlJl, Bur.au of IndIvidual TaXI', ATTNz Po.t h......"t Rlvl.., lkllt, Dept. 280601, Harrhburg, PA 17128-0601, Phona (711) 747-6505. $.. plt{le 5 of tM booklet "'In.truotlOl'l' for Im.r1t8nCe TII)( Return for. R..1dent OIc.a.nt~ (REV-ISOl) for 8M .~lanatJ~ of ea.lnl.tr.tlvaly corrletlbl. error.. The 15;( to MWMl.ty non-pllrtlclPlltlon ~1ty I. cOllpUt.... on the total of the tp and Intllrut a.....lKt, and not p.ld baforl J...u.ry II, 1996, the first day Ilftar the and of the tltX MrlIlty period. ThJt non-p.rUolpltlon panelt\' I. appaftlllble In tM AMI NnnIr nod In ttM the .... tl.. period al you MOUld IIppMl the tax n Interut that hat bien ".....ed III IOOlc.tlKl 00 thh notl.,.. Addltl~l P~'Ylvanlll E.tllt. TftX a.....ad a. _ r..ult of Il change on ~ Fldlral E.t_to TaM ClOllng I.tt.r bIoeOMI dallf'fql.Wlt at the l.ltplrfltlon of 001 (1) .nth fr~ the dati the flMl notice of the lMr... In Fedlr.l Eat.h T8)I It rllCOlv~. TIKI' whIch be<c_ dIIllnquent bIIfora J~ry 1, 1912 bMIr lntlr"t at the r.t. of IlK (lX) percent per ...... .c.lculated at a dalh rat. of .000164. All taxa. which *... d1l1nquent on or aftar JlnI.Mlry I, 19AZ Mill air lntar..t nt a rata which wIll vary fr~ calendar y'~r t~ calender y..r with ~t rat. announced by the PA o.p.rtlMlnt of RavllnUe. The IIPfIllcablt Inter..t ratlll for 198Z throuW1 1994 Ilral '!!!r Int.rl.t Hate Deily Iflterllt FMltor ~ ~~t! Dally Interllt FltOtor 1912 lOX .000544 1917 'X .OOO2~7 1911 16X .000~38 19i11-l9'91 llX .000301 1... It:( .000301 19'91, 'X .0001.~7 1945 UX .000356 199!~1994 '" .000192 \9" lOX .000Z7~ 1995-1991 .X ,0OllZn ~~lnter..t h calculatld .. foliOM81 II~T " BALANCE OF TAX UNPAID X HUHBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notlc. hltUed after tM tp becOM' doIl1nquant will r,filet 8n Interllt ~lculatlon to f1ft"" nS) din Myond the date of the ......Hnt, If payant h IIede Iftar the Intar..t cOllpUhtlon dat. thown (In thIl Notlea, add I tlCM'\IlI Int.rut. ....t be talcuhtld. WHIlRICAS, ,'ARM,;RS 1'I\U'sT COMPANY renounced its right to serve as Co., Trustee, leaving Daniel M. Jones to serve as sole Trustee; and WHJIlRICAS, death tax returns have been filed and administration of the estate is complete; and WHIlRICAS, t.he undersIgned desire that dIstribution of the estate be made without the expense, delay and formality of a court accounting; and WHIlRICAS, the Executor is willIng to consent to making such dlstrlbuticns upon receipt cf a proper approval of account, receipt, release and indemnification, which it is the purpose of this Agreement to provide. NOW THEREFORIC, the undersigned, ,jointly, separately and seVerally, for themselves, their hell'S, admInIstrators, and aJSignsl 1, State that they have examined the First and Final Account which Is attached hereto as ExhIbIt "A" (the "Account") and approve the transactions set forth or proposed therein (and the admInIstration of the Estate generally) as though they were contaIned in a formal Accounting whIch had been confIrmed absolutely by the Court having jurIsdiction over the Estate. 2, State that they have examIned the Statement of Proposed Distribution attached to the Account and they approve the distrIbutions proposed thereIn as though they were ordered by the Court having jurisdiction over the Estate, 3. WaIve the filing of the Account in any Court and agree that any Court hiving jurisdiction over the Estate moy confirm the Account. 4, AcknOlvledge receipt from the Executor of the .assets shown as dIstrIbuted or distributable to them In thn said Account or Statement of Proposed Distribution in absolute payment of full satlsfaotion of the bequests to the undersigned under Decedent's Will, - ,2 - 5. Do hereby absolutely and irrevocably release, remise, quitclaim and forever discharge the said Executor, his heirs and personal representatives, of and from all actions, suits, payments, accounts, reckonings, claims and damands whatsoever for or by reason of his acUons ~s Executor, as set forth in the Account. 6, Do hereby release all real estate of the Decedent and of the Executor from all liens, claims, actions, suits, payments, accounts and demands whatsoever for or by reason of his actions as Executor, as stated in the Account. 7, Do hereby absolutely and irrevocably release the Executor from filing any Account, Petition for Distribution or other document with the Court of Common Pleas of Cumberland County, Pennsylvania, or in any other jurisdiction in connection with the Estate of the said Decedent, 8, Do hereby agree that if, at any time in the future, the said Executor receives any demand or claim f~r any amount claimed to be due and owing from him, as Executor, and approves said demand or claim, they shall, at the request of the said Executor, pay to the said Executor the amount of any such demand or claim, or if it has been paid by the said Executor, then reimburse him for the amount paid by him, provided that the amount of such requested payment or reimbursement shall not exceed the total of the assets paid or distributed by suid Executor to the undersigned beneficiaries as set forth in the attached Account. 9, Do hereby agree to indemnify the Executor nnd hold him harmless, to the extent of the Estate assets received by them, from and against any and all claims, lOSS, liability or damage (including legal fees nnd costs) which he may suffer or to which he may be subjected by reason of the administration of the Estate or the distribution of the assets of the estate without having formal approval of the Court of Common Pleas, Orphans I Court Division, of Cumberland County, Pennsylvania, or any other jurisdiction, - 3 - K8'::EI P'I'S SUBSEQUENT TO INVENTORYl 10/28/96 I.loan to Estate from Daniel Jon~s 11/04/96 Loan to gstate from I)aniel Jonas 12/18/96 1,oan to Estate from Daniel Jones 02/19/97 Blue Cross/Blue Shield refund 04/03/97 Lean to Estate from Daniel Jo~es 07/14/97 Loan to Estate from Daniel J6nes 07/23/97 Loan to Estate from Daniel Jones 10/21/97 Loan to Estate from Daniel Jonas 12/04/97 Refund, Colonial Penn Insurance 02/12/98 LOf.ln to Estate from Daniel Jones 03/25/98 Liberty Lending Refund 04/02/98 Loan to Estate from Daniel Jones S.\1 ver Springs Theaters, Inc. - Distribution of accumulated income to shareholders Out of State Real Estatel One-half undivided interest in 1400 Redbud Street, MoAllen, TX (oommunity property) TOTAL RECEIPTS OF PRINCIPAL 300,00 7,500.00 25,000,00 201.15 2,000,00 1,000,00 700,00 700,00 413, 90 3,000,00 305.30 3,000.00 GAIN OR LOSS ON SALES OR OTHER DISPOSITION - PRINCIPAL 11/17/98 Sold 62'.5 ."hs, Jones Hardware common stock Net prooeeds Inventoried @ 42,002.91 37,837.91 Net gains - 4 - Gain ~,165.00 il~2 44,120.35 53,030,28 48,250,00 ll6f 234 .54 ~ 0.00 ~