Form 41a750 - Business Development Corporation Tax Return

41A750 (9-12)

Page 2

*1200010303*

Commonwealth of Kentucky

DEPARTMENT OF REVENUE

Schedule A. COST OF GOODS SOLD

Schedule B. COST OF OPERATIONS

(Where inventories are an income-determining factor)

(Where inventories are not an income-determining factor)

Inventory at beginning of year ..................................

Salaries and wages ....................................................

Merchandise bought for manufacture or sale..........

Other costs (to be detailed):

Salaries and wages ....................................................

(a) .................................................................................

Other costs per books. (Submit schedule) ...............

(b) .................................................................................

Total ........................................................................

Less: Inventory at end of year ...............................

(d) .................................................................................

Cost of goods sold (enter here and on

(e) .................................................................................

line 2, page 1) ..............................................................

Total (enter here and on line 2, page 1) ....................

Schedule C. INCOME FROM DIVIDENDS

1. Name of Declaring Corporation

2. Domestic Corporations

3. Foreign Corporations

4. Other Corporations

Totals ......................................................................................................................

Total of columns 2, 3, and 4. (Enter here and on line 4, page 1) ..........................................................................................................................

Schedule D. Separate Schedule D should be used in reporting sales or exchanges of property and filed with this return.

Schedule E. COMPENSATION OF OFFICERS

3. Time Devoted

Percent of Stock Owned

6. Amount of

to Business

Compensation

1. Name and address of Officer

2. Official Title

4. Common

5. Preferred

Total compensation of Officers. (Enter here and on line 13, page 1) ...................................................................................................................

Schedule F. BAD DEBTS

Amount of notes and accounts

6. Bad Debts of

If Corporation Carries a Reserve

1. Taxable

Corporation if No

receivable outstanding at—

4. Net Income

5. Sales on

7. Gross Amount

8. Amount Charged

Reserve is Carried

Year

Reported

Account

2. Beginning of Year

3. End of Year

Added to Reserve

Against Reserve

on Books

NOTE: Securities which are capital assets and which became worthless within the taxable year should be reported in separate Schedule D.

Schedule G. TAXES

Schedule H. CONTRIBUTIONS OR GIFTS PAID

Do not include federal taxes measured by income.

Nature

Amount

Name and Address of Organization

Amount

Total. (Enter here and on line 19, page 1).................

Total. (Enter here and on line 20, page 1) ..................

Schedule I. DEPRECIATION AND AMORTIZATION (WHEREVER CLAIMED)

Attach a detailed schedule in support of each of the lines in this schedule.

Part B. AMORTIZATION CLAIMED

Part A. DEPRECIATION CLAIMED

1. Straight line method ............................................

7. Emergency facilities .............................................

2. Declining balance method ...................................

8. Grain storage facilities .........................................

3. Sum of the years-digits method..........................

9. Research or experimental expenditures.............

4. Depreciation based on .........................................

10. Exploration and development

(a) Units of production ........................................

expenditures .........................................................

(b) Hours of machine operation .........................

11. Organizational expenditures ...............................

5. Other methods ......................................................

12. Total amortization claimed ..................................

6. Total depreciation claimed ..................................

13. Enter here the total of lines 6 and 12 ..........................................................................................................................................

14. Less: Amounts of depreciation and amortization claimed in Schedules A or B or elsewhere on return .............................

Part C

15. Balance–Enter here and on line 22, page 1 ................................................................................................................................

Schedule J. OTHER DEDUCTIONS

Total. (Enter here and on line 26, page 1) ..................