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Home My WebLink About97-00987 ~ a- . to... . ~ .'1 '8 .. I ,0 .. Z 11.I ~--j-7 -r:_- I' ,,"~ I .. I I I I ",I, , Iii 11...,iI, ,1,,11' IIlnl \\ilh !Ill' ,j', 1'111\ 1\ 10 cl'I'llly tiLl! tilt' ildulllldllPil 1('11' !',I\'t'll I, \OIIl'lI.1 (1I1':{,~II>ll\ .111 lill)',il1.i 1(' '-"I, I tI~,d l~q'\istl'aL Tilt, otigil\~d t['1 ttli( ~lI(' \'-.ill 11(' flll"\urdl'tlll' tilt' \I.I\( \'!I,d Ii_tl lild\ ( Hlil t' Jpl Ih'llll.lIlt'lll lilllll'" WARNING: Ills IlIogol to dllpllolllo Ihls copy by pllOID.,tnt or photomoph. Nil. 21-97-987 ii'II\'lj~\,W'iif"Pfi~.,.c' 'I;I~', ,,/1, _~ i~- ..~~:,: \'~! ....~r_\. 1/ ~ '1'lr'\ .-..~ .- :..~ .,.~\ ll' B'.~. "I;.. ;'~.i) " *, e_ _-.' .' *~ a ..-.. ."..1/ \.~. . "<;,.,, , ifjJ ~~...,'i .',,_"/,jIfNl ~\ ~ "l '[~;'!:!.!.'(_'f1"I,!_;!Jl~".1 ~./7l. (~~~ 1(.t,lll~q;hfl,1f (f h'l' Ii!! 1111_\ lnf!ilk,\!v, ,~,\,O() <1 G 8 83 5 6 NOV ~;, !'HIT Ilall' COMMONWEALTH OF PENNSVLVANIA' OEPARTMtiNT OF f1EAI.TH' VITAL RECOROS CERTIFICATE! OF DEATH ~1~1I ,<L[ '-jl!l.lllUl NAME OF OECEOfNffF"" "-I_k", t'-j ~~rO<;I"'1 SECURI[Yl4Ul,lltW ~ ,. Platar C, Kooistra .0.. Ie .....J>: 361 - 30 -7320 ~aEilUIIk'"'''VI UNOI!AI 'fEAA UNt~AIO'" ~'8lp:'ti-' BlAfltl'~C:IICA;I>Id I'lACIOl'PeATltlr;t"",'''~V'HI_' ....'n~".'I..'1w<)!l..'.."'1 63 " MOi>, ro,. ",,'....- ,1~~'~"~';:';'93 ru;J~1~~~;.~; ~:'\'1-::;~:'~~;;.~ ~"l~~=-l~~~- COUNfYO' DlAIH CITY, 8000, TWpof'Of,ijif'-' FACILrN r-IAME 1I''''~'~II~,I'''l' <Jo~'''~ .NJ",,,,",,,, w.-.90flCF.O€rnOflHIS~WCOR'QIN1 NoICI _r."JIl~,tplK,"'c~. "'t'CVI_I'<>f,."Ro:tn..tc OAleOFOfAfit;M-;;;,-;-O;;-~-----' .NoV,22,199~_.___ r,....~)C1. ~='~JI[] lIt>qIltnclllylltltQll<M><>nt ~tI'Iy.~IQ""""<Ntl e.t~ Inc. UNOI"lYIHCI CAut.f[)......OI,'~; INiIw"'IIt<J,..,-,c. '-.AngIll'~ILAn d__ _ Wi. AN AtrrOPSY<- WiRfAij'ro,.sv;!NOINOS -]~ Of ~I.' ----- "'R'OOMED? ......."..8LfPAIOft10 COMPLEllONOf-CAIJSI:: '-..1 [....1 Of'OE.AHl1 ,",.I~'1II /""'l, 100>('" , ""." [ I ".."".,..",,,.. fJ t-kl~ ,""I) '<0 II 5110:..... j) (A},j1'lllUli)l<k!,,'m.nt\! I',] Ub ___.______,__ I!. ~__~ ____ _~_____,___ eI"'''ll''II:I'.~-;;"',"'''1 'tl"fl"YIHQ'HY.ICIAHll'h,... "l'f.rI,l""J<:."""~L,..[t,,,,,.,, "'.","..... "",\<,'~llhJ11"{""",-"",I'I't.I'" ,1"'1""'11.'1'<1"."'- .',11 'olhe..""lm'..........,..,4...h!l'C.:lIII""..lHtlolllll."..j.'.oom."""IIIW.4 .......9DfCEIlf.NtEVEHI~ OECEOi:NT'ffiut~i1~ -ii"':RiiAi"SIA1US,M."... us ARM...'''1lii1 _.._--~i't!2!.!!'11:.r" JJ.lJI!.!I'-"" I ~'\l/I,l"''''''.'''''Kl<i'4l-1lJ '" [) 'lol EIImIn~f'JIStcQll<\.1'/ C~ ~~t4fSI*""1 I.. . 13 10 III __..211~(~-'1 narrJed rgaretDani.els 111 SI,"_rQ!lnElY.!.Y?:l.~!i.~. . Old "..lJ ",",dtcedInlltwdlr\__.,._._~~___...___ "'..... ~.. ..__ l~.:.~~~__.-!!.!'.rt=~=_:: 01__ . ... c.<~'!1En .1 ~~ 1.1. MOHIER'SNAIAflf"Ill.l<lclol M~""'n~"fO',~I'UI lt1eeltje Wilhelmina If:1ke Postma ---.-------..----~---~-_.-..._---- IN;OOM~;'"s~iU.w,ij)fiRliSSlsiiMj*c.-!-;fb._Il_ S1t,.I'pC'~1ol1 I<oolstra .700 Lincoln SL Ci'llll) 1I111L PA 17011 1lOO0f'0ISP091TION ,l,.r ------- OAlEOFDISl"OJltlON PtACliO\'Dt3P09JIIQN,,",lmtofC.mellry,C,.m.tl>l'f ]OCAiiON'City~.SI.t"''''c;j;jt--._. Bu'''II-l C'''''''_''''I. A.mQ All ITI s,". [ J llol'H~I\ Ll4<, JW'l II< ~htr I'I.e. . 00IIIl1llll[ Ol""I~VOIl- _ __ _ ~ 'Q _ _ _ .r I Nov.25,199"' Con-O-Lite Cren~t:()ry f(heffer.sh:x'oIl,PA 17r1\9 'tmERAl(JY ENSEEOOPfkSONAC~____ - L~f~~oHtl~~'~-~;-- ~--~=ft~::;~;'lf~\~jfy-;~~~~;4~.~~~nBl A~. ,Ul10flu,PA1704:~ .m.n.(;Ol\/'fM'*1 1I./yIfIg ToIIII'*"ofm;_n<rI'IlI<lQI."..lhOC'U".,.I..IMIIIM.d.Ie."".pl".t1.l.... ~ICENSENUMOf" IOA1fSKl~liO p/IyIlclll\.lIOIn.....~1l11",.of<llllhkt ISo<./oIll''''II'<ll"lIl IMOI\lho.., ~"I ""'I"'~of<lltlh -------- lIME 01' nV:";;l 0 .... JOi" PAO"OO"1';."-iiJ'~"9;o,"7.------ ":"'iiT"'mi"fO~O:~y"~~'B:'~~'" ..I] .__~.l!.JU__~.__'i____ ___ n, "lItf t, En'" 1M "'''''''1, ~'IVf'" 0)1 (<.\nll>lo(.,.,nl ~h",IIt1"$.u I"" ,I<Ull\ Do nol.ntlOlh.">ode QI d-''''ill(,o(h U~'H~'C Of ,..",,~wy 4"..1. .no.;. or hUll !.,I",. r ApjlI1l..",.I. 'A"T II: 0...., 1II\lJI.1'oo:.... wnc_ QlIl"WinliP~ diI.llI, Il<II tll' cl\f't 0'" e...... 1ll1"'M'" :=~~=~ OOII..uI"'U"'I"'~"9~....~"'1WIf1 , _____.__.. .!3!nD.. I , , , , , , I , .___ .______,_______t___________..___ -['..-op;;;:;;;;;'-ri''''.-'':"'';.-[ESCfll~fiYCX;CUflAlSO 1:11.IoU ~C-!OFlijlliriv,~t/.Om.--iil~~;'," j~(I~y'ltl'<.-.~" I'k_. loc,iflON(St,.,.. e,I'!I"'...... !\i;J;.------------ ""'''1',,\/, .l( 1~l>",,'I,1 ,.. C1unt~Jl'lilnd CO. DECEOENl'$USUAlC'oCCUPRIQf4 (~~1~J:.~~%~:::;~:'r I Executl va EEnf<,ctiollary OICIOlNl.......llINQ-'OOAI.8ISl,... C~fTown SWt I'l'CQololl -~ C!lIllNT'. ACTUAL 2700 Lincoln' St:n~t. A.ESIOI!OCE 1~<"_'ll".:I'l<II I'. Camp llill, PA 17011 <J(\"lr..~.1I1 'Anlf"'SNAMElh"Iol<I,H~ Lall) ..---- ~-.-..--_. Pleter Kooi stra CalliI' IIi 11 KIhO.Q!_l.!!l~!':i-'i!!!!.1NOUSH"" .2700 Lincoln Street fWJf:'.rm'~.n.~,Wh_'.'''-. {S!<<-I)l 'I,whit:l':' SUAVIVlNO~$(-~ 11!<rI/I\IO"'"'''''''''i\t;\1I1 I III_Co",,!,; Ctunbi;:'!rland -LOlJ~1'o~iiiA'~":C~i:S~6t~~;iEiIl\i!.!:')! .H, "- miE [Oll)l,~<; "CON~j((j(llll(:rOt) oiiiffoli~ i.S-~ cot.iitQiitiKt (:ij OA1EO'IN.lUAY 1M"",,", o~v ""~'I 'M'OICAlI!UMINII~ICO"ON'" On Ih, bul. 01 ...mlnlllon .nd/or 1.\V..~I".1I4n.lll m\, opllllon, 4..'h QtCllU.d .IIII.lIm., 4.,., 1/111 pl'CI, .nd ""'10 Ih. Q'uU(f'.I1" ",.nne'''''I'".,..,..". ., " ".", .. """" "., "".""".,." .""., '" lI(a'iSTflMl"7fsiciwJuRfirjfi,M1lii:7,-----.--.. n.a-"L-2H~-L- ~II!'IJ(I '" SIONAluflE M40 IIHE OF C~I\IIFI l , ).:I' ". ( . J-.. y../1.:._ (A _<o--..--A,&:9 llciN-Ji.i-mit~fi\'\- -- _ . :~.-- IOA'E SjQNEOI~,"~ l);i~ ...~;; (\'\1) () l"'-'}J I; I I.IIK._ ., _... __ _...________.____ if,__ 'I~~E "'NOAOOFlE!lS Of 1'(IlS0fj~OCOM"lf.1E.OC...UliEOf O(~llt ill~<T'lll 'lIlf101Pnnl k, ~'<J co '--, -i k. "-. I I J 'I" T ,. . . ,,/I, R.~ ~L.____..._, __"'_" _." i.!~'.-'J.t........J:i..:.,!J.._~.Ll.l:...tl______ OA'EFllEIJI"'''''''''J,Ill.I'' , "l'IONOUHCIHQ "Nfl CffUI'VlNU ""V.ltIAN 11'1"k.,II' (,'I' ."." ""'~"''-I dol"'" ,I'-''-l "."""''</'~ ,...,.,~ "~I 'lu~'''1 ,,, Ih. r-t'l m, _no..I''',.. dul,. 0((1'''''' "lhttl",.. d..., ','d pl.u, 111" d~. 10 Ih. ctUtlll)''''' 11\1,,"" UIi..1lJ ,~_~_ df-u_l.?.J.L._. Will, Codicil, Agreement of Trust or other instrument exeouted by my wife, Margaret D. Kooistra ("My Wi fe") . rrEM rII: 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 My Wife does not survive me, I give such articles to my children in as nearly equal shares as they shall select under the supervision of my Executor. If any such articles cannot 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 all the rest and residue of my property, real, personal and mixed, not disposed of in the preceding portions of this Will, to the then Trustee of "The Amended and Restated Pieter c. Kooistra Revocable Trust" created by a trust agreement dated t.he same date as this Will between me, as Settlor, and Hamilton Bank, as Trustee. l.TEM V: No interest in income or principal of my estate 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 prior to the beneficiary's actual receipt thereof. My Executor shall pay over the net income and the principal to the beneficiaries herein Page 2 of 6 pages designated, as their interests may appear, without r~gard to any attempted anticipation (except as may be specificallY provided herein), pledging or assignment by any beneficiary of my estate and without regard to any claim thereto or attempted levy, attachment, seizure or other process against said beneficiary. l.T.EM.-Yl : In the settlement of my estate, my Executor shall possess, among others, the following powers to be exercised for the best interests of .the beneficiaries: (a) To retain any investments I lTiay have at my de8th so long as my Executor may deem it advisable to my estate so to do. (b) To vary investments, when deemed desirable by my Executor, 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 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 for any other purpose, inclUding any final distribution of my estate, my Executor 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 kinQ, 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 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 may deem advantageous to my estate, any or all real or personal estate or interest therein owned by my estate severally or in conjunction with other persons or acquired after my death by my Executor, 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 Page 3 of 6 pages Hability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, e~ecute, 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 in this paragraph or elsewhere in this will. (e) To mortgage real estate and to make leases of real estate for any term. (f) To borrow money from any party, including my Executor, to pay indebtedness of mine or of my estate, expenses of administration, Death Taxes ar other taxes. (g) To pay all costs, Death Taxes or other ta~es, expenses and charges in connection with the administra- tion of my estate, and my Executor shall pay the expenses of my last illness and funeral expenses. (h) To vote any shares of stock which form ~ part of my estate 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 ventures and partnerships, with all the rights and powers of any owner thereof. (i) In the discretion of my Executor to unite with any 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. (j) To assign to and hold in my estate an undivided portion of any asset. (Ie) To hold investments in the name of a nominee. (1) To compromise controversies. .I.1'.EM.-Y.il : In the settlement of my estate: (a) My Executor shall not be personally liable for any loss to my estate or to any beneficiary of my estate resulting from an election made in good faith to claim a deduction as an income tax deduction or as an estate tax deduction. (b) In valuing property in my gross estate for the purposes of any Death Tax, my Executor shall not be personally liable for any loss to my estate or to any Page 4 of 6 pages benefioiary of my estate resulting from my Exeoutor's decision made in good faith to use a particular valuation date. ITEM JlIU: If at any time any minor shall be entitled to reoeive any assets free of trust by reason of my death, whether payable hereunder, by operation of law or otherwise, I appoint HAMILTON BANK as Guardian of such assets authorized by law payable to such minor. 'rhe 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 oourt order. 'rhe Guardian shall have all the rights and privileges in its capacity as Guardian as are herein granted to my Executor as to my estate. ITEM IX: I hereby appoint My Wife, MARGARET D. KOOISTRA, and HAMILTON BANK as Co-Executors of this Will. If for any reason My Wife, Margaret D. Kooistra, should fail or cease to act, Hami I ton Bank shall act or continue to act. with all the powers granted to the two of them. All references , in this Will to my "Executor" shall also refer to my Co-Executors or to my successor Executor, as the case may be. ITEM X: The Guardian and Executor shall qualify and serve without the duty or obligation of filin,] any bond or other security. Any corporate fiduciary shall be entitled to compensation for services in acoordance with the Page 5 of 6 pages (D H ~ ~ Z ,~ ~ ~ e ~ h' ,,' (lJ 1\ ~ " H .J , 0 H Ul " 'n '0 Ul H IIJ ~ n 'I t: I~ 0 , H ~ III , <( III T 0 CL ~ ~ > , ,n 0 f/J "' 1 15 u i:l z , 0 [ " " ~ '...1 ~ "l 0 q it m 1:1 f- H e f- III ", ::< ::l III <( 0 " r~ ij [ H P< =: ~ Ul j I ,:;> llClq j,.,Qf"i.",Hyv:; ~,...!nlll'lmJJH<;I rnnhH\~.j'llll.l,.llf.'~ '''. ;., - ~ !;I ~ ::t! 10 H = " ~ Ul ~ " \':1 ~ ~ < Iii H J Ul .. 0 0 ~ H rIJ .J II) ~ 0 , " 1O E ~ ( w 1 u d$ < ~ H rj ~ III " x A 0 > < 0 0 H U f w ~ m .; u ::-~ z \ ~ I: ~ ! ci ~ " J -.... l-' ~~ 0 J 0: en :s !j < ~ 0 m = III III ,. ii ~ OJ ~ III z ~ 0 ( =- :r 0 H IN REl ESTATE OF PIETER C. KOOISTRA, DECEASED IN TIlE COURT OF COMMON PLEAS CUMBE:RLAND COUNTY, PENNSYLVJ\NIA ORPHANS' COUR'I' DIVl S ION NO. 987 of 1997 DISCL~IMER AND RENUNCIATION I, MARGARET D. KOOISTRA, an adult individual of 2700 Lincoln Street, Camp Hill, cumberland County, Pennsylvania, do hereby exercise the right granted to me under Chapter 62 of the pennsyl vani.a Probate Estates and ~'iduciary Code, 20 Pa. C. S. A. Section 6201 at seq., and Sections 2046 and 2518 of the Internal . Revenue Code of 1986, as amended, and hereby irrevocably, absolutely and without qualification, forever disclaim, renounce, release and refuse all of my right, title, claim or interest to the total proceeds payable on Valley Forge Life Insurance Pol icy No. VITN00242 insuring the life of pieter C. Kooistra to which I am entitled as primary beneficiary thereof. Except as specifically provided herein, the wi thin discla imer shall not include a disclaimer of any other interests which I may hold in the aforesaid life insurance policy or its proceeds or in the Estate of pieter C. Kooistra. IN WITNESS \-1HEREOF and intending to be legally bound hereby and further intending that this disclaimer and renunciation be delivered to Valley Forge Life Insurance Company, the insurer and issuer of the above referenced policy; Margaret D. Kooistra, Executrix of the Estate of pie tel' C. Kooistra I and Margaret D. Kooistra and Dauphin Deposi t Bank and Trust Company, Co-Trustees of ..... , 'IlJq ~V;;>01 1.98.9 I?f:I<lt: (6 , qt: 'I) 'I., ~q , I <'1"'& PI" 11Qvc" lJr:jfiJq t:Qt. (> ~ ,,-, '9 ",C, "0 ' k"o >~'" 9, .., .'0 '0, " . 0 "<< c. ~Qt:. . Oct I?$v -71;- II"IIJ IIJ <0 0(:>"16./ fiJ ct "I"" P<t 7>",. ".. '(> "<It: <lfiJq./ . $. "I ctq, t:!JI<I . '9@0 '-1/ t:lo, ..... ct", J- of' '..., " , " " r'~l F' 4: (,--\ ~HL " (1 ~B! ,~ ,"('" j;1. \~,J IJ Vl L) x, H (:,) \~) rs; ~a {uo: cc. 15 ;'-- i'; J__ '-, [ Of:f:jGIA(. USE ONLY REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT ReV" 1500 EX 1(\ .971 CA~8 ~Pl~ C~Tc KOE~ c P o 0 R ~ ~ ~ FILE NUM8ER D E C E D , COMMONWEA,I.TH OF PENNSYLVANIA DEPA,ATMENTOFREVENUE DEPf 280601 HARA SaURO, PA \71Z8.C\601 DECEDENT'S NAME (lAST, FIRST, ANll MIDDLE INlfIAL) UlI&4 bl.nk'5pWt tllllflr"ill~ wOlds KooiD.~Ylll pietnr C, .___.___~ SOCIAL SECURITy NUMBER DATE Of' DEATH O..TF. OF BIRTH 21. NUMSER 199.1 .---- VEAA 0982...- r.O\JNTY CODE .-- _ 07/22/34 THIS RI:.'lURN MUST BE FILED IN DUPLICATE WITH hiE REGISTER OF WILLS 3 ~td"lh , Remainder Return rllor 10 Ii! .1). 62) 5. Fltdltf.1 Est.t. h~ Return Required 8. TOl,1 Numb.r 01 Sah' D.poslt BO.'5 361-30"7120 11/2~/?1 A~l~S~fUlb)JLUJWJ~II~~)5POUSf.'?fNlJlrmAST: ~IO(;IAL ~'iEclJHlrY NUMBER Mal' aret D. Kooi(lt):~a. _~_161-)2.~]02B _ X 1. 01191n011 AlIluff' Ir' !JlIrrltlmftnloll R"luln 4, lImll.d EIIIII. 41, FulUllIlnl.lut GompfOrnlu {d. I. 01 d..th.ller 12 X 6. atudenl DI.d Tnl..t. _ 7. DeCldenl ~.hlntljr\ld a Living Trusl {"lI...h copy Of Will) (Attlch copy 01 Tlusl) D 9. Utl<jlllenPnx:..dIR.cfllvlId CJ10, flpouulF:'ovlIllyCrldll 12.82) o 11. F.lec:tlon 10 I.. undlll Sec. 9113(") (d.t.of d..lh bfltwHn 12.]1-9\ and ,- \-95) (AlIlch 5ch 0) THIS SICT10H MUSt I. COMPLETED, ALL CORREsPONDENCE" CONFIDENtiAL TAllINFORMAtlOH SHOULDIIIiI DIRECTED TO, NAME --, COMPLETE"MAILlNO ADOREsn Henr W. Rho~d9, Esquire FIRM NAME (II Appllc.blll) Rhoads & Sinon LLP TELEPHONE NUMBER P.O. Box 1146 Harriaburg, Ph 17108-1146 OFFIOIAI. USE ONl '( (1) (2) (3) 1. R.al EstllllSchldul1 AI 2. Stocks and Bonds ISchadula 8) 3. Closoly Held Corporation, Partnership or Sole - ProprIetorship 4. Mo~gaglS" NollS Receivabl. (Schldule D) I. Cash, Bank Oeposits & Miscellaneous Personal Property (Schldule E) t. Joinlly Ownld P'OPlrty I Schedull F) (6) 7. Inlet-Vivos Transf,rs & Miscellaneous Non-Probale Property (7) ISchldulo G 0' LI a. Totel Groll Allota (Iotal Linn 1-7) I. Fun.,al E'ponSls & Admlnistrativo Costs (Schldull H) (9) 10. Dobts 01 DlCldlnt, Mo~gagl Uabllitin," l.ions (Schedull!) (10) 11. Totll Doducllon.ltotal UnlS 9 & 10) 12. NIt Valuo 01 EltltolUnl 8 minus Lin. 11) 13. Charitable and Governmental Bequesls/Slc 9113 Trusls for which an eloctlon to tax has not been mod.ISchldulo JI 14. Not V.I.o Sub oct to To (Unl 12 minus Uno 13) C 15. Amount of lino 14 t.,able It 3 the !:Ipou!ial talC rat. I C S.. instructions on pig, 2 tN appllcabl. percentage X f 11. Amount of Un. 14 taxable II 61/. rate 17. Amount of lin. 14 talCabl. at 15'/. rat. 11. To Duo 2 II. x ClHICI(HIIRlIII"YOU AliI QU.StlNG ,.1I1~UND Of' All O~1\P~YI!li,iJJ .. ,H I.'''RUO AN.nll ALL OUI$TIONS ON PAGII AND TO llIC~ECK MATH < < __ Und., peNlIU..ol perjury, I decl'flth,t I hili. I..mlned thl, rllum, Inchidh''V .ccomplnylng schedut...nd tllt.mentl,.nd 10 thl belt 0' my knowledge.nd b,Uef, II III lfUI, corrKt 1M comp!'I.. Otcl'rlllon of pr'p".r 01 her H'ln Ih. plI,.OOlI ,.pr...nl.lIvI Is bued on .Illolerm.l!en of which pr'p.,er hu.ny knowledge. ~IQNATUAE OF PERSON RESPONSlaLE FOR FlUNG RETURN ADDRESS ' L ' v.. c!.o.!lh.oads..&.S.inon.r~~p.,.p,O... Box 1146 .__!~~l\.\((lI.1-1 L:l. .0("1,\/,, ..Har.!:!sbur", Ph 17108-1146 mQN"TURE PREPARER OTH'; THA.N REPRESENTATIVE ADDRESS 82,300.00 ; C A P I ~ 1 N (4) (5) 161,384,42 165, 0~3. 55 22,380.5:J (8) 408,777.~7 (11) 22.380.52 . (12) 386,3>7.45 (13) 0.09 (14) 386,397,45 (15) 0.00 (16) 0.00 (17) 0,00 (18) 0.00 386,397.45 x o ..QQ._ 0,00 0,00 x X .06 .IS DATE IO/I'I/fr_ QATE Rhoads & Sinon "-,--- ."...-... Ha r ri sburCj, Ph LLP, .P,O,. Box. 1146 17108..1lol6 FormREV-1100 EX IR8v, \.91) Copyrlghl t) {' I;) '- Decedent" Complete Addre..: STREET ADDRESS 2700 Lincoln Street CITY earn> Hill STATE PA ZIP 17011 Tax Payments and Credits: 1. la, DUIIPag. 1 Line 181 2. Creait./Payments A. Spou.al Pov.rty Credit B. Prior Payments C. Discount (1) 0.00 0.00 2,850.00 0.00 3. Inler..W.nalty If applicabll D.lnt.rest E. Penalty TOlal Crealts I A + B + C I (2) 2,850.00 0.00 0.00 Tolal Inter..VPenalty (0 + E I (3) 4. If linl 2 I. greater than linl 1 + linl 3. onter the aifferlncl. Thl. I. thl OVERPAYMENT. Chock bo. on P.go 1 LIne 1910 ..quoIt. ..fund (4) 5. If linl 1 + linl 3 I. greltor than linl 2, Int.r Ihl alff.renco. Thl. I. the TAX DUE, (5) A. Ent., Ihl Inter..t on thl t., aUI (SA) I. Enter tho t0111 of L1no 5 + 5A Thl. I. the BALANCE DUE. (51) Mlko Chock P'Ylble to' REGISTER OF WILLS, AGENT o . 00 2,850.00 0.00 0,00 lliiil'j'illlil':,I,;,'liIH!I,il,lm:i!i!iiiiiliii!'!i!!:ii:i!iFii!:': _i,,';'!!,!'!!!''::' ,i'k'I,1 'I.;!.;", d";:I,','d-"':'h'r,"'I';,Y;' ,_..',,' '''<IHi:i 'i:!:;:; :"iii'," '<,!i!;,::.:i!'!'! 'ii!ii'qi:!iri :Iii-i' ;'i;;I!'::!'!'! ,ii',.!,; PLEASEANSWl!RTHE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Ola alcldlnt make a tran.fer and: I. r.taln the us. or Income 01 thl property 1ransferr.d; b. retaIn the right to d.esignale who shall us. the property trans'erred or its income, . c. rttaln a rlverslonary int.rest; or . d. rectivI the promisl tor lifl of lither pdyn'llnts, benefits or care? 2. It dl.th occurrld on or before Dec.mblr 12, 1982, did dlcedlnt within two years precedin'd death transflr property without recllvlng adequate consideration? If dealh occurred after December 12, 1982, did d,cld,nt transfer property within one year of death whhout recliving adequate conslderalion? 3. Old dlc.dent own ar. ~jn trust for" or payable upon death bank account or security at his or hll aoath? 4. Old thl deced.nt own an Individual retir.ment account, annuity, or other non~probatl property? ::11,' ii<'j L! Vel No ~~ o UJ @ ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN 72 P,S, S.cllon 9116 provid.d for the reduction of the tax rat. Imposed on Ihl net value at transfers to or tor the us. of thl survIving spouse from 6'10 to 3% for a.... of aoath on or 1<<11 July 1, 1994 Ind blfoll January 1. 1995. 72 P,S. Soctlon 9116 la) 11.1 )(11) provldod fnr thl reduction of thl ratolmpo..a on tho nil v.lue 01 tran.t." to or for Ihl u.. oftho .urvlvlng .pou.. from 3'/,100'1. for dat.s of d.alh on or after Jlnulry 1\ 1995. Th. statute does not e)(empt a transfer to a survivIng spouse from la)(, and the stalutory r.qulrements for disclosure at ass.ls and filing a lal( rlturn are still applicable IVln If Ih. surviving spouse Is th. only beneficiary, FOR DATES OF DEATH ON OR AFTER JANUARV 1, 1995 - Plla.. In.wer the following qu..tlon by placing an .',.In the Ipprop,latl 'pace. Old thl docodont .,..to . Iru., 0' Ilmll" ",.ngomlnt which II sololy for tho IUrYlvlng .pOUIO'1 bonllll 10' hi. 0' hor ontlro 1I10tlmo? VOl [R] No 0 If you Rnswered YfS to thl abovI qUlsllon, Ih. la)( on thltrust or similar arrangement Is postponed until the death of the s.cond spouse, a1 which lime il will be fully laxabl. al the rlt.(5) applicable 10 the remainder blneflclary(les), Enter Ih. value 01 the trust on Sch.dule J, Pan II, In ord.r to remove it from lhl calculltion of the laM due in this Islatl, You ,nay wish to flIe Schedule 0 in order 10 make Ih8 el.ctlon availabl. under Section 91 i 3. lithe Itec:llon Is mad., th.lrust or similar arranglment which blnefits the surviVIng spouse is taxed at Ihe z.ro laK rate, and the remainder is ta)(ed 11th. rall(s) applicable to Ihl remaInder benerlclary(its). If you chaos. '.0 makelhe .Ieclion, >'ou must anach Schedull 0 to a tlmely~fiI8d taK return, along with Sch.dul.(s) K Indlor M in order to show the apportIonment of the trust or similar arrangement betwtln the surVIving spouse and the remainder bon,flcl.ry(;..I. Copyright (el 'it? fOlm IOf!WIr. only CPSVlt.ml, Inc, Form REV-1S00 EX (R...., , -91) AF.V.HiO&EXt{HH) coMMO~WEAI. THOF 'leN~SVLVANIA INHliA1TANCl! TAx AHlIAN SCHEDULE C-1 CLOSELY-HELD CORPORATE STOCK I F RMATI N REPORT ESTATE OF Pieter C. Kooistra FILE NUMBER 0987.97.21 _.__.___._._N"_."._~____.,.._______.m....._________._._~__--'"-'.--'-'-'-'-'--~-~--~'-'-'.'""------'-'---"---'-~'~----- 1. Name of Corporallon _JS.Qco L~t~1..q.:__..~___~__._.__u__.._~._ Addr... _:!~'12-Ell.L!J.n9-.Mi 11 .[l~.______._...._ City . HardsbuI9___.__..... Stale...J'L Zip Code ".119..~.1.-..-._ 2. Federal Employer 1.0. Number ..l} . 2~~JQ~_"......._ 3. Type 01 Bu.lne.. _~!:2K~x_..---__-._ State ollncClrporatlon J.~b___ Date ollncorporallon ~l"U 12,'!.L___ Total Number of Sharehold~rl __1____ Bu'lne.. Reporting Vear O.LLQ]~..~.I:J 2 / 31 / 19 9 7 ProducVService .. Con f.~.9.~.i..Cl!J!!XL-"'lu ip'!]!,.!)!:". .- .~-'-----~ -_.__.._-~"-- --_._"..__...--_._~ .-...---...-....-------------.--....-..------.- 4. TVPE TOTAL NUMBER OF STOCK Voting! Non.~oUng SI1ARES .9Y..1:STANDING PAR VALUE NUMBER Of SHARES OWNED BV DECEDENT VALUE Of THE DECEDENT'S STOCK Common .,,_ Vot . _._n LQ2_,.QQ___ _____.LQQ.n. _______.______1.Q.9_",Q0 $ __-!!.hlOO, 00 Preferred ____.....Q.c 00_._ .____.------i>.,,9.Q.__ ..___0.00 $ 0,00 Provide aU rights and restrictions pertaining to eath class 01 Slock, 5. Was the decedenlemploycd by Ihe Corporation? l1<:J Ve. 0 No 111''', Poslllo" "president __ Annual Salary $ 60, OOO~.. Time Devoted 10 Bu.lne.. Full time e. Was Ihe Corporallon Indehled 10 Ihe decedent? 0 Ves El No If yos, provide amount of Indebtedness $ 7. Was ther. life In..,rance payable 10 the corporallon upon Ihe dealh 01 the decedent? 0 Ve. 0 No II ye., Ca.h Surrender Value $ Net proceed. payable $ Ow"er 01 the policy e. Old Ihe decedenlsen or tra"sf.r stock of thl. company wllhln on. year prior 10 dealh or wilhln two years II the dale 01 death was prior 10 12-31-82? o Ves [K] No II yes, 0 Tran.ler 0 Sale Number of Shares Transferee or Purchaser ___ Consideration $ Date Attach a separate sheet for additional transfers and/or sales. g, Was there a wrinen shareholders' agreement In offect at the time of the decedent's death? If yes, provide a copy of the' agreement o Ves 0 No 10, Was the docedenl'. slock .old? [] Ve. ~J No II ye., provide a copy 01 Ihe agreement of sale, elc. 11. Was the corporation dissolved or liquidated aher the decedent's death? DYes 0 No If yel. provide a breakdown of distributions reCOIl/cd by tho estate, including dates and amoums received, 12, Old the corporation have an lntorest in other corporations or partnorships? D Vos 0 No If yes, report the necessary Inlormatlon on .1 separate sheet, Including Schedule C.1 or C.2 for each Interest. THE FOLLOWING INFORMATION MUST Be SUBMITTEll. WITH A, Uetalled calculations used In the valuation of the decedent's stock, B. Complele cople. ollinancial .talemenl. or Federal Corporale Income Tax relurns (Form 11201 for the year 01 dealh and 4 preceding years. C. If the corporation owned real estate, submll a hst showing the complete address/es and estimated fair market value/s, If real estate appraisals have been secured I attach coplcs, D, List 01 principal Slockholders al date of dealh, number of .har.. held and their relallonshlp 10 the docedenl E. Lilt of office", their salaries, bonuses and any olher benehts received from the corporation, F. Statement 01 dividendo paid each yea,. L1sllho.e declared and ~npaid. G. Any other Information rolatlng to the valuation 01 the doceden!'s stock, CopVtlghl (c;) 1991 fOlm ,oflware only ,}PSYllemll, Inc. rO'm (R.'1, ,.07) fltEY' '5' 1 EX j il .91) SCHEDULE H FUNERAL EXPENses. ADMINISTRATive COSTS COMMOHWEAI.. TH 0' PENNSYLVANIA INHERIT AHCE. l AX ~ETURN S N NT ESTATI ()f Pieter C. Kooistra Oablt 01 d...dlnl mUll be "perlld on Schldull I, ITEM NUMBER A. , I Ii 0987-97-21 PILE NUMBER DESCRIPTION AMOUNT FUNERAL EXPENSES, None I, ADMINISTRATIVE COSTS, P.rsonal A,prtslntatlve's Commlnlons Namo 01 Plrsonal Repre..nlallve(.) Social Secur~y Number(.)! EIN Number 01 Personal RepresenlaIIVI(.1 Strl,.t Add"$s CIIY_ --- Sla"_ Zip 0.'00 Vnr(.) Commi.Slon Peld, 2, 3, AnornlY Fie. Family E..mpllon' (If deoldl"t'. add.e.,l. nOl'he somo a. claimant's. anach explanallon) Clalmanl Margaret D. Kooistra Slreel Address 2700 Lincoln Street City Camp Hill Rllallon.hlp 01 Clalmanllo Dlcldlnl 16 I 000,00 .~ 3,500 -,00 Slatl~_Zlp 17011 Survi ving Spouse 22 380,52 -' TOTAL (AI.. Inll! on IInl 9, Raca ilulallon) · (If more spacII. noodld, In... edd~lonal shilts ollho samo .1,,1 Copv"th' (e) '"7 form IOUwlr. Ol'lly cPSy.t.mt, Inc. Form RIlV-Illl EX (R" '.97) ''"'''1 , LEK/Will Disk L, ~.... 4, 1989/bld/PKOoistra...l~1 ,,", LAST WILL AND TESTAMENT Ql ~IETER C. KOOIST~ I, PIETER C. KOOISTRA of the Borough of Camp Hill, Cumberland County, PennsYlvania, being of sound and disposing mind and memory, do make, publish and declare thi8 to be my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time previously made. ITEM II All inheritanoe, estate and similar taxes becoming due by reason ot illY death ("Death Tax.s"), whether such Oeath Taxe. shall be payable by my e.tate or by any recipient of any property, shall be paid by my Executor out ot the property pas.ing under ITEM IV ot this Will a. an expen.e and cost ot administration ot my e.tate. My Executor shall have no duty or obligation to obtain reimbursement tor any Death Taxe. paid by my Executor, even though paid with respect to proceeds ot insurance or other property not pa..ing under this Will. ITEM II I I. hereby exerci.e all power. ot appointment which I Illay have at the time ot my death in tavor ot my Executor, and all property subject to all such power. ot appointment shall b. inclUded in my e.tate and be governed by the provisions ot this WillI prOVided, however, that I specitically decline to exercise any power ot appointment given to me in any Page 1 ot 6 page. ,. '1"""'1 Will, Codioil~ Agreement or Trust or other instrument exeouted by my wite, Margaret D. Kooistra (liMy Wite"). ITEM III: I give and bequeath all or my household rurniture and rurnishings, automobiles, books, pictures, jewelry, ohina, orystal, applianoes, silverware, wearing apparel and all other like articles ot household or personal use or adornment to My Wite, it she survives me. It My Wite does not survive me, I give suoh articles to my ohildren in as nearly equal shares as they shall select under the supervision ot my Executor. It any such articlas cannot be tairly divided or distributed in kind in the opinion at my Executor, such articles shall be sold and the proceed. thereot shall pass as a part ot my residuary estate. ITEM IV: I give, devise and bequsath all the rest and residue at my property, real, personal and mixed, not dispo.ed ot in the preceding portions ot this Will, to the then Trustee ot "The Amended and Restated Piater C. Kooistra Revocable Trust" crsated by a trust agreement dated the same date as this Will between me, as Settlor, and Hamilton Bank, as Trustee. ITEM VI No interest in inocme or principal ot my estate shall be subjeot to attachment, levy or seizure by any creditor, spouse, assign.e or trustee or receiver in bankruptcy ot any beneticiary at my estate prior to the beneficiary I s actual receipt thereot. My Executor shall pay over the net income and the principal to the beneticiaries herein Page 2 ot 6 page. tI' ., I , ;-.., designated, a. their interests may appear, without regard to any attempted anticipAtion (except as may be speoitically provided herein), pledging or assignment by any beneficiary of my estate and without regard to any claim thereto or attempted levy, attachment, seizure or other proce.s against said beneficiary. ITEM VI: In the settlement of my estate, my Executor shaH pos.e.s, among others, the following powers to be exercised tor the best interests ot the bClneticiaries: (A) To retain any investments I may have at my death so long as my Executor may deem it advisable to my estate so to do. (b) To vary investments, when deemed desirable by my Executor, and to invest in such bonds, stOCks, notes, real .state mortgag.s or other securities or in such other real or personal property as my Executor shall deem wise, without being restricted to lo-called "legal investments." (c) In order to ettect a division of the prinCipal ot my estate or tor any other purpose, inclUding any tinal distribution ot mr estate, my Executor is authorized to make said d Visions or distributions ot the personalty and realty partly or wholly in kind. It such division or distribution is made in kind, said assets shall be divided or distributed at their respective values on the date or dates ot their division or distribution. In making any division or distribution in kind, my Executor shall divide or distribute said assets in a manner which will tairly allocate any unrealized appreciation among the beneficiaries. (d) To sell either at pUblic or private s.ls and upon such terms and conditions as ~Y Executor may dee. advantageous to my .state, any or all real or perianal .state or interest therein owned by my eetate severally or in conjunction with other persons or acquired atter my death by mr Executor, and to consummate said lale or sales by sutt cient deeds or other instruments to the purchaser or purchasers, conveYing a tee simple title, tree and clear ot all trust and without obligation or Paga 3 ot 6 pages , ~ liability ot the purchaser or purcha..r. to ... to the application ot the purchas. mon.y or to make inquiry into the validity ot said .al. or sal../ also, to make, execute, acknowledge and d.liver any and all d..d., a.signm.nt., option. or oth.r writing. which may b. n.c.ssary or d.sirabl. in carrying out any ot the power. conterred upon my Executor in this paragraph or .ls.wh.r. in this Will. (e) To mortgage r.al ..tate and to make leas.. ot real .stat. for any t.rm. (t) To borrow mon.y from any party, including my Ex.outor, to pay ind.bt.dn.s. of mine or of my ..tat., expens.s of administration, D.ath Tax.. or oth.r taxe.. (g) To pay all co.ts, D.ath Tax.s or oth.r tax.s, exp.n... and charge. in connection with the admini.tra- tion of my ..tat., and my Ex.cutor shall pay the exp.n... of my la.t illn... and tun.ral .xpen.... (h) To vote any share. of stock which form a part ot my ..tat. and to oth.rwi.. .x.rci.. all the pow.r. incid.nt to the owner.hip ot Such stock and to activ.ly manage and operate any unincorporat.d busine.s, inclUding any joint v.ntures and partn.rships, with all the right. and pow.r. of any own.r th.reof. (i) In the discretion of my Executor to unit. with any other own.r. of similar prop.rty in carrying out any plan. tor the reorganization of any corporation or company who.e ..curiti.. form a part of my e.tat.. . (j) To as.ign to and hold in my e.tate an undivided portion of any as..t. (k) To hold inv..tments in the name ot a nomine.. (1) To compromi.. controv.r.ies. ITEM VII, In the settl.m.ht of my e.tate, (a) My Ex.cutor .hall not b. p.r.onally liable tor any 10.. to my .stat. or to any b.n.ficiary ot my ..tat. r..Ulting from an .lection made in good faith to claim a d.duction as an incom. tax d.duction or as an ..tat. tax d.duction. (b) In valuing prop.rty in my gro.. ..tat. t.or the purpo.e. ot any D.ath Tax, my Ex.cutor ahall not b. personally liable for any 10.. to my e.tat. or to any Page 4 of 6 pag.. "''''''-'\ , benetioiary of my estate resulting trom my Executor's decision made in good taith to use a particular valuation date. ITEM VIII: It 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 otherwise, I appoint HAMII~ON BANK 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 prinoipal and income, in any manner the Guardian shall deem advisable for the best interests ot the minor, including college, university, graduate or other eduoation, without securing a court order. The Guardian shall have all the rights and privileges in i.ts capacity as Guardian as are herein granted to my Executor as to my estate. ITEM IX: I hereby appoint My Wite, MARGARET D. KOOISTRA, and HAMILTON BANK as co-Exeoutors of this Will. It for any reason My Wife, Margaret D. Kooistra, should fail or cea.e to aot, Hamilton Bank shall act or continue to act with all the power. granted to the two ot them. All references in this Will to my "Executor" shall also refer to my Co-Executors or to my successor Exeoutor, ae the cas. may be. ITEM Xl The ,Guardian and Executor shall quality and serve without the duty or obligation of filing any bond or other seourity. Any corporate fiduciary shall be entitled to compensation for servioes in accordanoe with the Page 5 of 6 pages Koco, Inc. November 22, 1997 ~~l INTRODUCTION The objective of our analysiB is to provide an independent opinion of the fair market value of Koco, Inc. This report will provide a detailed narrative explanation of the methods, procedures, and calculations used to arrive at our opinion of fair market value. The purpoBe of this valuation is to provide an estimate of the fair market value of Koco, Inc. to be used in the federal estate tax return and state inheritance tax return of the EBtate of pieter C. Kooistra. Our analysis considers those facts and circumstances present at Koco, Inc. at November 22, 1997. Our opinion would most likely be different if another valuation date was used. APPRAISAL PROCEDURES Our approach has been to review the various valuation methods to determine which of these methods would be most appropriate; and, to determine an estimate of value which would provide a fair and reasonable return on investment to an investor or owner, in view of the facts available to us at the tim~. Our conclusions are based on, among other things, our estimates of the risks faoing the Company and the return on investment which would be required on alternative investments with similar risks. Both internal and external factors which influenoe the value of Koco, Ino. were reviewed, analyzed and interpreted. Internal factors include the Company's financial position, results of operations, management depth and overall organizational strength. External factors inolude, among other things, the status of the industry and the position of the Company relative to the induBtry. SOURCES OF INFORMATION Historioal financial data was obtained from the company's oompiled annual financial statements for the most recent five years. This data was arranged in comparative form to facilitate the reoognition of year to year varianoes of operational trends. Certain key economic data was obtained from nationally recognized sources and publioations. This information waB used in our oomputations to evaluate the return on investment which an investor would require in order to oonsider the purchase of Kooo, Inc. ,~ Koco, InCl. Nov_mber Z2, 1997 .ag_ 2 ASSUM'TIONS AND LIMITING CONDITIONS This valuation is subject to the following assumptions and. limiting conditions: 1. Information, estimates, and opinions contained in this report are obtained from sourceB considered to be reliable. However, we assume no liability for Buch sources. 2. The information available to us has been accepted as correct without further verification and we express no opinion on that information. 3. Possession of this report, or a copy thereof, does not carry with it the right of publication of all or part of it, nor may it be used for any purpose by anyone but the client without the previous written consent of the client or us and, in any event, only with proper attri- . but ion . 4. We are not required to give testimony in court, or be in attendance during any hearings or depositions, with reference to the company being valued, unless previous arrangements have been made. 5. The various estimates of value presented in this report apply to this valuation only and may not be used out of the context presented herein. This valuation iB valid only for the purpose or purposes specified herein. S. The valuation contemplates facts and conditions existing at November 22, 1997. Events and conditions occurring after that date have not been considered, and we have no obligation to update our report for such eventB and conditions. 7. We have assumed that there is full compliance with all applicable federal, state, and local regulations and laws unless otherwise specified in this report. 8. We have no present or contemplated future interest in KOCO, Inc., any personal interest with respect to the parties involved, or any other interest that might prevent us from performing an unbiased valuation. Our oompensation is not oontingent on an aotion or event resulting from the analyses, opinions, or oonclusion in, or the use of, this report. Koco, Inc. November 22, 1997 Page 4 COHPANY EXPECTATIONS (CONTINUED) Approximately two months before Hr. Kooistra's death, Tu~bo had been engaged to provide management servioes to the company. Turbo had been selected to provide these services because its staff included Joost deKoomen, a former employee of Kooo, Inc. Hr. deKoomen had been released from his oontractual obligationB with Koco, Ino. as of November 8, 1996. In 1996, Kreuter GmbH, one of KOco'S largest manufacturers, had been aoquired by another European manufacturer creating uncertainties as to the continued success of the Company. Subsequent to November 22, 1997, the management agreement with Turbo was executed and Hr. deKoomen became a member of the Board of Directors and was appointed president of the Company. Additional uncertainties as to the future of the company's business result from the fact that the manufacturers it represents are in Europe; thus, the success of its operations is dependent on the economic conditions in both tne United states and Europe. VALUATION There are many factors that must be considered in the valuation of a busineBs enterprise. Among them is the pattern of financial performance and earnings, the company's competitive market position, experience and quality of management, marketability and others. These factors are embraced by the Internal Revenue Service's Revenue Ruling 59-60 which outlines relevant considerations to be used as a valuation guideline: 1. The nature of the business and history of the enterpriBe from its inception. 2. The economic outlook in general and condition and outlook of the industry in particular. 3. The book value of the stock and the financial condition of the business. 4. The earning capacity of the company. 5. The dividend-paying capacity. 6. Whether or not the enterpriee has goodwill or other intangible value. l~-~'j\ Koco, Inc. November 22, 1997 Page 5 VALUA~ION <CONTINUED) 7. Sales of the stock and size of the block of stock to be valued. 8. The market price of stocks of corporations engaged in the same or a similar line of business having their stocks traded in a free and open market, either on an exchange or over the counter. The factors, guidelines, techniques and considerations outlined in Revenue Ruling 59-60 are often categorized into three distinct approaches for valuing the stock of closely-held companies. Accordingly, the development of a fair market value opin~,on is based on the utilization of three basic approaches to value, namely, the Income Approach, which uses the Capitalized or Discounted Future Returns Methods, the Market Approach, which uses the Comparative Companies Method, and the Asset Based Approach, which uses the Underlying Assets Methods. Other methods, such as the Excess Earnings Method, do not fall under one of these approaches but may be useful in developing the fair market value opinion. Value indications derived through the applicable methods under each approach are then analyzed in association with specific entity, economic and industry data to formulate an objective opinion aB to the fair market value of the . particular equity intereBt of the subject business. The following sections of this report will describe these methods, in general, and indicate which method was selected to calculate the fair market value of the subject interest. Income Approach The income approach serveB to eBtimate value by considering the income (benefits) generated by the asset over a period of time. This approach is based on the fundamental valuation principle that the value of a business is equal to the present worth of the future benefits of ownership. The term income does not necessarily refer to income in the accounting sense but to future benefits accruing to the owner. In applying the methods under this approach, the appraiser estimates the future ownership benefits and discounts them to present value at an appropriate rate known as a discount rate. The discount rate should reflect the time value of money, and the risks associated with ownership of the specific business or business interest that is the subject of the appraisal. Kooo, Inc. November 22, 1997 page 6 VALUATION (CONTINUED) Market Approaoh Since the objective of this report is to arrive at an opinion of the fair market value of Koco, Inc., a logical starting place is values determined and tested in the marketplace. Therefore, a fllndamental method for estimating the value of the stock of a closely-held bUBiness is an analysis of prices paid by investors in the private, or most often due to the availability of information, the public markets for the stock of other companies in the same or similar lines of business. Application of this methodology under this approach requires adequate information concerning prices paid in tranBactions of a business in the same or similar lines of business. Asset Based Approach tn the asset based approach, primary emphasis is placed upon the fair market value of the assets and liabilities of a business. As a result, this approach uses various methods that consider the value of individual assets and liabilities including intangible assets. The most well known method in thiB approach relies upon reported balance sheet assets and liabilities generally termed as book value. It should be recognized, however, that under the book value concept, assets are reported in accordance with various accounting conventions that mayor may not accurately reflect fair market value. VALUATION SUMMARY The valuation of Koco, Inc. was determined using an Asset Based Approach. The Income Approach and Market Approach's are considered to be inappropriate in this case. The Income Approach is considered inapplicable due to the uncertainty of the company's ability to continue as a going concern. The company's size, lack of management depth, recent 1.oss of a major manufacturer and loss of its President and founder create an environment where past earnings are not reliable as a measure of future performance. Use of the Market Approach is not an option due to the uniqueness of the business of the Company and the lack of information regarding prices paid in transactions of similar businesses. (''''; STATIlMENT OF QUALIFICATIONS IlDUCATIQH Racbel,or of Soielloe Degree in account.ing from Illizabet.htown College, Illizabethtown, Pennsylvania, May 1967 Cert.ificat.ion to praotice as a Certified Public Aocountant in the Commonwealth of Pennsylvania issued January 22, 1970 PROFIlSS!ON~ MEMB~~SHIPS American Inst.itute of Certified Publio Account.ants Pennsylvania Institute of Certified Public Accountant.s Sout.h Central Chapter of the Pennsylvania Inst.itute of Cert.ified Public Accountants Pennsylvania Society of Public Accountants South Central Chapter of the Pennsylvania Society of Public Accountants Estate Planning Council of Cumberland County fBOFIlSSIONAL OUALIFICATIONS Self-employed certified public accountant d/b/a Thomas C. Wetzel, CPA, in Mechanicsburg, Pennsylvania. Sole proprietor of firm consisting of 6 full-time certified public aocountants and 1 non-certified staff accountant and three personnel on adminis- trative support staff. Prior to establishing firm in 1981, was a partner in the regional accounting firm of Boyer & Ritter, Camp Rill, Pennsylvania, a firm consisting of approximately 40 professionals. Responsibilitj,es included managing tax department of firm, conducting seminars, issuing monthly tax updat.es to staff and clients, and providing Bervices to clients. Thomas C. Wetzel, CPA provides tax, acoounting and consulting serviceB to approximately 175 corporat.ions, part.nerBhips and trusts operating in 30 different states. In addition, the firm provides individual income tax compliance and consulting services to approximat.ely 225 individual taxpayers. Services t.o indivi- dual clients include tax preparation, tax planning, est. ate plan- ing and personal financial planning. Tax consulting services are also p:t'ovided to other certified public accounting Hrms. I have been engaged by the Pennsylvania Societ.y of Publio Accountants to write and present continuing education programs on tax and accounting matters. Courses written include "s Corporations and Other Tax Topics", "Estate Planning, Gifting, Use of Trusts", Valuing a Business", "Federal Tax Updat.e", "Corporate Stock Redemptions", and "Incorpor.ating a Business" I am regularly employed to serve as an expert witness in litigation involving lost profits and valuation issues and have testified or served as a consultant on valuation issues in divorce proceedings. 8 I! en'IlM IfIpllc.bl. bOll"': III Inll~II'hl," 121 U Fln.t r.turn (31 fl Chll'lg. 01'00"" 1 aOfOIt I.ulpl' 01,.111 659 938. Ibl..~:;;OW I 2 COIl of goods ,old (Soh.dule A, IIn. 8) 3 Groll proll\. Sub~'Dllln. 21rom IIn. 1c 4 Dlvldenrls (Sch.dul. C, IIn. 191 5 Inter..1 8 Gros. rents ' , , 7 Gron roy.lll.s .. " .. 8 C.pltAl gain "" inoom. (.n.ech Sch.dul. 0 (Form 1120)) . N.lllIIln or (lOll) from Form 4197, P.n II, lin. 20 (altAoh Form 4191) 10 Other incom. (allaoh soh.dul'l ." 11 Totallncom., Add line. 3throuoh 10 I 12 Comp.nsation oj offIo." (Sch.dul. E, IIn. 4) .", .. , , . Do 13a Salarle..nd wa9" I 2 07 , 5 91. I b L....m.,m, ",,".1 . r d 14 R.palll .nd "",Inlensne. ~ I 1ft Bad debts ... 1- 18 R.n1I j'j o 1 17 T.... .nd IIc.n..s n a 18 Inl.test . , , . ' , .1 I 1. CharltAbl. contilbullons (... Instiuctions lor 10% IIm1ladon) .,. ,. , , : ~ 20 D.preclation (allaoh Form 45621 ,. .,..,. ".,""'~ 1 7 , 917 . .. 21 L.ss d.preclation olslm.d on Soh.dul. A and elsewh." on return . , W!:I:: 6 069 . I 0 22 D.plOllon ."". ..". " n" 23 Advlrtlllng "'" . , , , . , a 1 d 24 P.nslon, profit-shoring, etc., pl.n. ' , ~: u Employe. benefit programs ' , , . u 28 Other daduction. (.ltAoh sohedulel ' , . 1 c I 1 7:1 Total doductJons, Add IIn.. '2lhrough 28 ' ~ ~ ~ 21 Taxabl. Incom. befora nel oper.ting 10.. d.duction and special d.dUctiTOnS, S~btraDllln. 27 flom IIn. 11 a n 21 L...: a Net oporsting 10.. d.duction """..,.."., 210 I a b Soeclll d.ductions (Soh.dul. C, IIna 201 ," I 2Ib I 30 Taxabl. Inoom., Subb'aC\ IIna 290 flom IIn. U ' , , . , , , , , 31 Total lax (Sch.dul. J, tfli. 10) "..", , . , . . , , , , ,." 3Z Payments: a '92 oYfpml cr.dll.d 10 1113 ; g b'lIh.lImat.ClItupaymtntl ,.". 3D 12800. o Lm 1183 ,.'un, ..,II.Pre, an F.'m.... 320 ( d Bel. 32d .T.. dapOl~od wllhForm 7004 ,. , , , , . , , , , , , . . 320 I Crad~ flom r.gulattd Invntmont oompanl.. (attach Form 24381 ~ ICtad~lorF.der.llIJConfu"a(attaohForm4138) .."" 320 32Is 33 E.ti"",l.d talC penally, Check d Form 2220 I..nachod .",."" .,.".", ~ 0 33 34 Tax due, IIl1n. 32h Is amallll Ihan th.lctal of Iln.a 31 and 33, anter amount owtd "" , , " 34 35 Overpaym.nt. 1111", 32h la larger lhan tho total of IIn.a 31 and 33, .nter amount oVllpald 35 11 . 3 8 0 . 38 Enler amount of In 35 vou want: Crodll.d to ltt4 ..lImet.d lax ~ 1 420. R.funded ~ 31 9 960. UnCler p."IIII" 01 IltlJUfY, I d.clltt'''.tll'lavl ..lIMfn.d 11'11. liMn, It'toludlnglccompanY1nll.chiciul.. and Ita'Mltn'., and 10 tnl'UI' of my ."OWI.dge and bill", II It !rUI, caulct, and CO!'l'Illlt'.. O.cl&tlllon 01 PflJl'''' 101M" thin '."PIY.fllt b,.,ei onlUlnforrna'lon 01 which JII''''''' I'll. any IInowlUII. ~ .''''''.''''')1-', I 0". ~ Till. PRESIDENT ~ '7 l) L'" JI I p,,,,'''I'''OClai..cutUynumO'f "',.pa,.,', '- - -' >' '-:;7 (~ . I / J -- ( Chlclt jf IIgntl'VIO <: '..__ "., (' I' (it '/ +- ' ; 1() ..iI-em"'y"1ID Fllm'.n~OI THOMAS C. WETZEL, CPA 'I.N.. . y..", " .. .. 36 WEST MAIN STREET ZIP c.e. . tmploy' ,. "........ MECRANICSBURG PA h'lf ul.ndl' v'" 199J or t," Y'" btgIM1t111. ' 1193, tfleilnll 19 II ))93 . In.truellena ar. ..oaret., S.~'~;~l'ie~ P~-rwo'k R.d~,;jl;n-Ael N';tl~.: - - - . '1 ~ u.. II EmPlOY" Id,n!lflClllon numolr [] IRS ** un ** * * 5- V IC.n 17011 ~~r- LZ 23-2099014 DEC93 S28 5008 M D wta., KOCO INC Fl.... 2700 LINCOLN ST ~:~., CAMP HILL '.,m 1120 DIP.llm.nl 0' lhl T'.'JUlY ~.rn'l Fln.nu. SilVie. A Ch.c.I',: 1 Con.oHdll.d r.hlln (attleh Farm 1&11 U.S. Corporation Income Tax Re...rn 2 P'rlN'lI' haldin".. !.Illeh geh. PH 3 P.,."",I..vlu carp, II. ulln.d In r1lT1Pora,y A'II', ..e, 1,44 ~.H.. CJ 001 PA 17011 Ie 811 ... I n e o m . I c B.I ~ T . X a n d P a y m . n 1 . 12800. Pie.,. Sign Here Paid Pr.p".". Ua. Only 1 Hn3 CFllOO \1/24/93 ,~ $ 10 2 3 4 5 . 7 . . 10 11 12 13c 14 15 1. 17 1. 1. 21b 22 Z3 Z4 Z5 ze rT ZI 2lIc 30 31 OMU No 1&4".01U 23 - 2099014 COil. Inlll'Uparllld --- 04/17/79 D TOIII....'.I...Spulllc In.,i;' 116,004. 659,938. 20.072. 639.866. 644. 2.865. -643 375. 162.000. 207.591. 813. 19,913. 27,498. 13. 1 052. 11.848. 95,764. 18.967. 88.452. 633.911. 9.464. 9.464.- 1 420. 12.800. 168-36-4969 23-2169741 ~~ ":)V __" . 23.2099014 KOCO, INC. Perm 1120 1"3 Schedule A COlt...!!!. Goode Sold I Inv.nloryat b.glnning of yOlr Z Puroh.... 3 COOl 01 labOl 4 Addltion.l..otion 263A co'1I (atlAoh sch.dul.) 5 O1hll cOlli (.ttaoh .oh.dul.) e ToUl, Add IInll I through ft . 7 Inv.ntory al.nd of yllr .. e Co., of good. .old, Sub\r.ollln. 7 \rom IIn. e. Enlll hll' and on p.g. 1,lIn. 2 to ChlCk.1I m.thOd. u..d lor valUing olo,'ng Inv.ntory: o Coat 0 LOWII of oa.t or mark.t II d..orlb.d in R.gul.tionl lootIon 1.471-4 o Wrlt.down of lubnormal good. .. dllorib.d In R.gul.Uonl 'IOtion 1,471.2(c) o Othll (SPICily ma1hod "..d .nd .ttaoh ..plan.tion.) · b ChICk Illhl LIFO Inv.nlory method WII adoplld thl. tax yo"r'; ;~Vgo~d'(lfOh;'kad~'U.~hFO~; 970) - --- - - - - ----- ~; -6 --' o If Iha LIFO Inv.nlory method woo u..d lor thll \IX y.ar, .nt.r p.ro.ntag.(or amountt) of clo.lng I I Inv.n101Y comput.d undar LIFO ~I d 00 Ih' rulll of olC1lon 26M (lor prop.rty produo.d or acquired for rll.I.) apply 10 Ih. cOlporotion? . Walthll. .ny oh.ng. In det.rmlnlng quanlltlll, co", or valuaUon. b.twlln op.nlng .nd clollng Inv.ntory? II "V..," attaoh ..planation I Schedule C I Dividendi and Special Deductlonl (I) Olvldlndl r,celved 1 Dlvld.nd. 110m 1.II_than.20'Io-ownad dom.ltic corpolltiOn. Ihalll. lubject to Ih. 70% d.duotlon (othll than d.bt-financad Itock) "" . , . , . . Z Dlvld.ndl from 2O'Io_0I.more-own.d domlltio corpalltionlthat "' lubject 10 tha eo'I. d.ductien (Olhll than d.bt-finanoad atock) .""..,.". 3 Dlvld.ndl on d.bt.fln.ncld lIock of dom.ltio and 100.lgn oorporationl (.tction 246A) 4 Dlvldand. on c.r1aJn pr.f.rr.d lIock Of 1....th.n.20.4-own.d publlo utilltl.. . . . , . . Dlvldandl on o.rtaln Pltt.rr.d alock of 2O%_or_more-own.d public utill1JlI e Dividendi from l.al-than-20'Io-own.d for.lgn ocrpolltionl and cartaln FSCI that are lubject to th. 70% d.ductlon ,.., "."",."."',..,,.,. 7 Dlvldanda from 2O%_0I.more-own.d 100.lgn oo/pOlationa and oll\lln FSC.IIl.t .re lubject to thaeo'4 daduction ..,..,.",.,.,",."..,' e Olvldanda Irom Wholly own.d lor.lgn 'Ublldllllll .ubl to tho 100'4 d.duction (I"" 245(b)) I To\ll, Add IIn.. llhrough 8, S.. In.lructionllOlllml\ltion ",.,.". 10 Dlvld.ndl frem domlltio oorporltion. raooiv.d by I amall bu.ln..a Inv.t1mInt oompany oplllting undar the Small Bualn..a Inv..lment AoI of 19as 11 Olvldandafrem o.rtaln FSCa lhalll. aubjoct to tho 100% dtduotlon (..otIon 245(0)( I)) 12 Olvld.ndlfrem amllllld group m.mll..1 ,ubJect to Ih. 100% d.duction (.tction 243(a)(3)) 13 Othll dlvld.ndllrom 100.lgn corpOlationl nol Includ.d on Ilnll 3, 8, 7, 8, 01 I I 14 Income frem oontroll.d fOlolgn aorpOlltiona undll lubplrt F (atllCh FOIm(') il471) 18 Foreign dlvld.nd grOll-UP (Iection 18) ",.,' , , . , . , , , , , , , . , . , 18 IC-DISC and 100m.r DISC dlvld.ndl nol Includad on Iln.. 1,2,01 3 (atction 246(d)) 17 Othll dlvldanda .,.""""",..,',..,..,"" 18 Daduction 101 dlvld.nd. pald on olf\lln pr"arrld llook of publlo utilltl.. 11 TolII eIlvlellndl. Add IIn.. 1 through 17, Entll h'" Ind en IInl 4, plgo I ' · 644. 644. t Z 3 . 5 e 7 8 (b)~. ... In,lfycllonl 42 <18 70 eo 100 I I 100 PI .2 20,072. 20 072. 20,072 . o VII QlI No o VII QlI No (0) Sp'~I'1 dlautllonl: I . (b) ....,,,... zo ToUl . III dlduotlon., Add Iln.. g, 10, 1 I, 12, Ind 18, EnllI h... .nd on IIn' 2Jlb, I Schedule E (I) Name 01 olfle., (b) Soc"l"cutllV numb.r PIETER KOOISTRA 361-30-7320 100.00\ \ \ \ \ 00.00 , \ \ \ \ 2 2 T DIal camp.nllUon of otflclll "..", 3 Comp.ntltion 0\ olfle.ra clllm.d on Soh.dul. A Ind oI..whll' on rllurn 4 Subuot lin. 3 from linl 2. Ent.r tho rllun h.re .nd on IIn. 12, "' 1 CF..01 11/05/13 , , , , , (0 Amount of comp.n..uon 162"L000. 162 000. 162 000. Fo,m 1\20 /11lt3\ ROCO. IN\... 23-2099014 Pig. 3 I Schedllle J I TIX Ccmautlllon 1 ChICk n Ih. oorporouon II. momb" of. oonlloll.d g'oup ("" 'ICtion. 15811nd 15631 . , ~O 2a Illh. bo. on IIn. 11. cheeked, .nter tho oOlpor.Uon'. .h.ro of Ih. $50,000, S25,000, Ind $9,925,000 \IllIbla Inoom' b,.ck'lI (In Ihll old.,): (I) 1$ I (211 $ J (3)L b Ent" tho corporouon'. .h." of: (I) .ddltlen.15'1o "'" (not m",.than $11,150) I: -1 (2) .ddltlon.13% IU (not 1110I' th.n $100,0001 3 lnooma tax, ChICk Ihl. be. IIlh. oorpor.Uon I. I qUIIllI.d poroon.l.or.lo. ccrporouon II do1ln.d In 1I01l0n 448(d)(2) . , ." , ' . ., . ' , , . , . , , ..0 3 1,420. 41 Fer.lgn tax o"dlt (I\tllch Fcrrn 11181 . . 41 b Po.....lon. tax orodn (.Uch Form 51351 . . . ., . ~ 0 Orphln drug crodn (Ittlch Form 6785) . , . ., 40 ChICk: ONonconvlnuen.l.ourca fu.1 oredlt 0 OEV oredll (.n Form 88341 - d 4d -- I G.n.'11 bu.lne.. orodil. Entor her. .nd oheek whloh for"" ore .ttlch.d: o F Ofm 3100 o FOlm3481 0 FormSIU o Falme..? o FOfma18S o Form 151. o F olm "30 o FOlm..ae o Fo,m1U5 , , ' . 41 1 Credit lor prlo' yaar minimum \IX (attlch Ferm 8827) .'" . 41 5 Telll e"dn., Add IIn.. 4.lhrough 4f . , . , , . .,., , ' , '" . 5 o . . Subuaot IIn. 5 Irom IIn. 3 ,.,.', . ",., , ,."" , .. . '" , 8 1.42...Q..:..... 7 Por.onll holding oomplny \aX (attlch Sch.dul. PH (Form 1120)) . , ", , , , 7 . RlOaplu" ""... ChICk II from: 0 Form 4255 o Form 8811 ., . ,. , 5 II AIIornlUv. mnlmum "" (Ittloh Form 4828) ." , ."" , ,. . '" , .. b Envlronm.nlll \IX (attleh Form (628) ,.,.,.,.," , ., , ,." . Ib 10 TotlIllIll, Add IIn.. 8 Ihrounh 9b. Enllr hor..nd on IIna 31. oln. I ,."... ."" 10 1 420. I Schldule K I Other Inlormlllcn /S.. ala.. 17 IlId 18 ollnltrucllonl.l OFII02 11/05/93 I ChlOk mo1hod of acoounting: I 0 C..h v.. No 7 Wlllha corperluon I U,S, lhaleholdor at any conuolled V.. No b 0 Acorull e IlD Oth" IsplClIy) 'ttOjLI1'_;tE1L., -- . ler.lgn cOlperltion? (S.. .ootIonl1l51 and 957,) " , X 2 Rotor to Plge 19 of Ih.lnsuuctlon. Ind SIlIO the prlnelpal: II "V..," attloh Form So471 fer ..ch sllOh oorporetion, I Bu.ln....otIvlty ood. no. ~ ...?JLO_t_________ Entor numborofFcrmoS0471atllOhed ~ ._______. b Bu.ln....otIVIly ~ ItR,,9Pjl._ _ __ _ _ - - - - - - -. I At Iny timo during tha 11193 caiandar yUl, did Ihl corp 0 Produet erl"vlc. ~ 9,,9.w_ES:J:J:_O~X _E..Q..U_I. hlv, In Intornt In 01 a .Ig""tu,. or eth" luthorlty ovor a 3 Old tho ecrpolltion allh. .nd o1lh."" y..r own, finlncllllCCount In aloro1gn country (such II a bank dlrlOlly or IndlrOC1ly, 50'4 er mor. of tho voting .tock of lecount. IlOur~u .ecount, or other finonoillaecount)? X a dom.otio ccrporation?IFor rule. o1lnrlbutlon, "" II "V.... Ih. eerp may hava to fil. Form TO F 90-22,1. .ootIon 261(C),) ,.", , .,." , .",. . X If"Vn,".ntornomoo1loralgncounlry ~ ._______. If "V"," attlch a aoh.dul. .howing: lei name Ind g Wlllh. carperltion the grantor 01, or uan.loro, to, a Id.ntllying nember, In) p.ro.ntaga own.d, Ind (e) IIXIble ler.lgn \lUll that .xJ".d during thl ourrant tax year, Inoom. or (10") b.lere NOL and .peelli dlductlonl of whath" er net the OOlp hll any b.nof\Ollllnt"." In 1t111 sllOh COlpOlluon fO'lh. "" ya" ending w"h or within your "Vu" the OerP may hava to fill Ferme 926, 3520, or 3520.A X "" ya", ~. 10 Old ona 100algn pOllan alany time during th.1IX year own, 4 I. the cerperation . .ublldlaty In an Ifflllalld group er a dlrootly orlndlrlOlly, at 1_ 21104 of: (a) tha total voting PI"nt-.eblldllry oontrolled group? ., , "". , X powor of all cius.. 01 "ock of th. cerporation .n1ItI.d II "V..," .ntor employer Id.ntIl1c1tion number and ""ma 10 vot., or (b) th. total vliua of all claun o1l1ook of the of pa"nteorperltion ~ .________________. corporaUon? If l'Yn,. X ------------------------------ lEnt" plfO.ntagt owned ~ _______________. bEntlf ownlf's country ~ ._______________. II Old any Individual, partnll.hlp, cOIperltion, ..tata er e Th. oerperlticn may hlv. to fil. Form 11472, Enler numbor \lull at Ih. .nd of Ih.W Y''', own, dlroctty OIlndl'ootIy, of Forms So472 Ittlched ~ ----------------- 50'4 or mar. of the corporotion'. voting lIock? (For ,ul.. 11 ChICk lhl. boo "'h. earpolltion IHued publicly offered of attribution, ....ootIon 287(0),) , , , . , , , , , . . . . X d.bt Inlllu,nento with eriglnall..u. diaCount ,., .~O II "V..," IlIIoh a loh.del. showing nomo Ind Idlntllylng If so, Ih. eerperltien may ha.1 to fill Form 8281. number, (Do not Includ.lny Informo1l0n alllady .ntor.d 12 Enl" the ImoUnt o1l1J(-..empt Intll"t rlCalved or In 4 abov.,) Ent" porClnlllg. own.d ~ ;L_O_O_.JLOJL -. locruad during IhaIIXyea, ~$.____________. . During IhlsllX y..r. did Ih. oorpo"tion PlY dlvld.nd. 131f th." wa" 35 er Ilwor IhaI.heldor. Illh. .nd of the "" (othor than lIock dlvldlnds and dlottlbutlcn. In ..ohange y..r, antor tho numb" ~ .__.A.___________. le,"ock) In e.o... of the oorperallon's our"nt and 14 II tha eorperlticn ha' In NOL lorth. \IX year Ind I. locumulatld ..,nlngs Ind protill? IS" .IC., 301 and 318,) X elootlng 10 ler.go th. carryblok Pllled. chICk hll. ~O If "VIS," hi. Form 5452. II thl. I. a consolldat.d raturn, 15 Enter Ih. IVl11ab11 NOL carrylWor \lorn prier tax yea" anlW" horl for Iha plront oorpollucn Ind on Form 11I1, 100 not IIdoce n by any deduction on IIn. AfflllaUon. Sohedule, for ..oh aub.ldll"'. 29a.\ ~$ 3 KOCO, INC. 23-2099014 form 1120 11"31 P.g. 4 I Schedule L I Blllnce Sheetl .- Boglnnlng olllx yoer End of tax yo.r Au.l. fal Ibl i;i'- fdl 1 C..h , .. . -- 83988_:.... 23898. 2. Tradl not.. and accounts rec,lvabl. 13524. 10B41. b Lo.. .1I0w.nco for bad d.bll ( 13524. 10841. 3 Invontorl.. 4 U,S, gov.rnm.nl obligation. 5 Tax..ex,nlpt,.,urltl.. . Othor ourronl....1I (.hloh .0h.dul.1 22693. 10275. 7 LOins to ItOClkhold.f. . . I Mongago .nd rul utalolo.ns . Othor Inv..tm.nll (.ttaoh .ohldull) . . 5490. 5490. lOa Building. .nd Olhor d.praol.bl. ...111 108981:.. 12B584. II L... .ccumul.tld dlpra<,I.tion . . ( 55748. 53233. 63084. 65500. 11. D.plotablo ....tI . . , , b l.... .ooumul.ted dlplotion 12 Land (nil 01 .ny amortlz.tion) r--" 13a Inllngibll ...ota (amortlz.bl. only) b L... .coumul.lld .mor1lz.tion ( 14 Othor ....ts I.ttaoh .oh.dul.) 15 T01II...11I ,. , ".. 178928. 116004. LI.bllltll. Ind Sloekheldoro' Equity ,. Acoounts p.y.bll ' , 762. 17 MOFlgag.', nClI." bond. Ply.bllln i... 1"1111 y..r II Othor ourr.nllllbllltilll.hloh .Ch.dulo) 72636. 29982. 1. Lo.n. 110m 'Ieckholdor. , . . . 20 M(Hlpge., nOIIl, bondt paytbltl" I V.., I'll mo" 21 Othor lI.bllltl.. (.ttach .ohodul.) , , - ZZ C.pital .Ieck: . Profarr.d lIeck b Common .teck . . 100. 100. 100. 100. D p.ld-In or o.pital .urplu. , , , , 24 Fl'lllntel "'"lng. -ApprO!)IIII.lt 1'1"C~1 .en.Gulll U Aotaln.d ..rnlng.-Un.pp,oprlatld 106192. 85160. ZI L... 0011 01 tr...ury .Iock ." , ) 27 TOIIIII.bllltil. and aleckholdor.' .oullv 178928. 116004. NOI.: Vou." not "nulrad 10 oompletl Sch.dul.. M-t .nd M-2 bllow ~ Iha 10001a"lII on IIna 15, oolumn (d) 01 Sohodula L aral... Ihan $25,000, I Schedule M-ll RlconcllllUon ollncomelLoIII aer Book. With Income aer Return 1 Nl1lncomo (loll) por book. . ,.,." <21032.) 7 Incomo ,ocCfdod on booko thl. y..r not 2 Fodorlllncomo tax ".. , ",.'", 25983. Includad on Ihl. rftUrn (nemlzol: 3 Exo... 01 capital 1011.. oVI(capital galno . , TU-,Ilempl . Inl.,..1 ".._____________ 4 Inoomo .ublOCl 10 tax not rocO/dld on book. -------------------- Ihl. yoa, (nlmi.I):_______________ *------------------- 5 DldUCllon. on lhl. return not oharged ~----------------------- 5 ExPM'" r..Cfd.d on booko Ihlo yoar not agaJn.1 beck Incom. Ihlo yoor (neml..): dlductld on thlo rtlUrn (nlmi..): I D.prociltion ,------------- . O.prociltion $ ------------- b ConlrltJullart. . ,$,,------------ canv"....r b Contribution. , _______2_6))_.__ c.trrvo'l.' , , . . -------------------- 0 Tr.'1.land $ ._____JJ))_.__ .nl"lalnm."l ' , -------------------- Sj!:)=}.::6'Xc:K~=::: = =: ]i)):.:: -------------------- 4513. . Add Iln.. 7 Ind 8 ., ,.,. ,., , , . Add IIn.. tthrouoh 5 ..",. . , , 9464. 10 Incoml IIlnl 28. elnl 1 )-lInl 81..1 IIn.1I 9464. I Sch.dule M-21 An.lvll. 01 Un.aorODrllt.d Retlln.d elrnlna. aer Book. ILlne 25. Schedule LI 1 Bol.nco al blginnlng 01 Yllr " . . . 106192. 5 Ol.trlbutlont: a CIIh ." , 2 Nl1lnoomllloll) por book. , .."... <21032. : b Stock , , " . 3 Oth.r Ine".... (11.mi,"): . _ _ _ _ _ _._ _ _ __ e Proplfly . 8 Other d..".... (nomlzt): ________ ~----------------------_. ------------------------- --------------------- 7 Add IInl. 8 Ind 8 . . .. . , . *-------- -- ----- - -------- Balanel .1 .nd 01 vo" /IInl 4 1.11 IIn. 71 85160. 4 Add IIn.. " 2, .nd 3 ,. . 85160. . 4 CFlII03 11/otl,13 E UIPMENT BROltER Part I Election To Expen.. Certeln Tanglbla Property (Section 1711) (Note: It you hav..ny"Llst.d Proplny." compl"e P.rt V belc" you oomplel. P.rt I.) 1 Maximum doll" limrtltlon (If In enterpri.. zone businllB, It' instructions,) 2 Tot.Il co.\ 01 ..oticn 119 prop.ny pllcld In ..rvlce during Ihl tax y"ar 3 Thro.hold ecst of ,don 119 proplrty betc,e reduc1ian In limitation 4 Rlduotion In IIm111tion. Subu.o1l1nl 3 from IIn. 2. but do nof Inter I... than -o- S Dollar limitation lor tax y..r, Sublroct \Ine 4 from line '. bul do not enter 1..,lhan -0- (I' married flllng ..paratllY. "" In.ouc1ion.,) (.\ D"crlpllon 01 prop'flY S-OFFICE E UIPMENT OFFICE FIXTURES 7 L.lllId prcpeny, Ente, amount from line 26 8 Total .Iected cost of ..otion 119 propeny. Add amountlln column (cl, IIn" 6 and 7 9 Tlntativl d.duction, Ente, Ihe ,mailer of IIn. 5 or line 6 . 10 Carryovar ct dl..lloWld dlduC'Jon from '992 . 11 Taxablllncomellmllltion. Enler thl .maller 01 taxablelncoml or IInl 5 . . , . 12 Soctlon 119 "pIn.. dlduction, Add IIn" 9 and 10. but do nof em" morllhan IInl " 13 Carryover 01 dlsallowld d.duc1ion 10 1994. AdO lInes 9 Ind 10, Ie.. ~2 . ~ 13 Noll' 00 no1 u.. Plrt II or Part 11\ beloW lor II't.d propeny (automobll... ctrlaln oth" vlhlcl... c.llutar IIlephon", ctrtaln COmputorl, or p,op.ny u..d tor emlrtalnmen1. rlOre,tion, or amu,em.nl). Inlltld, u.e Part V 10rlll1.d proplny. - Part II MACRS DepreclaUon For AI..tl Placad In Service ONLY During Vour 111113 T8X Vear Do Not Include Lilted Pro ert ,,,m 4562 Depreciation and Amortization (IncludlnglnlormaUon on Lilted Proparty) ~ A"""h thll fo,m \0 you, ,,,,,.n, O,p,'l~.nl oltn. Tr..tury (nl.rn.l R.y,nuI 8"vIU Namtlti .tlO'H" 0" '1lum _!toea, INC. f1UII"'" OJ .ctlVlty IQ WhiCh (hillOlm till'''. (tlICa,! Ic\Ellct.dC01' 3 169. 1,217. 7 3 169. 1,217. (CIOlli. 101 d'P'ICII,lon (8l,l.ln..lIlnlt",mtnl u.. only~ ... inlHucUetll1 (e\COflVenIIDn 14 b d II R..ldenlial "mal prop.ny < 27,5 I MM SJ\. 27,5 MM SJ\. MM S/L ~ SIL SJ\. 12 I SIL 40 I MM S/L le 17 Ie 11 m 15 h Nonrllldlnllal raal property 11m ADS): 21 CF2206 09/29/13 5 OM9 No. \!lU.OH2 iJ~93 AII.eM'\ln! S.ClU."U No. 17 Id,nilfYI"1I numo" 3-2099014 1 2 3 4 17 500. ~_. 4,386. S2oo.00L_ S 17,50.Q..,...... 8 9 to 11 12 4 386. 4 386. 13 850. 4 386. 1St) OIPllel.llon deducllon 8 102. - 5 429. 17 917. Form 45IZ (1993) zz.o Do 23 -2099014 1993) P!i!1. Lilted Property - Automobllll, Cert.in Other lI.hlcl.., Celluler relephon.., Cer'aln Computer., and Property U..d lor Entertainment, Recr..Uon, or Amu..ment For eny vlhlcll fo' wh~h you ." u.lng Ihl .Ulnd.,d miloago r.II cr dld.ctlng ,.... "pIn... completl onlv 22.. 22b. columnl(.) through 10) of Sae1Ion A. III 01 Slttion B, .nd Slttion C lI.ppllclbl.. S.ollon A _ De roolallon .nd Other Inlo,matlon C.utlon, SlIln.Wu01ion. lor IImlUltion. lor .u1omabllll.) ou n.vI evldencllo IU ort Ih. bu.ln"l/lnv..lment un cl.lmld? all VII No 22b II ..V..... I. Ihl Ivldenc. wrmln? all VII 0 No Ie) - 8!J1f ld~ 1'1 l!l lal Ihl (I) lnv..tm.nl COI' or olh., BIII,lor dlpr.Clatlon A.cOVf/V M.lhodl O.p,UIIllon (j1.ClId un b.II' (bu'ln'Ullnv..tm,nl plllnd Cnnv.nllon d.dycUon ..Cllon 119 p.rlllntag. UII onl~1 ClOll '" Olt.pl,Cld Inurvlc. la, TYPlot plCl9.rly (U.t....hlct..W.U Z3 Property Ulld mOf' thin SOo/.in a ualifl.d bUllne.. UII: 92 MERCEDE 2 09 93 85.6 34 450 88 MERCEDE 05 20 91 85.6 25 100 90 AUDI 1 23 93 81.3 :1.2 000 ualifl.d busln... u..: 43 100 14 506 9 2:'.7 DB DB DB 2 155 1...L.428 1 846 SIL - S/L - SIL - 25 Add .mounts In column (h). Enlfllt,. total hi" .nd cn line 19, p.gl 1 28 Add .mounts In cclumn I . Enler Ihe t018I he" end on line 7. . . 1 S.ctlen B _ In'ormatlon R'gIIdlng U.. 0' Vlhlclll . II you d.duot 1I""n...lor vehlclll: I Alw.ys complllllhl. ..otlon lor v,hlol., u..d bV. .00e proprlllo" p.rtn". or other "mor. then 5'4 own"." 0' ..I.lld pe"on, ~u provldld vehlol.. to em 10 ..., flrst In.w" Ihl u..tion. In Sit. Q to .11 II ou m.ot .n I.CI ticn 10 com IlIIn thl. "0. for Iho" vlhlcle.. 00 00 ~ ~ M ~ Vehlcll 1 Vlhlcll 2 V.hlel. 3 Vlhlcl. 4 Vlhlol. 5 Vlhlcll 6 685 20715 16256 115 3485 3744 25 5 429 28 't:T Total bu.lne../lnvlltmlnt mil.. driven during Ih. V", (DO NOT Includ. oommullng mil..) 28 TOUlI commuting mil.. drlvon during the Ve.t 2lI T 0181 othtr perlonal (nonoommuting) millldrlv.n ,....",.. :lO T018I mil.. drlvln during the V'lr. Add IIn.. 27 Ihrough 2Q VII BOO No VII 24200 No 20000 VII No VII No VII No V.. No 31 WUlh. vlhlcll av.lI.bl. for Plr.on.1 u.e during CIff-du1y houri? , . . . . , . X X X 3Z W.. Ih. vlhlell u..d prlmarllv bV . ,"ore In.n 5% own" or rel.tld p".on? . . . X X X 33 I. .nother vlhlcll .v.lI.bl. for p".on.1 u..?.............. X X X S.OIlon C - OUllllonl 10' Emplev... Who P,ovlde Vlhlel.. 10' U.. bV Th.l, Employeeo Anlwer th"" qUIIUon. 10 dlllrrTlIn. H you ",,".n "clption 10 complttlng SeotIon B, NoW: SeotIon B mull .1"'.\'1 b. eomplet.d Icr vlhloln u..d b9.0I1 p,oprlllor.. p.rtn"., or other marl then 5'4 own". 0( rolaltd ".cn.. t.) O..crlpllon 01 COI" ") "morlll_blt amount ,., Coci...cHon /tlAmofl p.rlodo, p.rcent." V.. No X X X X X III Amarllrlllon IClf Ihll V'" 34 Do you malnUlln . writtln polley I1at"""nt that p,ohlblll.1I pl"onal UlI '" v.hlol", Including corrrnu1lng, bV your .mployeoo? ................. .......................... 35 Do you maintain. w,m.n pelley I1at"""nt thaI prohlbltl p",onal "" of vehlol", I.clpl oorrrnullng. bV your llmPloyeoo? (S.. Inltluollon.lor vehlel.. ..ed bV corpor.1t oIfto..., dl,eotor., or 1'4 or more own".,) 35 Do you 11..,.11 u.. '" vehlol.. bV llmPloyHI .. p...onal ...? ' . . , . , , . . . . . . . . 37 Do you provldl more then flv. vlhlol.. to your llmPloyst. .nd ,otaln thl Informaticn ,oo.lv.d flom you, ImployMl cuncernlngtheu.."'th.veh~llI? ,......,.....,. . . . . , , . 35 Do you """lhe requlremanll ccncernlng qu.llflld .u1omobllo demcnotr.tion ""? .,........',. Not.. If ur .n.",er 10 34.35.36.37. or 381. "V..." u nlld not c I... SeotIcn B \0( thl cov,,'d vlhlolll. Plrt VI Amortization 3t Amortlzaticn 01 costS th.t blgln. during cur Igg3 II>< I.r: 40 Amcrtlz.tien of OOllllhat began blfO(. Igg3 . . 4\ Total. En'.' here and an "Other Deductions" or "Other Ex .nll." lin. of our return 40 41 4626 Alternative Minimum Tall--Corporatlonl OM" No 'SO~OH! fotm (Including ,nvlronm,nlll Ilx) , D.p.tlmenl 01 tll. T,...u,y ~ 9M ",plrll. Inltruollonl, ~\@93 I/\l.tntl R.v,nuI BffVICl ~ Alteeh toth. oorllOrlllon'l tu return, ...., I EmPlOY" Id.nll,I".IIDn"umb" !tOCO, INC. 23-2099014 1 T..ablllncoml 0' (loll) blto/' n".operating 10.. d.duction. (Important: S..lnltructionl ~ Ih. eO/poratien I. .ubltell0 tnl .nvlronm.nlllllX.) .., . ..,. , . . . , .. , . . 1 9 464. 2 AdJ<lltm.ntli a D.proclltion o1l1nglbl. plCplrty plaold In ..rvlo. In" lll81l Zll 2J18. b ArnonIzltion 01 clrtlll.d pollutlcn control f.ellltl.. placid In .t/Viol Inor lll81l Zb e Amarl 01 mining ..ploration Ind dav.lcpmlnt cOlli plld or lneurrld Inor 11/8e Zll d Amortizaticn 01 circulation IMplndhur.. plld cr Incurrld Inor lll81l (porlonal holding ecmplnl.. only) ,', . ,.""., ..,'.""" 2d -- . B..II Idjmls In dll.rmlnlng gain or lOll frcm Ilia or e.chlng. of prop.rty 2. f Long-Ifrm COntlleta .ntor'd Into .ftor F.brulry 2B,lgBB 2f g Inlta~m.I1I..I.. 01 c.rtaln p,cp'lly "., , , . , . 2a h Morchant marin. capital ccn.truction lund. '" "" Zh I Sto1Ion B33(b) did (Blua CrOll, Blu. Shllld, sl"",la, typl organlzlticn. only) ZI I T.. .hllle, I.rm activlU.. (plrlonsIIlNIo. ccrporaticn. only) . , . . , , . . 21 k Pa..lvl IC1ivlti.. Iclollly hlld oorp'l and plroonal .."10' corporltion. only) ZIc I Clrtaln lOll IIm1tationl , , , . . . Zl m Othor IdJu.tm.ntI , .,., . , 2m n Combln. IIn.. 21 Ihrough 2m . . " ".. , , , .."" , , . "..", . ." , In 2.718. 3 T.. p,.fl,lno.ll.m.: a O.pllllen "'" ...., .. . .'"".,. , , , , "'" , 3a b T.....lmpllntor..1 from privet. ac1lvlty bond. Is.ued Inor Al!guIl7, 1ll8ll 3b o Charitabl. contrlbUllon. "., ."""" 30 d Intanglbll drilling COlli "., . . ",.",.",.".,., 3d . R"'N'. 10/ 10.... on bad d.bll of flnlnclllln.mUllcn. "','" 3a I Accalorll.d dlproclation 01 ""I prop.rty pllc.d In IINlc. be!O/. 11187 3f g Acc,'orl"d dlproclltion o1l....d p.roonl' prcperty pl.o.d In IINIo. /:)e!01l 10B7Ip".onal holding complnl.. onlYI ' "". ,." , ,. . 3a h Add IIn.. 31 through 3g "" , ",.,. , .,..,..",.. '" ,. . . , 3h 4 PrtldJu.tment Ihornativa minimum \IXIblllnccm. (AMTI). Comblnlllnn 1, 2n, Ind 3h 4 12.182. I Adjullld currontaarnlng. (ACE) Idju.tmant: . Enl., HtI corporlllon', ACE from IIn. 10 at 'h. worll:."..1 on Pig,,' of Ih.lnltfuctlonl . , Il8 12.733. b 9ubtrlClllnl 4 ~om IIn. !la. II line 4 ..Clad. IIn. !la, Intlf Ih. dlfflf.no. a. I n.gativ. numblf .. ".,.. . ,", .;.,..,.,.."".,. lib 551. c Multiply IInl Bb by 75.1. and Inter the 'IIUIII. I poaltivlllumblf "., , SO 413. d Enter the ..CII., "Iny, o1lhl corporlticn'.1OIIJ lner..... In AMTI frem prior vur ACE Idlu.tmenta ovt/ 1II1011J redUCltcna In AMTI frem prior yMt ACE IdJultmlnll. Note: You mull.ntat In 1m! cn IIn. 5d (Iv.n " IIn. Bb II po.Itiv.) ,..,. ..".. , """""""""" lei 1.461. . ACE Idju.tmlnt: . II you Inl".d I poalllvl number or z.o on Iln. 5b, .ntlf thl lmount frem line SO on IInl 5. II I positivI Imcunt, } Il8 413. . If you .ntlfld I nagativl numbor on IInl Bb, .ntlf thl .maller o1l1nl SO 0/ IInl 5d on Iln.!la Ie I n.gativl Imount. . Combln.lln.. 4 Ind 5., If zaro or I..., stop hlf' (th. cO/pO/ltion I. not lubjtet 10 Ih. Inlfnltiv. minimum tu) "..."" . ."., , , . 12 595. 7 Ahornltivltu nil oplflUng los. deductlcn ",.""" . , , 7 . AllarnallvI minimum tIllabl. Inoo",.. Subtrlct IIn. 7 kern Iln. 0 ' , . 12.59.L- Hn3 For Plper_rk RlducUon Aot NoUol, I.. "Plr'" Inltruetlonl, Form 4828 (lgg3) 7 CF1I12,111111t3 I Adjusted Current Earnings 1993 -., Form 48H !tOCO. INC. 23 -2099014 Wqrkah... 1 Prt'ldju8lml,1I AMTI (Inti' thl lmount trOlTlllnl 4 01 Form 46261 ".. , 1 12.182. 2 ACE dlproolaUon Idlu._nt: a OlproollUon "pin.. rooompu1.d lor AMT purpo... . . . . 21 b DlproollUon "pin.. rooompu1.d lor ACE purpo.." II) POIt-1lll13 proplrty . , . , . 2blll III) POII-l0eO, prt-llll14 proplrty . . 2b(1I1 (III) "'"-llll1O MACRS proplrty , , 2b(11I1 -- (Iv) Pro-1lll1O orlglnll ACRS prop.rty 2bllv (v) Propltly dllerlbld In Idon. 1M(I)(1) Ihrough 14) .", . 2b(v) (vi) Othlr proplrty " , "', , 2b(vl . (vII) Total dlproollUon "pin.. rlHlempU1ad lor ACE purpo"'lldd IInll 2b(llthrough 2b(vl)) .". . .",.",.", . blvll o ACE d.proollUon Idju._nt (.ubU'ot IIn. 2b(vll) lfom IInl 2.) .,. , .." . ."", , 20 551. 3 lnolullon In ACE of lI.ms Inolud.d In Ilrnlngo Ind profltlIE&P): I TIle-I..mpt Intere.llnoom. ,.., , , . . , . . .".. , , . 31 b O..th b.n.fllllfom Inllnsurlnol conUlots """"" , 3b 0 All O1hlr dl.lflbu1lon.lfom In. In.urlnol oontrlOllllnoldng .urr.ndltl) 30 d 'n.,d. buildup of undl.UlbU1ad Inoem. In III. In.urlno. contrlOll , . 3d I Olhlt lI.ms (I" RIgulltions .lOtion. 1.!5e(g)-110)(6)(III) through ('") 101 a par1lallllt) "'" . "'" , "",.",... , , , 3a -- I Totallncr.... to ACE du. to lnolu.lon In ACE of II.".. InoIud.d In E&P (Idd IIn.. 31 through 3.) . . ,. , 3f 4 Olllllowlnc. of II.".. n01 d.ductibllln oompu1lng E&P: I Clrtlln dlvldlndl rlOllvod ,,', , , , ,.",.,., , " , 41 b Olvldandl plld on clrtaln pr.tltrtd .Iook of public u1l11tl1l thlt Ila dlductibl. under .lOtion 247 ". , ..',.."", . , , 4b 0 Olvldlndl plld 10 In ESOP tha1 arl d.duotlbl. under ..odon 404(k) 40 d Nonpltronagl dlvldlnd.that Irt plld Ind dlducllbl. undll .lOtion 1382(0) """,., , "" , """""" . . , 4d I Othlt IIlms (III RIgulationl llOtion l,!5e(g)-1(d)(31(1) Ind (II) lor I partial lilt) ".,. , ,." , ....,.,...., . , , ole f Totallncro..IIO ACE dU.IO dl~lowlnoa of II.".. n01 doduofibl.ln oompu1lng E&P (Idd IInll ole through 41) " , ..". . ,."..,..",." , .' , ",., . ,.",., , 41 8 Othlt adjul1mlnta bllld on lul..lor compu1lng E&P: a Intanglbla drilling COllI - III . . ,'., , "" , ..".. , . , b CIrculation I.plndllur.. . , ",' . .", , ."", . 8b c OrgonlzaUonlll.plnd!tur.. ,," . .", . '..,., , 60 d LIFO Invantory Idju.tmonta "" . ,." . ,..." . 8d I InltlJlm.nt ..,.. ",. , .", . ...' . ",.., . . , 5a f Total O1her EiP adjultmonla (oomblnllln.. !5Ilhrough 51) ."..,... . .. , ..,,'. . 51 e OllllloWlncl of Iou on ..chango of dlbt pool. '..',.",.", , . , " , """ . e 7 AAlqul.ltlon "pin... of Ilia Inlulano. eomplnl.. fOl quallf!od fOlllgn contrlClll ,. , "".. . 7 e Oapllllon ""'" , ...,. . """"'" , '" , . , ". , """ . 8 0 BIIII adJu.tmonta In dltltmlnlng goln or 1011 tram .a1. or ..chango of PIl-ll1l14 proparty . """ , e 10 AdJuI,ad ourrlnt I..nlngl. Comblnllln.. 1, 20, 31, 4f, Ind 5f through 9, Enll< tho r..ull hllfa and on IInllll of Form 452ll ., , ..,. , ,.".,...".,.,.. . ...",....", . to 12.733. . 1813 IClfCompUI. U.S. Corporation Income Taxi urn 0.... N' "".'12' Fo'UI.nd.'~..r'n.o"IIoIl",'.'b.9j""ln9 ,1994.tndlnl . It ~l~(,'g\94 . In.truoUon.." lIe...I., s~.~~;. -; jo~ -P;ollwerk R.d~.;jl~; Ael ;;lIe.... - - -. U.?2J u.. B 'm,"y" '''"''','''''''''= o ::~ ********** 5-~IGIT 17Q11 23-2099014 0111,,- LZ 23-20'\'\014 DEC94 $26 ,00& M 001 C I""'"'''.'''''. o KOCO INC ~~H 2700 LINCOLN ST prln' or CAMP HILL P A o ty.... '"m 1120 Oloartmenl!)t ,",ll..'UIY ~R''I.nu. '.'Vlct A Chlc.lta: \ Conlolldal..,tIU," 'tlflohf.,m,'ll 2 p."ar\IIl tlaldlnl co. !(t,l\lch 'oh. PtH 3 Ptuonal inlet Clorp. I.. o.lIn'd In Temp.ol"Y R'9.,..c.I."\~4T. 1,,/011-263b I n e o m . T I . I n d P I Y m . n , I Pl.... Sign Her. I ollt ~ SlliJMlur.oIOII,?,"') P,...",', iii. -(.1.---1 Co' tlplUII'" ;: .t....c...~""- Fltm'''......,~'~ HOMAS C. WETZEL, y...",It,.". 36 WEST MAIN ST. tmploytdl .,....,... MECHANICSBURO. PA --I e .,1 . 1420. 700. ~ Till. 94/17/79 if To,.'"'''' I'"8D"lllc 111"'1 ,. $ 10 Z 3 4 5 . 7 . . 10 " 1Z 13 '4 1$ 1e '7 Ie ,. 133.314. 643.198. 16.743. 626.455. 502. 1. 856. 628,813. 165,000. 211.912. 1.96:r:- 19,800. 3l,63~ 240. 21,519. 92.102. 19.870. 62.613. 626.658. 2.155. zee 30 31 2,155. 323.:.- E ChICk upUCllbl. bO"': III llnttilll fllu,n t21 0 f.'lnlll.lu!" r3l 0 Chanq.ol.ddre.. 110IoUIIC.1pl.O'"'-' 643.198. I b L,,,'.tu''''''UOW I Z Cool of goodIloId (Sch.dul. A, IIn. e) . . , GrOll proftl, Sub..Cllln. Z ~em IIn. 1e . , 4 Dlvld.nd. (Schodul. C, IInl 1a) . , . . Im....I ", ' . ' , , e GrOll "",, "." ,," .. 7 GrOll royalli.. " " ' .. .. , . Capilli gain netlnoome (Inach Schldul. 0 (Fo<m 1120)) , , . . Net gain 0< (1_) ~om Fo<m .1a7, Part II, IIn. 20 (onach Fo<m 47a7) , . . '0 0Ih1l lnoome (Inach IOhldul.) , , , , ' , ' , , , 11 Tollllneom., Add IIn.. 3 Ihrounh 10 ,., ' . . f 1Z ~I""'tion of off\OlI' (Soh.dull E, IIn..) . , , . o e l' Salarlll Ind wig.. (111I .rt'lllol""'m c"dllt) , , , , or d 14 R.pak. Ind malnl'nono. " ' , . u I 1e Bad d.b" ", . , ' , , et,1. .." 1e Rln" ' , , , . , ' , . ~: 17 Tax" Ind lIe.no" ' , , n I 11 Im.....t .., ' , . . , . ' . , I' I 1. ClulIllIbl. oonltlbution. (...In.~uCllonl to< 10'10 limillbon) , " . ... ' ~ ~ Zll OlprlOlabon (Inaoh Fo<m 4S82) . , . ' , ' I Zll I 25 . 160 . .. I' L_ dop,_bon olalmld on Schldul. A Ind .IIIWhll. on return ,I z,.1 3 .641 . Zlb I e 22 D.plo1iOn" . .. .. .. ,,' .... 22 n n Z3 Advar1IaIng ,,,,, .. ..' " .. " " Z3 . 'd Z4 Plntlon, proftt-.hIIlng, "", piano . , ' , , ' . , ' , , Z4 ~ ~ ZI Employ..b.noftlp'ogr~ . , ' . . , ' . , , . ZI e u ZI Olhll d.duo1lono (Inaoh IOh.dull) . , . , . . , ' . ZI to I t %7 Total dlduellonl, Add IIn.. 12 through 2ll ' ' , ' , , . , , ,. Z1 ~ ~ ZI Taxabl. lnoome bofor. n~ op..lting 1011 d.duction Ind ,plOlal d'duCll~nl, S~b"Clllnl 21 ~om IInl 11 ZI an Zll L...: I Net op..lting 1011 doduo1lon ."""",,',., I ZllII I b SplOlaI dlductlonllSohldul. C, IInl 20) " ' I Z9bT 30 T axalll. Ineom.. SubltIClII.. 280 trom IInl ZI ", ' , . , 31 Total... (Soh.dull J, II", 10) ",., ,.", . , ' , . , 3Z paym.nta; 1'13 OYIP"" c";.Cllt.c110 1n4 tiE= 14 20. \ b,.....t'fMl.dlup.ym..'. ,.." 3Zb~_ OL...'....'.luna.,pl..dfDfonfofm4411 3Zo ) dUll'" 32d I Tax dopotllod wlth Form 7004 ",., , . , ' :12. , ClodIl trom rolJUlltad IrwoA\,.'" O~lnI" (Inaeh Fo<m 2438) 321 gClodll fill Fodlloltall on tulll (I_h Flllm 413&) , ,32Q 3Zh 33 Eltimat.d tall p.noIIv, Ch..k K Form 2220 10 lna.hod . . , , · 0 33 34 Tax dUI.1f IIn' 32h II amoJIIIlhan Ih.tolll of Iln.. 31 Ind 33, .m" lmoum ow.d ." " 34 35 OVllplymlnl. If Iln. 32h It Iorgar Ihln th.,01l1 of Un.. 31 Ind 33, .m" lmounl ov"p"ld :15 1.797. 3& Enllllmoun' of In 35 vou Wlnt. Credlt.d '0 1," ..Umlt.d... . 3 23. R.funded. 31 1 ' 474 . Unci" p~Il'" 01 p,flU'V, j Ii.OIal. 'hili hlV' ,..,.,.un.Cllhill.1UIn, tnCludlnIlICCOIfIPlt'lYlnlllchtOUI.. anCllleltmeflll, enClIO lne 0.,1 of my .no_IIOOI Md blll",1I11 \tu'. coUtCll, end compl.lt. OtCl..'aII04"l of pfepa,., tOI!'llr lhan lallp.yllll' oa..a on .lllnlollnellon of w!'ltch pi"'" hat My kno_ltd,t, 2.120. PRESIDENT ./-, .."-AMI 1:011. \ t I Plepallft ,0ClIII"CUIllY numDIl- ).,' Ch.dl cfl/! If /-}J~~ ,,1l.."'.loy'.1llI 168-36-4969 E.I.'.. . 23-2169741 ZIPC.... 1 'U)5S.:7413 PoId prepar.r" UII Only CPA CF8ICW 10/0J/'. 1 Hn3 , ~~. T- PO"" 7004 Application for Automatic Extension of Time To File Corporation Income Tax Return OMB No. 1545~0233 ltmPloy.r Idlnliflea;;umW- 23-2099014 o Form 1120S o Form ggo-C o Formggo-T ~ 0 1 . I requHt .n lutomatio I-month (or, 101 oortaln 1001Ign OOrpOlltionl, 3-month) IllIlnllon at timtl Untll._____JJ>>----, 19.J'___,IO~I.thllnooml WI rllu," efthl oorporltion namod IbOYlfor ~ IllI coIlndlr yoor 19_2t__.or ~ 0 \all VOIrblglnnlnQ,_____________' '~____.' Ind Indlnll.._____________, 19_----- b Ilthll \all ylll II lor IlIIlhan 12 montlll, oheok rlllon: o Inltill rllUrn 0 FlIIlII rllUrn 0 Ch.nglln _ountlng pl\'lod 0 Conlolldotld reMn 10 bl fllld (R..... May'"". PepIumtnl of t"'. "",UIY ,""mal A...,enu. ..,VICI Nam' 01 corporatton !tOCO, INC. Hum..', 111.11, an. 100m 01 'Illlt na.U' a P.O. bOil, "' mllfu.:llonl.1 2700 LINCOLN ST. elly at 101'1". "al., ani lIP coct. CAMP BILL, PA 17011 Cheok typo of rllUrn to bl fllld: IllI FCIlIl1l2O 0 Form 1120-F o FCIlIl 1120-A 0 Form 112O-FSC o FCIlIl 112O-SF 0 Fonn 1120-H o Form llro-L o Form 112O-ND o Form I 12O-PC o Form 1120-POL o Form mO-REll o Form I 120-HIC Porm 111.O-fl nlorlChook hili ~ you do not h.Y. In offiol or ~IIOI ef bUllnlllln thl Unhld S\otll . Z If Ihll a Ilcotion &110 eOVIII lub.ldllll..IO bl Includld In I eonlolldltod rllUrn, C Hlml end Iddr..1 el IIOh m.mllor 01 \h. 1",lIo1ld rou IIIe \h. followin , Em 10 Ir I<IIn1tfteallon numllor Tu period - 3 Tlnll1lntlll , , , ' , , , , , , , , , 4 Cr.dI1I: . Overp.yment ctldhod from prtor yoor .. b EIlImIIId till plymonll for Ihltlll vur ..",,,..,,,,,,, ... o Lno refund for thl till vur oppllod IOtonFonn44ee """'" ... I Crodh fram ,ogulotod Invlltmlnt.amp'''1I 1 Crodhlor Fodllll till onluolo , , , , , , , , .."."......",' , 1 420. BIl 4d ... 41 1 420. ,.,....."."...,',..,. . ",..".,.., . 3 2 120. . . 1 420. 700. .y11!~ >-- ..-------..---...--iT!iiti'------- -----.. "---iQ'i\ti - --- m Por Plplrwork R.duollOll Act NoUa', "" InllrUa1lonl. CP..32 or/21ft. KOCO, INC. fo.m 1110(11141.. L~chedul. ~ Co.t ot Good. S.old I Inv.ntOIyII b.glnnlng ofyw . , , . . . . . . . . . . , " ....., .......,'.. I Purohuoe ..............,.......,....... ,....,............ 3 Cootofilber "",...,..".".,...,.".,.. .....,..,...."", 4 AddilIonaIl~ 2e3A c_ (.lIaah ..hodlllo) .,..,..,..,.,.".,..,.,....,.,. I 0Ih. e_ (.....h eot....uIe) ."."..,..,..,."..,.."", .,..",..,. I Total. Add WINO 1 thtough 5 .'. . , . , , . , . . . . . . , . . , , , , , , , . , . , , , , . , , , , . . . . 7 Invontcfyltondof~ ...,',.,"",..':..."....,.,."",.,.".,. I eo...,.......... SubWlCt ino 1_om ino e, E_ h...nd on ""go " Iln02 .,"".,.". I. Checlc all mothodI lIIod "" vlhllng ofClll4ng Invomory, o ColI 0 Low. of ooot or INIkot U dMCrlbod In RogIlla~on..oction 1.471-4 o Wtltodown of lub_ geode u d....lbod In RIgUIa*,"" lootlon 1,411-2(c) o 0lheI (apocHymothod UMd and .....h .llpIonokn.) ~ ___________________________________________ · Cheok N tho LIFO Invontofy mothOd wu ldoptod thIa ... ~ fat anv geodo (HohOOkod, .....h Form 810) .,...,...."... 0 · 1~::~:'-::=,:OU~,~~~~:~~~e~":*~(~,~~~~~~~.n~,.. '" W ~ Do tho,.... of -.." 2lI3A ("" P'OPIlly ptOduood or ..qultod lot 'Malo) apply 10 tho oorpor.~on? ..,..,., · Walthorl InV chango In dltllmlnlng quantlll., cOIl, or val...*,"" betwoon opining and e/ClIl4n8 Inv.ntory?" "V"" at1lohlxPlanl~on ",.,"',..,",.,......"..,.,.,.".,......."....,.. 0 I". 23-2099014 'Ig. 2 1 I 3 4 I I 7 I - 16 743. 16 743. 16 743. - o V.. IllI No ~'dule C I Dividend. end Specl., Deductlone I Dlvldondl ~om "'-than-2O%-ownod domootlc Corporl~ono thai ... lubjoot Ie tho 10% l/oductlon (olhor than dobl-ftllAneod ltook) """'"""",.", I 0IvId0nde _om 2O'I(,.<<-""".'OWnod ~ corport~ono thai ... lubjoot 10 Ih. lIO'll. doductlon (olhor than dlllt-ftllAneod ltook) ',.,"'""..",..,. 3 Olvld.ndI on dobl-ftnonood _ 01 domootIc and ""Ii"" OOIpOfationo (Iootlon 24eA) . 4 Dlvtd.ndI 011 cOltaln ptotonod ltook of tou.than-20'4-ownod publiCI utIlItfoo "" , , I DIvld.ndI on COIIIIn ptolOf,od __ of 2O%-Of-lIlOfo-ownod pulllc utIIIlI.. I DIvldondl ~cm "'-"","-2O%-ownod ""lien OOIpOf.~ono and COltaln FSCe thai... lulljoot m tho 1O'lto l/oduotlon " , , , , , , , , , , , , , , , , , , , , , . , , . , , , 7 0IvId0nde tom 2O'I(,.Of-l'IQo-ownod 'orlllgn COfpor.~o.. .nd eOltaln FSCe thol... .ubjoottotholO%l/oduollon """"""""".,."",." · Dlvldondl tom whcIy OWnod 'orelgn aublidiatloo lullJ to tho 100% dodUCllon (I" 245(b)) · Total. Add i_ 1 thtough ., a..,....uctlcno fat IlmItakn """"",.., 10 Dlvldonde tom dem II~_ -,.or.*,"" '_od bV . amd bUllnoao Invoatmonl ~nv cp..~ under tho, a.... BUIln.. Invoatmon1 Act of 18S8 """,., II Olvtdenda tomcer1aln FSCe 1ha1....ulljloct to tho 100% doduollon (..ctlon 245(e)(I)) . , II 0lvtcIende tom aftlllo1od group /llIrN)" lulljoot to the 100% doduotlon (Iootlon 243(a)(3)) 13 OIlIer clIvtdondI from ""eIgn corpOfa*,"" nollnclul/od on inoa 3, e, " I, Of II 14 ,- from _oIIod fatelgn ccrpcwationo und<< lull""" F (.lIaah Form(l) 11411) II FOfelgn dMdond gr_up (iectlon 7" """"""""""".,. II Ie-DISC Md Ionnor DISC dIvtdondI nollncludod on ilNO " 2, Of 3 (_on 24e(d)) '" 17 OlIMtdMdende """",.,"""""""""",."" II Ood' lOIon "" dl....d.41dl pMI on ....... ptoforrod Itook of publlo UtIIIlIoa """'" It To'" clIv'..... Add'" I ttvOllgh 1" EnIIr here and on iM 4, INIgo 1 "'," ~ IllOt,t...... (II)" '.a.lv.. 502. 502. ...."..,....,~ (.1-.,.".... I PIETER KOOISTRA (111- ._'".......' 361-30-732 (I) Amounl ., ...~..Uon It T<<*I ~.nukn of ollie.. .,',.".".".,."",.." 3 ~_Icn of ollie.. clalmod en Schodule A and "owh.. on '''..n 4 SUb"act iM 3 ~om in. 2, Ent.. tho ,..u" h.1 and on in. 12,. 1 Hm C'N01 10/03/'" , , , , , 165 000. """ , 165 000. "'" , 2 , "'" ,...".",. . 165 000. . \ form 1120 ( IIMI I<OCO. I . 23-2099014 P.g. 3 I Sch.dul. J I Tax ComDutaUon 1 C_ W lilt COIp.,.tion Ie I _.. of. oontroll.d group (... .eo1lono 1!W11 .nd 15031 ' , . , , .0 la W llIe bOll on Une III eh....ed, .nt.. "'. cOIpor.Uen'. .hII. of tho S50,I)OO, $2&,1)00, .nd SQ,D25,1)OO taJcabI. 1_ Ill....... (In IIlaI ordol): I (2) lL.. I (1) I. (3' I.! b enlet lha oorpor.lIen'. ...... "" (1) AddllIenall% tall (nal mar.lhan 111,150) l: ~ (2) AdditIonal 3% tall (nal mar.illan 1100,1)00) , 1_ tall, Chaolc lI1Ia bOll W "'. oorpor.Uon II. quaU1l.d p...onaJ ._. eorpor.Uon u dailnad In aaclIon +4e(dK21 .".".."."".".,.."",. . ""'" , "". , .0 3 323, 41 FOI. tall Old (......h Form 1111) .."".,..,. . ". , 41 ~ P......lona tall cudlt (.tlIICh Form 5735) . . . , , , . , . , . . , , , . . 4b . Orplwn drug OIad1l (......h Form 17111 """,."", "." 4c . Chaok: ONolICllllY.ntionaI....e. fual oradll Ow oradll (.a FOIm 8834) ad . 0.-01 b.-- oradll. e_ hac. .nd chaolc whloh fOlITllII. .tlachad: 0310003481011II4 011478 o 1781 011II 01830 D- O IlI35 0 8144 011845 o 1841 0 8847 ",.., , 41 I Ctadlt lor prlor VIII minimum tall (.Wh Form 18271 ..'"" . . , 41 I Tolll ....... Add Unaa ... lIv~ugh 41 ,.....,.,.." . ".. . """ , "..", , I o . . SubWact Uno I "em Une 3 .."."."".""., . .. . . . ,.,." , ""'" . . 323. 7 Pnonal hcldIng oOll'fllny Iall (.ltIClh Sc>hadul. PH (FOIm 1120)) ,',' . ,...., , ".".. , 7 . R~IU1. tallll, ~ W"em: 0 Form 4251 o FOIm 1111 "" , ".,.. , ""," , . I. Allafnallv. minimum tall (llIach form 482ll) ",..."" . .", , ".". . ,.".., . II ~ EnvlrllMllfllll tall (......h Form 41211 .,.""...,.. . .""."",. . ""'" , ... 10 Total_ Add IIn.. .lIvoufth Qb. Ent.. h... .nd on lin. 31 ..... 1 ,.."..", , .""" . 10 323. I Sch.dul. K I Other Inform.Uon IS.. ala.. 17 and 18 allnltructlonl.) 0'"01 ;0'03". 1 Chaolc mathod of _nIlng: . 0 Caah V.. No 7 w.. tho oorpOl.Uon . U,S. .hIIlholdar of.nv controllad v.. No b 0 Aocrual C IKI Othaf (apae/lv) ~O.P_U_~IDL__ fOl.lgn OOlpOl.~On? (S.. IlCIiona Dfll .nd m,) ,., , X Z RIl.. 10 PagolD of tho lnIWuo:Uona .nd .tat. th. principal: H "Y..: .Wh Form 11471 lor 1I0h .uo:h olllPor.Uon, I Buallllll ac1IvtIy coda no, ._j~_0_8__________ EntIf numll.. of F~ 11471 .tlIChad . ---.-----. ~ Bualnaaaac1lvtly. fl.R9~_____________ . At.ny 1imI during lhIlllD4 caI.ncIII VIII, did th. corp 0 PfodUCl or __ . P.9Jl.FJtC;~tI_OXo\.lt'L~UJ;' MV. .n Intarllt In or .lignatur. 01 0IhIf .u1hOlIty av.. . 3 DId llIe OorPOl.tion .1 tIla .nd of "'. tax VIII own, ftnanQal aceount In . foralgn oountry (Iuo:h u. b.nI< d1ractly 0I1nd1r0C1lv, IlO'ICo Ill' mer. of tho vCllng _ of aoeount, .OCUlItIIl aoecunt, 01 OIhar ftnanclaJ .oeount)? X . _lie eotpOl.lIen? (For rulaa of .1W1~ution, _ II "YII: IIla oorp ".v MV. to". Form TO F 110-22,1. leo1lon 287(c),) .,...,. ".""""", X W "Y..:.ntar nama of loralgn country. _________ W "V..: .1lICh . ochadula .hqwing: (.) nama .nd I Wu tho oOlpOl.lIon "'. W.ntOl of, or W.natarOlto, . Ida~ng n_ar, (bl p..o.ntago owned, .nd (0) lIllabIa loralgn WUll thaI ._ dUllng lha eUlfant tall VIII, 1_ 01 (_I balor. NOt. .nd Ipaclal daduoticna of whl1h.. 01 nOllha corp hu .ny banaflelallnt",..lln It? W .uch oorpor.tion lor tho Iall yIII .ndlng with or within VOUl "YII: "'. eorp ".y MV.1O tlIa F~ DZll, 3120, 01 3520-A X tallV-, 10 Old cn. tOlaign pnon .I.nv 1ima dUllng th.tIle VOIr cwn, 4 I. llIe corpctallon . lubIlcIIaIY In .nlfflllat8d group 01 . d1r0C1lv OIlnd1r"*Y, .11_ 21% "" (I) tho t.... vCllng pIIant-l~ _clad gro..? ".,.,.", , X pow.. 01 II _ of I\OOIc of tIla olll'pOl.Mon .ntltIad W "V",' _ ~ 1def11M1cllion nurrOar .nd _ 10 vOla, 01 (b) lha ~ valua of II oIauaa of ItllCk of tho of pararuOlpcn1lon . _________________. oorpOl.tion? W''V..: X ------------------------------ . EntIf paro_go owned ._______________. b enlet owner'. oountry. _________________ . Old any lndIYktual, ~, ocrpOl.lIon, _to 01 . Th. corporation ".v MV. to tlIa Form 1472, Ent.. n_.. wuat all1la and of tho Iall V-, own, d1r1CltlV or IndlrOC1lv, of Forma 11472 .tIIOhad ._________________ 50% Ill' mer. of lha eotpOllltion'. votlng 1\OOIc? (FOIluIII 11 ChICk thIa bOll W tIla OotpOl.tion Iuuad publlotv ofIarad oflllrtbution, _lIo\Ion :ze7(el,) . . . , , , . . . . . . , X dabtlnoWumanta wtlh OIlg1nal _ dlacount . , , ..0 W "YII: .1IIOh .lCIlIdula .lIowlng nama .nd Idlntlfvtng W .o,th. oorpor.lIon may MV. to tlIa Form 1211, numb.., (Do nallnoluda Iny Information aIrlldV Int..ad 12 Ent.. th. amount of tall-..~ Intarlll rlCaivld or In 4 abov.,) EMar par_go owned . .1_0_0_,_0_0_'___ .QC(uad duringllle tile yIII ..______________ . DUling lI1Ia tall yIII, did llIe corpor.tion pay dlYldanda 13 W 1har. w... 35 or law.. .hII.holdar. .1 "'. .nd of th.tall (CIIhar than IlOCk dMdandI and d1aWlbuticna In .acMngo VIII, tntarlllt numb.. . ___.1.____________ lor atooll) In _ of tIla oorpor.1lon'. CUlfanl.nd 14 W tho COlpOl.~on hu .n NOl. fOl tho tax yaar .nd II lllCumulatad IIInlngt.nd proftlll? (SH ._, 301.nd 31'.) X ailCling to tOlago tha 0IIC)t>Icl< p_, chICk h... .0 W "V..: till Form Il4I2. W 1hII1I. o...oIlclatad IIturn, 11 Ent.. th. .vaIlabl. NOl. c:anyov.. ~cm prier tall V.." .nawar hac. lor lI1a pliant corpor.~on .nd on f_ Ill. (00 nOl raduo:. ~ by .nv daduotjon on Uno A18l1a~ona Sch.dula 101 .Ich .ub.ldiaN. 211..).1 . 3 KOCO, INC. 23-2099014 Porm 1'101'''''1 P.O' 4 I Sohldull L I Bllln08 Sheela B.glnnlng of \Ill VIII end of \Ill V'" A._ 1.1 Ibl leI ldl I Calh . , , , , . , , , , , , , , , , ,. , 23898. 13778. II T,.d. 110I.. .nd _until ,aelivllbl. ,. . 10841. 7950. b Lila lIlow.no. IlIl bad dlbll " . " , - 10841. 7950. 3 100'.ntOfIea ,.,.."..", . ., , 4 U.S, gcw..nmont ol>Illlllionl ". . " , . T..-..""1ll.....- ""., , " , . 0Ih.. ."".... _ (.tllCh ..hldul.) " , 10275. 13820. 7 Loa... to IlOOIchold... """ . " , . Mortgalll .nd ,OIl _II loa... - " , " , . Other InV_n11 (.tllCh IChldul.) " , 5490. 5490. 10. Sulldlngo .nd _ dlpfaolabllUlIII " , 128584. 180520. b Lila lOOumulIlId dlpfaelalion , ' ,. , 63084. 65500. 88244. 92276. ". OopllllbM ..... .,.."". . " , b L... lOOurnulllId daplltion .". , " , II Land In.. oI.ny amortlzation) .., , ., , 1:11 h"'n~. .g"llII1llf1iulll. onlyl ., , b Lila lClOumulllId amDl1izalun , , " . Other ...11II (ItIIOh ..MIlul.) , , , - 14 ., , " Total .glll ....."..,. , " , 116004. 133314. UIbIII.... and Stooklloldef.' Eqully 11 Aceountll payollll .,...",. . " , 762. 17 Mof'..... not.., bontl, pev....1n ,".IMn , Y'" 11 Other e"".nt IIIbIIlIIea (.tllCh ..hldul.) " , 29982. 40594. 11 L..... "om IlOOIcholdarl ,..". ..,. III Mot,...., "01.., ...ef. "V'.'I'" 1 Y'" or motl ' , 11 Other Ilabllltl.. (.tllCh ..hadul.) , , '., , ZI ClpIlalIlOClc: . Prlll...ad IlOCIc " . ., , b Comnon l10cll " . ,., , 100. 100. 100. 100. 13 Pold-In Of capltII.Ufp!ul "'" . .., . 14 ...lMtetl NnlIn."AH,op'lIlt. CIllton .on,"". , , U Rllainad lIIn1ng1-Unopproprlltld , , " . 85160. 92620. II L_ _ 01 ""''''Y IlOCIc '" ".. " , I" %r Totalllablllll.. Ind ._hold...' ...ultv " , 116004. 133314. NOli: Vou ... nOl ,oqulrad to c~11II Schadul.. M-l .nd M-2 bllow n lh.1OIIJ .glll on 1101 15, column Id) 01 Schldul. L If' I... Ih.n $25,000. I Sohldull M-t rRlconcllllllon of Inoome LOll Ir Book. With Inoom. Ir Return I NIIlncorno (IoU) pit b.... "" , , , , , 7 4 6 0 . 7 1_ ,aeOfdad en boolc. thiII yoar not I Fldltlllncoml... """",.", <9960. Includldonthill'....nIMIITll..): 3 e.c.aolcapllalloUoaov.....pllalgalN" ~f.;::~~ ,.______________ 4 Incoma .ubjaello.. nolr_dId lIIl b..... ___________________. IhlI yoar IMII'I'iI.):_______________ .__________________. ------------- ------- ---. . DlductlOlll on lNI '....n nol chargld .golllll boolc I_ IhlI VIII (MamI..): . Dip/_lion .____________. It ConltlbuUon, . MIry"" ".___________. 1 l!llp_ '_did on booka IhlI VIII nol dldUOlld OIl thiII IllUfn (ilIna.): . Dlpfaela_on ". .____________ II ==~, , . , . .______:tOJ..P_.__ · l:.~:'-:'::"t '" . _______t6_~_.__ .------------------.. -------------------. ------------- ------- ---. ---- - -- ---- - - - ------ - - -.. 4655. . Addi0ll7.ndl ""'.",,, 2155 . 10 IncMII IIn.21 . t -Iln. II... in.' Rltlln.d Irnl". .r Bookl Llnll 25 chlldulll 85160. ' . Ollltlbutlonl: .Calh "'" 7460. II Stock '.... .. " . Propllly .. .. .. " . Othll d..r..... (MIITll..): _______. .. --- ----- - ---- -- ----. . Addlln,,' lIveu hS ,..",.., chlldul. -2 Ani III 01 Un. ro rl". 1 S.lIno..t b.ginnlng 01 VIII """ Z Nlllncorno(I_)Pllboolc. """ , , . , 3 0IhIr lnor..... (MIITll..): ________,___. 2155. .-- -- --- - - - - - - - - --- - - - - -.. ..- -- --- -- --- - - - - --- - - - -.-.. .-------------------- .--------------- ------ --. 7 Add in.. 5 .nd 5 , , , , , , , , , , , , 92620 . . B.I.ne.1I .nd of g, IIn. 4 I... IIn. 7 CFIIU 1010"a.. 92620. 4 Add Nn.. 1,2, .nd 3 4 Hm 23-2099014 t~ ~.o' 2 Lllt.d Prop.rty - Automobll.., C.rtaln Olhlr V.hlel.., C.llul.r Telephon.., C,rt.ln Computer" .nd Prop'rly U..d lor Ent.rtalnm.nt, Rlcr..Uon, or Amuum.nt For .ny.tNeMt for which you "' ualng tn. .lanllllrd rrOl..ge ralO 01 d.dUC1lng I.... ..p.n.., oamplOl. only 220, 22b, eolumn'I.' lIIrou h 0 01 8aotlon A, .1 of 8aotlon B, and SOCltion C H . Iloabl.. 8aotlon A - o.proelaUon IIId Olll.r Inlorm.Uon C.utien: S..ln'~U01Ion'IOIlimrlltion'IOI .utomobll".) ___ :I2a Do you have .vld.nc. to au art Ihl bualn.../ln."Im.nt u.. el.lm.d? IllI V.. 0 No 22b If "V.... I. tho .vldl~ltt.n? IllI V.I 0 Ne ". lutln... In"..tmenl u.. p.,oent.,. "U Typ. of P'~.fIV IlIollllhltl.. ttftll ,., Dat. p...d 1n"''Ik:. !., COil Groth., ba.l. '" B.,I. for I1tPllollllon Ibli.ltl",llnn'I"'..,1 "..onIVI ", A.oo",.,V p.,lod 'II M'lhodl ConventIOn /hI O.pr.c..llon a'auctlon 'It EI,cl.o l.cHon 11' COli Z3' ~ropony uaad """olhln eo% In a ",11ft.d bUlln". u..: 92 MERCEDE 12 09 93 85.6 90 AUDI 1 23 93 81.3 34,45 12 00 43 10 9 227 4 60 2 952 Z4 '" UI.d eo% 0I1aoa In, uallftod bUlln_ u..: Z7 Total bualn_/lnvH1mo", mjl.. drlvln during III. year (00 NOT lnetud. ClllTrnutlng ",I.a) . zt TelIl eOlMlUtjng rl'iIao drlvon dutlng tho year zt Total oth.. p..aonal (nonclllTrnutlng) rl'iIaodrlv.n ..""".,.... :10 Total""''' drlv.n dwlng tIl. yoor. Addlnao27t1veugh28 , . , . . . . . ZJ Add amounta In Column (h) Ent..lh. tOllI h... .nd onlln. 18, p.g. 1 .,......., Z8 Add amounlO In column (I). Ent.r Ih.,011I h.r. .nd on lin. 7. e. t ....Uen 8 . Inlorm.Uon en UI. 0' V.hlel," . II you dl;luCI l.p.n...IOI v.hlel..: · AlwaY' campl.t.lhio .octIon for ..hle'" ulOd by. .01. proprl.IOI, p,nn... 01 olh.r """".than 5'''' own..,' 01 lel.t.d pinon. · II you prcvld.d .ahlcl" to amploy'". ftrat .naw.. Iha ulltionl In SIC, C 10 "" H ou m"l on ..el tion 10 C I.tin Ihl. .... for Iho.. .lhleIH. (.) (b) (e) (d) (I) (I) V.hlcl. 1 V.h10112 Vlhlcl.3 Vlhlcl. 4 V.hlcll 5 V.hlel. e 2140 15320 360 4680 S/L - S/L ., S/L - 25 7 552 28 31 Wu the v.hIcl. ..oJIobl. 101 "",onal u.. dwlng oil-duty ho...? . , , , , , . . . , X X 3Z W..III. vohlolo UUd pr!marWy by . mer. than 5'4 own., 01 'olalod p...on? '" . X X 33 I. .r!Cthat v.hlcl. a.aiIabj. /01 paraonal u..?..,................ X X ....llon C . Ou.allon, lor Employ... Who Provlda V.hlel.. lor UI. by Th.'r Employ... Answer thoao qUMtiona to dOlarmln. H you rTlIIl.n ....ption to camplOllng SoctIcn B. Not.: SOCl1jon B mUll ,'w'YO b. C~lot.d for v.hlcf" iliad by .01. Ploprlotot., paltn..., or othll more than 5'4 cwn... or r.'al.d ...on.. V.. V.. 20000 No V.I Ne V.. No v.. No v.. Ne 101 O...r.llen.f ...tl (., AmofUI.ble M'lounl ,., Cod. UClUon III Am." P.,lod 0' ,.,etnt.,. V.I Ne X X X X X ,f, AmofU..llon !elf Ihl, ~.., 34 Do you molntaln . W11aon policy Olat""''''lIIot prohlbill all p...onal UIO of v.hlel... Inctudlng commuting, by YOut ~? .,"',....,.,...."."....."...,.."".". 35 Do you maintain, wrIaon policy Olat""''''lIIot prohlbill p...ona/ UI. of ..hlel... ..c.pt oommutlng, by yow emp/oyMa? (S"'natuellona for v.hIeloo Ulad by eOlpOlIt. ofllc..., dlfootor., 01 t'''' 01 more cwn....) 3100you....toJlUOOol.oIlIcIoobyemp/oyMaup...CnalUI.? ,.,"',..,....",...." 37 Do you provklo mer. than fIv. v.hIcl" 10 yo'" ""1>/oyMa ,nd rOlllln tIl. InfOlmotion rocolv.d ~em youI employ... COMernlngtlltuooolth.o..hlcIeo? ...,",..,"',.,.,.,....,............, :It 00 you rTlIIl tilt roq"_ CO/lCerolng quollftad .utomobW. domonotr.tion III.? ...,.,..,..... Not.: H ur ,noWer to 34, 35, 311, 37, 0135 II "Y",' u n..d not Clot. SoctIon B fOllh. cover.d v.hlel". P.rt VI Amortlz.tlon 31 AmOItiz.tion 01 COlli thai b. 40 Amortization of COlli thai b.gan b.fOlI 1884 , . . . , . . . , , . . . , . 4t Total, E"'.. her. .nd on "Oth.. O.due1lon." or "Oth.r E.p.n....lin. 0\ your rolurn Hm 40 4t 6 CFIJQ7 01/20/'4 ,-,j"-', 4626 Alternative Minimum '"8x-Corpor8t1on8 ~MOMB No 16"&-0115 Palm (Including environmental lax) D.ptrlm",l of I h. T ,,,,UfV ~ 11M l.pIIII. Inltruotlonl, ~~94 Inlll"11 "ennu. ..,...101 . AltMh 10 111. oOl1lOtllllon'l1b t.tutn, -..... I C!TIpIOV" Id.nll'IUllonnumb.r !tOCO, 1.NC. 23-2099014 1 T...blllnooma or 110") bllorl nil oparlung lOll doduotion, Ilmport.anl: SIIInlUuoti0l11 W Ih. oorporltion II lubjoo1lo Ih. .nvlronmantal ....) . , ,.. , . , ," , . . 1 2.155. Z AdJultmonb ond pt.,.t.no.o: . Dlproolltion 01 pOlI-1* prep.rty .,. , , , Za 549. b Amof1Ization of olf1tllld pollution conlrolllollllJ.. . , Zb e Amot1lzation of mining 1""lorltion .nd dllYtlopm.nt OOtto Zll d Amot1lzation of olroulltion ..ptnd~ur.tlp.roonal holding oamp.nl.. only) 2d . AdJutlld gain or lOll ," . Z. f Long-ttrm OOnlrloto "" , .", , Zf glnllllJlmont ..III ,.,.". , ." . ' , Za h Morehlnt marin. olpllal oonotruotlon lund, . , , , Zh I Bootion 833(b) d.duotlo" IBI~t ClOOI, Blut Bhlllld, Ind ,Imller type organlzationl only) ....' , ,.",. , '.'" ,-. . , 21 I Tile ,htllor farm lotIvltlll (pllton'l lorvlGI oorporltion' only) " , Zl k PI..lvl lotIvltlll (010l11y hold Oorp'l .nd pllton.1 ,orvlo. OOlpo'ltionl only) Zk I Lou IIm1tationa ".,.,. , ,.." , ".., , ' , 21 m Olpllllon .".,.." , ,.". , '.' , l'JtI n TIle-I.omptlm.r1lt ~om .poolfl.d prlvlll Ictivlty bond, '" o Ctwttobl. oontrthutlon, ,'" . ."., , ",. , Zo P Intonglbll drilling ootlt .'. , .,.,. , ,.., , ' , 2p q R..IfV" for loti.. on b.d d.bto 01 ~nlneltllnl1llutlonl Za t Acotllll..d doproolltion 01 r..1 proplf1y Iprt-lIl87) , . Zl . Acotllllttd doprlOlltion o1l....d poroonu proptrly (prt-lIl87) (parlonol holding Oamp.nllI only) ." . .",., , ,."., , ,., , , , Za t Othll IdJuttrnonll ,.,., , ,.".. . '."., , ". , , , zt u Comblnl llnel 2a through at , , ..".. , "",' . " , " , , , ZU 549. 3 Ptlldjuttmont a/tllnttivl minimum IIlCIbltlnooml (AMTI), Comblnllln.. 1 Ind 2u , . 3 2.704. 4 AdJuItld tutrent .omlngl (AC!!) .djuotm.nt: . Enl., the torpo,.tlOft'. AOE ',am lIn' 10 or lh. wO'lltn..' on page. 0' Ih.ln.INollan, . , 4a 3.488. b Bublrtollln. 3 from IIn. 4a, If IIn. 3 ..clldllln. 4., .ntll tho dlfflllno. II I n.gativ..mount ""., \ , , , , , , , , , , . , , , , , , , , , " , 4b 784. . Multiply IIn. 4b by 15% (,15) and .ntor th. ,..uh.. I potltlv. amount " , 40 588. d Entor th. '.0101, W .ny, o1th. oorpor.ticn'llotallnorttl.. In AMTI ~om prior ytIt ACE .djuttmonll OVIlItI total reductlonl In AMTI ~om prior VII' ACE IdJ_nII, ",*, Vou mu.t..nlot .n lmount on Iln. 4d (tv.n " II", 4b I' pOlItlv.) ..."", , ,."".."." , .", , , , 4d 1 874. e ACE adlUltmont: . " you .m.r.d I potltlv. numbot or 1110 on IIn. 4b, .ntor the amount ~om Iln. 40 hot. a, . potltlv. amount. } 4a 588. . "you .ntoted . nllJltiv. numbtt on Iln. 4b, .nttt th. lmallll o1lln. 40 or IIn. 4d hot. II . . ntgotiv. amount. I ~In.llnll 3 .nd 4', If 1110 or I"', ttop hot.; the eorpor.tion dOl. not nw. I~ernltiv. minimum 1U ..",.." , "," , , , " , ' , , , , , I 3 292. . Altllnttiv. 1U nil oper.ting lOll dllductlon ..".., , ' , . , " , , , I 7 . -IR1mum 11I_ 'ROO..... .ubtr.... II". . h.... IIn. 5 ' , , , " , , . 7 3 292. Hm Pot PllfIOrwotk R<tduatIon Aot Notloo, ... a.",,1de In.truotlonl. Form 4828 (19941 7 OP'''' 12/09/14 .. - - Charitable Contributions 1994 T 23-2099014 Form 1120 1(OCO INC. SIalamlnl l::harllabla Conl,lbullona CarrYover CoIltrlllullOll' carrytorwlld \0 Amoun' o.duoled In ContrlbUlloll' CIn'/l_"d ...... V'" End Cu",n'V- c.,,'n'V_ 'n ..... v.. U 31 89 121 31) 90 1. 084 . 1,084. - - - - 12 31) 91 830. 830. 12 31 92 12 31 '93 2,693. - -- ;l.,693. 12 31 T94 3.010. Tolll ComIf_"d 4.607. 7.617. currant VII' Charltabla Conlrlbullona o..o,lollon - Ameun' !CONTRIBUTIONS 3.250. ---' - Tolllou","I.,.. ol\Ill\All4ol OOII11ll1ull"" 3.250. , . ,n. .0./0....... 0'.... O'"I1'~ 12 - Adjusted Current Earnings 1994 r- 23 -2099014 Form 4828 lOCO. INC. Work.hltl , Prt-adlul""anl AMTI (tmar Iht tmount kom lint 3 of Form ~626) . , .." , ' , , . . ' , . , 1 2.704. 2 ACE dtprtclation adilll1mtnt' a Deprtlllation exptnlt rtllomputtd fOl AMY purpOln ..", . 2a b Deprtclation exptnlt rlOomputtd 101 ACE purpolto: (I) POIl-leG3 proptrty ,." . 2bll) (II) POIl-196l1, prt-18Go\ proptft,' , . 2blll) (III) Prt-lm MACRS p,optrtY 2b(llI) - (Iv) Prt-tm original ACRS proptft,' 2bllv (v) Preptlly d_lbtd In Idona lea(f)(1) Ihlough (4) 0 , 0 . , , 0 2b(v) (vi) OIhtt proptft,' ,., . .., , 2blvl (vii) T.,.I depreciation I.ptnl. rtllomputld fOl ACE purpo,," (add linn 2b(l) Ihrough 2b(vl)) """".",,""",. . 2blvll 0 ACE dtprtclation adl""",,tnt (Iubtr.clllne 2b(vll) kom lint 20) ",. ' 0' . 0' .",.,' "", 20 784. 3 lnolwlon In ACE 01 htmtlnoludtd In t.,nlnga .nd profltl (E&P): a Tax_lXttnpllntttnllneomt ",.".' "".",..,.,' 3a b Dlllh btntfltl from 1111 Inlurano. oontrlcll , , 0 0 0 0 , 0 0 0 ' 0 , 0 3b 0 All othtr diIIIlbutlonl from 11I.lnlUrlnet contr..,. (Ineldng lurl.ndtrl) 30 d lnaldt buildup of undllblbut.d lnoomt In lilt Inlurlnot contra'" .0 0' 3d . Otl\tr llama (... Regulationl Idonl \.ea(g)-1(c)(6)(III) Ihrough (Ix) for I partilllltt) ,."".,..".,....,""'" , . . 3t I ToIIIIflCI''''10 ACE du.'O Inclullon In ACE of hi"'" lnoludod In E&P (.dd IIntl 3a through 3.) ",. . 3f ~ DiIIIlo"N'nc. of htmt nol d.ductiblt In computing E&P: . Cnn dlvld.ndl rlOlIYtd ""," , ".,.",.,'" . q b Dlvldtnd. paid on otrtlln prtftlrad ltuCk of publlo utlllti.1 lhaltl' dtduotlbl. under ltolIon 2~7 "".,' ".,."".,.,' ~b o Dlvldtndl paid 10 In ESOP IhlllI. dlduolibl. undtt Idon 404(k) 40 d Nonp.ronag. dMdtndlIhllII' plld Ind deduotlblt undtf Idon 1312(0) ,.,.",..,.,"',., """".,.,. , , ~d . Qlhtl hama (I" RtgIllationl Idon U6(g)- 1(d)(3)(I) and (II) 101 a pII1Ialllttl ,...,...,.,."...,",..,"" . , 0 41 f ToIIIlnot....10 ACE du.'o dlltllOWlno. of htmt nol deductibltln computing E&P (.dd linn q \hIough 4.) ",.".""..",.,"",.., 0'" .,0" 0 00.,.,00 41 6 OIhtl adlUS1mtntl b..td on rul" lor computing e&p: . Intlnglbl. drilling c'" -' , .0.0' " 0' 0' 0".,00 51 b CltCullUon .""tndl\llr" , 0 . 0'" , . 0 0 0' ' , ,.' 0 ell 0 Or",n1zauonal .""tndltUf" ,0' 0' " 0" .,0 o. ,0 1lO d LIFO Inv''''OlY .djul1lnl"", ,'0' 0 ." 0' ,0 . ,., 0 5U . Inl1lllmtnt atI.. 00.,'0" 0'" ."., . " , 000' at I ToIII oIhl/ e&p .djultr'nt"'" (eonmlntlln.. 5Ilhrough 6') .,00" 0'" 00" 0 ,..., ' 61 e Dlllllow,nc. of lOll on tllChlngt of dtbl pooll 00""""" 0,00 0.000 ., 0 0" 6 7 Mqultlllon .""tnl" of 11ft Inluranot camp.nln for qu.llfI.d 100tlgn contra'" .0..0 00'" . 7 e Dtplttlon ...".,'" 0"""'" 0,,'0""'" 0 o. 0'" 0 0" i" e g BIIII .dlu.""tntlln dill/mining ",In 011_ from ..I. 01 ..ehlngt of PII- 1~ preptlly , .,,0 g 10 Adju_d Du".",..mlngl. Comlllntlln.. " 2e, 31, 41, .nd 51 Ihrouyh go Enttllht ,nuh htl. .nd on IInl 4. of Form 4626 0""""""""'" , 0'0""""'" ' ." 0' 10 3.48B. \ . 1".IOI/Col'n,."". CFII" 10/"/" 14 o IOIl..II.,"lleUl......: III 1Inllleil,.IU,n IJI r] :l'lMlflhlln iJI fl Chtngeoladd,U. ,. Of... ,,,'.', 11M' ..,.. 60:1 , 927. I it t... 'tluff'll/allow I I Colt ol goodl told (Sohldull A, IInll) , 01_ p,oflt, 8ubWlC\ IInl 2110111 IInl 10 4 DMdlndt (80hldull C, Ilnl 1e) ". I ''''''Ill .. .. . I G1_'lnllI . .. . .. .. 1 Ot_r~ ,. .., .. I CapltaI galn nil Income Ilnach Sohldull 0 (FOIm 1120)) . Nelgaln 01 (1_) 110m FOIm 4787, PI~ II, IInl 20 (1lIIoh FOIm 47e7) 10 OthIIlncome (.ttach tchldult) ..... 11 ToWlnooma. Add Iln.. 3 Ihrouah 10 ' . I 11 ~lnMtion or olftc"l (Sch.dull e,lInl.) Do" SalaII.. .nd w'IlI' (I", 1"..,loymtnl erodltt) ... II d 14 Rtpaitl .nd malntlnAncl . . . . . I II e.ddlb. ' . , ~~IIRlntI ,. ... ... ~ I 11 Till.. .nd IIo.no.. . . . . . . n I ,. IntefMt , . ' , , ' , , .1 I II Charitabla COnlrlb"lion. (lIa Inlll'UCllon. tOl 10% IImllltion) : = 20 Dtpltclation (.ttach FOIm 4582) .,. . . . ' . L~ . 11 L", dtpraclalon eltlmad cn Schodul. A .nd IllIwhlle on rltuto [!!!J 21b loZZDopl1tlcHl ..... ... ... 22 nnZ3Aclvlltlllng ".., ., .. .. Z3 . I d 114 Ponolon, proflt-.hatlng, otIl" piano , . . . . . . . 24 ~: II E~loyaabanafltp'OlP!IITlI , . . . . , . . . 25 e u II Othor doductiono (attach ochadulo) .. . . . . . . :za Ie I t rr Total dadu'-a. Add IIn.. 12 through :za ,. . ' . . . . .. rr = ~ II "lllIblolncomo botClo nil op",.lng I... doductJon and ,pICIaI d.dU<lti~n.. S~bll'acllln. 27 110m IIn. 11 28 on II L..a: a Nllop"atingl_doduction "....,.,...". 1298 I · b Sooolal dldUC1lono ISohodul. C, IIno 20\ . , . I nil I :10 T.....Ino_. Subll'ACl IIno 2llc 110m IIno 28 ., .,. ' , '1 Total... (80hldulo J, ino.1O) .",., , . . . , . , . . . . . " .., ~ ...~: a ....,""',.".,..... '"I ~ 32~. . II 'Hh.llrMt.d Iu,.~t. ,.." 3D o ~... '".",.......'~.,....'........ 3Zo ( d 801. :l2d o Till dtpoal\Od wtIh Fcnn 1'004 ..... . .. . .. :120 I Olodlt 110m rogulalod In._'" c~nl.. (.ttach FClm 243g) 321 gOlIdR tor Fod"allax on tu. (attach Farm .,38) . .:I2a :uti Z3 El1Imalod... ponally, ChICk K Form 2220 II .tllIch.d ... . . . . 0 33 114 Till cIuo. H ino:l2h Iti.malllllhln tho total oIlIn.. 3t .nd 33, Imll .mount cWld .. 34 :II O.orpaymen1. II inl :l2h Is Iarllll thin thO total cf IIn.. 31 .nd 33, Imll .mount overpaid :IS :II Entll .mou", olin 35 .ou W."': ClIlI\ad to ,... ..dmotld'" . 2 O. Rolunded. :Ill u"u, ..~ltl.. of p,,~"y, I ciM"" lhl,1 "Ive IllarTl",.d Ini.,.luln, InClUdlf1,.ccompanymg letl,dul.. and "el'men'., Mello I'"~ D'" 01 my _"OWI,de- M' bln,r, It 't'rUI, COfflCl, IIld campl.t.. Olclafallon of Pflpl'II (01"1' than Illlpayll,ll ha..d Iln'U inlofrnflllon 01 whlah pr,pIII' h""')I .nowl.dg' room 1120 O.ol,llI'I,nl of lhl "..'U'V Inltlntl "lIIVlnUI'"vlfll A Ohl.IlIt,: , o...ell..... '11"m Illl..hFOfml I ""'.5, Corporation Income Tax ReI fOl ~1.n1'f V'" !(In (It tu yn, b'9Innlr\~ _ _ _....~ _ _... t' IQ9!J, 'fHhnW _ _ _~. _ _ _ _. llJ .. Inll'Ucllon. er. 11....11, SI. .Ia. I for P'.lIwerk Rlduollon Acl Nelle.. UII DIAl llllal, o O!her- wt.., prlnl or typo, ""ON' ".,...,... IIHI.h .'h,lIH 3 '''.onal.....IUcolp. ,..."......,........y A . ..c. ""'-4T.. KOCO, INC. 2700 L,INCOLN ST. CAMP HILL, PA 17011 I n o o m . I a 8'1'" 10 2 3 4 I I 7 I . 10 .. 11 12 13 14 15 18 _J1 . 11 ,. T I . 2te 30 31 I n d P I Y m . n , . 323. 4776. Pl.... Sign Ii.r. (iMHNn 1!14'1..()\2J -----_.-, c(W~)95 It limploy.r IlUrrl\III(11IOtlf1\,mUI' 23-2099014 C O.ltmCO'Il(J,".d 04/17/79 o 1 OIII....IIIU. SP.tl!~~ $ 148,305. 60.21 927. 14.246. _589,681- 548. ~Jll~, 5.306. 597 819. 166,863. 169.622. 1.094. 19.800. 19,254. 3,762, 10,832. 86,186. 20.451- 66.094. 563.958. 33.861. 33.861- 5,079. 5 099. 20. . IIlMh..,. 01 olfl,., -"~ p'....".... (/.. "'\ ry V7 //l ') "...."" ,.. l f I.....~ ,-, (, " ,""1 t ;'/If ( ,/:4 F"m'._.'.Y.'~ THOMAS C. WETZEL, CPA Y""'''~~JI'' . 36 WEST MAIN ST "",to.,.II. - . ""....".. MECHANICSBURO PA ~ . PRESIDENT - Oal. - TIU, jOll. _ Ie, I P'tpal.,'IIOC1II ucamly "lImo., - I~ /. Ie I "h.." /?';"(1 ..".....lOy.'lllI 168-36-4969 EIN . 23-2169741 z,.c.... 17QS5-"'U~~ I . ..J.rIiV --- . Pold Pit"","" U.. Only 1 CFlilOO 02/16/16 JUA '"m 7004 Application for Automatic Extension of Time To File Corporation Incol11e Tax Return OMS No, "4&-0133 IA...., Junt 'tI'l Ott)I'lm.nt of thl TI..'UIY 'lelne' A.....nu. "'~I" .mt of cafp.,.llan EmPIOY'/ICI.nlllfCA'IGnnum.'t !l:OCO, INO. 23-2099014 ~'" '1'''1, and loom Ol,Ullt no. In. P.O. DOll Of OUII'd,lhl Unll'. 8Ia',.,'" In",ucIIMI,l 2700 LINCOLN ST. Clly 0' lawn, ",'t, IInd ZtP ooa. CAMP HILL, PA 17011 Check typo of ,lIu,n to b. fllo<l: III Fonn 1120 0 Form 1120-F5C o FOIm 1120-A 0 Form 1120-H o FOIm 1120-F 0 Form 1120-L o FOIm 1120-NO o Form 1120-PC o Form 1120-POL o Form 1120-REIT o FOIm 1120-RIC o Form 11205 o Form lIllO-SF o Form ggo-C o Form ggo- T porm 1120-P nlflllCheok hll' K you do nof h.y..n offlo. or pliO' of bUlln""ln tho Unh.d Slit... ~ 0 ".""",' . " 1 . I roqu",an automatio a-month lor, lor o.rtaln oorpor.tionl, 3-month) lI,tonllon of timo until._____JlJJ.JL-.-., lQ.Jl_6__., lofllllh.lnoomo lOX ,"'urn oflh. oorporltion namod Iboy. tor. lID eal.ndat V..r lQ.22__.0I ~ 0 tax VOOrb.g1nnlnQ,__________,__. ,'Q.____., Ind .ndlnll._________,___.' 111.____., b II Ihll tax year II for 1"" lhan 12 monthl, ohock rouon: o Initial rlllurn 0 Final ,lIum 0 Chlngoln .coountlng porlod 0 Conlolldaltd roturn 10 bl fllo<l Z II thll . Ilcation 1110 OOYIII lublldla,l" 10 b. Includ.d In a oonlolldatod roturn, 0 Nam. and adelr..1 01 _h _mllor 01 Ill. atnllaltd Tax rlod "". .., ,."" , .,.."""""... , 3 5 099. 3 T.ntativ. tax , , ' , , , , , , , , , , 4 eradlla: a Ov.rpavmont Cl.dltod from priof VIII 4a b Eltimatad tax PI)mlnla lor th.1IIX VIII "...... " , .. .. ' C L..I ,olund lor lhl tax VU' appliod fOl on Form~ """'" ..., . Crodn from roQutalod InvOllmlnt c~nl. I Crodntor F.dorlllllX on I"'" , , , , , , , , S Total, Add Uno 4d through ~I ,,',' , , , , , , , , ' , . , , , . , , . , llalanca dua. Sublract IInl 5 rom IIn. 3, Dapollllhla _nt"-onloaUy or wtlIl a Paclafa! Tax .It l'TD Cou " . " .. .. . " .. . .. .. .. .. · 4 776. ,,,,.,,t..- . ,.na",...' ..r""y, I ~~" .". ....."".."....Y ,.. ............". .......,,"".. .....,,,,, ".",,"on, "'''0'.00,,'0 my .n.'''''' "'. ..".f,'. t... II mo..... uu.,.e ,,,~ -'''', . .__ _______!::::_~.:.____~----. .___________Q~~__________. .:1!7.Lf.!!--.. / llllN'''''. 01 OUlf" or 1,,"11 (Tlljlt- ~, /- 101'.' CFli132 10'1" 323. 411 ell 4d 4a 41 323. 5 323. 1<OCO INC. c I U' 0.1 0 ood. Sold 1 Inv,n\IlfV .t b.glnnlno .t y..r I Pureh&'" " ' .. . 3 COIICIlIabOl """,. Addlll- .-.n 2031< ..... (.IIA.h ..h.d"I') . ()III" .0IlI I._h ..h.d"") . T..... Add ~n" I \hI.uOh e ",.., 1 InVln\llfV .,.nd at VM' """.,' . Coat 01............01. 8ublllct ~n,'''om Mn. e, Enler hll' .nd on P'O' I, Iln' 2 .. ChlOl< 1M f\'lIlhOdI UI.d tOl .lIulno eIOllngln..nlOI'(, III 0 ColI u dllCllbed In FI.gull~.M .acti.n 1,471-3 \111 0 LOWIf CIl ...1 Ol mat~" .. dllOllbed In R.gullU.n. .action I,47'.~ 111I1 0 Q\hIl (SPaclty~ocI llIed .nd a_h a""IIMU.n,) ..----------------------- -- ------- --- ----". . _.-...-..--.-..".'......-,.."..01..... ..0 . ,_... "'" __..... _ ___........... _" o~....... '0. .., . .. ..' · 0 . :::,.::::::::,.;;~..~.....~::~~~"':':""'I~'~~' .... G.. \ . 00 \hi,..... CIlllCliOn 203A It Of prOPIl'l'/ pr.duc.d 1lI.oqull.d fOlIl..I.\ .pply 10 Ih. 00,pOl.~on1 , . , . , . , . I \HlJIlhIf' any ehlngeln d_m1n1ng qUlnlhla., 0011,01 .lIUllllonl bllW..n .p.ninO .nd clolinglnv.nlOry1 " "'I'll," a_h'~ llna~on "",."",,"",.,.., --..--" [SChldUll C) DlVldlnd' Ind Splcl.I Deduction. I -- Dluld.ndI-Of'I\ \III.lhln.2Q....own.d _.110 eOlpOlltiOn.thlt... lubjICl to th' 70'.. d.duo1lOn (0\11II \h&n dlbl.ftlllnc.d IIOC~) """,.."..". DI.ld.ndI-om 2O'.4.Of-mora-owned domllllc oOlpOllll.n. Ihlt..' lubleollO th. eo'.4 clIduo1lcfl (O\IIIIlh&n dlbl.ftlllnc.d 11001<) """."..,',... oMd.ndI on dlbl.ftnanc.d I\OCIl of domllllc Ind tOl.lgn OOfpor.~.n' (lIoti.n 246A) Dividendi on QIf1Iln pfallft.d IIcclc CIl ieII_\hIn.20'.4-...n.d public utilltill ' ' , ' ' Divld.ndI on QIf1Iln pf..oned 1\OOIl at 2O'.4_Of.mor.."",nad public utillti.. Dlvld.ndl-om iIII_lh&n.2O'.4-.wnad tOfllgn oorpOlltiOn. Ind o.rIIln FSC.thll er' .ubjlCllO\hI1O'.4deduo1lcfl "" , ' ' , ' ' ' ' ' ' ' ' . . , . , ' , , ' . ' . , ' Dividendi-om 2Q%-Of_mor..owned fOlllgn eorpOlltiOn. Ind o.rIIln FSCI Ihll II' .ubjlCllO\hI~ daduo1lcfl """""",,""',.,",., Dlvldll\Cll-om..hOllY "",n.d forllgn .ublldll,l" .ubllo Ih. 100'''' d.ducti.n (."" 245(b)) T.W. Add ~"" I \IIIough e, SM InI\lUOllona iClliml\ltion """.,. Dlvld.ndI-om dcmeI\IC eOl1loraUOlII rlOllv.d by a .mIll bu.ln'" Inv..lmInI e~ny op..~ng unell< "'. 8...... 8u1ln_lnv..""enl NJI at IQ58 11 Oivldendl-om ell1&ln FSCllhIlllllubllCll I."" 100'.4 d.duction (.action 245(0)( I)) , 11 Olvld.ndl"om aft\ll&lad ~.UP 11lIfI'O" aul:l\lCllO "'I 100'.4 d.dUOllon (.lOIlon 243(1)(3)) " 0Ih1f dlvId.ndI-om 100llgn eOl1lOlltiOlll nol Includld on "nil 3, 8, 7, e, 01 I I 14 Income _om conll'oIIed iClllonc<<POlI~OlII undlf .ubpart F (l\IIoh FOImI') 547 I) ,. Forllgndlvldlnd~OII.UPllaction18) """",.,"',.," 11 Ie-DISC Ind ioImIf OISC dlvldlndl nClllnclud.d en II".. 1,2,01 3 (Iaction 248(d)) 17 Qllllfdlvld.ndI """"""",,',.,",...," 11 Olduo1lcfl iCl dW',<llnd' paid on olllaln pfll."ed IIOOIl 01 public ... """. 11 T.... ..vi.......... Add~" \ \h!ough \7, Enttl hlfl and en Iln' 4, page I 3 . . , 7 . I 10 (.., 100"- lecYllty numb" - (I) ......01 elll'" 361-30-7320 100.00' , , , , \ PIETER KOOISTRA I 3 4 T~' __I....on 01-.....- ..- _... ._" u,,~~."" ' ' ' ' ' ' ' ' ' , ' ' ' . . . . , C~'lIIItIOn CIl oIt\Clfl clIimld on Soh.d"'l A and IIIIWhlf..n ,lIum SubWlet Mill 3 _om ~n' 2, EnllI "'I r"u~ hlfl and en ~n' \2 · I CFlaol 021'1111 7,3_2,099014 P3lI~ : - ----------- --------- \ Z 3 4 . . 7 . -----. --- 14,246. 141246~_ _-1-i,246. o Ve. ~ No ta) Olvid."".1 lfUIVld (b) '10 o VII ~ No (c) SPt,1I1 cltduellC)flI' J.\,tb\ - - -- ... in.lluellon. 42 48 70 80 I '00 100 100 - 548. ,. 548. .. (f) AmOl.ln\ at eOft\p,,,"llon , , , , , 166 863.- ---- 166,863. 166,863. Form 1120111l9ll1 KOCO, INC [ Sch.dul. J I T.~ CompUlltlon -, 2:1-2099014 Page 3 __~M"" I Chock H Ih. eOlpOl..on II. merm" of. eon.oIl,d group (I" uotionl 150\ .nd 15631 ..U .. II \II. boa on Nne lit OhlOk.d, .nla1Ih. eOlp"'ation'. .h... ollh. 150,000, 125,000, and Ig,g25,000 ",..bla lnoomt black.. (In thaI OIdlll: I (2) LL- J (31lL._... (1) I. ~ E_ tilt oorpOldon'. IhaI. of: I: (11 AddltOMI 5% 1M (nOl """.than '11,1601 j (II AddltloMl 3% 1M (nOl """. than . 100,0001 3 lnoomt ..., Chock IIIit baM ~ 'h. aOlpOl..on II. qu.lill.d p".o/l.lll ."vlc. oorpOI.tion .. d.fln.d In ""'on ~d~21 ."" . ,.."""".", . . . , . '" . .. . ..0 3 5 079. 4. FOItIgn ... O/.dlt (.llaOh Form I I 151 ."",. ..., """ . 4a b P....__ ... 0I1d" (.ttach FOIm 51351 ' , , . , , . , .", , ~ a Chtol<: ONotlOOll..ntiOnaJ lour.. futl OItdlt 0 OEV ."d~ II" FClIm ll8J4) 40 -- d G_al bUll".. OItdI\. Snit! hII. .nd ahook which 101.. ... .ttaeh.d: 03500 O:Mel Ollll4 011411 o 01es Oesee 08830 0.... 08835 081144 o 5lI45 0.... o 5lI41 , , '" , 4d . Cltdlt for prior ~ minimum "'" (attach FOIm 5821) """" , 4a . Total ..._ Add 1_ 40 through 4a """"""" . , . "" , . O. . SubtrlOt Nne 5 from Int 3 "".,.."",...,.., , ,. . . . '" , . 5,079. 1 PIlIOllll haldlng oomp.nv Iall (.ttach S.h.dul. PH (FOIm 11201) .. . '" . 1 Fltaaptur.IallIl, Chtck H from: 0 F...m 4255 o FOIm..,1 . . , -- . .. . . . ." , . ,. Altffnal.. minimum ... (.beh FOIm 4ll2e) ."". , .., . . . ,.. . It b Environmental... (._h F,,"" 4(25) "'" , """" , . , ". , Ib 10 Tolal"', Add Nn" II \IIroufth 91>, Enllf hlf. .nd .n Iln. 31 a... I ' , . . , , , , '0 5.079. I Sch.dule K I Other Intorm.tlon CFtlO2 02/16/96 I Chock mtthod 01 accounting: . 0 Calh V.. No 1 W.. Ih. aorpOl.ti.n. U,S. .h.r.hold.r of .nv oOl11101l.d V.. No b 0 AoctuaJ o I!lI 0\111/ (IPoc/fv) "M9'p_Il'J...E'p_ _ _. fOl.lgn .0rpOlltion? (s.. ...tion. g51.nd g51,1 . . X I FI"" 10 lilt inI1ruction, Ind .la'l \II, principal: If "V..," Ittach F...m 5411 lor I..h lueh corpor.tion. I Butln_ .....1ty.od. no. . ._5JtOjt________. Ent.r nurm.r of Forma 547 I .1Ia.h.d .. --------- b BUll.... activity . 13.R.OJtE.R. _ _ __ _ _ _ __ _ _ _. . A' .nv lmo during 111.,1105 caJ.ndar V..r, did Ih. .00p 0 PtodUOl........1cIl . S'-ONJlc;.TI:.9~.AR.Y_ _E;Q",UJ; have .n In'lflllln or I Ilgnal"'. or olh.r luthOlIly .v" . 3 Did Ill. eCIIP.....on .1 tho .nd 01 \II. tax yttr own, flnanclal.DODun, In .1",.lgn .0untrV (.uch .. . b.nk d~1DIIv ... Indlrtolly. eo'll. 0/ mort of tho .oting .,cek 01 ..,eounl, l..urIU.. .ccoun" or otllll financial Ic.ounl)? X . domtltic aCIIPOI.lon? (FO/ rulea of .ttrlbution, 1M I' "V..," tho eOlp may have,o fil. FOIm lP F 1lO-22.1. ....on 2lIl'(al,) ...",..",..",,'. . X If "V..," .nl.. name of 100.lgn oountrv .. _ _ _ _ _ _ _ _. ~ ..V..,. atlaoh . ..hldull IlIowlng: (.) name Ind . W.. the eCIIPOI.len Ih. gr.ntor of, 01 UnlllfOllo, . Id.n1Ifying numbtr, (b) plla.ntlgo Dwnld, .nd (al_' 100algn trut' lhal .Id.ltd during Ih. .urronl tax Y"', lnaomt ... (1....1 btfOfa NOL .nd IflIOIal dldue1lDna of whllh" ... nol 'h. eO/p hat anV b.ntllclalln'ff..' In K? II luch .CllPCfllion to< thalall yMr .ndlng w"h 0/ wtthln your "V..," tho .00p moy h.v.,o fil. FOI..... 828,3520, or 3520.A X ... v-r, 10 Old on. fOl"gn p"lcn ., .nV lmo dUllng 'h. tax Vllr own, 4 II lha .CllPCf.1ion . .ubtldlary In .n .fllllatld group... . dlrlotlV OIlndlltolly, .t I..., 25.4 of: (.) Ih.I01II voting P".nt-Iublldla1y oonlrolltd group? ",."". , X pow" of .11 ala.... of I,eek of Iha cOlpOlltion .nOli.d ~ ''VIS," .ntar "",Ioytf ld.n1Ificalon nurril.. Ind namt 10 vot., or (b) 'h. 'olal vllu. of .11 cia.... .t .Icek oIlnl of p".nt corpOl.lon . ._________________ corpOl.lon? If "V..." X ------------------------------ . Entlf p"..ntlgo Dwn.d ..._ _____________. bEnt" ownlf'ICOUntry.. ____________ ____. . Did .ny Individual, partnar.hIp, .CllPOI.lon, ..lal. ... e Th. cOIp....tion ",.V have '0 flla FOIm 5412. Ent" numb.. trut' II Ill. .nd oIth. ... VIII, own, d1rtotly OIlnd~tc1fy, of F..... 5412 l\lach.d .. ..-------------..-- 110"4 ... mort of \III corpor.llon'l voting Iloclc? (FOI rul.. II Ch..k 'hi. boa ~ Ih. corporation '..u.d publicly off".d of .ttrlbutlon, ....lotion 28'1(c),) , , , . , ' , . . X d.b' In.trumentl w~h orllllnallllu. dlleounl .0 ~ ''VII," .ttach. ..h.dul. .howlng namt .nd Idln1lfying II 10, Iha ....pOl.tion maV hava '0 III. FOIm 8281. nUnGlf, (Do nOllncluda .nv Informalon .~..dV .ntl/Id 12 Ent" 'h. .mount of ,......"'9' Intff..' rlO.I... or In 4 abovI,1 Entlf PItO.ntlllI ownld .. J.._O_O_.jtO_'_ _. .oolu.d during Ih.,.. y..r . $.____________. . During thla ... VUI. did Ill. a",pOl.tiDn pay dlvldlnda 13 If 'hff' Wll' 35 01 t.w" lhatlhold". II ,ha .nd ot 'h. \I. (other than mek dlvld.ndland dll1rlbutlonlln "ohango Yilt, ,nl.r Ih. nurm.,.. ___L____________. fCf IIOOklln "CII' of tho oO/pOl.lon'. eurtlnt Ind 14 Illh. .orpot.ti.n h.. In NOl for Ih. \Ix y..r .nd I. I..umulatld .."llnll' .nd ptllfill? (S.. a_. 301 .nd 310,) X tllotIng '0 fOl.OO tho e.rryb'.k p"lod, ChlOk her. .0 If ''VII,. fila Form 5452, H IhIt II. oonlolldaltd taturn, 15 En'" Ih. IVlllabl. NOl c.alryoVff 110m prlOl tax V..r. anlWIf h.... for \II. p,,,", CO/pOlltion .nd an 'otm Ul. (Do no, rI.uc, ~ bV Iny d.duction on IIn. AfflU,.onl Sch.dul. to< ..en lublldlarv, 29..\ .. $ JUA KOCO, IHe. Form tl20 11m) [J_~diK.L I 1.I.nc. ShA.I. A"oII CUh .. .. . ...." .. T'ld. netH Ind leonunll ,..lIv.bl. L'" aIIOW.ne. IOf b.d deb. .." Inv.n\CIlH ' , , ' , , , , U,S, QOY"nment ebllgation. . , . . T......Ifl'4>I.eou'IIIH "..,.,. 0Ih" OUl,.nI"''' (.ttach ..h.d"'.) LOI". 10 .toekhold". ", .., Mortgaga .nd ,Ml Htal' lOIn. .' QIhIIlnvatlr".nta \Ittaeh ..h.d"'.) 8u11d1nga .nd othII dep,IOlAbI' ..... L_ _umuiIttd d.p'eclation .,,' DtpllIIbIt IN" ."""". L_ aooumuillld depletion "" lAnd (ntI of .ny amorlIzation) ", Intan~' ..... (amorlIzabI' eniy) L_ aooumuill.d .moo1IzatiOll .' QIhII ..... (.ttaCh ..hid"") , , ' ToIIl..... ,.",.,.,., UtIIlIllle. IlId l\OOkholdtr.' !qully AoeOuntl,..~ """,.,'" MOl"..... not.., IIl1inO' paypl.1n I,ulnan 1 'I'" 0Ih" eUlllnl 1ItblIltI" (.ttaCh ..h.dul.) Lot... flom alockholdlll """" . . 3 4 . . 7 I I 10. . II. . II 1:Ie b 14 \I II 17 II 11 211 II Mol'...., no"', Nn_' ",y.-I,1n , 'I'" 01 ",Oft QlhllIiIb-" (a1taCh ..h.d"") , . , . Ctpllll alook: . Pret""d alock ,.", beommon.toolc ,,'" Ptld-In Of otpllll ,",pl.. ,."",' fII"'InICllMm._"",.'."c1III1IC1nlonldulll RoIIlned Nlninga-Uf\lPprop,lated " L.. eOll of....ury I\OOIl ' ' , . , ' , 'iollllllblllliH .nd Slookhold...' .aullv " ~ 13 Z4 21 31 17 23-2099014 pago 4 ~ Mo\l' Vou II' net' ....d to c_llt. Sch.dul.s M-Isnd 101-2 belcw ~ Ih.tolll...eII-2n IIn. IS, column (d) of Sch.dull L .11 ,...Ih.n S2S.000 ch.dul. M-' Reconcllllllon ollncom. LOll It Bookl WlIl1lncom. .r R.turn 1 Nit lnoomt (\ell) P'" b..... ' , , , ' , , 30788 . 7 Income toeOld.d on booksthll y..r nol I Fedlltllnoomt tall . , ' , , ' , , , , ' , Includ.d on this ,alurn (hernlzl): . E of......' ._. I ft" T..-....... · . . 1IAl.......- _" (W" CIllIla....1lI " ,n'."" ,. 4 IneomllubjW:\ to tall net 'oeOfdld on bookl ?j.:jU\_T.f.i-C:tlEJ:L = = = = = =: \hII yeti (Itamlz.),__________ _.____ ----- - - - ----- - - ]_4_._ - .2.1.:.- ________________________ I D.dueUons on this return not eh.,gtd I e.p..... !..",dld on b....S \llII yIll! not .galn.t book Incom.thls y.al (h.m1Z1): deducted on lhiI ,,\Urn (hllliz'): a O.p,eolaijon · . D""....ti . b 0"""'"."'" ..-----------. on " ...___________. C4tfy01l.' .. .------------ b :::~:::~"" . ______...?}JI....- -.------------------ . ::.~~:I.::..., ' , . . ______.7_0}JI...-- .-----------------.-- End of IA' ,I.' -- (d)-'~~= ---,,~..!..- _~"nlng at Ia. ,..r ...__ h---1!l. J.l!l.-----c"'- _,.Ie) 137J8.__ 7 9 29..:..._ f-----~ 8 3 3 , 7.~, 4 ~).]--'- --- -<---- ------. --- 1-- ' ___-1} 820 . --- 5490. S49L:-. _}.80520. _~J!..244. ~-- 195120. 101261. 93859. 92276. 1,--- 133314. 148305. ,--'" 40594. 24797 . 100. 100. 100. 100. 92620. 123408. 133314. 148305. .__________________R 74. 33861. sifiX'lif.A:Gii.ro>:==::= = )j}:.=: I Add inn 1\lllou h S ..,....., ch.dule M-2 An.I III 01 Un. BllIne'" b.glnnlng of yell ,.,.,' , Nit lneome (10") pIt bows , , ' . , . . J OIhII InetIlS" (htmlZl): ------------ 3147. . 33935. 10 1'0 rllted RII.lned Elrnl" I er Bookl (Line 25. Sch.dule L 92620 . 5 DI.ttlbulions: . Ca.h ' 30788. bSIOOk e Properly I OIh" d.e,.asll Ih.m1z.): -.. - - - - - - --------------------- ------------------------- 7 Add IIn.. sand 6 123408 . ._8slan.1I1 .nd e1 ..r flln. 4 I...lln' 7 CFl103 02/18'" 123408. ..--------.---------- --- --- 4 Addll"H 1 2 .nd3 4 JUA ---------------.--------- """".. ,." ,.,m 4562 Depreciation and Amortization (Including Information on Llat.d Prop.rtyl ~ "_" """ le,m 10 you, ro\Urn, ~\~95 Altlehmtnl !ilqu,tlU No, 17 Ict,n\IIWln."utntltl OMtt No l'4&~Oln DIP,rlmlht ot tfl' f,...ury l"'tlnll ",,,,,,Uf '''~IC' (HI ~'I."..t\ml'Il.lfn 23- 20 2.2,.Q.LL- 1(0 CO , INC. au.in..' .1..h~Il.,... w"l~h Ihll 101m "III.. EQUIPMENT BROKER t ~Irt I t Ellctlon To Ell".nal Clrtlln Tlnglbll Property (Slcllon 178) (Notl: II you h.vI .ny "Llllld Proplrty," e",",lot. Pin v bolerl you ..mpllll P'!!lL MPJmum dollar lImila_on It .n IMlfp,l.. ,on' bUlln"', ... InlUuc1lona ToIIl.OII of odon 17a preplrly pla..d In IlIViel du,lng thl "" ylll . TIlI.held .... elllOlion 171 p,eparly boler. roduc1lon In IInVl1tion ' , , IIlductlon In limIII.on, Sub..eI in. 3 trom in. 2. II ,"0 ot lOll, Int.. ..0- Dollar lIn'Ola_on 101'" yIII, Sub..ollln. 4 trom lin. 'I. I' ...0 or I..., .nt., -0-. (It marrl.d filing l.per.llly, 1M InnllOliona,) , , , , . , , . , , ' . . . , ' " ,.""..,.. ,al O,,,'I,Uonof c""''''v Ibl Cot! . OFFICE E UIPMENT 3 784. SIGN 300. T Llal.d preperty, Ent.. .mount trom IIn. 27 ' , , . , , . , , . , 7 . TOIIIIlIelId COIl of .action 17\1 preperty, Add .moun.. In .olumn (c), Ii"," 8 .nd 7 a . T.ntI_v. d.duellon, Ent.r "'.lI1'oIill of lin. 8 or Iln. 8 · 10 ClrlYD." of clIIalIow.d d.duc1lcn trom 1~ .,.,.,..,.,',.," 10 11 TlllllIbl. InoOll\lIlmlllUon. Ent., th. ....i.. of lI..bl. 10<>0"'" (nct I"' thin '"0) or lin. 8 , 11 17 500. 11 SleIIon 17\1 ."".na. d.duellon, Add IIn" a .nd 10, bul dO notlnl" mer' thin linl l' . , 12 4 . 084 . 13 Clrryo... of dlllllow.d dldllC1lo!!.IO 11lll6, Add lin.. a .nd 10, IIII in. 12 ' , . ~ [ill - Noll: Do no! .... Pili II er PIIIt III bllow tor IIII1C1 p,eplrly ('u1omebll.., ollllaln 011I.' .lhiel.l, clllula' IIllphon.., ..naln 0~U\"., 0' property u..d tor .nt..-!nmont, ,..._on, or .mlllomont,) In....d, .... p.n V lor IIIt.d prop. , Plrt I MACRS D.prlclltlon For AI..ta Pllc.d In Servlcl ONLY During Your 1995 Tlx Year (Do Notlnclud. Llltld Prop.rIY.) 1 I 3 4 I 1 I 3 4 1.7500-:- 4 ,m-:- 200.000 O. I 17 500. .,lElteltdC:OI' 3 784. 300. 4.084. 4 084. 14 SooUon A - 0;';;'01 AII.I Aceounl Ele.tio;;- "you ere moiling 11\0 Illellen und.' .lOlion. 188(1)(4) to group .ny ....,. plac.d In ,".Ie. during tho \Ix y.lllnlo on. or mor. n...I...ot.ccounll,chlCklhl.bO. , , , , , , , , . , , . , . , , , , . , , , . , . lb. Month Ind Y"'PI6Cl'':I inU,vla' ~ 0 1,,1 O.Pfflc:ltIIUIl dlduchon 1'1 Conl/tnllon la. C....lflcallort 01 PfOP.I'Y 11. b c d MM MM 39 MM MM IIe01Ion C _ AJ1IrnoU.' o.",..IoUon Sy'l.m (ADI) 7 986 15.0 H'i 200DB 400. SIL SiL SIL SiL , II h ~ 1.. C\III ute SIL b. M c. ~ " Plrt III ther D. r.cll\lon Do Not Includ. Lilted Pro Irt . 17 GOS .nd ADS dldllOlionl tor ...... placed In ....ie. In "" yea" b.ginnlng bolor. ,ggs 17 1. Property.ubJlCl"'.lOlion 188(1)(I)....1I0n , II 1. ACRSlnd 0\11II d .....en""", 1. I) In I ummlr ..J Llltld p,eplrly, Em" .mount trom IIne:le 20 iZl Total. ^dd dldllOliona cn Mn. 12, IIn.. Illnd 181n column (gl, .nd in" '7 through 20, Ent" hIli .nd on th.opp,op,III.lIn" of your ,ot",n. (P.nn,,'"lp. Ind S corpor.tionl - ...In.tructlon.) 11 zz Fer _",.hown aIlo.. .nd placid In .IIVIO. dUflng tho curr.nt Y"', .nlll th. or1ion of tho b.1lI .,.Ibutabl. to .lOlion :!ll3A c_ ' Z2 5 JUA '01 P....lWOlk 1I,"ltion Acl NoUee,'M p."" 1 et "'. ......It.ln.trucUon., CF2206 Illllln 4 ,011. 4.522. 13 017. Form 4582 1199S1 I<OCO, INC. FOIm 4582.l,uml I Plrt v I Llllld P,oPlrty - Aulomobl ea, .,llln Olh., ehle II, Cellule, Telophon.., Proplrty Uald 10' Enllrlllnm.nt, Rlcreallon, 0' Amuaem'rll Hotel FOI Iny vehlcll'OI which you 1'1 ..Ing Ihl IlIIndard mll..1lt ral. or dlducting I.... I'pln.., cOfTlllltl only 231, 23b, column. lei th,~ugh (el of Stc1lon A, III of Bdon S, .nd Sd"" C ff IPpllelbll. leoUon A . Dep,eolatlon...d OIh.~ma1lon (C.uUon: Sllln.lruction.IOIllmilotion.IOI IU\0Il1Obll...) -- ~ D~p. :1;~:,~:ldlncltOO:~.I::~hl b;'~{~I."vt.:~ ;~:::~I~d? ~::::"~~.~~I:~~;' "~~.:~"V"~:~::: "IVldl:.',;,::~:? VI' 0 No llltt 'i."ltl.. fH.II In ,.,vl.. u.. ba.i. p.flad Com.nllao dlduClllon plle"'l", un ,,"IVI _ 23-2099014 PI e 2 "lain Compule.., end iii EI,,"d uellflllrrQ eot' U Ploportv ..Id _I lhan 50% In I usllftld bUlln... ..0: 92 MERCEDE 2 09 93 85.6 90 AUDI 1 23 93 81.3 34,450 12,000 43 100 9 227 5.0 DB 5.0 DB 2 750 1 772 D PI Uleel 50% 011"" In. uallftld bUlln". utI: S/L - SIL - SIL - D Add amounta In column (h), Entor thl tOllI hor. Ind on linl 20, p.ge 1 ' . , , , , , , . , , , r7 Add lmoUnta In eolumn I . Entar thltOllI horl Ind on IIn. 7, I , ", . , , , . . 800Uen S - In'o,m.Uon on UI. o. Vlhl.lal COITl>iotllhilltc1lon fer ,"hlcl" utld by. .011 p,eprlllor, p.nnar, er oIher "merlth.n 5'/, ownar," 01 relltld plraon, II you provldld vehlcltslO your ImplO'/lll, ftrllanawor th. qUlltion.ln Sdon C to ... ff you ~Illn tlelption 10 oompllting Ihl. tlolion 'or Ihotl vlhlel... W 00 ~ ~ ~ Vlhlcll 1 Vlhloil 2 Vlhlcl13 Vlhloll 4 Vlhlclt 5 21400 15320 3600 4680 D 4 522 'Z'f III T 0111 bUlin_/inv"tmllnt mil.. drlvln du,lng thl VIIr (DO NOT Includ. oomnuting mil") II Total oorrrnutlng mil" d,I..n during Ihl ylll 30 Tllltl_ pOllonal (noncommuting) mII..drlvlll , , , , , , , , , , . , Total ml" drlvln during th. VIII, Add IIn" 2ll tIVough 30 , , . , , (II Vehicle 6 VII 25000 No VII 20000 No VII No V'" No VII He V.. No 3Z Wit tha .Ihldl Ivlllabla '01 Plllonal "I during Ilft-duty he...? , , , , , , , , , , X X 33 Wit Iht ..hldl ..ad p,1rnaI1Iy by . morl thin S'io owner 0< ,olattd p..lon? , , , X X 34 II .noth.. ..hIell Ivallabl. for porlOnal Uti?""""",,,,,,,, X X lIeatIon C _ O....t1on.Io' EmploYI.. Who P,o.lda V.hlolll 'e, Uti by Thll, Employ"" Anlwor thlll quntiona to d_mln. " you "'"' .n txetptiun to c..,-.,I.ting StoIIon B to. vlhlol.. utld by ImpIOVI.. who orl nol more Ih.n 5% ownorl 0< ,olatad pori"', III DtlO'''tlttlof OMt. I" Amorlluble """"'" ," COdt ..c;llon ,.,Amoll p.tlod 0' p.fCItn,a" V.. No X X X X X 'Ii "'morhl.llon lor ttlIIY'" 31 Do you maintain a w,lttln polloy ""tamant thlt prohlblta.1I plllenal UlI of vlhlcl.., Including commuting, bv your 1fI1l10V"l? """""""""""",""',..,.,",.,...,..". 31 Do you maintain I _n polloy ttatamant thlt prohibita porlonal Uti of vlhlclll, tlOlpt commuting, by your 1fI1l1OV"l? S..I_uctiona for .Ihlolta ..Id bycerpo<a'l ollIeorl, dlrlOl"", 01 1'4 or merl ownl" . , , . . :rl' Do you ..., III "" 01 ..hId.. by .,.,...loyMI at ptllonal Uti? ,.". 31 De you p,ovlda _.1IIIn fivl Vlhlolta to your tmpleV'lI, obtain InfOlmstion lrom your .mploYI" Ibout Ih. Uti of Ih. VlhIoltt, and ,otaIn tIla Information 'tool.ad?, , ' , , ' , , ' , , , , , . . . , 31 Do you mwt Iht IIqulrtmlnta concornlng qusllftod .utomoblll doman'Ullon Uti? . . , , , , Notol" ur .naw.. to 31. 31,37,31,01 3g II ''V.... u nald nol c III' StoIiun B tor the co.orld vehlolll, Plrt VI Amort ullon '0 Amortization til coata thtt b. 4t Amertization of cotta that blgan bot,,1 ,m--,-' . ' , . . , , . 4Z Total, Entll hilI and on "Othtr Dlductlonl' 01 "OIhll E. .n."'lInl of ur ,elurn JUA 4t 42 6 CFJ207 IIJ21'/1I 4626 Alternative Minimum Tax--Corporatlclfla OM. NIl_ llU.O H!l 'a,m (Including .nvlronm.ntalt.x) o"."",,"t.' I". ','::'"'' ~ a.. ..p..1I h\.lIuellon.. ~~95 InlllNlIIII'.""'t Iff. . ~ AlIIoh 10 1111 loroor.llon'. ... r.turn, m. I limp lOW" 1..nIIIICaIIOtl numb'" 1<000. J;NC. 23-2099014 I TIIlIbIa lnoomt or (ION' bator. nil oplI.ting lOll d.ductlon, !Important: If Ih. eo,poraUon I. .ubjlcl to Ih. .nvlronmanlllllLlC, ...th.IIlllrUC1lona'or IIn. 18,1 ., . . , .. . . . ., , " . 1 33,861. I AoIJu'_lIId ,,__: . O"",ollllon of pOll. 111M propllty , , . , , , . , " . . . , . . , ZI <1.007.' . Amor1i~tion of oded pollution OOn1rol flIollllj.. ., , , . ,. , ,., , III o Amor1i..lIon of minlng '1lPIor.tion .nd d.voloprnenloOlll "., , . . to d Amor1i..tion of No.......n 'lfIl.ndltlA'M (pll,ollll holding e~.I1I11 only) Id -- . Adjuotld gain orlOll ,.." . , , ,',', . ,"" , I. f Long-linn 0__ "",'.., , ,.". , "'" , ., . II . IIlIlIllmInl .... " , """ , " , .",. , ."., , , , 2a h MIfohlnt nwInI 0IplIal oonawuo1ion fundi "'" , ,"" , ,. , Zh I $lOtion I33(b) dlliuotion (Blu. erON, Blu. Shlllld, .nd 1Im1l1r typ. 0111I111.._ only) ,.., "," , , ."", . "." , " , II J TAl( .hlllll< farm ~II (plI.oMl .IIVIe. oorpor.Uon. only) ., . II k P.ulY. 1ClI..... (oloIlIy hIkl oorp'. .nd p""ollll ...vle. oorp...Uona onlyl Ik , LOIIlImilationl """"" , ",'" . , , .." , " . II mOaplltlon ..,.., . """" . ""'" , "'" , , . 1m n TIle-...".,llntll..1 bm .pao!fl.d prlv.t. .ctivlty bond. ."" , ., . t.n o Chltltlbla OOn1rlbullOlll ."" . " , "., . ,.", , . . to P InlInglbla drllllng 0_ 0", 0.,.. '.,.,. . "'" , " , Zp " A_ for IoIMI on bad dlbll of ftnanolllln.lltutiolll ",., . " , I" , Aoo......1Id deprlOilllon olrlll p,optl1y (pr... 11187) """"'" , II . AooIIIrI\lcl d""lOiIlIon of IaIlld p...onaJ propllty (pII-11I871 (p",.onaJ holding o."...niII only) '00., . " , "'" , .....,.,., . I. t 0lhIr .djultrMntI , , ,....,....,.". . ..,..". . Zl u Combine Inn 21 tIvough at ,......,..". , .""..." , .,... , . , au <1 007.> 3 ",..djuhnant IIIIrnativ. minimum _bl.,noomt (AMTI), Combln. Ilnll 1 .nd 2u .,., . " , 3 32.854. 4 "dJu.tad """"l.....n.. (ACE).dJu.trnant: · Inlff Ih.Mftl~.llIn'. AOI! "om 11n. tOof tn. .0,Il.h.., onP.... of Ih.In'IIUllUon. , . 41 31.428. b SubtrlCt lno 3 flom "no 41, ~ In. 3 ..o..d. Hnl 4., .ntlf the dlffllono. .. I n.gativ. amount '" . ".".....,.", , ,..,."., . ~ <1.426.' o MullIpIylno 4b bV 75% (,75,.nd 'nlMth.rllutt... pOlltiv.amount " , 40 1. 070. d EnlM the 1llO_, H .ny, of the oorpor.tion'. talIllnGl..... In AMTI flam p,lor VIII ACE .djunMnlall\llt III tolII rlduotionaln AMTI flam prior VII' ACE .djultmlnll, .....: You mult,"'.n _nl on Un. 4d (.v.n H In. 4b II pOlNv,) .,..., . ,.",."."",. , """" , 4d 2 462. . ACE .djunMnt: . ~ you .ntlrad . pOlltlv. n......... or 1110 on Un. 4b, .nl'" Ih. .mounl from Iln. 40 hilI.. . pClllMv.III'IOUnt. } II <1 070.> . ~ you _ad . IlIIIItI\I. n......... on In. 4b, .nter th. IINIII e1lln. 4c or IIn. 4d hll' I. . nllllNv. amaunt. 8 Combine 1_ 3.11II 4., If litO.. 1IsI, atop hll'; th. oorp....on do.. not ow. .~.,n..vl mlnlmllrn .. , .,.,..""" . ". , "', . .,. , 5 31 784. ..""...""" , . Allar".tiv... nil opllating '- deduction ".,.,..". . ,., . .".. . '" , . 7 "'llInlll.. mlnl-....lIIrlbl. lnoo..... Subtr.ot IIn. . flam Iln. 5 ." . "". , ". , 7 31 784. JUA Por P~k A.duotlon Act Hollo., III "p.'" In'"uellon., Fo,m 4828 (1;;5) cP.... 11127111 -- - Adjusted Current Earnings 1995 FOI'm 4821 1<OCO. INC. 23-2099014 Workehllt 1 Pr....djulmln1 AMTI ('nIaI tho amoun1 from Mn. 3 of Form 4028) , , ""', . ,.,., , "" . 1 J2 854. 2 ACE dtploclaUon .djunnonl: . Oapl_*On ......no. IOO"",,1Iled lor AMT PUlP..... ". . "',' , 2a b D._lion ......no. ,oo"""utod lor ACE putp.....: (I) Pool- 111II3 plOPIl1y ""'" 2b/1 (I) POI..IlIU, plo-lll84 p,opll1y , , 2b11 (I) Pro- UlllO MACI\9 ploparty " , 2b1. (Iv) Pro-lllllO original ACI\& plOPIl1y lb(iv (v) Propll1y dII<<lbod In oaatIono 181(1)(1) t1Vough (4) , , ",. , ~v - (vi) 0thII ploparty """" . (vi (vii) ToIII dapt_Uon ."".no. ,oo."..,utod lor ACE pUlpOl" (.dd IMI 2b(1) t1Vough 2b(vl)) ."""....", " "". , bbM - 0 ACE dtpl_lIon .djultmen1 (.ubU~ Mn. 2b(vU) from Mn. 21) ... . ..",..., , , , ,.." , 20 <1.426,) 3 InoluoiOn In ACE of Mlmllnclud.d In lI,nlngo .nd proflto (E&P): . T"-"lIf4lllnlalll1lnoome ..".... , ,.".. . .',.. , 30 b Oaath bIM4tta from 1If. lnoutano. COnllaotl .,..", , .'" , 3b e AI othor dlntbullolto from 1If.lneUl.no. conll.cto (Inoldng .Ulrlnd<<.) 3c d InaIda bulcfup of un_lbutad InoOlM In 1If. IneUl.no. eontracto ,.. . 3d . 0lIw itImI (... Rtgulallona .dono 1,8I(g)-1(0)(OKIII) lhIough (bl) for . '**' 1IaI) I "'...."".,., ,.", . ,.,... , 3. I TOlallnor_ till ACE due to lnohltlon In ACE 01 Monw Includ.d In E&P (.dd Unll 30 through 30) ." . at 4 OlaaIow.noo oIl11n not doduc1lbl. In e."..,uting E&P: . C<<IaIn dIYIcIollCII'......od .."...,. . ,.", . .,.,. , 4. b 0McIIndII pald on olllaln plal<<,od I1cck of public ulllMllI that ar. doduotibll undor .ootlon 247 ..".", , ,.." . ,.,.,. , 4b 0 IlMdondo pald to .n ESOP thai ar. dodU01lbl. under ,don 404lk) , . 4C d Nonpatronaoa dividendo thai ar. plld .nd d.ductlbl. unall ._ 1312(0) ,..,.".,...,.,.", , ,.",. , ."" , 4d . 0IhII itImI (... Rtgulallona .don 1.Ile(g)-I(d)(3)(I).nd (M) lor a pa*l1IoI1 ........."..',.,.,.", . ..,.,. , 4. I TOlalIIlOl_. to ACE due to dIIaIcw.nc. oIltomo net doductiblo In oOfTlluting E&P (.dd Milia ... t1Vough 41) ,.....".... , ,...", , ,." . ,.., , '.", , '" . 41 0 0lIw adjultrnlnll balod on ruin lor o."..,uting E&P: . In1iIngIblo drIlno- .. .,-'".."". ..'" , ..." , 51 b Clrculatlon......nditur., , , , , , , , , , , , , , , , , , ,.",. , ell 0 Organizational axp.ndlIur. ,...".. , ..,., . .,.. , 50 d Li"O Irwontofy .dlunnonto ,,""", , ,.,.. . ,"" , 5d . InataIImInI aalaa ,.......""" . ".,. . .." , 5. I TOlallllhar E1P .djua1mlnta (corrI:Iln. Mnn 51 through 51) "',' , ,,',' . , . ., , '" , 51 0 lllaaJIowa_ 011?0o on axohango 01 dobl pocll "" , "",.,.,... . ",...,.,. , e 7 Aoqulolllon ......111II oIl1f. IMUI.no. CO/lllInl.. lor quaHftod lorllgn Oonll.ClI ""'" , ..,. , 7 . Oaplotlon """""""""""" . ,...."...,...,." , ..'. , 0 g s..- .d~ In doCormInlng gIln or 1?0o from aaII or ..ohango of p,o-'""" proparty , , . , , , , , , g 10 ".... "UI'IIII-..ln..., Combln. Mn.. 1.20,31, ." .nd 01 through g, Entlllh. 'lIuM hll' .nd on Mno ... cf Form 4e2e " , .,."." , ,.",. . """""" , ..",...., , 10 3 L 428. . 'HI .C.,C_1t 1120 II,S. Corporation Income Tall ReU"" OMB No 1~"S,O \2) r'of ell.ndll v'" \9~ , ~9)96 "'"' :.~ 'I'" blVJnmnV ~_ ~~ _ _ _ _ _.' '996. Anding _ __ .19 DI"lIlmlnl o~\J'n. h.-fury .. In.trucllen.'" ..nor"'", Soo n._ I Icr P....rwork FI.duction 'Ael N~lICI, .---. Inll""l\ A.~." . SIIVICt A atl".III: U.. LZ 23-2099014 OEC911 B EmploY" leitnlllle,llon numD" 1 Con.oHell'ld ,.lurn 0 IRS S211 S008 M 23-2099014 lllllthFOfmlSll lobo\. KOCO INC 2700 LINCOLN ST r c O.'llnllOrPOllltd 1 PflftOfll1 hOldln? llU, OIhor- R 04/17/79 ,IUleh Sen. PH 0 wi.., CAMP HILL PA 17011-211311 S , PI,tona' ..vlcl COIP, print or D TO\.I....I. ~. d,flned In Urn!OIIlY _QI. 'IC. 1.441- TI 0 typo, I! ChillI( appUCAbl1 bo~": 111 o Inllltltllufn 121 o Fln'lffhlln (J) [1 Ghll1glcl.cld".. $ 180.317. 1.010" IIlIllpll o,tll" I 599.734. -, b L." I.tum"allow-r 0011 ... Ie 599.734. 2 Coli of good' .oId (Sch.dule A, line 8) ., . ,. I-~ ~,838. 3 GIOlI. prcftt, SubU.OI IIn. ? from line 10 ., , 3 592.896. , I 4 Dlvld.nd.(Sch.dul. C, line Ig) , . . , 4 597. n 5 InI.,OlIt ' , ' , 5 2.851. . 8 Groo,"nto 8 0 ,.", , ' , m 7 Groo. royaJtl" " , ' , 7 . --. 8 Copllal goln not Income (.ttoch Sohedul. 0 (Form 112\l11 ' , 8 I N., goln cr (lOll) from Farm 47g7, P.rt II, line 20 (.ttaoh FOlm 4797) I <5,460.> 10 Olhor Income (Ittooh Ich.dull) ."" , ", . " , 10 " TolOllneom., Add IIn.. 3 Ihro!!llh 10 ' . " , ., , """, , ... " 590.884. -- I 12 Comp.nlltion of offiCII' (Soh.dul. e, IIn. 4) ,,' , " , 12 165.000. - Do 13 Slllrl.. .nd w.ge. (I... .mploym.nt credlla) ." , ' , 13 157,594. or 14 Rep.lro Ind malnl.n.nc. 14 1.459. d ' , , . ", , ' , u I 15 B.d d.btl " , 15 ~~ ' , ", , ' , 18 Ranto ", , . , ", , ' . 18 20,839. II 17 T .... .nd IIe.n... 17 18.413. 01 . , , . "" , ' , ' , n. II InlorOllt ".. , ' , "" . ' , , , II . I - I " ChoIllabl. contributions ("" In.Uuotion. for 10% IIm1lation) , . , , 'I" 'I" II 5.985. So 20 D.proelation (.ttoch Form 4502) "", 20 9.971. .n "" , ..", . .. 21 L"' doproclation elalmod on Sch.dul. A Ind .I..whll' on rotum , . 1"211 2.185. 21b 7.786. 10 22 a.plltion .,.," , .., , , , ", , , ' 22 nn 23 Advorti.lng ,.",. , ..", , '" ' ' . 23 . 77.978. I d 24 Pan.lcn, proftl-.hlrlng, OIC" plan. , , ," ' ' , 24 II za Employao b.nafll progr~ za 21.709. ud "" , , . ," , ' , eu 28 Olhll doduollon. (.ttaoh .chodul.) , , ", , ' , ' , za 60.259. Ie %7 ToUllclodt.le1lonl, Add IInoo 12 through 26 %7 .J..37 . 022. II "" , . , .~ 01 21 Taxobl.lncomo beior. not opII.ting lOll d.duotion .nd .peel.1 doduotion., Sublrlcllln. 27 from IIn. 11 za 53.862. no .n 21 L...: a Not opII.ting 100' d.ductlon ,.,.,,' , .", . ~ . b Suoolol doduotion. ISchodul. C, IIn. 20\ 2lIc , , ."" , 30 Taublo Incomo. SubtraCllln. 2llc ~om IIn. za " . , , " , 30 53.862. T 31 ToUIIloIl (SOhodul. J, line. 10) ,,',' 31 8,466. . ' , ,,' ' ". , . 32 P~ll :,~:~7"1~... ~ 20. IL.I~ I 6,375. n b '.....Int.i lup.ym"," .' 32b 32d 6.395. o t."'m'.l~".I~' 32lI d 0101'\ 11m ' , , . . , a Tax dopoatlod wllh Form 7004 "". . """ . .' . 320 2.388. p , Crod~ ~em rogulolOlllnvootmOnl cClll'.nt.. (ItlIOh Form 243g) 321 I - Y 1 Crod~ tor F.doral1lX on luo4l (.lIlIOh Form 4138) , , , ' . 321 32lI 8t783. m 33 e.timalOll1lX p.naIIy, ChICk H form 2220 Ie IttochllCl 0 33 . "" . ., . "" . ~ n 34 Tu ....It IIn. 32h 1..mdIr thin lh.1OIOI of Iln.. 31 Ind 33, .ntor amounl owod ," , ' , , . 34 I ' , . 35 OYIf1IIYIM'l\. IIlln. 32h Ie larger thin thl lotaI of IIn" 31 Ind 33, .nllI .mounl oVllp.1d ' , " . 35 317. 38 Entll .mounl of In 3~ YOU Wlnt C,._d to 1117 ..Um..d lOX .. 317. Rllunclod ~ 38 Un." p~II" 01 '''jury, I .'01&11 ",.tl nav. ,""'lnltd'hl' ,.uun, mllllUctlng IlIIconlplnYlng lenlaul.. and Illtlm,"", end 10 thl ...t 01 my InOwledll Sign lIIet billet, II I' Uut, cOf,ee\. "Hi compltlt. OeolaflllOn 01 P'''"''~' (oln., tnen ll.ply")I' Ut.d onIUlntP,,,,,,Uon 01 whloh ",,,,,., hat lilY IInowled.- Here ~ I ~ PRESIDENT Slp1Utl 01 ottlC!h ., 01'1 Tltll P'.....,'. ~ y,! . ./ 'fl,. 'I (l/i':).. \0... iI' \ P,...'.", ..,,., ",uII'V ",",0.' It-I / ..- Cneelll' Paid "lI"'l'UI. ' t., ..,- <2..-/'--/ (r / ',) - '! ..U-.n'Iploytd 168-36-4969 Pr.par.r'l F"","~Z THOMAS C. WETZEL, CPA EtN ~ 23-2169741 U.a Only v""",lI ,- ~ 36 WES S ZIPCodl 17055-7413 ."'.'.V.II T MAIN T. ~ ..,....,... MECHANICSBURG. PA -- JUA CFi'GO 11/01198 , J;j 1 .. 1 Fe"" 7004 Appllcatlun for Automatic Extension ur Time To File Corporation Income Tax Return OMI No. lUS-0233 m.loy.llOtnutIMUGn I'lUITI..'- 23-2099014 o Form 112O-SF o Form !l9O-C o FOImm-T .. 0 1 . I req......n ._tIo 8-month (Of, for cOI1aln COIpClf..onl, 3-month) IllIIn...n of time untll______~jJJt___, 111_~J___, \0 ilIlthalncomo talc ralufn cf thuOIpllllticn namod abova 101" IllI callnda, yearll1.2~___ct" 0 talcyut baglnnlllQ._____________, It____., and Indlnll._____________, 19.____.. II " thII tax year II let I... tIIIn 12 monthl, chicle ,ouon: o InItiIl lalum 0 Final '....n 0 Change In Icccun1lnll plricd 0 Conlelldat.d return 10 b. fll.d ("IV, Jun. t"~ D.,.,tfMnt.f 'ft. TftMUr'f Intimal "".-.M '"v'" MlI.t ...,....,... 1<OCO, INC. N~"f, 1"...,..,OOl'ft... .~I. M. (If. P.O. b... Of oulll" '''I Unitt. I""t, I" InIINIUOM,1 2700 LINCOLN ST. Oily .r town. ~tal.,.,.C11 ZI' .... CAMP HILL, PA 17011 Chaclc type of Itluln Ie ba ilIed: IllI Fcrmll20 0 Ferm 1120-F8C o Fcrmll20-A 0 Fcnnll20-H o Fcrml1ao-F 0 Ferm 1120-L o Ferm 1120-NJ o Fcrm 1120-PC o Fcrm 1120-POl. o Form 1120-FlEIT o Form I 120-FlIC o Form 11208 Z " thII appllca.cn alto COVill lulIlldIariM \0 ba Included In . ocnaclldaled '....n, ocmplltta tha followln Nama and ....... al _h "'."'..., al \he .fIllla1ad Em la al ldallUftutlon nu","', Tu a,'ad a L.. llIund let till tax year appIlad letonFonn4418 ..'".." ... a Cladlt\romlllllMltdlmr_~ ,.""""" I CladltforFedarallMonfutll , , , , , , , , , , , , , , , , , , , , . TollI. Add 1_ 4d hough 41 ...""".",.""""., " .w- .... 8~ Int 5 \rom Mnt 3, IlIpotll \hie MIOun1alec1ronloally &II' wlIh . Ftdtfal Ta tit I'TD ColI , , , , , , , , , , , ' , , , , , , , , , , , " '" , , . ,. 2 388. igMIlIf....Un"' tI.... ,.""'.! thai I haw. .""....lnOf~.. D~ ,,,...av.-nMIed CotPOf.11On 10 rnuelhll""pllcauon.InCl to the De.1 of my IInOwledftlllul "el..' I"" ".. ."...... true. 10ft " . ........,.. _____ _________~ ____ _vl_____ 1.....I......~ .m." Of -.en" T. olUA or 1Il1l_k Ra~ Act Hallet, _ IneVuoUona. F_ 1120-1' tIltn:Chaok h... H you da not haya an offIca Of pltca of bullnMa In the United 8la,.., , , , 3 tl...tv.. ... . . , . . . . . . . , . , , . . . . CrarIla: . O\/arpa)mll'll ortdllld \rom prior V- .. II ~!lIe I'lY"** let till tall 20. 6 375. v-r ................ · B114d at .. 6 395. ._----------~~~--------- (TIll.. CF'U2 02/II/H :I 8 783. e 6 395. 23 _2099014 Page 2 co,m'''ZOll9961 KOCO. INC. I. Schedule A (COlt of Goodl So' .. 1 Inv.nlory.' b.g1nnlng 01 y..r 2 Puroh.... 3 COil of IabOf 4 Addltion.llOO1Ion 283A 001" (.naoh leh.dul.) 5 OIh" eooll (.naeh .oh.dul., I Tolll, Add Iln.. , through 5 . . 7 Inv.ntOl)' ., .nd of VM' ." I eo.1 01 goodo oold. SubUOOl IIn. 7 ~om IIn. 8. Ent.r h..e and on p.g. \. line 2 .a Check.1I ""'hoda uOld \01 v.lulng clollng Inv.ntOlY: '" 0 CooUo d..orlb.d In FI.gulationllection 1.47\-3 (II) 0 Low" of 0011 0' mark.,.. d..crlbld In R.gulatiOn..ooIIon 1.471-4 ,1111 0 OIh" (Speclly "",hod uOld .nd .\\lch ..pl.nation.) ~ b Check ~ Ih'" 01.1. w,lI.down of lubnOlmal goodl.. d..onb"d'in-R-;guia;o~;";(;ii;n-'~11:2iC)-.-------'--'-----'-~;-6--' u Check ~ Ih. LIFO Inv.ntOf)' m.,hod 01.1 Idopt.d Ihll W yo" lor any gOOdl (II checked, .nach Form 970) . . ~ 0 d II tll' LIFO InvemOl)' ""'hod 01.1 uOld 100thla tax y..., .01" p"o.ntlg'lor .mounll) 01 clollng I I Inv.mOl)' oomput.d und" LIFO .,....,. ...... . ~ . II property II prodUCled 01 .oqulred .Of r...I.. do Ih. rul.. oi atotion 263A apply 10 111' oorpor.tion? W..th'" .ny eh.ng. In dol"m1nlng quanttti.., coot or valu.tiona bolWOln op.nlng .nd clollng Inv.mory'111 "V..: .nach..pl.n.tion ,.",. ......,.,.. \ 2 3 4 5 I 7 I 6 1138. 6 83a:- ..1.. 8~ o v.. all No o VOl all No (}chedule C I Dividendi end Speelll Deductlonl 1 Olvld.nd. ~om IOIo_IMn-2O'4-ownod domostlc cO/pOlotiOn. Ih., .re .ubjlOl 10 Ine 70'4 d.ducllon (oth" tMn d.bl-fin.nc.d Ilock) ,.....,.,..... 2 Dlvld.nd. ~em 2O'4_0I_1TIOl.-owned d~m..lic oOfpOf.tion.thal ... .ubjlOllO Ihe SO'4 d.ducllen (oth" th.n d.bt-financ.d .tock) . . ' . . . . . . . . . . 3 Dlvld.nd. on debl-financld lIock of domOllIc .nd IOfelgn oo,pOf.tion.l..otlon 24SA) 4 Olvld.nd. on oertaln prtl",.d .,ock of 1..._tMn_2O'4-ownld public utillll" . 8 Dlvld.nda on oertaln prtl"red .tock el 2O'4_Of_mor.-owOld public utillll.. I Dlvld.ndo ~em 1__tMn-2O'4-ownld .0001gn oOfpOfation. .nd o.rtlln FSClthll'" lubloot to Ihl 70'4 deducllon ,.,...."......"..,.,....., 7 Dlvld.nd. ~em 2O"k_Of_mor.-ownld .0011gn corpOf.tion. .nd o.rtaln FSC.lh.t ." .ubloot 10 tho SO'4 deducllon ,...,.....,..,...,.,....... I Olvld.nd. ~em wholly own.d IOfolgn .ub.ldla,," .ubl10 th. 100'4 doduOllon (.ec 245(b)) . TCl\lI. Add IIn.. I wough 8, S..lnowuOllon. IOf IIrr41ltion .,....... 10 Dlvld.nda ~em dOfT*\lO OOfpOf.tieno ,ectllvO':l by . .",,11 bu.ln... Inv.._nt comp.ny op".ting und" Ih. SmoII Bu.ln... Inv_nt "'" of 19S6 11 Dlvld.nda ~em odn FSCI \hili" .ubjlOl 10 \II. 100'4 d.duotlon (.lOIIon 245(c)( I)) 12 Dlvld.nda ~em .ttlllatod group mombll' .ubloot 10 \II. 100'.4 d.ducllon (.lOIIon 243(.)(3)) 13 0\11" dlvldlnd. ~om tcfolgn ollfllCllltiona nOllnctuded on IIn.. 3, I, 7, 8. 01 1 I 14 Income ~em oontrolled tcfolQ!' OOIpOlotlOna unci" .ubporl F (.\IOOh FOfm(') 5471) 15 FOfolgn dlvld.nd grOP-up (0001l0n 71) ", , ' . , . , . . , . . . . . . . . II IC-OISC.nd 1",,,* DISC dMd.ndtl oot Included on IIn. I, 2, 01 3 (.lOIIon 248(d)) 17 OIh" divldlndO ."""...,...."..."....... 1. o.ducllon tcf dlvld.ndI paid on cortlin plotoned lleoll of public utillll.. . 1. ToIlI "vlclolldO. Add M_ 1 lhlougl1 17, En\Ol h'" Ind on IIn' 4, p.go I . ~ (I) Ol/ld.r,d' (b) % (0) Bplclal d.duCIlI)ll' "Il.I~.d (.). (b) 70 -- SO ... In.tluclt~1 -- 42 48 70 SO 100 100 lOll lOll - 20 ToIlI.P"!IIII......-LAddlln..e, \011,12 .nd11.Ent.,hll..ndonllnl2Qb, ..1.. ....,., , ,... ~ rSchadula El compena.tlon of leer. (S..lnoIruotlon.!Of IIn. 12, p.go 1.) C lol. Schedulo E 0 ~ loIll recll \I IIn. 1. lu.lln.. 4 \I1rou h 10 en . . I. Form 1120 .,. $500.000 or mol'. (0) Ptfcent 01 .funlO COfPollllor'! - (.) H.....t .tll.., (b) ....I..'.""y num." .1m. ."...e.. (t) Amoun..t ......,n..""" bUI.n..1 PIETER KOOISTRA 361-30-7320 1~0.00' , , , , 00.00 , -, , , , , 165 000. , " , , 165.000. 165 000. - 2 TOIlloompln..tionolottlctlll ..,........... . ' . . . . . . 3 COf11l.n..tion of offlC'" olalmed on Soh.dul. A .nd III.wh'" on rolurn 4 Subrlct IIno 3 ~om IIn. 2, Em" th. ".ull her. .nd on lint 12. P' · 1 2 JUA CF,,01 011 19tH I Chtck 11th. corpN.~on II' m.mber all oonttoll.d group II" ..ction. 18111 Ind 18113) .0 Z. It Ih. bON on IInl III ohtck.d, .nler Ih. carpor.tian'l Ihl" o1lh. $110,000, $25,000, .nd $9,925,000 IIJclbll Incom. bracklll (In thll Older): (1) I.!..- b Em" th. eorporl~on'a ah." 01: (11 Mdltlanal 5'k \all (nQl mort Ihln $ I I ,7110) I $ I (Z) Addltlanl13'k \all (nQl mort thtn $ 100,000) $ _.=::.::J 3 Incom.lu Chack thla bON M Ih. eorpOlltien II a quallllld p.roonll IIIVIa. carporl~on II dt1lnld In lec1ian 448(d)(Z) ,..,."",..""",....",.,.,",. , , 4. FOI.19n\allerod~(llIteh FOIm 1118) , , . . . . , , . .. ."", 41 b POI.llllanltax c"d~ IllItah FOIm 5735) . , , , , , , , . . . . , , . ., 4b o Chtck: DNonoonv.ntiantllaural lutl Olldh 0 OEV orod~ II" Form 8834) 4e d G.ntll' bullnlll crtdh, Em" htl. .nd ehICk whlah forma Irt llItoh.d: o 3SOO 0 34e8 0 ll8&4 0 &178 0 8708 0 8588 0 8830 o 8828 0 883ll 0 fl8404 0 B&l5 0 8&l8 0 8820 0 8&17 ., 4d . Cttd~ fOl prior year minimum tIlllllltoh FOIm 8827) '" . . . , , , ,. 41 8 Toltl e,tdllI, Add IIn.. ~. Ihrough 4. ' , . . , , . , , , , , , , , ., ,.,. 8 Sub1l'tclllno5trumlln.3 """""",....",'" .... 7 PtllOntl holding aomplny till (1lItch Soh.dul. PH (Form 1120)) ." ,... . A_plurollXlI,ChlCkMtrom: DFOIm4Zll8 0 Form 81111 . . , . . , , , , , , t Alttlnativ. minimum \I> (1lItoh FOIm 482ll) ",.,.."""",. 10 ToUll t.u. Add IInll 8throuah t, Enter htr. and on Ilnl 31, P.... t .,.,." I Schedule K I Other Information 1 Chtck mtIIIod of Iccounting: . 0 Ctlh bOAecrual ell OIhtr (IPtclly) 'K9'p_Il'j:_lllP____ Z FltftllO th.lnl1ructlonl Ind I1It.th. principII: . ButlnHt ICtivltyoOd. no, . .JLO_0_8__________ b Butln....otlvlty. J3J\.OJtlUt_____________ e Product or Itrvlc. . S:_ONJll.C.1.A9JiAR.Y_ J~Q..ttJ; 3 Old th. a~porltion II th. .nd of th. till year own, dlrt01ly or Indkt01ly, !lO% 01 mort of th. voting Ilock of . domtl1lc corpOlltion? (For rulll oflllrlbution, lit Itc1Ion 28710),) """"".""""" If ''V..,' IltIOh I IChtdul. Ihowlng: (.) _ Ind Id.ntlfylng numbtl, (b) ptla.ntlgt owntd, .nd (0) tIllIlll. Income or (Iou) btfor. NOl. Ind IPtolll d.ductlon. of luch aorpor.~en for th. till year .ndlng with or wI\hln your till ytII, 4 I. th. corpor.tion . lublldllry In In .tlIIltltd group or . p...nt,"utllldilry aontrolltd ll!OUP? "',',"," It 'V..,' .nttr flI1llClytlId.n1Iftotllon nurn... .nd nama of Ih. p...ntcorpor.tian ':._________________ Form , 1~0 11Q961 KOCO. INC .1 Schedule J L!!!.. COITlllutlltlon 1"'. (Z) 1$ V.. No ~---------------------------_. I Old .ny IndlvldUII, pI/lMrIhIp, oorpor.lIon, _II or trutllltha .nd olth. \lie VI" own, dtrt01ly or Indlrt01ly, 80% or mort olth. aorporatlon'a vollng 1Iadc? (For rul.. ol.lIributiOn, lit atctian 287(0),) , , , , , , , , , , , , . It ''VII,'' altlOh . aohtdut. .howIng nama .nd Id.ntlfylng nUmbtr, 100 nQl Includ. .ny InformItion .ktldy ._ad In 4ebov,,) Emtl p....ntlgt awntd .19_O_._OJt\.__ Ou,lng thlltlll ytII, did th. aorporlllon p.y dMd.ndt (othtl thtn I\OCk dlvld.ndt .nd dlllrlbutiona In IllOhlnge for IIOOk) In tMa... 0I1ht aorpor.~an'l aurr.m .net _umultltd ..rnlnge .nd p,ofttt? (SH "_,301 .nd 318,) It "VII,' N. Form &182, " \hit It . conaolldlltd llturn, .nlwtl har.IOI Ih. p...m corporation and on Perm MI, AffllI.~anl Sch.dul., tOl IIch lublldl.lV, JUA x I .~.. 23-2099014 PIO' 3 (3) l!- ,- .0 8.466. 3 ..- 5 I 7 I " 10 O. 8 466. 8.466. x 7 Wit the corpor.tian. U,S, Ihlraholdtl of .ny ccntroll.d for.lgn oorpor.tion? (S.. etctianl 951 .nd 957,) ",. If "V..,' .ttaoh Form 5471 for ..ch luch corparallon, Enttr numb.. of Forma 5471 llItch.d. _________ I AI.ny time during the t99& cal.nd" year, did th. corp hlv. In Im"..'ln or . Ilgntlura 01 oth" authority OVtl . flnancltl .oooum (Iuch II . b.nk .oooum. lacurltl.. lOCaunt, or oth.. flnanclll .ccounl) In . fortlgn oountry? II "VII,' the corp "",y h.v. 10 fll. Form TO F 90-22.1, II "VII," .m.. ntm. of for.lgn country. _________ t Durl"g the \IJ( VII', did the corpOl.tian rtotlv.. dl.lrlbutio trom, or wit h th. gr.Mor QI, 01 ttlnaftlor to, I lor.lgn ttult'lll "V..," 1M P'll' 18 of th. InatrUCllanllor Qlhtl forma thl corpor.tian may h.v. to fll. ""."" 10 Old on. lortlgn ptrlan ".ny time during Ih.tax year own, dlroctly or Indlrt01ly, .1 Itltl25'k of: (.) th.,otIl voling pow.. of .11 cilllll of Ilock of the corpor.tian .n1I1ltd to vat., or (b) Ih. _I valu. of .11 cilll.. o1ltook of \lit eO/por.tion? II "VII,' . Enttr ptlc.ntsgt o\yntd . ________________ b Enttl owntl'. country. _________________ . Th. corpor.tian ""'y h.v.'o fll. Form 5472, EMtl nUmbtl 01 F~ 5472 .IItCh.d .________________. 11 ChICk thll bOJ( W Ih. aorporAtion Ittued publicly offertd dtbllnnumantl whh orlglntllltu. d1acoum "". 0 If la, th. corpor.~an may hlv. 10 fll. Form 8281. lZ Enttr thl .mount of \IIe-.NtmpI Int".., rtctlvtd or aooru.d during th. \lie y... . $______________ 13 II thar. Wtl' 38 or I.wtl Ihtt.holdtl. IIlh' .nd of tM \Ill year,'m.r th. numb.. . ____l...____________ 1~ IIlh. oorpor.tion hit .n NOl. for the tal< VI" Ind II tltc:Ung 10 torego Ih. ca'ryb,ck ptrlod, ahICk htl. . 0 11 Enter the ,v'lIebl. NOL o..ryovtltrom prior till VI..I 100 not "duc, h by .ny d.ductlan on IIn. 29..) . S VII No X X X x x x 3 CFlea2 1.2/1041" KOCO, INC. 23-2099014 Form 1120 (1996\ P.ge 4 [Schedule L I B.I.nce She.liDer Books Beginning of tax Y'.' -,-I-' E"d of tax y..r A..... (.) (b) teL (d) -- I C..h ."" ' 44122. 83322. 2. Tr.d. nOl'. .nd .ccounll rlC.lvahl. - 4833. 1475. b LII. .1I0w.nc. lor b.d d.bts . . 4833. 1475. 3 Inv."'OIIII .,."., , ' . ' , 4 U,S, goylln""nt obligation. ., . 5 Tax_...rnpl'lCur~'. ,. , I Oth.r ourr.'" ...111 (.lIIoh .oh.dul.) ., . 7 LOIn. 10 .tookholdll' " . - I MOIlgaO' .nd ".1 lltatllOlnl ,. . .,. , . Oth.r Invll1mlnll (.lIIoh ..h.dul.) .. . 5491. 549'l:- 10. Bulldlngo .nd OIh.r d.prlCl.bl. ."111 . . 195120. 194159. b L... .ccumulat,d d.prlCl.tion ., . . . 101261. 93859. 104130. 90029. 11. D.pllllbl. ...... "." , . , ,. . b L... .ccumulat.d deplltion ' . ., , \ 12 Land (nil at .ny I/l\OI1Ization) " . , , 13. Irlllnglbl. ...... (l/l\OI1Iz.bla only) ." . . - b L... .coumul.lod .morIIzation ", . . 14 Othll ...... (.lIIoh .oh.dul.) . , . , IS TO\II ...... 0"" , ,., . , . 148305. 180317. Uablllll.. and SlOOkholdlr.' Equity \I Accounlt pay.bl. ,."." ' ., , .. , 17 MOfl.,.., nol.... bnncll ply,bl.ln 1... lIun , Y'" " Othll ourr.nt IlIbll~1I (.lIIoh .oh.dul.) , . 24797. 12051. 1. LOIn. 110m lIockholdll. .',..,.., . 211 Mort....., not.., bond. payabl'ln , Y'" 0' mOll ' , 21 Othllllabllltl.. (.\IIOh IOhodul.) "",' , U Cap\lllIlOCk: . Prlfll"d lIock "", . b Common lIock "" , 100. 100. 100. 100. Z3 Paid-In 01 oapllal .urplus ., , ."..' . 24 RIIIIn,' ..",WI".. Approprll.lld ll"IOtl ten,dul,' ZS Fllt&ln.d Nlnlngo . Unapproprl.led , , ., . 123408. 168166. ZlI L... 0011 at .M.ury .tock ".,.",' , --'") %7 TO\Illlabllltl.. .nd .tockholdlll' IGUI1v " . 148305. 180317. NOlO: Vou .,. not II ullld 10 0 III. Sohedul" M.l .nd M-2 below H Ih' total....,. on IIna 15, oolumn d of Sch.dul. L .,. 1111 th.n $25,000. Schedule M-1 Reconclllallon 01 Income La.. If Booka Wllh Income er Return I Nil Income (1_) pll boolc. , , , , , , , . , 44758. 1 Income rlCOId.d on boolcl thll yilt not 2 Fedllallncomo \All """""," 1 0 4 51. Included on thl. rllurn (hIlT'lZl): 3 Exo...atoap\lllI.....OVllctPllllgalnt., ~f.;::~.I. ,..------------. 4 Incomllubjlct 10 \All not rlOOlded on bookl .-------------------. Ihlt yilt (IItmIZI):._____________. .-------,---------- --' . DadUCllon. on thll return nOl oharged .gaI"'t book Incom.lhlt year (hnmiZl): I D.pr....tion ..___________. be,",,"."'" . 3035. ""yov., ' . . ..-----------.. ------------------------ . Exp.",.. rlCOIded on boolc. \hit year not deduc\ed on thI. return (ltImIz.): I D.p/alian . .___________. b ContflDu\lon. S carryoII" ' . . " ..------------ a ~:i::':tfI1 ' , , ,._____>>-1..7-"-.. ~..M.A'r:1.A.(mm'- ----------. ._________________JJj~-. ..-------------------- ..------------ ----- --'" 3035. 3035. 53862. --------------.-----.-.. . Addlln..7lnd8 .,."".,., I I 2 3 """ . . ..----------------------- ..-- - - .-- - --- ------ - --- 168166. ------------------------ 7 Addlln..S.ndl. . . . . , ' 168166 . . Bellnee II end 01 .Ir IIn.4 I... IIn. 7 CF6a03 12/16/11 ------------------------ 4 Add Iln.. 1, 2, Ind 3. 4 JUA E UIPMBNT BROKER Plrt I EI.ctlon To Exp.n.. Oertlln Tlnglble Property (Slcllon 179) (Note: II you hlYI Iny "lIll1d p,oplrty,' 00ll1l11t1 Part V bofOll you 0 loti Plrll. Mlldmum dollor IIm1lo~on, II In Into<prlll 'onl bu"ln"", IIllnl~uotIonl Total 00lt of l101Ion 179 preplfly plleed In """tol "",....... Thr..hold 00lt of 1I0~on 179 proplfly botOlI "ductlon In IIm1tl1~on ., Fllductlon In IIm1tl1~on, Sub~lot IInl 3 ~om IInl 2, If "'0 OIlnl, Intor .().. DoIlat II_on 101 tax yilt, Subtract Ilnl 4 ~om IInl 1. If ,ora or Inl, Inter .0-. It ""'''lid tlllng I I" 1M lnotructlonl ' . . . . , , , , . , , , , , , , , , (I) Otlcflpllon of P''''''y (b) Call (b\III",.. Ut. Of1lyl 7 UI10d plOPIrty, Entlt amount from IInl27 """."""""." 7 e TotalllllOtld 0011 of IlO1Ian 179 p,opll\y, Add amountlln column (c), linn 6 Ind 7 . T.ntI~YI deduotlon, Entllthl lmall" of IInl 5 OIl1no 8 """"""",.., 10 ClrtyOlllt of dlllllowed dlductlon from 11lQ5 """"""""". 11 Bu"ln,,"lncome IIm1lo~en. Ento< tho lmaltlll of bUlln"" Income (not 11..lhln "'0) or line 5 12 SlotIon 1790xplnll dlduotlan, Add linn' Ind 10, bill do not Intlr mare then line, 1 .,..", 13 CartyOlllt of dluJlowld deduction fa 1117. Add IIn" . Ind 10, 1_lInl ,2 ,'.. ~ Nail: 00 not UlI Part II 01 Plrllll bllow fOlllm propllly IlllIamobU.., ellllln athlt vlhlelll, elllular tlllphon.., elrtaln eompulllll. 01 prcpll\y ulld 101 Inl*WJnmant, '1OI..~cn. 01 ImUlIf'nlnt.) In_d. UII Part V for IIItId ,op Pert II MACRS O.pr.clltlon For Allell Pllced In 9,rvlcl ONLY During Your 1998 Till Velr (Do Not Includ. Lllt.d Proll'rtY.) !Ieotlon A - Olftl'" "'lit _un! !llotIon OF'IOtI I'" "16 14 If you III INking Ihlll101lan undlt Idan 168(1)(4) to group Iny ..loti pllold In lorvIcl <luring Ihe tax YII/lnta ani or marl ..nllat.....accountl.eh..klhltbox """".""""",.""".""""",."""",.. 0 F.om 4562 , Depreciation and Amortization \,ocludlng Inlol'lnltlon on Llltld Prop.nll .. Allleh thll form 10 aUI "lurn, OIDIW","1 of 'h. TI"'lIIV Inll1r111 A.....nu. B,'vln II" Nlmllll Inown on "hlt" KoeCh INC. lIu.I"... 6r .ctlVlly 10 Which thl, 101m "lal.. I 2 3 4 6 (0) 5Itc:iedoD,t . 3 060. . . 10 11 12 OMB No, UH-01i'2 ~~96 "11.,nmtnl aequ.nce No. 87 IdtnlifVlnenUmbtr 3 -2099014 1 2 3 4 17 500. 7 682. !.Q.!L.. O. I 17,500. 3 060. 3 060. 17 500. 3 060. (.) Clulmoallon of proptllW lleoIlon B - Olnorat OopNlIIllon SYlllm (ODS) (b) Mont" and 0 Bull 'or d.;;;;;ilon V.... plUed bUllfle..'l1tv'ltlMnl u.. d) AIODv.ry (I) Convention (f) Method (I) O.prtOllllon d.duQtlon In ..rvklt only"I..InIINotIDnll p.rlod III 3. b 5- I o 1-_ PlOPIl\y d lD- I 15- I all- 2&- I h RlIldlntlalllntll I NONIIldIl11lll ,Ill , 2!l 27.5 27.5 585 39 1 19 96 IIeotlon C - AIIamaU.. III Clua Ilfe b. a o~ ~ ~ Plrt III Ih.r D. r.cllllon Do Nol Includ. Lllt.d Pro . 17 aDS and ADS dlduotlono for au. placed In IlMolln tile yIIIl beginning beforl ,1lI6 ,. PropWly lubjlot 10 lootIan 168(1}( 1) tl101Ian , , , , , . . . , ,. ACRS and ather da locla~an "..."...,.",.......,.,..". Pert I umm. m UIt8d plopll\y. Ento< amount from IInl il6 , , , , , . . . . , , , , , , , , . . , , . , , , 21 T.... Add dlduotlonl an IIn. 12. linn ,5 and 11 In column (g), Ind IIn. t11hrough 20, Entll herl Ind on lhl opp,op,lIt1 linn of your rltutn. Partnltlhlpl and S oorpOlI~onl - 1..lnl1luo1lonl 22 Fa, au. Ihown abaYI Ind placid In lorvIcl dunng lhl eurrlnt yoer, Inlor lhl anion of tht balll Ittrlbutabl. 10 l101Ien 283A cOllI , . . . . . , . . 22 5 JUA POI Ptperwolk Rlduetlon Aol NoUel, _ page 1 e.1ht ..perttt Inll/uetlonl, S/L Sil Sil Sil Sil SIL Sil Sil 17 II II 20 21 2. 4,702. 2,207. 9 971. Form 4582 11916) KOCO, INC. 23-2099014 Form 4Sll2 1'-1 P.go 2 I Pert V I Lleted Property - Automobllee, C.rteln Other Vehlcl.e, Celluler Telllphonll, Certain Computer., and Property Ueed lor Entertelnment, Recrlltlon, or Alnueement NOWI FOI .ny v.hlol. foI whloh vau .,. ullng thl Itlndlld mllllge 1111 01 dedUC1lng loul "'p.nse, c~lotl only 231, 23b, columnlll) lhrough Ie) of SIC1I.n A, IU of SlClIcn B, Ind SIC1I.n C ~ Ippbbll, lIoadon A" IlIproolllllon IIId OlIlorlnlonnlllon (CIUlIonI Slllnl1lucllonl101 Ilmltltionl fOl .utcmobll".1 Z;; [lo';.u h.v. lvid.ne. I. I"DDDI1 lhl blJlln"l/lnv"tmlnt UII clalmld? VII 0 N. Z3b II "V",' Ilthl ovldlneo wrllton? III VII 0 N. (I) (b) .J:T... (d) (II (I) (II) (h) (1)- TYD' 01 prop"ly Oil. p"c.d In"'llm.,,' Call Of al"" &UlllOI d..."ollllon R.ca....ty M.lhodl D.preclatlon EI.clld U'I "'hlel.. '1"11 In ..,...101 UII b"l. Ibulln.../lnv.llmenl Plllod ConventIon d,ductlon IICtlon 11. _I J)'rc~l!!!e... uI.onlyl COil 24 PrePlrtv Ulod moro th.n 110% In . au.llftod bUlln"1 UII: " "ElCEDE 12 09 93 90.00 34 450 ~o WllI 01 23 93 76.60 12.000 90 HONDA 12 03 961100.00 lL682 ZS Proolrtv u,"d 110'4 Of 1_ In . auallftld bUlln_ UII: 43.100 9.227 7.682 5.000B 5.0DOB 5.000B 1.675 532 3 060 S/L - SIL - S/L - ZlI Add .mountlln oolumn (h), Ent.r thl 10tal hll..nd on IIn. 20, p.gol , , , , , , , , , , , , , , , , , , , , 1 ZII 2.207 7:1 Add .mountlln oolumn III. EntlllhllOllI hll' Ind cn IIn.1, .... I """""" , , , , , , , . , , , , , , , , . 1:t1 3 . 060 lIIoUon B - In/onnllll.n on UII 01 V.hl.1 Cumpltlllhl. .lC1Ion 101 v.hlolll ulld by. 1010 proprietor, p.nnll, 01 athll "morl tI,an 5% own..,' 01 rtltlld p"lon, II vau provided v.hleltt 10 your .mploYIII, firatanlw" th. qUII~onl In Stolion C I. ... ~ you metlan IlCCtptlDn 10 oompltllng thlt .lClIon foIthOl. v.hlcl.., ~ ~ 00 ~ ~ Vlhlcl. 1 V.hlcl. 2 V.hlcla 3 V.hlol. 4 V.hlol. 5 18000 12767 527 2000 3900 1140 ZlI Total bu.lntuilnvttlmlnt mill drlv.n duMng Ih. y_ (DO NOT Includl oOlM1ut1ng mill) ZlI Total oommutlng mil" drlv.n during the VIII 30 Total athll pIII.nal (naneommutlng) ml..driv.n , , , , , , , , , , , 31 Total nil" drlv.n dunng the vear, Add IIn.. 28 through 30 , , , , , (I) V.hlol. e Via 20000 No 16667 V.. No Vtt 1667 No Vtt No V.a No VII No 32 W.. tha v.hlcl. avallabl. fot' p"l.nal "" durlngotl-dulVhDUII? """",'" X X X 33 W.. tha v.hlcl. u.ad primarily by a mot. than 5% ownll 01 rtlltld plllan? ,"'" X X X 34 II .nath. v.hlcl. avallabl. 101 p...anal UII? ,,,,,....,,......,,.. X X X lIacIIon C - Ouelllona for !mployon Who Provlclll Vehicle. for U.. by Thelr I!mploveea ANlwlI thai quttllon. to dtttm'lln. " you motI.n .xotptlon to oomplllltng Stolion B foI v.hlcl.. usad by ~IO'/HI who atl not morl than 8% ' ownlll 01 rtlllad .f.!!!!!."" :IS D. vau INlntaln a _.n polloy _lImOnt lhat prohibita all p..anaI ... of vahlcltt, Including oomnutlng, by yolll .mploveoa? "".""" , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 31 D. vau INlntaln a WTttIen polloy ttalImInt that prohibita ptltOnai UlI of vahloltt, 'IlOtpI oommutlng, by yo"' IInployett? SII IntlrulltloM for vehloltt ..Id by OOlpOfall 011Io.... dlttotora, 01 1% 01 n1O!a owntll ","" 17 DOVUu"..ttJI..aofvlhlolttby~IOVHtUptllanalUH? """""". , , , , , , , , , , , , , , 31 Do vau provld. mora than fIv. v.hIDlaa to valli ~Ioveoa, obIaln Infon'NtlDn from vaur ~Ioveoa IbOulth. us. of thl vlhlclaa. and rtlalnthllnlormatlon I_ad? """""""',""'" , , , . . , , , , , , , 31 Do yo" mttt 1hI raquirtmlntl oonoornlng quaJlfted .utamolllI. demoi'\l1rtllon UI.? , , , , , , , , , , , , , , , , , , , , , , NolIl If....." anow. to 311, 3ll, 17, 3ll, 01 :!lilt "VII." you nlld not oemoltt. Stolion B 101 the oovll.d v.hloln, IPert VII Amortization D'''''lpt~ 01 Clotlt ~.t. ~~U'1on 40 Amor1ization of oottathat II...". dunno.mur ,_ tax -: I 1 1 1 41 AlnonIu'onofoottathatb.ganbtfOl.1QlM1 """.""""...,. 42 Total. Ent. hll' and on "Oth" OadUC1lonl' 01 "Oth" Explnlll' Iin. of your rt\urn JUA (cl MorUubl. ImGUnl (eI) Cod. 'HlIon (a) A....' p.,loaol ,,,cent... Vaa No X X X X X Amo~~~llon lor lhll V.., , , , 141 , , , 142 6 OF2201 10/24'" 4626 A rnatlve Minimum Tax - Corpora ns aMB No 1\41.0\15 POlm OtPlflment 01 It" TldlU'V ~ A\lIIOh 10 the oo,,o,lIIon" W ,etU,n, ~@96 lntlln,l "".nut ,.,Il\et N.... l'~mPloy"'..nl""'"'''' num." ltOCO, INC. - - 23-2099014 1 Tuabl.lncome or (lOll) betOl' nol Ofllf.~nglosl d.ductlon ." . ,., . , ' "" , ", , I 5.h862. 2 Ad\Ultmltl1. IIId prel".no," . Dlllreolltion of pOlI-1Q8& prop'rty " , ,.",. . .' , za <438.) b AmOI1IlItion of o.r1ItIld pollution oon1lol '"01111I.. "" , ", ' 2b o AmotUlItion of m1nlng.xpIOlltion Ind d.volopmanl ooa1l ", ' :Ill d AmOI1III~on of olrculltion "p"nd"ur.. (pononal holding oomplnlH only) Zd . AdlUlled gain Of 101' . , "" ' , , "" . " ' II 949. - 1 Lcng-11llft eontl'.c\I .".," , " , ", ' ", ' Zl I 1ftlll\lmllll1IlI" ,." . ,.."., . "" , ", , ...!i h MlIOhlnl marln. OIpllll oonollucllon fund. "" ' ", , 2h I SlCl1ion 833(b) d.ductlon (Blu. CrOll, 81u. Shield, .nd Ilmllar type OIglnllltiona only) " , ".,., , ,,'" ' , . .", . II I Too .htl\ll term .ottvllln (pll.onal ,,,,",,. OO!POIltionl only) ", , 21 k p...Iv. .~1lvlII" (clOllly hold corp'. .nd pononal.llNlc. COfpOl.tionl only) III I L,," IIm1lation. "" , ,.", , . , .,.,' . " . , ' II m D.pllllon , , "., . """, ' "",. , .,,' ' 2m n Too...lfl1lllnlllll1 ~om Ipeoltl.d prlv.t. letivllY bondl "" . 2n o Chllitabl. contrlbutlona ,..",.",.". , .", , 20 P IntAniJbl. drIIMng cooll "",'" . .",," , .", . ~ q AceellflllCl depreolltion of rill proplllY (p".'881) , , "" , ze , AceollflllCl depr....tion of I....d pononal property (pr.- 1981) (plllonal holding oClll'Cllnln only) "". . "". , ", . 2r . Qthlf IdiUo\lT'lntA ' , "." . " , ",.," , ' ' ",. . za I Colri>ln. IIn" 21 through 21 ,." . ,.,..". , .", , ..,,' . ," . 21 511. 3 PfudlUltmlnl aIIlfnativ. rrinlmum wcabl.lncomt (AMTI), carreln. IIn.1 1 Ind 21 ", . 3 54.373. - 4 Ad.....d ourrent IIfl\lnl' (ACl!)...."'.tmIIIt . Intlf the COf1tD,aUon'. AOE hom line '0 of ,he wo'U""1 on page. of thelnl,ructlon. . , 48 54.906. b Subllaol IIn. 3 trom IIn. ~a, II In. 3 _HC11l1n. 41, .nllI \11' dlftll'nc. II I n.gativ. lIIflOunl " ' ,."..,..".,'" , "",., . , , ... 533. o Multiply In. ~b bV 15'4 (,15) Ind.n\If \1I".uII II I pOlI\lll' amount " , 40 400. d En\Il the __, II Iny, of th. OO!POIltion" IOIIIlnor"''' In AMTl ~om prlOl VIII Ace adlllltnllntA OVIlIta tolII reduotton. In AMlI trom p~OI VIII Ace .~juIImI'" Nattl You MUll tn\II .n amount en In. 4d (lII.n II IIn. ... II pOll\lva) "'" , .",. , "",., , ' , ",. , " , ..s 1.392. . ACE IdiUo\lT'lnt . If vau .n\lfed I poal\lll' nUrrGlI Of IlfO en IIn. 4b, .ntll \1\. lmount trom IIn' 4c hll' '1 I pOllllv.IIIflOUnt. 48 400. . If vau .nllfed I nlQll1lY' numbll on In. 4b, .n\If Ih. lmaIllI "'lIn. 4c orlln. ~d hll' .1 · n.gative amount. 5 Coni>ln. IIn.. 3 Ind ~., It 1110 011_, I10p hll'; \1\. OOlporltion d_ nol OW' IlIlfnativ. rrinlmumtall ". . .",., ' .,..,.. . .' , " , ,., , " ' ' , I 54.773. . AlIllnatlve tall nol oplllting 1"" dtcluotton .." . ." , " . ,,' , ' , ' ' . 1 AltImatlV. minimum WIbl. In_. Subll.oI IIn. 5 ~om IInl 5 " . ", ' ' ' ' , 1 54,773. Form 4828 (11lV81 JIlA fo' paperworll R.duo1lon MI No1Io., ... ..,..,..In.trUo1Ion'' op'''' la103/91 7 '.rm 4797 Sales of Buslnes. Property (AI.o In."lunlAry Con....lon. IlId FI....ptur. Amounl. Under 8eetJen. 179 IlId UOf'(bXZ)I ~ Attaoh to your IIll rllum, Oflllllmtnl 0' lhIT''''u,~ Inlet"11 "'vltf\UI "'ill. 1111 Niitii(ii'ino",n O;"t Ilh"" OMlf No, "4'.0114 Au.ohm. t I<ltnll',/I"II numDef ~@96 23 -2099014 KOCO, INC. 1 Entll hll' the groo. proo.ed.trom Ih. III. ur I.ohang. al "1111111' rlllonld 10 yuu ler 1M on Form(.) 10118-S (or lIubItlM.l1allmlnt) th.t you will b.lnoludlng on IInl 2, 1" or 22 .. .. ,..... 1 I Plrt I I SII.I or Exchlngll 01 Proplrty UI.d In I Trld. or BUlin... Ind Involuntlry Conv.rllonl From Oth.r Thin CIIUI or Theft-Pro. H.ld Mor. Thin 1 Vllr {'l ,pt.eiiUon (lOll nf oln., l') O.lCllpll," 01 (010.1. acqUired ia) 0.1. .old tdl Clro.. t"I' IUo.la bUll, plu. PIOPIIIV lmo., dey, '1'.1 11'1'I0., city, V") prlc, 'Intl~"~:WU':ill~on 1~~fO.~~~,I:.~d 3 aaln, Wany, tromFOIm4884,lIn.311 .,.,.....,....',. 3 4 SlCtIon 1231goln trom Inl1lllmenua'"trorn Form 62S2, IIn. :Ie or 37 4 5 SlCtIon 1231 gain 01 (101') trom like-kind ..ohangll trom Form 11824 5 . aaln, W .ny, trom IIn. 34, trom othll1Mn OIIUlIty or theft 5 7 Add IIn.. 2 threugh 51n oolumnl (g) end (h) .".,......' 7 I Combln. oolumn. (g) .nd (h) of Iln. 7. Enter gain 01 (1011) hili, Ind on thl approprllll IInl II followa: . . . . . , , ponn...hlpl-entll the gain or (1011) on FOll'R lllell, Soh.dull K, IIn. 8, Skip IInll 9, 10, 12, and t3 bilow, S oorpordonl-RopOl1 thl gain or (1011) following thl Inllluotlon.lor Form 1120S, Sohedule K, Ilnl. 5 Ind 5. Skip Iln.. 9, Ill, 12,lnd 13 b.low, unl_ IIn. 81. a gain .nd the S eOlporltion I. .ubjtct 10 the oapitllgaln. \IX, All othtfl-If Ilnl 81. ZIIO or 11011, emer thl amount on IIn. 12 bllow Ind .klp Iln.. 9 Ind 10. If IInl 8 I. I gain .nd you did nClt haVI Iny prior year .101l0n 12311....., or thay Will r_p1l11ed In In lorlier yaar, enter Ih.galn.. 1 long-tlfm OIpilllgoln on Sohedul. 0 Ind .klp Iln.. 9, 10, Ind 13 bllow. . Nonreoeptured nit ,101l0n 12311011.. from prlo< ytIII .,.....,.,...,...,',...., 10 Subtrlct IInl 9 trom Iln. 8. It ZIfO or 1_, Inter -0-. Al.o unttr nn thl approprllllllnl II follow", S oorporallon.-entlf lhl. amount on Schldul. 0 (Form tl20S), IIn. 13, Ind Iklp IIn.. 12 and 13 bllow. All oth""-~ IInl 1010 '"0, Intlf thl amount trom Iln. 8 on IInl 13 bllow. If IIn. 10 I. mor. than ZIIO, .ntllth. amounl from Ilnl' on Iln. 13 bilow, Ind Inter the amount trom Iln. 10 II . Ion tlflll 01 11I1 In on Sohldul. O. Plrt II Ordlnl Gllnl Ind Lo.... 11 Ordl nund 101... not Included on Iln.. 12throu h 18 Includ. r 94 MITSUBISHI 1 29 96 1 2:1 96 10000 Z hlld 1 "' '" I... : 15460 12 lou, Winy, trom Mn. I "",."",."",.", 12 13 GaIn, ~ any, trom Mnl I, or IIllOUnt trom linl 9 hppliOlbll ... 13 14 GaIn, H Iny,trom linl 33 ,.'"""..",.,..,' 14 15 Nil gain or (l01I) trom Form 4114, U_ 311nd 3It .,.." 15 1. Ordlrwy gain trom InI\IlImInt..... from Form 82Il2, IIn. 25 01 38 , II 17 Ordlrwy gain or (Iou) from 1Ike-ldnd IllChangtttrom Form 8824 , 17 II FI~I of Ito1Ion 17l11XPII1l' deduction for plltnll1l Ind S oorporltien .twlholdlll. from propll1y dlopOlitiOM by pll1nnhlp. Ind S CorporltiO", ...."............, 11 19 AcId Iln.. 11 ttvough llln oolumna (g) Ind (h) ".,.,.....,.. ....,..,. I' ZlI Combine oolumna (g) Ind (h) allln. 1', Enter gain or (Iou) hili, Ind on \h. approprlltllln. II followa: . For all mop1lndlvtdual rl\Utna: Enter th'lJIln or (1011) trom IIn. 20 on thl rllurn bllng filed. b For Individual rllIllOl: (1) ~ thllOll on IIn. 121no1uuII lloutrom Form 48801, IInl 35, oolumn (b)(II), .ntll that port of thllOll hlfllnd on IIn. 22 of Soh.dul. A (Form 1040), Idlntlfy.. from "Form 4797, IIn. 2Ob(1)" .,. . . . . , (2) Fledltomin.lhl gain or (100') on IInl 20, IxcludlngthllOll, Winy, on line 2Ob(l). Enter hll' Ind on Form 1040, IIn. 14 . , . . . . . . . . . . , . , . . . , . . . . . . . . . JUA For p....rwork R.ductlon Act Netiee, ... pallll of ..parl\llnl1Nctlon., 9 CF2U' 0"2'/11 l3lL088 (lfImlnu' thl lu,notjd,."dIIU I . 10 5460 IhlOAIN IltU plul (.1 Mlnul(lll 5460 ZlI -5460 Form 4797 (19961 23 - 2099014 Plge 2 .....:- , , , 21 (I) Dncrlption of ..ollon 1245, 12!lO, l:1e2, 1254, or 1255 prop.rty: (b) OIl. .cqulrld (c) 01" ,old - -" lme.. diY, III.! (mo., dlv, III,) A I C -- - D RII...lln.. ZlA "',ouah ZlD to "'I" oolumn. ~ ProIllI1YA Pro..rtv I P'ODlrtv C ProOlrtv D ZZ GrOll u1.. prlel (Noll: S..lIn. 1 beforl compllting.) ZZ Z3 COl1 or othll bul. plu. .."..n.. of .... ", , " , Z3 24 DlfI,lCiItion (or dlfllltiOn) Illow.d or IlIowablo ' . Z4 II Adlul1.d bula, SubtrlCllln. 24 trom IInl 23 " . 211 ze ToIIl ooIn, Sublrlctlln. 25trom Iln. 22 ' , , , , . ze 'D Il.aotlon lZ4l1 p'operty: . D.p'....tion allowed or allowabll trom IIn. 24 ' , ., , 'DI b En1II IIl1 .malll' of Iln. :Ie or 'DI .."." , " , 'Db ze If HOtIon 1210 property: If IlIlitht Unt dltPf WU !,l..d, ent.,..Q-on II." ZI.. 11111." fDl' I corporation .ub~ct tOile 291, I Additional depreciation IflllliT5 ,.",.",. , 211 -- b App!lclbl. p"",.ntlgI multlpll.d by thl ......11' of IIn. 211 or Iln. 281 .,."."......,',.., . :lib -- ~ Subtract Hn. 281 fTom Iln. 26. If f..laent~ ,ental ,rop.rly ot Un, H It not mOl',ln'" 11ft. 2", 11111' IIn.. Zld."d 2" ,. . Z8e - d Additional dep,eclation Ifill 1. Ind before liT8 ' . Zlld I En1II Ill. .malll, of Iln. 2lIo er ZId ",." . " , ZIt I Sdon 291 amount (corporation. only) , , , , , , " , 211 - o Add IIn.. 2lIb, 281, Ind ZIt "...."., . " , 1- - ZI It .101Ion 1ZSZ ~ Skip thl' ,eo If yeu did nol dl,pOlI 0' 'armllnct Of If '''It fonn It .lintcomplet1d few ,plr1n'''hlp. I Soil, w_, Ind land oIll11tng tllP.",.. ' , , , , " . 2lII b Un. 281 rnuIlIpUtd by appllcabl. pllCln1IgI " , ZIb C En1IIlIlI lmalll' of IIn. 211 << ZIb ,.".. , " , Z8e 30 IlIlGllon 12114 property: I In1Inglbll drlI1lng Ind dtvtlopmtnt cOllI, ."".ndllu'" for dtvtlopmant of llin.. Ind othll natutal dapcllll, Ind llining npl<<llIan .- ' , .".,.,., . 301 b En\It III. IllIIIlIr of IInl 2S << 301 ....". . " , 30b 31 II -'Ion lZll1 ",.,arty: " I Appllclbl. plIC.ntlo- of payman1l -'udtd trom 1_ undlr ItctIon 1. """"""" , 31. - - b En\It 1Il1 IllIIIlIr 01 Inl 28<< 311 "."".,' , 3tb Summlry of Part III Glln.. ComPIItI propll1y column. A IIlrough 0, threugh Iln. 31b btfor. going to IIn. 32, 3Z TClIIl galna for II p,opsritl, Add coli..,.. A hough 0, IIn. 211 "".,,' """"""" ". , 32 33 Add propllty columna A through D, Un.. Vb, 280, 2lIc, :lOb, and 31b, En\It hll' Ind on Iln. 14 ", . ", , 33 34 SubtrlCl Un. 33trom In. 32, EnIII"'l por1lcn from euullty<< Ill'" on Form 4e84, IIn. 33, En\It the portion from oIhll thin euUllty << "'''' on Form 47V7, Un. e "....."","'" I "", I."""."", 34 IPlrt IVI R.c.otur. Amountl Und.r Sectlonl 179 .nd 280Flii\l2l Wh.n BUllnl.1 U.. DrOOl to 80% or L.I. II) Sao1lon (b) llIC1Ion 171 Z8Qf(b)(2) 31 SlCIiCn 1711."".",. deduction or dlflrlCiltion dowlbl.ln prier yMlI ",."." , ,. , 31 - 31 Reccmpu1td dlfl,tclIlIon .,."",.",,""" """,","" " . 31 37 FllCIDlUfl lmount, Subtr.C1lln. 311 from IIn. 35, SN InltruC1lon. f<< whll' to rOOM " . ,. , 37 ollllon of Properly Under SeollDn. 1245 1250 -'262 1254 Ind 12155 JUA 10 CFI14t 12/10/" - Charitable Contributions 1996 -- Form 1120 !tOCO, INC. 23-2099014 Stltlm.nt Chlr"abl. Contribution. Clrryov.r = , Conlrtll"-I c.tyIorw_d to Amount o.duotlld In ConlrlllutlOnl c.rytoo ward Pi.... y_ end Cu"",tV_ Currant V_ .ft......y- 1--. 12 /31 Tn 830. BJO:"" 12 31 92 12 31 93 2.693. 2.205. 488. 12 31 94 3.010. 3.010. 12, 31 95 938. 938. 12 31 96 - 7.471. 3,035. - Total d 4.436. Currlnt VIII' Charltabl. Contrlbutlona o.lOrl- Amount k::ON'l'RIBtlTIONS 2.950. - To\lll au''"" P_ otulrl\llllll eonlrtllullona 2.950. . . ,... aCI/oamputl ... 15 0'.... O~IIOI.. -' -- AdJusted Current Earnings 1996 Form 4tH ltOCO. INC. 23.,2099014 ~k.h"l , Pr.-IdjUllmem AMTI, Enttl 'h. lmoUnt Itom IIn. 3 of Form 4e2ll " , ,.." . 1 54 373. ."", , 2 ACE dlll/_tion IdjUl1mtnl: I AMT dlllraclation ",." . '" , "',','" , , , " , 21 b ACE d.praclation: (1) POII-lll83 proptl1y ,.,." . 2b(I) (2) POI'- 18Ill, pr.- '1lQo4 P/optrty , , 2b(2) (3) Prt- Iggo MACRS P/optrty " , 2b(3) (4) PIt- Iggo llflglnal ACRS proptrty 2b/4) . (II) Plopllly dnarlbld In .tolInna 'aIlf)ll) \/vough 14) ".", , ilb(lI) (II) Othtt ptopto1y ,.".." . 2b11l) (7) Total ACE depraclltion, Add Iln.. 2b( I) through 2b(II) "" , .".",. , , , , , . 2b17 0 ACE dtpltolation IdlUl1mtnt, Subtllllt IIn. 21>(7) Itom IIn. 21 "" . "",.. , ""'" , 20 <1.033.' 3 InclUllon In ACE of ~_ Included In tIInlnga Ina pr* (ElP): I T.....ampt InltIllt Inc_ ".., . ."""" . "." , 31 b Otlth b.ntfltl Itllfn IW. lneurlno. .0""toII '.,,'.., . ."" , 3b 0 All othtI dIa1rtbutions Itllfn HI.lnsUllnc. oont/1OlI (Inoldng .un.ndlll) 30 d lnatd. buildup 01 undlntbllled lnoome In 1H.ln.Ullnc. oonll101l ," , 3d . Othtl ~_ (... Regulationl laction. I ,8ll(g)-llolllll(lII) 'hrough (lxl for I patlIaIlIa1) """,.,.., . """'" , ..", , 3. 1 Tc.1Illncr.... to ACE IIllfn InclUlion In ACE of ~tmllnclud.d In EAP, Add IInll 31 'h,ough 3. .,.. . 31 4 OluJowanol 0I1tomI nOl deductlbll 110m E&P: I CMaln dMd.ndl ,acllVtd ",', , ",...""."" . 41 b OMdlndl paid on .lI1aln prtftrTld I100k 01 publlo utlIHI.. that III dedU01lbl. undtl.action 247 .", . .."."...."", , 4b 0 OMd.nda paid to In ESOP thaI III deduo1lbll ulldtl .action 404(k) 40 d Nonpl.Onllll dMdlndl lIIIt II' paid .nd dlduotlllll undtl laction 13&2(0) , , .."..,....,. . .""""...." , 4d . Oth. ~ (I" Ragulationa .1Otion 1 ,l\e(g)-1Idl(3)(1) Ind (II) for . ptttiaIliII) 0....' 0.'00' o. .,."..,....,., , ~. , Totallncw.... to ACE btctua. of dIIaJIOW.nol of nen. nOl deductlbl. Itom EAP, Add IIntt41 through 41 "0" 0 0'., .,'.'",.. 0"'" ,..,.,..,."., , " , 41 II Oth. Idjualmtnll bl..d on rul. for ftgurlng ElP: I InII~ drllllng ..... 0......0'. 0' 0,.0..0".,.", , III b Clr.ula1lontxp'~II"""""""", , "., , !b 0 Organlza1l0nal txplndilll'tI ,.. . '. 0"""""" 0 IlO d LIFO InvtnlOly Idjul1mtntl 0' 00. ,.0""" . ,.". , ad . Ina1IItmtnt Ialtt '00' o. 0'" 0"""'" , '.", , III 1 Total 0Ihtr UP Idjul1mtntl. Cllfnbln. M_ III through lit .", , '.'" , "'" 0"", III II DluIowtno. of 1011 on .xchange of dtbt p.... ..".,.", , ,." , """,." . II " Aoqu!wlllon txpl,.. of IHt Intll"not Cll/I1lInI.. fOl quallft.d forllgn OOnt/I" " , """,." . 7 a Otp/ttlon "'" 0' 0" 0 0.0 . 0""'" 0" 0'" ""., , """"" 0 a g Stall Idj_nII In dtltlmlnlng gain 011011 110m tal. 01 IXOhingA of pr...1W4 p,optrty , , , , , , , , , g 1 566. 10 AdJulltd au"tnt ttmln... Cllfnbln. linn 1,20, 31, ~f, Ind Sf through g, EnttI tho 'nu~ htlllnd on IInl41 of Form 4828 '.. 0"'., """", . ,.", 0 """ 0","., '" . 10 54.906. . 111I lel/CMpUle OF"" 12/11/M ,.~AN/)~~ U.S ,?orporatlon Income Tax Re+' 'rn ~o,~Md.,yeM '"'01 eM Mglnnlnll _____...............' 111_. ~!ll"ij .----~~"., \It__. . Fonn 1120 1997 D~tol,".'NMUty Intlmll AfN'lftuelMrvioe . El"I1ploy..ldefltlWtlOn nu,"*, 23-2099014 --~----' C 01'- It\Mfl)Oft_ 04/17/1979 o TOttl...tel..~6dl \nttr\lctI0l'111 Nlmt KOCO, INC. -_.~---~_.--.....--.-.--'~.._~--~._.__.--------"-_.---- Numb.., Ilrllt, Ind room OllUnS no, (If I P,O box, III pig.' ot Ins'ructlons) 2700 LINCOLN ST. .._.._----.-~-_.-_.-~-~------------_.__.._~-~_._-_.. A Chick" I: 1C<l''''Id_-CJ 1._'.....1110 2 p""",,lM)IdlnoClO. 1_......., ~ p.,.,....._ ClOf1I, ,.........'.'....0 fWgI, tIC. '....,..n 17011-2836 Flnlllltum 3 Chin I otaddllSS 238 190. I e 8.1" Ie 2 3 J 8 8 7 8 I 10 .. 11 12 13 14 18 18 17 ,,"",,""" ,"""",,","" 1 "flt;Ilt:13\l1Elot; 4 19 20889'8 . 211 l,092.Jl ZZ ZS 24 211 28 .. 21 21 ChICk IPpllcJbll bout: 1 . aruM IWIlptl eN'''' 2 COlt ot goodl lold (Schldul. A, IInl 8) 3 arOll protll, Subtractllnl 21rom IInl Ic 4 Dlvldlndl (SChl~UII C, IIn. I g) 8 IntI/lit."""" I Orollllnll 7 Oroll roy.RIII I ClpllJl glln nlllncomt (11IICh Schlduil 0 (FOlm 1\20)\ I Ntt glln or (loll) \rom Form 4797, Plrt II, IIn. 16 (Ittlch Fonn 4797) . , 10 OIhl/lncom. (Ittlch ICh.dul.)"" "","'"'' , 11 In" hr 10 12 Comp.mllon of Otftclll (SChldull E, IInl 4) 13 SllIrllllnd wlgII (1m .mploymlnl crld"I) 14 R,plllllnd I1\Ilnllnlnca 11 lid dlbll 11 Rlnta "",,,,,,,,,,,,,,,,,,,,,,, 11 Tmllnd Ilctnm 11 Int."" """",,""'''''' '"'''' , ",,",," "" '" """""" II Charbbltconlrlbutlonl flElE!,flt;Ilt;13\l1"lot;,L. ...JIO,(I ..,..fl.13El 20 Otpradlllon (.lIIch Form 4562) " """""" 21 UII d.pracllllon clllOO on SChldul1 A Ind .!llwn," on IItum 22 Otpllbo/l """""",,,,,,,,,,,,, ",,"""'" 23 AdYlrtll1nQ "."""""""""""" ,,",,""",,",,"'" . 24 P.nllon,protll1hlrlng,.lc"pllnl """"".""""",,,,,,,,,,,,," 21 EmpIClytlbln.ftlprOOlllna",,,,,,,.,,,,,,,, ,,,,,,,,,,, """ 21 OIh.rdlductlonl(IIIIChlChldull) ".""",,,,,,,,,,,,,,, ,S.l;l.E!St;llt;eml;lo,t;~" 27 ToIIUI..IlIllM, Add IInII 12 Ihrouglt 26 ",,,,,,,,,,,,,,,,,,,,,,, ",,","",," ",," ,,'" " " ZI T.......... NIn MfI opnl:6nIlOIe dectUCltIJOI'Ilnd.... MdUCtIonI. 8utlMd MN 27 fimm llnl 11 II Len:. NlIOPlratlnglolldlCluctlon """""""""" 211 2Ib 3g Tau." Ift'GIIIt, SublraC\Unl 2Qc from IInl 21 : ~~l:J~;u~,~~:~I":,tiJ""",..,.",.,........,....,,...ji;~".. b~7,::,~~P~". 9,784.> I on,"'_ ,,,,,,,,,,,,,,,,,,,,,,,, / dill" 32d I Tud'POlbdwlhFonn701M """""""""""". ,,"",""","',," 321 I ellCl. fo,talC paid on undlllrlbulld ca"'l gllnl(lltIch Fonn 2439) 321 I CIICII for FtdlralllX on fII.11 (lltIcllfOnn 41311) """'"'',,''''''' 32 ~2h 33 EllII1\IltdtalCPlnllty,Chack"Fonn22201lItllcllld """",,,,,,,,,,,,,, "",,,,.. 33 S4 Tu '11, "1In. 32h 1III1\IIIIr thin thllolll of linn 31 .nd 33, .ntl/lmoun' owld S4 31 OwI"lymtnl. tt Ilnl 32h II 1111111 th.n th.total ofllllll 31and 33, Intl/lmount OVlflllld. ,,,""'" " 38 38 Iln n: 1 f II" 2 023. tun 31 UI'ICMf......otlMl1~, I CleCUftttm I ,..1ICInII'lId"1t1'iltUm.1nc:Ndlno~ylng lIdledulelltW ttlWMntl, end to Itle..tof~ IlncM1ClCtltlnd t*ief, Itlt~ Sign ..,.,., ......... 0idMIkIn ot '""'*'" 10M Nfl"""'" III*1ld on IIlln~ of wtlietl p,...," IIny Ilnow1eoue. He,. ~_.,._ /' ,,', _--1 D... =. fl." C. ',/1-// FlIIn'..... HOMAS C. WETZEL, CPA :.z=.odJ 6 WEST MAIN STREET ...-- MECHANICSBURG PA . . b l.. ,",mllt\d 1l10Wl/'l0M SEl13 St~t13l1\ent 1 ) 36,847. 247 395. Jh!64. 3,053. 19,800. 20,02'2. ...",.. .".""...,.. flE!eflt;Ilt;E!I1\E!O.t;... 2 5,243. I 7 806. 106,939. 16,367. 84 880. ~ 47,188. 7 078. ......;.':' 1 1 ~ 9 101. 9,101._ . -2 023. / ''I 7/'1<' ~Il' Plld Pit' p.It'" Un Only -"IC'\ ",'~17 JWA ,.~ "1d'I,..n !(OCO INC. Cost of Goods Sold s. -"'10 o'lnstructlons) 1 Inv.ntoryIt b.glnnlng ofYllr ""'" ",." ""'."""""""""",. , 2 Puroh.... ""'''''''''''''' 3 _~~ ................. 4 Add~lonll..ctlon 263A OOS" (Ittlch soh.dul.) . "'"'''' "" ",., 5 Oln., ooltl (llUoh .on.du~I"",,,,,'''pt;lt;l$:t;/:I,:t;ElmElnt6.. 5 Tatll, Addlln"l th,ough 5 "",,,,,.,,,,, " '"""",,,,,.,,,,,, , ."""'.,,,.,, 7 InVlntorylllndofYIII """'"'''' """ """,,,,,,,,., "" ,,,"" ",.", "'"'' """ 5 CallotloodllOld, Sublllclllnv7f,omlln.6.Enl.,h.,undonplg,I,lIn.2""",.. ."",,,,,., 1 I Ch.ok III mlthodl used fo, valuing oloslno Inv.ntory: (I) D COlt.. dmrib.d In R,gu~tlons section, ,471-3 (II) 0 Lo,"" ofoost 0' maril.1I1 dosr.rib.d In R.gu~tlonl IIOlIan 1,47,-4 (III) D Olh., (SP.clly '"'thod uSld and attach ...~natlan,) .. b Ch.ok Wth.II w.. . writ.aown of.ubnonnal good. IS dllcrib.d In R,gulatlons S1ctlon , ,471-2(cl" """",,""", '" "" "'" """ I ChICk Wth. LIFO Invlnlory mlthod was adopl.d this tu }'tufor any goads (riohICk.d, attaoh Fonn 970)"",,,,,,,, """"'" d IIlhl L1FOlnvtntory mltnod WIS USld '0' this tu YIII, .nt., p.re.ntsg. (a, amounts) of closing Inv.ntory oomputld und., LIFO """,,,,,,.,,,,,,,,,,, ,.". """" "" ".", I If proPlrty Is produotd or Icqulred fo, 11111., do tn. ru~1 of .lctlcn 263A apply to th. oUlPoratlon? I W.. th.lllny ohang.ln d.tlnnlnlng qUlntlllts, cost, 0' vlluatlons b.lwten oPlnlllg Ind oloslng Inv,ntory? If'YIS'attlch.. ~nlllon """",,,,,,,,,,,,,,,,,,. '''''''''''',,'' BmiIII!mII Dividends end Special Deductlons 2,j-;'OYYU.1'1 P'u,2 , 2 ~O-" ~D ,,,~I ..".,,,,...~lXrNo""" (I) Olvldlnd. "o,Iv'd (b) % 1 DMd.nd.I,om ~....nan.2D%..wn.d dOmlstlc Oorpolltlonl tnat alllubl.olto th. 7D~, dtductlon (othlr tnln a.bt.ftnlnCla Itook) '" ""'''''''" '"'''''''' ,,",""" """'''' 2 DMd.ndllrom 2D%..,-m0ra-own'd dOmlsllo oOIPOlltlonl that all subltct to th' SO'II d.ductlon (Othlr than dlbt.ftnanCld stook) """" ",,""""" """" ,. "" ,,,.,,.,,,,,,,,,, 3 DlYIc:Mndeon.....,..., I" o,~tiClWfDNton__..._1tec*on2~ "..""..,...,.... '. 4 OIYldMal on MIll" ~... O'''''Nn-~.OWMd puDtlo....... ,.."...., """""""'" 15 DlvidlncMon.-l"~ ...of2OM.0f\01nllftl441l.liedpWbl60mtlltel ....",."..."........"..... . DMdtndl from ~..-tlIan.20%..wn.d fOlllgn corpolltlons and otruln FSCs that all subltct to th. 70% dtductlon '" """"'''''''''''''''''' ,,",' ,.""""""" """."" "" """" " , " 7 DMd.ndl from 20%-or-m0ra-own.d fOlllgn oorpolltlons and otruln FSCI that all lubltct 10 thl SO% dlductlon "",,,,,,,,,,,,,,,,,,,,, ,,,,,,,,.,,,,,,,,,,,,, " "'"'''' , ''''''''',,',,''''',' · ~""::"-="""i""'~~,~,~,~""""""".""",,,,,,.,,,,,,,,,,'.".""" 1 Total, Add IIn..l th,ough. """"""'"'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' 1 0 DMd.ndl from dOmllllo oorpolltlons '1CIIvtd by a slNlI busln,"lnVlltmont oompany OPlllttng undlrth. sINn 5ulln"llnvtltmlntAot of 1158 ,,"" ",.""""."."" 11 D___FICa _.._.....'....__2_1 "''''''''''''''" 12 ~_____"""""__2_ "'''''''''',,'',, 13 ...___...........~""_on_3,.."..otll """"""""""''',,'' 14 -___...~......';__F_~..11) ",''',,'',''',,''''''', 15 FDlIlgn dlvldlnd grosl-up (lIctIon 75) ,,,,,,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 1. 1O.1llIC__IllIC_",,_.._1,2,otO_2_ ",,'"''''''''''''',''' 17 Olh., dMdandl ""'," ,," """, ,"","'" ,,""""""'"',','',,''''''''''''' '"'''' "'~,~,~~'" ,7- 1. Dtduction lo,dMd.ndlPlId on otruln pmorrtd stock of public U_I ,," "'" " "" " 18 TOlIUivldln'" Addllnu ltnrough 17,EntllnlllJnd on 1In14,Plg. 1 """""'"'' .. 70 50 " 42 4 TO . 100 II tfmtlf tI Int1. UIII,.4tn II) HlmI of offlca, (b) Soc:lal.ICurlly numbir Ie) P.n:ant ofllml dlvolld 10 bUlln. (0 Amounl of oomp.nllllon 1 PIETER C. KOOISTRA 11 2 7 MARGARET O. KOOISTRA OEC'O 100. 100. '21fS:1lrn-:~- ----Ut.01l'lf~. .~__C,,_'" 2 TotslcomPlnllllon of offtotrs """""'.'.'.'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' 3 Complnlltlon of offlo.rs t~lmld on Soh.du~ A and .Is.whlll on ilium . Subl~d Iln. 3 from line 2. Enll,th. rtlu~ h.l1lnd on "".12. 010' , , . . . . . . . . . , . . . , . . . , . . . . , . . . . . , . . . , 305. ....____.1__ , -,,,, ".,..., .J.' ,. --. ~KOCO, INC. ~ Tu ComPut8tiOii7'~'\1agI120Ilnstructlonsl 1 Ch.ck W th. corporallon II a mlmbll ala controll.d grollp (II' IIctlons 156' and 15631 Impo~lnt: Mlmb.l1uf I conlroll.d group, III Ins'ructlons on pag' 12. 2 tIll, bOJl. on IIn. , 11 otIel.nd, --_ eM oo~........ of 1M UO,OOO, Uft,ooo, lInd ".120.000 laur..Ible :nOQ!M~_ · n(;~1'i- I (2) I. I (31 Is b Enlllth. COl1lol1llon'. Ihlrl of: (11 Add~lonaI5%taxlnotmollthaoSll,750) Is ~ (2) Add~lonaI3%tax(nulmolllhan$IOO,OOO) 1.--, See Statement 8 3 Incoml tax, ChICk thll box n Ihl corporitlon II a qualiflld PIli Dna I SIlVie. corporation IS dlfinld In mtlon 4~8(dI(2) (I,,'n.tructlon.) """",,",,""""""'""""",,"'"'''''' '''''''''' """""'"'''''''''' .0 41 FOlIlgn taxcl1dn (Ittach Form 1118)""""",,,,,,,,,,,,,,,, '''''''''''' ~ b POIImlonlluclldn(attachForm5735) "",,""'"'' """ '" , , 4b c Chick: 0 Nonconv.nllonalsourufullclldn 0 OEVclldn(attachForm663~) 4 d OIn.ral bUll"". cl1dn, Entll h.lI.nd chICk which form.llllttaCh.d: 0 3100 0,. 0- 0.." DI,.. D- DII30 0.... D-D-D-O-D~D~ 0_ 4 I Clld~ for p~or VIII minimum tax (Ittach Form 8827) 4. I Tot.'crldlll,Addlln"41Ihlough4. ""''','',,'' """""'" """""""""" ",,"" '"'''''''',,''' """""""',,",,' I 8ubtl1ct IInl 5 from IInl 3 """" ""'"'' ""'''''''''''''''''''''''''''' """"""'''' ""''',,'''''''',,' 7 Pll10nll holding comp'nv I.. (Ittach 8chldult PH (Form 1120)) """"",,'" """ ""'''''' "'''"''''''''''''','''',, . R.captull....., Chack Wf,om: 0 Form 4255 D Form 8811 """" """"" """," " "" " "" "''',,'' '"'''' I AA.mlllvl minimum tax (attach Form 4628) "",,',,"""'''' """""'''''''''' ""'''''''''',,'''''''' " """"""""'''''''' 1 T I 2 3 - 2 0 9 9 0 14 P'OI 3 . 7 078. 7 078. Other Infonn,t!o 8u 1 ChICk mathod of Iccountlng: I Cllh b C [X] OlhIl(.PICffY).-1!Q,pIFIED 2 S.. pag. 18 of thlln.lructlon. Ind .1111 th. p~nclpll: I 8UII"""ctlvtly cod. no, . 5 0 0 8 b __ . BROKER c _.._. CONFECTIONARY 3 Althllnd ofthl tax ytll, did th. COl1lolltlon own, dlllctly o,lndlractJy, 50% 0' mOil ofth. voting Itock of I doma.lIe COl1lollllon? (For rull' of IUrlbutlon, IU IIc110n 287(c),) """""" '" """'"'''' " """ " " "', '" "'" "",,', If 'V..,. Ittach I .chldult .howlng: (I) nlmalnd Idlntlfytng numbl" (b) PI~ntag. ownld, Ind (c) twblllncoma 0' (1011) hlfoll NOL Ind ._1 dlductlon. of .uCII COl1lollllon to, thl tax v..r Indlng with or wtlhln vou, tax VIIr, 4 II th. COl1lolltlon . .ub.ldlary In In Ifnllatld group 0" plllnt..ub.ldlary controlltd g,oup?~ "",,"""," """'''''''''''' II 'V..,. .nllr .mplOyt,ld.ntIftCItlon numbmnd nlma of thl pallnt COlJlOlltIon . 7 07 Wlllh. cOl1lollllon I U,S, .hlllholdll of Inv cont,ollld fOlllgn corpolltlon? (S.. .lCtlon. 9511nd 951,) """,,"'" "'" II 'V..,. Iltach Form 5471 lor IIch .uCh COl1lolltlon, Entll numblr of Form. 547' IttaChld . At InV llrot durtng th. 1997 caltndlr VIII, did thl COl1lollllon hlv.ln Intlll.lln 0" .Ignltull or OthlllUthOrlty owr. ftnlnclallccount (,uch III bank account, .acurttle. Iccoun', or Othll ftnanclal.ccount) In I tOlllgn country? II 'V..,. th. COl1lolltlon mav have to ftll Form TO F 90-22,1. If 'V..,. Int" nlma ol1Olllgn country . Ourtng lh. tax vear, did th. COl1l01l1l0n IICIlYla dlll~bullon from, 0' WI' n Ih. gllnto, of, ortllnsftrorto, a fOlllgn tru.t? II 'V..,. s.. pag. 15 of th. In.tructlons 10' oth.r form. thl COl1lolltlon mav haw to lIII """"","""""",,"",""'''''''''',,'' I At thl .nd of th. VII', did .ny individual, Plrtn'l1hlp, COI1l0IltlOn, ..tat. or 'ru.t own, dllldti o,lndllldly, 50% or mOil of th. cOl1loration'. voting .loeIl? {Fo, rulll of Ittrlbutlon,'" lIctIon 287(C),)",~~~~~ffi~~~",~, 10 Atlnv lima du~ng th. tax v'", did onl fOlllgn Pll10n own, dlllCtly orlndlllCtly,at 11111 25% ot. (.)th'IOIII voting POWl' of III Clalll. ohtock ofth. COl1lolltlon Intltltd 10 vot., 0' (bl th. total Y11u. of III CII.... ol.lock of thl cOl1lorallon? II 'V..,. I Enter perctntag. ownld ~ b Enl., Ownl(. country . c Th. COl1lorsUon mav hive to ftlt Form 5472, Entll numbi, 01 Form, 5472IttaCIIId. 11 Chide this box W th. COl1lollllon Is.uld publicly olltl1d d.bl In.lrumanb wtth orlglnalls.uldlscount"""""",,,,, ~ 0 11'0, th. COl1lolltlon maV hive to ftll Form 8281, 12 Ent., th.amounl 01 tax....mptlnl"..11ICI1YId or Iccruld durtng th. tax ytll . $ 1111 th.1I wtll35 0' ftWlrshlllhold.llltthllnd of th. tax Vllr, Inlll th. numblr . 2 14 If th. COl1lollllon hllan NOL fo, th. tax v..r Ind 1I.lIctIng 1010IlQOthlcarrybICkPl~Oa,chlCkh'" "'",,''''' . 0 11 Ent., lh.mlllbll NOL carryover flom pricr tax VII" (Do notl1duc. n by any dlductlon on IInl 2 , ~ W 'VII" IttaCIII.chldult .hOWing nlIN Ind Idtntllylng numblr, (00 not Includllnv InfolllllUon .11I1dy Intllld In 4Ibov,,) EnlllPlrctntaPlownld. 90.00 I Ourtng thl. tax Vllr, did thl corpollUon paV dlvldtnd. (Othll thlO .tock dlvld.nd.lnd dl.l~butlon'ln .llChlngl to, slock) In 'xetll oi th. COl1lollllon'. curranllnd Iccumulltld ..mlngund profit.? (8H '1eI, 3011nd 318,) """""""""'" II 'VII" ftlt Form 5452, If this II. con,olldllld ilIUm, Inlwtr h." for Ih. plrlnt OOl1lolltlon Ind on Fonn 181, Afnllatlon. Sch.ault for IICh .ub.ldll , ....121 ".2',),11 '0"" '4562 "1epreciatlon and Amortlzatl"" ,Including Intonnetlon on Ulted Proper." OTHER ~ AU.oh thll form to ,au".tum, Bu..".. 01' 1CtN1ty 10 wnlch thll lorm,..... OMB No ''''~.0112 1997 D~to'~T~~ In\Jem1l AwenutleNloe NIml(IIItwMn on '"'"' AttIcfI"*ll S<<lI/WlClClNo, 87 Id*"tlfylngnurroer KOCO INC. ther Depreciation 3-2099014 _ Eltollon To Elpanl. C.rtlln Ttnglbl. p,;;p;;;y lhollon 170)(Nota: II 'au hivlln, '1I11.d ro I :co'; 141. Plrt V b.I". ou com ilt. ~ 1 Mlldmum dollar IIm~IIlon, If an ante'1'ria. zona bu.ln_. "" Inetructlonl 1, 000 . 2 Totalc:ot1 of HOllon 170 propartypisctdIn Ilrvlot "'"'' 2 1 991. 3 Thrtthold COIl of HOllon 170 p,optrty befor. ,tductlon In IIm~ltlon "" 3 $200,000 4 Raduotlon In Ilm~tllon, Subtract IInl 3 from IIn. 2, Ihlno 0,1..., antar.(). ,..",,,,,,,,,,,,,,, '"'''''',''' 4 ft Dollar IIm~ltlon fo, t.. ,loW, Subtraot IIn. 4 from lint 1, If ZIlO 0"11I, entll .0', If mlllritd filing IIDIlalatv,_lntlruotlonl "'''''''''''''' """." '''''''''' ".""", , ",,"" , (II o.cnpllon 01 ~ (bl eo., (bull"". II" ontyl (et EItctId OOIt 530. 530. 1,461. 1,461. o. II 18 000. , HP PRINTER OFFICE FURNITURE 7 Uattd proptrty. Entll amount from IIn. 27 """",,,,,,,,,,,,,'''''''''''''''''''''''''''''''''''''''''''' 7 , Total tltctad COlt of ttoflon 17g pnoptrty. Add amoun'lln column (c), linea 6 and 7 """'"'',,''' ,,,"""""""",,'''' o TanttllYt daduotlon, Entlllht lmalltr of IIn. 5 Of IInl 8 "'"''''''''''''"''''''''''',,,'''',,''' ""''''''''''''''''''"'',, 10 Canyovtlof dlulloWtd dtduotlon lrom 19l16 ''''''',,'''''','',,'''''''''''''''''''''''''''''''''''''''''''''''' """""""""'''''''''''' 11 BUlln_lnooma Ilm~tlloll, Enl.rthllmalltr 01 bulln_lncom. (not ItIa than ZIIO) Of IIn. 5 ''''',,'''' " " ",," " " " 11 12 StolIon IN tl<ptI1tt dtduotlon, Add IIntl 9 and 10. but do not anttl mllft than IIn.ll ,,"'''''''''''''''''''''''''''''' 12 991 . 13 CInyovtl 01 dtttIloWtd dtduotlon to 1998. Add linN 0 and 10, leu lint 12 "'~ Not.: 00 not Uti Plitt 1/ or Pa1t 11/ ""W lor U.tad plOptI1y (automobllts. Cf/I'tIIIn other v.nlciN. ~lJ/ar Itltpho-. cerfaln co"""tln. a, p/llpt/1y ulld lor tIIttrf11nmant. _lion. a,. lIIXI_t), InllNd. Uti Ptrf V lor "Itad p/llpt/1y, IiIlIIIII MACRa ~ FOf AueIa PItotd In lItMot ONL V Dilling Vou,1007 T.. VII' (Do Notlnoludt LIa1td Property., e.otlon A . Olntrtl AIMt Aooount Elto1lon 14 II you lit mtldng lh. tltctlon uncltr HOllon 168(1)(4) '0 group an, _I pltctd In ItIVlce during th.t.. ,tIIlnto on.Ofmllft ganllllll....t _ aocountl. chtok lhla box, S..lnltNctlonl ,,,""'"'''''''''',''''''''',,''''''''''''''''''''''''''''''''''''''',,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,. ~ D_ lIto1lon B . ClanMlI D.p....t.tlon ByR.m 10DS) (S..lnltruotlon.,) 1bI-..... let-................, 1.,_ (II~_.,_ _ _ _--.- _ 1..""'->.... ~- illIO_............. 1ft-*' 0ftIy...~ 111 . tII b 50 tit o 7 d 1 . 1 t h Rttldtntltl ranttl ptopto1y 25 I 27,S MM 27,5 MM MM I MM ItoIlon 0 . AlIarntIlw DapraolIIllon 8ya\am (ADS) (Stllntlructlonl,) SIl SIl SIl SIl SIl I Nonltlidtntltl rMI ptopto1y 12 40 MM SIl SIl 0IIltr D Ilon 0 NoIlnoludt Utltd . SttlnltNotlonl, ~~ ~=::.,aa:=;.:~;;,; :::In ,~.'~,t,~~~,~'~~~~ ~~~19~~H'::'::::":'::':::~ 1. ACAS and Olhtr dtprtoItllon "" "" " ," " =..ljij _eummary (StllnItNctlon.,) 20 Utlad ptopto1y. Ent.llmounHrom Hn. 28 """,,"""",,'"'''''''' ",,"""",,',,"""""",," '",,''''''''' 20 21 Totti. Add dtduotlonl on Iln. 12.lInlt 15 and 181n ODIumn (g), and linN 17 'hrough 20. Enlll htrt and on the tppIllpIiaI.llnlt 01 YOU' mum. Plttntllhlpa and S cotpOIItlonl . 1..lnltNctlonl 21 22 Fo, _I Ihown tbovt and pIactd In ttIVio. during the CUlTtl\t ,tit, anI" thl Ion 0 h. billa tlIri Iblt toltctlon 263A colt. ,," , ' 22 LHA FOf PlpaI work Rtduotlon Aot Notl... _tht llparal. InttNoIlont. "'1251 1l).22.11 3,383. 3 524. 8 898. Fllfm 4882 (1997) 1 T KOCO WC . ,,- " W.ltd ProperlY' Aulomobllt., C." . ,,00he, Vehlolll, C.llul., Tel.phone., Clll.l" Comoul.", .nd P,operlY Uted I;;r--- Enlttl.lnmtnl, RIO,..lIon, 0' Amu ...1 Hol'l FOf any vthlol. fo, which you 110 u.lng th. Ilandard mll.tII' ,.tl or dtduollng I.... , "nil, compl.,t only 230, 23b, column. (I) _ \hrough (c) of SooIlon A, .1101 Stotlon B, and Stotlon C ~ IPpllcabl., ~Ion A, O........I.llon!!!d OIhll Inlo""tllon (c.utlon: s,!!nltruollonl for IImnl fo, p"lOI\gll uutomoblltt.:L-_ 1131 Do you hlvllli1d.ncl to IUPport Int bUllnlllAnVlltmtn, Ult clllmid? V Ho 23blf 'VI. . I. tht tvldt · wrtt1 "1 (.) (bl Olt. (0) \:ldl (I) (II Ill' lhl - Tun. 01 propt~ pllC.d In Buslnllll Cos' 01 - ""._...n Recovlry Meth....1 DePllclltlon '.' Invlltminl' "",,,,-,__1 '^' (Ust v.hlc~1 nil ) ~'IVIc:' uU p.re.nll . oth'~_ _"'~I pellod Convenllon deduction 24 ProPlrtY utad mllfIlhan 50" In. uallfled bUlln." Uti: 92 MERCEDES 0 93 9000,. )4;450. 90 HONDA 0 9 -raOO -=, 682. ~ (II EI.ct.d mtlon 179 cosl 34 450. 7 682. DB QL- 675. 849. ,. ,. 28 Add amount. i,;Cotumn (h), Enl11 thl tolal hili and on lint 20, pIlIt 1 """,.",," 27 Add amounltIn co!umn(I),Enttlthllo1a1htltandonIln.7,p1Q411 "", ",,, ,,,,,, Btollon 8 . Inform.tlon on Uti of V,hlol.. Complatllhl. ttoflon for vthlcl.. u.td bY'lIOIt propritlo', partntl, Of olh., 'mor. than 5,. owntl,' 0' IIlattd pe..an, " you provldtd vthloltl to vou, tmplov-, flm anlwe, the ~ultllonll" Stcllon C 10 - ~ vou mltl an txcepllon 10 compl.1lng lhll lactlon lOf lhOlt vthloltl, S/ ' SIL. S . SIL' . . . . , . . . . , . , , . . . , (0) (b) (0) (ell (.) (f\ 21 ToUI bUllnessAnvlslminl millS driven dullng th. V.h"'~ V.hlcll Vehicle Vehlel. Vehlcll V.hlcll Vllr (DO NOT Inetud. commuting miles) """"""'" " J.~' 000 25,000 . 21 Total commuting mlltl driven dullnglh. Vtll '" 000 7,200 30 Total oth.,..-a1 (noncommutlng) mlltl driven""",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,",' " - 31 Total mlltl drivtn duringlh. VIII, Add IIn.. 28 through 30 "".,.""",,,,,,,,,,,"""'''''' 20,000 32,200 v.. No v.. No v.. No v.. No V.. No V.. t!L 32 w.. tho vthlclt avallablt lor ptIIOf1a1 usa during offodUtY hou,.? ",.",,,,,,,,,.........,,",,...... X X 33 W.. tht vthlclt utad primarily by . mllfI Ihan 5,. ownll<< rtialtd ptIIOf1? ".........,..,,,. X X 34 I. anothll vthlclt avallablt 1<< ptIIOIIaI Uti? ",. " X X BtoIIon C . Qutttlona for Employtn Who P10Vldt V.hlaln lor U.. by Th.I, Employttt Ant_,h- quttllon.IO dtltmtlnt W you "*' an tlUltp\1on 10 complttlng Sactlon B 1<< vthloltt utad bV emplov- whO .,. not mllfIlhan 5" own"'<< rtiattd pllIIOII., . 311 Do you malnlaln . wtIIttn polIoV atatamtnt lhat p!1lh1bll1 aII..-tl utt of vthlcl...lnoludlng commuting, bV your tI1I~?",."".""".."""",,,,,,,,,""""'''''''''''.''''''""""""""."""""""","",..,",.,""""""""""""",."""."",."",,""',.,""'''''''',., 311 Do you malnlaln . wtIIttn poilcV atatamtnl1hat p!1lh1blt. pllIIOIIeI Uti of vthlcltt, txcolp\ oommullng, by vou, tI1Iploy_? StlintINctlon. 1<< Vthlolat uatd bY corporal. off\Qln. dtrto\Oft, 01 , ,. Of mllfI own'" """""",,,,,,,,,,,,,..,,,,""",..,, 31 Dovou tratl all Uti 01 vthlolat bY ..,lployttI.. pMIOIllII Uti? "",,,,,,,,,,,,,,,.,,,,,,,,.,,,,,,,,,,,,,,,,,""""''',...,,,,.,,'''''',,.,,''''''''"",,,,.,," 311 Do you pf1lVtdt mort lhan ftv. vthlcltt to YOU' ampIo'fttI, oblaln Inlonnallon Irom you, tmplov- tbouI Ihl Uti 01 th.Vlhlcltt, and main th.inlonnallon ItOIlvtd? """""""".."",."",,,,,,,,,,,,,,,,.,,""",.,,"",.,,""'"''''''''''''''''"""'"'''''''' 31 Do you mttl thl raqulrtmtnll oonctmln; qutllfltd automobllt dtmOIIllmlon Uti? """"",,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,"""""",...,,..,'"'' Not.:" , an.- to 35, 38, 37,38, <<3G It .V.... au nttd not compltl. Section B f<< the COVlled v.hlcltt. Amortlutlon (.) _....01_ x x X (b) ...-- (01 - _nl (d) COClO - 40 Amor\lzJtion of COSIS thlt b.glnS durin 11r: - 41 AmorIiZatlon of cOlI' that btQIlt belore 19G7 """,,"""""""""""'" """,,""""" , "" 42 Totti. Enl11 hilt and on .Oth., Otduotlonl' 0' .Othll Exptn.... lint of you, ilIum -..12 :..,.... KOCO, INC. ".--_.~ , \ ?orm 1120 \ .scription INTEREST INCOME Total to Form 1120, Line 5 ?orm 1120 i>esoription PAYROLL TAXES REAL ESTATE TAXES :APITAL STOCK TAX PA eNI TAX Total to Form 1120, Line 17 ~ scription CONTRIBUTIONS Interest Income Taxes and Lioenses current year contributions Total current Year contributions ...; 23-2099014 statement 1 us other 581. 581. - statement 2 Amount 17,196. 2,157. 669. 20,022. statement 3 Amount 3,100. 3,100. Statement(s) 1, 2, 3 KOCO, INC. 23-2099014 -"I Sch.dule J Tax computation Statement 8 ,. Taxabl. Income . . . . . . . . . . . . . . . 47,188 2. L....r of Line 1 or First Bracket Amount . . 47,188 3. Line 1 LeU Line 2 . . . . . . . . . . . . . 0 4. Less.r of Line 3 or Second Bracket Amount . . .0 5. Line 3 Less Line 4 . . . . . . . . . . . . . 0 6. Incom. subject to 34\ Tax Rate . . . . . . . 0 7. Income subject to 35' Tax Rate . . . . . . . 0 8. 15 Percent of Line 2 . . . . . . . . . . . . 7,078 9. 25 Percent of Line 4 . . . . . . . . . . . . 0 10. 34 Percent of Line 6 . . . . . . . . . . . . 0 11. 35 P.rcent of Line 7 . . . . . . . . . . . . 0 12. Additional 5' Surtax. . . . . . . . . . I . . 0 ,., . Additional 3' surtax . . . . . . "'. ''c- . . . . 0 14. Tax to schedule J, Line 3 . . . . . . . . . . . . 7, P78 , ',' ~' Statement (s) 8 KOCO, INC. 23-2099014 ~ ", ither Information 50' or More of Voting Stocks Owned By statement 9 .) Name Addre88 Identifying Number B) Peroent of Stock ESTATE OF PIETER C. KOOISTRA 2700 LINCOLN ST. CAMP HILL PA 17011 23..7922523 90.00' ;chedule L Other Current Assets Statement 10 )esor iption ?AYROLL TAX REFUND RECEIVABLE ?ARTS ADVANCES AND DEPOSITS Beginning of Tax Year End of Tax Year rotal to Sohedule L, Line 6 29,310. 9,685. 38,995. . 3chedule L Other Investments Statement 11 Jesoription JH INCOME ADVANTANGE TR III Beginning of Tax Year End of Tax Year rotal to Sohedule L, Line 9 5,491. 5,491. 5,491. 5,491. Schedule L Other Current Liabilities Statement 12 Beginning of End of Tax Jesoription Tax Year Year PAYROLL TAXES W/B 2,070. 2,849. PARTS ADVANCES/DEPOSITS 7,866. ACCRUED PENSION COSTS 2,115. 29,589. rotal to Sohedule L, Line 18 1,2,051. 32,438. Statement(s) 9, 10, 11, 12 ';jO ~. g . ~ r ,,' " I I ! \ \ I ~ -j I I I I I I i : I ~~~Ij I~~ (,,\f:fY.. i\~~ f4~ ~~i ,~~ 1"i1 :., " '~" ~'~,~ ' \.1' \\~~~ i~\~ ,~ \.~22 \J~~j I (~r:~~ ,"\, ....~ .~~ ~~"~ - ~"R 'I'btl (ortlgoing AppralsullS mudtl wllb Ibtl IIndtll'sl,III,ling Ih"llbtl/\pprulSf!I' """"'"S no liubdil) \\Ilb r~ ,,"pllcIIO ilny ilcllnn Ibill mllY Ill' Illklln on Ibtl hilsls III Ibis Appl'illsal, ~.'~ .. . ' iLr);u.L (JJj,,J!,(J. "',.."" J B, "'L- - , . ~~ . ", ,~PP~AISE~ !lATE ~ l' "'" '. 0"'"'' """ l "" "" c,,, - .. . .' .. .' ~ . ., .,"l'.F.' ,..-',,'" :-.-." ;!o~;,'t ~'f'~~/I,' i(~~;(~ '.~ This Is to cortlly Ibat we a,e enRagod In tbo lowolry b",;i,,";;' ,II'IH,li,i"g d\<lm01"I" "<ltcb,," 1i'""lr\' ,\n,1 precious slones 01 s\l descriptions, II'" l"'I',,\\lIb ,,,,,"Iilllbill IV" h,,"" Ihi' dil\' ",",.d'lll\' ",,,,,,,n.,,\ Ib" \III1I1IVlng lisllld iI"d ""'''l'lb.,,1 oIl'Ii"l"s, II", I'I'OIH'I'I\ "I': .' ,. ~.\"I':--- . ~1.2 rc:arQ~Ko9t"lri'- .c_':" l1' t,L_lIr;.r,ilh;~L ---"---~-'---'---"-- \lHH~F.SS ._0--- nOO.L1nco1n street, C"l11l'- rHn,-J)_I\,_QQ1L-~--,-------- W" II,llIllollII Ii\!! 1'0111111 ,I' 1i,III" IIII' In'"1'0I"CII 01' IIlh"I' plll'\i1'"''" oIllhtl "" 1'1'11 nl 1',,1 iI II "alII", "":\IIdlll~ F""l11'ill ilnd IIllwr lilXIlS, In milking Ibis AI'Pl'ill'oIl. IVII DO NOT ilgi'1l1l 10 pllrchilStl or 1'111'101<:" 11\1' dl'llcll~~, ._'-~ ----~.._.._----_._-_._---_._._-'_..~'~.._~-_.-----_._-,._.-~..~-_.---_._-~--_._--- ,~PP~AISt:Il V ,,\1.1 'f u ._______._ Ilf:SC~Wl'lnN --_.~_.._.~..._-----------_..-----_._--~._.~-~~_.---------------------- ITEM 1: (Estate APpraisal) Man I s 18K yellmr gold &nd stainless steel oyster perpetual Datejust, chronaneter, Rolel: ~;atch \oIi th a Jubilee brocelet. The dialis champagne color with slaohes for marl<ers at the number positions. 1~e ~rntch is pressure r.roof to 330 feet and is oolf winding. The crystal is synthetic sapphi re. Style number 16233 serial number EB69513 $2600.00 VALUE ~"'i IN REI ESTATE OF PIETER C. KOOISTRA, DECEASED IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 98'7 of 1.997 DISCLAIMER AND RENUNCIATION I, MARGARET D. KOOISTRA, an adult individual of 2700 Lincoln Street, Camp Hill, Cumberland County, Pennsylvania, do hereby exercise the right granted to me under Chapter 62 of the pennsyl vania Probate Estates and Piduciary Code, 20 Pa. C. S, A, section 6201 et seq" and Sections 2046 and 2518 of the Internal Revenue Code of 1.986, as amended, and hereby irrevocably, absolutely and without qualification, forever disclaim, renounce, release and refuse all of my right, title, claim or interest to the total proceeds payable on Valley Forge Life Insurance Policy No. VITN00242 insuring the life of Pieter C, Kooistra to which I am entitled as primary benefir.iary thereof, Except as specifically provided herein, the within disclaimer shall not include a disclaimer of any other interests which I may hold in the aforesaid life insurance policy or its proceeds or in the Estate of Pieter C, Kooistra. IN WITNESS WHEREOF and intending to be legally bound hereby and further intending that this disclaimer and renunci.ation be delivered to Valley Forge Life Insurance Company, the insurer and issuer of the above referenced policy; Margaret D. Kooistra, Executrix of the Estate of Pi.eter C. Kooistra; and Margaret D. Kooistra and Dauphin Deposit Bank and Trust Company, Co-Trustees of ;~~/OOI'II'IOl'l~'''I.'I'1I OF ",,,,"'5VI.'4"I'I1" ~ DI""R'I',,,'I'It OF RIVI",UI /1, .,'/' ;/ ...W . ,..,,,... ,~.. ," .' - I ..no< - ,...n",,' ,~ ~,\::.,'" """. ~...'".". ~,__ .. "...,W"'" .."...." ",....' .. _n" .. ........" - ,~ ~ "~_,,u II U' t".U\ ~ C 04_Z&-\'I99 KOOIStR" 1\-ZZ-\'1'1'/ 'll 91- 09l}7 CUl'IIIIi.RL"tlll \0\ [:==f~] l'I"ltl CIIECK ""VABI.E "tlD REMIt ,,"Vl'lltlt tOI REGIstER Of \IlILLS CUl'IIIERL"tlll CO COURt "OUSE c"RLISLE. p" 110\3 '." "" ~ ..,,,...... ,...... ,,, ,... .....!!----~.--------------------. ~~!..A'i';,~!l1.~'''-'''-",:;'I,...fi..-''--i'''''ii.1iCi-'i''.,;;;i.i''1ii.,-;.,,,~.'JC' .. ...... ~ .,,,,,,,.... " ........"" .... ..........., " .." Z\ 91 0961 "Ctl \0\ DAti 04_Z&-\999 ....,." "",on """ of'" ",. - - - -- PIEtER D"tl IstAtl OF D"tl of DI,,'\'II Fll.f. MUM,IR ooUMtV "oM "EIIR"i ';I 1l"Qlt.IlS ESQ Il"OAIlS , S 11101'1 pll 10)(. 1\ 41.' "116 ' p" 1.1\06 l ) CII~1I0EO 1 ~y. lIE1UlIlI \I~S I I Y, I ~CCEl'lEO ~S ftlEIl ....."..... ._'" ,."m'1"'''''' - .EE ..,,,!! .....,... ,.,UE of ."". ....,..., ,..,..., "",. I, 11..1 E.t.to Isoh.aul. ~, z, stock. ana 10,,00 IsohtclUl. BI 3, Clo.OIY llela stook/Ptrtl\lr.hIP l"t.r..t Isoh.aUle CI ~. lIortooOoo/lIoto. lI.o.l.oblt Isoh.aul. III .. ,....... ....,..,',... ",..., "....' ,........, b, Jointly 0.".0 prop.rtY Isoh.aul. fl 7, lr....t.r. Isoh.aul. III ft. ,.otal ~...\. MOlE 1 to '"lure proPer credit to ~our aocount, sUb",t the upp.r port1on of thll t01'" wlt.h 10ur ta'" 'P.y".n\. III .O~ IZ1:=--~ 131 6Z.300, O~ I~I~ ISl 1,&1. ,364 ,4Z.. Ibl- .0],. 17;:::: 1,&S.093,S.2.. 181 - 406,111.9l ......... .......... ... ..',..,.....' ,,~ ,. ._., .__."... ,....",,,. .__. ,......." ,~:,_- ..L ". .....,-.- ,,.,,,,,,,..'''''' ,....... .. - ".. -- ".,,' ,'- ... ,.'" -'- "" - ,...,~~ ... ........ ~ ,.. ",- "" .'" C~or""""~"-'" ..-"" -..-'" .... ,..... ,-" " -,... ," ." ". .. ".. - - l~' 1I0t V.l"" ot E.tat. sub:l.ot to 1_" . ,,, ,...." "end'''''' 11 end " ...' """ l-1,.r':~;:::"~ \::.'.......:.-: fJ,,' of ..... ,.I~" ........ t. ..... ..._Nt of "" ,," ,,, . ," . " .. '". ",. -' . ,,.,, ,..' "......... ,-' ... . ..:- ",. -' ."." .. ........ .".-"'.... ..... ". - . ., . . ,,.- 17 ._,., ,,.,," ......,. .. ~"....",......... "n:-'--- -- . . "., ... .'''~'' ,.. "" - .1l0 ,00- ,00 .00- - ------ ~!\Outll r~10 Z.6S0,00 ---.-' ~ t"l. 'l'A~ CRIDlt --~- -=:-;- "I'ICIo OF tp.'j( DUI Z.8S0.00CR ~-- --- IoREst "MD paM. ,O~_ --- ~0uE-- Z.6S0.00CR . ---~'- ..- Illsco\llll 1+1 1111ElIES1/PElI 1'~ID I-I ---- .--.- ,00 --- IIECElPl IIUl1IElI ""~ t,,~ CRIDITS\ 1'~~IIE"l o~lE OZ_Z3-\996 TO B"1. 1Mt -- -- :;-.-- If 101~l DUE IS ~ESS 111~1I n. 110 1'~~IIEII" IS lIEQUlI1EIl. " ,M ~ "" " """". .. · .",M" "... ,~ ," " "" . ..... .n ."'" ,," · ,,,,. ,., ... ,,,.,..,,..., --- ___ n.tE 11101c~lED. SEE IIEVEIISE __oft"'\' Il1lElIES1. RE&tRYtAlIOMI E.tate. bf daeedeflt. dylf'K1 on Of' before Dlol.ber 12, 1'82 ..~ If InY future Inte"l.t In the I' tat. it tran.1lrred in po.....lon or enjoYlMnt to Cl... e (coUat.r.l) bln.Utiarl.. af the dleed.nt after the 'lipJraUon of IIlY_ a.tate for lUlor for Ylal", the C~nw..lthh.rIIlY ,I<prl"ly raaerv.. the dllht to IIPpr.'.. end ...... h'anlf.r Inheritance bx" .t the l",,'ul Cla'l B (collat..ral) rate on any luch future lnhre"t, PtIlPOSE IIF MillleEI To fulfill ttM r.quir...ntl of S.ation 2lfl0 of the Inheritanc' and Elt;ate Tax Aotl Aot 21 of 199!j, (72 P.S. SlcUon 9140), o.tach the top porHon of thh Hath:ft and sub"U with your _'lIly.ellt to the Righter (If wllh prlnted on the rev.r.. Ilde, "-Makl chIck or aOI'ey order payable tol REOISTER OF MILLS 1 AOENT PAYMENT I Rf:FUHD (eR) t A r.fund of Il'l tll'll( credit, which Nfttl not requ.sted on the 1111( Return, 'BY be r-aquetted by oo.pleting 1m "APplication for Refund of Penn.ylvania Inh.rltanoo and f.shtto tax" (REV~HU), Applh:atlonl al" ByaUable at the Office of the R.ght.r of Wl1h, any af the 23 R.\lenue Distrlct offices, or by CAlling the special 2~~hour InsM.ring ..rvie. ntJllborll for fortis ordllringl In PennSyl\l8nllit 1-800~:S62-l0!i01 out. Ide Penntyl\1anllit and within 10c81 Harrisburg "aa {('11) 781-a09~1 TOOl (7nl 712~22!i? (Hearing I.paired Only), Any party In Inter..t not ..thf.led with tho IIPprfllullent, alloW8ntA or disallowance of deduotions, or 1lI1t.....nt of tax (Including dhoount or lnt.rutl lIS .hown on thh Notice .ud ohject within sixty (60) days of r.celpt of this Hotlo. bYI -~wrltt.n prohlt to the PA O.plitrtl.ent of R'l\Ieou., P,oard of Appeals, Dept. zal0U, Harrisburg, PA ~-el.ct1on to ha\l. the .att" deter.ioad litt Hudlt of the ftcc;ount of the personal npr'58fltaUve, _ -app..l to th. Ol'phan.' Cour t. 11128-10i!l, OR OR OBJECTIONS I ADHIH ISTRATtVE CORRECTIONS I Faotu.l errors dlt(lovered on this III11Au.lInt should tie addre..ed in writing tOI PA Depart.ent of Rev.nue, lur..u of Indl\1idu81 1 al<ell , ATTN. Post Allile...ent Revi.w Unit, O.pt. 280601, "Hrr!lburg, PA 11128-0601 Phone (111) 187<<6505, S.. pll'lle S of the booklet "InstrucUons for Inherltnnce Tal( Return for ft Rlllld.nt OIoedent" (REY-1501) for an exphMtlon of odtlinistrl'lU",ety corr.ctable error.. If any t.l( du. h paid wUhin three (31 oal.nda" lIanths after the Mced.nt'. death, a H\le p.rc.nt (5;(1 discount of the taM pnId ~. allowed. The llii': t.l( ......ty non~pftrt101p.tlon pinal tv It oOllputed on the total of the tax and Intere.t .......d, rrnd not paid blfor. January ).fit 199b, the Brst day after thQ find of the tal< ..nuty p.rlod. Thls non~partlcipltlon penaltY is .ppeelabl8 in the .."e .,.nner lmd In the tho IIIlIe 1:\... per loa ft~ you would .ppe.l the tal( and 'nter..t that ha' b.en .......d as indlcat.d on thh notice. Int.r..t 11 oharged b.ginnlng with flrtt dRY of d.lInquoncy, or ntne (9) 1I0nthl Rnd onll Ol day frail the date of death, to tll. d.te of ply..nt. Tal(aI which bC':Cla.. d.1Jnquent b.fore Jano.ry I, 1982 baar lnt.re.t at the rate of .he (6i':1 porcant pur annUlI ulculat.d at II daily rate of ,000IM. All ta)(es whloh bllca.e delinquent on and after J.nu.ry 1, 1982 w111 b.ar interut .t a r8te whloh will lIary frOM cal.ndar year to oalendar yoar with ~hat rat. announced by th_ PI. Departlllent of Re\lenuo. lho applloahl(t interllt ratos for 1982 through 1999 artll '!!!r Interest Mate DeHy Interut factor ~ Interllt Rate nallY Interellt fl'lntor IfJ82 20;( ,000548 1968-1991 Ill: .OOOJOI 1983 161: .00045'" lIJ(Ji? 'Ii': .000247 1984 11% ,000301 19CJ3-1994 n ,000192 1985 nl: ,000356 1995 '1998 9% .000241 19&6 lOt: .000Z1~ IlJ99 7% ,000192 1981 9;( .000247 ~-Inter..t III caJculatld .. folloWII INTEREST . BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Hotle. lnu.d after thei till( b.ao..S delinquent will rnfl"ot an Inte,..st olloulatloo to flft..n (IS) d.y. beyond the date of thl .........nt.. If p.vfIl.nt is ..d. after thw lntoralit COlllutl!ltlon date .twwn on the NoUc., adcUtlonal Int.rut Itust b. olloulated. DISCOUNT, PENALTY I INTEREST I SlII'I'I.EfIEN'I'AI. 1\I':'I'lII\N OF FICI"'~ USl-: aNL Y REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT 15 <) 1(1 FilE NUMBER 21 0987 --- ~--_. YEAR ),997 NUMBER Rf.V.1S00 f.X. (1,97) -' I coMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVf.NUE PEPT.280601 HAARISEWAa, PA 111i!8-0601 ---- -01:Cf:OfNl'S NAM~ (LAST I FIRST, AND Mll)OlE INITIAl.) iJse. blitnk ,;;;c~:~lfl wClld~ o E Kooiutra. Piet_'i'F C, ~ !lOCtAl SECURITY NUMBER o 361-30-7320 ~ ~M!'1~fi~'/.l;~rJ'I\NilW,1~,sPous"s ilAMf. (LAsT, T Mar aret D, KOOl.fJt.nl ._ 1. Original Aelurn aX 2, 4. Umlled Elllate 4.. 6. Decedenl Oled Tnlale 7. (AU3C h copy ot Will) D 9. llllgaUonf'roceedsRece!ved 010. 1, Real Estate (Schedule A) 2, Slocks and Bonds (Schedule B) 3. Closaly Held Corporation, Partnership or Sole ..Proprialorship 4, Mortgages & Nolos Receivable (Schedule 0) 5, Cash, Bank Deposits & Miscellaneous Personal Properly (Schodule EI 6, Jointly Owned Property (Schedule F) (6) 7. Inter-VIvos Transfers & Miscellaneous Non~Probate Property (7) (Schedule Go. LI 8, Tolal G'OII A..at. (total L1nos 1-7) 9, Funeral E,penses & Administrative Cosls (Schedule H) (9) 10, Debts ot Decedent, Mongage Liabilities, & Liens (Schedule II (10) 1" Total Dtductlonl (tota' Lines 9 & 10) 12, Net Valut of Estate (Line 8 minus Line 11) 13, Charitable and Govornmental Bequests/See 9113 Tru.its for which an election to tax has not been made (Schedule JI 14, Nel Valut Subject to Ta. (L1"e 12 minus Line 13) C 15. Amount of lino 14 ta)(able at o M thlf spousal tax rate T ~ S89 Instructions on page 2 lor applicable porcentage ~ T 16, Amount 01 line 14ta,able at6% ra'e 0,00 X06 (16) ~ 17, Amount 01 line 14ta.able at 15% rate 0,00 X 15 (1'1)- ~ 18, Ta. Due (18) N 19~K~'!I!li\~I~t>II'A~~,It.Q~'$rl"Q'~'l!eF\JNll'OF"N.O...l!~ji~Y~~Nr.'.1 :r;r:' 'iiiiiii;!,'i!i,iiiijl!I.".""iiiil.'liil,i,i1.~.~'!11!i$Q!lI!',..qA!l$WI!Fj..tt.iliUIlSTIONS'O!lM(lElANIlTO'F\I!<lI'l'Q~i"'~'tI1i<'~i'.". .....",.. =r - - - ~ ......... Under penalllesol perjury, I declare thai I have eumlned this return, InCluding accompanying schedules and slalemenls, and to the best of my knowledge and belief, Ills true, c;orntcl ilild complete, Declaration of preparer other than the personal representative 19 baRed on 1111 Information of which prepare' has any knOWledge, SIr""E OF PERSON RESPON9IBlEFOR FILING RETURN ADDRESS \"C\elf'-"( ~, "" (,j.\ '"'' c{oRho.ads ,& Nar~llrC!t D. Koojst'rr', FX(>(,IlLrlv Harrisburg, SIGNATURE OF PREPARER? HER THAN RF.PRtSENTArlVE ADOAESS '1 CAPB HpRl EplO CRAC KoTK ES C P o 0 R N R D E E S N T Copy,l h (c)19 COUNTY CO OF. - DATt Of OEATH'--'~-----~-'--' OATE OF fllRTH I I lull '1'1'1 07/22/1934 SOCIAL ~,t.:CU'f\IT,( NUMOER ~f'TtlS RETURN MU~n DE fiLED IN DUPlICAlEW1fH1HE 161- 32 - )02A 1.._ REGISTER OF WILLS -~ 3 ("l,oold.,/" SUpjllllmfllltill Return . Remainder RetUfn pr or 10 12. 3-82) Future lnlerest Compromblo (d,llft of death after 12. 12-!l2) 5. Fedftfal Estate Tall. Return Requl/ed Declldent MaIntained it living TlUst 8. Total Numbftr of Sale Otlflo~1l OQl(IlS (AlIar.h copy of Trust) Spousal Povllrly Cledlt D 11. Election to tal( Un~8t See, 91lJ(A) (datil of death between 12.31.91 and 1.1-95) {Allach Sch O} .m1UiI~i$.(ltIQ~Ml.I$t.!lfc:;(lM"~~i'E(i,A~IioCQ~fllt$"Q"Dliifll(lE'&PON~jll'Ntj^~TM'IN"OflMAfloN'$~Q~to ....llllt.dt.QTOi NAME COMPl.ETE MAlllNCl ADDRESS He~ W, Rhoads , Esquire FlAM NAME (If Appllcablo) Rhoads & Sinon LLP TELEPHONE NUMBER p, 0, Box 1146 Harrisburg, PA 17011 - OFFICIAL USE ONI. Y (1) (2) (3) R E C A P I T U l A T I o N (4) (5) 862.06S,00 (&) 862,065,00 (11) (12) (1~)- JhQ9 862,065,00 0,00 (14) !l62.065,OO 862,065.00 X (15)_____,---2..JUl o ,...Q..L 0,00 0,00 0,00 DATE _ ?J-.I"!C:~_ .~~'~J. _ ~! P.,. . PA 171.0B-1146 Box 1146 -----------..." ,tllf., I ') ? DATI: / ",-/ _t-...-... ~ form SOflWilB only CPSyslems, Inc Rhoads &. R i non -..--.......-------- Harrisburg, PA I.LP.... p... ,0:. ,Box. 1146. .."...... 1710B'1146 FmmREY-1S00 EX (AliIv, '-97) '.or Decedent', Complete Add':.~.!L.-..____, STREET ADDRESS 2700 Linooln Street CITV Camp Hill STATE PA ZIP 170U Tax Payments and Credits: 1, T.. Due (Page 11.1ne 16) 2. Credits/Payments A, Spousal Pove.ty Credit B, Prior Payments C. Discount (1) 0,00 0,00 0,00 0,00 Tolal Credit. (A.. 8 . C) (2) 0,00 3, Inte.esVPonally II applicable D.lntorost E, PenallY 0,0.0 0.00 TOI.llnlerostlPenallY (0 . E) (3) 4, II line 2 is greater than line 1 . line 3, enler the diUereneo This is Iho OVERPA VMENT, Check bo. on Plge 1 lint 19 to requtst a 'tfund 5, II line 1 .. line 3 is g.eater than line 2, enter the dilference This is the TAX DUE, A. Enter the Interest on the tal< due, B, Enter thelotal 01 Line 5 .. 5A. This is Ihe BALANCE DUE, Make Check 0.00 o,oq 0,00 BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Old decedent make; a transfer and: .. rQtain the use or income of the property translerred; b. retain the right to designate who shall USB the property transferred or its Income; c. retain a reversionary interest; or . d. recoive the promise for life of either payments. bene1ils or caro? 2. If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property without re.::eiving adequate consideration? If death occurred after Decomber 12, 1982, did docedentltansler property within,:me year of death without receiving adequate consideration? 3. Old decedent own an "In trust lor" or payable upon death bank account or security at his or her death? 4. Old the dacedant own an Individual retirement account, annuity, Dr olher non-probate property? ~@ DO 88 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN 72 P.S, Section 9116 (a) ) (i) provldod for the reduction 01 the tal< rate imposad on the !let value of lransfers to or for tho use of the surviving spouse from 6a/ft to 3% for dates of dealh on or altor July 1, 1994 and before .January 1, 1995, 72 P.S. Section 9116 (8) (t 1) (Ii) prOVided for the reduction 01 the rate imposed on tho net value of lransfArs to or for the use of the surviving SPOU!t8 from 3al, to 0% for datos 01 death on or after Janwuy 1. 1995, The statute does riot exompt a transhlllo a surviving spouse from tal<, and the statutory requirements for disclosure of assets and filing a talC return aro still applicable evon If the surviving spouso IS the only beneficiary, FOR DATES OF DEATH ON OR AFTER JANUARY 1, 1995. PI.ase answer Ihe following question by placing an ",' In Ihe appropriate space, Old lht dtcedent .,utt I trust or ,Imlll' alllng.ment which II soltly fa, the lu,vlvlng spo.,e'l benefit fa, his 0' he, Inti,. IIfeUmt? VIIO NoD If you answered yes to the above question, the laIC on the trust or similar arrangement Is postponed unlil the death of the second spou~e, at which time it will be fully tal<able at the rale(s) applicable to the remainder boneliclary(ies), Enler the value ollhe trust (\n Schedule J, Part II. In order to remove it from the calculation of the laIC due In this estate. You may wish to file Schedule 0 in order to make the electIon lI.vaUablo under Section 9113. IIlhe election is made, the trust 0' similar arrangement which benefits Ihe surviving spouse is lal<fJd atlhe zero tal< rate, and the remainder is taxed 01 the rale{s) applicable '0 the remainder benoficlary{les), If you choose to make the election, you must allach Schedule 0 to a Umfly-filed tax faturn, along wIth Schedule(s) K and/or M In order to show the apportionmenl at the trusl or similar arrangement betwoen the survivIng spouse and lhe remainder beneficiary(les). CopyrIght (c) 1997 form softwale onlyCrSyslenls, Inc. Form REV..1500 EX (Rev. 1-97) " AEV.I&IC e. . (1.'71 COMMONWEALTH OF PENNSYLVANIA IRHEAI ANCE 7oll< AETUAN 9 DENT ESTATE OF Pieter C, Kooistra SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY FILE NUMBER 21-S7-1997 This schedule must b, completed and flied if the .nswer to any of quesllons 1 through 4 on page 2 Is Y'S. AElAVlrA~i~~o' ~~T~~i~lr~t~ :~,W~~SFER o/;QF ITEM OA TE OF DEATH DECO'S EXCLUSION TAXABLE VALUE NUMBER VALUE OF ASSET INTEREST (IF APPLlCAOlEI 1 Roee, Inc, Pension Plan Benef ioiary, Margaret 0" Kooistra, surviving spouoe 862,065,00 100 0,00 862 j 065,00 , " TO~ (AI.o enler on line 7, Reeapltulallon) . (If more space Is needed, Insert additional sheots of the same size) Copyright (c11t97 forM IOftW'" only CPSysteml, Inc. 862,065,00 F.rm REV-1S10 EX (AOY, '.'71 PAVIE"T I htltCltl the top portion of this NoUee IInd lubIIH .,UtI ~our pay..n' aede Pllly.bi. to the n... and addr... printed on the rev.r.. .Ic", If Rf.SIPENT PECEDENT .eka ch.elk or 1I0MY order pavabl_ tOI REGISTER OF WILLS, AGENT. If HINl"RfSIDEHT DECEDENT ..ke check or Iloney order pay.hie tOl COHMONWEAl TH OF PENNSVlVANIA. REFUND (eR) I A r.fund of . tal( credJt, which WIIS not r.quested on the T8)( R.turn, IIfty be reque.ted by (lo.plating an "AppllcllUon for R.fund of P."nt"lvlIN'lJ.. Inh.rltence end Esteta Tal<" (REV-UU)' AppllaaUon. .r. _",.Habl. .t ttw Office of thtl Rallhter of NUb, any of the Z] F1a"enue District oHio.. or fro.. the Olilp.rt..nt'l Zl't-hour ItnIW.ring ..rvICle nu.hars for for.' orderingl In Panntylvanll!l 1-"OO<~bZ-2050. outside PanntvI,,_nl_ Md within loc..l H.rrltburg IIree ('111) 787~ft094, TOD. (711) 77Z-ZZ~Z (H.utrJnA I.palred only), REPLV TOI Que.tions regarding error. cont.lned on thh notloe should be Rddresaed to; PA [Iepart.ent of Re\lenue, allretUI of lncUvldual hxn, ATTHI Post AueUlllent Review Unit, D.pt. Z80601, Harrisburg, PA 1712.8-0601, phone (717) 187-6505. DISCOUNT 1 If illY t8X due II PRld within three (1) oalendar Bonths after the deoedent's death, III five perCle"t (5%) dltoDunt of the tlllX paid 11 .11o\lfed. PF."AL TV 1 The 15% tax lIIInuty non-participation penRltv Is co.put.d on the totRI of the \ex and Intarest 1II.....d, and not paid before Janulry 18, 1996, thll firtt day after the end of the tax Dnuty periOd, INTEREST I Intltrnt h Clharlled bellinnlnu with flrflt day of de!Jnquency, or nille (9) Months and one (1) day frOll the date of death, to the date I;If pay..nt. 'al('" which beca.o de!Jnquent be for.. January 1. 198? benr Inter..t at the rete of all( (6%) percant par annulll calculated at a dally rat~ of .000164. All taxes which b.c.~e delinquent on and .,ter Janllary I, 1982 wHI b.ar Int.rest at a rate which will vary froll calendllr year to oalender year with that rat. announced by the PA [leparh,.nt of Rev.nlle. Tho applicable Int"re.t rat.. for 198? through IlJ99 tll'e' V..r Intere.t Rate Daily Intere.t Factor V.ar Inter"lIt Matt. Dalh Inter.l~ Factor 1982 20>: .000S48 1988-1991 llr. ,000301 1983 16% .000438 191'1 9>: .000247 1984 11% .000301 1993-1994 n .000192 1985 13X .000356 19%-llJ98 9X .000247 1906 I'X .0002.H 1999 7% .0(10192 1987 9% .0002(,1 ..Inter..t 11 caloul~ted a. followl' INTBRBST c 'ALANCB OF TAX UNPAID X NUK'BR OF DAYS DBLINqUENT X DAII.Y INTEREST FACTOR --Any Notice Iuuld aftar the tax baeo... delinquent will refleot an Intere.t caloulatlon to flft.tn US) d.YI bel/cnd the dltt. of th. au.n.llnt. If PRy..nt is lIIade after the Inhrellt COlllputetion date tl'lOM" on tht MoUoe. additional inter..t .ust b. c.lculllt.~. 07-13-1999 KOOI ST~A 11-22-1997 21 97'0987 CUM8ERLAND 101 L~.~r Rt~tt.d l MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS UNE ... RETAIN LOIlER PORTION FOR YOUR RECORDS .. iiE-Y-:U4"i'iif"AFP'io'9-"97Y"iloYicniF'i:liiiiiiifAifcrTAX''Apjiii'A'iiiMENi'";-ALi."OWANCnilimmmumm DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX PIETER C FILE NO. 21 97-0987 ACN 101 APPROVED DEDUCTIONS AND EXEMPTIONS. 9. F....r.l ex...n.../Adoo, Co.ts/Nhc. E.ptn... (Sch.dub H) (91 ,00 10. Dtbt./Nortg-oo Liabiliti../Li.n. (Sch.dul. II 1101______ ,00 11. Tot.l o.duction. Ill) 12. Hot V.l.. of Tt. R.turn Il~) 15. Charitablt/Goy.rnM.nt.l B.quo.t., Non-.l.cttd 9115 Tru.t. (Sc~dul. J) (15) 14. Hot Vol.. of e.ttt. Subj.ct to T.. (14) NOTE I If.n ......I1l.nt w.. i..u.d pr.vioLlllly, line. 14, 15 .nd"or 16, 17 .nd 1S rll'f'1.ct fillur.. th.t includll th. total of 6.lJ.. return. .......d to d.ts. ASSESSMENT OF TAXI 15. A..unt of Line 14 tt Spou..l rtt. IIS) 16. A..unt of Line 14 t..abl. .t Line.l/Cl... A r.t. (16) 17. A..unt of Line 14 t..abl. .t Colltt.r.l/Clt.. B r.t. 1171 le. Prinoip.l T.. Due TAX' CREDITS I PAYHENT DATE 02-23-1998 04-22-1999 I t./ '-2/f-1 BUREAU Of IHDIVIDUAL TARES IMHERIIAMCE TAM DIYISI,," DEPT. 280601 HARRIS'URO, PA 171~6~06.1 COMMONIlEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE Of INHERITANCE TAR APPRAISEHENT, ALLOWANCE OM DISALLOWANCE Of DEDUCTIONS AND ASSESSHENT Of TAR HENRY II RHOADS ESQ RHOADS . SINON PO BOX 1146 HDG DATE ESTAlE llF DATE OF DEATH FILE NUMBER COUNTY ACN PA 17108 ESTAT! OF KOOISTRA TAR RETURN liAS I (X) ACCEPTED AS fILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI SUPPLEMENTAL RETURN 1. R..l Estttt (Sohadul. Al n) 2. st_. _ Bond. (Sc~dult III (21 5. ClolOly Held Stock/P.rtner.hip Int.r..t ISoh.dul. CI IS) 4. Hortg..../Not.. M.ctiyabl. (So~dul. 01 (4) S. C.sh/8onk OPpo.it.IHi.c. P.r.onal Prop.rty ISoh.dul. E) IS) 6. Jointly DwnPd Propprty (Schedul. fl (6) 7. Trenlferoa C Sghedul. Q) <<7) e. Totol A...t. I CHANGED NO. 01 ,00 .00 ,OQ . OJ!.. .00 . OIL 862.065.00 la) 1,248,462.45 R .00. .00 R,06. .00R.15. nel RECEIPT _8ER AA269782 REFUND DISCOUNT (+) INTEREST/FEN PAID (-) , DO . DO AHOUNT PAID 2,850.00 2,850.00- TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE u*' .n.1I4'U"" 1....11 PIETER C DATE 07-13-1999 9rtOTE I To inau,'. proper oredit to your acoount, .uboit t~ upp.r portion of this fOrM "ith your t.x p.y_nt. 862,065.00 00 862,065.00 .00 1,248,462.45 will .00 .00 .00 ,00 .00 .00 .00 .00 . If PAID AFTER DATE INDICATED, SEE REVERSE fOR CALCULATION Of ADDITIONAL INTER~ST. I IF TOTAL DUE IS LESS THA" tl. NO PAYNENT IS REeuIRED. If TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), VDU NAY BE DUE A REfUND. SEE REVERSE SIDE OF THIS fORM fOR INSTRUCTIONS.' RE8ERYATlotu Elt.t.. (If deMdtnh dyJng on or blforl ~r 12, 1982 .... if .,.y futurl b1t"tlU In the ..tetl iI_ tren'N'r... 1n po.....lan Of' .,JOYMrlt to CI... I (coUlterll) bentflCli,r.l.. of thI deoItdInt ..ttar 'the IlCplrlUon of 1M .et.t. for Ilf. or for Ve.r., the C~lth her~y IMPr...lv r...rv.. the right to ."rlt.. and ...... tren.flr Inhlr't~ TaKa. at the l.wful el.*. . (colleterll) r.t. on Iny IUCh futurl Int.r..t. PIJIllOSE III' NOTICE. To fulfill the raqulrlllntl of Slction 2140 of the Inh.rltanGa Ind E.t.ta 'IK Aot, Act 21 of 1995. C12 P.5. koUon '1~0). PAMHT. Detach the top portion of thil Noth=e and I_It ..Jth your p'v.nt to the R-el.ttr of NUll printed on the rlWlrlfl .Ide. hHake chid< or ltOOIy order Plyabl. tCI REGISTER OF MILLS, AGENT REfUND Cau, A refund of . tb cr-.cUt, which N" not requested on the hll Return, ..y be reqlM.t~ by GOIPleUng In "~U..Uon for R.fund of 'ann.vlvanll InheritInG' and E.t.te Tall" (REY-1315), Application. Ir. avell~le It the OfflOl of the R~l.tlr of NIll., any of the 23 Revenue Ol.trlct Offloe., or by cl111ng the ,peelal 1.4~hour ,".waring ..rvlca nuabar. for fora. ordering, 10 P~.ylvanl. 1"&00"362-20&0, out.lda Penn.vlvanla Ind NAtt'lln local Harrllburl Ir.. (1rn 787-8094, TOO' (117) 772.'Z252 Uharlng J~.lrad OnlY). OIJECTIONSI Any party In lnt.re.t not ..tl.fled .,Ith the apprel.eaent, al1nwance or dJ.IllONanOl of dlduatlon., or .......-nt of t.K (IncludIng dllOount or int.r..t) II IhcNn on thl. Notle. MU.t obJ.~t within .1Kt~ (60) da~, of rec.lpt of this NoUc. bYI AIIIlIM ISTRATlVE CORRECTIONS , ~-Mr1ttan prot..t to thl PA Dap.r-tlllnt of R.vanu., 10lrd of lppeeh, Dept. 2&1021, "'rr"~rl, PA 17121-1021, OR u.lacUon to hay. the IItt.r datar.lnact att audit of the account of the parHOll repr..antaUva, OR -~IPPMI to the Orphan.- Court. F.dU811 arror. dllcov.rld on thlt .....a.ant lhould be IddnttHd In writing to, PA o.p.rtHflt of R.venua, luraau of Individual 'aMe., ATTNI Po.t A....lllnt Revl... unit. Dept. 280601, Herri.burl, PA 1712....'01 Phone (717) 7.7-6S0S. SIa P'" 5 of the bookl.t "In.truetlon. for Inheritance 'Ill R.turn fcr . Re.ldlnt Deoldlnt.. (REV-1S01) for an 'llpl~tlon of edllnl.trltlv.ly corr.otlbla .rror.. DIICDlMT I If eny taM due I. PIJd within thr.. (3) calendar aonth. .ft.r the decadent'. de.th, . five percent (!X) dl.count of the tlK paid h IUowd. The laX till ....ty non-partlclp.tion ,..,..1 ty II cuaputld on the tot.l of the tIll and JntlJ'rl.t .....'", Met ...t p.ld before January 1., 1996, the flr.t day Ift.r t~ and of thl t.ll lInI.tv p.rlod. 'hi. non-particip.tlon PtnIlty 11 appt.llb.l. in the ... IMWMlr and ln the the ... tI.. par loel II VOU Mould appaal the bM ... Inter..t that hili bIIn .....Hd II Indlo.tld on th1l fMJtlc.. PENAL TV, IMTEREI', Intlrllt it ohIrtld bellnnlng with flr.t day of dal1nquanoy, cr nine C,) IIOflth. and one (1) dey frOll the data of dut.., to tM det. cf plltMflt. TaMei which bee... dellnquant bafor. ~r~ 1. 196Zbur Int.r..t at tM rat. of .IM (6X) parcent par IIOnUI c.lculetlld ftt a dally rat. of .0001"'. All tlMa. whloh bee.. dallnquant on Md aft.r JlnuarYl, 1Ma' .,Ul bear Int.r..t .t I rat. which ..Ul VII.Y frOll calendllr V'lr to cal"r ~r with that rlt. ~ by the PA ~Irt..nt pf Rev~. The appl1Cable Inter..t rIte. for 1912 through 1999 arat X!!t Intare.t R.t. DailY lntera.t Factor :!!!r Int.r..t R.ta Dally Iht.r..t Factor 1~2 III ...0541 19.8-1,"1 llX .DOnll 1913 16% .000011 ''192 .~ .100247 '9lM 1IX .000301 1'195-1994 n .010192 IMS .n .000356 1"5-19'91 .~ ..00241 1916 m .000214 '999 r< .ODOI'! .9411 'X .000Z47 "~lnt'r..t 11 c'lculatld .. followlI INnREST . IALANCE OF TAX UNPAID X NUNIER OF DA Y8 DELINqUENT X DAILY INTEREST FACTOR --A"~ Notice 1..UId aft.r the till b1ccaa. delinquent will r.fl.ct an int.r..t cIlcul.tlon to fifteen (IS) day. beyond the d.t. of thl .....lNIIf1t. If papant II ald. .ftl" the Int.r..t COIlpUtltlon dab thcMfn on ttM Hotlo., ~Itl~l Int.re.t ~Rt be c.lout.tld. COMMONWIALTH OF PINNSVLVANIA DIPARTMINT OF RIVINUI NOTICI OF DITIRMINATION AND ASSISSMINT OF PINNSYLVANIA ISTATI TAX BASID ON FIDERAL ISTATI TAX RITURN DAT! ISTATI OF DATE OF DIATH FILl NUI4IIIR COUNTY ACN 15'~:llq.-1 IU~EAU OF IMDIVIOUAL TAMES IMHERI1IMCE tAX DIYISIOM IlEPt. Z....I tuiRAIS~' PA 1711.....1 HENRY W R"OADS ESQ RHOADS . SINON PO BOX 1146 HBG I.i. ....., '1/\ 17108 ~.... *' .n"""tlia" lit..,,, E 07 - 26-1999 KOOISTRA 11' 22'1997 21 97'0987 CUMBERLAND 201 _unTi~ltt.<L j PIETER C MAKE CHICK PAVAlLI AND RIMIT PAVMINT TOl REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 lIC)TE. To in..... proper orodlt to your -"count. ......It the _r porUon of thlo fcrtl "lth your tax p.yIIOnt. CUT ALONG THIS LINI ~ RETAlN LOWIR PORTION FOR YOUR FILES 411I ,;:,:,u-....__"'-i..'o;r-....-""i...-..-..'...1i;;A;;1ii-...-i1iiU.....--------------------- OF PINNSVLVANIA ESTAT! TAX BASI!D ON FlDERAL ESTATE TAX RETURN .. DATE 07,26-1999 ISTAT! OF KOOISTRA ~ PIETER C FILl NO.21 97-0987 ACN 201 ESTATE TAX DETERMINATION 1, Cr.dit for Stat. D.ath Tax.. a. V.rifi.d 2. P.nn.ylv.ni. lnh.rit.nc. T.x A....R.d (Excluding Di.cDunt .nd/or lnt.r..t) 3. lnh.rit.ne. Tax A......d by Oth.r st.te. Or TerrHode. of the United state. (Excluding Di.count .nd/or lnt.r..t) 4, Total lnh.ri t.ne. Tax A......d 5. p.nn.ylv.nia E.tat. Tax Du. TAX CRIDlTS1 PAYMENT DATE .00 .00 .00 RECEiPT' NUMBER DI SCOUNT (+) INTEREST/PEN PAID (,) AMOUNT PAID - ,.QL .00 TOTAL TAX CRIDIT .00 BALANCI OF TAX DUI .00 INTlRIST AND piN. ,00 TOTAL DUE .00 aIF PAID AFTE~ TillS DATE. SEE ~EVERSE SIDE IXf TOTAL DIIE IS LESS TIIAII n. MO PAYHElITl:S ~ElIUI~ED FO~ CALCULATlOll OF AOOlTIOllAL IlITUEST. IF TOTAL DIIE IS REfLECTED AS A "CREDIT" ICRI, YOU HAY IE OUf, A UFUIlD. SEE REVERSE SIDE OF TillS FOIlll fOR IIlSTIlUCTIOIlS. I ~rIf MOllcf.l , _.. .. -" ... ," " ~ ,~...-....- ,. ." '" .. " ,..., 10 t\1\HU t"" rtC\U f III ,.1. _""" .,~~l. _~ ...,." .1'" ....' .......' ,. ''''' ~..,.,., ., ~"\O ,,In'oII "" tllO \lO'''' "'" '00 ,..,\lon .' ,,,10 Mo' I" ..~ · r'."" .1.... ~I " aeG1BteIl Of 1I1\.lJl. l-' .' ""'. ~ .r -' .,...' ....-. . .~'j1lEIl1' I ._1I..\lon to' ~.,urol ., _..,_1' . ..... " . ,. .... .... ._.... _" . . .. .' ~ .... .. ~ _..W " ".... ._'_ ... .",. ..' ,......... ~....._ ~~~~.._ _~ _~ _. w ... -'" ..." ~ . _ ...'~ ...,... " ,,_ ~:",... .,.. ,.. ",,,_. .. m" ,,,..., 1n ,......,....'. ,....."'z.Z".. ..,u'''' ,_..,.... . 1\1" (1\"/1 11Z'ZZSZ "...rl'" \I...'roll 00,.1. 1f.,\IIIIl ICllll ..- on ,,,,e no\l" ." oblOO' .It,,'n .... "". ,n In"'''' no' ..,lOtled .1" ,.. ......""". .' ,.- .. 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DI.trlct Of/Ie.. or 'r.. tho D...rt..nt'. 24-hour "".v.rlng ...,1.. n.-rs I.r f.r.. .r"'rlno, In o""IVI.onl. 1-.00-362-2.5., .uhl.. P.....I..nl. .nd vlthln 1...1 H."hbur. .r.. 11171 7.7-..'4, TOOt 1-800-447-50l0 (S.rvlc8 for taxpayer. wUh spaciel h41arinll and .pallking n"dill, D$A!:CTllIHS. An. p.rt, In Int.r..t not ..tlsll.. vlth tho ........nt .1 tox .. .h.... on thh noli.. ... obJ... vlthln Ibty (60) "YI of r.oeiPt of thit Notiel bYI --..ltt"" proto.t t. tho PA Do..rt..nt 01 R."nus, ......1 APpo.Is, O.Pt, 2.'.21, IIorrlsbur.. PA 17120-1.21, OR --Olectlng to haYe tht ..ttar detarelnad at audit of ttl. parsnnel r.rulntaUv., OR --epp..l to the OrflMn.' Court AD'UN- ISlRAnVE C_CTllIHS, Footus' errors dh....r.. on this ........nt 'houl. bo ...r....d In wrlttn. to. PA Doport..nt 01 R......... aun... .llndl.l.u.1 T...., AnW, Post A...._nt R..1.. Unit, "Pt. 2....', H.rrlsbo.., PA 17'2.-.'D1, - 1117.1 7.7-.5.5. s.. P- . ., tho bookl.t 'In.trucllon. f.r Inherit"".. To. R.turn lor. R..t....t o.oedent" (REV-1S0)) for an .~ph"'.tlon Df adltlnbtraUlIa1y corractllbl. artor.. PENAL TV I Tho IS~ Is. _.t. ".n-perUclp.tlon POnolt. " o_ut.. on tho t.t.1 0' 'ho t.. .... In'.r..t ........, 'nd not P.ld bol.r. J......ry '., '996, tho IIrst ... .ft.r tho on. ., tho to. ......t. p.rlod. Thb non-p.rUclp.llon _.It. " _.lob1. In tho .- ......r on. In tho tho ._ tI.. p.r led .. ..u oould _.1 tho to. Ill1d tnt.r..t ttNIt hII. bMo ......Itd III JncUo8ted on tt,b noUOI. INTEREST t Addltlontl Ponn.".""I. Estot. T.. ........ .. . r..ult .f . ch'n.. on tho F....r., E.t... T.. 01011... I.tt.r bo._. ..lI.....n. .. tho ..plr.tlon ., <>no C1' '.nth Ir.. tho ..t. tho IIn.1 n.Il.. 0/ tho In.r.... 1n Federet htMe TIt..: h reeltv.d. T.... 11I11." b..._ "l1n...nt bol.r. J.nu.r. I, 19.2 b..r tnt.r..t .t tho r.t. .1 .IK (6~1 ..roont por ...... ..'oul.ted.t . ..1I. r.t. 0' ,.."64, All t.... ...I.h b..... dol1n..."t on or .It.r J.n"sr. I, 19a2 vIII bo.r Int.r." t' . r.to ...I.h vIII ..ry 'roo c.I.....r ...r to .0'.".", '.tr _Jl" th.t rot. .,,110...... b. tho PA n.plrtllef1t ef Revenue. The apPJtolbl. .interllt ret.. for 19.sZ throUGh 1999 1"411 ~ lntere.. Re.. DaUy Interl.t Foctor V!.!r Interest R.t. D.Jly Jnter..t Fie tor 1982 to:< .0005it8 1988-1991 11% .000301 19as 16% .000ft31 199z 9% .0001ft7 1914 m .000301 199]-1994 7% .000192 1985 13~ .000356 1995-1998 9% .000147 19.. I.~ .000274 1999 7% .000192 1'17 9~ .00Ol47 ~~Int.n.t II eBleulet... I' fOllow'l INTEREST . SALANCE OF TAX UNPAID X NUNSEROF DAYS DELINqUENT X OAIL Y INTEREST FACTOR --An. NoU.. t.._ .ft.r tho t.. bo..... dol1"""."t vIII r.II..t on In'.r..t .".u,.tl.n .. IIltoon lIS' .... bo.ond tho dot. 01 tho ....._nt, 1/ P"_' h .... .ft.r tho Intor..t o.....t.tlon dot. .h""" on tho NoUce, eddlUon.l lntere.t ault be eelouhted.