Form Ct-3-B - Tax-Exempt Domestic International Sales Corporation (Disc) Information Return - 2014 Page 4

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Page 4 of 6 CT-3-B (2014)
Schedule B, Part 1 — Computation of investment capital and investment allocation percentage
Attach separate sheets if necessary, displaying this information formatted as below.
Section 1 — Corporate and governmental debt instruments
Description of investment
(identify each debt instrument and its date of maturity here; for each debt instrument complete columns C through G on
the corresponding lines below)
A — Debt instrument
Item
B — Maturity date
A
B
C
D
E
F
G
Item
Average value
Liabilities directly or
Net average value
Issuer’s
Value allocated to
indirectly attributable to
allocation
New York State
(column C – column D)
investment capital
%
(column E × column F)
A
B
Amounts from attached list
Totals of Section 1
1
Section 2 — Corporate stock, stock rights, stock warrants, and stock options
Description of investment
(identify each investment and enter number of shares here; for each investment complete columns C through G on the
corresponding lines below)
Item
A — Investment
B — Number of shares
A
B
C
D
E
F
G
Item
Average value
Liabilities directly or
Net average value
Issuer’s
Value allocated to
indirectly attributable to
allocation
New York State
(column C – column D)
investment capital
%
(column E × column F)
A
B
Amounts from attached list
Totals of Section 2
2
Totals of Section 1
(from line 1)
3
Totals
(add lines 2 and 3 in columns C, D, E, and G)
4
5 Investment allocation percentage without the addition of cash
.............
5
%
(divide line 4, column G, by line 4, column E)
Cash
(optional)
6
Investment capital
. Enter column E total on page 2, line 35 of this form.
(add lines 4 and 6 in columns C, D, and E)
7
474004140094

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