HomeMy WebLinkAbout06-07-07
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15056041125
REV -1500 EX (06-05)
PA Department of Revenue
Bureau of Individual Taxes
PO BOX 280601
Harrisburg, PA 17128-0601
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
County Code Year
File Number
2 1 0 6
o 063 2
Date of Birth
187247602
07032 0 0 6
03281932
Decedent's Last Name
Suffix
Decedent's First Name
MI
G E R B E R
R 0 S A L Y N
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
Spouse's First Name
MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
421. Future Interest Compromise (date of
death after 12-12-82)
7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
10. Spousal Poverty Credit (date of death 0 11. Election to tax Jnder Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. 0)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
FILL IN APPROPRIATE OVALS BELOW
[ZJ 1. Original Return
o 4. Limited Estate
o
o
2. Supplemental Return
o
o
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
o
o
o
o
o
8. Total Number of Safe Deposit Boxes
BEN JAM I N
J
BUTLER
71723 6 1 4 8 5
Firm Name (If Applicable)
BUTLER
LAW
FIR M
I REGISTER OF WILLS-USE ONL-f-I
First line of address
5 0 0
N
T H I R D
STREET
Second line of address
City or Post Office
State
ZIP Code
I DATE FILED
--.-._-------
P 0 BOX
1 0 0 4
H A R R I S BUR G
P A
17108
Correspondent's e-mail acldress:LAWYERS@BUTLERLAWFIRM.COM
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
It is true, c ect and complete Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
OFPERSO REL:SI~~~T~ . f\b~ (. ~I / / C~
..
LEMOYNE
Pl'l. 17043
/ DII.T)C .
f: .- 1.7 .- C 7
ADDRESs'
500 N THIRD S?REET, PO BOX 1004
HARRISBURG
PlI. 17108
PLEASE USE ORIGINAL FORM ONLY
Side 1
L
15056041125
1505604112~i
} f
--.J L. ./)
f..o'
-.J 1510561042126
REV-1500 EX Decedent's Social Security Number
Decedent's Name ROSALYN GERBER 1 8 7 2 4 7 6 0 2
RECAPITULATION
1. Real estate (Schedule A) .......... . .............. . 1.
2. Stocks and Bonds (Schedule B) 2. 1 8 7 2 7 . 7 2
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) 3. :3 7 9. 7 :3
4. Mortgages & Notes Receivable (Schedule D) 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 5. 2 8 8 E3 8 2 . 1 2
o Separate Billing Requested. . . 6 8 C) :3 4. 9 0
6. Jointly Owned Property (Schedule F) 6. L.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property :3 7 4 4 5 . 5 7
(Schedule G) 0 Separate Billing Requested 7.
8. Total Gross Assets (total Lines 1-7) 8. 4 1 :3 6 7 o . 0 4
........ .
9 Funeral Expenses & Administrative Costs (Schedule H) 9. 2 4 3 8 9. 5 8
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) . . 10. :3 7 1 1 9. 0 0
6 1 c:- O 8 . 5 8
11. Total Deductions (total Lines 9 & 10) . . 11. ~I
. . . . . . . . .......... .
12. Net Value of Estate (Line 8 minus Line 11) 12. 3 5 2 1 6 1 . 4 6
. . . . . . . .
13. Charitable and Governmental Bequests/See 9113 Trusts for which
an election to tax has not been made (Schedule J) 13.
14. Net Value Subject to Tax (Line 12 minus Line 13) . . . . 14. :3 5 2 1 6 1 . 4 6
....... .
TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(12) X 0 . 0 0 15. o . 0 0
16 Amount of Line 14 taxable
at lineal rate X .O~2- 3 1 8 0 4 4 . 0 1 16. 1 4 3 1 1 . 9 8
17. Amount of Line 14 taxable o . 0 0 o . :) 0
at sibling rate X 1:2 17.
18. Amount of Line 14 taxable 3 4 1 1 7 4 5 5 1 1 7 6 2
at collateral rate X .15 18. ' .
19. Tax Due . . . 19. 1 9 4 2 9 . 6 0
........... .
20. FILL IN THE OVAl. IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
o
Side 2
L
1510561042126
1510561042126
.....J
REV-1500 EX Page 3
O'ecede'nt's Complete Address:
DECEDENT'S NAME
ROSALYN GERBER
STREET ADDRESS
1004-B Market Street
File Number
21
06
0063::::
CITY
Lemoyne
STATE
i PA
ZIP
,17043
Tax Payments and Credits:
1 Tax Due (Page 2 line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
19,429.60
18,000.00
947.34
Total Credits (A + B + C) (2)
3. Interest/Penalty if applicable
D. Interest
E. Penalty
18,947.34
Total Interest/Penalty ( 0 + E) (3)
4. If line 2 IS greater than Line 1 + line 3, enter the difference. This is the OVERPAYMENT.
Fill in avalon Page 2, Line 20 to request a refund. (4)
0.00
5. If line 1 + line 3 is greater than L.ine 2. enter the difference. This is the TAX DUE. (5)
0.00
482.26
A. Enter the interest on the tax due
B. Enter the total of Line 5 + 5A This IS the BALANCE DUE.
(5A)
(5B)
482.26
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X"IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes ~jo
a. retain the use or income of the property transferred; ...................................................................... 0 [RJ
b retain the nght to designate who shall use the property transferred or its income; .. ............................. 0 [RJ
c. retain a reversionary interest; or ................................................................................................ 0 [RJ
d. receive the promise for life of either payments, benefits or care? .... ................... ................................ 0 [RJ
2 If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receivin~J adequate consideration? ....................................................................................... [RJ 0
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ......... 0 [RJ
4. Old decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? .................................................................................................. 0 [RJ
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the survivinq spouse
IS three (3) percent [72 PS S9116 (a) (".1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surViving spouse is zero (0) percent
[72 PS S9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000
The tax rate Imposed on the net value 0" transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (0) percent [72 PS s9116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent except as noted in
72 PS S9116(1.2) [72 PS s9116(a)(1)1.
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 PS s9116(a)(1.3)]. A Sibling is defined, under
Section 9102, as an indiVidual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-1503 EX + (6-98)
.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
Gerber. Rosalyn
FILE NUMBER
21
06
00632
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
Merrill Lynch - Account No. 8BA-48474 (see attached)
VALUE AT DATE
OF DEATH
18.72772
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
18.727.72
REV-1504 EX + (6-98)
.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETUf,N
RESIDENT DECEDENT
SCHEDULE C
CLOSEL Y.HELD CORPORATION,
PARTNERSHIP OR
SOLE.PROPRIETORSHIP
ESTATE OF
Gerber. Rosalvn
FILE NUMBER
21
06
00632
Schedule C-1 or C-2 (Including all supporting Information) must be attached for each closely-held corporation/partnership interest of the decedent, other than a
sole-proprietorship. See instructions for the supporting information to be submitted for sole-proprietorships.
ITEM
NUMBER
1
DESCRIPTION
167 shares Needletrades Supply Co. - see attached valuation
VAL.UE AT DATE
OF DEATH
37<).73
TOTAL (Also enter on line 3, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
379.73
RfV-1505 D+ (6-98)
*'
SCHEDULE C-1
CLOSEL Y.HELD CORPORATE
STOCK INFORMATION REPORT
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Gerber, Rosalvn
FILE NUMBER
21 06
00632
Name of Corporation '\ieedletrades Supply Co.
Address 1004 \1arket Street
City Lemoyne
2. Federal Employer ID. Number 23-2143529
3. Type of Business Retail Sales - Upholstery
State P A
Zip Code 17043
State of Incorporation P A
Date of Incorporation 6/27 180
Total Number of Shareholders 3
Business Reporting Year Calendar
Product/Service Retail Sales - Upholstery
4.
I STOCK TYPE TOTAL NUMBER OF PAR VALUE NUMBER OF SHARES VALUE OF THE
Voting/Non-Voting SHARES OUTSTANDING OWNED BY THE DECEDENT DECEDENT'S STOCK
Common VotIng ----- .. 500 S 1. 00 167 ,$379.73
- - . -
Preferred $
Provide all rights and restrictions pertaining to each class of stock
5.
Was the decedent employed by the Corporation? . . . .
If yes, Position
Annual Salary $
. . . 0 Yes IXI No
Time Devoted to Business
6.
Was the Corporation indebted to the decedent?
If yes, provide amount of Indebtedness $
. . . . . . . . . . . . . . . . 0 Yes IXI No
7. Was there life insurance payable to the corporation upon the death of the decedent?
If yes, Cash Surrender Value $ Net proceeds payable $
Owner of the policy
8. Did the decedent sell or transfer stock in this company within one year prior to death or within two years
if the date of death was prior to 12-31-82?
o Yes IXI No If yes, 0 Transfer 0 Sale Number of Shares
Transferee or Purchaser Consideration $
Attach a separate sheet for additional transfers and/or sales.
. 0 Yes IXI No
Date
9.
Was there a written shareholder s agreement in effect at the time of the decedent's death? . . . . . . . . . . 0
If yes, provide a copy of the agreement
Was the decedent's stock sold? ..............
If yes. provide a copy of the agreement of sale. ete.
Was the corporation dissolved or liquidated after the decedent's death? ...........
If yes, provide a breakdown of dstributions received by the estate, Including dates and amounts received.
Old the corporation have an Intel"est in other corporations or partnerships? . . . . . . . . . . . . . . . . .. 0
If yes, report the necessary information on a separate sheet, including a Schedule C-1 or C-2 for each interest
Yes
IXI No
10.
..........0
Yes
IXI No
11.
IXI Yes
o No
12.
Yes
IXI No
THE FOLLOWING INFORMATION MUST BE SUBMITTED WITH THIS SCHEDULE
A Detailed calculations used in the valuation of the decedent's stock.
S Complete copies of financial statements or Federal Corporate Income Tax returns (Form 1120) for the year of death and 4 preceding years.
C. If the corporation owned real estate, submit a list showing the complete address/es and estimated fair market value/s. If real estatE appraisals have
been secured. attach copies.
D. List of principal stockholders at the date of death, number of shares held and their relationship to the decedent.
E List of officers, their salaries, bonuses and any other benefits received from the corporation.
F. Statement of dividends paid each year. List those declared and unpaid.
G. Any other information relating to the valuation of the decedent's stock.
(If more space is needed, insert additional sheets of the same size)
REV-1508 EX + (6-98)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETUf,N
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Gerber. Rosalyn
FILE NUMBER
21 06
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
00632
ITEM
NUMBER
1
2.
,
-) .
4.
5.
6.
7.
8.
().
1 O.
DESCRIPTION
VAWEAT DATE
OF DEATH
56,044.37
Citizens Bank Account No. 6201197250
with accrued interest of $0.00
Citizens Bank Account No. 6143767505
with accrued interest of $0.05
L868.16
PNC Bank Account 0:0.5140164552
with accrued interest of $0.00
1.454.41
PJ\C Bank Account No. 5004840157
with accrued interest of $300.89
10 I ,620.86
P)JC Bank Account No. 5004840288
with accrued interest of $184.29
122.509.63
1996 Honda Accord LX Sedan 40 (56,342 miles)
Listed at 1/2 value because it was owned as Tenants in Common with Ronald E. Gerber
2,825.00
Merrill Lynch.. Account No. 8BA-48474 (see attached)
1.543.93
2005 1040 .. Re fund
50.00
S50 Series EE Savings Bond (issued 12/1987)
with accrued interest 01'$40.76
65.76
AAA American Express Traveler's Checks
900.00
TOTAL (Also enter on line 5, Recapitulation) $
(If more space IS needed, insert additional sheets of the same size)
288,88) 12
REV-1509 EX + (6-98)
~
SCHEDULE F
JOINTL Y.OWNED PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Gerber, Rosalyn
FILE NUMBER
21 06
00632
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G,
SURVIVING JOINT TENANT(S) NAME
ADDRESS
RELATIONSHIP TO DECEDENT
A. Ronald E. Gerber
] 004-B Market Street
Son
Lemoyne, P A 17043
B Lawrence S. Gerber
1004- B Market Street
Ex-Husband
Lemoyne, P A 17043
C .'v1artin A, Gerber
260-61 Langston Avenue
Son
Glen Oaks, NY ]] 004
JOINTLY-OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY .~~ OF DATE OF DEATH
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECD'S VALUE OF
NUMBER TENANT JOlrn IDENTIFYING NUMBER ATTACH DEED FOR JOINTL Y.HELD REAL ESTATE VALUE OF ASSET NEREST DECEDENT'S INTEREST
1 B 5/4/06 P"lC Bank Account No. 5004840165 101,620.80 16,666666 16.936.80
with accrued interest of $208,49
2. C 5/4/06 PNC Bank Account No. 5004840165 ] 0] ,620.80 ] 6.666666 16,936.80
with accrued interest of $208,49
.'. A 2/13 d)6 PNC Bank Account No. 5004840122 101,669.27 16.666666 16.944.88
with accrued interest of $30 1.03
4. [3 2/1 ]/06 PNC Bank Account No. 5004840122 101,669.27 16.666666 16,944.88
with accrued interest of $30] .03
='. A 9/23103 PT\'C Bank Account 1\0. 5003730976 1,414,60 16.666666 235.77
with accrued interest of $0,07
6. B 9/2303 PNC Bank Account "lo. 5003730976 1,4]4,60 16.666666 235.77
with accrued interest of $0.07
TOTAL (Also enter on line 6, Recapitulation) $ 68.234.90
(If more space is needed, insert additional sheets of the same size)
SCHEDULE F (JOINTLY-OWNED PROPERTY) EXPLANATION
The accounts on Schedule F that were made joint on May 4,2006 and February 13,2006 are
correctly listed on Schedule F even though they are both joint accounts created in the name of
the decedent and others within one year of the decedent's death due to the fact that the accounts
were not funded with the decedent's money.
REV-1510 EX + (6-98)
~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Gerber. Rosalvn
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
FILE NUMBER
21 06
00632
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
DESCRIPTION OF PROPERTY
ITEM THE TRANSFEREE:: THeiR RELATlor~SHIP TO C::CEDE~H AND DA TE OF DEATH % OF DECO'S EXCLUSION TAXABLE
NUMBER T'-1E OAT::: cr: r'<I;r~SFER ATTACH ,f" COPY OF THE DEED FOR REAL ESTATE VALUE OF ASSET INTEREST ::::: APP~ICA3LE;1 VALUE
1. Cash transfer ti'ol11 Rosalyn Gerber to Ronald E. Gerber (lineal) 40,445.57 100. 3,000.00 37,445.) 7
Date of Transfer: March 27, 2006
TOTAL (Also enter on line 7 Recapitulation) $ 37,445.57
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX+ (12-99)
~
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYI_VANIA
INHERITANCE TAX RETUF~N
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
Gerber. Rosalvn
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A
1.
2.
,
-'.
B.
1.
2.
3.
4
5.
6
7.
s.
9.
] O.
11.
12.
13.
14.
21
06
DESCRIPTION
FUNERAL EXPENSES
Musselman Funeral Home & Cremation Services. Inc.
Miscellaneous
Memorial
ADMINISTRATIVE COSTS
Personal Representative's Commissions
Name of Personal Representative (s)
SOCIal Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City
State
Zip
Yearls) Commission Paid:
Attorney Fees Butler Lav,: Firm
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant Ronald E. Gerber
Streetf,ddress 1004-13 Market Street
City L,~moyne
Relationship of Claimant to Decedent Son
State P A
Zip 17043
Probate Fees
Accountant's Fees
Tax Return Preparer's Fees Souder Tax Service & Alan J. Ceperich. CPA
Cumberland Law Journa] - Estate Advertising
The Sentinel - Estate Advertising
Cumberland County Register of Wills - Additional Short Certificates
Musse]man Funera] Home & Cremation Services. Inc. - Additional Death Certificates
P1'\C Bank - Check Printing Fee
Cumberland County Register of Wills - F iling Fee
Merrill Lynch - CMA Annual Fee
Computer Search
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
00632
AMOUNT
2,3 87.00
75.01
523.64
16,]60.10
3,500.00
400.00
850.00
75.00
16607
20 00
48 00
28.26
:-m 00
]25.00
1.50
24.389.58
RfV-1512 E\~ + (6-98)
~
SCHEDULE.
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETUF~N
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
Gerber. Rosalvn
21
06
00632
Include unreimbursed medical expenses.
ITEM
NUMBER
DESCRIPTION
VALLE AT DATE
OF DEATH
5,614.00
1.
2006 PA-40 (includes $150.00 estimated payment) - Tax Due
2.
2006 1040 - Tax Due
30.505.00
"
_"'l.
Gerber Realty Corp - Contribution
1.000.00
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
37.119.00
REV-1513 EX + (9-nm
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETUR~,
RESIDENT DECEDENT
ESTATE OF
Gerber Rosalvn
FILE NUMBER
21 06
RELATIONSHIP TO DECEDENT
Do Not List Trustee(s)
NUMBER
I.
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outnght spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1.
Ronald E. Gerber
1004-8 r\1arket Street
Lemoyne, PA 17043
Martin A. Gerber
260-61 Langston A venue
Glen Oaks, NY 11004
Lawrence S. Cierber
I004-B Market Street
Lemoyne. PA 17043
Collateral
Lineal
2.
Lineal
,
-).
00632
AMOUNT OR SHARE
OF ESTATE
177,86(171
140.177.30
34.11745
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIA TE, ON ,~EV-1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II - EeNTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG, PA 17128-0601
Telephone
April 3, 2007
(717) 787-3930
FAX (7'17) 772-0412
Butler Law Firm
500 North Third St
1ih FI
Harrisburg Pa 17101
Re: Estate of Rosalyn Gerber
File Number 2106-0632
Dear Sir or Madam:
This is in response to your request for an extension of time to file the Inheritance Tax Return for
the above estate,
In accordance with Section 2136 (d) of the Inheritance and Estate Tax Act of 1995, the time for
filing the return is extended for an additional period of six months, This extension will avoid the
imposition of a penalty for failure to make a timely return. However, it does not prevent interest from
accruing on any tax remaining unpaid after the delinquent date.
The return must be filed with the Register of Wills on or before 10-3-07. Because Section 2136
(d) of the 1995 Act allows for only one extra period of six (6) months, no additional extension(s) will be
granted that would exceed the maximum time permitted.
Sincerely, .//
~ <..
/ )-.
C' I;:'. // / .' ./.:j." "('0/ i
,~ /',1 /'!' .. fi....~..,t ,;{ _" ~ e ~_ ._ ._><_../...___~ .~,J" "'.... /
........-'-.~/0'......... 1......_..~~_....... -'- ~ ,~ -~,.., ,/' -?'_.. - '--
/ ; / \
Claudia Maffei, SupeM~!
Document Processing Unit
Inheritance Tax Division
COI\I~\Jl:J~JWEAL TH Q,r: P:::NNSYL \iANIA
DEPARTMENT OF REVENUE
BUREAU :)F Ir\JDIV:OUAL Tt.XES
DEPT 280601
HAR~ISB'JRO, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
BUTLER BENJAMIN J
500 NORTH FROr\jT STREET
12TH FLOOR
HARRISBURG, PJl, 17108-1004
ESTATE INFORMATION: SSN: 187-24-7602
FILE NUMBER: 2106-0632
DECEDENT NAME: GERBER ROSALYN
DA TE OF PAYMENT: 09/13/2006
POSTMARK DATE: 09/1 2/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 07/03/2006
NO. CD 007201
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $18,000.00
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARI(S:
CHECI(# UNf\IUMBERED
INITIALS: JA
SEAL
RECEiVED BY:
TAXPAYER
$ '1 ;3,000.00
GLENDA FARi\jER STRASBAUGH
REGISTER OF WILLS
Name
Merrill Lynch U.S. C;ovt B (MBFSX)
Merrill Lynch U.S. C;ovt A (MDFSX)
Merrill Lynch Global Allocation A (MDLOX)
Merrill Lynch Global Allocation B (MBLOX)
TOTAL
Cash/Money Markets
Date Shares
3-Jul-06 175.981
3-Jul-06 354.704
3-Jul-06 570.596
3-Jul-06 181.749
Close Value
9.77 $1,719.33
9.77 $3,465.46
18.10 $10,327.79
17.69 $3,215.14
$18,727.72
$1,543.93
$20,271.65
SCHEDULE C-l
A. The only asset owned by the corporation as of July 3,2006 was a bank account at PNC Bank
with a balance of $1,136.91. The decedent owned 167 of the 500 outstanding shares at the
time of her death. 167 divided by 500 equals 33.4%. I multiplied 33.4% by $1,136.91 to
calculate the value of the decedent's shares.
S1.136.91 x .334 = $379.73
B. See attached
C. None
O. See Chart Below
i Name Shares Relationship to 01
I Ronald. E Gerber 167 Son
I Lawrence S. Gerber 166 Ex-Husband
I Rosalyn Gerber 167 Self
xedent 1
.~_----.J
~
E. See Chart Below
I Name Title 2006 Salary
I Ronald. E Gerber V ice- President $3,000.00
i Lawrence S. Gerber President $3,000.00
l Rosal yn Gerber Secretary IT reasurer i $0.00
j
-.---J
F. See F01111 ] 120S, Schedule K-l
G. None
X"-lS~,20P.? lltj5 fs-~.0l-=
-..;/ .
:::::
.-. .
. .
7177538243
To:17172351~I7 .__ _-__ P'f~l_
~ PNCBAN<
September 12.2006
Butler Law Firm
Ann: Ben Butler
PO BOle 1004
Haf'l:'iebUrg, PA 17108.1004
sepia!
RE: Estate ofNeedletrades Suply Co.
SSN: 23-214-3529
DOD: 07-03.2006
Dear Mr. Butler;
In res~onse to }'Our re<l1)eli:it for Date of Death balances for the CU6tomer noted above, OUT
re~ords show the fOJIQwing:
Che~k.ing Account
Account #5080245798 Established 05-2.3-1995
NEEDLEnADES SUPPLY CO DBA
GERBER F ABRlCS INe
DeD balance: $2,126.98 Non interest bei3ring aOCOUnt
Please note that this office only provides date (If death baliinces for deposit accounts
(IRAs, CDs. Checking and Savings accounts). We do Ilot pl"Otes~ aQY financial
transactions or provide ~ta&emCn(!L If you need assistance with any of these items,
plea~e call1-888-PNC-BANK (1-888.762-2265) or stop by your local PNe Bank branch
office.
Sincerely,
~. 7L~~ _
~ ._~--~
Erica L Schlegel
1-800- 7 62-1 77S
P7 -PFSC-04-F
jOO fil'lll Ave.
Plm:burih PA 15219
Member POJe
~. -jyl.(~
r
bdtiflLc
I ~
1,/3& Cil
d / I /, I.J./,- II P,~ h, ,) /- It rJ ,( (',t"",
-t 910U7 LlfLJ;. v '/<" ~-tt 'I
p[" +
( /i ~ ," - ,., ; t; l-i-r r
J
TOTAL p.e1
Form 1120S (2002)
Page 3
F
T
IEScheduleK!1 Shareholders' Shares of Income, Credits, Deductions, etc. (continued)
I (a) Pm rata share items (b) Total amount
I 7 Charitable contributions (attach schedule) 7 105.
. . . . . . . . . . . .
Deduc- a Section 179 expense deduction (attach Form 45(2). 8
tions . . . . . . .
9 Deductions related to portfolic income (loss) (itemize) . . . . . . . . . . 9
10 Other deductions (attach schedule). . . . . . . 10
Invest- 11a Interest expense on investment debts. 11a
ment . . . . . . . . .
Interest b (1) Investment income included on lines 4a, 4b, 4c, and 4f . . . . . . . . . 11b(1)
(i2Dlnvestment expenses included on line 9 above. . . . . . . . . 11 b(2)
12a Credit for alcohol used as a fuel (attach Form 6478). . . . . . . . . . . . . . 12a
b Low-income housing credit: . . . . . . . . . . . . . . . . .
;:;:;=::;:;:;:;:;:;:;=::;:;:
(1) From partnerships to which section 42(j)(5) applies . . . . . . . . . . . . . 12b(1)
Credits (2) Other than on line 12b(1) . . . . . . . . . . . . . . . . . . . . 12b(2)
C Qualified rehabilitation expenditures related to rental real estate activities (attach Form 3468). . 12c
d Credits (other than credits shown on lines 12b and 12c) related to rental 'real estate activities. . 12d
e Credits related to other rental activities . . . . . . . . . . . . . . . 12e
13 Other creclits . . . . . . . . . . . 13
Adjust- 14a Depreciation adjustment on property placed in service after 1986. . . . . . . . 14a
ments b Adjusted gain or loss. . . . . . . . . . . . 14b
. . . . . .
and C Depletion (other than oil and gas) 14c
Tax . . . . . . . . . . . . . . . .
Prefer- d (1) Gross income from oil, gas, or geothermal properties. . . . . . . . 14d(1)
ence (2) Deductions allocable to oil, gas, or geothermal properties. . . . . . . . . . . 14d(2)
Items e Other adjustments and tax preference items (attach schedule). . . . . . . . 14e
15a Name of foreign country or U.S. possession .. ..:;:::::::::::::::::;:;:::.
b Gross income from all sources . . . . . . . . . . . . . . . . . . 15b
c Gross income sourced at shareholder level. . . . . 15c
d FOleign gross income sourced at corporate level:
(1) Passive . . . . . . . . . . . . . . . . . 15d(1)
(2) Listed categories (attach schedule) . . . . . . . . . . . . 15d(2)
(3) General limitation . . . . . . . . . . . . . . . . 15d(3)
orelgn e Deductions allocated and apportioned at shareholder level: .............
'.'
..............
axes (1) I merest expense . . . . . . . . . . . . . . . 15e(1)
(2) Other. . . . . . . . . . . . . . . . . . . 15e(2)
f Deductions allocated and apportioned at corporate level to foreign source income: ':':':':':':':0;';':':';':'
(1) Passive . . . . . . . . . . . . . . . . . 151(1)
(2) Listed categories (attach schedule) . . . . . . . . . . . . 15 f(2)
(3) General limitation . . . . . . . . . . . . . . . . . 15f(3)
9 Total foreign taxes (check one): .. o Paid o Accrued . . . . . . . . 159
h Reduction in taxes available for credit (attach schedule) . . . . . . . . . 15h
16 Section 59(e)(2) expenditures: a Type .. b Amount. ." 16b
17 Tax-exempt interest income . . . . . . . . . . . . . . 17
Other 18 Other tax-exempt income . . . . . . . . . . . 18
19 Nondeductible expenses . . . . . . . . . . . . 19
20 Total plOpelty distributions (including cash) other than dividends reported on line 22 below. . 20
21 Other items and amounts required to be reported separately to shareholders (attach
schedule)
22 Total dividend distributions paid from accumulated earnings and profits . . . . . . . .11221
23 Income (loss), (Required only if Schedule M-1 must be completed.) Combine lines 1 through
6 in column (b). From the result, subtract the sum of lines 7 through 11a, 15g, and 16b. . . 23u_ ~8,389.
II I
I:
! I
I'
, .
21120S3
TAX$IMPLE JYA Form 1120S (2002)
Schedule K-1 (Form 1120S) (2002) ROSALYN Y GERBER
(a) Pro rata share items (b) Amount (c) Form 1040 filers enter the
amount in column (b) on:
14a Depreciation adjustment on property placed in selvice after 1986 14a See the Shareholder's
AdJust- b 14b
ments Adjusted gain or loss . . . . . . Instructions for
& Tax C Depletion (other than oil and gas) 14c ~ Schedule K-1 (Form
. . . . . . .
Pref- d (1) Gross income from oil, gas, or geothermal properties . 14d(1) 1120S) and
. .
erence (2) Deductions allocable to oil, gas, or geothermal properties . 14d(2) Instructions for
Items Form 6251
e Other adjustments and tax preference items (attach schedule) 14e
15a Name of foreign country or U.S. possession ~ .. ..
b ....... ...... I!ll!
Gross income from all sources . . . . . . . . . . . 15b
c Gross income sourced at shareholder level . . . . . . '1_15Ci
d Foreign gross income sourced at corporate level:
(1) Passive . . . . . . . . . 15d(1)
(2) Listed categories (attach schedule) . . . . 15d(2)
(3) General limitation . . 1,.15d(3)
.
e Deductions allocated and apportioned at shareholder level: ::I Form 1116, Part I
For- (1) Interest expense 15e(1)
elgn . . . . . . . . . . .
Taxes (2) Other 15e(2)
. . . . . . . . . . . .
f Deductions allocated and apportioned at corporate level to . .:.;.:.;.;.;.;.:.;-;.:.:.;.",
foreign source income: . . . . . . . . . . . . .:.;.:-:.;.;.:.;.:.:.:-:.;.;.
(1) Passive . . . . . . . . . . . . . . . . . 151(1)
(2) Listed categories (attach schedule) . . . . . . . . 151(2)
(3) General limitation . . . . . 151(3)
9 Total foreign taxes (check one): ~ np~id . 0 Acc'ru;d 159 Form 1116, Part II ,
See Instructions for
h Reduction in taxes available for credit (attach schedule) . 15h Form 1116
16 Section 59(e)(2) expenditures: a Type ~ ..... ......... See Shareholder's
'.;.:.;.:.;.;.;.:.:.:.;.:.;. Instructions for Schedule
.. .........
b Amount . . . . . . . . . . . . . . 16b K-1 (Form 1120S).
17 Tax-exempt interest income . . . . . . . . . . 17 Form 1040, line 8b
18 Other tax-exempt income . . . . . . . 18 }
19 Nondeductible expenses 19 See the Shareholder's
. . . . . . Instructions for
Other 20 Property distributions (including cash) other than dividend Schedule K-1
distnbutions reported to you on Form 1099-DIV . . . 20 (Form 11205).
21 Amount of loan repayments for "Loans From Shareholders" . . . 21
22 Recapture 01 low-income housing credit: ........
....---...... }
a From section 420)(5) partnerships . . . . . . . 22a Form 6611, line 8
b Other than on line 22a . 22b
23 Supplemental information required to be rep0l1ed separately to each shareholder (attach additional SChedules if more space is
needed):
Sup-
ple-
mental
Infor-
mation
n.___.. - -----'- -..------, - ------- ..._~- -...._------.__._~-._._-----~-~-----~~---------------- --._-~----- .._-------_._--~-_.
2120SK12
187-24-7602Page 2
!i I
I:
: I
I;
TAX$IMPLE JYA
Schedule K-1 (Form 11205) 2002
Form 1120S (2003)
Page 3'
11$J.lidi'i:::K3,..':I Shareholders' Shares of Income, Credits, Deductions, etc. (continued)
(a) Pro rata share items (b) Total amount
0 7 Charitable contributions (attach schedule) 7
I: . . . . .
.2
U 8 Section 179 expense deduction (attach Form 4562) . 8 ..
::s 9 Deductions related to portfolio income (loss) (Itemize) 9
'tI
CD
Q 10 Other deductions (attach schedule) . 10
- .
..
c
41:1 11a Interest expense on investment debts 11a
~.. . . - .
41.l!l b (1) Investment income included on lines 4a, 4b, 4c, and 4f above . . 11b(1)
>c
,5- G2~lnvestment expenses Included on line 9 above . . . . . 11m2
12a Credit for alcohol used as a fuel (attach Form 6478) . . . 12a
b Low-income housing credit: ::::;::~:::::::l:::::::::::
. . :::::~:::~::::3::::::::::
S (1) From partnerships to which section 420)(5) applies . . . . 12b(1)
'6 (2) Other than on line 12b(1) . . . 12b(2)
41 . . .
.. Qualified rehabilitation expenditures related to rental real estate activities (attach Form 3468) 12C
0 c .
d Credits (other than credits shown on lines 12b and 12c) related to rental real estate activities 12d
e Credits related to other rental activities . . . . . . 12e
13 Other credits 13
~t.; ~ 14a Depreciation adjustment on property placed In service after 1986 14a
C" b Adjusted gain or loss . . . . . . . . 14b
111-
S41 C Depletion (other than oil and gas) . . . . 14c
CU
41C d (1) Gross Income from oil, gas, or geothermal properties 14d(1)
el!! . . . . . .
..CD (2) Deductions allocable to oil, gas, or geothermal properties 14d(2)
g:'! . . . .
'6""olIQ. e Other adjustments and tax preference items (attach schedule) . 148
15a Name of foreign country or U.S. possession ~ t~~;~Il~~~[~~~1~t .
b Gross income from all sources . . 15b .
C Gross income sourced at shareholder level . . . 15c
d Foreign gross income sourced at corporate level: .:.:.:-:.:.;.:.:.:.:.:.:.:.;
~;j:~:i:j:j~~~:~f:j;~1:i:
(1) Passive . . . 15d(1)
(2) Listed categories (attach schedule) . . . 15d(2)
0 (3) General limitation . . 15d(3)
41 . .
~ e Deductions allocated and apportioned at shareholder level: .:.:.;.:.:.;.:.;.:.:.:.:.:.:
*j:i:i:~:j:j~:f.3!:~:j:j
I: (1) Interest expense. . . . . 15e(1)
Cl
! (2) Other . . . . . 15e(2)
0 f Deductions allocated and apportioned at corporate level to foreign source income: ;:::::::::::::::::::;:::::::
u. :~:~; :~:::j:~: ~:j ~:~:t~
(1) Passive . . . 15f(1)
(2) Listed categories (attach schedule) . . . . 15f(2)
(3) General limitation d A~c;ue'd . 15f(3)
9 Total foreign taxes (check one): ~ o Paid . . 15g
h Reductlon In taxes available for credit (attach schedule) . . 15h
16 Section 59(e)(2) expenditures: a Type ~ b Amount. .~ 16b
17 Tax.exempt Interest income . . . . . 17
18 Other tax-exempt Income . . . . . . 18
19 Nondeductible expenses . . . . . . . . . . 19
.. 20 Total property distributions (including cash) other than dividends reported on line 22 below 20
41 .
5 21 Other items and amounts required to be reported separately to shareholders (attach Ij1!JffiiiIlj1iI~i!jj~j!1
schedule) tf@fi~~t~j~i
22 Total dividend distributions paid from accumulated eamings and profits . . . . 22
23 Income (loss). (Required only If Schedule M-1 must be completed.) Combine lines 1 through ~:~; ~ :~:j:~:~f ~~:~:~ :~;
6 in column (b). From the result. subtract the sum of lines 7 through 11 a, 15g, and 16b 23 7,483.
: I
I; ,
,. I
31120S3
Copy~ghl TAX$IMPLEJYA
Form 1120S (2003)
-_._-_._--------------_._._-~_._----_._._----_._..,~----".__._-~------_."_._--------_._----_.,~--,._----_..-~---_._.,-----_._-----._.__._------ ---~-~---
I; .
..-.----- -------.. _.~---_._-
--~-----_._-_.-----_..-
Form 11205
U.S. Income Tax Return for an S Corporation
~ Do not file this form unless the corporation has timely filed
Form 2553 to elect to be an S corporation.
~ See separate instructions.
, 2004, and ending
OMB No 15450 i 30
2004
A
C Employer identifi,:ation number
B
Use the
IRS
label.
Other-
wise,
print or
type.
City or town. state, and ZiP code
NEEDLE TRADES SUPPLY CO.,
INC
=:3-2143529
Number, str'eet, and room or sUite no (If a P.O. box. see instructions.)
D C)3te 'ncorpor-aled
1004 MARKET ST
~16/27 /80
E Total assets (see nshuctlons)
442291 LEMOYNE
F Check applicable boxes: (1) Initial return (2) D Final return (3) D
G Enter number of sharelolders In the corporation at end of the tax year
Caution: Include only trade or business income and expenses on lines la through 2/.
1 a Gross I'ecelpts or sales 389, 863. b Less returns and allowances
2 Cost of goods sold (Schedule A, line 8)
3 Gross profit Subtract line 2 from line 1 c
4 Net gain (loss) 110m Form 4797. Part II, line 17 (attach Form 4797)
5 Other Income (loss) (attach schedule)
6 Total income (loss). Add lines 3 through 5
7 Compensatloll of officers
8 Salaries and wages (less employment credits)
9 Repalls and maintenance
10 Bad debts
11 Rents
12 Taxes and licenses
13 Interest
14a DepreCiation (attach Form 4562)
b Depreciation clawned on Schedule A and elsewhere on return
c Subtract line 14b from line 14a
Depletion (Do not deduct oil and gas depletion.)
Advertising
PenSion, profit-shanng, etc, plans
Employee benefit programs
Other deductions (attach schedule) * STMT
Total deductions. Add the amounts shown In the far light column for lines 7 through 19
Ordinary bUSiness Income (loss). Subtract line 20 from line 6
Tax: a Excess net pilssive Income tax (attach schedule)
b Tax from Schedule D (Form 1120S)
c Add 1I1I8S 223 and 22b (see Instructions for additional taxes)
Payments: a 2004 estimated tax oayments and amount applied from 2003 return
b Tax deposited With Form 7004
P c Credit for Federal tax paid on fuels (attach Form 4136)
A d Add III-Ies 23a through 23c
y
M 24 Estimated tax penalty (see Instructions). Check If Form 2220 IS attached
E 25 Tax due. If line 2.3d IS smaller than the total of lines 22c and 24, enter amount owed
~ 26 Overpayment. If Ille 23d IS larger than the total of lines 22c and 24, enter amount overpaid
S 27 Enter amount of line 26 you want Credited to 2005 estimated tax ~
I Undu penalties 01 pel"jUIY. I de:::lar-e that I have examined thiS
b(;:,P! I: I~ twe Cor-eel, and ccmplele, Declaration of pr-eP2Het
i .
I
PA 17043 $
Name change (4) D Address change
8:2,142.
(5) D Amended return
~ 3
I
N
C
o
M
E
See the Instructions far more mfarmation.
3,534. c Bal ~Wc 336,329.
~' 171,589.
d=~14'740
.~ I=i~ 2 14 , 7 4 0 .
i---Z--t-~~ 0 , 0 0 ~
181 "70388.
I;it~ 1:796.
10
11
DI
r'13
O.
I
114c
15
I---
I ;:
18
I 19
~rzo
f21
I
122c
D
E
D
U
C
T
I
o
N
S
~
14b
8,854.
137.
?
c
E
O.
I
N
S
T
R
15
16
17
18
19
20
21
22
15,763.
23,626.
51,793.
192,357.
22,383.
T
A
X
A 23
N
D
~I
23c
~D
Refunded
Sign
Here
schedules and statements, and to the best
all InfOI mallon of which preparer- has any
and
I~
May theiRS d-scuss thiS leturn
\^i!th tre prepa"er sho'Nn helo'.^!
(see Instructions)?
,.. Titl!:'
~,I:JnallIlP of offl!:el
Date
Paid
Preparer's
Use Only
No
~
I Date
il0/06/05
;J'eDaler\ ssr~ (II PTlr,j
I
'X ip000217~6
25-167h;n
''1m, name ALAN J. CEPERICH, CPA
\~l~~;'i~j~~if~',~d) ~ 33 N 2ND ST
lIR'_Tee HARRISBURG PA 17101-1602
BAA For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
I
I Phone no ' "7 ~ '7
238-~;91S;
Form 1120S (2004)
SPSAO 112 08/04/04
FOlll11l20S (2004) NEEDLE TRADES SUPPLY CO., INC
I Schedule A I Cost of Goods Sold (see Instructions)
1 Inventol'y at beglnnlllg of year
2 Purchases
3 Cost of labol
4 Additional section 263A costs (attach schedule)
5 Other costs (attach schedule) * STMT
6 Total. Add lines 1 through 5
7 Inventol'y at end of year
8 Cost 01 goods sold. Subtract line 7 from line 6. Enter here and on page 1. line 2
9a Check all methods used for valUing closing inventolY
(i) B Cost as descllbed In Regulations section 1471,3
(ii) Lower of cost or market as desuibed In Regulations section 1471.4
(iii) Otr,el (specl'y method used and attach explanation) ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, _ _ _ _ __ _ _ _ _ ,
b Check If tl1el'e was a writedown of subnormal goods as desulbed In Regulations section 1471.2(c) ~ D
c Check If the LIFO Irwentory method was adopted thiS tax year for any goods (if checked, attach Form 970) ~ D
23-2:-43529
Page 2
H~74,509,
~~42'540.
~ 19,049.
K~F 236,098.
,S4,509.
171,589,
d If the LIFO Inventory method was used for thiS tax year, enter percentage (or amounts) of clOSing
Inventory computed under LIFO
e If propert'l IS ploduced or acquired for resale, do the rules of Section 263A apply to the cOI'poratlon?
9dl
D Yes rill No
1 Was there any change in determining quantities, cost, or valuations between opening
and clOSing inventory? If 'Yes,' attach explanation
I Schedule B I Other Information (see instructions)
1 Check method cf aCCOJlltlnl): (a) D Cash (b) ~ Accrual (e) D Other (specify) ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
2 See the IIlst:uctlons and enter the:
(a) BUSiness actlvl'y ~ 3~~IAJ ~ _ S.!'~~S_ _ _ _ _ _ _ _ _ _ (b) Product or service ~ J1!'liO~~IE_R~ _&_ El~B_R;I: c:.S_ _ _ _
3 At the end of the tax 'lear, did the corporation own, directly or Indirectly, 50% or more of the voting stock of a domestic
corporation? (Folrules of attribution, see section 267(c).) If 'Yes.' attach a schedule shOWing: (a) name, address,
and employer Identification number and (b) percentage owned
4 Was the corporation a member of a controlled group subject to the provIsions of section 15617
Y~X No
Yes No
x
X
5 Check thiS box If the ::orporatlon has filed or IS required to file Form 8264, Application for Registration
of a Tax SI1eltel
6 Check thiS box If the corporation Issued publicly offered debt Instruments with onglnal Issue discount
If checked, the corpol'atlon may have to file Form 8281, InfOl'matlon Return fOI' Publicly Offered Ol'iglnallssue
Discount Instruments
:B
7 If the corpol'atlor1: (a) was a C corporation before It elected to be an S corporation or the corporation acquired
an asset with a baSIS determined by reference to ItS basis (or the baSIS of any other property) in the hands of a
C corpolatlon and (b) has net unrealized bUllt'ln gain (defined in section 1374(d)(1)) In excess of the net
recognized bUllt'ln gain from prior years. enter the net unrealized built'ln gain reduced by net recognized
bUllt'ln gain from pllOl' years ~ $ O.
8 Check thiS box If the corporation had accumulated earnings and profits at the close of the tax year - - - - - - - - ~ TI
9 Are the corporation's total receipts (see instructions) for the tax year and ItS total assets at the end of the tax year less
than $250.0007 If 'Yes.' the corporation IS not required to complete Schedules Land M.1
Note: If the corporation had assets or operated a busmess in a foreign country or US. possessIOn, it may be required to attach
Schedule N (Farm 1120)forelgn Operations of US. Corporations, to this return. See Schedule N for details.
I Schedule K I Shareholders' Shares of Income, Deductions, Credits, etc
Shareholders' Pro Rata Share Items
OrdlnalY bUSiness Income (loss) (page 1, line 21)
2 Net rental real estate Income (loss) (attach Form 8825)
3a Other~ross rental income (loss)
b Expenses from etller rental activities (attach schedule)
e Other net rental Income (loss). Subtract IlIle 3b from line 321
4 Interest Income
5 Dlvlder1ds: a O'dlnary dividends
b Q.Jallfled diVidends
6 Royalties
7 Net short,term capital galll (loss)
8a r~et 1000IQ,term capital gain (loss)
b Collectibles (28%) gain (loss)
c UI'recapl.II'ed section t 250 ga,n (attach schedule)
9 Net sectloll 1231 [Jain (loss) (attach FOlm 4797)
X
= Total amount
22,383.
[:
I ~a~-
I--~-
- I
~~
r--i-- ---,--
I I
i 9 !
I I
0()T~---
I
N
C
o
M
E
~
3b
131.
_, I
~bl
(L
o
S
S)
8bl
8el
10
Othe:" :ncome (!os:;) (attach schedule)
SPSAO 1 '2 J8!CJ4!04
Form 1120S (2004)
FOlm 1120S (2004) NEEDLE TRADES SUPPLY CO., INC
Shareholders' Pro Rata Share Items (continued)
Deduc- 11 Section 179 deduction (attach Form 4562)
tions 12a ContrlbutlOllS
b DeductlollS related to portfoliO Income (attach schedule)
c Investment Interest expense
d Section 59(e)(2) expenditures (1) Type ~
e Other deductions (attach schedule)
13a Low-Income housing uedrt (section 42(j)(5))
b LOW-lIlcome houslllg credit (other)
c Qualified relabllltatloll expenditures (rental real estate) (attach Form 3468)
d Other rental real estate uedlts
e Other rental credits
f Credit for alcohol used as fuel (attach Form 6478)
g Other Cl"edits illld credit recapture (att schedule)
14a Name of country or U.S. possession
b Gross Income from all SOUITes
c Gross Income sourced at shareholder level
Credits
and
Credit
Recap-
ture
Foreign
Trans-
actions
Alterna-
tive
Mini-
mum
Tax
(AMT)
Items
Items
Affec-
ting
Share-
holder
Basis
Othe r
Inform-
ation
BAA
1, "4l.
t _24':::
t 0_
23-214::1~;29
I rft' , ,nw","
__________________ (2) Amount ~I ~~~ (~ -
~Etl~
13c
- -
13d
Be
131
~ - - - - - - - - - - - - - - - - - - - - - - - -. ::: ~
~
Foreign gross income sourced at corporate level: I
d Passive ~~
e Listed cate(jorles (attach schedule) ~--l-,-
1 General Ilmltatloll ~j__
DeductIOns allocated and apportioned at shareholder level I I
g I nterest expense '14 1
h Other 14h
Deductions allocated and apportioned at corporate level to foreign source income'
i Passive 14 i
j Listed categol'les (attach schedule) 14j
k General limitation 14k
Other infOrmatIOn
I Foreign taxes paid
mForelgn taxes accrued
n Reduction In taxes available for credit
J..
141
14m
(attach schedule)
15a Post-1986 depreciation adjustment
b Adjusted gain or loss
c Depletion (other than oil and gas)
d Oil, gas, and geothermal properties - gross Income
e 011. gas, and geothermal properties - deductions
f Othel' AMT Items (attach schedule)
16a Tax-exempt Interest Income
b Other tax-exempt Income
c Nondecluctlble expenses
d Property distributions
e Repayment of loans from shal'eholders
17 a Investment Illcome
b IllVestment expenses
c DIVidend distributions paid from accumulated earnings and profits
d Other Items and amounts
(attach scherjule)
e Incomelloss reconciliation. (ReqUired only if Schedule M-1 must be completed.)
COITlbine the amounts on lines 1 through lOin the far right column, From the result. subtract
trle sum of tl'le amounts on lines 11 through 12e and lines 141 or 14m, whichever applies
14n
15a
15b
15c
15d
15e
15f
16a
16b
16c
16d
16e
17a
17b
17c
17e
2:2,514.
Farm 11205 (2004)
SPSA0134 Ijl/C51(}S
Page 3
O.
o.
FOlnl 1120S (2004) NEEDLE TRADES SUPPLY CO., INC 23-214::~,29
Note: The COI'polatlon IS not requll'ed to complete Schedules Land M.l If question 9 of Schedule B IS answeled 'Yes'.
Page 4
I Schedule L I Balance Sheets per Books Beglllnlrlg of tax yeal End of tax year
Assets (a) (b) (c) (d)
1 Cash 2,926. 17,633.
2a Tl'ade notes an,j accounts receivable
b Less allowance for bad debts
3 Inventones 74,509. 64,509.
4 U.S. govelnment obligations --
5 Tax.exempt secuntles
6 Othel CUlrellt asset,; (attach schedule) --
7 Loans to sharerlOlders
8 Mortgage and real estate loans
9 Other Investments (attAch Ichedu/e)
lOa BUildings alld othel cepreclable assets 193,171. 193,171.
b Less accumulated depreCiation 193,171. O. 193,171] O.
11 a Depletable assets
b Less accumulated depletion
12 Land (net of any amortization)
13a Intangible assets (arnortlzable only)
b Less accumulated amortization
14 Othel' assets (attach schedule)
15 Total assets 77,435. EI2,142.
Liabilities and Shareholders' Equity
16 Accounts payable
17 Mortgages, j'Jtes, bonds payable In less than 1 year :;5,246.
18 Other current liabilities (attach sch) Ln. 18 St 5,345. 3,271.
19 Loans flom shareholders 14,697. O.
20 Mortgages, nctes, bonds pJ/able ill 1 year or more
21 Otner liabilities (attach schedule)
22 Capital stock 1,000. ___1,000:..,
23 Additional pald'ln capital 50,991. 50,991.
24 Retained earnings 5,402. 1,634.
25 Adjustments to shareholder,' equity (att sch)
26 Less cost of treasury stock
27 Total liabilities and sr:areholders' equity . 77,435. 82,142.
I Schedule M-l ~nciliation of Income
1 Net income (loss) per books
2 Income Included on SChedule K, lines 1,2, 3c, 4, Sa, 6,7,
8a, 9, and 10. not recorded on books thiS year (Itemize):
er Books With Income Loss er Return
21, 073. 5 Income recorded on books thiS year not Included ]
on SChedule K, lines 1 through 10 (Itemize):
a Tax exempt Interest $_ _ _ _ _ _ _ _ _ _ _
3 ~xiel~e~r~;d~ ;l~O~k~~t~s;e~ ~~n;u;e~o~ ~ - 6 ~~~~~~1~~~~~~~,0~0~~~~~~-~'~~I~s1-~~~oU~h-1
Schedule K, lines: through 12, & 141 or (14m) (Itemize): Income thiS year (Itemize): I
a Depreciation ,,_ _ _ _ _ _ _ _ _ _ _ a DepreCiation $ _ _ _ _ _ _ _ _ _ _ _
b Travel and entertalllrrent ~; _ _ _ _ _ _l!... ~41.:..
_ _ _ _ _ _ _ _ _ _ _ _ _ _ u. _ _ _ _ _ 1, 441. 7 Add II;;-e~ 5 a~d 6- - - - - - - _n - - r-
4 Add lines I thlough 3 22,514. 8 Income (loss) (Schedule K, In 17e). Ln41ess In)
I Schedule M-2 I Analysis of Accumulated Adjustments Account, Other Adjustments Account, and
Shareholders' Undistributed Taxable Income Previously Taxed (see Instluctions)
(a) Accumulated (b) Other
adJustrnents account adjustments account
22,514.
1 Balance at beginning of tax yea I
2 OrdlnalY Income :rom page 1, line 21
3 Other additions * STMT
4
5
6
7
8
(c) Sharellolders' undls.
trlbuted taxable Income
prevIously taxed
5,402.
22,383.
131.
Loss from page 1. line 21
Other reductions
Combine illles 1 through 5
Dlstl'lbutlons other than (jlvldend dlstrrbutlons
Balance at end of tax year. Subtract line 7 from line 6
* 5TMT
1,441.
26,475.
24,841.1
1,634.
oi
I
o . i
G.
o.
SPSM134 01105105
Form 1120S (2004)
Tax year beglnnlllg
.2004
Final K-1 Amended K-l OME ~,o. 15450130
I Part III I Shareholder's Share of Current Year Income,
Deductions, Credits, and Other Items
OrdlnalY business Income (loss) ,13 Credts & credit I'ecapture
2 Net rental real estate Income (::s~ 61 , ~ - - - - - - -- - -- - - - - -
Schedule K-'
(Form 11205)
2004
and ending
Shareholder's Share of Income, Deductions.
Credits, etc. ~ See page 2 of form and separate instructions.
3 Other net rental Income (loss)
I Part I
Information About the Corporation
4 Interest Income
A Corporation's employer Identification number
23-2143529
B Corporation's name. addl'ess, City, state, and ZIP code
NEEDLE ~P~DES SUPPLY CO., INC
1004 MARKET ST
LEMOYNE, PA 17043
44.
5a Ordinary dividends
5b Qualified dividends
14 FOI'elljr' transactions
6 Royalties
7 Net short-term capital gain (loss)
C IRS Center whel'e cOl'poration filed return
CinClnnati, OH 45999-0013
D Tax shelter reglstratlol" number, If any
o Check If Foml 8271 IS attached
8a Net long-term capital gain (loss)
D
E
8b Collectibles (28%) gain (loss)
! Part II
Information About the Shareholder
8e Unrecaptured sectron 1250 gain
F Shareholder's IdentifYing number
201-18-3703
G Shareholder's name, address, city, state, and ZIP code
LAWRENCE S GERBER
1004 MARKET S'.::'
LEMOYNE, PA 17043
9 Net section 1231 gain (loss)
10 Other Income (loss) 15 Alternative mllllmLllll tax (AMT) Items
-1------------___ ~~____________~~
Ii,
H Shareholder's percentage of stock
ownership for tax year
33.33200 %
F
o
R
I
R
S
U
S
E
o
j~
L
Y
11 Section 179 deduction ,16 Iltems afectlna sharellolder baSIS
,I '
, I ,~C ' 480 .
112 ~O~h", de'","", _ ___ __ Ir: r ~ ~ ~ _ ~ ~ ~ ~ 2~J ~
17 Othel Illformatlon
A
44.
: I
--------------- -1--------------1
--------------- -~--------------
i I
I ,
I I
*See attached schedule for additional information. I
BAA For Privacy Act and Paper.vcrk Reduction Act Notice, see Instructions fer Form 11205.
C:r-horl, ,10 1,(_1 (I=" "I'm 1 1 ')nc:: \ ')nn,'l
'-''--, ''--'-''--'''-' ,. . '.' '....'", , I '-V'-') <-vv-'-
SPSAC41 :?
Schedule K-1 (Form 1120::;) 2004 NEEDLE TRADES SUPPLY CO. ,
This list identifies the codes used on Schedule K-1 for all
shareholders and provides summarized reporting information for
shareholders who file Form 1040. For detailed reporting and filing
information, see the separate Shareholder's Instructions for
Schedule K-1 and the instructions for your income tax return.
1 Ordinary business income (loss). You must first the InC8me
(Ioss\ is passive r'onpaS5:lve Then ellter- on your
Passive less
Passive 111CC.,'le
~~cnpasslve loss
,\;onpasslve Inccme
2 Net rental real estate income (105s)
3 Other net rental income (loss)
I'Jet In~Oille
1\).:.;'. loss
4 Interest income
5 a Ordinary dividends
5 b Qualified dividends
6 Royalties
7 Net short~term capital gain (loss)
8 a Net long-term capital gain (loss)
8 b Collectibles (28%) gain (loss)
8 C Unrecaptured section 1250 qain (I05S)
9 Net section 1231 gain (1055)
10 Other income (1055)
Code
A ether' p::vtfollc Income (loss)
B ',nvoluntal'/::::onverSlons
C ~ 256 conti acts and str'acjles
D 1\~lnlng e:(:Jlor-atlon costs recapture
E OHler InCJme (loss)
11 Section 179 deduction
12 Other deductions
A Cash contllbJtlcn5 (50 ~-;")
B Cash contllcutlon5 (30%)
C f\Joncash CJnhlbutlons (50%)
D ~,oncash ccntr'lbutlons (30%)
E
to il 50%
F Capital gain property (20'10)
G Deductions - portfoliO (2% floGn
H ~edllctlCl"l5 - pOI-tfollo (other)
I Investm811t Inter-est expense
j Dcducllon~, - royalt,y' Ir1come
K Section 5S(e)(2) e~_pen.jl~ules
L ;:;:efolestat'Dr1 exoe,1se dE.juctlOll
M F'1-eplc::Juclve period e>p~~nses
N
deductron tmlll
o Fenalty cn eull,; WI thdl,-:l\va I of savings
POther deduct:ons
13 Credits and credit recapture
A
1-IOllSlr:Q
(sect:':Jrl
B LGv'/-rnCOlr:e hOlJSing Cltcdlt (Olilf:)
C
e.'. pe Ildl tL:I es
D
E BaSiS of enelCJy plc-Delt/
F OU::-Jllfled ll'nhel iJIo;Jel:;
G C~thel r-eal e:;talE- cledlts
H~)thel lental
I UIl:JlstllbLJted :a:)lt,ll gall1~i uedlt
J 0PPcltunlty credit
K 'lv'e1fale - to'/'v'mk cledlt
Enter on
See the Shaleholdel's Instructions
Schedule.::: line 28 column
Schedule E, line 28, column (h)
Schedule E, line 28, column (j)
See the Shaleholder's Instructions
Schedule E, IlIle 28, column (g)
See the SharehDldel 's 'nstl-uctlcns
i="ol-m 1040.llIle Sa
F Oi'lll 1040 Ilrle 9a
FOUll Ilfle 9b
Schedule E, line 4
Schedule 0, line 5, column (f)
Schedule C, line 12, column (f)
IlIle 4
See the Shal-eholde(s 'nstl-uctlons
See the Shareholder's Instructions
See the Shareholdel-'s Instructions
See the Shareholde(s Instructions
FOI'm 6781 line 1
See Pub 535, Chapter 8
See the Shareholder's Instructions
See the Shareholder's Instr'uctions
Schedule A, IlIle 15
Schedule A, line 15
Schedule A, lirle 16
Schedule A, line 16
Schedule A, line 16
Schedule A, line 16
Schedule A, line 22
Schedule A, line 27
i=' GI-m 4952, line 1
Schedule E, line 18
See the Shareholder's Instructions
See the Shal'eholder-'s InstllJctions
See the Shareholder-'s Instl-uc!lorlS
See Farm 8582 Instructions
Form 1040, line 33
See the Shareholder's InstnJCtlons
~ Drill 8586. line 5
Fon-n 8586, line 5
~orm 3468 line 1
Fmm 3468. line 1
F Qim 3468. IlIle 2
FOi'lll 3468, line 3
See the Shareholdel"s Instructions
See the Shale holder's Instructions
20rm "I C40 line 63
FOIm 5884, line 3
Forrn 88E~ line 3
INC 23~2143529
Code Enter on
L Disabled access cr-edil Fmrn E826, line?
M Empowerment zone and renewal
community employment credit FOI'ITl 3844, Ime 3
N New YOI.k Zone bUSiness
employee FonT' 3884, ine 3
Page 2
o I'~ev, markets uedlt
P SOCial secur-Ity and
Forrn 3874, line ~'
FonT 8846. line 5
Q Backup Withholding
R Credit fa 1- alcohol used as fuel
S housrng uedlt
T lOW-Income hOUSing
U Recapture of Investment uedl\
V Other uedlts
W Rpcapture of othel
14 Foreign transactions
A ~-JJllle 01 :ountl'Y CI U.S possesslcm
B c;l-OSS Income It-orn all sources
C a:
F OIrTJ40 tine 63
r:"OlrT 6::78. line 10
FOlrT 8,S 1 I Iw,e 2
F orTn 81S 11 I:ne E-
See 4255
See the Shareholdel's Instr-ucllons
SPP. the Shar.;:;holde(s !ilstl-u~tIO'lS
Fom 1 16 ~all I
FOlm 1 Part I
FCIIll '0, Pal-t I
Foreign gross income sourced at corporate level
D Passive For.'ll 1! 16, Pall I
E Listed categories FOIIn 1116, Pal.t i
F Gener-alllmltCltlon Form 1115, ,:)31'1 I
Deductions allocated and apportioned at shareholder level
G Interest expense ForfTI 11 ~6. Part I
H C)thel Fmrn 1116, Part I
Deductions allocated and apportioned at corporate level to
foreign source income
I Passive F cnn 11 6 =',:1lt!
J Listed categmles
K Gener-al limitation
F or"l'l1 I : 16 Pall I
FClm 116, Pal't I
15
Other information
L Total foreign taxes paid
M Total foreign taxes aCClued
N Reduction In taxes available for uedrt
o FOlelgn tradmg gross receipts
P ExtratelTltonal income exclusion
Q Othel- for-elgn transactions
Alternative minimum tax (AMT) items
A Post-1986 depreCiation adjustment
B Adjusted gain or loss
C Depletion (othet" than 011 & gas)
DOli, gas, & geother-mal propellles - gross IllCorr,e
E Oil, gas, & geothel-mal propeltles - deductions
F Other AMT Items
See the
Shareholdel"s
InstructlolS and
the instru:tions for
Form 6251
FOUll 1116, Pari II
Form II ~6 ?alt II
FJn'l I! 15. Irlle 12
r olrn B873
Form 13873
See tre Shar-ehold'=I-'s In';tr-uclions
l
16
Items affecting shareholder basis
A Tax-exempt Intel est Income FOlm 1C4C',lllle 8b
BOther tax.exempllncome See the? ::;hale~10Idf!i'S In~,trLlctlons
C ~~ondedLlcllble expenses See th,:; (3haleholdel 's In~ tl-udons
D Pr.upel-ty dlstl-Ib~tlon":, .:;ee th,:: Shareholde(s in::tl-uc:llons
E Repayment of loans hem shareholders See Hl('! Share~lolder's 1'l;:tl.uClions
Other information
A Investment Income ::-arm 49:2, line 4a
B Investment expenses f~(jl-m 4952, Illle 5
CLoak-back Intel.est - completed
lorlg.telrll COlltlacts 81597
D LOCJk.back Interest - rncome
forecast method See F'::Hlll 3866
17
E
with
:;ee thE' :::;haleholdei"s IW:.huck)ns
F ::;>ecaDtule of section 179 deducllor1s
G
H
I
J
SeE' the ::::Ilat'eroldei"s Instructions
Spctlorl 453(1)(3) Infr)rrTlallon
~;pe thf' :::hareholdei':; illstnJctlnw,
Section 453A(c) Inform<1t:on
See th€, :::hiJreholdet's Instructions
thE ~:hal.eholder':, Ir'stluctlorlS
Sedlon 1260(b) InfOi'nlatlcn
to ploductlOll
~h~ '~:h3Ieholdet-''::, Ins:r,ICllons
K CCF nonquallfled wrthdt-awal
L InfOI-matlon needed to flgule
depletion - 011 alld -:;leiS
M ,Arlloltlzatlofl of lefole:;tatloll cost'.;;
N (Jthct- IIllo! mati on
C:;ee thE ~hart;holder's Ins:tuctlons
C:;ee ;lit'; , Ilarer-older'::; IllSluctlijns
the
t'le ~ ~lareh:)l(je"s IllS' ructions
SC'18,O!;le K-l ('Ornl '20S) 2001
n Final K-1 n Amended K - 1 CMC::, ~~o. 1545-0130
Schedule K-' 2004 I Part III I Shareholder's Share of Current Year Income,
(Form 11205) Deductions, Credits, and Other Items
of the easuI,! Tax year- beginning 2004 1 Ordinary business Income (loss) 13 Cred,t~, & credit recapture
'Iltemal Se'vlce 7,46l.
and ending ---------------
Shareholder's Share of Income, Deductions, 2 Net rental real estate Income (loss)
Credits, etc. ~ See page 2 of form and separate instructions. ----------------
3 Other net rental Income (loss)
I I Part I I Information About the Corporation - ----------------
i 4 Interest Income
A Corporation's employer Identification number 43.
- ----------------
23-2143529 5a Ordinary dividends
B Corporation's name. address, city. state. and ZIP code
NEEDI..,E ~RADES SUPPLY CO. , INC 5b Qualified dividends 14 Forelljn transactions
1004 MARKET ST
- --.--------.-----
LEMOYNE, PA 17 04 3 6 Royalties
- --.------------
7 Net short-term capital gain (loss)
C IRS Centel whel-e corpol-atlon filed return i
salNet long-tel-m capital gain (loss) - ----------------
Cincinnati, OH 45999-0013
D R Tax shelter registration number, if any I --------------1
- - -
E ~ Check If Form 8271 IS attached 8b[Collectibles (28%) gain (loss) I
!
- --------.-------
I Part II I Information About the Shareholder Sc Unrecaptuled section 1250 gain
- ----.----.-------
I F Shareholder's IdentifYing number 9 Net sedan 1231 gain (loss)
187-24-7602
G Shareholdel"s name, address. City, state, and ZIP code 10 Othcc "M"" (Ie%) t:5 Alternative mlnnllUm tax <'A.MT) Items
ROSALYN Y GERBER 0_
- --------------- -- ---.------------
10C4-B MARKET ST
I LEMOYNE, PA ll' 84 3
- --------------- -- ---------------
- ---------------}-- ----------.-----
H Shareholder's percentage of stock I
I
ownership for tax year 33.33400 % ---------------t-
- ----------------
I
I
11 Section 179 deduction 16 Items affecting shareholdEr baSIS
C 48l.
---------------
12 Other deductions
I D _ _ _ _ _ _ _ _ _.9 -.C ~8J.--,-
f---- --------------- -
F
0
I R
- --------------- - -------.--------
I
R - --------------- -- ----------------
S
U - ---------------
S , 17 Other Information
E ---------------l~- 43.
- ------- ~--------
0 I
I !
1\1
I' L
Y
I
I
I
I
l
I I , . I
I ' . I
r-1---------------r-1--------------r
~-4---------- ---f-~.--------------I
I I I I
II ~
I *See attached schedule for additional Informatl(~
BAA Fer Privacy Act and Paper.vork Reduction ,.l1.ct Notice. see Instructions for Form 11205.
Schedule K-.' (Form 1 L::OS) 200Ll
'SPSt,04: 2 i 2i09/OJ
Schedule K-1 (Form 1120~)) 2004 NEEDLE TRADES SUPPLY CO. ,
This list identifies the codes used on Schedule K-l for all
shareholders and provides summarized reporting information for
shareholders who file Form 1040. For detailed reporting and filing
information, see the separate Shareholder's Instructions for
Schedule K-1 and the instructions for your income tax return.
1 '(.Ju must first determine the Income
enter- on your return as
Passive loss
Passive rllccme
Ncnpassl'Jeoss
r'JDnpaSSlve ncome
2 Net rental real estate income (loss)
3 Other net rental income (1055)
Net Income
Net loss
4 Interest income
5 a Ordinary dividends
5 b Qualified dividends
6 Royalties
7 Net short-term capital gain (loss)
8 a Net long-term capital gain (loss)
8 b Collectibles (28%) gain (loss)
Be Unrecaptured section 1250 ~lajn (loss)
9 Net section 1231 gain (loss)
10 Other income (loss)
Code
A .other pmtfollo Inccme
8 Involuntal~,,' convel51cns
C 1256 contracts and straddles
D fJlinlng explolallon ccsts l-ecaolurE
E Other Income (loss:1
11 Section 179 deduction
12 Other deductions
A Cash contrbutlons ~SO%)
B Cash CJll~1 b~Jtlcns (3C%)
C Noncash ::~lntllbutlc:ns (50%)
D ~Joncash c:mtllbullcns
E
te 2: 50%
F Capital gain ;Jloper"ty (20%)
G Deductions - poi"tbllo (2% floor)
H Oeducllorl', - portfello (c:hel)
I Investment Iflteles: e;.::pense
j 0eductlOn~; - rc:yally Income
K Section 59(e; ~2) e>:pendltures
L qeforestatlcHl expense deductlon
M PrepmdllCttve oenod exp~~nses
N
o Denalty on early wrthdrawal of sa'Jlngs
P Other- decJcJ::tions
13 Credits and credit recapture
A
hJus,n'J credll (section
B Low-rncJfT,E: hcusln:;l uedlt ,~alher)
c
2YI;endi,lJl"es
D
E urooel1:,
F '_~\Jaldled lWlt:.'~r rJrCpe!-l)
G It,'l!;jl real
H
I UndlstJlt'IJt",,(j ,::apltal rredlt
J Work OPIX)'tu11ltv Clt~'1It
K :u:.dll
Enter on
See the Shal'eholder's Inshuctlons
Schedule E. line 28, column (g)
Schedule E, line 28. column (h~1
Schedule E. line 28, column (J)
See the Shat'eholder's Instructions
Schedule E, line 28, column (g)-
See the Shal'eholder-'s instructions
Form 1040, line 8a
Form 1040, line 9a
Form 1 :J40, line 9b
S,che:::Jule E, line 4
Schedule D line 5, column Cf)
Schedule D, line 12. columrl (f)
line 4
See the Shat'eholdel's :nstructlons
See the Sharehol:::Jer's Instructions
See the Shateholder's Insll"uctlons
See the Shareholder's Instructrons
Form 6781, line 1
See Pub 535" Chaptel- 8
See the Shareholder's Instructions
See the Shareholder's Instructions
Schedule A, line 15
Schedule A. line 15
Schedule A, line 16
Schedule A, line 16
Schedule A, line 16
Schedule A, line 16
Schedule A, line 22
Schedule A, line 27
Faun 4952, line'
Schedule E, line 18
See the Shareholder's Instructions
See the Shareholdet-'s Instl-uctlons
See the Shal-eholder-'s Instl-uctlons
See F Olm 8582 InslwctJons
For/1l 1040. line 33
See the Shareholder's Instructions
Faun 8586. line 5
Faun 8586, line 5
i:- orm 3468 line 1
FOlr113468,IiIle 1
FDlrll 3468 linE 2
F 01 In 3468. line 3
See the Shareholdel '5 II-Istl LictlorlS
See tile Sllc,reho!rJer's ;11::;trlj~lrons
,;::-Oltll 1040 line 69
F~)lm 5884, line 3
Fnt rT1 RRh 1 IInp1
INC
Code
L Disabled access cledlt
M
N"ew YOlk
employee
o f\iew malkets uedlt
P for employer socia: secullty and
taxes
23~2143[i29
Enter on
Page 2
Fe'If":' 2826 line "7
Fo"m 32-44, line J
FOlrTI .3884, line 3
FClm 3874 I;ne?
1:-01 rr 8346 line::;
Q Backup Withholding For~"" 1 J40, Ime 63
R C:edit fel alcohol used as fuel ,=-orrr 5178, line
S hOUSing C1edlt
T Recaptut-e of low-income hOUSing
credit (other)
U Recapture of Investment cl-edlt
V Othet' credits
W Recaptut-e of othel" credits
14 Foreign transactions
A Name of country Oi- U,S_ posseSSion
B GlOSS Income from all sour-ces
C at
FClm 81S11, line 2
Form 8iSl 1 ImeB
See f:mm 4255
See the Shal'eholder's Instructions
See the Shat-eholde(s Inst!'uctlons
=-OlrTl 1 . 6, Part I
ror-rn 1 i 16 Pail I
r=-~y"m 1 16
E Listed categollEs
F ~eneral Ilrnllatloll
Foreign gross income sourced at corporate level
D Passive I:-crm 11 '6, P3111
F'mrn 1 t 16, Pal"t
~onT1 I 16, ~ai't I
Deductions allocated and apportioned at shareholder level
G 'nleresl expense Fmm 1 i 6, Pati I
H Other Form 11 '; 6, Palil
Deductions allocated and apportioned at corporate level to
foreign source income
I Passrve F Otm I . 6 ;::Jail I
J Listed categotles :::'orm 11 S, Part I
K General limitation FDr"m 1'16. Part ,I
Other information
L Total fQt'el-:;Jn taxes paid
M Total foreign taxes accrued
N Reduction In taxes available for credit
o Fot-elgn trading gi"OSS receipts
P Extl"aterTltorlal income exclUSion
Q Other- foreign tr'ansacllons
15
Alternative minimum tax (AMT) items
A Post. '1986 depleclatlon adjustment
B Adlusted gain 01- loss
C c:Jepletton (othel than oil & gas)
D Oil, gas, & geothermal propel11es - -JIOSS InCOrll2
E Oil, gas, & geother-mal plopertles - deduc\lons
F Cthel'AMT Items
16
FOlm 1 '6. Pari II
Form 115, Part II
Form 11 6, line 12
r=- orrn~:87 3
;::-cmn E:873
See th:: '-;harellolder's In:;tluctlons
1
SeE! the
Shareholcler's
Instt'uctlons and
the Instluctlons fOt
Form 6251
Items affecting shareholder basis
A Tax-exempt Interest Income FOlm 1 :140, Ime 8b
B Other tax-exempt Income See the Shal-eholder's Instr-uctlons
C Nondeductible expenses See thE~ ::::,,1al'eholde(s Instructions
D Ploperty distributions ~;ee thE' ~,hal-eholder's Insti"lJCtions
E Repayment of loans from shareholdels See thE'::.:hareholder's Instructions
Other information
A investment Income Foun 4Ij:5.2, line 4a
B Irlvestment expenses ;:::orm 4952, line 5
C Look back Interest - completed
long.lel-m contracts See F:=;rr;"l 3597
D Look.back Interest - Income
fOt"e:::ast nlethod See F Dim 8866
17
E
\^llth
F Kecapturp of section 179 deductions
G
H
I
J
SecllrJn i.53(1)(3) IIlfOrlTla:IO'l
:")ecllon 45]A(c) Irl10r-mrltl:Jn
Section 1260(b) Irdoi'lllatlon
allocabte 10 QIDductlon
K CCF r10nquallfled Withdrawal
L Infclrnatloll rleeded 10 f1qule
'jepletlon - oli 3rld ,;ws
M A,tTlor-trzafIOIl of I-efoleslallcn costs
N tJlhel IIlfCrlllallon
tile ':;hdle!y)ldel's InslrllctlollS
See tl',1; Shal-ellQldel's Instiuctlons
l!lsllucliorl~
InstnJc(I'::Jns
lil;"
See thf' '~jhareholdel 's IrlS Ir-uchens
the :::i'o1ehoider-:) Instruction:::,
t.r'f Sllaleilolder 's In:;t'uctrons
tile S'l.3rehclaer S inst-uctlon::;
Schedll:e K-l (F"orm ! 1205) 2004
Schedule K-l
(Form 1120S)
2004
lrote' cal
of the r-easury
Tax year begmnmg
and ending
Shareholder's Share of Income, Deductions,
Credits, etc. ~ See page 2 of form and separate instructions.
II Part I I Information About the Corporation
A COI'poratl:Jn's employer Identification numbel'
23 -2143529
B Corporation's name, address, city, state, and ZIP code
NEEDLE TRADES SUPPLY CO" INC
1004 MARKET ST
LEMOYNE, PA 17043
C IRS Center where corporation filed return
Cincinnati, O~ 45999-0013
R Tax shelter reglstratlol: number, If allY
U Check If Fonn 8271 IS attached
D
E
I Part II I Information About the Shareholder
F Shareholder's IdentifYing number
162-48-218':;
G Shareholde"'s flame, address. city. state. and ZIP code
RONALD E GERBER
1004-8 MARKET ST
LEMOYNE, PA 17043
H Shareholde"'s percentage of stock
ownership for tax year
33.33400 'is
I F
0
R
I
R
S
U
S
E
I 0
N
L
Y
,2004
n Final K.1 n Amended K.l O~1E:I,o 15450130
I Part III I Shareholder's Share of Current Year Income,
Deductions, Credits, and Other Items
1 Ordinary business Income (loss) 13 Cred ts & credit recaptul'e
7,461.
2 Net rental real estate II1COme (loss)
3 Other net rental Income (loss)
4 Interest Income
44,
5 a Ordinary dividends
5b Qualified diVidends
6 Royalties
~14
Forel/]n tl'ansactlons
7 Net short. term capital gain (loss)
8a Net long,tel'm capital gain (loss)
8 b Collectibles (28%) galll (loss)
8c Unrecaptured section 1250 gain
9 Net section 1231 gain (loss)
10 Other Income (loss)
15 Alterr,atlve IlCllllmum tax (AMT) Items
A__ --------__,___.9..:.
~ J ~ ~ ~ ~: ~ ~ ~ ~ ~ _~ ~ ~ ~ ~
,
- --------------- -- ---------------
11 Section 179 deduction
16 Items aflectlng shareholde- basIs
C 480.
t12 rthC;d'dC~M~ _ ~ ~~ ~ ~ _ I D.. ~ ~ ~ ~~ <~ ~3_280C
~_ 1______---------
1 17 Other IIlf8rmatlon
- i - - - - - - - - - - - - - - - A-1- - - - -. - - .- - - - _43..:.
~-i---------------r-l--------------II
l----------------~-~--------------
, ! Ii'
Ii: i I
I~ee attached schedule fair ad~ltlon2l1 Informatlcd
BAA For Pri'J3cy Act and Paper/Jerk Reduction Act Notice, see Instructions for Form 11205.
SchecJu!e f<:-l (Forry- 1 ~2JS) 200/1
Schedule K-1 (Form 1120S) 2004 NEEDLE TRADES SUPPLY CO. ,
This list identifies the codes used on Schedule K-1 for all
shareholders and provides summarized reporting information for
shareholders who file Form 1040. For detatled reporting and filing
information, see the separate Shareholder's Instructions for
Schedule K-1 and the instructions for your income tax return.
1 Ordinary business income (loss). You must first determine the Income
,'1055) IS pas~;rVE ncnpass'v'e 7r,en enter on your- r-eturn as
Passive ioss
Passive Inconle
I'Jonpass1ve IClSS
I\CflDaSSlve Income
2
3
Net rental real estate income (loss)
Other net rental income (1055)
\jet InCQrTlE
i;,Jet loss
4
Interest income
5 a Ordinary dividends
5 b Qualified dividends
6 Royalties
7 Net short-term capital gain (loss)
8 a Net long-term capital gain (105s)
8 b Collectibles (28%) gain (loss)
8 C Unrecaptured section 1250 gain (loss)
9 Net section 1231 gain (loss)
10 Other income (loss)
Code
A Other- pcd'J"IO Income (less)
B InvoluntJI-Y com;erSlons
C 1256 contracts and stladjles
D VlInlng explOlatlon C05tS recapture
E Othel- Income (loss)
11 Section 179 deduction
12 Other deductions
A Cash contllbutlcns (5D%)
B Cash ccntllb~Jtlons (3::,(/01
C Noncash =::mtllbutlons (5']%)
D Noncash :::mtributlons (3']%)
E
te 21 50%
F Capital gain plopelty (20~/o)
G Deductlor<', - por-HollO (ria floo(1
H Deductlol':~ - po,-tfollo (ctllel)
I Investnl(--::lt Ir1terest exper'se
J Deductlon:~ - royalty illCJme
K Section S9(e)(2:, e;.:pendilJ1es
L ~';;efolestatlcn e>:pense de,juctlon
M PI-epi'Oductl'JE pellcY1 e>w~nses
N
o Penalt;,' e31'ly wlthd'-awal of savings
p Other- aedL~ctlcns
13 Credits and credit recapture
A
hous,ng c'-edlt (section
B Low-Inconw I--'Ol,slng ueclit (.Jthel')
c
eXIJendltUles
D
E
F Gllalrfrp,i tnlbf:1 ploperty
G Ctlil~1 n,'ntill le.]1 CI,,,-oJlts
H Otllel ,-redlt:::.
I I j!ldl:=;tnblJ\i~d capital ':pn'" credit
J \/VD~~ OPD jI-turlltv uecJI\
K nerJjt
Enter on
See the Shal'ehcldel's Inshuctlons
Schedule E. line 28 column (9)
Schedule E, line 28. column (h)
Schedule E, line 28. COIUITln (j)
See the Shareholder's Instluctlons
Schedule E, line 28. column (g)
See the Shareholder's nstructlons
Form 1040. line 8a
FOI-m 1040 line 9a
FOIIll 1040. line '9b
Schedule E. line 4
Schedule [0, line 5 column (f)
Schedule D, line 12, column (f)
line 4
See the Shal'eholdei"s Instl-uctloflS
See the Shal-eholdel-'s Instructions
See the Sharehcldel's Instructions
See the Shareholder's Instluctlorls
FOlm 6781. line 1
See Pub 535, Chaptel 8
See the Shal'ehclde(s Instructions
See the Shal-eholdei"s Instructlcns
Schedule A, line 15
Schedule A, line 15
Schedule A. line 16
Schedule A, line 16
Schedule A,. line 16
Schedule A, line 16
Schedule A line 22
Schedule A. line 27
F mill 4952, line 1
Schedule E, line 18
See the ShBl'eholdel's I nstl-uctlGflS
See the Shareholde(s Instructions
See the Shal-eholdel's Instructions
See FOlm 8582 Instl-uctlons
FOI'Ill 1040, line 33
See the Shareholder"s Inst!'lJctlcns
FClnl 8586, line 5
F OInl 8586. line 5
Form 3468 line 1
F,jlrTl 3468 line 1
FOIIll 3468, line;:
Form 3468. II:1e 3
See the Shareholde(s Instructions
See IIle Shal-eholdei's Instructions
FOI-m 1040. line 69 box a
FOI'm 5884, line 3
F0HllS861 line 3
INC
Code
L
M
N New YOlk Llbeliy ZOlle bUSiness
employee Gedlt
o New markets crsdil
P tel SOCial secullty and
23-2143529
Enter on
Page 2
~olm -3S2E- line 7
:;-crrtl 3SLt line 3
FOlm 8E:84 , IlIle 3
Forl"l8.:.74
F 0101 5246, Ime 5
Q Backup 'w'lthholdIllQ Fomi 1 C40. line 63
R CI-edlt fOI alcohol used as fuel Form Si,78. line 10
S hOUSing credit
T
ICW-lr1come hOUSing
14
U Recaptule of Investment oedl!
V Other credits
W Recaptule of othel uedlts
Foreign transactions
A \wme of country 01 J S, possession
B GI'OSS Income flam all soul'ces
C at
FOlrr36111ine8
C-CIIT1 3011
Se(~ ::::-)ITTl ~t255
See tile Shareholdel-'s Irstl'uctlons
See the Shalf-hairier's Irsliuctlons
FOln: l' 16. Palil
Fe'lm 1 16. Pali I
FJIIT, 1116, Pal-t I
Foreign gross income sourced at corporate level
D Passive ,:;-orm 116, PClli
E Listed categoi'les rmlTl II t, Pad I
F Generalllmilatlon ~01-'l1 1 16. Port I
Deductions allocated and apportioned at shareholder level
G Intelest expense Fonn 16, Palil
H Other F::;'llll 16. Pal't 1
Deductions allocated and apportioned at corporate level to
foreign source income
I Passive ~21t
Other information
L Total fOlElgn taxes paid
M Total fOlel]n taxes accrued
N Reduction In taxes available fOI- credit
o Fcnelgn trading gmss receipts
P ExtratelTltorrallncome exclUSion
Q Othel' foreign tl'ansactlcns
Alternative minimum tax (AMT) items
A Post.1986 depreCiation adjustment
8 Adlusted 'Jain 01' less
C Depletion (other than oil & gas;
D Oil, gas, & geothermal PlOpei'tles - gross Inecrne
E Oil gas. &. ,:;we,thermal p,ooel-t,es - deductlon~i
F Othel AMT Items
J ~15ted categol-Ies
K General limitation
15
16
F'::lrTl
;J21i
~:orm
Part I
Fal-Ill 11
6. Part II
6,
6,
Conn 11
Part I
.=-ol'm i 1
line 12
=- ol-m::S73
~ Drill E:S73
See th:;: ;;~lal-ehcldel's in~;tl'uctloIlS
See tr.e
Shaieholdel's
Ins:i'lIctloIlS and
the Instlu:tlons for
FOIm 6251
Items affecting shareholder basis
A Tax-exernpllntel'est Income Farm ~c;i1-0, line 8b
BOther ta,.,-exempt Income '3ee the ShareholdE~I'S In~,t1uctrons
C Nondeductible expenses See the Shareholder's in~,tructlons
D Plopell:! dlstl-lbutions See the ~;hareholder's In~tructlons
E Repayment of leans fmrn shareholders See the ~;hal-ehc;ldE~I"S Instl-uclions
Other information
17
A Investment IIlcome
B Inve5trncnl expens~s
C Lock-back Interest - comp1eterJ
long,lel-m conliacls
D Look-back Interest - Income
fmecast method
E
F Rer:aplLlI-e of sectlQll 179 ded'__lctlons
G Sectlcn 453(1)(3) IntOlmatlon
H Section .:1~3A(c) intcrmatlon
I Section ~ 260(b:- Information
J to ploductlon
K CCF nonQualtfled Withdrawal
L Infmlllatlon needed to IIQUle
depletion - or! and gas
M Amortlzatlorl of refmestatlon costs
N ')Hlel InfG'lllatlor\
F ol-m 49::2 4a
,1352 l'IlE:
See :;- 011Tl 3697
:3ee c Jim 3266
lhf~ :~;~laH-:,I1:::.\ldc 1'5
::3ee thE' Shalehoidu's instluctlorlS
See tll'" c;haleholde-(s Instluctlons
~jf;e thf~ c;112reholrJa'::; :~lsll-lj;::tjC-ns
!hf: ": halehDldE'1 's Instluctlol15
C halphcldf'I' S :listluCtlOI',S
~;ee the ;::,I'cHeholde(s !Iistluctlons
See ihE:::,hareholder's Instl uctic)(IS
c;,=,p thE' '::;,hal-eholder';:, Irlst'Uctl:JW,
~)ee thE" ::halel'oldel''':. :nsliuctl,:)ns
Sc1wule K-l (Form' 120S) 2004
S Corporation Information Worksheet
.. Keep for your records
2004
Part I - Identifying Information
Emp loyer Idenclflcatlon Number
Name
DOln,;) Business As
Address
City
Telephone Number
Fax Number
Tax Shelter ReQlstratlon Number
23-2143529 Date Incorporated
NEEDLE TRADES SUPPLY CO., INC
06/27/19E10
1004 MARKET ST
LSMOYNE
State PA
ZIP Code 17043
ExtenSion
E.Mall Address
Part II - Tax Year and Filing Information
B
Calendar year"
Fiscal year - EndlnQ month
Short year - BeQlnnlnQ date
EndlnQ date
[] Check If enrolled In the Electronic Federal Tax Payment System (EFTPS)
IRS SerVice Center wher"e S Corporation return IS filed Cincinnati, OH 45999-0C13
Part III - 2004 11205 Corporation Estimated Tax Paid
Amount of 2003 over"payment credited to 2004 estimated tax
Payment Quarters
Due
Date
Date
Paid
Amount
Paid
First Quarter Payment
Second Quarter Payment
Third Quarter Payment
"'ourth Quarter" Payment
04/15/04
06/15/04
09/15/04
12/15/04
I-~---
Additional Payment 1
Additional Payment 2
Additional Payment 3
Additional Payment 4
Part IV - K-1 Information
K-l Rounding Options
IT] Distribute. th.e rounding dlffe. rence to shar"eholder With the largest percentage.
~_~ Distribute the rounding difference among shareholders.
U Do not distribute the rounding difference to any shareholder.
Print Schedules K-l with tax return?
!Xl Ye.s
n Nc
Include page ;;~ of Schedules K-' (codes and descriptions) with tax return?
t?j ~~s
Part V - Massachusetts and Michigan State Returns:
If filing Massachusetts or Michigan State Returns QuickZoom to EF Information Worksheet
~
..
QuickZoom here to Form 1120S, Pages 1 and 2
QuickZoom here to Client Status
, r
... ~ j
.. -- ~ 1
~~PSVv'3:IO-1
Form 11205
Schedule M-l Items Worksheet
~ Keep for your records
Name
NEEDLE TRADES SUPPLY CO., INC
Income Items:
Description
Permanent tlems (tax-exempt income)
Tax-exempt interest - In state
Tax.exempt Interest - out of state
Life Insurance proceeds
Other permanent Income items:
Galll (Loss) on disposItion of Section 179 assets
Alcohol used as fuel credit Included In Income
Lease Inclusion amount
Timing (temporary) tlems
Unearned rentncome
Unearned Income
Gain on sale of assets
Installment sale income
Fuels tax credit Included in income
Other timing income Items:
Total
Expense Items:
Description
Permanent items (nondeductible expenses).
Disallowed meals and entertainment
Employment credits wage reduction
Federal underpayment penalty
State underpayment penalty
Other fines and penalties
Officers' life insurance premiums
Interest paid to carry tax-exempt Investments
Payroll Taxes for Employer SS Tax on Tips Credit
Othel expenses related to tax-exempt Income
Other permanel'lt expense Items:
Timing (temporary) tlems.'
DepreCiation and Section 179 expense
Amortization
Depletion other than oil and qas
Loss on sale of assets
Organlzatioflal costs
Bad debt expense
Prepaid expenses
Otl1er tll11111g expense Items:
Tota!
Sf-""SV',.'510" SCR I :J/20/~1
Per
Books
Per
Books
1,441.
1,441.
2004
Employer Identification No.
23-2143529
Per
Tax Return
Per
Tax Return
Difference
(Book - Tax)
Difference
(Tax.. Book)
-=l:~
o.
I =
I--~
0.1
I
-1,441.
Schedule M-2/ Retained Earnings Worksheet
.. Keep for your records
Name as Shown on Return
NEEDLE TRADES SUPPLY CO., INC
2004
Employer Identif calion No.
23-2143529
Analysis of Retained Earnings Accounts
Description Accumulated Other I Shareholders' Accumulated Retained
adjustments adjustments undistributed tax/book earnings
account account I taxable timing while a C
income differences Corporation
Balance at beginning of year 5402
Ordinary income (loss) 22383
Schedule K additions
(Income/Gawls) :
INTEREST INCOME 131
-~~_. --.-------
Schedule K reductions
(Losses/Deductions) :
Income - Tax exempt
Deductions - Exempt related
Schedule M.l additions:
I
Schedule M.l reductions:
MEALS AND Ec1TERTAINMENT -1441
I -- I I
Net adjustment for year 21073 I
j\let Income(ioss) per books I
Subtotal 26475 I I
I
AAA without net 11egat,ve ad] 26475 I i
i
rJlstllhlJtlons -24841 01 0 oj 01
D,vlderlds
Ba lance at end of tax year
I
.__163i.1
I
01
01
i
01
I
SPSW5C01,SCF 1 ;)/20/04
Total
5402
21073
26475
-24841
01--0
o I =~li
NEEDLE TRADES SUPPLY CO., INC 23.2143529
Federal 1120S Depreciation Report
Regular Tax
ACtiVity Form 11208 Line 21 - 2004
Total cost of goods sold
Description In Service Cost Land Bus % Type Class Con V D
Cost of Disposed BasIs Sec. 179 Listed Mthd Life Year P
,
Goods Sold I
I
OLD ASSETS 06/30/91 193,171. 100.00 MACRS 7 HY
i i I ,II -
193,17:C. 200DB 7.CO 14
- - -'-
epr
rim
O.
Total
193,17I.
193,171.
O.
Federal 1120S Depreciation Report
Alternative Minimum Tax
ActiVity
Form 11208 Line 21 - 2004
Descl'lplion Real Leased AMT Cost AMT Life AMT Depr AMT
AMT BaSIS AMT Mthd AMT Prior AMT
OLD ASSET~; D D 193,171. 12,00 O.
193,171. 150DB
- -
Adj
Pref
C.
Total
193,171.
193,171.
O.
0,
Form 4562
Special Depreciation Allowance Report
ACtiVity:
Form 1120S Line 21 - 2004
Descrlptloll I n Service AMT Cost AMT BaSIS AMT S DA Cost SDA BaSIS I SD
I
OLD ASSETS 06/30/91 193,171. 193,171. 1-
A
Total
193,171.
193,171.
Form 11205
S Corporation
Five Year Tax History
~ Keep for your records
2004
Name Employer Identification Numbel-
NEEDLE TRADES SUPPLY CO. , INC 23-2143529
2000 2001 2002 2003 2004
1 Gmss receipts 386,329.
2 Cost of sa les 171,589.
3 Gross pmf,t I 214,740.
4 Net 4797 gain (loss)
5 Other Income (loss)
6 Total Income (loss) 214,740.
7 Salaries 70,3 tl8 .
8 Depreclallon O.
----
9 Othel- deductions _121,9E~
10 Business IIlcome , ____~.li~
11 Passive Investment I
Income
12 Passive Investment
expense
13 Net passive
Investment Income
14 Excess net passive
1 ncorne ta x
15 Tax from
Schedule D ----
16 Addltlona I taxes
17 Tax liability
SPS'"V2301,SCF< 11/C9/04
NEEDLE TRACES SUPPLY CO., INC 23-2143529
Form 1120S, Page 1, Line 19
Other Deductions
MEALS AND ENTERTAINMENT (50%)
BANK & CRE=)IT CARD FEES
DUES & SUBSCRIPTIONS
INSURANCE
LEG.l'l.L & ACCOUNTING
JANITORIA~
UTILITIES
TELEPHONE
SUPPLIES
FREIGHT & POSTAGE
OFFICE SUPPLIES
VEHICLE
TRAVEL
ADMINISTRA':L'IVE
1,441.
2,327.
395.
14,450.
1,091.
3,097_
10,965.
6,579.
1,678.
3,028.
1,787.
1,655.
173.
3,127.
Total
51,793.
Form 1120S, Page 2, Schedule A, Line 5
Schedule A, Other Costs
19,049.
SUBCONTRACT
Total
19,049.
Other Current Liabilities:
1120S, Schedule L, Line 18
Beglnn Ing of End
Other Current Liabilities: tax year tax y
ACCRUED PAYROLL TAXES 4,289. 2
SALSS Tl\X PAYABLE 1,056. 1
of
e3r
,238.
,033.
Total
5,345.
3,271.
Form 1120S, Page 4, Schedule M-2, Line 3
Schedule M-2, Other Additions
INTEREST INCOME
131.
Total
131.
Form 1120S. Page 4, Schedule M-2, Line 5
Schedule M-2, Other Reductions
MEALS AND ENTERTAINMENT
1,441.
Total
1,441.
NEEDLE TRADES SUPPLY CO., INC
23-2143529
2
Schedule K Reconciliation
Pro rata share items
Ll~es 1 thru 16c
-l- A- -13g- -15a-
-
Shareholder Ordinary Interest Other Depree. No
Income Income Credits AdJust. ~)
LAWRENCE S GERBER (33.33 %) 7,461 44 0 0
-
ROS,'\.LYN Y GERBER (33.33%) 7,461 43 0 0
-
RONALD E GERBER (33.33%) 7,461 44 0 0
-
Hic-
--
n-ded.
enses
480
--
481
--
480
Total
22,383
131
o
o _.1,441
Schedule K Reconciliation
Pro rata share items
Lines 16d thru 17e
-16d- -17a- -17e- 1-
Shareholder DlStrlb. Investment Total
,-
Income Income
-
LAWRENCE S GERBER (33.33 %) 8,280 44 7,505
-
ROSALYN Y G::;:RBER (33.33%) 8,28l 43 7,504
-
RONALD E GERBER (33.33%) 8,280 44 7,505
-
Total
24,841
131
22,514
Form 11205
Department of
Interna! Revenue
U.S. Income Tax Return for an S Corporation
~ Do not file this form unless the corporation has filed
Form 2553 to elect to be an 5 corporation.
~ 5ee separate instructions.
, 2005, and ending
For calendar year 2005, or tax year beginning
A Effective date of Name
S eleclion
06/27/80
B
Business code number
(see Instructions)
F
G
I
N
C
o
M
E
D
E
D
U
C
T
I
o
N
5
S
E
E
I
N
S
T
R
U
C
T
I
o
N
S
T
A
X
A
N
D
P
A
Y
M
E
N
T
5
Sign
Here
Pre parer's
signa lure
Paid
Pre Darer's
Use Only
Firm's name
(or If
Use the
IR5
label.
Other-
wise,
pri nt or
type.
1004 MARKET ST
NEEDLE TRADES SUPPLY CO.,
INC
City or town, state, and ZIP code
Number, street, and room or sUite no. (If a PO. box, see instructions.)
H*/
14b
22a
22b
2
3
4
5
~ 6
7
:3
9
10
11
12
13
O.
14c
1'"
.J
113
H
18
19
~ 20
2'1
. . . . . . . . . . . . 2:~ c
~
Title
~ ALAN J CEPERICH CPA EA
ALAN J CEPERICH, CPA EA
~ 33 N SECOND STREET
address.
ZIP code HARRISBURG PA 17101
BAA For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Date
10/05/06
O.
Preparer's SSN or PTIN
P00021766
EIN 25 - 167 1622
~) 1545-0130
I 2005
C Employer identification number
23-2143529
D Date Incorporated
06/27 /80
E Total assets (see Instructions)
324,766.
127,142.
197,624.
197,624.
20,400.
62,424.
2,578.
8,431.
O.
18,919.
3,734.
71,231.
187,717.
9,907.
o.
O.
ard
May the IRS dl~,cuss thiS return
wltli :18 preparer shown below
(see nstructions)?
No
Phone no ( 7 1 7) 2 3 8 - 5 9 19
SPSAOl12 12108105 Form 11205 (2005)
Form 11205 (2005) NEEDLE TRADES SUPPLY CO., INC
I Schedule A I Cost of Goods Sold (see instructions)
1 Inventory at beginning of year
2 Purchases....................
3 Cost of labor. . . . . . . . . . . . . .
4 Additional section 263A costs (attach statement) .
5 Other costs (attach statement) * .sTMT
6 Total. Add lines 1 through 5 .
7 Inventory at end of year . . .
8 Cost of goods sold. Subtract line 7 from line 6. Enter here and on page 1. line 2
9 a Check all methods used for valuing closing inventory:
(i) ~ Cost as described in Regulations section 1.471-3
(ii) Lower of cost or market as described in Regulations section 1.471-4
(iii) Other (specify method used and attach explanation) ~ ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ _ _ _ _ _ _ __ _ ~ ~ _ _ _ _ _ _ _ _
b Check if there was a writedown of subnormal goods as described in Regulations section 1.471-2(c). . . . . . . . . . . . . . . . . . . . . ~ 0
c Check if the LIFO inventory method was adopted this tax year for any goods (if checked, attach Form 970). . . . . . . . . . . . . . . . . ~ 0
23-:2143529
Page 2
1
2
3
4
5
6
7
8
64,509.
102,306.
14,515.
181,330.
54,188.
127,142.
d If the LIFO inventory method was used for this tax year. enter percentage (or amounts) of closing
inventory computed uncler LI FO . . .. ................. ..........
e If property is produced or acquired for resale. do the rules of Section 263A apply to the corporation?
.[ 9 dl
o Yes [ill No
f Was there any change in determining quantities cost or valuations between opening
. n Yes IXl No
and closing inventory? If 'Yes.' attach explanation
I Schedule B I Other Information (see instructions)
1 Check method of accounting (a) 0 Cash (b) [ill Accrual (c) 0 Other (specify) ~ _ _ ~ ~ _ _ _ _ _ _ ~ ~ _ __ _ _ _ _
2 See the instructions and enter the:
(a) Business activlty~ B~~~A.J~ _ Sl\~~S_ _ _ _ _ _ _ _ _ ~ (b) Product or service. ~ _U!:I:!O~~'IE_R~ _ &_ I~BBl;C;:S_ _ _ _
3 At the end of the tax year, did the corporation own, directly or indirectly, 50% or more of the voting stock of a domestic
corporation? (For rules of attribution, see section 267(c).) If 'Yes.' attach a statement showing: (a) name, address,
and employer identification number and (b) percentage owned.
4 Was the corporation a member of a controlled group subject to the provisions of section 1561? .
Yes
No
x
X
5 Has this corporation filed, or is it required to file, a return under section 6111 to provicle information on any
reportable transaction? .
6 Check this box if the corporation issued publicly offered debt instruments with original issue discount.
If checked, the corporation may have to file Form 8281, Information Return for Publicly Offered Original Issue
Discount Instruments.
X
.~ 0
If the corporation: (a) was a C corporation before it elected to be an S corporation or the corporation acquired
an asset with a basis determined by reference to its basis (or the basis of any other property) in the hands of a
C corporation and (b) has net unrealized built-in gain (defined in section 1374(d)(1)) in excess of the net
recognized built-in gain from prior years, enter the net unrealized built-in gain reduced by net recognized
built-in gain from prior years ~ $
8 Check this box if the corporation had accumulated earnings and profits at the close of the tax year .
9 Are the corporation's total receipts (see instructions) for the tax year and its total assets at the end of the tax year less
than $250,000? If 'Yes.' the corporation is not required to complete Schedules Land M-1 .
Note: If the corporation had assets or operated a business in a foreign country or U. S. possession, it may be required to atta,~h
Schedule N (Form 1120), Foreign Operations of U. S. Corporations, to this return. See Schedule N for details.
I Schedule K I Shareholders' Shares of Income, Deductions, Credits, etc
7
-~-D
X
Shareholders' Pro Rata Share Items Total amount
1 Ordinary business income (loss) (page 1, line 21) 1 l---- 9,907.
---
2 Net rental real estate income (loss) (attach Form 8825). :2
3 a Other gross rental income (loss) ~I
I b Expenses from other rental activities (attach statement) 3b
N c Other net rental income (loss). Subtract line 3b from line 321 3c
C --
0 4 Interest income. 4
M --
5 Dividends: a Ordinary dividends 5211
E Oualified dividends I I
b 5 bl
(L 6 Royalties. . 6t--
0 --
7 Net short-term capital gain (loss) (attach Schedule 0 (Form 1120S)) . 'r
5 -F
S) 8a Net long-term capital gain (loss) (attach Schedule 0 (Form 1120S)) . B a
~ --
b Collectibles (28%) gain (loss).
c Unrecaptured section 1250 gain (attach statement) 8e
- .. .. - .. ~ .~,,~,
I ~
10
I\let section ILj I gain (lOSS) (anaen r-orm 4(81)
Other income (loss) (see instructions) . . . . .
: . ~~-t-
SPSA0112 12/08/05
Form '1120S (2005)
Form 11205 (2005) NEEDLE TRADES SUPPLY CO., INC
Shareholders' Pro Rata Share Items (continued)
Deduc- 11 Section 179 deduction (attach Form 4562) .........
tions 12a Contributions. . . . . . . . . . . . . .. CHARI.TABLE .CONTRIBUT.IONS
b Investment interest expense . . . . . . . . . . . . . . . . . .
c Section 59(e)(2) expenditures (1) Type ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (2) Amount ~
d Other deductions (see instructions). . . Type ~
13a Low-income housing credit (section 42U)(5)) . . . . . . . . .
b Low-income housing credit (other) . . . . . . . . . . . . .
c Qualified rehabililation expenditures (rental real estate) (attach Form 3468)
d Other rental real estate credits (see instrs) Type ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
e Other rental credits (see instrs) Type ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
f Credit for alconol used as fuel (attach Form 6478) . . . . . . . . . . . . .. ......
g Other credits and credit reca ture (5ee 11151r5) Type ~
14a Name of country or U.S. possession . .. ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
b Gross income from all sources . . . . . . . . . .
c Gross income sourced at shareholder level. . . .
Foreign gross income sourced at corporate level:
d Passive .. ...........
e Listed categories (attach statement) . . . . . . .
f General limitation .
Deductions allocated and apportioned at shareholder level:
g Interest expense. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
h Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Credits
and
Credit
Recap-
ture
Foreign
Trans-
actions
Alterna-
tive
Mini-
mum
Tax
(AMT)
Items
Items
Affec-
ting
Share-
holder
Basis
Other
Inform-
ation
BAA
23-2143529
Total amount
Deductions allocated and apportioned at corporate level to foreign source income:
i Passive . .. .......
j Listed categories (attach statement)
k General limitation . . . . . . .
Other information.
I Total foreign taxes (check one): ~ 0 Paid
m Reduction in taxes available for credit
o Accrued
(attach statement) . . . . . . . . . . .
n Other foreign tax information (attach statement)
15 a Post-1986 depreciation adjustment.
b Adjusted gain or loss. . . . . . . . . . . . . .
c Depletion (other than oil and gas) . . . . . . .
d Oil, gas, and geothermal properties - gross income
e Oil. gas, and geothermal properties - deductions
f Other AMT items (attach statement)
16a Tax-exempt interest income
b Other tax-exempt income.
c Nondeductible expenses. .
d Property distributions. . . .
e Repayment of loans from shareholders.
17 a Investment income.
b Investment expenses. . . . . .
c Dividend distributions paid from accumulated earnings and profits
d Other items and amounts
(attach statement) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e Incomelloss mconciliation. (Required only if Schedule M-1 must be completed.)
Combine the amounts on lines 1 through 10 in the far right column. From the result. subtract
the sum of the amounts on lines 11 throu h 12d and lines 141 . . . . . . .. .......
SPSA0134 12/15/05
11
12a
12 b
12c (2)
12 d
13a
13 b
13 c
13 d
13 e
13f
13 g
14b
14c
14d
14e
14f
149
14h
14i
14j
14k
141
14m
15a
15 b
15c
15d
15e
15f
16a
16 b
16c
16 d
16e
17a
17 b
17c
I
17e J
Page 3
25.
o.
1,266.
6,292.
o.
9,882.
Form 11205 (2005)
Form 1120S (2005) NEEDLE TRADES SUPPLY CO., INC 23-2143529
Note: The corporation is not required to complete Schedules Land M-l if question 9 of Schedule B is answered 'Yes'.
Page 4
I Schedule L I Balance Sheets per Books Beginning of tax year Enel of tax year
.-
Assets (a) (b) (e) (d)
1 Cash. 17,633. 22,912.
2 a Trade notes and accounts receivable.
b Less allowance for bad (jebts .
3 Inventories. 64,509. -- 54,188.
4 U.S. government obligations --
5 Tax-exempt securities
6 Other current assets (arrach stmt).
7 Loans to shareholders
8 Mortgage and real estate loans.
9 Other investments (arrach statement)
10 a Buildings and other depreciable assets. 193,17l. 193,17l.
b Less accumulated depreciation. 193,171. O. 193,17l. O.
11 a Depletable assets
b Less accumulated depletion
12 Land (net of any amortization)
13a Intangible assets (amortizable only).
b Less accumulated amortization.
14 Other assets (attach stmt)
15 Total assets 82,142. 77,100.
Liabilities and Shareholders' Equity
16 Accounts payable 1----
17 Mortgages, notes, bonds paYilble in less than 1 year. 25,246. 19,479.
18 Other current liabilities (arrach stmt) . .Ln .18. St 3,271. e--- 1,672.
19 Loans from shareholders. O.
20 Mortgages, notes, bonds payible in 1 year or more
21 Other liabilities (arrach statement). e---
22 Capital stock 1,000. 1---- 1,000.
23 Additional paid-in capital 50,99l. 1---- 50,991.
24 Retained earnings 1,634. 3,958.
25 Adjustments to shareholders' equity (all stmt) .
26 Less cost of treasu ry stock .
27 Total liabilities and shareholders' equity. 82,142. 77,100.
I Schedule M-1 I Reconciliation of Income (Loss) oer Books With Income (Loss) per Return
1 Net income (loss) per books 8,616. 5 Income recorded on books this year not included
2 Income included on Schedule K, lines 1. 2, 3c, 4, Sa, 6, 7, on Schedule K, lines 1 through 10 (itemize)
8a, 9, and 10, not recorded on books this year (itemize) a Tax-exempt IIlterest $ ~--------~--
---------------------- -------------------
--------------------- 6 Deductions included on Schedule K, lines 1 through
3 Expenses recorded on books this year not included on 12, and 141, not charged against book income this
Schedule K, lines 1 through 12'. and 141 (itemize) year (itemize):
a Depreciation $ ------------ a Depreciation $ ------------
b Travel and entertainment $ _______l:'--2_6~:..
--------------------
1,266. 7 Add lines 5 and 6.
----------- -----------
4 Add lines 1 through 3. 9,882. 8 Income (loss) (Schedule K, In 17e) Ln 4 less In 7 . 9,882.
I Schedule M-2 I Analysis of Accumulated Adjustments Account, Other Adjustments Account, and
Shareholders' Undistributed Taxable Income Previously Taxed (see instructions)
(a) Accumulated i (b) Other
adjustments account adjustments account
1 Balance at beginning of tax year 1,634. 0
2 Ordinary income from p31Je 1, line 21 . 9,g07.
3 Other additions.
4 Loss from page 1. line 21. .1
5 Other reductions . .sTMT. i 1,291.
6 Combine lines 1 through 5
7 Distributions other than d'vidend distributions.
8 Balance at end of tax year. Subtract line 7 from line 6.
i
10,250'1
6,292.
3,958. I
] (c) Shareholder~' undis-
I trrbuted taxable Income
_L__flrevlously taxed
r--
~:t-
o. I
o.
o.
o.
o.
SPSAO 134 12115105
Form 11205 (2005)
Form 7004
Application for Automatic 6-Month Extension of Time To File
Certain Business Income Tax, Information, and Other Returns
~ File a separate application for each return.
OMB No. 1545-0233
(Rev December 2005)
Department of the Treasury
Internal Revenue Service
Na'11e
NSEDLE TRADES SUPPLY CO., INC
~.""" ,,,.0<;,,,,"" ""m,,,
23-214352;)
Type or
Print
Number, street. and room or suite number. If P,O. box, see Inslrucllons.
File by the due
date for the
return for which
an extension is
requested. See
instructions.
1004 MARKET ST
City. town. state, and ZIP code (If a foreign address, enter City. province or stale, and country (follow the country's practice for enlermg postal code),)
LEMOYNE
Caution: Carefully complete all items. Incorrect information may cause delay or rejection.
FA
17043
Enter only one code for type of return form that this automatic 6-month extension is for (see below). .
. 25
2
If the foreign corporation does not have an office or place of business in the United States, check here
..~ 0
o
3
If the organization qualifies under Regulations section 1.6081-5 (see instructions), check here . .
. . . . ~
4 a For calendar year 20 ..9~ ' or other tax year beginning
_,20
, and ending
.,20
b Short tax year. If this tax year is less than 12 months, check the reason:
o Initial return 0 Final return 0 Change in accounting period
o Consolidated return to ~e filed
5 If the organization is a corporation and is the common parent of a group that intends to file consolidated, check here
Also, you must attach a schedule, listing the name, address, and EIN for each member covered by this extension.
~[
6 Tentative total tax (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c...J~ O.
7 Total payments and credits (see instructions). . . "r O.
. - . . . . . . . . . . . . . . . . . . . . . . . . . -----.!-
8 Balance due. Subtract line 7 from line 6. Generally, you must deposit this amount using the Electronic
Federal Tax Payment System (EFTPS), a Federal Tax Deposit (FTD) Coupon, or Electronic Funds
Withdrawal (EFW) (see instructions for exceptions) . . . . . . . . . . . . . . . . . . . . . . . . . . . a O.
Extension Form Extension Form
Is For: Code Is For: Code
Form 706-GS(D) 01 Form 1120-L 18
Form 706-GS(T) 02 Form 1120-ND 19
Form 990-C 03 Form 1120-ND (section 4951 taxes) 20
Form 1041 (estate) 04 Form 1120-PC 21
Form 1041 (trust) 05 Form 1120-POL 22
Form 1041-N 06 Form 1120-REIT 23
Form 1041-QFT 07 Form 1120-RIC 24
Form 1042 08 Form 1120-S 25
Form 1065 09 Form 1120-SF 26
Form 1065-B 10 Form 3520-A 27
Form 1066 11 Form 8612 28
Form 1120 12 Form 8613 29
Form 1120 (subchapter T cooperative) 13 Form 8725 ~ 30
Form 1120-A 14 Form 8804 31
Form 1120-F 15 Form 8831 32
Form 1120-FSC 16 Form 8876 33
Form 1120-H 17
BAA For Paperwork Reduction Act Notice, see separate instructions.
Form 7004 (Rev 12-2005)
CPCZ070 1 12108105
Form 7004 Electronic Filing Information Worksheet
2005
Name
NEEDLE TRADES SUPPLY CO., INC
Social Security Number
23-21435~:9
Prepare Form7004 for Electronic Filing
Form 7004 accepted . .
. . ~[KJ
Signature of Officer
Officer's Name
Officer's Title .
Signature Date
~ LAWRENCE S GERBER
~ PRESIDENT
03/14/06
. . . . . . . . . . . . . . ~
Electronic Funds Withdrawal - Amount paid with Form 7004
NOTE - A Practitioner PI N is required for Form 7004 efile if using electronic funds withdrawal
Enter the payment date to withdraw tax payment . .
.~
Practitioner PIN information for Form 7004
NOTE - A Practitioner PIN is required for Form 7004 efile if using electronic funds withdrawal
Please indicate how the Officer PIN is entered into the program.
Officer entered PI N. . . . .
ERO entered Officer's PIN. . . . . . . . . . .. ......
::[3
ERO's Practitioner PIN (EFIN followed by any 5 numbers) .
EFIN
Self-Select f)IN
ERO Declaration: I certify that the above numeric entry is my PIN, which is my signature to authorize
submission of the electronic application for extension and electronic funds withdrawal for the corporation
indicated above. I confirm that I am submitting application for extension in accordance with the requirements
of the Pracitioner PIN method and Publications 4163, Modernized e-File Information for Authorized IRS e-file
Providers of Forms 1120/11205, and 3112, IRS e-file Application and Participation.
Perjury Statement: Under penalties of perjury, I declare that I am an officer of the above corporation and
that I have examined a copy of the corporation's 2005 application for extension of time to file its tax return
and to the best of my knowledge and belief. it is true, correct, and complete.
Consent to Disclosure: I consent to allow my Electronic Return Originator (ERO), transmitter, or
intermediate service provider to send the application for extension to the IRS and to receive from the IRS:
(a) an acknowledgement of receipt or reason for rejection of transmission, and (2) the reason for any delay
in processing of the application.
Electronic Funds Withdrawal Consent (if applicable): I authorize the U.S. Treasury and its designated
Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution
account indicated in the tax preparation software for payment of the corporation's Federal taxes owed on
this application, and the financial institution to debit the entry to this account. To revoke a payment. I must
contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior to the
payment (settlement) date. I also authorize the financial institution involved in the processing of the
electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve
issues related to the payment.
-....1.& _...1__"-_-1 DItrl.1 h...I........
;:,t:II-~\::Il:l..lt:U r II'" Ut:IUYV.
I am signing this Extension and Electronic Funds Withdrawal Consent, if applicable, by entering my
Date
Taxpayer's PIN (enter any 5 numbers)
cpcw020 I .SCR 03/08/06
671105
2005 n Final K-1 n Amended K-1 OI~B No. 1545-0130
Schedule K-1 I Part III I Shareholder's Share of Current Year Income,
(Form 1120S) For calendar year 2005, or tax Deductions, Credits, and Other Items
Department of the Treasury year beginning ,2005 1 Ordinary business income (loss) 13 Credits & credit recapture
Internal Revenue Service
ending 3,302_ - -----~-----------
Shareholder's Share of Income, Deductions, 2 Net rental real estate income (loss)
Credits, etc. ~ See page 2 of form and separate instructions. - -----------------
3 Other net rental income (loss)
I Part I I Information About the Corporation - -----------------
4 Interest income
A Corporation's employer identification number
- -----------------
23-2143529 5a Ordinary dividends
B Corporation's name, address, city, state, and ZIP code
NEEDLE TRADES SUPPLY CO. , INC 5b Qualified dividends 14 Forei(Jn transactions
1004 MARKET ST
- - -- -- - - -- - -- - - - - - -.
LEMOYNE, PA 17043 6 Royalties
- - -- .- - - -- - - - - - - - --
7 Net short-term capital gain (loss)
C IRS Center where corporation filed return
- --~--------------
Cincinnati, OH 45999-0013 8a Net long-term capital gain (loss)
D B Tax shelter registration number, If any
- - -- -- - .- -- - - - - - - - --
E Check if Form 8271 is attached 8b Collectibles (28%) gain (loss)
- -----------------
I Part II I Information About the Shareholder 8c Unrecaptured section 1250 gain
- -------_._-------
F Shareholder's identifying number 9 Net section 1231 gain (loss)
201-18-3703
G Shareholder's name, address, city, state, and ZIP code 10 Other income (loss) 15 Alternative minimum t,IX (AMT) items
LAWRENCE S GERBER A 0_
- --------------- - ---------------
1004 MARKET ST
LEMOYNE, PA 17C43
- --~--~--------- - -_._--~~~-------
- --------------- - -----------~---~
H Shareholder's percentage of stock
ownership for tax year, 33.33200 %
- --------------- - -_._----------~-
11 Section 179 deduction 16 Items affecting shareholder basis
C ~________~__4..?:2.._
12 Other deductions
A 8. D _ _ __ _ _ _ _ _ _ ~ ,--0j).2 :..
- ------~-------- -
F
0
R - --------------- - ---._----------
I
R ~ ~-------------- - -~--------------
S
U - --------~~----- I
S 17 IOther Information
E
- I ------~-------- -j------------
0
N
L -j--------------- - ----~--~-------
y I
,
~ -~------------- --~~~~~--~-------
i
I I
*See attached statement for additional information, ~
BAA For Privacy Act and Paperwork Reduction Act Notice. see Instructions for Form 1120S,
Schedule K-1 (Form 1120S) 2005
SPSA0412 12/08/05
Schedule K-1 (Form 1120S) 2005 NEEDLE TRADES SUPPLY CO., INC 23 - 214 3 529 Page 2
This list identifies the codes used on Schedule K-1 for all shareholders and provides summarized reporting information for shamholders
who file Form 1040. For detailed reporting and filing information, see the separate Shareholder's Instructions for Schedule K-1 and the
instructions for your incomEl tax return.
Ordinary business income (loss). You must first determine whether the income
(loss) is passive or 'lonpas$lve Then enter on your return as follows'
Passive loss
Passive income
Nonpasslve loss
Nonpasslve inco:ne
2 Net rental real estate income (loss)
3 Other net rental income (loss)
Net Income
Net loss
4 Interest income
5 a Ordinary dividends
5 b Qualified dividends
6 Royalties
7 Net short.term capital gain (loss)
8 a Net long-term capital gain (10$5)
8 b Collectibles (28%) gain (loss)
8 C Unrecaptured section 1250 gain
9 Net section 1231 gain (loss)
10 Other income (loss)
Code
A Other portfOilJ ,ncome (lOSS)
B Involuntary converSions
C 1256 contracts and stracdles
D Mining exploration costs recapture
E Other income (loss)
11 Section 179 deduction
12 Other deductions
A Cash contributions (50%)
B Cash contributions (30%)
C Noncash contnbutlOns (50%)
D Noncash contributions (30%)
E Capital gain property 10 a 50%
organization (30%)
F Capital gain property (20%)
G Cash contrlbJtlons (100%)
H Investment 'nterest expense
I Deductions - royalty ,ncome
J Section 59(e)(2) expenditures
K Deductions - portfolio (2% floor)
L Deductions - portfolio (other)
M Re(orestatlo'l e.;:pense dedLctton
N Preproductlve period expenses
o Commercial revitalization deduction from
rental real estale activities
P Domestic production actlvlllt:s Information
Q Qualified production 3clivltles Income
R Employer's VV-2 wages
S Other deductions
13 Credits and credit recapture
A LDW-Income housing credit (secllon 42U)(5))
B Low-Income housing credit (other)
C Qualified rehabilitation expe'ldltures
(rental real estate)
D
expelditures
estalE)
E BasIs of energy propert'f
F Other rental real estate credlls
G Other rental credits
H Undistributed capila: gains credit
I Credl( for alcohol used as fuel
J Wnrk npportilnily crejl1
K Welfare~to-v\'ork credit
L Disabled access credit
Enter on
See the Shareholder's Instructions
Schedule E, line 28, cotumn (g)
Schedule E, line 28, column (h)
Schedule E, line 28, column U)
See the Shareholder's Instructions
Schedule E, line 28, cotumn (g)
See the Shareholder's Instructions
Form 1040, line 8a
Form 1040, line 9a
Form 1040, line 9b
Schedule E, line 4
Schedule D, line 5, column (f)
Schedule D, line 12, column (f)
28% Rate Gain Worksheet, line 4
(Schedule D Instructions)
See the Shareholder's Instructions
See the Shareholder's Instructions
See the Shareholder's Instructions
See the Shareholder's Instructions
Form 6781 line 1
See Pub 535
See the Shareholder's Instructions
See the Shareholder's Instructions
Schedute A, line 15a
Schedule A, line 15a
Schedule A, line 16
Schedule A, line 16
Schedule A, line 16
Schedule A, line 16
See the Shareholder's Instructions
Form 4952, line 1
Schedule E, Ime 18
See the Shareholder's Instructions
Schedule A, line 22
Schedule A, line 27
See the Shareholder's Instructions
See the Shareholder's Instructions
See Form 8582 Instructions
See Form 8903 Instructions
Form 8903, line 7
Form 8903, line 13
See the Shareholder's Instructions
Form 8586, line 4
Form 8586, line 4
Form 3468, line 1
Form 3468. line 1
See the Shareholder's Instructions
See the SharehOlder's Instructions
See the Shareholder's Instructions
Form 1040 line 70 box a
Form 6478 line 4
Form 5884 line 3
Form 8861 line 3
Form 8826 line 7
Code Enter on
M Empowerment zone and renewal
community empioyment credit Farm 8844 line 3
N Credit for increasing research activities Form 6765 line 42
0 New markets cred't FOnT18874. line 2
p Credit for employer social security and
Medicare taxes Form 8846 line 5
Q Backup Withholding Form 104C line 64
R Recapture of low~income hOUSing credit
(section 42U)(5)) Form 8611 I',ne 8
S Recapture of low-income hOUSing
credit (other) Form 8611 line 8
T Recapture of Investment credit See Form 4255
U Other credits See the Shareholder's Instructions
V Recapture of other credits See the Shareholder's Instructions
14 Foreign transactions
A Name of country or U.S. possession Form 1116 Pan I
B Gross income from all sources Form 1116. Part I
C Gross income sourced at
shareholder level Form 1116, Part I
Foreign gross income sourced at corporate level
D Passive Form 1116, Pan I
E listed categories FonTI 1116, Palil
F Generalllmltatlon Form 1116, Pail I
Deductions allocated and apportion,~d at shareholder level
G Interest expense FocfT 1116, Pail
H Other FOTe 1116, Pa11
Deductions allocated and apportioned at corporate level to
foreign source income
I Passive Fo-rr- 1116. Part I
J Listed categories FOTfl 1116. Part I
K Generalllmilation Fo-m 1116, Pal11
Other information
L Total foreign taxes paid
M Total foreign taxes accrued
N Reduction in taxes available for credit
o Foreign trading gross receipts
P Extraterritorial income exclUSion
Q Other foreign transactions
Fo,-m 1116, Part II
FOi'm 1116. Part II
Fmm 1116.line 12
FOi'm 8873
FOi'm 8873
5e:: the Shareholder'~; Instructions
15
Alternative minimum tax (AMT) items
A Post-1986 depreCiation adjustment
B Adjusted gain or loss
C Depletion (other than oil & gas)
D Oil. gas, & geothermal - gross Income
E Oil. gas, & geothermal - deductions
Father AMT Ilems
Items affecting shareholder basis
A Tax-exempt interest Income
B Other tax-exempt Income
C Nondeductible expenses
D Property distributions
E Repayment of loans from shareholders
Other information
A Investment Income
B Investment expenses
C Look-back interest - completed long.term contracts
D Look-back interest - income forecast method
E Dispositions of property with section 179 deduc:lons
F Recapture of section 179 deduction
G Seclion 453(1)(3) Information
H Section 453A(c) Information
I Section 1260(b) Information
J Interest allocable to production expenditures
K CCF nonqualif:ed w1!hdrawal
L Information needed to fi';Jure depletion - ell ane! ~:as
M Amortization of reforestation costs
N Other Information
SeE~ the
- Shclrehoider's
Instructions
See the Shareholder's
Instructions an(] the
Instructions for Form 6251
16
FOi'm 1040, line 8b
S8:: the Shareholder's Instructions
Se:! the Sharermlder'~; Instructions
Se:! the Shareholder'~; Instructions
Se:! the Shareholder'~; Instructions
17
Forll 4952, line 4a
Form 4952, line 5
SeE' Form 8697
SeE~ Form 8866
-SPS.A,0412 12/08/05
Schedule K-1 (Form 11208) 2005
671105
2005 n Final K-1 n Amended K-1 OI~B No. 15450130
Schedule K-1 I Part III I Shareholder's Share of Current Year Income,
(Form 11205) For calendar year 2005, or tax Deductions, Credits, and Other Items
Department of the Treasury year beginning 2005 1 Ordinary business income (loss) 13 Credits & credit recapture
Internal Revenue Service 3,303.
ending - ----------------
Shareholder's Share of Income, Deductions, 2 Net rental real estate income (loss)
Credits, etc. ~ See page 2 of form and separate instructions. - -----------------
3 Other net rental income (loss)
I Part I I Information About the Corporation - -----------------
4 Interest income
A Corporation's employer identification number - - ~- - - - -- - -. - - - - - -.
23-2143529 5a Ordinary dividends I
B Corporation's name. address, city, state. and ZIP code
NEEDLE l' RAD E S SUPPLY CO. , INC 5b Qualified dividends 14 Forei()n transactions
1004 MARKET ST ~ --------.--------
LEMOYNE, PA 17043 6 Royalties
- ---._------------
7 Net short-term capital gain (loss)
C IRS Center where corporation filed return - ---.----,--------
Cincinnati, OH 45999-0013 Ba Net long-term capital gain (loss)
0 B Tax shelter registration number, if any - --------.--------
E Check if Form 8271 is attached Bb Collectibles (28%) gain (loss)
- ------.----------
I Part II I Information About the Shareholder Bc Unrecaptured section 1250 gain
- ----------------
F Shareholder's identifying number 9 Net section 1231 gain (loss)
187-24-7602
G Shareholder's name, address, city, state, and ZIP code 10 Other income (loss) 15 Alternative minimum teX (AMT) items
ROSALYN Y GERBER A O.
- --------------- - - - -- - -- - - - - - - - .-- -
1004-B MARKET ST
LEMOYNE, PA 17043
- --------------- ~ ---------------
- --------------- - ---------------
H Shareholder's percentage of stock
ownership for tax year. 33.33400 %
- --------------- - ---------------
11 Section 179 deduction 16 Items alfeeting shareholder basis
C ~ ~ _~ _ _u _ ~ _ _ _41~._
-
12 Other deductions
A 9. D _ _ _ ~ _ _ _ _ _ ~ ,-OJ~ '-
- --------------- ~
F
0
R - --------------- ~ - - --.. - - - - - - - - - - --
I
R - --------------- - --~------------
S
U - ---------------
S 17 Other information
E
- --------------- - ---------------
0
N
L - --------------- - ---------------
y
~ --------------- - ---------------
I *See attached statement for additional information. I
I
BAA For Privacy Act and Paperwork Reduction Act Notice, see Instructions for Form 1120S.
SchedLle K-1 (Form -! 120S) 2005
SPSA0412 12/08/05
ScheduleK-1(Form1120S)2005 NEEDLE TRADES SUPPLY CO., INC 23-2143529 Page 2
This list identifies the codes used on Schedule K-1 for all shareholders and provides summarized reporting information for shan~holders
who file Form 1040. For detailed reporting and filing information, see the separate Shareholder's Instructions for Schedule K-1 and the
instructions for your income tax return.
Ordinary business income (loss). You must first determine whether the income
(loss) IS passive or 'Ion passive Then enter on your return as follows
Passive loss
Passive income
Nonpasslve loss
Nonpassive Income
2 Net rental real estate income (loss)
3 Other net rental income (loss)
Net Income
Net loss
4 Interest income
5 a Ordinary dividends
5 b Qualified dividends
6 Royalties
7 Net short.term capital gain (loss)
8 a Net long-term capital gain (loss)
8 b Collectibles (28%) gain (loss)
8 C Unrecaptured section 1250 ga in
9 Net section 1231 gain (loss)
10 Other income (loss)
Code
A Other portfoliO income (loss)
B Involuntary conversions
C 1256 contracts and straddles
D Mining exploration costs recapture
E Other Income (loss)
11 Section 179 deduction
12 Other deductions
A Cash contributions (50%)
B Cash contributions (30%)
C Noncash contributions (SOG/Il)
D Noncash contnbutlons (30o/~))
E Capital gain property to a 50%
organization (30%)
F Capital gain property (20%)
G Cash contributions (100%)
H Investment interest expense
I Deductions - royalty Income
J Section 59(e)(2) expenditures
K Deductions - portfcllo (2% floor)
L Deduclions - portfcllo (other)
M Reforestalior. expense ded'Jellon
N Preproduclive perioc expenses
0 Commercial revitalization deduction from
rental real estate activities
p Domestic production activities information
Q Qualified production activities Income
R Employer's W-2 wages
S Other deductions
13 Credits and credit recapture
A LOW-Income hOUSing credit (section 42(J)(5))
B Low-income hOUSing credit (other)
C Qualified rehabilitation expendilures
(rental real estate)
D expenditures
esta1.e)
E BaSIS of energy property
F Other renta real estate crecllls
G Otner renla credits
H Undislrlbuted capital gal'ls credit
I Credit for alcohol used as fuel
J Work opoonunl\Y credit
K VJelfare-to-work credll
L Disabled access credit
Enter on
See the Shareholder's Instructions
Schedule E, line 28, column (g)
Schedule E, line 28, column (h)
Schedule E, line 28, column U)
See the Shareholder's Instructions
Schedule E, line 28, column (g)
See the Shareholder's Instructions
Form 1040, line 8a
Form 1040, line 9a
Form 1040, line 9b
Schedule E, line 4
Schedule D, Itne 5, column (f)
Schedule D, Itne 12, column (f)
28% Rate Gain Worksheet, line 4
(Schedule 0 Instructions)
See the Shareholder's Instructions
See the Shareholder's Instructions
See the Shareholder's Instructions
See the Shareholder's Instructions
Form 6781, line 1
See Pub 535
See the Shareholder's Instructions
See the Shareholder's Instructions
Schedule A line 15a
Schedule A line 15a
Schedule A, line 16
Schedule A, line 16
Schedule A, line 16
Schedule A. line 16
See the Shareholder's Instructions
Form 4952. line 1
Schedule E, Ime 18
See the Shareholder's Instructions
Schedule A, I,ne 22
Schedule A I,ne 27
See the Shareholder's Instructions
See the Shareholder's Instructions
See Form 8582 Instructions
See Form 8903 Instructions
Form 8903, line 7
Form 8903, line 13
See the Shareholder's Instructions
Form 8586, line 4
Form 8586, Ime 4
Form 3468 line 1
Form 3468, line 1
See the Shareholder's Instructions
See the Shareholder's Instructions
See the Shareholder's Instructions
Form 1040, line 70. box a
Form 6478. line 4
Form 5884. line 3
Form 8861.11n8 3
Form 8826. line 7
Code
Ellter on
M Empowerment zone and renewal
community employment credit
N Credit for Increasing research acllvities
0 New markets credit
p Credit for employer social security and
Medicare taxes
Q Backup withholding
R Recapture of lOW-Income housing credit
(section 42U)(5))
S Recapture of low-income hOUSing
credit (other)
T Recapture of investment credit
U Other credits
V Recapture of other credits
14 Foreign transactions
Fcrm 8844. line 3
Fer'l" 6765. line 42
Fcrrn 8874, line 2
Fcrm 8846. line 5
Fcrm 1040. line 64
Fcrm 8611, line 8
Fcrm 8611, line 8
SEe Form 4255
SEe the Shareholder's Instructions
SEe the Shareholder's Instructions
A Name of country or U.S possession Fcrm 1116, Part I
B Gross Income from all sources Fcrm 1116 Part I
C Gross Income sourced at
shareholder level Fernl 1116, Part I
Foreign gross income sourced at corporate level
D Passive Fcrrn 1116. Part I
E listed categories Fcrm 1116. Pari I
F Generalllmltatlon Form 1116. Part I
Deductions allocated and apportioned at shareholder level
G Interest expense Form 1116, Part I
H Other Form 1116, Part I
Deductions allocated and apportioned at corporate level to
foreign source income
I Passive
J Listed categories
K Generalllmitalion
Form 1116,
Part I
Part I
Part I
Form 1116,
Form 1116,
Other information
L Total foreign taxes paid
M Total foreign taxes accrued
N Reduction In taxes available for credit
o Foreign trading gross receipts
P Extraterritorial income exclUSion
Q Other foreign transactions
15 Alternative minimum tax (AMT) items
A Post-1986 depreciation adjustment
B Adjusted gain or loss
C DepletIOn (other than oil & gas)
DOli, gas, & geothermal - gross Income
E Oil, gas, & geothermal - deductions
Father AMT Items
16 Items affecting shareholder basis
A Tax-exempt interest Income
BOther tax-exempt Income
C Nondeductible expenses
D Property distributions
E Repayment of loans from shareholders
17 Other information
A Investment Income
B Investment expenses
C Look-back interest - completed long-term con~racts
o Look-back Interest - Income forecast method
E Dispositions of property with section 179 deductlcns
F Recapture of section 179 deduction
G Seclion 453(1)(3) Information
H Seclion 453A(c) Informalion
I Section 1260(b) information
J Interest allocable to production expenditures
K CCF nonquallfled Withdrawal
L Information needed to figure depletion - 011 an(j qas
M Amortization of reforestation costs
N Other Informatiorr
Form 1116, Pa~ II
Form 1116, Pa~ II
Form 1116, line 12
Form 8873
Forrn 8873
See rhe Shareholder's Instructions
See the Shareholder's
Instructions an j the
instructions for Form 625'1
Form 1040, line 8b
See the Shareholder's Instructions
See the Shareholder's Instruclions
See the SharehOlder's Instructions
See the Shareholder's Instructions
Form 4952. line 4a
Form 4952, line 5
See Form 8697
See Form 8866
See the
Shareholder's
Ins:rucllons
SPSA,0412 12/08105
8checule K-1 (Form 11208) 2005
671105
2005 n Final K-1 n Amended K-1 OV1B No. 1545-013J
Schedule K-1 I Part II/ I Shareholder's Share of Current Year Income,
(Form 11205) For calendar year 2005, or tax Deductions, Credits, and Other Items
Department of the Treasury year beglnnmg 2005 1 Ordinary business income (loss) 13 Credits & credit recapture
Internal Revenue Service 3,302.
ending - -.---------------
Shareholder's Share of Income, Deductions, 2 Net rental real estate income (loss)
Credits, etc. ~ See page 2 of form and separate instructions. - - .- - - - -- - -- - - - - - --
3 Other net rental income (loss)
I Part I I Information About the Corporation - - .~ - - - -- - -- - - - - - --
4 Interest income
A Corporation's employer identification number - -----------------
23-2143529 5a Ordinary dividends
B Corporation's name, address, city, state, and ZIP code
NEEDLE TRADES SUPPLY CO. , INC 5b Qualified dividends 14 Foreign transactions
1004 MARKET ST - ----------.------
LEMOYNE, PA 17043 6 Royalties
- - -- - - - ~- - -. - - - - - --
7 Net short-term capital gain (loss)
C IRS Center where corporation filed return - - -- -- - - -- - -. - - - - - -
Cincinnati, OH 45999-0013 8a Net long-term capital gain (loss)
D B Tax shelter registration number, if any - -- .- - - -- - - - - - - - -.
-
E Check if Form 8271 is attached 8b Collectibles (28%) gain (loss)
- --------.--------
I Part 1/ I Information About the Shareholder 8c Unrecaptured section 1250 gain
- - -- -~ - .- -. - - - - - - - -
F Shareholder's identifying number 9 Net section 1231 gain (loss)
162-48-2185
G Shareholder's name, address, city, state, and ZIP code 10 Other income (loss) 15 Alternative minimum tax (AMT) items
RONALD E GERBER A o.
- --------------- - --------~------
1004-B JVIARKET ST
LEMOYNE, PA 17043
- --------------- - ---~-----------
- --------------- - ----------------
H Shareholder's percentage of stock
ownership for tax year. 33.33400 %
- --------------- - -------------~-
11 Section 179 deduction 16 Items a'fecting shareholder basis
C _ _ __ _ _ _ _ _ _ _ _4~ ~._
-
12 Other deductions
A 8. 0 _ _ __ _ _ _ _ _ _ ~ ,_O.J.:z '-
- --------------- -
F I
0
R - --------------- - ---------------
I
R - --------------- - ---------------
S
U - ---------------
S 17 Other Information
E
- --------------- -- ----------------
0
N
L f-- --------------- - ------------.---
y
- --------------- - - - --.- - - - - - - - - - - --
I I I I
*See attached statement for additional information.
BAA For Privacy Act and Paperwork Reduction Act Notice, see Instructions for Form 11205.
SPSAD412 12/08/05
Schedule K-1 (Form 1120S) 2005
ScheduleK-1(Form1120S)2005 NEEDLE TRADES SUPPLY CO., INC 23-2143529 Page2
This list identifies the codes used on Schedule K-1 for all shareholders and provides summarized reporting information for shareholders
who file Form 1040. For detailed reporting and filing information, see the separate Shareholder's Instructions for Schedule K-1 and the
instructions for your income tax return.
Ordinary business income (Joss). You must first determine whether the Income
(loss) IS passive or nonpassrve Then enter on your return as follows.
Passive loss
Passive income
Ncnpasslve loss
Nonpassive Income
2 Net rental real estate income (Joss)
3 Other net rental income (loss)
Net III come
Net loss
4 Interest income
5 a Ordinary dividends
5 b Qualified dividends
6 Royalties
7 Net short-term capital gain (loss)
8 a Net long-term capitai gain (ioss)
8 b Collectibles (28%) gain (ioss)
8 C Unrecaptured section 1250 gain
9 Net section 1231 gain (loss)
10 Other income (loss)
Code
A Other portfolio Income (loss;
B Involuntary conversions
C 1256 contracts and straddles
o Mining expioralion ccsts recapture
E Other Income (loss)
11 Section 179 deduction
12 Other deductions
A Cash conlflbullons (50%)
B Cash contributions (30%)
C Noncash contributions (50%;,
D Noncash contributions (30%)
E Capital gain oroperty ~o a 50(~o
organization (30%)
F Capital gain property (20(%)
G Cash contributions (100%)
H Investment Interest expense
I Deductions - royalty Income
J Section 59(e)(2) expenditures
K Deductions - portfoliO (2u/o floor)
L Deductions - portfoliO (other-)
M Reforestation expense deduction
N Preproductlve ;:>eriod expenses
0 Commercial revitalization dedL.ctlor, from
rental real estate act,v(les
p Domestic production actlvltle~, Information
Q Qualified prodLctlon actlvllle~ Income
R Employer's W-2 wages
S Other deductions
13 Credits and credit recapture
Enter on
See the Shareholder's Instructions
Schedule E, Ime 28. cOlumn (g)
Schedule E. line 28, column (h)
Schedule E, Ime 28. coiumn (j)
See the Shareholder's Instructions
Schedule E, line 28. column (9)
See the Shareholder's Instructions
Form 1040, line 8a
Form 1040, line 9a
Form 1040. line 9b
Schedule E, line 4
Schedule D. line 5, column (f)
Schedule 0, line 12, column (f)
28% Rate Gain Worksheet, line 4
(Schedule 0 Instructions)
See the Shareholder's Instructions
See the Shareholder's Instructions
See the Shareholder's Instructions
See the Shareholder's Instructions
Form 6781, line 1
See Pub 535
See the Shareholder's Instructions
See the Shareholder's Instructions
Schedule A. line 15a
Schedule A. line 15a
Schedule A. line 16
Schedule A, line 16
Schedule A. line 16
Schedule A, line 16
See the Shareholder's Instructions
Form 4952, line 1
Schedule E. line 18
See the Shareholder's Instructions
Schedule A. line 22
Schedule A. line 27
See the Shareholder's Instructions
See the Shareholder's Instructions
See Form 8582 Instructions
See Form 8903 Instrucllons
Form 8903. line 7
Form 8903. line 13
See the Shareholder's Instructions
A Low-Income housing ccedit (section 420)(5)) Form 8586. line 4
B Low-Income housing credit (other) Form 8586, line 4
C Qualified rehabilitation expenclllures
(rental real estate) Form 3468. line 1
o Qualified rehabilitation exoencitures
(other than rental real estate) Form 3468, line 1
E Basis of energy pl.operly See the Shareholder's Instructions
F Other rental real estate creaits See the Shareholder's Instructions
G Other rental credits See the Shareholder's Instructions
H Undistributed cap!tal gains credll Form 1040. line 70. box a
I Credit for alcohol used as fuel Form 6478, line 4
J Work. opportL.nlty credit Form 5884. line 3
K '--Nelfare-to-wmk coedit Form R861 line 3
L Disaoled access credit Form 8826, line 7
Code Enter on
M Empowerment zone and renewal
community employment credit Form 8844, line 3
N Credit for increasing research activities Form 6765, lire 42
0 New markets credit Form 8874, line 2
p Credit for employer social security and
Medicare taxes Form 8846, line 5
Q Backup Withholding Forrl1040, line 64
R Recapture of low-income housing credit
(section 420)(5)) Form 861'1, line 8
S Recapture of low-income housing
credit (other) FCf'l18611, line 8
T Recapture of Investment credit See Form 4255
U Other credits SE'€ the Shareholder's Instrucllons
V Recapture of other credits SEe the Sharellolder's Instructions
14 Foreign transactions
A Name of country or U.S. possession Form 1116 Part I
B Gross Income from all sources Form 1116. Part I
C Gross Income sourced at
shareholder level FOTr 1116, Pail
Foreign gross income sourced at corporate level
o PaSSive FOI"m 1116, Part I
E listed categories Form 1116, Palil
F Generallimitation FOi"fn 1116. Pali J
Deductions allocated and apportionHd at shareholder level
G Interest expense Form 1116_ Part I
H Other Form 1116. Part I
Deductions allocated and apportiOnEld at corporate level to
foreign source income
I Passive Form 1116, Part I
J Listed categories
K Generallimltatlon
Other information
L Total foreign taxes paid
M Total foreign taxes accrued
N Reduction in taxes available for credit
o Foreign trading gross receipts
P Extraterrltonal income exclusion
Q Other foreign transactions
15 Alternative mfnimum tax (AMT) items
A Post-1 986 depreCiation adJustmenl
B Adjusted gain or loss
C Depletion (other than oil & gas)
o Oil, gas, & geothermal - gross Income
E 011, gas, & geothermal - deductions
Father AMT lIems
16 Items affecting shareholder basis
A Tax-exempt Interest income
B Other tax-exempt :ncome
C Nondeductible expenses
o Properly distributions
E Repayment of loans from shareholders
17 Other information
A Investment Income
B Investment expenses
C Look-back interest - completed long-term contracts
D LOok-back Interest - Income forecast method
E Dispositions of property with secliorl 179 deducilor~s
F Recapture of section 179 deduction
G Secllon 453(1)(3) Informallon
H Section 453A(c) Information
I Section 1260(b) information
J Interest allocable to production expenditures
K CCF nonquallflea Withdrawal
L Information needed to figure depletion - oil and gas
M Amortization of retorestatlon costs
N Other l'lforrTlatlor
For0l1116, Par: I
ForOl 1116. Pac I
Form '1116, Part II
Form 1116, Pac II
Form 1116, line 12
Form ,gS73
Form 13873
See tre Shareholder's Instructions
l
See the Shareholder's
Instructions and the
Instructions for Form 6251
Form "1040, line 8b
See the Shareholder's nstructlons
See the Shareholder's Instructions
See the Shareholder's Inslrucllons
See the Sharehoider's Instructions
Form 4952. line 'Ia
Form 4952. line 5
See Form 8697
See Farm 8866
See It"le
Shareholder's
Instructions
SPSA0412 12/08/05
Schedule K-1 (Form 1120S) 2005
FOlm 11205
U.S. Income Tax Return for an S Corporation
~ Do not file this form unless the corporation has filed Form 2553
to elect to be an 5 corporation.
~ 5ee separate instructions.
For calendar yeae 200() or tax year beginning
Name
, 2006, ending
C Employer identification number
A Effective date of
Selection Use the
IR5
06/27/80 label.
B Other-
wise,
print or
442291 type.
NEEDLE TRADES SUPPLY CO., INC
Number', street, and foom or suite no If a P,O. box, see Instructions
OMS rlo. 1545.0130
2006
1004 MARKET ST
23-2143529
OCate InCOI"por-3ted
City m town, state, and ZIP code
06/27/80
E T)~2l1 assets (see InstructIOns)
LEMOYNE
F Check If: (1) Initial return (2) X Final return (3) Name change
G Enter the numbel of shareholders In the corporation at the end of the tax year
H Check If Schedule M-3 :s required (attach Schedule M-3)
Caution. Include ani trade or business Income and expenses on lines la throu h 27.
1 a Gross 'ecelpts Dr sales 85, 583. b Less returns and allowances
2 Cost of goods sold (Schedule A, line 8)
3 Gross profit Subtract line 2 from line 1 c
4 Net gain (loss) fr.om Form 4797, Part II, line 17 (attach Form 4797)
5 Other Income (oss) (attach statement)
6 Total income (loss). Add lines 3 through 5
7 Compensation of officers
8 Salaries and wages (less employment credits)
9 Repa,rs and malrltenance
10 Bad debts
11 Rents
12 Taxes and licenses
13 Interest
14 DepreCiation not claimed on Schedule A or elsewhere on return (attach Form 4562)
15 Depletion (Do not deduct oil and gas depletion.)
16 AdvertiSing
17 PenSion, profit-sharing, etc, plans
18 Employee benefit orograms
19 Other deductlollS (attach statement)
20 Total deductions. Add lines 7 through 19
21 Ordinary business income (loss). Subtract line 20 from line ()
PA 17043 $
(4) Address change
I
N
C
o
M
E
1 c
U
, 3
4
5
~ 6
7
8
9
~
l!l
~
13
14
15
16
17
18
: 19
~~
21
D
E
D
U
C
T
I
o
N
5
S
E
E
I
"
S
T
R
S
* STMT
T
A
X
A
N
D
P
A
y
M
E
N
T
5
22 a Excess net passive Income or LIFO recapture
tax (see instructions) 22a
b Tax from Schedul,= D (Form 1120S) 22b
c Add lines 22a and 22b (see instructIOns for additional taxes)
23a 2006 estimated teX payments and 2005 overpayment nedited to 2006 23a
b Tax depOSited with Form 7004 23b
c Credit for federal tax paid on fuels (attach Form 4736) 23c
d Credit foe federal telephone excise tax paid (attach Form 8973) 23d
e Add lines 23a through 23d
24 Estimated tax penalty (see instructIOns). Check If Form 2220 IS attached
25 Amount owed. If line ?3e IS smaller than the total of lines 22c and 24, enter amount owed
26 Overpayment. I' Illle 23e IS larger than the total of lines 22c and 24. enter amount overpaid
27 Enter arT,ount frorn line 26 Credited to 2007 estimated tax ~
~D
I 22c
Sign
Here
I
I
I~
Date
SlgnatulE: of officer
Paid
Preparer's
Use Only
~ ALAN J CEPERICH CPA EA
ALAN J CEPERICH, CPA EA
P00021766
25-1671622
FII'm's name
~~~?~i~II;I~~ed), ~ 33 N" SECOND STREET
address, and
ZIP code HARRISBURG PA 17101-1602
BAA For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
I Phone no ( 71 7 I
SPSAO 112 01/05107
O.
(5) 0 Amended return
~ 0
-;n
85,566.
66,756.
18,810.
18,810:....
6,000.
12,685.
502.
2,012.
8.
O.
3,537.
22,181.
46,925.
-28,115.
No
238-5919
FOI m 11205 (200())
Form 11205 (2006)
I Schedule A I
1 Inventory at beglnnlclg of year
2 Purchases
3 Cost of labor
4 Additional section 263A costs (attach statement)
5 Other costs (attach statement) * STMT
6 Total. Add lines 1 :h'ough 5
7 inventory at end of year
8 Cost of goods sold, Subtract line 7 from line 6. Enter here and on page 1, line 2
9a Check all methods ~sed for valuing clOSing Inventory:
(i) B Cost as deScribed in Regulations section 1,471 -3
(Ii) Lower o. f co';t or market as deScribed In Regulations seelion 1,471-4
(IIi) Other (Specify method used and attach explanation,) ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___
b Check If there was a writedown of subnormal goods as deScribed In Regulatrons section 1,471-2(c)
c Check If the LIFO Inventory method was adopted thiS tax year for any goods (If checked, attach Form 970)
NEEDLE TRADES SUPPLY CO., INC
Cost of Goods Sold (see instructions)
23-2143529
Page 2
2
54,188.
12,568.
3
4
C'
.'
6
66,756.
7
E:
66,756.
-- - - - - - - - -:-8-
d Ii the LIFO Inventory method was used for thiS tax year, enter percentage (or amounts) of clOSing
Inventory computed under LIFO
e Ii propel-ty IS produced or acqUired for resale, do the rules of section 263A apply to the corporation'
9dl
o Yes I!] No
f Was there any chan~e In determining quantltres, cost, or valuations between opening
and clos"g Inventor'/! If 'Yes,' attach explanation
Schedule B Other Information (see instructions
1 Check accounting method: a 0 Cash b X Accrual
2 See the Instructions and enter the:
a BUSiness activity ~ l'-_~'!'.~I~ _ ~A_L~~ _ _ _ _ _ _ _ _ _ _ b Product or service
c 0 Other (speCify) ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
No
No
~ UPHOLSTERY & FABRICS
3 At the end of the tax year, did the corporation own, directly or Indirectly, 50% or more of the voting stock of a
domestic corporation? (For rules of attrrbutlon, see section 267(c)_) If 'Yes,' attach a statement shOWing:
(a) name and employer Identification number (EIN), (b) percentage owned, and (c) If 100% owned,
was a OS ub election made 7
4 Was the corporation a member of a controlled group subject to the prOVISions of section 1561'
5 Has thiS corporation filed, or IS it reqUired to file, a return under seelion 6111 to prOVide information on any
reportable transaction 7
6 Check thiS box If the corporation Issued publicly offered debt Instruments with onglnal Issue discount
If checked, the corporation may have to file Form 8281, Information Return for Publicly Offered Original Issue
Discount Instruments_
X
X
X
~D
7 If the corporatron: (a) was a C corporation before It elected to be an S corporation or the corporation acqUired
an asset with a baSIS determined by reference to ItS basis (or the baSIS of any other property) In the hands of a
C corporation and (b) has net unrealized bUilt-In gain (defined In section 1374(d)(1)) In excess of the net
recognized built-In gain from pnor years, enter the net unrealized built-In gain reduced by net recognized
bUilt-In gain from prlo' years ~ $ _ _ _ _ _ _ _ _ _ _ _ _ _ __
8 Entel- the accumulated earnings and profits of the corporation at the end of the tax year $
9 ,Ale the corporation's total receipts (see Instructions) for the tax year and ItS total assets at the end of the tax year less
than $250,0007 If 'Yes,' the corporation IS not reqUired to complete Schedules Land M-l X
Note: If the corporation, at any time during the tax year, had assets or operateda bUSiness In a foreign country or US. posseSSIOn, it may be
reqUIred to attach Schedule N (Form 7720), Foreign Operations of US. CorporatIOns, to thiS return. See Schedule N for d,=talls_
Total amount
1 T -28,115.
2
Schedule K Shareholders' Pro Rata Share Items
1 Ordinary bUSiness income (loss) (page 1, line 21)
2 Net rental real estate Income (loss) (attach Form 8825)
3a Other gross rental Income (loss)
b Expenses from other rental activities (attach statement)
c Other net I-ental Income (loss). Subtract line 3b from line 3a
~
I
N
C
o
M
E
3c
G
i 5a
~t
2--!--
. 8 a~
~I-~~
, I
I 9 I
~+-~~
i 10 I
F orrl 11 <~05 (2006)
4
5
Interest Income
DIVidends: a O,-d,nary diVidends
b Ouaiifled d,vlde,lds
5bl
(L
~I
s) I
I
I
6 Royalties
7 i~et shan-tel-'ll capital gain (loss) (attach Schedule 0 (Form //20S))
8a Net long term cap tal gain (loss) (attach Schedule 0 (Form 77205))
b Collectibles (28%) gain (loss)
c Unrecaotured section 1250 gain (attach statement)
9 r,el section 1231 ,lain (loss) (attach Form 4797)
10 Other ncome (loss) (see Instructions) .
~
8c
SPSAO! 12 01/05107
FOlm 11205 (2006) NEEDLE TRADES SUPPLY CO., INC
Shareholders' Pro Rata Share Items (continued)
11 Section 179 deduction (attach Form 4562)
12a ContrlbutlOIlS
b Investment !Ilterest expense
c Section 59(e)(2) expenditures (1) Type ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (2) Amount ~
d Other deductions (see instructions) Type ~
Credits 13a Low-Income housing credit (section 42(J}(5))
b Low-Income housing credit (other)
c Qualified rellaoliitatlon expenditures (rental real estate) (attach Form 3468)
d Other rental real estate credits (see Instrs) Type ~ ~ ~ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ _ _ _ _ _
e Other rental credits (see Instrs) Type ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
t Cledlt lor alcohol used as luel (attach Form 6478)
g Otner credl':s (see instructions) Type ~
14a Name 01 country or U,S, possession ~
b Gross Income I'om all sources
c Gross Income soul'ced at shareholder level
Foreign gross Income sourced at corporate level
d Passive
e Listed cate~lorles (attach statement)
I General limitation
Deductions allocated and apportioned at shareholder level
g Interest expense
h Other
Deductions allocated and apportioned at corporate level to foreign source income
i Passive
Deduc-
tions
Foreign
Trans-
actions
Alterna-
tive
Mini-
mum
Tax
(AMT)
Items
Items
Affec-
ting
Share-
holder
Basis
Other
Inlorm-
ation
Recon- ~
ciliation ,1 ~
BAA
j Listed categories (attach statement)
k General limitation
Other Information
I Total lorelgrl taxes (check one): ~ D Paid
m Reduction In taxes available for credit
(attach statement)
n Otner forelgll tax Information (attach statement)
15a Post-1986 depreciation adjustment
b Adjusted gain or loss
c Depletion (cther than 011 and gas)
dOli, gas, and geothermal properties - gross income
e Oil, gas, and geothermal properties - deductions
t Other AMT II:ems (attach statement)
16a Tax-exemot Interest Income
b Other tax-exempt Income
c Nondeductible expenses
d Property dlstnbutions ,
e Repayment of loans from shareholders
17a Investment Illcome
b Irvestmert expenses
c D,v,dend distributions paid from accumulated earnings and profits
d Other Items and amounts
D Accrued
(attach statement)
IncomeJloss reconciliation. Combine the amounts on Jines 1 through lOin the far right co!-
umn, Flom the result, subtract the sum of the amounts on lines 11 through 12d and lines 141
SPSAO' 3~ J9/27/06
23-2143529
Total amount
I 18
Page 3
11
12a
12b
12 c (2)
12d
13a
13b
13c
13d
Be
13t
13g
14b
14c
t=
I
14d
14e
14t
14g
14h
14i
14j
14k
141
I
+
14m
15a
15b
15c
15d
15e
15t
16a
16b
16c
16d
16e
17a
17b
17c
Q.
2'1,157.
-28,115.
Form 11205 (2006)
"
Form 1120S (2806)
Schedule L
NEEDLE TRADES SUPPLY co.,
Balance Sheets per Books
Assets
INC
Beginning of tax year
(a) (b)
22,912.
23-2143529
End of tax year
Page 4
(e)
(d)
Cash
2a TI-ade notes and accounts receivable
b Less allowance for bad debts
3 I nventones
4 U_S. governrT'.ent obligations
5 Tax-exempt securities (see instructions)
6 Other currerlt assets (attach stmt)
7 Loans to shareholdel-s
8 Mortgage and I-eal estate loans
9 Other Investl'lents (attach statement)
lOa BUildings and other depreCiable assets
b Less acc~mulated depreciation
11 a Depletable assets
b Less accumulated deoletion
12 Land (net of any amortization)
13a Intangible assets (amortizable only)
bLess accumJlated err1ortlzatlon
54,188.
193,171.
193,171.
o.
14 Other assets (attach stml)
15 Total assets
Liabilities and Shareholders' Equity
16 Accounts payabe
17 Mortgages, notes, bonds pecyable In less than 1 year
18 Other current liabilities (attach stmt) Ln 1.8 .s t
19 Loans from shareholders
20 Moctgages, I'otes, bonds payable In I year or more
21 Other liabilities (attach starement)
22 Capital stock
23 Additional oald.ln capital
24 Retained earnings
25 Adjustments to shareholdm' equity (att stmt)
26 Less cost of treasury 'stock
27 Total liabilities and shareholders' equity 77,100.
Schedule M- 1 Reconciliation of Income (Loss) per Books With Income (Loss) per Return
Note: Schedule M.3 required Instead of Schedule M.1 If total assets are $10 million or more - see Insfructlons
1 Net Income (loss) per books - 2 8, 115. 5 Income recorded on books this year not Included
2 Income Included on Schedule K, lines 1, 2, 3c, 4, Sa, 6, 7, on Schedule K, lines 1 through 10 (itemize):
8a, 9, and 10. not recorded :In books this year (Itemize): a Tax.exempt Interest $
77,100.
}=
19,479.
1,672.
1,000.
50,991.
3,958.
1,000.
23,157.
-24,157.
o.
3 Expenses recorded orl books this year not
Included on Schedule K, lines 1 through 12,
ar,d 141 (itemize):
a Depl-eclatlon
b TI-avel and entertalrl'11ent :$
:~
6 Deductions Included on Schedule K, lines 1 through
12, and 141, not charged against book Income this
year (Iten1lZe):
a DepreCiation $
7 Add lines 5 and 6
----------------------
4 Add lines I through 3 - 28,115. 8 Income (loss) (Schedule K, In 18). Ln 41ess In 7
Schedule M-2 Analysis of Accumulated Adjustments Account, Other Adjustments Account, and
Shareholders' Undistributed Taxable Income Previously Taxed (see instructions)
(a) Accumulated (b) Other r (e) Shal-eholders' undls,
rl + + ~ + \nbuted taxable Income
odiustments account aulus,men,s ac~oun, +- preViously taxed
0", O.
J
-28,115.
1 Balance at begln~llng of tax year
2 Ordinary Inccme fi'Om page 1, line 21
3 Other" addlt!ons
4
5
6
7
8
3,958.
Loss from Jage 1. line 21
Other redLectlons
Combine I',es 1 throu,lh 5
Dlstnbutlons other than dividend dlstllbutlons
Balance at end of tax year. Subtract line 7 from line 6
28,115.
-24,157.
o.
-24,157.
i
I
0,1
O.
FOlm 11205 (2006)
SPSAO 134 09/27/06
, ,
671106
2006 IXl Final K-l n Amended K-l OMS No. 15450130
Schedule K-l I Part III I Shareholder's Share of Current Year Income,
(Form 1120S) FOI calendar year 2006. or tax Deductions, Credits, and Other Items
:ni~,-n~1 of the~~leasuIY year beginning 2006 1 Ordinary business Income (loss) 13 Credits
ending -9,371. - --.-------------
Shareholder's Share of Income, Deductions, 2 Net rental real estate Income (loss)
Credits, etc. ~ 5ee page 2 of form and separate instructions. - --.------------
3 Other net rental Income (loss)
I Part I I Information About the Corporation --._------------
4 Interest Income
A Corporation's employer Identification number
- - -- - - - - - - - - - - --
23-2143529 5a Ordinary diVidends
B Corporation's name, address, City, state, and ZIP code
NEEDLE TRADES SUPPLY CO. , INC 5b Qualified dividends 14 Forel~ln transaction:,
1004 MARKET ST - ---------------
LEMOYNE, PA 17043 6 Royalties
- --------,--------
7 Net short-term capital gain (loss)
C IRS Centel whe.e corporation filed return - ----.-----------
Cincinnati, OH 45999-0013 8a Net long-term capital gain (loss)
D B Tax shelter reg1stratl0ll number, If any - ----------------
E Check If Form 8271 IS attached 8b Collectibles (28%) gain (loss)
- ----.-----------
I Part II I Information About the Shareholder 8c Unrecaptured sectron 1250 gain
---~------------
F Shareholder's Identify ng number 9 Net sectron 1231 gain (loss)
201-18-3703
G Shareholder's name, address, City, state, and ZIP code 10 Other Income (loss) 15 Alternative minimum tax :AMT) Items
LAWRENCE S GERBER A O.
- --------------- -- -----------------
1004 MARKET ST
LEMOYNE, PA 17043 - --------------- -- --------.--------
- --------------- -- -------.--------
H Shareholder's percentage of stock
ownership for tax year 33.33200 %
- --------------- - - -------.--------
11 Sectron 179 deduction 16 Items affecting shareholdEr baSIS
E _ _ _ __ _ _ _ _ _ ~ ~ 0_51 .:.
12 Other deductions
- --------------- -- ----------------
F
0
R - --------------- -- ----------------
I
R - --------------- -- ---------------
S
U - ---------------
S 17 Other Information
E
- --------------- -- --------- --- -
0
f-.J
L - --------------- -- -----------.----
y
- - - - - - - - - - - - - - - - + - -1- - - - - - - - - -. - - --
I ,
I
*See attached statement for additional information.
,
BAA For Privacy Act and Paperwork Reduction Act Notice. see Instructions for Form 11205.
SPSA0412 06/28/06
Schedu'e K-1 (Form ll,/OS) 2006
.(
2006 !xl Final K-1 n Amended K- 1 OMS No. 15450130
Schedule K-l I Part III I Shareholder's Share of Current Year Income,
(Form 1120S) For calendar' yeal 2006,01 tax Deductions, Credits, and Other Items
OepaJtmenl of the il"easmy year beginning 2006 1 Ordinary business Income (loss) 13 Credits
Internal Revenue -9,372.
endl ng - --.-------------
Shareholder's Share of Income, Deductions, 2 Net rental real estate Income (loss)
Credits, etc. ~ See page 2 of form and separate instructions. - --.-------------
3 Other net rental Income (loss)
I Part I I Information About the Corporation --------.-------
4 Interest Income
A COI-poratron's employer Identification number
---------------
23-2143529 5a Ordinary dividends
B Corporation's nalle, address, City, state, and ZIP code
NEEDLE TRADES SUPPLY CO. , INC 5b Qualified dividends 14 Forel~ln transactions
1004 MARKET ST - ----.-----------
LEMOYNE, PA 17043 6 Royalties
- ----------------
7 Net short-terll capital gain (loss)
C IRS Center where carr:oration filed return
- ----------------
Cincinnati, OH 45999-0013 8a Net long-term capital gain (loss)
D B Tax shelter registration number, If any
- ----------------
E Check If Form 8271 IS attached 8b Collectibles (28%) gain (loss)
----------------
I Part II I Information About the Shareholder 8c Unrecaptured section 1250 gain
- ---.-------.-----
F Shareholder's IdentrfYlng number 9 Net sectron 1231 gain (loss)
187-24-7602
G Shareholder's name, address, city state, and ZIP code 10 Other Income (loss) 15 Alterna'IVE minimum tax (AMT) Items
ROSALYN Y GERBER A O.
- --------------- -- ----------------
1004-13 MARKET ST
LEMOYNE, PA 17043 - ---------------
-- ----------.----
~ --------------- -- ---_._--~-------
H Shareholder's percentage of stock
ownership for tax year 33.33400 % - ---------------
-- ---.------------
11 Sectron 179 deduction 16 ItelTIs affecting shareholdel baSIS
E _ _ _ _ _ _ _ __ _ ~~ '- 0_5 ~ ..:.
12 Other deductions
- --------------- -- ---------.------
F
0
R - --------------- -- ---------.------
I
R -- --------------- -- -----.----------
S
U - ---------------
S 17 IOther Irlformatron
E
0 - ~ - - - - - - ~ - - ~ - - - - - T - -1- - - -- -- - - - - - - - - -
I,"
L -i------'--------t------ ----------
y
- ---------------t-l---- ----------
*See ClttClched statement for additional Information,
671106
BAA For Privacy Act and Paperwork Reduction Act Notice. see Instructions for Form 1120S.
Schedule K-1 (Form 112JS) 2006
SPSA0412 06/28/06
"
671106
2006 IXl Final K- 1 n Amended K-1 OME '"0 1545.8130
Schedule K-' I Part III I Shareholder's Share of Current Year Income,
(Form 11205) F:x calendar- year 2006, Ot- tax Deductions, Credits, and Other Items
uepal Imem of year" beginning 2006 1 Ordinary business Income (loss) 13 Credits
ending -9,372. - ----------~-----
Shareholder's Share of Income, Deductions, 2 Net rental real estate Income (loss)
Credits, etc. .. 5el~ page 2 of form and separate instructions. - ----------.-----
3 Other net rental Income (loss)
, Part I I Information About the Corporation - ------~--_._----
4 Interest income
A Cmporatlon's employer Identification number
- ---------.-----
23-2143529 5a Ordinary dividends
B COI-poratlon's name, address, City, state, and ZIP code
NEEDLE TRADES SUPPLY CO. , INC 5b Qualified dividends 14 ForeliJn transactions
1004 MARKET ST
- ----------------
LEMOYNE, PA 17043 6 Royalties
- --._------------
7 Net short-term capital gain (loss)
C IRS Center where corporation filed return -1--------------
Cincinnati, OR 45999-0013 8a Net long-term capital gain (loss)
D B Tax sheltel reglstratlol: number, If any
- --._----"-------
E Check If Form 8271 IS attached 8b Collectibles (28%) gain (loss)
--._------------
I Part II I Information About the Shareholder 8c Unrecaptured section 1250 gain
- --------"-------
F Shareholder's IdentifYing number 9 Net section 1231 gain (loss)
162-48-2185
G Shareholder's name, address, City, state, and ZIP code 10 Other income (loss) 15 Alterna:lve minimum tax (AMT) Items
RONALD E GERBER --------------- A O.
- -- ----------"-----
1004-B MARKET ST
LEMOYNE, PA 17043 ---------------
- -- ----------.-----
- --------------- - - ----------._----
H Shareholder's oercentage of stock
ownership for tax year 33.33400 %
- --------------- -- ----------------
11 Section 179 deduction 16 Items a.'fectlng shareholder baSIS
E _ _ __ _ _ _ _ _ ~,_O_5_?.:.
12 Other deductions
- --------------- -- ----.------------
F
0
R - --------------- -- --------.--------
I
R - --------------- -- --------.--------
S
U - ---------------
S 17 Other Information
E
- --------------- -- ----------------
0 -J--------------
r~
L - ---------------
y
-1--------------- - - -----------.----
. *See attached statement for additional information.
BAA For Privacy Act and Paperwork Reduction Act Notice, see Instructions for Form 11205.
SPSA0412 06/28/06
SchedUle K-1 (Form 1120S) 2006
.(
0', 'if. B
I I e s<an
525 William Penn Place
Suite 153-2618
Pittsburgh, PA 15219
August 14, 2006
BUTLER LAW FIRM
500 NORTH THIRD ST
TWELFTH FLOOR PO BOX 1004
HARRISBURG PA 17108-1004
Estate of ROZ Y GERBER
Date of Death: Jul 03, 2006
SSN: 187-24-7602
Dear SirIMadam:
In accordance with your request, the attached information sheet has been provided in the above decedent's
name as of his/her date of death.
For IL or LC accounts, contact our Loan Department at 1-800-708-6680. For all other inquiries, please
call 888-999-6884
Sincerely,
Pfeil, Mamie
Operations Services
. .(
i i ens Ba k
I Account Number 6104453892 ""1
I
Account Title ROZ Y GERBER
Date Opened 12/18/1980
Account Type Checking
Principal Balance as of DOD $.00
Interest from Last Posting to DOD $ .00
Account Balance as of DOD $ .00
YTD Interest to DOD $ .00
. '" ~
., Pit
I II ns an
Account Number 6201197250
Account Title ROZ Y GERBER
Date Opened 1/30/2003
I Account Type Checking
PnncIpal Balance as of DOD $56044.37
Interest from Last Posting to DOD $.00
Account Balance as of DOD $56044.37
YTD Interest to DOD $475.93
· "
o !f:
I I e
an
I Account Number 6143767505 ~
I Account Title RaZ Y GERBER J
Date Opened 6/9/1982
Account Type Savings
Principal Balance as of DOD $1868.11
Interest from Last Posting to DaD $ .05
Account Balance as of DaD $1868.16
YTD Interest to DaD $1.21
U...a;"UG-30-2006 19:41
....... ,
.....
...
.:..~
PNCBANK
412 768 3458
P.01
~ PNCBAN<
August 31, 2006
Benjamin J Butler
Attorney at Law
500 N Third St. 12th Fl.
Harrisburg,PA 17101
scp
RE: Estate of Roz Y Gerber (Deceased)
SSN: 187-24-7602
DOD: 07-03-2006
Dear Mr. Butler:
In response to your request for Date of Death balances for the customer noted above, our
records show the following:
Checking Account
Account #5003730976
Established 09-23-2003
ROZ Y GERBER
LAWRENCE S GERBER
RONALD E GERBER
DOD balance: $2,533.04 + $0.07 accrued interest
ACCOtmt #5140164552
Established 07-01-1982
ROZ Y GERBER /
DOD balance: $1,454.41 + $0.00 accrued interest
Savings Account
Account #5004840122 Established 02-13-2006
LAWRENCE S GERBER
RONALD E GERBER
ROZ Y GERBER
DOD balance: $101,368.24 + $301.03 accrued interest
Account #5004840157 Established 02-13-2006
ROZ Y GERBER ./
DOD balance: $101,319.97 + $300.89 accrued interest
Page 1 of2
RUG-30-2006 19:41
.. - ,.
PNCBRNI<
412 7613 3458
P.02
Account #5004840165 Established 05 -04-2006
LAWRENCE S GERBER
ROZ Y GERBER
MAR TIN A GERBER
DOD balance: $101,412.31 + $208.49 accrued interest
Account #5004840288 Established 03-29-2006
ROZ Y GERBER /
DOD balance: $122,325.34 + $184.29 accrued interest
Please note that this office only provides date of death balances for deposit accounts
(IRAs, CDs, Checking and Savings accounts). We do not process any financial
transactions or provide statements. If you need assistance with any of these items,
please call 1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch
office.
Sincerely,
~/ ~/~P!_I/
Erica L Schlegel - ~~
1-800-762-1775
P7-PFSC-04-F
500 first Ave.
Pinsburgh P A 15219
Member FDIC
Page 2 of2
TDTRL P. 02
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Excellent (Selecteel)
$5,650
"Excellent" conc1itlon means t1lat the vehicle looks 'leW, IS In excelient
mechdnical cOl1Clltion dllej neeejs no I'ec:ondl!.lorllnq. TillS vehicle Ilas never
had an\, paint or bodV yvork and IS free of rust Tf'l(l vehicle lias E1 clean
title r1istory and ~\ii)1 p('lSS a srnog and safety Inspection The cnQinc
(:O!l-,partrnellt is clean; '-"iit!--: no fluid leaks ar:d is fr-c::e Df clny \,vear or \/isibl(~
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J ',~ J)
! ~ J ,~
" I. ...,
J 'J t) 'J '}
, . .
Cf.,No Hassle
$25.00
1.30
NA
EE
$50
1:2/1987
12/2006
12/2017
$25.00
$40.76 4.00%
$65.76