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1999 TAX RETURN
Form 11205 1'1 u.s. Income Tax Return for an S Corporat.on ~ Do not file this form unless the corporaUon has Umely filed Form 2553 to elect to be an S corporaUon. ~ See separate InstrucUons. 1999 and endln Deparlment of Ihe Treasury Internal Aevenue Service For calendar ear 1999, or tax ear b A E IIecllve oate of elecllon Use as an S corporal Ion IRS 1/01/1996 ~~~_ wise, please print E Tolal assets (see page 10) 72211 0 or type. $ F Check applicable boxes: (1) 0 Initial return (2) 0 Final return (3) 0 Change in address (4) 0 Amended return G Enter number of shareholders in the corporation at end of the tax year. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ CauUon: Include onl trade or business income and ex enses on lines 1a throu h 21. See a e 10 of the instructions for more information. 1 a Gross receipts or sales 502 , 303 b Less returns & allowances c Sal ~ 1c 2 Cost of goods sold (Schedule A, line 8). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3 Gross profit. Subtract line 2 from line 1c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 4 Net gain (loss) from Form 4797, Part II, line 18 (attach Form4797) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 5 Other income (loss) (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 6 Total Income loss. Combine lines 3 throu h 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .~ 6 7 Compensation of officers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 ~ 8 Salaries and wages (less employment credits) ............. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 E 9 Repairs and maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 ~ 10 Sad debts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 10 11 Rents.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 11 o 12 Taxes and licenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 12 E I 13 Interest............... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 13 o ~ U T 14 a Depreciation (if required. attach Form 4562). . . . . . . . . . . . . . . . . . . . . . . . . .. 14a 2 , 926 CAb Depreciation claimed on Schedule A and elsewhere on return. . . . . . . . . . . .. 14b T 6c Subtract line 14b from line 14a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 14c o A 15 Depletion (Do not deduct oil and gas depletion.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 15 ~ ~ 16 Advertising.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 16 ~ 17 Pension, profit-sharing, ele., plans. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 17 l 18 Employee benefit programs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 T 19 Other deductions (attach schedule)................................. Se.e. .Sta.ternent... ~... 19 ~ 20 Total deducUons. Add the amounts shown in the far right column for lines 7 through 19. . . . . . . . . . . . . . . . . ..~ 20 S :~' OMB No. 1545-0130 1999 59-3341310 C Employ.- Identification III.mber B Business cooe no. (see pages 28-28) PICKLES PLUS TOO, INC. 320 CLEVELAND STREET CLEARWATER, FL 33755 8/17/1995 o Date incorporateo I N C o M E T A X 21 Ordinar income loss from trade or business activities. Subtract line 20 from line 6 . . . . . . . . . . . . . . . . . . . . . . . . 22 Tax: a Excess net passive income tax (alt. schedule) . . . . . . . . . . . . . . . . . .. 22a b Tax from Schedule D (Form 1120S) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 22b A N o C Aoo lines 22a & 22b (see page 14 of the insl for aool taxes) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Payments: a 1999 estimated tax payments & amt applied from 1998 return.. 238 b Tax deposited with Form 7004 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " 23b c Credit for Federal tax paid on fuels (attach Form 4136) ..... . . . . . . . . . . . .. 23C P A d Add lines 23a through 23c. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Y 24 Estimated tax penally. Check if Form 2220 is attached . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .~ 0 M E 25 Tax due. If the total of lines 22c and 24 is larger than line 23d, enter amount owed. N See page 4 of the instructions for depository method of payment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .~ T S 26 Overpayment. If line 23d is larger than the total of lines 22c and 24, enter amount overpaid .......... . . . . . .~ 27 Enter amount of line 26 ou want: Credited to 2000 esUmated tax ~ Refunded ~ 23d 24 25 26 27 23,417 3 502,303 251,887 250,416 250,416 64,850 56,704 8,903 30,387 13,691 101 2,926 15,338 231 53,738 246,869 3,547 o Under penalties of perjury. I oeclare Ihatl have examineo this relurn. including accompanying schedules ano statemenls, ano to the best of my knowledge and belief. it is Irue. correcl. ano complete. Declaralion of preparer (other than taxpayer) is baseo on all informalion of which preparer has any knowledge. Please Sign Here ~ Signature of ollicer Preparer's ... signature ,. ~ Date Dale Tille Preparer's SSN or PTIN Check if sell- employed ~ 0 340-44-8442 EIN ~ 59 -2 844901 1/26/00 Firm's name (or ~Lannie J. Gregory, CPA, PA yours, II sell-employed) 2680 West Lake Road and address Palm Harbor FL For Paperwork ReducUon Act Notice, see page 1 or separate InstrucUons. Paid Preparer's Use Only ZIP code ~ 34684-3120 KFA Form 11205 (1999) Form 1120S(1999) PICKLES PLUS TOO 59-3341310 .. .. Cost of Goods Sold see a e 15 of the Instructions 1 Inventory at beginning of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Purchases................................................................................. . . 3 Cost of labor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Additional section 263A costs (attach schedule). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Other costs (attach schedule)......................................... .S.ee. Stat.ement....2.. 6 Total. Add lines 1 through 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Inventory at end of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Cost or goods sold. Subtract line 7 from line 6. Enter here and on page 1, line 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9a Check all methods used for valuing closing inventory: (i) 0 Cost as described in Regulations section 1.471-3 (ii) 0 Lower of cost or market as described in Regulations section 1.471-4 (iii) 0 Other (specify method used and attach explanation) ~ 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). . . . . . . . . . . . . . . . . . . . . . . . . . . . d :~~~~~~~~n~~~~~~ ;,~t~o~I;~~.~S~~.f.~.t~i~.~.y~~,.~~~ ~~~~~~~~.(~ ~~~~~~~ ~~~I.O.S~~~.............,.. ~I e Do the rules of section 263A (for properly produced or acquired for resale) apply to the corporation? . . . . . . . . . . . . . . . . . . . . . . . . . . r Was there any change in determining quantities, cost, or valuations between opening and closing inventory? . . . . . . . . . . . . . . . . . . . . If "Yes," attach explanation. :~ijljEt Other Information I I Page 2 1 2 3 4 5 6 7 8 250,783 1,104 251,887 251,887 ~D ~D DYes DYes L o No o No 1 Check method of accounting: (a) ~ Cash (b) 0 Accrual (c) 0 Other (specify) ~ 2 Refer to the list on page 26 through 28 of the instructions and state the corporation's principal: (a) Business activity ~ RESTAURANT (b) Product or service ~ FOOD & BEVERAGES 3 Did the corporation at the end of the tax year 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, address, and employer identification number and (b) percentage owned. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X 4 Was the corporation a member of a controlled group subject to the provisions of section 1561?.................................... X 5 At any time during calendar year 1999, did the corporation have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)? (See page 15 of the instructions for exceptions and filing requirements for Form TO F 90-22.1.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X If "Yes," enter the name of the foreign country ~ 6 During the tax year, did the corporation receive a distribution from, or was it the grantor of, or transferor to, a foreign trust? If "Yes," the corporation may have to file Form 3520. See page 15 of the instructions. . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Check this box if the corporation has filed or is required to file Form 8264, Application for Registration of a Tax Shelter ... . . . . . . . . . . . ~ 0 8 Check this box if the corporation issued publicly offered debt instruments with original issue discount. . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ 0 If so, the corporation may have to file Form 8281, Information Return for Publicly Offered Original Issue Discount Instruments. 9 If the corporation: (a) filed its election to be an S corporation after 1986, (b) was a C corporation before it elected to be an S corporation or the corporation acquired an asset with a basis determined by reference to its basis (or the basis of any other properly) in the hands of a C corporation, and (c) has net unrealized built-in gain (defined in section 1374(d)(1)) in excess of the net recognized built-in gain from prior years, enter the net unrealized built-in gain reduced by net recognized built-in gain from prior years (see page 15 of the instructions). . . . . . . . . . ~ $ 10 Check this box if the corporation had accumulated earnings and profits at the close of the tax year see a e 16 of the instructions ................................................................................. ~ 0 Form 11205 (1999) Form 1120S(1999) PICKLES PLm, !rOO INC. 59-3341310 ::$ched.tl'iK( Shareholders' Shares of Income Credits Deductions, etc. II Pro rata share items 1 Ordinary income (loss) from trade or business activities (page l,lIne 21) . . . . . . . . . . .. . . . . . . . . . 2 Net income (loss) from rental real estate activities (attach Form 8825) . . . . . . . . . . . . . . . . . . . . . . . . 3 a Gross income from other rental activities. . . . . . . . . . . . . . . . .. 3IJ b Expenses from other rental activities. . . . . . . . . . . . . . . . . . . .. 3b c Net income (loss) from other rental activities. Subtract line 3b from line 3a . . . . . . . . . . . . . . . . . . . . 4 Portfolio income (loss): a Interest income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Ordinary dividends. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Royalty income ................................................................. d Net short-term capital gain (loss) (attach Schedule D (Form 1120S)) ........................ e Net long-term capital gain (loss) (attach Schedule 0 (Form 1120S)): (1) 28% rate gain (loss) ~ (2) Total for year ~ r Other portfolio income (loss) (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Net section 1231 gain (loss) (other than due to casualty or theft) (attach Form 4797) ...... . . . . . . 6 Other income (loss) (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Charitable contributions (attach schedule). . . . . . . . . . . . . . . . . . . See. .S.tatement. . . 3. 8 Section 179 expense deduction (attach Form 4562) ..................................... 9 Deductions related to portfolio income (loss) (itemize). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Other deductions (attach schedule). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 a Interest expense on investment debts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b (1) Investment income included on lines 4a, 4b, 4c, and 4f above. . . . . . . . . . . . . . . . . . . . . . . . . . (2) Investment expenses included on line 9 above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 a Credit for alcohol used as a fuel (attach Form 6478) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Low-income housing credit: (1) From partnerships to which section 42U)(5) applies for property placed in service before 1990. . (2) Other than on line 12b(1) for property placed in service before 1990...................... (3) From partnerships to which section 42U)(5) applies for property placed in service after 1989 . . . (4) Other than on line 12b(3) for property placed in service after 1989 . . . . . . . . . . . . . . . . . . . . . . . c Qualified rehabilitation expenditures related to rental real estate activities (attach Form 3468). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Credits (other than credits shown on lines 12b and 12c) related to rental real estate activities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e Credits related to other rental activities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Other credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 a Depreciation adjustment on property placed in service after 1986. . . . . . . . . . . . . . . . . . . . . . . . . . . b Adjusted gain or loss. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Depletion (other than oil and gas) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d (1) Gross income from oil, gas, or geothermal properties ................................. (2) Deductions allocable to oil, gas, or geothermal properties. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e Other adjustments and tax preference items (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 a Type of income ~ b Name of foreign country or U.S. possession ~ c Total gross income from sources outside the United States (attach schedule). . . . . . . . . . . . . . . . . . d Total applicable deductions and losses (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e Total foreign taxes (check one): ~ 0 Paid 0 Accrued. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . r Reduction in taxes available for credit (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . g Other foreign tax information (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Section 59(e)(2) expenditures: a Type ~ b Amount..................................................................... ~ 17 Tax-exempt interest income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Other tax-exempt income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Nondeductible expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Total property distributions (including cash) other than dividends reported on line 22 below. . . . . . . 21 Other items and amounts required to be reported separately to shareholders (attach schedule). 22 Total dividend distributions paid from accumulated earnings and profits. , . . . . . . . . . . . . . . . . . . . . 23 Income (loss). (Required only if Schedule M-1 must be completed.) Combine lines 1 through 6 in column b. From the result, subtract the sum of lines 7 lhrou h 11 a, 15e, and 16b .....,..... NMN VET ENR STS T T ~ P JAR UNE. SoFT T EE MTRM EAES NXN T C S E F o T R A E X I E G S N I I N C o M E L o S S o T EI DO UN CS C R E o I T S o T H E R _.:~. Page 3 1 2 b Total amount 3,547 ;rr~fmrmt :r~~~~;~~~~~jt~j~~~~~~ ::::::::::::::::::::::::::: 3C 11 4e(2) 4r 5 6 7 8 9 10 lla 11 b(l) 11 b(2) 12a 215 11 12d 12e 13 14a 14b 14C 14d(1) 14d(2) 14e 702 15c 15d 15e 15r 15g ..... ,.. 16b 17 18 19 20 50 Form 11205 (199S- PICKLES PLu.., TOO Balance Sheets er Books Assets 1 Cash...................................... 28 Trade notes and accounts receivable. . . . . . . . . . . . . b Less allowance for bad debts. . . . . . . . . . . . . . . . . . . 3 Inventories................................. 4 U.S. Government obligations ... . . . . . . . . . . . . . . . . 5 Tax-exempt securities. . . . . . . . . . . . . . . . . . . . . . . . . 6 Other current assets (attach schedule) . . St. . . .4. . 7 Loans to shareholders ........................ 8 Mortgage and real estate loans. . . . . . . . . . . . . . . . . . 9 Other investments (attach schedule). . . . . . . . . . . . . . lOa Buildings and other depreciable assets. . . . . . . . . . . . b Less accumulated depreciation. . . . . . . . . . . . . . . . . . 11 a Depletable assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Less accumulated depletion. . . . . . . . . . . . . . . . . . . . 12 Land (net of any amortization) .............. . . .. :. .i. 138 Intangible assets (amortizable only) . . . . . . . . . . . . . . b Less accumulated amortization. . . . . . . . . . . . . . . . . . 14 Other assets (attach schedule) . . . . . . . . St. . . .5. . 15 Total assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L1ablllUes and Shareholders' Equity 16 Accounts payable. . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Mortgages, notes, bonds payable in less than 1 year . 18 Other current liabilities (attach schedule) St....6.. 19 Loans from shareholders. . . . . . . . . . . . . . . . . . . . . . 20 Mortgages, notes, bonds payable in 1 year or more. . 21 Other liabilities (attach schedule) ...... St. . . .7. . 22 Capital stock. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Additional paid-in capital . . . . . . . . . . . . . . . . . . . . . . 24 Retained earnings. . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Adjustment to shareholders' equity. . . . . . . . . . . . . . . 26 Less cost of treasury stock . . . . . . . . . . . . . . . . . . . . . 27 Total liabilities and shareholders' e ui ........... 24 553 Reconciliation of Income (Loss) per Books With Income (Loss) per Return (You are not required to complete this schedule if the total assets on line 15, column (d), of Schedule L are less than $25,000.) Net income (loss) per books. . . . . . . . . . . . . . . . . . . . . INC. Page 4 ~?ft1~/tit~tf~t~j~f~t~~~mt~~~~trf:ttf~ 1,701 900 3,627 20,000 5,391 1 1,000 -7,502 23,417 2 Income included on Schedule K, lines 1 through 6, not recorded on books this year (itemize): 5 Income recorded on books this year not included on Schedule K, lines 1 through 6 (itemize): a Tax-exempt interest $ 3 Expenses recorded on books this year not included on Schedule K, lines 1 through 11a, 15e, and 16b (itemize): a Depreciation $ b Travel and entertainment $ 6 Deductions included on Schedule K, lines 1 through 11a, 15e, and 16b, not charged against book income this year (itemize): 8 Depreciation $ 7 Add lines 5 and 6 . . . . . . . . . . . . . . . . . . . . h 3. . . . . . . . . . . . . . . . . . . . . . . . . . 8 Income (loss){Schedule K. line 23). Line 41ess line 7. Analysis of Accumulated Adjustments Account, Other Adjustments Account, and Shareholders' Undistributed Taxable Income Previously Taxed (see page 24 of the instructions) (a) Accumulated adjustments account (b) Other adjustments account (c) Shareholoers' undistributed taxable Income previously taxed 1 Balance at beginning of tax year. . . . . . . . . . . . . . . . . . 2 Ordinary income from page 1, line 21. . . . . . . . . . . . . . 3 Other additions. . . . . See. .S.tatement. . . a 4 Loss from page 1, line 21 . . . . . . . . . . . . . . . . . . . . . . . 5 Other reductions. . . . See. .S.tatement. . . 9. 6 Combine lines 1 through 5 . . . . . . . . . . . . . . . . . . . . . . 7 Distributions other than dividend distributions . . . . . . . 8 Balance at eno of lax year. Subtract line 7 from line 8 ........ -10,795 3,547 11 )... 265) -7,502 -7,502 Form 1 1205 (1 999' Form 4562 Ipepreciation and Amortizai.J, (Including Information on Listed Property) OM B No. 1545-0172 1999 Department of the Treasury Internal Aevenue Service (1111) Name(s) shown on return ~ See separate InstrucUons. ~ Attach this form to your return. Attachment Sequence No. 67 Ident/fyklg .....b.. 59-3341310 PICKLES PLUS TOO, INC. Business or activity to which this form relates Form 1120S jjt:'P.dil\:j: ElecUon To Expense Certain Tangible Pro erty SecUon 179) (Note: If you have any "listed property,' complete Part V before you complete Part!.) 1 Maximum dollar limitation. If an enterprise zone business, see page 2 of the instructions . . . . . . . . . . . . . . . . . . . . . . . . 1 $19 , 00 0 2 Total cost of section 179 property placed in service. See page 2 of the instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3 Threshold cost of section 179 property before reduction in limitation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 $ 200 , 000 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 page 2 of the instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 6 (a) Description of properly (b) Cost (business use only) (c) Elected cost 7 Listed properly. Enter amount from line 27. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 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 1998. See page 2 of the instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 10 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instructions). . . . . . 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 2000. Add lines 9 and 10, less line 12 .............~ 13 Note: Do not use Part II or Part III below for listed properly (automobiles, certain other vehicles, cellular telephones, certain computers, or property used for entertainment, recreation, or amusement). Instead, use Part V for listed property. ~iPidnl MACR5 OepreclaUon For Assets Placed In Service ONLY During Your 1999 Tax Year (Do Not Include Listed Property.) SecUon A - General Asset Account Election 14 If you are making the election under section 168(i)(4) to group any assets placed in service during the tax year into one or more general asset accounts, check this box. See page 3 of the instructions. . . . . '.' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SecUon B - General OepreclaUon System (GDS) (See page 3 of the instructions.) (b) Month ano (c) Basis for oepreciation year placed in (bUslnessllnvestment use service only - see ins true lions) ~ 0 15a b 3-year properly 5-year properly c 7-year property d 10-year properly e 15-year roperly r 20-year property g 25-year properly (d) Aecovery perloo (e) Convention (I) Methoo (g) Depreciation deduclion (a) Classification of property 11,491 5 HY 200DB 2,299 Nonresidential real properly S L MM S/L MM S L MM S L MM S L SecUon C - AlternaUve De reclatlon System (ADS): (See page 5 of the instructions.) S L S/L S L h Residential rental property 16a b 12 rs 40 rs MM reciation (Do Not Include Listed Properly.) (See page 5 of the instructions.) GDS and ADS deductions for assets placed in service in tax years beginning before 1999 . . . . . . . . . . . . . . . . . . . . . Property subject to section 168(f)(1) election. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 18 19 627 Summa (See a e 6 of the instructions.) Listed properly. Enter amount from line 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 20 21 Total. Add deductions on line 12, lines 15 and 16 in column (g), and lines 17 through 20. Enter here and on the appropriate lines of your return. Partnerships & S corporations - see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . .. 21 22 For assets shown above and placed in service during the current year, enter the portion of the basis attributable to section 263A costs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " 22 KFA For Paperwork Reduction Act NoUce, see page 9 or the Instructions. 2,926 Form 4562 (1999) 23a PICKLES PLUS TOO INC. I 59-3341310 Listed Property - Automobiles, Certain Other Vehicles, Cellular Telephones, Certain Computers, and Property Used for Entertainment, Recreation, or Amusement Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 23a, 23b, columns (a) through (c) of Section A, an of Section B, and Section C if applicable. SecUon A - De reclaUon and Other InrormaUon (CauUon: See pa e 7 of the instructions for limits for passen er automobiles. Do you have evidence to su port the business/investment use claimed? Yes No 23b If 'Yes,. is the evidence wrilten? Yes (a) (b) (c) Business/ (d) (e) (f) (II) (h) Type of property (list Date placeo In Investment Cost or Basis for oepreclallon Aecovery Methoo/ Depreclallon vehicles first) service use other basis (business/Investment perloo Convention oeduction percentage use only) Page 2 No (I) Electeo secllon 179 cost 24 Prop used more than 50% in a qualified business use (See page 6 of the instructions.): 25 Properly used 50% or less in a qualified business use (See pa e 6 of the instructions.): 26 Add amounts in column (h). Enter the total here and on line 20, page 1 .................................... 26 27 Add amounts in column i. Enter the total here and on line 7, a e 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . SecUon B - InrormaUon on Use or 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 questions in Section C to see if you meet an exception to completing this section for those vehicles. 28 Total business/investment miles driven during the year (a) (b) (c) Ill) Ie) (f) (DO NOT include commuting miles-see page 1 of the Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Vehicle 5 Vehicle 6 instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Total commuting miles driven during the year. . . . . . . . . . . 30 Total other personal (noncommuting) miles driven. . . . . . . 31 Total miles driven during the year. Add lines 28 to 30. . . . . 32 Was the vehicle available for personal use during Yes No Yes No Yes No Yes No Yes No Yes No off-duly hours? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Was the vehicle used primarily by a more than 5% owner or related person? ............................... 34 Is another vehicle available for personal use? . . . . . . . . . . SecUon C - QuesUons ror Employers Who Provide Vehicles ror 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. Yes No 35 Do you maintain a wrilten policy stalementthat prohibits all personal use of vehicles, including commuting, by your employees? . . . . . . . . . . 36 Do you maintain a wrilten policy statement that prohibits personal use of vehicles, except commuting, by your employees? See page 8 of the instructions for vehicles used by corporate officers, directors, or 1 % or more owners.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Do you treat all use of vehicles by employees as personal use? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Do you meet the requirements concerning qualified automobile demonstration use? See page 8 of the instructions. . . . . . . . . . . . . . . . . . . . Note: If your answer to 35, 36, 37, 38 or 39 is 'Yes,. you need not complete Section B for the covered vehicles. ejrtMf Amortization (a) Description of costs (b) Date amorlization begins (c) Amortizable amount 40 Amortization of costs that begins durin 41 Amortization of costs that began before 1999. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 41 42 Total. Enter here and on "Other Deductions. or .Other Ex ensesft line of our return. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 42 800 800 Form 4562 (1999) .::1,:11111111111111111111111:1111111111111111111111111l!illl:IIIIIIII.IIIIIII~I!lj~llllr~I!llllil.I~~lil'I~1~111.lili~:~II!III~i:I::::: '~ .,:.:.:.:.:.::::'::::::I:[II:I,ililflllllll:llifI1lll:Ijitlllliill:lllilllllillllltljlllill:lillll:llli..IIII.! Statement 1 Form 1120S, Line 19 Other Deductions Amortization ............................................... $ Auto and Truck Expense ..................................... Bank Charges ............................................... Credi t Card Expense ........................................ Dues and Subscriptions ..................................... Insurance ................................................... J an i tor i a 1 ................................................. Laundry and Cleaning ....................................... Legal and Professional ..................................... Meals and Entertainment Expense ....................... ..... Miscellaneous .............................................. Of f i ce Expense ............................................. Pos tage .................................................... Pr in t ing ................................................... Su pp 1 i e s ................................................... Telephone .................................................. Uniforms ................................................... Ut i 1 i tie s .................................................. Total $ Statement 2 Form 1120S, Schedule A, Line 5 Other Costs De 1 i ve ry ................................................... $ Total $ Statement 3 Form 11205, Schedule K, Line 7 Charitable Contributions Calvary Baptist Church ..................................... $ Christian Life Church ...................................... Suncoast Hospital .......................................... Total $ Statement 4 Form 1120S, Schedule L, Line 6 Other Current Assets Beginning Advances to Employees .......................... $ Notes Receivable ............................... Total $ o $ 996 996 $ : am 800 37 871 2,910 324 5,175 1,678 489 3,138 50 1,613 3,744 86 885 4,345 2,386 2,799 22,408 53,738 1,104 1,104 48 17 150 215 Ending 205 1,496 1,701 .I~ Statement 5 Form 1120S, Schedule L, Line 14 Other Assets Beginning Ending Security Deposits .............................. $ Total $ 121 $ 121 $ 121 121 Statement 6 Form 1120S, Schedule L, Line 18 Other Current Liabilities Beginning Ending Payroll Taxes .................................. $ Sales Tax ...................................... Total $ 1,695 $ 1,361 3,056 $ 2,263 1,364 3,627 Statement 7 Form 1120S, Schedule L, Line 21 Other Liabilities Beginning Ending Rounding ....................................... $ Total $ o $ o $ 1 1 Statement 8 Form 1120S, Schedule M-2, Line 3 Other Additions In t ere s tIn come ............................................ $ Total $ 11 11 Statement 9 Form 11205, Schedule M-2, Line 5 Other Reductions Contributions .............................................. $ Disallowed Meals and Entertainment ......................... Total $ 215 50 265 .............................. ........ -.................... 1'2l3119s':: ... .. .. ... .... . . ... .. ...... .. ................. ........................ . ......................... .. ......................... ...... .............. ........ .... ................... . . . . . . . . . . . . . . . . . . . ................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................... ................. . ............... ............................. . ~..::,.:) .. .... H No Description Form 112DS Amortization 5 Start Up Costs Total Amortization Furniture and Fixtures 7 Furniture & Fixtures Total Furniture and Fixtures Machinery and Equipment 1 EquiJXllef1t 2 Cash Register 3 Televisions 4 Equipment 6 Equipment 8 Equipment 9 Equipment Total Machinery and Equipment ..............-...................... ..................................... .................. ................... ................... ................ ........ .. ...................... Date Date Acquired Sold 4/01/98 2/01199 1/01/98 4/20198 5/27/98 7117/98 1/01/99 4/15/99 10/04/99 ............... ... ............. .. ......-....... ... .. .............. .... ............... ..... .............. ......... ............. ............ ........................ .. ........... .. ........ ............... .... ..... ... ....... ....... ..... .:.::.:.!!::::I!III:.llli~I~I..I.:.glll""If:II::IE~~~ll~I ......./::::::...... )::':,:'::':I::::):::::~~C.KII':'III::lg~~:::'N~~!:... .......... .._n..._..... . ....- .-.......... ..,.,............ .....,............ ...,............. ................ . ...,............. .........-....... .........-....... .................. .....-........... ......_-.......... ................. .. ... ... ......... . ... ..... ........ . ............-....................................... ......................... . ....-..................... .. . . . . . . . . . . . . . . . . . . . . . . . . .....-....................'......................... Cur Prior Prior Costl Bus. 179 179 Dec Bal Basis Salvage Depr Basis Pct. Bonus Bonus Depr Reductn Value Basis --- 248 502 728 481 10,000 598 234 12,791 4,000 4,000 659 659 o o o o 4,000 o 4,000 ....... ................................................. ......... ..................... ...................,.... .. .. ........ ............................................ ... ....... ... . ......... ................ ...: :::::..I::::I:::::::::I':I.::I::::)..::::::..:::.!::):..:.::::I::::I:!:::::..I:.:::.:I!:.::.......::..:::I::.::):.:::.:.I:RIB.:~..... ...... ........::::.::::::::::::::::::::::;:;.;.;=;.:::::::::::::::::::::::::::::.::::;:;:;.::::::.......:.:.:.:..:.:....:::::;:::::;:;:::::::;:;:::;:::::;:::::::::::::::r:::.:.:.,........ H:,'....::.:::)::.:.):::)::::.:::::::::::::::::::::::::::::::::,':":::):.::.::::::::::::::::::::':)'::::::::::::::::::::::::_11!~ 10:3lT am Prior Depr. Method life Rate 600 S/L 600 200DB HY o o ...... ......... ................. .......................... .............. ... ....................... .............................. ... ... ... ... ..... ... ... .. ... ... o o o o o o o o o 659 659 248 502 728 481 10,000 598 234 12,791 50 200DB HY 100 200DB HY 146 20008 HY 96 200D8 HY 200DB HY 20008 HY 200D8 HY 392 5 5 20000 5 .32000 5 .32000 5 .32000 5 .32000 5 .20000 5 .20000 5 .20000 Current Depr. - 800 800 132 132 -, 79 161 233 154 2,000 120 47 2,794 10:30 am '. .. No Description Date Date Acquired Sold Cur Prior Prior Cost! Bus 179 179 Dec Bal Basis Salvage Depr Basis Pct Bonus Bonus Depr. Reductn Value Basis -- Prior Depr. Method Life Rate Current Depr. Total Depreciation 13,450 o o o o o 13,450 392 2,926 ----------- ----------- --------- -------- ----------- ----------- ------ ------ --------- ------- -------- ----------- ----------- ----------- ----------- Grand Total Amortization 4,000 o o o o o 4,000 600 800 - Grand Total Depreciation 13,450 o o o o o 13,450 392 2,926 ----------- ----------- --------- -------- ----------- ----------- ------ ------ --------- ------- -------- ----------- ----------- ----------- ----------- - ,