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SECTION B: Name and Address or Other Establishments Operated By or Affiliated With Business or Nonprofit Organization (If None, type "None") <br />Name: <br />None Address: Type of Business or Activity: <br />SECTION C: Gross Receipts Determination for Business or Farm Operations <br />ITEM BASE PERIOD <br /> Year:2009 Year:2010 Average: <br />Gross Receipts or Gross Sales, Less Returns and Allowances <br />$103,972.00 <br />$133,959.00 <br />:118,965.50 <br />SECTION D: General Tax Information (NOT to be completed by Nonprofit Organizations) <br />Name(s) Used on Income Tax Return(s) Tax Returns Filed with Director of Internal Revenue In: <br />Teresa Arellano YEAR CITY STATE <br />Employer Identification Number(s) Shown on Tax Return(s) <br /> <br />20-4151168 <br />2009 <br />Santa Ana <br />CA <br />Principal Business Activity Type Reported on Tax Return(s) <br /> <br />Tax preparation services <br />2010 <br />Santa Ana <br />CA <br />SECTION E: Computation of Average Net Earnings or Net Revenues for Base Period <br /> <br />ITEM (com <br />lete a <br />iat <br />table) <br />ro BASE PERIOD <br />p <br />pp <br />pr <br />e I Year: 2009 Year: 2010 Average: <br />TABLE I: INDIVIDUAL OR SOLE PROPRIETOR (Relates to IRS Form 1040) <br />(1) Net Profit (or Loss) Before Taxes from IRS Form 1040 $54,028.00 $66,774.00 <br />(2) Compensation Paid to Owner, Owners Spouse and Dependents <br />(List names and amounts in Remarks) <br />(3) Net Earnings (Add lines (1) and (2) $54,026.00 $66,774.00 $60,401.00 <br />TABLE II: CORPORATION (Relates to IRS Form 1120 or 1120-S) <br />(4) Taxable Income (form 1120) or Ordinary Income (form 1120-S) <br />(5) Compensation Paid to Principal Stockholders, Their Spouses and Dependents <br />(List names and amounts in Remarks) <br />(6) Net Earnings (Add lines (4) and (5)) $0.00 $0.00 $0.00 <br />TABLE III: PARTNERSHIP (Relates to IRS Form (1065) <br />(7) Ordinary Income (or Loss) Before Taxes from IRS Form 1065 <br />(8) Compensation Paid to Principal Partners, Their Sopuses and Dependents <br />(List names and amounts in Remarks) <br />(9) Net Earnings (Add lines (7) and (6)) $0,00 $0.00 $0.00 <br />TABLE IV: NONPROFIT ORGANIZATION <br />(10) Annual Gross Revenues: <br />(11) Administrative Expenses: <br />(12) Net Revenues (Subtract line (11) from line (10) $0.00 $0.00 $0,00 <br />REMARKS: <br />Based on Santa Ana Professional Services annual net earnings they are eligible for the maximum $20,000 fixed payment in lieu of a payment for actual <br />reasonable moving and related expenses. <br />Overland Pacific & Culler. Inc. Page 2 or 2 <br />25B-13 =BC-05 (4/04)