Domestic Corporation Franchise Tax Return, Permit Application And Annual Report - Alabama Department Of Revenue - 1999 Page 2

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20.
Balance Sheets
December 31, 1997
December 31, 1998
(A)
(B)
(C)
(D)
Assets
1. Cash. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2a. Trade notes and accounts receivable. . . . . . . . . .
b. Less allowance for bad debts. . . . . . . . . . . . . .
3. Inventories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. U.S. government obligations . . . . . . . . . . . . . . . . .
5. Tax-exempt securities (see Instructions) . . . . . . .
6. Other current assets (attach schedule) . . . . . . . .
7. Loans to stockholders . . . . . . . . . . . . . . . . . . . . . . .
8. Mortgage and real estate loans . . . . . . . . . . . . . . .
9. Other Investments (attach schedule) . . . . . . . . . .
10 a. Buildings and other depreciable assets . . . . .
b. Less accumulated depreciation . . . . . . . . . . . .
11 a. Depletable assets. . . . . . . . . . . . . . . . . . . . . . . .
b. Less accumulated depreciation . . . . . . . . . . . .
12. Land (net of any amortization) . . . . . . . . . . . . . . . .
13 a. Intangible assets (amortizable only) . . . . . . . .
b. Less accumulated amortization . . . . . . . . . . . .
14. Other assets (attach schedule) . . . . . . . . . . . . . . .
15. Total assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Liabilities and Stockholders' Equity
16. Accounts payable. . . . . . . . . . . . . . . . . . . . . . . . . . .
17. Mortgages, notes, bonds payable in less than 1 year
18. Other current liabilities (attach schedule). . . . . . .
19. Loans from stockholders. . . . . . . . . . . . . . . . . . . . .
20. Mortgages, notes, bonds payable in 1 year or more
21. Other liabilities (attach schedule) . . . . . . . . . . . . . . . . .
22. Capital stock: (a) Preferred stock. . . . . . . . . . . .
(b) Common stock . . . . . . . . . . . . . . . . . . . . . . . . .
23. Paid-in or capital surplus . . . . . . . . . . . . . . . . . . . .
24. Retained earnings—Appropriated. . . . . . . . . . . . .
25. Retained earnings—Unappropriated . . . . . . . . . .
26. Less cost of treasury stock. . . . . . . . . . . . . . . . . . .
27. Total liabilities and stockholders’ equity . . . . . . . .
***NOTE! If the capital stock of the corporation has changed since January 1, 1998 attach to the return a copy of the amendment(s) recorded with the Probate Judge authorizing the change(s).
21. CAPITAL STOCK WITH A PAR VALUE
The figures below should reflect the balances as of January 1, 1999
Common
Preferred
$
$
a.
Par Value of each share . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b.
Number of shares authorized . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c.
Number of shares issued and outstanding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d.
Number of shares issued, repurchased and now held as treasury stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e.
Number of shares subscribed, but not yet issued . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f.
Total shares of stock (line c + line d + line e) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
$
g.
Total par value of capital stock (line a x line f) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22. CAPITAL STOCK WITH NO-PAR VALUE
Section 40-14-23, Code of Alabama 1975 requires that a sworn statement showing what moneys, property, or other things of value represent
capital stock and the value thereof be filed with the Department of Revenue when no-par stock is issued.
In the appropriate columns below enter the number, date, and total value of common and/or preferred shares of no-par capital stock issued,
subscribed, and/or cancelled. The figures below should reflect the status since incorporation with the totals representing the balance as of January
1, 1999.
Number of Shares
Date
Value of
Value of
Issued, Subscribed and/or Cancelled
of Transaction
Common Stock
Preferred Stock
$
$
Total no-par capital stock
$
$
23. COMPUTATION OF PERMIT FEE
PERMIT FEE — Based on total capital stock, line 24c, as follows:
Up to and including $25,000.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
10.00
Over $25,000.00 and up to and including $50,000.00 . . . . . . . . . . . . . . . . . . . . .
$
20.00
Over $50,000.00 and up to and including $100,000.00 . . . . . . . . . . . . . . . . . . . .
$
30.00
Over $100,000.00 and up to and including $150,000.00 . . . . . . . . . . . . . . . . . . .
$
50.00
23a. Amount of Permit Fee
$ _____________________
Over $150,000.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$ 100.00
24. COMPUTATION OF FRANCHISE TAX
FRANCHISE TAX — Paid based on total capital stock @ $10.00 per $1,000 or minimum of $50.00, whichever is larger.
a. Enter total par value of capital stock (item 21g) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$ _______________________
b. Enter total no-par capital stock (item 22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$ _______________________
c. Enter total capital stock (line 24a + line 24b). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$ _______________________
d. Multiply total capital stock, line 24c by .01 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$ _______________________
Amount of Franchise Tax
e.
24e. Amount of Franchise Tax
$ __________________
Enter $50.00 or amount on line 24d whichever is larger.
*Please transfer the figures from line 23a to line 10 and from line 24e to line 14 on the front of this return.
*IMPORTANT: Tax payments of $25,000 or more are required to be made through Electronic Funds Transfer. (See Instructions.)

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