Form 1120 U.S. Corporation Income Tax Return OMB o. 1545-0123 For calendar year 2003 or tax year beginning, 2003, ending, Department of the Treasury Internal Revenue Service G Instructions are separate. See instructions for Paperwork Reduction Act otice. 2003 A Check if a: B Employer identification number 1 Consolidated return (attach Form 851)... 58-1454490 2 Personal holding company (attach Schedule PH)...... 3 Personal service corp (as defined in Regs section 1.441-3(c) ' see instructions).... E Check applicable boxes: (1) Initial return (2) Final return (3) ame change (4) Address change $ 1 a Gross receipts or sales. b Less returns & allowances.. c Balance.. G 1c 2 Cost of goods sold (Schedule A, line 8)........................................................... 2 D E D U C T I O S S E E I ST R U C TI O S I C O M E T A A D P A Y M E T S F O R L I M I T A TI O S O D E D U C TI O S Sign 3 Gross profit. Subtract line 2 from line 1c.......................................................... 3 4 Dividends (Schedule C, line 19).................................................................. 4 5 Interest........................................................................................ 5 6 Gross rents.................................................................................... 6 7 Gross royalties................................................................................. 7 8 Capital gain net income (attach Schedule D (Form 1120))........................................... 8 9 et gain or (loss) from Form 4797, Part II, line 18 (attach Form 4797)................................ 9 10 Other income (see instructions ' attach schedule).......................................................... 10 11 Total income. Add lines 3 through 1.......................................................... G 11 12 Compensation of officers (Schedule E, line 4)..................................................... 12 13 Salaries and wages (less employment credits)..................................................... 13 14 Repairs and maintenance....................................................................... 14 15 Bad debts..................................................................................... 15 16 Rents......................................................................................... 16 17 Taxes and licenses............................................................................. 17 18 Interest........................................................................................ 18 19 Charitable contributions (see instructions for 10% limitation)......................................... 19 20 Depreciation (attach Form 4562)....................................... 20 181,135. 21 Less depreciation claimed on Schedule A and elsewhere on return........ 21 a 21 b 22 Depletion...................................................................................... 22 23 Advertising.................................................................................... 23 24 Pension, profit-sharing, etc, plans................................................................ 24 25 Employee benefit programs...................................................................... 25 26 Other deductions (attach schedule)............................................ See..... Statement............... 2...... 26 27 Total deductions. Add lines 12 through 26....................................................... G 27 28 Taxable income before net operating loss deduction and special deductions. Subtract line 27 from line 11.................... 28 29 Less: a et operating loss (OL) deduction (see instructions)......... See...... St.... 3... 29 a 35,261. b Special deductions (Schedule C, line 20)....................... 29b 29 c 30 Taxable income. Subtract line 29c from line 28.................................................... 30 31 Total tax (Schedule J, line 11)................................................................... 31 32 Payments: a 2002 overpayment credited to 2003........ 32 a 9,00 b 2003 estimated tax payments...... 32b c Less 2003 refund applied for on Form 4466.. 32 c d BalG 32d e Tax deposited with Form 7004......................................... 32 e f Credit for tax paid on undistributed capital gains (attach Form 2439)....... 32 f g Credit for federal tax on fuels (attach Form 4136). See instructions........ 32g 32h 33 Estimated tax penalty (see instructions). Check if Form 2220 is attached.................... G 33 34 Tax due. If line 32h is smaller than the total of lines 31 and 33, enter amount owed.................... 34 35 Overpayment. If line 32h is larger than the total of lines 31 and 33, enter amount overpaid............. 35 36 Enter amount of line 35 you want: Credited to 2004 estimated tax.......... G Refunded G 36 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, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. May the IRS discuss this return with the preparer shown below? (see inst) Here A Signature of officer Date A Title Yes o Paid Preparer's Use Only Preparer's signature A Firm's ame (or yours if self-employed), address, and ZIP Code Use IRS label. Otherwise, print or type. A CHAMBLEE FECE COMPAY, IC. 5046 WITERS CHAPEL DORAVILLE, GA 30360 C Date incorporated 10/19/1981 D Total assets (see instructions) 1,522,761. 7,524,874. 7,524,874. 5,231,292. 2,293,582. Date Preparer's SS or PTI Check if selfemployed.. 252-92-8290 Griffin & Associates PC EI 58-2353594 RICHARD GRIFFI, CPA 6165 Crooked Creek Rd, Suite B See Statement 1 PRESIDET 9,00 25,00 1,296. 10,576. 71,20 2,376,654. 192,308. 496,313. 44,481. 6,736. 143,45 106,636. 14,706. 181,135. 278,09 745,188. 2,209,043. 167,611. 35,261. 132,35 34,867. 34,00 orcross, GA 30092 Phone o. 770-734-0498 BAA CPCA0205L 08/29/03 Form 1120 (2003) 867.
Schedule A CHAMBLEE FECE COMPAY, IC. 58-1454490 Cost of Goods Sold (see instructions) Form 1120 (2003) Page 2 1 Inventory at beginning of year......................................................................... 1 2 Purchases.......................................................................................... 2 3 Cost of labor........................................................................................ 3 4 Additional Section 263A costs (attach schedule).................................................................. 4 5 Other costs (attach schedule)............................................... See..... Statement............... 4...... 5 6 Total. Add lines 1 through 5........................................................................... 6 7 Inventory at end of year.............................................................................. 7 8 Cost of goods sold. Subtract line 7 from line 6. Enter here and on line 2, page 1........................... 8 9a 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.)........ d If the LIFO inventory method was used for this tax year, enter percentage (or amounts) of closing inventory computed under LIFO................................................................................ G b Check if there was a writedown of subnormal goods as described in Regulations 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).................... G e If property is produced or acquired for resale, do the rules of section 263A apply to the corporation?.................. Yes o f Was there any change in determining quantities, cost, or valuations between opening and closing inventory? If 'Yes,' attach explanation.................................................................... Schedule C Dividends and Special Deductions (see instructions) (a) Dividends received (b) Percentage 1 Dividends from less-than-20%-owned domestic corporations that are subject to the 70% deduction (other than debt-financed stock)....... 70 2 Dividends from 20%-or-more-owned domestic corporations that are subject to the 80% deduction (other than debt-financed stock)....... 80 3 Dividends on debt-financed stock of domestic and foreign corporations (section 246A).. 4 Dividends on certain preferred stock of less-than-20%-owned public utilities........ 42 5 Dividends on certain preferred stock of 20%-or-more-owned public utilities......... 48 6 Dividends from less-than-20%-owned foreign corporations and certain FSCs that are subject to the 70% deduction............. 70 7 Dividends from 20%-or-more-owned foreign corporations and certain FSCs that are subject to the 80% deduction............. 80 8 Dividends from wholly owned foreign subsidiaries subject to the 100% deduction (section 245(b)).................................. 100 9 Total. Add lines 1 through 8. See instructions for limitation.......... see instr. 10 Dividends from domestic corporations received by a small business investment company operating under the Small Business Investment Act of 1958.............. 100 11 Dividends from certain FSCs that are subject to the 100% deduction (sec 245(c)(1))... 100 12 Dividends from affiliated group members subject to the 100% deduction (section 243(a)(3))..................................... 100 13 Other dividends from foreign corporations not included on lines 3, 6, 7, 8, or 11....... 14 Income from controlled foreign corporations under subpart F (attach Form(s) 5471).... 15 Foreign dividend gross-up (section 78)............................ 16 IC-DISC and former DISC dividends not included on lines 1, 2, or 3 (section 246(d))... 17 Other dividends................................................. 18 Deduction for dividends paid on certain preferred stock of public utilities........... 19 Total dividends. Add lines 1 through 17. Enter here and on line 4, page 1......... G 20 Total special deductions. Add lines 9, 10, 11, 12, and 18. Enter here and on line 29b, page 1................... G Schedule E Compensation of Officers (see instructions for line 12) ote: Complete Schedule E only if total receipts (line 1a plus lines 4 through 10 on page 1) are $500,000 or more. (c) Special deductions (a) x (b) 1 (a) (b) (c) Percent of Percent of corporation stock owned (f) Amount of time devoted ame of officer Social security number to business (d) Common (e) Preferred compensation J. MICHAEL CLARK 256-04-2875 100 % 100% 00% 192,308. BETTY FELL 385-34-0097 100 % 00% 00% % % % % % % % % % 192,308. 2 Total compensation of officers.............................................................................. 3 Compensation of officers claimed on Schedule A and elsewhere on return...................................... 4 Subtract line 3 from line 2. Enter the result here and on line 12, page 1......................................... CPCA0212L 08/29/03 Form 1120 (2003) 9d 3,432,651. 1,798,641. 5,231,292. 5,231,292. Yes G o 192,308.
Form 1120 (2003) Page 3 Schedule J CHAMBLEE FECE COMPAY, IC. 58-1454490 Tax Computation (see instructions) 1 Check if the corporation is a member of a controlled group (see sections 1561 and 1563)............. G Important: Members of a controlled group, see instructions. 2a If the box on line 1 is checked, enter the corporation's share of the $50,000, $25,000, & $9,925,000 taxable income brackets (in that order): (1) $ (2) $ (3) $ b Enter the corporation's share of: (1) Additional 5% tax (not more than $11,750).......... $ (2) Additional 3% tax (not more than $100,000)......... $ 3 Income tax. Check if a qualified personal service corporation under section 448(d)(2) (see instructions)............................................................................. G 3 4 Alternative minimum tax (attach Form 4626)............................................................ 4 5 Add lines 3 and 4.................................................................................... 5 6a Foreign tax credit (attach Form 1118)........................................ b Possessions tax credit (attach Form 5735).................................... c Check: onconventional source fuel credit QEV credit (attach Form 8834)............ 6 c d General business credit. Check box(es) and indicate which forms are attached. Form 3800 Schedule K Form(s) (specify). Other Information (see instructions) 1 Check method of accounting: Yes o a Cash b Accrual c Other (specify) G 2 See the instructions and enter the: a Business activity code no. G b Business activity G COTRACTOR c Product or service G FECIG 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 schedule showing: (a) name and employer identification number (EI), (b) percentage owned, and (c) taxable income or (loss) before OL and special deductions of such corporation for the tax year ending with or within your tax year. 4 Is the corporation a subsidiary in an affiliated group or a parent-subsidiary controlled group?............... If 'Yes,' enter name and EI of the parent corporation G 5 At the end of the tax year, did any individual, partnership, corporation, estate or trust own, directly or indirectly, 50% or more of the corporation's voting stock? (For rules of attribution, see section 267(c).).... If 'Yes,' attach a schedule showing name and identifying number. (Do not include any information already entered in 4 above.) Enter % owned G 6 During this tax year, did the corporation pay dividends (other than stock dividends and distributions in exchange for stock) in excess of the corporation's current and accumulated earnings and profits? (See sections 301 and 316.)............................... If 'Yes,' file Form 5452, Corporate Report of ondividend Distributions. If this is a consolidated return, answer here for the parent corporation and on Form 851, Affiliations Schedule, for each subsidary. G e Credit for prior year minimum tax (attach Form 8827).......................... f Qualified zone academy bond credit (attach Form 8860)........................ 7 Total credits. Add lines 6a through 6f.................................................................. 7 8 Subtract line 7 from line 5............................................................................. 8 9 Personal holding company tax (attach Schedule PH (Form 1120))......................................... 9 10 Other taxes. Check if from: Form 4255 Form 8611 Form 8697 Form 8866 Other (attach schedule)............................... 10 11 Total tax. Add lines 8 through 1 Enter here and on line 31, page 1....................................... 11 Yes o 238900 stock of the corporation?................................. G See Statement 5 If 'Yes,' enter: (a) Percentage owned........ and (b) Owner's country G c The corporation may have to file Form 5472, Information Return of a 25% Foreign-Owned U.S. Corporation or a Foreign Corporation Engaged in a U.S. Trade or Business. Enter number of Forms 5472 attached.................... G 8 Check this box if the corporation issued publicly offered debt instruments with original issue discount....... G If checked, the corporation may have to file Form 8281, Information Return for Publicly Offered Original Issue Discount Instruments. 9 Enter the amount of tax-exempt interest received or accrued during the tax year..... G $ 10 Enter the number of shareholders at the end of the tax year (if 75 or fewer)................................. G 11 If the corporation has an OL for the tax year and is electing to forego the carryback period, check here......... G If the corporation is filing a consolidated return, the statement required by Temporary Regulations section 1.1502-21(b)(3)(i) or (ii) must be attached or the election will not be valid. 12 Enter the available OL carryover from prior tax years (Do not reduce it by any deduction on line 29a.) G$ 6 a 6 b 6d 6 e 6f 7 At any time during the tax year, did one foreign person own, directly or indirectly, at least 25% of (a) the total voting power of all classes of stock of the corporation entitled to vote or (b) the total value of all classes of 35,261. 13 Are the corporation's total receipts (line 1a plus lines 4 through 10 on page 1) 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 L, M-1, and M-2 on page 4. Instead, enter the total amount of cash distributions and the book value of property distributions (other than cash) made during the tax year. G $ ote: If the corporation, at any time during the tax year, had assets or operated a business in a foreign country or U.S. possession, it may be required to attach Schedule (Form 1120), Foreign Operations of U.S. Corporations, to this return. See Schedule for details. 34,867. 34,867. 34,867. 34,867. BAA CPCA0234L 12/08/03 Form 1120 (2003) one 1
Form 1120 (2003) Page 4 ote: The corporation is not required to complete Schedules L, M-1 and M-2 if Question 13 on Schedule K is answered 'Yes.' Schedule L Balance Sheets per Books Beginning of tax year End of tax year Assets (a) (b) (c) (d) 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 shareholders...................... 8 Mortgage and real estate loans.............. 9 Other investments (attach schedule)................ 10a Buildings and other depreciable assets....... b Less accumulated depreciation.............. 11a 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 schedule).................... 15 Total assets............................... Liabilities and Shareholders' Equity 16 Accounts payable.......................... 17 Mortgages, notes, bonds payable in less than 1 year..... 18 Other current liabilities (attach sch).... See...... St..... 7.. 19 Loans from shareholders................... 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 Additional paid-in capital.................... 24 Retained earnings ' Approp (att sch)................ 25 Retained earnings ' Unappropriated......... 26 Adjmnt to shareholders' equity (att sch)............... 27 Less cost of treasury stock.................. 28 Total liabilities and shareholders' equity...... 1,152,828. 1,522,761. Schedule M-1 Reconciliation of Income (Loss) per Books With Income per Return (see instructions) 1 et income (loss) per books................ 175,136. 7 Income recorded on books this year not 2 Federal income tax per books............... included on this return (itemize): 3 Excess of capital losses over capital gains.... Tax-exempt interest$ 4 Income subject to tax not recorded on books this year (itemize): 8 Deductions on this return not charged 5 Expenses recorded on books this year not against book income this year (itemize): deducted on this return (itemize): a Depreciation.. $ a Depreciation........ $ b Charitable contribns$ b Charitable contributions.. $ c Travel & entertainment... $ CHAMBLEE FECE COMPAY, IC. 58-1454490 See St 6 6,366. -1,785. 502,803. 586,862. 603,961. 586,862. 603,961. 6,366. 9 Add lines 7 and 8.................... 13,891. 6 Add lines 1 through 5....................... 181,502. 10 Income (line 28, page 1) ' line 6 less line 9.... 167,611. Schedule M-2 Analysis of Unappropriated Retained Earnings per Books (Line 25, Schedule L) 1 Balance at beginning of year................ 315,918. 5 Distributions............... a Cash... 2 et income (loss) per books................ 175,136. b Stock c Property.. 3 Other increases (itemize): 6 Other decreases (itemize): 79,875. 96,884. 1,058,802. 1,081,173. 595,926. 462,876. 777,06 304,113. 25,00 20,00 25,00 5,00 15,00 1,152,828. 1,522,761. 225,992. 77,583. 21,801. 16,80 73,908. 523,115. 480,229. 379,229. 34,48 34,48 50 50 50 50 315,918. 491,054. 13,891. 13,891. 7 Add lines 5 and 6.................... 491,054. 491,054. 4 Add lines 1, 2, and 3....................... 8 Balance at end of year (line 4 less line 7)....... CPCA0234L 12/08/03 Form 1120 (2003)
Form 2220 Department of the Treasury Internal Revenue Service ame ote: Part I Employer identification number In most cases, the corporation does not need to file Form 222 (See Part I below for exceptions.) The IRS will figure any penalty owed and bill the corporation. If the corporation does not need to file Form 2220, it may still use it to figure the penalty. Enter the amount from line 36 on the estimated tax penalty line of the corporation's income tax return, but do not attach Form 222 Reasons for Filing ' Check the boxes below that apply. If any boxes are checked, the corporation must file Form 2220, even if it does not owe the penalty. If the box on line 1 or line 2 applies, the corporation may be able to lower or eliminate the penalty. 8 Enter the smaller of line 6 or line 7. If the corporation is required to skip line 7, enter the amount from line 6.......................................................................................... 8 (a) (b) (c) (d) (e) 9 Installment due dates. Enter in columns (a) through (d) the 15th day of the 4th (Form 990 ' PF filers: Use 5th month), 6th, 9th, and 12th months of the corporation's tax year...... 9 Exception. If one of your installment due dates is September 15, 2003, or September 15, 2004, see the instructions. 10 Required installments. If the box on line 1 and/or line 2 above is checked, enter the amounts from Schedule A, line 38. If the box on line 3 (but not 1 or 2) is checked, see instructions for the amounts to enter. If none of these boxes are checked, enter 25% of line 8 above in each column........... 10 11 Estimated tax paid or credited for each period (see instructions). For column (a) only, enter the amount from line 11 on line 15............ 11 Complete lines 12 through 18 of one column before going to the next column. 12 Enter amount, if any, from line 18 of the preceding column. 12 13 Add lines 11 and 12......................... 13 14 Add amounts on lines 16 and 17 of the preceding column.. 14 15 Subtract line 14 from line 13. If zero or less, enter -0-..... 15 16 If the amount on line 15 is zero, subtract line 13 from line 14. Otherwise, enter -0-...... 16 17 Underpayment. If line 15 is less than or equal to line 10, subtract line 15 from line 1 Then go to line 12 of the next column. Otherwise, go to line 18..................... 17 18 Overpayment. If line 10 is less than line 15, subtract line 10 from line 15. Then go to line 12 of the next column.................... 18 Underpayment of Estimated Tax by Corporations G See separate instructions. G Attach to the corporation's tax return. CHAMBLEE FECE COMPAY, IC. 58-1454490 1 The corporation is using the adjusted seasonal installment method. 2 The corporation is using the annualized income installment method. 3 The corporation is a 'large corporation' figuring its first required installment based on the prior year's tax. Part II Figuring the Underpayment 4 Total tax (see instructions)............................................................................ 4 5a Personal holding company tax (Schedule PH (Form 1120), line 26) included on line 4.................................................................. b Look-back interest included on line 4 under section 460(b)(2) for completed long-term contracts or section 167(g) for depreciation under the income forecast method........................................................... c Credit for Federal tax paid on fuels (see instructions).......................... d Total. Add lines 5a through 5c......................................................................... 6 Subtract line 5d from line 4. If the result is less than $500, do not complete or file this form. The corporation does not owe the penalty.............................................................. 6 7 Enter the tax shown on the corporation's 2002 income tax return (see instructions) Caution: If the tax is zero or the tax year was for less than 12 months, skip this line and enter the amount from line 6 on line 8....................................................................................... 7 Complete Part III on page 2 to figure the penalty. If there are no entries on line 17, no penalty is owed. OMB o. 1545-0142 2003 BAA For Paperwork Reduction Act otice, see separate instructions. Form 2220 (2003) 5 a 5 b 5 c 5 d 34,867. 34,867. 4/15/03 6/15/03 9/15/03 10/01/03 12/15/03 9,00 1. 1. 1. 9,00 9,00 9,00 9,00 9,00 9,00 9,00 9,00 9,00 9,00 9,00 9,00 9,00 9,00 9,00 9,00 9,00 CPCZ0312L 12/04/03
Part III Figuring the Penalty CHAMBLEE FECE COMPAY, IC. 58-1454490 Form 2220 (2003) Page 2 (a) (b) (c) (d) (e) 19 Enter the date of payment or the 15th day of the 3rd month after the close of the tax year, whichever is earlier (see instructions). (Form 990-PF and Form 990-T filers: Use 5th month instead of 3rd month.)......... 20 umber of days from due date of installment on line 9 to the date shown on line 19......... 21 umber of days on line 20 after 4/15/2003 and before 10/1/2003........................ 19 20 21 22 Underpayment on line 17 x umber of days on line 21 x 5%..... 365 22 23 umber of days on line 20 after 9/30/2003 and before 1/1/2004......................... 23 24 Underpayment on line 17 x umber of days on line 23 x 4%..... 365 24 25 umber of days on line 20 after 12/31/2003 and before 4/1/2004......................... 25 26 Underpayment on line 17 x umber of days on line 25 x 4%..... 366 26 27 umber of days on line 20 after 3/31/2004 and before 7/1/2004......................... 27 28 Underpayment on line 17 x umber of days on line 27 x *% 366 28 29 umber of days on line 20 after 6/30/2004 and before 10/1/2004........................ 29 30 Underpayment on line 17 x umber of days on line 29 x *% 366 30 31 umber of days on line 20 after 9/30/2004 and before 1/1/2005......................... 31 32 Underpayment on line 17 x umber of days on line 31 x *% 366 32 33 umber of days on line 20 after 12/31/2004 and before 2/16/2005........................ 33 34 Underpayment on line 17 x umber of days on line 33 x *% 365 34 35 Add lines 22, 24, 26, 28, 30, 32, and 34....... 35 36 Penalty. Add columns (a) through (e) of line 35. Enter the total here and on Form 1120, line 33; Form 1120-A, line 29; or the comparable line for other income tax returns....................................................... 36 *For underpayments paid after March 31, 2004: For lines 28, 30, 32, and 34, use the penalty interest rate for each calendar quarter, which the IRS will determine during the first month in the preceding quarter. These rates are published quarterly in an IRS ews Release and in a revenue ruling in the Internal Revenue Bulletin. To obtain this information on the Internet, access the IRS website at www.irs.gov. You can also call 1-800-829-1040 to get interest rate information. Form 2220 (2003) CPCZ0312L 12/04/03
Form 2220 (2003) Page 4 Part II ' Annualized Income Installment Method CHAMBLEE FECE COMPAY, IC. 58-1454490 20 Annualization periods (see instructions)....................... 20 First months First months First months First months 21 Enter taxable income for each annualization period (see instructions).... 21 22 Annualization amounts (see instructions)....................... 22 23 Annualized taxable income. Multiply line 21 by line 22....................... 23 24 Figure the tax on the amount on line 23 using the instructions for Form 1120, Schedule J, line 3 (or comparable line of corporation's return).................... 24 25 Enter any alternative minimum tax for each payment period (see instructions)..................... 25 26 Enter any other taxes for each payment period (see instructions)................. 26 (a) (b) (c) (d) 2 4 7 10 10,122. 22,169. 37,401. 132,35 6 3 1.71429 1.2 60,732. 66,507. 64,116. 158,82 10,183. 11,627. 11,029. 45,19 10,122. 21,603. 19,471. 25,897. 27 Total tax. Add lines 24 through 26........ 27 28 For each period, enter the same type of credits as allowed on Form 2220, lines 4 and 5c (see instructions).......... 28 29 Total tax after credits. Subtract line 28 from line 27. If zero or less, enter -0-..... 29 20,305. 33,23 30,50 71,087. 20,305. 33,23 30,50 71,087. 30 Applicable percentage.................. 30 25% 50% 75% 100% 31 Multiply line 29 by line 30............... 31 Part III ' Required Installments 5,076. 16,615. 22,875. 71,087. ote: Complete lines 32 through 38 of one 1st 2nd 3rd 4th column before completing the next column. installment installment installment installment 32 If only Part I or Part II is completed, enter the amount in each column from line 19 or line 31. If both parts are completed, enter the smaller of the amounts in each column from line 19 or line 31.............................. 32 33 Add the amounts in all preceding columns of line 38 (see instructions)...... 33 34 Adjusted seasonal or annualized income installments. Subtract line 33 from line 32. If zero or less, enter -0-.......... 34 35 Enter 25% of line 8 on page 1 of Form 2220 in each column. (ote: 'Large corporations,' see the instructions for line 10 for the amounts to enter.)......... 35 36 Subtract line 38 of the preceding column from line 37 of the preceding column...... 36 37 Add lines 35 and 36.................... 37 38 Required installments. Enter the smaller of line 34 or line 37 here and on page 1 of Form 2220, line 10 (see instructions).......................... 38 5,076. 16,615. 22,875. 71,087. 5,076. 16,615. 22,875. 71,087. 1. 1. 1. CPCZ0334L 12/04/03 Form 2220 (2003)
Form 4562 Department of the Treasury Internal Revenue Service ame(s) shown on return Identifying number CHAMBLEE FECE COMPAY, IC. Business or activity to which this form relates Form 1120 Part I Election To Expense Certain Property Under Section 179 ote: If you have any listed property, complete Part V before you complete Part I. 1 Maximum amount. See instructions for a higher limit for certain businesses................................ 1 $100,00 2 Total cost of section 179 property placed in service (see instructions)...................................... 2 22,372. 3 Threshold cost of section 179 property before reduction in limitation....................................... 3 $400,00 4 Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0-................................ 4 5 Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately, see instructions........................................................................... 5 6 (a) Description of property (b) Cost (business use only) (c) Elected cost 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7........................ 8 9 Tentative deduction. Enter the smaller of line 5 or line 8................................................. 9 10 Carryover of disallowed deduction from line 13 of your 2002 Form 4562.................................... 10 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instrs).... 11 12 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11..................... 12 13 Carryover of disallowed deduction to 2004. Add lines 9 and 10, less line 12......... G 13 ote: Do not use Part II or Part III below for listed property. Instead, use Part V. Part II Special Depreciation Allowance and Other Depreciation (Do not include listed property.) 14 Special depreciation allowance for qualified property (other than listed property) placed in service during the tax year (see instructions)............................................................................ 14 Part III MACRS Depreciation (Do not include listed property.) (See instructions) Section A 17 MACRS deductions for assets placed in service in tax years beginning before 2003......................... 17 18 If you are electing under section 168(i)(4) to group any assets placed in service during the tax year into one or more general asset accounts, check here................................................. G Section B ' Assets Placed in Service During 2003 Tax Year Using the General Depreciation System Section C ' Assets Placed in Service During 2003 Tax Year Using the Alternative Depreciation System 20a Class life................ S/L b 12-year................. 12 yrs S/L c 40-year................. 40 yrs MM S/L Part IV Summary (see instructions) OMB o. 1545-0172 Depreciation and Amortization (Including Information on Listed Property) 2003 G See separate instructions. G Attach to your tax return. 67 5-Year JIM ELLIS CHEV TRUCK 19,477. 19,477. 5-Year DELL COMPUTER 2,895. 2,895. 7 Listed property. Enter the amount from line 29..................................... 7 15 Property subject to section 168(f)(1) election (see instructions)............................................ 15 16 Other depreciation (including ACRS) (see instructions)................................................... 16 (a) Classification of property 19a 3-year property.......... b 5-year property.......... c 7-year property.......... d 10-year property......... e 15-year property......... f 20-year property......... (b) Month and year placed in service (c) Basis for depreciation (business/investment use only ' see instructions) (d) Recovery period 21 Listed property. Enter amount from line 28............................................................ 21 22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter here and on the appropriate lines of your return. Partnerships and S corporations ' see instructions................................................... 22 23 For assets shown above and placed in service during the current year, enter the portion of the basis attributable to section 263A costs....................... 23 (e) Convention BAA For Paperwork Reduction Act otice, see instructions. FDIZ0812L 10/28/03 Form 4562 (2003) (f) Method g 25-year property......... 25 yrs S/L h Residential rental 27.5 yrs MM S/L property................ 27.5 yrs MM S/L i onresidential real 39 yrs MM S/L property................ MM S/L 58-1454490 100,00 22,372. 22,372. 100,00 22,372. 158,077. (g) Depreciation deduction 686. 181,135.
Form 4562 (2003) Page 2 Part V Listed Property (Include automobiles, certain other vehicles, cellular telephones, certain computers, and property used for entertainment, recreation, or amusement.) ote: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 24a, 24b, columns (a) through (c) of Section A, all of Section B, and Section C if applicable. Section A ' Depreciation and Other Information (Caution: See instructions for limits for passenger automobiles.) 24a Do you have evidence to support the business/investment use claimed?........... Yes o 24b If 'Yes,' is the evidence written?....... Yes o (a) (b) (c) (d) (e) (f) (g) (h) (i) Business/ Date placed investment Cost or Basis for depreciation Recovery Method/ Depreciation in service use other basis (business/investment period Convention deduction use only) percentage Type of property (list vehicles first) CHAMBLEE FECE COMPAY, IC. 58-1454490 25 Special depreciation allowance for qualified listed property placed in service during the tax year and used more than 50% in a qualified business use (see instructions)................................. 25 26 Property used more than 50% in a qualified business use (see instructions): TRASPORTATI 1/01/98 100 11,904. 11,904. 5.0 200DB HY 686. Elected section 179 cost 27 Property used 50% or less in a qualified business use (see instructions): 28 Add amounts in column (h), lines 25 through 27. Enter here and on line 21, page 1.................. 28 29 Add amounts in column (i), line 26. Enter here and on line 7, page 1............................................... 29 Section B ' Information on Use of Vehicles Complete this section for vehicles used by a sole proprietor, partner, or other 'more than 5% owner,' or related person. If you provided vehicles to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles. 30 Total business/investment miles driven during the year (do not include commuting miles ' see instructions).................. 31 Total commuting miles driven during the year......... 32 Total other personal (noncommuting) miles driven.............................. 33 Total miles driven during the year. Add lines 30 through 32........................ 34 Was the vehicle available for personal use during off-duty hours?..................... 35 Was the vehicle used primarily by a more than 5% owner or related person?.......... 36 Is another vehicle available for personal use?............................ (a) (b) (c) (d) (e) (f) Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Vehicle 5 Vehicle 6 Yes o Yes o Yes o Yes o Yes o Yes o Section C ' Questions for Employers Who Provide Vehicles for Use by Their Employees Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who are not more than 5% owners or related persons (see instructions). 37 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by your employees?.............................................................................................. 38 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your employees? See instructions for vehicles used by corporate officers, directors, or 1% or more owners.................... 39 Do you treat all use of vehicles by employees as personal use?....................................................... 40 Do you provide more than five vehicles to your employees, obtain information from your employees about the use of the vehicles, and retain the information received?....................................................................... 41 Do you meet the requirements concerning qualified automobile demonstration use? (see instructions).................... ote: If your answer to 37, 38, 39, 40, or 41 is 'Yes,' do not complete Section B for the covered vehicles. Part VI Amortization (a) (b) (c) (d) (e) (f) Description of costs Date amortization Amortizable Code begins amount section 42 Amortization of costs that begins during your 2003 tax year (see instructions): Amortization period or percentage 686. Yes Amortization for this year o 43 Amortization of costs that began before your 2003 tax year.............................................. 43 44 Total. Add amounts in column (f). See instructions for where to report.................................... 44 5,00 5,00 FDIZ0812L 10/28/03 Form 4562 (2003)
Form 4626 Department of the Treasury Internal Revenue Service ame Alternative Minimum Tax ' Corporations OMB o. 1545-0175 G See separate instructions. 2003 G Attach to the corporation's tax return. 8 Exemption phase-out (if line 7 is $310,000 or more, skip lines 8a and 8b and enter -0- on line 8c): Employer identification number CHAMBLEE FECE COMPAY, IC. 58-1454490 ote: 4 Adjusted current earnings (ACE) adjustment: a ACE from line 10 of the worksheet in the instructions.......................... b Subtract line 3 from line 4a. If line 3 exceeds line 4a, enter the difference as a negative amount. See examples in the instructions............................ c Multiply line 4b by 75% (.75). Enter the result as a positive amount.............. d Enter the excess, if any, of the corporation's total increases in AMTI from prior year ACE adjustments over its total reductions in AMTI from prior year ACE adjustments (see instructions). ote: You must enter an amount on line 4d (even if line 4b is positive).................................................. e ACE adjustment. See instructions to find out if the corporation is a small corporation exempt from the AMT under section 55(e). 1 Taxable income or (loss) before net operating loss deduction............................................. 1 2 Adjustments and preferences: a Depreciation of post-1986 property..................................................................... b Amortization of certified pollution control facilities....................................................... c Amortization of mining exploration and development costs............................................... d Amortization of circulation expenditures (personal holding companies only)................................ e Adjusted gain or loss................................................................................. f Long-term contracts.................................................................................. g Merchant marine capital construction funds............................................................. h Section 833(b) deduction (Blue Cross, Blue Shield, and similar type organizations only)..................... i Tax shelter farm activities (personal service corporations only)............................................ 2 i j Passive activities (closely held corporations and personal service corporations only)........................ 2 j k Loss limitations...................................................................................... l Depletion........................................................................................... 2 l m Tax-exempt interest income from specified private activity bonds.......................................... n Intangible drilling costs............................................................................... o Other adjustments................................................................................... 3 Pre-adjustment alternative minimum taxable income (AMTI). Combine lines 1 through 2o.................... 3?If line 4b is zero or more, enter the amount from line 4c...........................................?If line 4b is less than zero, enter the smaller of line 4c or line 4d as a negative amount............... 5 Combine lines 3 and 4e. If zero or less, stop here; the corporation does not owe any AMT................... 5 6 Alternative tax net operating loss deduction (see instructions)............................................ 6 7 Alternative minimum taxable income. Subtract line 6 from line 5. If the corporation held a residual interest in a REMIC, see the instructions....................................... 7 4 a 4 b 4 c 4 d See Statement 8 167,924. 4,361. 2 a 2 b 2 c 2 d 2 e 2 f 2 g 2 h 2 k 2 m 2 n 2 o 4 e 167,611. -8,489. 8,802. 167,924. 167,924. 114,788. 53,136. asubtract $150,000 from line 7 (if completing this line for a member of a controlled group, see instructions). If zero or less, enter -0-................ bmultiply line 8a by 25% (.25)................................................ 8 a 8 b cexemption. Subtract line 8b from $40,000 (if completing this line for a member of a controlled group, see instructions). If zero or less, enter -0-........................................................ 9 Subtract line 8c from line 7. If zero or less, enter -0-..................................................... 9 10 Multiply line 9 by 20% (.20)........................................................................... 10 11 Alternative minimum tax foreign tax credit (see instructions).............................................. 11 12 Tentative minimum tax. Subtract line 11 from line 1.................................................... 12 13 Regular tax liability before all credits except the foreign tax credit and possessions tax credit................ 13 14 Alternative minimum tax. Subtract line 13 from line 12. If zero or less, enter -0-. Enter here and on Form 1120, Schedule J, line 4, or the appropriate line of the corporation's income tax return................. 14 BAA For Paperwork Reduction Act otice, see separate instructions. Form 4626 (2003) 8 c 40,00 13,136. 2,627. 2,627. 34,867. CPCA1401L 10/30/03
CHAMBLEE FECE COMPAY, IC. 58-1454490 Adjusted Current Earnings Worksheet A See ACE Worksheet Instructions (which begin on page 8). 1 Pre-adjustment AMTI. Enter the amount from line 3 of Form 4626....................................... 1 2 ACE depreciation adjustment: a AMT depreciation........................................................ 2a b ACE depreciation: (1) Post-1993 property....................... 2b(1) (2) Post-1989, pre-1994 property.............. 2b(2) (3) Pre-1990 MACRS property................ 2b(3) (4) Pre-1990 original ACRS property.......... 2b(4) (5) Property described in sections 168(f)(1) through (4)... 2b(5) (6) Other property........................... 2b(6) (7) Total ACE depreciation. Add lines 2b(1) through 2b(6) 2b(7) c ACE depreciation adjustment. Subtract line 2b(7) from line 2a.......................................... 2c 3 Inclusion in ACE of items included in earnings and profits (E&P): a Tax-exempt interest income............................................... 3a b Death benefits from life insurance contracts................................. 3b c All other distributions from life insurance contracts (including surrenders)...... 3c d Inside buildup of undistributed income in life insurance contracts.............. 3d e Other items (see Regulations sections 1.56(g) - 1(c)(6)(iii) through (ix) for a partial list)......... 3e f Total increase to ACE from inclusion in ACE of items included in E&P. Add lines 3a through 3e............ 3f 4 Disallowance of items not deductible from E&P: a Certain dividends received................................................ 4a b Dividends paid on certain preferred stock of public utilities that are deductible under section 247................................................................ c Dividends paid to an ESOP that are deductible under section 404(k)........... 4c d onpatronage dividends that are paid and deductible under section 1382(c).... 4d e Other items (see Regulations sections 1.56(g) - 1(d)(3)(i) and (ii) for a partial list)............. 4e f Total increase to ACE because of disallowance of items not deductible from E&P. Add lines 4a through 4e.. 4f 5 Other adjustments based on rules for figuring E&P: Sec. 179 22,372. 167,252. a Intangible drilling costs................................................... 5a b Circulation expenditures.................................................. 5b c Organizational expenditures............................................... 5c d LIFO inventory adjustments............................................... 5d e Installment sales......................................................... 5e f Total other E&P adjustments. Combine lines 5a through 5e............................................. 5f 6 Disallowance of loss on exchange of debt pools....................................................... 6 7 Acquisition expenses of life insurance companies for qualified foreign contracts........................... 7 8 Depletion.......................................................................................... 8 9 Basis adjustments in determining gain or loss from sale or exchange of pre-1994 property................. 9 10 Adjusted current earnings. Combine lines 1, 2c, 3f, 4f, and 5f through 9. Enter the result here and on line 4a of Form 4626........... 10 4b 189,624. 189,624. CPCL1201L 07/21/03 167,924. 167,924.
2003 Federal Statements Page 1 Client 4490 CHAMBLEE FECE COMPAY, IC. 58-1454490 8/31/04 04:57PM Statement 1 Form 1120, Line 10 Other Income DISCOUTS.......................................................................................... $ TRUCK RETAL...................................................................................... 38,555. 32,645. Total $ 71,20 Statement 2 Form 1120, Line 26 Other Deductions Amortization...................................................................................... $ 5,00 Bank Charges...................................................................................... 28,724. BOUS................................................................................................ 500,00 COLLECTIO EP................................................................................... 3,665. Dues and Subscriptions....................................................................... 3,833. Insurance.......................................................................................... 45,608. Legal and Professional....................................................................... 38,327. Meals and Entertainment...................................................................... 6,367. MISC.................................................................................................. 50 MISCELLAEOUS.................................................................................... 12,621. Office Expense................................................................................... 20,429. Postage............................................................................................. 2,691. Telephone.......................................................................................... 52,027. TOOLS................................................................................................ 163. Utilities.......................................................................................... 25,233. Total $ 745,188. Statement 3 Form 1120, Line 29a et Operating Loss Deduction Carryover Generated From Year End 12/31/00 $ 22,247. Available for Carryover to 2003..................................................... 22,247. Carryover Generated From Year End 12/31/02 $ 13,014. Available for Carryover to 2003..................................................... 13,014. Total et Operating Loss Deduction................................................... $ 35,261. Statement 4 Form 1120, Schedule A, Line 5 Other Cost of Goods Sold DIRECT COSTS...................................................................................... $ 13,638. PAYROLL EPESES................................................................................ 56,188. SUBCOTRACT....................................................................................... 1,679,917. TRASPORTATIO\DELIVERY...................................................................... 48,898. Total $ 1,798,641.