In Re: Methyl Tertiary Butyl Ether ("MTBE") Products Liability Litigation
Filing
4213
ORDER OF DISMISSAL: After having considered the Stipulation and Request by Petrobras America Inc. for Dismissal, the Court hereby ORDERS, ADJUDGES, AND DECREES that Plaintiff Commonwealth of Puerto Rico's claims against Petrobras America Inc. are hereby DISMISSED, subject to any appeal of the July 16, 2013 Opinion and Order and/or the December 30, 2013 Opinion and Order referenced in the Stipulation as well as this Order. If the Court's July 16, 2013 Opinion and Order, December 30, 2013 Opinion and Order, and this Order are affirmed on appeal, or become final because an appeal is not filed, the dismissal of the above claims against PAI shall be with prejudice. Each side shall bear its own costs. IT IS SO ORDERED. (Signed by Judge Shira A. Scheindlin on 5/21/2015) (Attachments: # 1 Exhibit A, # 2 Exhibit B-1, # 3 Exhibit B-2, # 4 Exhibit C, # 5 Exhibit D)Filed In Associated Cases: 1:00-cv-01898-SAS-DCF, 1:07-cv-10470-SAS(ajs)
Corporation Income Tax Return
TAXABLE YEAR BEGINNING ON
_08/QL __ , _69.Q_g AND ENDINGON_jlf~_1_ _ , ~Q.02
Postal Address
10777 WESTHEIMER ROAD SUITE 1200
TX
HOUSTON
77042
Zip Coda
Check the corresponding box, If applicable
IXJ
First return
CJ
Last return
Contracts with Governmental Entitles
r!J Yes
0
No
CHANGE OF ADDRESS
Oves
0No
2003 RETURN
Ospanrsh
Delaware
E·rnall
!!I eng usn
1. Net operating income (or loss) (From Part V, line 49) ................................................................................. (1) 1------.._;:_
2. Less: Net operating lossdeduclionfrom preceding year(Subrnitdetall) ........................................................ (l!J 1------._:~~
3. Net income (or loss) .................................................................................................................................... (3)
4.
5.
6.
7.
Less: Dividendsorprofitsreceived from domestlccorporationsorpartnerships ..........................................
Net income subject to normal tax (Subtract line 4 from line 3) .....................................................................
Less: Surtax net income credit ......................................................................................................................
Net income subject to surtax (Subtract line 6 from Hne 5) ..............................................................:............
8. Normal tax (Multiply line 5 by 20%) ...............................................................................................................
(4)
1--------=--f
(5) 1---------=
4
(6) 1--------.:::..
(7)
(8)1--------=-~
9. Surtax (See Instructions)............................................................................................................................... (9) 1--------=-~
10. Amount of recapture (See instructions) ......................................................................................................... ( 1 0 ) 1 - - - - - - - - = 11. Total Tax (Add lines 8 through 10) ................................................................................................................ (11) 1 - - - - - - - = - 1
12. Alternative Tax-Capital Gains (ScheduleD Corporation and Par inttrship, Pari VII, lin6 46) .......................... {12) 1-------._;;-1'
13. Tax Determined (Line 11 or 12, whichever is smaller) ................................................................................... (13) 1-------.:::..f
14. Recapture ofinvestmentcreditclalmedinexcess (Schedule BCorporation and Partnership, Part l,lfne3) (14J 1---------..::~:q
15. Tax credits (Schedule B Corporation and Partnership, Part II, line 17) .......................................................... (15) 1------...::..:11¥:1
16. Tax liability before alternative minimum tax (Subtract line 15 from the sum of llnes 13 and 14) ............ (16) 1------._;;--lilt.l.l
17. Alternative minimum tax(ScheduleA Corporation and Partnership, PartV, 1ine32) ....................................... (17) 1------~:_j;
18. Branch profits tax (Form AS 2879, line 11) ................................................................................................... (18) 1-------=-!ffill
19. Total Tax Liability (Add lines 16 through 18) ................................................................................................. (19)1------..::..
20. Addition to the Tax for Failure to Pay Estimated Tax(Schedule T Corporation and Partnership,
Part Ill, line 45) .............................................................................................................................................. (20)~-o-----~~
Less: OtherPaymentsandWithholdings (Schedule B Corporation and Partnership, Part Ill, line 7) .......... (21) 1--------=~~
Balance oftax due (lfthesum of lines 19 and 20 is larger than llne 21, enter the difference
..-------'---...,....,
otherwise,online24)
a) Tax ..........................................................................---·r--------::-i
b) Interest .....................................................................-- '1------~
c) Surcharges ............................................................. ·---....._ _ _ _ _ __
d) Total (Add lines 22(a) through 22(c)) ..............................................;...........
Amount paid with this return ......................................................................................................................
Amount overpaid (If the sum oflfnes 19 and 20 is smaller than line 21, distribute the difference between
lineA orB):
A. To be credited to estimated lax for 2003 ..................................................................................... (24A) 1 - - - - - - - - - F . ! i ' ; r
B. To be refunded ...........................................................................................................................
Computer Expert Group
EXHIBIT B
1 . Net sales .................................................................................................................... ..........
Less: Cost of goods sold or direct costs of production
2. Inventory at the beginning of the year 0 "C"
O·c• or "MV"
(a) Materials .............................................................................. (2a)
(b) Goods in process ................................................................. (2b)l----~fW!.if
(c) Finished goods or merchandise ............................................... (2c)
3. Purchase of materials or merchandise ............................................... (3) t - - - - - - 7 f f l m l
· 4. Direct wages ....................................................................................
(4)
1------::+.
5. Other direct costs (Detail In Part VI) ........................................................ (5) 1------i:l'
6. Total cost of goods available for sale (Add lines 2 thro,llilh 5).............. (6) 1 - - - - - - - 1 '
7. Less: Inventory at the end of the year
U "c" or "MY"
(a) Materials ............................................ (7a) 1 - - - - - - : - £
(b) Goods in process ..................................(7b) 1------~fiml
(c) Finished goods ormerchandlse .......... (7c) .':ii:~~'j:;"k:;ji;;';-:::';;;:;:;:;n::;::1\---'='-----..:..
8. Gross profllon sales or production (Subtractthe result of line61ess line 7,
).................................. ...... (8)
9. Net capital gain (ScheduleD Corporation and Partnership, PartVI,IIne30) ....................................................... (9)1-------"10. Net gain (orloss)from thesaleofpropertyotherthan capital assets (ScheduleD Corp. andPart.,PartVll~ line47) .......... (10)
11. Rent .................................................................................................................................................................. (11)1------"-+~
12. Interest ............................................................................................................................................................. (12)
13. Commissions ................................................................................................................................................... (13) 1-----"""+!ml
14. Dividends from corporations and profits from partnerships; (a) Domeslic _____q_ (b) Forelgn ______Q. (14)
15. Distributable share on netlncomefrom special partnerships (ScheduleR, Part! I, lineS) ...................,................. (15) f------...,.-!'!mi
16. Distributable share on netlosses from special partnerships (ScheduleR, Part II, line 13) ................................... (16) 1-----~
17. Taxable farming profit (ScheduleS Corporation and Partnership, Partl,line9) ................................................... (17)
18. Freight and fares .............................................................................................................................................. (18) 1-------:;.f.
19. Miscellaneous income ...................................................................................................................................... (19)1------320. Total
income
lines 8
D·c·
....................................................... (21)
22. Salaries, commissions and bonuses to employees........................................................... (22) t----~-liY.ll
23. Commissions to businesses .............................................................................................. (23)
24. Social security tax (FICA) ................................................................................................. (24) !----___;~
25. Unemployment
tax ........................................................................................................... (25) t------~iiill
26. State Insurance Fund premiums ...................................................................................... (26)
1-----""-1
27. Medical or hospitalization Insurance ................................................................................. (271 1 - - - - - - - = 28. Insurances ....................................................................................................................... (28) !------=29. Interest (See instructions).................................................................................................. (29) 1-----..!!.
30, Rent ................................................................................................................................. (30) 1-----.:::.g~
31. Propertytax:(a)Personal________
~(b)Real_
--~ ........................ (31)1------=32. Other taxes, patents and licenses (See instructions) ......................................................... (32) f - - - - - - - > < 33. Losses from fire, stonm, other casualties or theft ................................................................ (33) 1-----~*1
34. Motor vehicle expenses .................................................................................................... !34) t------"--i'-"il
35. Meal and entertainment expenses (Totai _____________Q.) (See instructions) (35) 1------=-r.;;m
36. Travel expenses ............................................................................................................... (36) f--,.-----~!;;;1
37. Professional services ...............................................................:........................................ (37) 1 - - - - - . . . : : .
38. Contributions to pension or other qualified plans (See Instructions)................................... (38) 1-----...::.
39. Flexible depreciation (See instructions. Submit Schedule E) ............................................ (39) 1------_::..
40. Accelerated depreciation (See instructions. Submit Schedule E) ...................................... (40) 1 - - - - - - . . . : .
41. Current depreciation and amortization (See instructions. Submit Schedule E) .................. (41)
t------~*1
42. Bad debts (See instructions) .............................................................................................. (42) t------...:.r.i%1
43. Charitable contributions (See instructions) ....................................................................... (43) 1-----~*1
44. Repairs (See Instructions)................................................................................................. (44) 1------=t.r.ill
45. Deduction for employers who employ handicapped persons (See instructions)............... (45) 1-----~t@
46. Contributions to educational contribution accounts for the employees' beneficiaries...... (46) 1-----....:.f.;m
47. Other deductions (See instructions) ................................................................................. (47)
~------~~r---------~~
48. Total deductions (Add Jines 21 through 47) ..........................................................................................................
49. Net
income (or
for the year (Subtract line 48 from line
os.02
dule A Corpor"""'''"'...'
and Partnership
200~-
ALTERNATIVEMINIMUMTAX
Taxable year beginning on_ 08/07_, ~~and ending on ,_ _
12131
Taxpayer's Name
_, ~,9~~
Employer's ldentifi cation Number
76·0235183
PETROBRAS AMERICA, INC.
~~~~~~~~~~~~~
1. Net income subject to normal tax excluding net operating loss from preceding years
2. Adjustments: a. Flexible depreciation ............................................................--·~-----...::..
b. Installment sales .................................................................--·f------'c. Long -term contracts ...........................................................--·~-----'""'+
d. Expenses related with exempt Interest ...................................
e. Accelerated depreciation .................................................... .
f. Total adjustments (Add llnes 2(a) through 2(e)) ....................................................... ·-··t------'-*'"'-1
3. Alternative minimum net Income before the adjustments of Part II and the operating loss (Add lines
1 and 2(f)) ........................................................................................................................
·•Partll
4. Netlncome(orloss) per books ..............................................................................
5. Goodwill amortization expense .............................................................................
6. Income tax expense per books .............................................................................
7. Add lines 4,5 and 6 ..............................................................................................
B. Exempt Interest income net of related expenses .................................................. ..
9. Dividends and profit distributions received from domestic corporations or
partnerships, orfrom industrial or tourism development Income .................... .
10. Industrial development income, exempt tourism development income or bona fide
agricultural business Income .........................................................................
11. Income (or loss) recog nlzed under the equity method .......................................... ..
12. Reserveforcatastrophiclosses ...........................................................................
13. Addlines8through 12.................................................................................................................... ,••,~------"14. Subtract line 13from line 7 ........................................................................................................... ..
15. Subtract line 3from line 14.1fllne31s larger than line 14, enterzero ................................................... , ..,~-----....::...t*WI
16. Adjustment for the excess of the adjusted net Income per books over the alternative minimum net
income ofUne 3 (Multiply line 15 by 50%) ................................................................................................
17. Alternative minimum net Income before the net operating loss (Add lines 3 and 16) ....................... .
18. Net operating loss to detam1ine the alternative minimum t::x (See instructions) ................................... ''"'l-------=19. Subtract line 18 from line 17 (Enter here the difference, but not less than 10% of line 17) ................. ( 1 9 ) 1 - - - - - - = 20. Exemptamount(See instructions) .................................................................................................. I2Dlf----=;.;;..:;,..
21. Alternative minimum net income (Subtract line 20 from line 19) ......................................................... .
22.
23.
24.
25.
26.
Tentative minimum tax (Multiply line 21 by 22%) ............................................... .
Alternative minimum net income before net operating loss deduction (Llne 17) • ,,.,1-----..::..rl!l!tll
AIIO'Nable exempt amount without considering the net operating loss (See instructions).
Subtract line 24 from line 23 ............................................................................ ,,.,f-----...:..sa
Multiply line 25 by 22% .................................................................................. ''""------=l-------~=1
27. Multiply line 26 by 10% ........................................................................:....................................... ..
28. Credit limitation (Subtract llne 27 from line 22) ............................................................................... ' ' " ' t - - - - - - - t
29. Alternative nilnimum credit for foreign taxes paid (This amount cannot exceed the amount on line 28.
See instructions) .......................................................................................................................... · ........
30. Tentative minimum tax (Subtract line 29 from line 22) ...........................................,......................... '""'f-------=31. Adjusted regular tax (See Instructions) .................................................................................................. ,.,,1-----__::-f.l
32. Alternative minimum tax (Subtract line 31 from line 30. If line 31 is largerthan line 30, enter zero, otherwise,
enter the difference on Form 480.10 or 480.20, Part Ill, line 17) .......................................................
Conservation Period; Ten
years
Computer Expert Group
Form AS 2879
Rev. 12.96
Taxpayer's Name
PETROBRAS AMERICA. INC.
Foreign Corporations and Partnerships
Tax on Dividend Equivalent Amount
and Effectively Connected interest
(Branch Profits Tax)
2002
Employer Identification Number
76-0235183
NOTE TO THE TAXPAYER: This schedule applies to foreign corporations and partnerships that derived less than 80 percent of
their combined total gross Income, during the taxable year and the preceding two taxable years, from sources within Puerto Rico
or from Income treated as effectively connected with the operation of a trade or business In Puerto Rico (see instructions). If the
corporation or partnership derived 80 percent or more of its combined total gross income as described here, do not complete this
schedule.
1.Enter regular income before any.net operating Joss deduction (Income Tax Return Forms 480.1, 480.10,
480.2; 480.20, Part I, line 1 or Forms 480.3(11) and 480.30(11), Schedule P, line 17) ............................. (1)
0 00
t-------+--1
2.Additions:
a) Enter excess of flexible depreciation over straightwline depreciation .••••••••.•.••••• (2a>t------o+-oo-l
b) Exempt interest income under Section 1022(b)(4) of the Puerto Rico Internal
Revenue Code of 1994, as amended (Code), net of related expenses............... (2b)l-----o+-oo-l
c) Other addtitions (See Section 1119 of the Code):
(2 _ _ _ _
c)._
o..~.-oo-l
3.Total additions. (Add lines 2(a) through 2(c)) ...................................................................................... (3>t-----o-+o_o-i
4. Deductions:
00
a) Taxes paid (Enter the sum of normal tax, surtax, and alternative minimum tax). ( 4 a ) t - - - - - 0-f--l
b) Previous year Branch Profits Tax .................................................................... (4b)l------o+-oo_,
c) Enter interest deduction attributable to interest derived from exempt obligations
0 00
(Applicable to financial institutions only. See Instructions)................................. (4c) .
d) Meals and entertainment (Non-deductible) ..................................................... (4d)
o oo
e) Penalties ...................................................................................................... (4e)
0 00
f) Other deductions (See Section 1119 of the Code) ............................................ ct)
o oo
4
5. Total_deductions (Add lines 4(a) through 4(f)) ........................~ .........................................:................. (5)
·
0 00
6. Effectively connected earnings and profits (Subtract line 5 from the sum of lines 1 and 3) ................. (6)
0 00
7.Enter Puerto Rico net equity at the end of the current taxable year .................................................... (7)
0 00
B. Enter Puerto Rico net equity at the end of the previous taxable year .................................................. (8)
0 00
9.1ncrease/decrease In Puerto Rico net equity (Subtract line 8 from line 7. See Instructions) .................. (9)
0 00
10.Dividend equivalent amount (Subtract line 9 from line 6. See instructions) ...................................... (10)
0
00
11. Branch profits tax liability (Multiply line 10 by 10%) ........................................................................ (11)
0
00
Computer Expert Group
PETROBRAS AMERICA, INC.
ACCOUNT NO. 76-0235183
STATEMENT TO BE ATTACHED AND MADE PART OF THE
PUERTO RICO CORPORATION INCOME TAX RETURN
FOR THE YEAR ENDED DECEMBER 31, 2002
Certified Financial Statements are not made part of this Return since the
gross revenues did not exceed one million dollars for the year ended
December 31, 2002 (S.ection 1018 (c) of the Puerto Rico Internal Revenue
Code of 1994, as amended). ·
,.
.
J"odlfllo SC 2644
Form~
Rev. 01.03'
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ESTAOO LIBREASOCIADODEPUERTO RICO·COMMONWEALTH OF PUERTO RICO
Departamento de Haclenda ·Department ol the TreaSUfY
DE PRORROGAPARARENDIR LAPLANILLA OE CONTRIBUCION SOBRE INCliREioOS
Request for EJCienslon ofTlmeto File the Income Tax Reltlm
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second Last Name
Hambrtde 1~ Corporaclon,Socledad, suce;lon oFidtlCIII>Ilrr>.·Corporallon, Partnerohfp, E6tate orTrusl Name
ocupaclonlNt~~oc:lo
occupatlon/Bu~Jness
UNFINISHED CRUDE 01~ IMPORTER
Parte~ Part
II: lnfonnacion del (de los) Patrono(s) pata quien(es) Trabaja ·Information of the Employer(s)forwhom you Work
Hombre dtl Palrono- Employer's Nome
Dlrtecllm-Addrest~
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Parte ~Part Ill: lngresos • Income
1. lngreso segOn Comprobante de Relenc16n o lngreso Eatlmado ,, ............... ,,,, ,,, ••• , •• , •••• ~ ......... ..
lnctlme as per Wrthholdlng Statement or Estimated Income
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3. Total de lngreso Sl'tlto ....................................................................................... , ...... .
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Parte. Part IV: Jmporte lncluJdo con esta SoJicilud ·Amount Included with this Request
1. Balance Pendlante de Pago .... •• ••• •··· ............. , ............ • • • .. • ............... • ...... •• ••• ........... ,.
Balance of Tax Due
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3. Prepago dellmpuesto sabre ~epatriaci6n (Formulario 480.3{11}, Parte IV) .. ..
Prepayment ofTolfgateTax (Fonn 460.30(11}, Part M
(CIFRA DE tNGRESO 0242)
4, Contrlbuci6n sobre Jngresos Opcional para NegCllilos Exentos (Anejo 0 lncenlivos) {CIFRA DE INGRESO tl213)
Optional Income Tax for Exempt Businesses (Schedule 0 lncenUves)
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,Mode!oSC2544, Rev. 01.03 ·P6glna2
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Clase de contribuyente. Type of taxpayer
f""'l 1. lndividuo • Individual
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l..~.J .&. Corporac16n ·Corporation
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2. Sucesi6n ·Estate
Corpolaclon baJo el Prograrm.1 de Incentives
Contriblrtlvos de Puerto Rico· Partnemhlp under the Puerto
Rico Tax lncentfvea Program
8. Socledad • Partnership
!' .• "I 9, Socledad bajo el Programa de !nc:entivos COII1ributivos de Puerto Rico
L ....l Corporation under the Puerto Rico Tax Incentives Program
[ ] 10. Socledlld Especial· Special Partnership
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6. CorporachSn Especial ProFlledad de 'Tiabajadores. ·
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7. Corporacl6n de lndlvldu'D$ ·Subchapter N Corporation
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f ... 'i 11. Organlzacl6n Sin Fines de Lucro ·Nor"! Profit organlza1ion
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Corporation or partnershil) that has an election Under Section 936 of the Federal Internal Revenue
Code
[J 1. lndivlduo -Individual
[ ] 2. Suceslon -Estate
[ ] 3. Fldelcomlsa -Trust
-Reasons
THE FINANCIAL INFORMATION NECESSARY TO PREPARE THE RETURN WILL NOT BE AVAILABLE BEFORE APRIL 15,2003,
Juramenta· Oath
Declare bajo penalidad de perjurio, que Ia Informacion aqui suministrada ha sido examinada por mi y que segun mi major infonnaciOn ·y creencia es
cierta, coll'llcta y completa.
1hereby declare under penahy of pel'jufY, thai thls lnformallon has been examined by me and to the best of my knowledge and belief Is true, COI'Tect and complete.
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t,_,..,............- ..- ...................................::-:--.....:............._,_,,...............,_,,_.,......................................1
Firma del
entante autorizado
Signature of the duly aulhori2::et------o-t-o_o-l
b) Exempt interest income under Section 1022(b)(4) of the Puerto Rico Internal
Revenue Code of 1994, as amended (Code), net of related expenses ............... (2b)l------o-+-o_o-l
c) Other addtitions (See Section 1119 of the Code):
< c)L-.._ _ _ _
o-~....o_o-l
2
3. Total additions. (Add lines 2(a) through 2(c)) ...................................................................................... < >1----o-+o_o-l
3
4. Deductions:
a) Taxes paid (Enter the sum of normal tax, surtax, and alternative minimum tax). (4a)t---803 74
_ _ ..:..•_ _7-I-O_o-l
b) Previous year Branch Profits Tax .................................................................... (4b}1------0-+-o_o-1
c) Enter interest deduction attributable to interest derived from exempt obligations
(Applicable to financial institutions only. See instructions).. ............................... (4 c)
o oo
d) Meals and entertainment (Non-deductible) ..................................................... (4 d)
o oo
e) Penalties ...................................................................................................... (4e)
0 00
f) Other deductions (See Section 1119 of the CodeL.......................................... (4 1)
0 00
5. Total deductions (Add lines 4(a) through 4(f)) .................................................................................... (5)
803,747 00
6. Effectively connected earnings and profits (Subtract line 5 from the sum of lines 1 and 3) ................. (S)
1,257,145 00
7. Enter Puerto Rico net equity at the end of the current taxable year .................................................... (7)
0 00
B. Enter Puerto Rico net equity at the end of the previous taxable year .................................................. (B)
0 00
9.lncrease/decrease in Puerto Rico net equity (Subtract line 8 from line 7. See instructions) .................. (s)
0 00
10.Dividend equivalent amount (Subtract line 9 from line 6. See instructions) ...................................... (1o)
1,257,145 00
11. Branch profits tax liability (Multiply line 10 by 10%) ........................................................................
(11)
125,715 00
Computer Expert Group
~
PETROBRAS AMERICA, INC.
ACCOUNT NO. 76-0235183
STATEMENT TO BE ATTACHED TO AND MADE PART OF THE
PR CORPORATION INCOME TAX RETURN
FOR THE YEAR ENDED DECEMBER 31, 2003
OTHER DEDUCTIONS
PAGE 2, PART V, LINE 47
Duties
Freight
Unloading Inspection Expenses
Storage
Bond Insurance
Outsourcing Work
Real Estate Rent Fees
$340,753
259,287
115,080
1,675,003
202,500
14,737
11,277
Telecommunication Services
Copies and Reproductions
Magazines and Newspapers
Other Miscellaneous Expenses
6,675
4,351
6,486
17,927
TOTAL
$2,654,076
dl
PETROBRAS AMERICA, INC.
ACCOUNT NO. 76-0235183
STATEMENT TO BE ATTACHED TO AND MADE PART OF THE
PR CORPORATION INCOME TAX RETURN
FOR THE YEAR ENDED DECEMBER 31, 2003
An examination of the financial statements of the company by an Independent Certified
Public accountant for the year ended December 31, 2003 is presently in process. Upon
completion of the examination, the required financial statements and the Accountant's
Report thereon will be submitted.
Assets
1. Cash on hand and in banks .............. .
2. Accounts receivable..................... ..
3. Less: Reserve for bad debts ............ .
4. Notes receivable ......................... .
5. Inventories ................................ .
6. Investments ................................ .
7. Depreciable assets ....................... .
8. Less: Reserve for depreciation ......... .
9.Land ....................................... ..
10. Other assets ................................ (10)
11. Total Assets ............................... (11)
Liabilities and Stockholder's Equity
Liabilities
12. Accounts payable ......................... ( 1 2 ) f - - - - - - - l m
13. Notes payable .............................. (13) 1-----.::-~m
Accrued expenses ......................... (14)1-----~-e~
15. Other liabilities............................ (IS)f-----...;;....-+.o:>.
16. Total Liabilities .......................... (16)
Stockholder's Equity
17. Capital Stock
(a) Prefered stocks ..................... (17a)f-----.::(b) Common stocks ..................... (17b) 1------=--8. Additional paid in capital ............... (18)1-------><....-,
19. Retained earnings ......................... (19)1----_..:..~
Reserve .. . ... .. . .. . .. . . .. .. . .. . .. . . .. .. . .. . (20)
. Total stockolder's Equity ............. (21)
Total Liabilities and Stockholder's
(22)
7. Income recorded on books this year not
1. Net income (or loss) per books ........... .
included on this return (Itemize, use
2. Income tax ................................. ..
schedule if necessary)
3. Excess of capital losses over capital
(a) Exempt interest
o
gains........................................... ,-,l-------ffirn
4. Taxable income not recorded on
(b)
0
books this year (Itemize)
00
0
(d)
0
o
(a)
Total. ............................................... ..
(b)
0
8. Deductions on this tax return not charged
(c)
o
against book income this year (Itemize,
(d)
0
use schedule if necessary)
Total.. ....................................... .
(a)Depreciation
o
5. Expenses recorded on books this year
(b)
0
not claimed on this return (Itemize,
use schedule if necessary)
(c)
o
(a) Meal and entertainment (amount
(d)
0
Total ............................................... .
not claimed)
o
9. Total (Add lines 7 and 8)...................... .
(b) Depreciation
o
(c)
o
10. Net taxable income (or loss) per return
(d)
0
(Subtract line 9 from line fi) ..................... (1
Total.......................................... (5),__ _ _ __
6. Total (Add lines 1 through 5) .......... ..
(a) Cash ........................... ..
(b) Property ........................ ,__,, _ _ _ _ _ _...::.....~
1
(c) Stocks .......................... .
Other decreases (Use schedule if necessary) ...... .
. Total (Add lines 5 and 6) ............................ ..
1 - - - - - - - + ; a s . Balance at end of year (Subtract line 7 from
4. Total (Add lines 1, 2 and 3) ................ (4)
line4) ................................................... .
Period: Ten (10) years
Social security number
Name of officer
Percentage oftime
devoted to
industry or business
Percentage of stocks owned
Compensation
0
0
0
0
0
Total compensation to officers (Enter in Part V,line 21)
1. If a foreign corporation, indicate if the trade or business in
Puerto Rico was held as a branch .................................... ..
0
lfl§)Eti ~10. Did the corporation claim a. deduction for expenses connected
with:
2. If a. branch, what ~ represents the income from sources
within Puerto Rico from the total income of the corporation?
(a) Vessels? ....................... , .................................... ..
(b) Living expenses? ................................................... ..
(c) Employees attending conventions or meetings outside Puerto
Rico or the United States? ........ , .. , ............................... .
3. Is the corporation under Section 936 ofthe Federal Internal
Revenue Code? ..... , .. , .................... , .......................... .
4. Did the corporation keep any part of its records on a
computerized system during this year? .............................. ..
11. Did the corporation distribute dividends other than stock
dividends or distributions in liquidation in excess of the
corporation's current and accumulated earnings? .. . ... .. . .. . .. • .. • .. . . (I
5. The corporation's books are in care of:
Name
Address
The Corporation
10777 Westheimer Road, Suite 1200
Houston
TX
77042
6. Indicate the accounting method used for book (tax) purposes:
0
0
Cash
Other (specifY):
12. Is the corporation a partner in any special partnership? ............... .
Name ofthe special partnership
Employers identification number
13. Is the corporation n member of a controlled group? .................... (I
14. Entertlte amount of exempt interest:
0
IXJ Accrual
7. Did the corporation file the following documents?:
(a) Informative Return (Form 480.5, 480.6A, 480.6B) ..... , ..... .
(b) Withholding Statement (Form 499 R-2fW-2PR) .............. .
8. If the gross income exceeds ~ 1,000,000, are financial
statements audited by a CPA licensed in Puerto Rico included
.
15. Enter the amount corresponding to charitable contributions to
municipalities included in Part V, line 43:
16. Indicate if insurance premiums were paid by an
unauthorized insurer ........ , .............. , .......................... .
17. Employer's number assigned by the Department ofLabor and
with this return? .. • ..... · .. · .. · .. · .. • .. · .. · .. • .. • .. · .. · .. · .. · .. • .. · .. · ·
We, the undersigned, president (or vice-president, or other principal officer) and treasurer (or assistant treasurer), or agent of the corporation
for which this income tax return is made, each for himself declare under penalty of perjury, that this return (including schedules
and statements attached) has been examined by us, and to the best of our knowledge and belief, is a true, correct, and complete return, made in
good faith, pursuant to the Puerto Rico Internal Reve~amended, and the Regulations here
-
Agent
~Title ':ithe person administering oath
I declare under penalty ofperjury that this return (including schedules and statements attached) has been examined by me, and to the best of my lmowledge
and belief is a true, correc~ and complete return. The declaration ofthe person who prepares this return is with respect to the infonnation received and this
be verified
PR
Ccm1puter 1:).-prrt Group
M odtSio SC 2644
Form AS
Rev.12.03
ESTADO LIBRE ASOCIADO DE PUERTO RICO· COMMONWEALTH OF PUERTO RICO
Departamento de Hacienda· Department of the TreasU{Y
DE PRORROGA PARA RENDJR LA PLANILLA DE CONTRIBUCION SOBRE JNGRESOS
Request for Extension of Time to File the Income Tax Return
Afio comlenza el_ de _ _ _ de_ y termlna el_ de _ _ _ de_
Year beginning on
01/01
of~ and ending on ~ of
1Q93
P;arte • Part 1: Informacion del Contribuyente -Taxpayer's Information
Numero de Seguro Social
Numero de ldentificacl6n Patronal
Social Security Number
Employer's Identification Number
DOD DDDDDD
Nornbre del !nd!vlduo
Individual First Name
!n!c!al
lnlflal
Apellldo Paterno
Last Name
Ape!Jido Materna
Second Last Name
Nombre de Ia Corporacl6n, Soc!edad, SucesJ6n o Fldelcomlso •
Corporation, Partnership, Estate or Trust Name
Petrobras America Inc.
D!recci6n Postal- Poslal Address
10777 Westhelmer Road, Suite 1200
Telefono Res!denc!a
Residence Telephone
Code 77042
Telefono otlclna
Office Telephone
Ocupacl6n/Negoclo
Occupation/Business
DDDDDODDDD
Unfinished Crude Oil Importer
Parte- Part II: lnformaci6n del (de los) Patronos(s) para quien(es) Trabaj Information of the Employer(s) for whom you Work
Nombre del Patrono • Employer's Name
Direccl6n- Address
Nombre del Patrono • Employer's Name
C6dlgo Postal- Zip Code
Dlrecc!6n ·Address
1.
~umero de Jdentlficacl6n Patronal- Employer's Identification Number
DDDDCDDDD
Numero de ldentlf!cacl6n Patronal- Employer's Identification Number
C6d!go Postal - Zip Code
2.
Parte- Part Ill: Jngresos Income
DDDDCDDDD
ODD DOD DO~ @]@]
ODD ODD
fQlfQl
L:::JLJ
DOD ODD DO~ 00
1. lngreso seglln Comprobantes de Retencl6n o lngreso Estlmado ........................................................
Income as per Withholding Statement or Estimated Income
2. otros lngresos ...............................................................................................................
Other Income
DO~
3. Total de lngreso Brute ......................................................................................................
Total Gross Income
Parte- Part IV: 1m porte Jncluido con esta Solicitud Amount Included with this Request
1. Balance Pendlente de Page·· ............. •••••••••••••••••••• .......... ••• ..................................................
Balance of Tax Due
2. Contrlbuclon Adlcional Especial (Anejo N Jncentlvos) ...................................... (CIFRA DE JNGRESO 0215)
Special Surfax (Schedule N Jncenlives}
3. Prepago dellmpuesto sobre Repatrlaci6n (Formu!arlo 480.3(11), Parte IV) ................. (CIFRA DE INGRESO 0242)
Prepayment of Tollgate Ta« (Form 480.30(10, Parte IV)
4. Contribucl6n sabre lngresos Opclonal para Negocios Exentos (Anejos 0 lncentlvos) •••• (CIFRA DE INGRESO 0213)
Optional Income Tax for Exempt Business (Schedule 0 Incentive}
VEASE AL DORSO • SEE ON BACK
DDQJ ~~~ ~~~ ~~
DOD DOD DO~ 0~
DUD ODD DO~ 0~
ODD DOD DO~ 0~
Computer Expert Group
,, .
··Modele SC 2644, Rev 12.03 • Pagina 2
Solicitud de Pr6rroga Automatica- Request for Automatic Extension of Time
Clase de contribuyente • Type of taxpayer
0
D
1. lndlvlduo • Individual
0
4. Corporation • Corporation
D
0
D
0
0
2. sucessi6n - Estate
5. Corporaci6n bajo el Programa de Incentives
Contributlvos de Puerto Rico • Corporation under Ihe Puerto
Rico Tax incentives Program
0
0
D
0
s. Corporaci6n Especial Pro pled ad de Trabajadores •
Employees - OWned Special Corporation
7. Corporaci6n de lndlviduos- Subchapter N Corporation
3. Fidelcomiso - Trust
8. Sociedad - Partnership
9. socledad bajo el Programa de Incentives Contribulivos de Puerto Rico
Partnership under the Puerto Rico Tax Incentives Program
10. Socledad Especial- Special Partnership
11. Organlzacl6n Sin Fines de Lueras- Non Profit organization
12. Corporacl6n o Socledad acoglda a Ia Seccl6n 936 del C6dlgo de Rentas lnternas Federal
Corporalfon or partnership that has an eleclfon under Seclfon 936 of the federallnternal Revenue
Code
Solicitud de Pr6rroga Adicional - Request for Additional Extension of Time
Clase de contribuyente -Type of taxpayer
D
D
1. individuo -Individual
2. Sucessl6n - Estate
D
3. Fidelcomiso- Trust
Razones - Reasons
The information necessary to prepare the Income Tax Return will not be available by Apri115, 2004.
Juramenta- Oath
Declare bajo penalidad de perjurlo, que Ia informacion aqui sumfnlstrada ha sldo examlnada per mi y que segun ml mejor Informacion y creencla es
clerta, correcta y completa.
I hereby declare under penally of prejury, !hat this information has been examined by me and to lhe be
-
/ /'c cl,.·
n9
t:h r:.: a
__j)Uio·TIIIe
cy·RA
..J
Fecha -Date
Firma del representante autorlzado
Signature of the duly authorized agent
Dlreccl6n del representante autorlzado ·Address of duly authorized agent
P.O. Box 363566
Computer Expert Group
Vendor :1004466
Document :2000001426 Date: 04/15/2004
Your Reference·
Our Reference
Date
INV# 04152004 A
1900001418
04/15/2004
Gross amount
1,045,000.00
PUERTO RICO EST. TAX PMT. 2003 WITH EXTENSION
Sum. total
1;045,000.00
',
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item ~ if R~tricted Delivery is desired.
• Print your name and address on the reverse
so that we can return the card to you.
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or on the front if space permits.
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addressJ:Ii1fgtent ®m
.. enter delivery address below:
• 1. Article Addressed to·:
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~!·S~n. Juan, Puerto Rico 00902~25~--~l:jip~ur.nbor...ICaou.f.tatiLSe/Jlk;eJabSJ.
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.__ If YES, enter
1. Article Addressed t()~
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Department of the Treasury
Bureau of-Returns Processing
P. 0 •. Box 90225-!Jl
San Juan, Puerto Rico 00902-2_501~r·· ce ,ype
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Insured Mail
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from service /abeQ
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PS Form
item 17
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3811, July 1999
102595-00·M.Q952
Domestic Return Receipt
·----------- -------------···------ -~-
----------·--·- -------------------------------
·-
200_4_
200_4_
Corporation Income Tax Return
01/01
I
Employe~s
2004
Identification Number
Postal Address
10777 Weslheimer Road, Suite 1200
Houston, TX
10. Amount of recaplure (See insiructions) ................................ , ........ , ....................................... ,................ .
11. Total Tax (Add lines 8 through 10) ......................................................................................................
12. AlternatiVe Tax- Capital Gains (ScheduleD Corporation and Partnership, Part VII, line 54) .............................................
13. Tax Determined (Una 11 or 12, whichever is smaller) ...................................................................................
14. Recapture of credit claimed in excess (Schedule B Corporation and Partnership, Part I, line 3) ... . .. .... .. ... .. . ... ... .. • ••• .. • ... ... ... (l 4) 1 - - - - - - - - " - 1 " ' * 1
15. Tax credits (Schedule B Corporation and Partnership, Partll,llne24) ... ... ... ... ... ...... ... ... ...... ... ... ...... ...... ... ......... ... (15)
16. Tax liability before alternative minimum tax (Sublraclline 15 from lhe sum of lines 13 and 14) ... ... ... ... ... ... •.• ... ... ... ... ... ...
1--------=--!ai
17. Alternative minimum tax (Schedule A Corporation and Partnership, Part V, line 33) ......................................................
18. Branch profits tax (Fonn AS 2879, line 11) ........ , ..................................................................................... .
19. Tax on eligible interest (See insiructlons) .................................................................................................
20. Total Tax Liability (Add lines 16 through 19) ............................................................................................
21. Addition to theTax for Failure to Pay Estimated Tax (Schedule T Corporation and Partnership,
Part Ill, line 46) ....................... , ........................................ ,.... ...... ... ...... ... ... ... ... .. • ... ... ... ...... .. . ... ... (21) 1 - - - - - - - + . e . t
Less: other Payments and Withholdlngs (Schedule B Corporation and.Parlnership, Pari Ill, lineS) ... ...... ... ... ... ... ... ... ... ... (22)1-------'---'=t
23. Balance of tax due (If the sum of lines 20 and 21 is larger than line 22, en1er the difference here,
otheiWise, on line 25)
a) Tax ..... , ............................................................... ..
b) Interest ................................................................ ..
c) Surcharges ...............................................................
d) Total (Add lines 23(a) through 23(c)) ... ... ... ... ... ... ... ... ••• ... ... ... ... ... ... ...... ... ... ... ... ... ... (230)1--------=--fi\3
24. Amount paid with this return .............................................................................................................. (24)1------_...:~~Amount overpaid (If the sum of lines 20 and 21 is smaller than line 22, distribute the difference between
line A orB):
A To be cred~ed to estimated tax for 2005 .......................................................................... , ..... .
B. To be refunded .......................................................................................................... .
ConscrvaUon Period: Ten (101 year.~
Computer Expert Group
Corporation • Page 2
48~.20 Rev..•S.n4
76-0235183 - Petrobras America. Inc.• Puerto Rico Ooeratlons
1. Net sales .. ... ... ... ... ... ... ... ... ... ... ... ..
. ......... .:. ........................... ... G).............
{1)
241,227,163 00
Less: Cost of goods sold or direct costs of pr•. ..• lion
1----...:._...:......_1--..:f
2. Inventory at the beginning of the year
0 "C"
0 "C" or 'MV"
(a) Materials ........................................................................ (2a) 1-----_..:0~.··;::::00"'!.:
(b) Goo ds . process ... .. . ... .. . .. . .. . .. . ... .. . .. . .. . .. . .. . .. . .. . .. . ... ... ... .. . .. . (2bJ 1-----....::..#H
o .•·.a.·.O.
1n
(c) Finished goods or merchandise................................................. (2c) l---1""0~::.53::.!7.t::0~05 ,=.b0;;,;j·
4 .
3. Purchase of materials or merchandise.. .. . .. . .. . ... .. . .. . ... ... .. . .. . .. . ... ... ... .. . .. . (3) I--....!:!23:.;!41.!,;73~6~8:::.:48 •,=.'00H•
4
4. Direct wages .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . ... .. .. .. .. . .. . .. . ... .. . . .. .. . ... .. . .. . .. (4) 1-------'o:.....r'""OO"'-~·•
5. Other direct costs (Detail in Part VI)... .. . .. . .. . .. . .. . ... .. . ... .. . .. . ... . .. .. . .. . ... .. . .. (SJ t---------'0""-+•""''00~::
6. Total cost of goods available for sale (Add lines 2 througb.5}.. ... ... .. . ... ... ... ... .. . (6) t---2_45..:..,2_73..:..,8_53-+·'-"oo~··•
7. Less: Inventory at the end of the year
"C'
"C" or "MV"
·.·.:·.,
(a} Materials .. . .. . ... .. . ... ... . .. .. . .. . .. . .. . .. . ... .. . (7aJ
o • oo•. •
(b) Goods in process .. . .. . ... .. . .. . .. . .. . .. . .. . .. . .. . (7bJ
o ' 00:
(c) Finished goods or merchandise...... ... .... .. .. . (7c)
12 003 054 • oo
.•
12,003,054 W
233,270,799 do::,
8. Gross profit on sales or production (Subtract the result of line 6less line 7, from line 1) ... ... ... ... ... ... ... ... ... ... ... ... ... ... .. . ... ... ... (BJI---'7.:..:.,9..:..56;.!,;,3:..::.6..:..4+''~·Pa;;:;.•.i"-1.:
9. Net capital gain (Schedule D Corporation and Partnership, Part VI, line 30) .. . .. . .. . .. . .. . ... .. . .. . .. . .. . ... ... ... .. . .. . .. . .. . .. . ... .. . .. . ... (9)1------:.o-F:..:o..._oH::,:,
10. Net gain (or loss) from the sale of property other than capital assets (ScheduleD Corp. and Pari., Part VIII, line 55)... .. . .. . ...... .. .. .. ... .. . . (10)1-----...:..0+}:P:;:O''"'-J:'::
11. Rent ............................................................................................................................................... (11Jt----....,o-F;.o7
o""~(
12. Interest............... ... ... ... ... .. . ... ... ... ... ... ... .. . ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... .. . ... . .. ... . (12Jt----...:.o-+:;:;to:::,:O•;;,;.~:
13. Commissions..................... ... .. . ... ... ... ... .. . ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... (13Jf-____o 0::g•po:;;,.}'iJ;
4
14. Dividends from corporations and profits from partnerships: (a) Domestic
0 (b) Foreign
0
(14)1------=-0+.hD;;:.P'-':'1.\
15. Distributable share on net income from special partnerships (Schedule R, Part II, line 8) ... . .. ... ..• ... ... ... •.. ... •.. ... ... ... ... ... ... ... (15Jt----...:o+•::;-o+-}l•H:::
16. Distributable share on net losses from special partnertships (ScheduleR, Part II, line 13) ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... (16Jt----...:o-+c:=•o~o:,>
17. Taxable forming profit (ScheduleS Corporation and Partnerships, Part I, line 9) ... ... ... ... ...... ... ... ... ... ... ... ... ... ... ...... ...... .... (17Jt-_ _ _...:o+.·,:o~o·;..;.~·
18. Freight and fares ................................................................................................................................. (18Jt----....:o4!'-::0~0-"~·::·
19. Miscellaneous income........................... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... . .. ... ... ... ... ... ... ... ... ... . .. ... . .. . .. ... ... ... (19Jt-_ _ _.....,.o.,·:,:::··:,p~o.
.,:"
20. Total gross Income (Add lines 8 through 19) ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... (20)
7,956,364 :)00>
21. Compensation to officers (See instructions for Part X) .. . .. . ... .. . ... . .. ... .. . ... .. . ... .. . .. . .. . .. . ... .. . .. . .. . ... (21)
o 00 •
22. Salaries, commissions and bonuses to employees... ... ... .. . .. . ... .. . .. . .. . ... ... .. . .. . ... .. . .. . .. . ... ... ... .. . . (22)
138 004 •!XJ>
23. Commissions to businesses .. . .. . .. . . .. ... . .. .. . .. . ... ... ... .. . .. . ... .. . .. . .. . .. . .. . ... ... .. . .. . .. . .. . .. . .. . .. . .. . . (23)
o /oo::
24. Social security tax (FICA)... .. . .. . ... ... ... . .. .. .. .. .. .... .. .... ... .. . ... .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . ... . (24)
9354 :::oo::
25. Unemployment tax .. . .. . .. . .. . .. . ... .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . ... .. . ... ... .. . .. . .. . .. .. .. .. . .. . .. . .. . .. . ... .. . .. (25)
404 . :·OP:.:
26. State Insurance Fund premiums ................................................................................... (26)
325 .•bll'
27. Medical or hospitalization insurance ............................................................................... (27)
24 606 :&:
28. Insurances .. . .. . .. . .. . . .. .. . ... .. . ... .. . ... .. . .. . .. .. .. .. . ... .. . .. . ... ... .. . .. . .. . ... ... .. . .. . ... .. . .. . ... ... ... .. .. (28)
15190 ·:::ob'·:
29. Interest (See instructions) ... .. . ... ... ... ... .. . ... ... ... .. . ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... (29)
o 'jJO;
30. Rent .............................................................................
(30)
14180 ·:::p.O\
31. Property tax: (a) Personal
o
(b) Real
o ... .. . .. . .. . ... .. . .. . ... ... .. . .. . .. . ... .. . . (31)
o )QQ
32. Other taxes, patents and licenses (See instructions) .............................................................. (32l
o ·do:
> 33. Losses from fire, storm, other casualties or theft .................................................................. (33)
0 •do:
~ 34. Motor vehicle expenses... .. .. .. .. . .. . .. .. .. .. .. .. .. . .. . ... ... .... .. .. . ... ... .. . .. . ... ... .. . .. . .. . ... .. . .. . .. . .. . ... (34)
203 ·.PO'•
c.. 35. Meal and entertainment expenses (Total
2,272 ) (See instructions) ............................ (35)
1136 ::j'o.o:
36. Travel expenses ... ... .. . ... ... ... ... .. . .. . ... ... ... ... ... ... ... ... ... ... ... ... ... ... .. . ... ... ... ... ... ... ... ... ... . (36)
14 345 '.:.eo:
37. Professional services ... ...... .. . ... ... ... ... ... ... ... .. . ... ... ... ... ... ... ... ... ... ... ... .. . .. . ... ... ... .. . ... ... .. (37)
97 742 . '0.o'i
38. Contributions to pensions or other qualified plans (See instructions) ... ... ... ... ... .. . ... ... ... ... ... ... ... ... ... (38)
1425 .oo:•
39. Flexible depreciation (See instructions. Submit Schedule E) ... ... .. . ... .. . .. . .. . .. . .. . .. . .. . .. . ... ... .. . .. . .. . ... (39)
o DO,
40. Accelerated depreciation (See instructions. Submit Schedule E) ................................................. (40)
o .00•
41. Current depreciation and amortization (See instructions. Submit Schedde E) ................................... (41)
o 00·
42. Bad debts (See instructions) .. . .. . .. . ... .. . .. . ... .. . ... ... .. . .. . ... ... .. . ... .. . ... .. . .. . .. . ... .. . .. . .. . .. . .. . ... .. . . (42)
0 oo,:
43. Charitable contributions (See instructions) .. . .. . ... .. . ... .. . .. . .. . ... .. . .. . .. . .. . .. . .. . ... .. . .. . .. . .. . .. . ... ... .. . . (43)
0 00:
44. Repairs (See instructions) .. . .. . .. . .. . .. . .. . .. . .. . ... .. . ... ... .. . .. . .. . ... .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . ... ... ... .. . (44)
o , oo'
45. Deduction for employers who employ handicapped persons (See instructions) .................................. (45)
0 ' oo,:
46. Contributions to educational contribution accounts for the employees' beneficiaries (See instructions) ... ... ... (46J
0 {),0:
47. Other deductions (See instructions) ................................................................................ (47)
8 687 544 .o.o·
48. Total deductions (Add lines 21 through 47) .................................................................................................. (48) t---"9,:.:..01:..:.;0,:.:..45:..::.8-+-·o.;.;;o:-1
49. Net operating income (or loss) for the year (Subtract line 48 from line 20. Enter here and in Part I, line 1) .............................. (49)
11.054.0941 oa
Item
@)
Amount
Item
Amount
1.Salaries,wagesandbonuses .................... (1)
o :oo. 8.Repairs ................................................ (8Jt-----:-o-t·~.o~o.,,.,.:
2. Social security tax (FICA) ... ... .. . ... ... ... .. . .. (2)
0 : 00. 9. Utilities ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... (9)1----~0-+-!':·0!l.!.O-I
..
> 3. unemp 1
o : 00 1D. Flexible depreciation (Submit Schedule E)... .. . .. . .. (10)1------=-o-I.~O~D-1
oymen t tax ............................. . (3)
t
4 st t 1
F d
·
(4)
o ,ao·11.Accelerateddeprecia!ion(SubmitScheduleE) ....... (11)1-----"'o-1:~0~0-1
~
. a e nsurance un premiums................
. 12 C
td
. t' (S b 't s h d E)
, )
0 oo··.
(5J
urren eprecia iOn u mi c e u1 ..
.. 12
0 00 13.. Other expenses (Submit detail).. .... ..e... .......... .... .... (13) 1----~--h.lg
12. Oother:
13. Total credit for the purchase of tax credits
..................................................................... .
as Part II, line 7) ....................................................................... .
Conservation
J'l"'lDJTION TO THE TAX FOR FAILURE TO p... v
ESTIMATED TAX IN CASE OF
CORPORATIONS AND PARTNERSHIPS
le T Corporation
and Partnership
0
Ta>t------0 00
-+-_ _,
b) Exempt interest income under Section 1022(b)(4) of the Puerto Ri~o Internal
0 00
Revenue Code of 1994, as amended (Code), net of related expenses ............... (Zblt-----+--1
c) Other addtitions (See Section 1119 of the Code):
(Zc).___ _ _o__.__oo-l
3. Total additions. (Add lines 2(a) through 2(c)) ...................................................................................... < 1 - - - - - o+-00-1
3>
4. Deductions:
a) Taxes paid (Enter the sum of normal tax, surtax, and alternative minimum tax). (4a)t----o-+o_o-t
b) Previous year Branch Profits Tax .................................................................... (4blt----o-l-_oo-l
c) Enter interest deduction attributable to interest derived from exempt obligations
(Applicable to financial institutions only. See instructions) ................................. (4c)
O oo
d) Meals and entertainment (Non-deductible) ..................................................... (4dl
1,136 oo
e) Penalties ...................................................................................................... (4e)
5 00
f) Other deductions (See Section 1119 of the Code) ............................................ (41)
14 00
1,155 00
5. Total deductions (Add lines 4(a) through 4(f)) .................................................................................... (S>t-------+--1
(1,055,249) 00
14,768,695
00
15,821,634 00
8. Enter Puerto Rico net equity at the end of the previous taxable year .................................................. (Blr-----1---t
0 00
9.lncrease/decrease in Puerto Rico net equity (Subtract line 8 from line 7. See instructions) .................. (Slr---------+--1
0 00
10.Dividend equivalent amount (Subtract line 9 from line 6. See instructions) ...................................... (1o>r---------+--t
0 00
11.Branch profits tax liability (Multiply line 10 by 10%) ........................................................................ (11>'-------'--1
Computer Expert Group
,:"-:,
PETROBRAS AMERICA, INC.- PUERTO RICO OPERATIONS
ACCOUNT NO. 76-0235183
STATEMENT TO BE ATTACHED TO AND MADE PART OF THE
PR CORPORATION INCOME TAX RETURN
FOR THE YEAR ENDED DECEMBER 31, 2004
OTHER DEDUCTIONS
PAGE 2, PART V, LINE 47
Duties
Freight
Barge Charges
Unloading Inspection Expenses
Storage
Bond Insurance
Outsourcing Work
$388,812
4,253,052
673,797
706,704
2,317,501
203,256
19,678
Telecommunication Services
Copies and Reproductions
Agencies Services
Postal Services
Expatriate Relocation Expenses
Subscriptions
Employee Training & Courses
Other Miscellaneous Expenses
10,257
1,337
1,165
1,305
1,219
1,332
4,160
103,969
TOTAL
$8,687,544
f:":=·:O:..·:·:-:•:-:-:-:·:·:.:-.:-:-x-:-:·:-:--..:-:-:-:oYhW :--..:-:-y..:..-:«-»:"'
.
..
{!
:-:-:-:.-.;.;.;.:-:·:·:·:-:-:-:.--:·w.·}:·:-:-:·:·:.:-:.;.:-:·:-:·:·:·:-:.-...:·:·:·:-:· :.:·:.;.;.o,.:.:v:·:·:.:-:-:-:-:.:-:-···:-:-:·:....:-:·:·:·:·:·:-··:-:-:·:-:-:·:«-:·:..·:-:-»:·:-:...-:-:·:«•:·:·:·»:-:-:.;.o..:-:-:-:-:-:-:·:·Y-:..«-:·-:·:·:-:·w.-:-:·:·:-:<-:-:.:..
.«.;.:.;.:.:.;.>:-:·x.;.·:·:«·:•w :.-• :.:-:.;.;.x.;.;.-.:.;....:-:ow..··:.;.:.:.-·>!·X:::?."
..
PETROBRAS AMERICA, INC.- PUERTO RICO OPERATIONS
ACCOUNT NO. 76-0235183
"
STATEMENT TO BE ATTACHED TO AND MADE PART OF THE
PR CORPORATION INCOME TAX RETURN
FOR THE YEAR ENDED DECEMBER 31, 2004
NET OPERATING LOSS CARRFYFORWARD FOR AMT PURPOSES
SCHEDULE A PART III, LINE 19
'YEAR
CREATED
LOSS
AMOUNT
2004
$1,054,094
TOTAL
AMOUNT
USED
BALANCE
$
$
1,054,094
$
$
1,054,094
TOTAL NOL AMT CARRYFORWARD TO 2005
EXPIRATION
YEAR
2011
)i)l
i§i
,.,
~~
ACCOUNT NO. 76-0235183
STATEMENT TO BE ATTACHED TO AND MADE PART OF THE
PR CORPORATION INCOME TAX RETURN
FOR THE YEAR ENDED DECEMBER 31, 2004
NET OPERATING LOSS CARRFYFORWARD FOR REGULAR TAX PURPOSES
PAGE 1, PART I, LINE 2
'YEAR
CREATED
LOSS
AMOUNT
BALANCE
$
2004
TOTAL
AMOUNT
USED
$1,054,094
$
1,054,094
$
$
1,054,094
TOTAL NOL CARRYFORWARD TO 2005
$1,054,094
EXPIRATION
YEAR
2011
STATEMENT TO BE ATTACHED TO AND MADE PART OF THE
PR CORPORATION INCOME TAX RETURN
FOR THE YEAR ENDED DECEMBER 31, 2004
CHARITABLE CONTRIBUTIONS CARRYFORWARD
YEAR
AMOUNT
USED
AMOUNT
$
14
$
$
12/31/2004
14
BALANCE
$
Amount available to carryforward to future years
$
14
$
14
EXPIRATION
DATE
12/31/2009
PETROBRAS AMERICA, INC.- PUERTO RICO OPERATIONS
ACCOUNT NO. 76-0235183
A STATEMENT TO BE ATTACHED TO AND MADE PART OF THE
PR CORPORATION INCOME TAX RETURN
FOR THE YEAR ENDED DECEMBER 31, 2004
An examination of the financial statements of the company by an independent certified public
accountant for the year ended December 31, 2004 is presently in process. Upon completiou of the
examination, the required financial statements and the Accountaut's Report thereon will be
submitted.
PricewaterhouseCoopers LLP
254 Munoz Rivera
BBVA Tower, 9th Floor
Halo Rey PR 00918
Telephone (787) 754 9090
Facsimile (787) 766 1094
April 8, 2005
Depruiment of the Treasury
Bureau of Retums Processing
P.O. Box 9022501
San Juru1, Puerto Rico 00902~2501
Dear Sirs:
PETROBRAS AMERICA, INC.
ACCOUNT NO. 76~0235183
On behalf of the above client, we respectfully request for automatic extension of time until
July 14, 2005, within which to file the P.R. Corporation Income Tax Return for the year ended
on December 31, 2004.
The extension request shows no tax liability due.
Please aclmowledge receipt of this letter by date stamping the attached copy. If you have any
questions please call us.
Very~
He~r
Enclosures As stated
cc: Mr. Elau Lau- Petro bras America, Inc
Modelo SC 2644
Form'S
Rev. 12.v3
ESTADO LIBRE ASOCIADO DE PUERTO RICO- COMMONWEALTH OF PUERTO RICO
Departamento de Hacienda ·Department of the Treasury
: SOLICITUD DE PRORROGA PARA RENOIR LA PLANILLA DE CONTRIBUCION SOBRE INGRESOS
Request for Extension of Time to File the Income Tax Return
Aiio comienza el_ de _ _ _ de_ y term ina el_ de _ _ _ de_
Year beginning on _1_1_1_ of 2004 and ending on ~ of 2004
Parte - Part 1: Informacion del Contribuyente -Taxpayer's Information
Numero de Seguro Social
Numero de ldentificaci6n Patronal
Social Security Number
Employer's Identification Number
DDDDDDDDD
Nombre dellndividuo
Individual First Name
lnlclal
Initial
Apellldo Paterno
Last Name
Apellldo Materna
Second Last Name
Nombre de Ia Corporacl6n, Socledad, Sucesi6n o Fldelcomlso •
Corporation, Partnership, Estate or Trust Name
Petrobras America, Inc.
Dlreccl6n Postal - Postal Address
10777 Westheimer Road, Suite 1200
Code
Tehifono Resldencla
Residence Telephone
77042
Teletono Oflclna
Office Telephone
Ocupacl6n/Negoclo
Occupation/Business
DDDDDDDDDD
Unfinished Crude Oil importer
Parte- Part II: Informacion del (de los) Patronos(s) para quien(es) Trabaj Information of the Employer(s) for whom you Work
Nombre del Patrone • Employer's·Name
Nombre del Patrone -
Numero de ldentlflcacl6n Patronal- Employer's Identification Number
Dlreccl6n - Address
Dlreccl6n ~ Address
DDDDDJDDD
C6dlgo Postal- Zip Code
1'
Employer's Name
Numero de ldentificacl6n Patronal- Employer's Identification Number
DDDDDJDDD
Z "· ·························· ODD DOD DD~ @]@]
···,·,
~r,~·~v~~~}t,~~l?... ................... ODD DOD DO~ @]@]
.t~" If.,~·\.<>'~ ""' ~'
~- -~ ~ ·~'I,
~
DOD DOD DDinllnllnl
~t':~!'~l):f~$')\\>o~~~-0···· .. ····· .. 1;;1~.
U ~~
C6digo Postal - Zip Code
2.
Parte- Part Ill: lngresos Income
1. lngreso segun Comprobantes de Retencl6n o lngreso Estlmado .......................
Income as per Withholding Statement or Estimated Income
~ ~(;,0
2. Otros lngresos ................................ ; .................................
Other Income
••
3. Total de lngreso Bruto ...............................................
Total Gross Income
,.,_.,·r~. "~'~~-;.:
·
!'.f:o~
\
~
·
4. Contrlbucl6n sobre lngresos Opclonal para Negoclos Exentos {Anejos 0 Incentives) •••• (CIFRA DE INGRESO 0213)
Optional income Tax lor Exempt Business {Schedule 0 Incentive)
VEASE AL DORSO • SEE ON BACK
DOD DOD DD@J 00
DOD ODD DD@J00
ODD DOD DD@J 00
DOD ODD DD@J 00
Computer Expert Group
Modelo
sc 2644, Rev 12.03 • Pagina 2
Solicitud de Pr6rroga Automatica - Request for Automatic Extension of Time
Clase de contrlbuyente • Type of taxpayer
0
0
0
0
D
0
1. lndlvlduo ·Individual
D
D
2. Sucesslon • Estate
4. Corporation • Corporation
5. Corporacion bajo el Programa de lncentlvos
Contrlbutlvos de Puerto Rico ·Corporation under the Puerto
Rico Tax Incentives Program
6. Corporaclon Especial Propledad de Trabajadores •
Employees· Owned Special Corporation
7. Corporaclon de lndividuos • Subchapter N Corporation
D
D
D
0
3. Fldelcomlso • Trust
B. Sociedad • Partnership
9. Socledad bajo el Program a de lncentlvos Contrlbutlvos de Puerto Rico
Partnership under the Puerto Rico Tax Incentives Program
10. Socledad Especial· Special Partnership
11. Organlzaclon Sin Fines de Lucros • Non Profit organization
12. Corpora cion o Socledad acoglda a Ia Secclon 936 del Codlgo de Rentas lnternas Federal
Corporation or partnership that has an election under Section 936 of the Federal Internal Revenue
Code
Solicitud de Pr6rroga Adicional - Request for Additional Extension of Time
Clase de contribuyente • Type of taxpayer
D
1. lndlvlduo ·Individual
D
2. sucesslon • Estate
D
3. Fldelcomlso • Trust
Razones - Reasons
The Information necessary to complete the return will not be available by April 15, 2005.
Juramento - Oath
Declare bajo pen all dad de perjurlo, que Ia Informacion aquf sumfnfstrada ha sldo examlnada parmi y que segun ml me) or informacion y creencla es
clerta, correcta y completa.
I hereby declare under penalty of prejury, that this information has been examined by me and to the best of my knowledge and belief is true, correct and complete.
Titulo ·Tille
Compulcr Expert Group
Form 480.20 Rev. 0~.04
76-0235183-Petrobras America. Inc.· Puerto Rico OJ?~.;l'er!JW:•fi,o~n~=:.s_ _ _ _ _ _ _ _~co::.llfP~,o~ra:,::tlo::,:n.,:,·:::Pa~g'e;.;,3
Corooration • ComParative Balance Sheet'._-----::::--::-~~-:-:--------1
Beginning of the Year
Ending of the Year
Assets
1. Cash on hand and in banks .. .... .... .. .... .
2. Accounts receivable.........................
3. Less: Reserve for bad debts .. .. .. .. .. .. .. ..
4. Notes receivable... .. . .. . .. . .. . .. . .. . .. . .. . ..
5. Inventories .. . ... .. . .. . .. . .. . .. . .. . .. . .. . .. . ..
6. Investments... .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . .
7. Depreciable assets..........................
8. Less: Reserve for depreciation..............
9. Land ... ... ... ... ... ... ... ... ... ... ... ... ... ..
10. Other assets... .. . .. . .. . ... .. . ... .. . .. . .. . .. .
11. Total Assets ................................
Liabilities and Stockholder's Equity
Total
0 00
(1)
42,468,379 00
(2) 1---'--"---4-__,...,j
42,468,379 i 00:
0 :. 00)
(3) ...,<-----=--+--=1------=-......:--J:-~
0 :00
(4)
10 537 005 •oo.
(5)
0 00
(6)
0 :.0.0
(7) 1-------"-h.;:;::;:.j
:
0 :oo
0 QO)
(8) p<-----=-+~------+;.;:,...J
0 ··oo ·
(9)
:
0 bo
(10)
53,005,384 •.00·,
(11)
Total
(1)
(2)
(3) (
0
39,753,222
0
00)
•00
39,753,222
:OQ
00.
(4)
0
•ooi
12,003,054 :QQ:
(5)
(6)
0
0
00
0
(7)
(8) (
00)
:
:
(9)
(10)
(11)
·ad·
..
0 :QQ•
0 •otJ~
0 ;:QQ:.
51,756,276 •00:
:····
:
Liabilities
35,914,760 ::·,oo:
12. Accounts payable .. . ... .. . ... ... .. . ... ... .. . (12) 1---'--"---+~
0 • dd,
13. Notes payable .. . .. . .. . .. . ... .. . .. . .. . .. . .. . . (13) !------"+~
0 ·oo::
14. Accrued expenses ........................... (14) !------=+~
1,268,990 .•:(j(f
15. other liabilities .. . ... ... ... ... ... ... ... ... ... (15) 1--__:==~~
16. Total Liabilities ... ... ... ... ... ... ... ... ... (16)
Stockholder's Equity
17. Capital Stock
(a) Prefered stocks ......................... (17a)
o 00
(b) Common stocks ........................ (17b)
o • (j(j,
18. Additional paid in capital .................... (18)
o 00.
19. Retained earnings........................... (19)
15 821 B3d 00
20. Reserve .. .. .. .. .. .. .. .. .. .... ... .. .. .. .. .. .. (20)
0 ·QO
21. Total stockolder's Equity ................. (21)
.. .
22. Total Liabilities and Stockholder's Equity .. . ... (22)
:
37,183,750
ao
(12)
(13)
(14)
(15)
(16)
.. :
35,779,569 •. 00
0 •C:JO:
0
:
..
:oo
:··
214 : 00
35,779,783 ·Q[i:
.1----'---'---+~
:(
(17a)I--------"O-+;"'oo:-l·:
(17b)l------~o~··:;;oo:-l·
: ...:
(18)~-----.ILJ,n·...:::o~o:
,
15,821,634 :00
53,005,384 i :mt•
19
11 """l,!'l"llLL"~+-•. : : OO::. J'
< ll-_ _....:-~..:~:,w
(20)I---------1nLL.·~00!'-l•'
(21).
(22) ·
:.:
..
15,976,493
51,756,276
•·po:
QO
Reconciliation of Net Income (or Loss) per Books with Net Taxable Income (or Loss) per Return
1. Net income (or loss) per books .. .. .. .. . .. .. .. (1)
2. income tax .. . .. .. .. .. .... .. .. ... .. .. .. .. .. .. .. (2)
3. Excess of capital losses over capital
gains .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . .. . ... .. . .. . . (3)
4. Taxable income not recorded on books this year
(Itemize, use schedule if necessary)
(a)
o
(b)
o
(c)
o
(d)
o
Total .. . .. . . .. .. . .. . .. . .. . . .. .. . .. . .. . .. . .. . .. . (4)
5. Expenses recorded on books this year
not claimed on this return (Itemize,
use schedule if necessary)
(a) Meal and entertainment (amount
not claimed)
1,136
(b) Depreciation
o
(c) Donations
14
(d) Penalties
5
Total .......................................... (5)
6. Total (Add lines 1 through 5).: .............. (6)
(1,055,249) ' oo·
0 ,· oo:
··
0 • .ob.
7. Income recorded on books this year not
included on this return (Itemize, use
schedule if necessary)
..
(a) Exempt interest
o
• .:
(b)
o
I
(c)
o
<•
(d)
o
· ··
Total ... ... ... ... ... ... ... ... ... ... ... ... .. . ... ... ... .. (7lt-------o-r;;-"-QO'-I.:
8. Deductions on this tax return not charged
.,
,
against book income this year (Itemize,
GO
use schedule if necessary)
,
(a) Depreciation
o
'
(b)
o
(c)
o
: ·.
..
(d)
o
0 >bo ·
Total .............................................. .. (8)
0 D_O·
9. Total (Add lines 7 and 8) ........................ .. (9)
:
10. Net taxable Income (or loss) per return
(1,054,094) :oo'
···
(Subtract line 9 from line 6)... ..................... .. (10)
1,155 : 00.
(1,054,094) , 00,
<:
fD
Analysis of Retained Earnings per Books
0 00'
15,821,634 .:oo: 5. Distributions:
(a) Cash ............................. (5a)
(1,055,249) oo
(b) Property ........................ (5b)l--------!'-'-'i
0 00
(c) Stocks ........................... (5c)
0 00
1,210,108
6. Other decreases (Use schedule if necessary) . .. ... ... . ( 6 ) ! - - - - - - - t = f
0 .oo
0
0 •oo
7. Total (Add lines 5 and 6) ... .. . ... ... ... ... ... .. . .. . ... . ( 7 ) ! - - - - - - - t = l
(3)1------o~·o~o 8. Balance at end of year (Subtract line 7 from
4. Total (Add lines 1, 2 and 3) .. . .. . .. . .. . .. . .. . . (4)
15,976,493 ·o.o line 4) .. . .. . .. . .. .. .. .. . .. . .. . .. . .. . .. . .. . .. . ... ... .. . . .. . (8)
15,976,493 :co:
Computer Expert Group
Conservation Period. Ten (10) years
1. Balance at the beginning of the year .......... (1)
2. Net income per books .. .. .. .. .. .. .. .. .. .. .... . (2)
3. other increases (Itemize, use
~ schedule if necessary)
~
-----------
Social security number
Name of officer
Percentage of time
devoted to
industry or business
Percentage of stocks owned
Compensation
Total compensation to officers (Enter in Pari V, line 21) ............................................................................................
9. Number of employees during the year:
· 10. Did the corporation claim a deduction for expenses connected
1. If a foreign corporation, indicate if the trade or business in
Puerto Rico was held as a branch ....................................... .
with:
(a) Vessels? ............................................................. .
(b) Living expenses? ...................................................... .
(c) Empbyees attending conventions or meetings outside Puerto
Rioo or Jhe United Stales? ............................................. ..
2. If a branch, indicate the percent that represents the income from sources
wilhin Puerto Rico from !he total income of the corporation:
%
3. Is the corporation under Section 936 of !he Federal Internal
Revenue Code? ........................................................ .
4. Did the corporation keep any part of ils records on a
11. Did the corporaiion distribute dividends other than stock dividends or
computerized system during this year? .................................. .
5. The corporation's books are in care of:
Name
Address
The Corporation
10777 Weslheimer Road Suite 1200
Houston
TX
77042
6. Indicate !he accounting method used for book (lax) purposes:
0 Cash
Ill Accrual
Other (specify):
7. Did the corporation file the following documents?:
(a) Informative Return (Form 480.5, 480.6A, 480.68) ................... (7a)
(b) Withholding Statement (Form 499 R-21W-2PR) ...................... (7b)
8. If the gross income exceeds $1,000,000, are financial
statements audited by a CPA licensed in Puerlo Rico included
with this return? ..... · .. • ••· .. · .. · .. · .. · •· · •· • .. • ••· .. • .. • .. • ••• ••• .. • ·
0
distributions in liquidation in excess of the corporation's current and
accumulated earnings? ................................................ ..
2. Is the corporation a partner in any special partnership? .................. ..
Name of the special partnership
Employe~s identification number
13. Is the corporation a member of a controlled group? ...................... ..
14. Enter the amount of exempt interest:
0
15. Enter the amount corresponding to charitable contributions to
municipalities included in Pari V, line 43:
0
16. Indicate if insurance premiums were paid by an
unauthorized insurer ................................................ .
17. Employe~s number assigned by the Department of Labor and
Human Resources:
18. Number of stockholders:
We, the undersigned, president (or vice-president, or other principal officer) and treasurer (or assistant treasurer), or agent of the corporation for which this income
tax return Is made, each for himself declare under penalty of perjury, that this return (Including schedules and statements attached) has been examined by us, and to
the best of our knowledge and belief, Is a true, correct, and complete return, made in good faith, pursuant to the P o Rico Internal Revenue Code of 1994, as
'""dod, '"dtho """'"'"' th"'"""~
President's oriJice-!Xllsident's signature
Agent
Affidavit No. _ _ _ _ _ _ __
NOTI\FW
SEAl~
·
.
SPECIALIST'S USE ONLY
I declare under penalty of perjury that this return (Including schedules and statements attached) has been examined by me, and to the best of my knowledge and belief Is a true, correct,
and complete return. The declaration of the person who prepares this return ls with respect to the Information received and this information may be verified,
PO Box 363566
San Juan
Conurvallon Period: Ten (10) ynrs
PR
Zip Code
00936-3566
Computu Expert Group
'endor :1004466
'our Reference
Document :2000003816 Date: 09/13/2004
Our Reference
Date
91304-PUERTORIC
1900003448
AX FbR PUERTO RICO 3RD QTR EST,ID:760-23-5138
Gross amount
09/13/2004
172,500.00
urn total
17.2,500.00
·h;:;
•
{ ..
:
J
.-~
·~
1 dor
:1 004466
Documen t ·2000002746 Date: 07/12/2004
,
Date
our Reference
Jr Reference
1900002684
204-PUERTO
ERTO RJCOSECR ETARY OF TREASURY-2004 EST.INC.
.
Gross amount
07/12/2004
345,000.00
345,000.00
n total
480.E·1
Estado Llbre Asociado de Puerto Rico • Commonwealth of Puerto Rico
Departamento de Hacienda· Department.ofthe Treasury
Rev. 08.00
Rep, 08.02
NOMBRE. Name
PETROBAS AMERICA, INC
DIRECCION ·Address
AttN l
Tcix .Dept.
10777 WESTHEIMER ROAD, SUITE·l200
HOUSTON, TX
77042
~
/
COLECTURIA
Colleclions Office
FECHA DE PAGO
Payment Data
Allo
MES
DIA
Year
Monlh
Day
NUMERO DE SEGURa SOCIAL 0
IDENTIFICACION PATRONAL
Social Securlly or Employer's
ldenflfJcallon Number
Payment Stamp
1
I
I
'------/
.•
C~DIGO POSTAL ·Zip Code
r seiTooE"PA"Go '
1
I
I
,
CODJGO
Code
1· JNOJVJDUO ·Individual
2· CORPORACJON 0 SOCIEDAD
Corporation or Partnership
Ar'lo
CODIGO CONTRIBUTIVO
Code
Tax Year
CO Col •I g,1,1 •II '1·1 "12131sJ,I ·131oi00 GIJ@l§J[ I 13l•lsl olo IJ:o I~
IMPORTE PAGADO
Amount Paid
AMENDED
COMMONWEALTH OF PUERTO RICO
DEPARTMENT OF THE TREASURY
200_5
Corporation Income Tax Return
I I
P.O. Box421688
Industrial Code
Houston
Code 77242
Location of Principal Industry or Business • Number, Street, City
10350 Richmond Avenue, Suite 1400 Houston, TX 77042
Type of Principal Industry or Business (i.e. Hardware, Cafeteria, etc.)
Unfinished Crude Oil Importer
Check the corresponding box, if applicable
D
First return
D
Last return
Contracts with Governmental Entities
IXJ Yes
0
No
CHANGE OF ADDRESS
DYes
!XI No
2006 RETURN
D Spanish lXI
Delaware
E-mail Address
English
1. Net operating Income (or loss) (From Part V, line 49) ........................................................................................................................................
2. Less: Net operating loss deduction from preceding year (Submit detail) .. ~.~!:... ~.Sl'!.S!:!!!!:::\~...~.S~.~~.I:!!:.~ ...~!:.~: ..S~.'?.!!.~!?-.9. .. ~l'J'.7.!:.~!!l.';m.t
3. Net Income (or
.......................................................................................................................................................................................... (3)
4. Less: Dividends or profits received from domestic corporations or partnerships.....................................................................................................
5. Net Income subject to normal tax (Subtract line 4 from line 3) ...........................................................................................................................
6. Less: Surtax net income credit.............................................................................................................................................................................
7. Net income
line 6 From line ..................................................................................................................................
(4) 1-------~;:,.t
(5)
1---=:.:..:.,::..:...:+'i:'-1
(6) 1--------f-'F';,;..J
(7)
Normal tax (Multiply line 5 by 20%) ....................................................................................................................................................................... (8) 1-----......:-r~
9. Surtax (See instructions) ...................................................................................................................................................................................... (9) 1------~1-F:,.,t
10. Amount of recapture (See Instructions) ................................................................................................................................................................. (10)1-------"-"""'-~
11. Special tax (See instructions) ............................................................................................................................................................................... (11)1-------"-I:S':+I
12. Total Tax (Add lines a through 11) ....................................................................................................................................................................... (12)1--------:-+:-::'::-f
13. Alternative Tax· Capital Gains (ScheduleD Corporation and Partnership, Part VIII, line 61) .................................................................................. ''"'1-------"-r.;::,;i
14. Tax Determined (Line 12 or 13, whichever Is smaller) .........................................................................................................................................
15. Recapture of credit claimed in excess (Schedule B Corporation aild Partnership, Part I, line 3) .......... ................................................................... (15) 1-------'-~H
16. Tax credits (Schedule B Corporation and Partnership, Part II, line 24) ................................................................................................................. (16)1--------:trl
7. Tax liability beFore alternative minimum tax (Subtract line 16 From the sum of lines 14 and 15) ........................................................................ (17)1------...::..1'7H
18. Alternative minimum tax (Schedule A Corporation and Partnership, Part V, line 33) ............................................................................................... (18) J-------~:"-1
19. Branch profits tax (Form AS 2879, line 11) ........................................................................................................................................................... (19)1-----~+.'::::-i
20. Tax on eligible interest (See instructions) ............................................................................................................................................................. (20) 1-------::-1+--::Y
21. Total Tax Liability (Add lines 17 through 20) ...................................................................................................................................................... (21)
22. Less: Other Payments and Withholdings (Schedule B Corporation and Partnership, Part Ill, line B) .................................................. ................ (22) J - - - - - - - t - = " ' - 1
23. Balance of tax due (If line 21 is larger than line 22, enter the difference here,
otheiWise, on line 25)
a) Tax ................................................................................................................ (23a) 1 - - - - - - - : - h : " ' ' r l
b) Interest ........................................................................................................... (23b) 1 - - - - - - : : + S i
c) Surcharges ..................................................................................................... (23c) 1--------'-'-""'"+------:-r=f
d) Total (Add lines 23(a) through 23(c)) .............................................................................................................
24. Addition to the Tax For Failure to Pay Estimated Tax (Schedule T Corporation and Partnership, Part Ill, line 46) ............................................
25. Excess of tax paid or withheld (See instructions) .................................................................................................................................................
26. Amount paid with this return (Add lines 23(d) and 24 less line 25) ......................................................................................................................
27. Amount overpaid (Substract lines 22 from the sum of lines 21 and 24. Distribute line 25 between line A or B):
A. To be credited to estimated tax ror 2006 ...............................................................................................................................................
B. To be reFunded ....................................................................................................................................................................................
B.
ConseJVation Period: Ten (10) years
Form 480.20 Rev. 05.05
Corooratlon • Paae 2
1. ~~~~~~~~~r·9~~d~-·~~i;j·~;·d,~~·~t·~~~·i~·~r·j;;~d~~ii~~··
................................................................................... t1)1---....:t....:t.:;..7....:87""•....:s5:..;s+•.,: ,o, ~o:;. .f".
2. Inventory at the beginning of the year
0 'C" D "C" or "MV"
(a) Materials...........................................................................................
(b) Goods in process ........................... ...................................................
(c) Finished goods or merchandise.........................................................
3. Purchase of materials or merchandise............................................................
4. Direct wages ...................................................................................................
5. Other direct costs (Detail in Part VI) .................................................................
6. Total costs of goods available for sale (Add lines 2through 5) .........................
7. Less: Inventory at the end of the year
D "C" D 'C" or "MV"
(2a) 1------'o::....e;.li~!!\Hh
(2b) 1-------'o:..+.~~·o:Ho"
(2c) 1-------'o=+.~;:,ilfo;a~.
(3) l----'-t2=00"'3"'0""4"'5-E*:o~"""'nH':
(4) l-------"o~1'lb~~o
·:
8
{51 1------o~~;;;:o·"'~o:
(6) l---~t2;,:.0;:.::0:;;:.3.::0;!.:45::....j:~~·o~ir
:\~~r
·;oo
V:
·;:::··
I::;'~"
1~i
li/.
~~.::•:;
I;._:~;
{?';
ff~'
o>'{
I :·:,<·~·~·:
0
(a) Materials ............................................... (7a) 1-------....::..f-'¥!'4
t • •
0 t.OO
(b) Goods in process.................................. (7b) 1------::....+:~
. ·. ·
.
2 003 045
0 76Q
(c) Finished goods or merchandise .............. (7c) ~--------"-'-'-""-"'------0~-=- _ _....:..::;=:=;"'-'-'-""+-------,=:::1
iio.._
.
'
f2t5 487' ;,'6{{
8. Gross pro fit on saIes or pro ducuon (S ubtractt he resu Ito f I"me 6t ess I"me 7, .rom I"me 1) ...................................................................................... (B) 1------'~~:!.!....l.~c,.J
1
9. Net capital gain (Schedule DCorporation and Partnership, Part VII, line 34) ............. .......................................................................................... (9) r------7-lf.":'':::i
0 :iJilf:
0
10. Net gain (or loss) from the sale of properly other than capital assets (ScheduleD Corporation and Partnership, Part IX, line 62) ....................
{10lr-------:-i~'rl
0 Wibt
11. Rent .................................................................................................................................................................................................................. (1111------::....j.i~
0 ~no:
12. Interest ....................................................................................................,......................................................................................................... {1211------...=....,E'i-1
0. ro!i1
13. Commissions ................................................................................................................................................................................................... (13)1------~,~H
0 ~Jili;
14. Dividends from corporations and profits from partnerships: (a) Domestic
0
(b) Foreign
o
(14)1------...=....,~;-:-t
0
15. Distributable share on net income from special partnerships (ScheduleR, Part !I, line 8) .................................................................................... (15)1------~R;,;.J
16. Distributable share on net losses from special partnerships (ScheduleR, Parlll, line 13) .................................................................................... {16)1------..!!..j~H
0
!:!
"'
c..
g
1. Salaries, wages and bonuses ............................
2. Social security tax (FICA) ...................................
3. Unemployment tax .............................................
4. Stale Insurance Fund premiums .........................
5. Medical or hospllalizallon Insurance ...................
6. Other insurance ..................................................
7. Excise taxes ......................................................
Amount
(1)
{2)
(3)
(4)
(5)
(6)
(7)
Item
0 "M' 8. Repairs ................................. ,............................... (B)
0 ·rnr 9. Utilities .................................................................. (9)
0 ~ao·. 10. Flexible depreciation (Submit Schedule E) .............. {10)
0 roo: 11. Accelerated depreciation (Submit Schedule E) ........ (11)
0 ::~xt 12. Current depreciation (Submit Schedule E) ............. (12)
0 ''00 13. Other expenses (Submit detail) ............................. (13)
0 "oo 14. Total other direct costs (Add lines 1lhrough 13. Same
,\.~i
as Part IV. line 5 ................................................... {14)
Conservation Period: Ten (10) years
Amount
0 'iJO
0 ::oo'
0 too::
0 ~mt
0 Joo:
0 {iJb:.
0
r~&:
··::'.~:;.'•
Computer Experl Group
Form 480.20 Rev. 05.05
Corpora lion- Paqe 3
m
Corporation· Comparative Balance Sheet
Beginning of the Year
· '.,:':·, ...,...,...,....,....--E-:-nd~in-::Og""'oTft_he_Y_e_a_r-,=r----t
..
''\''Y'
total
"··. r 17 ... ,
,
.... ~2\'.:";:;
Total
Assets
(1)
(2)
(3) (
(4)
(5)
(6)
(7)
(8) (
1. Cash on hands and in banks ................
2. Accounts receivable .............................
3. Less: Reserve for bad debts ................
4. Notes receivable ..................................
5. Inventories ...........................................
6. Investments .........................................
7. Depreciable assets ..............................
8. less: Reserve for depreciation .............
9. Land ....................................................
10. Other assets ........................................
11. Total Assets .......................................
(9)
(10)
(11)
Liabilities and Stockholder's Equity
Liabilities
s;
~
&: 12. Accounts payable ...............................
13. Notes payable .....................................
14. Accrued expenses ..............................
15. Other liabilities ....................................
16. Total Liabilities ..................................
(12)
(13)
(14)
(15)
(16)
E!i)
Reconciliation of Net Income (or loss) per Books with Net Taxable Income (or loss) per Return
(896,116) 'too' 7. Income recorded on books this year not included on this
2. Income tax ............................................ 12
o '/ofi
return (Itemize, use schedule if necessary)
l;}j:•
It~
1. Net income (or Joss) per books.............. (1
3.
:~~:s.~..~~.~~:.~~~~-~~~-~~~-~~~~-~~:.~~~~-...
13l
4. Taxable income not recorded on books this year
0
~~-----------"0:'-
~
Total......................................................
~
(c)
o
':~;
l~l ~~"1 ......................................................................:.
, ~:;~:!~=::~:::::::.~·:
1:r""'· "" ""''"'' """""'ry) ,
5
:~~:' ~? Exempt
(4)
5. Expenses recorded on books this year not claimed
on this return (llemize, use schedule if necessary)
0
~~
(b)
NOLPriorYcors
2,343 249
:•<
~{;
•
l -_ _ _
_ _ ,o,; ,; i.'a·"'·:7 1~:
I
"·" .·
L.- :_~·~;_ :_.·~_,;.·
(c)
_n_
(d)
o
'':;
Total ........................................................................
(BJ l---.=.2.::_34;!;:3:..:2::!.49::..r.-'*!oo~
Total (Add lines and
(9)1---2'"''1.2!1..!.4·1"""""-;-:;.Jj"H'()
24'9-t'
10. Net taxable income (or loss) per return (Subtract line
'Af
9 from line 6) ........................................................... (10) .__ __,(~3,::o;23:..:.9~,3.;..3'-'-I).L.:~oo'-''
..•..
..
(a) Meal and entertainment (amount
:~
not claimed)
_1.~3~6.t.:.72..,3~o~or.·i,oiJ:-~·•
9.
7 B)..........................................
!oo'
::s
~
(3J
4. Total (Add lines 1, 2 and 3) ................... (4)
t------o+e.,~Bi ~: ~~\:ln~:~:i~:: :n~n:f~h·~-;~~~·~;;~·b~;~·~·~-~i~~·7·r~~~.. t7J t----'1""3c::.67:.::2:..::3c::.oo:o..;-;;.:::.:~::-~'
>3,836,076 ,L~fi
line 4) ........................................................................... (BJ
163,776 ~i,
Conservailon Penod. Ten (10} years
Computer Experl Group
Form 480.20 Rev. 05.05
Name or officer
1. If a foreign corporation, indicate if the trade or business in Puerto
Rico was held as a branch ....................................................................
2 If a branch, indicate the percent that represents the income from sources
within Puerto Rico from the total income of the corporation: _ _ _%
3. Is the corporation under Section 936 of the Federal Internal Revenue
Code? .................................................................................................. (3)
4. Did the corporation keep any part of its records on a
computerized system during this year? .......... ....... ................................ (4)
5. The corporation's books are in care of:
Name The Corporation
Address P.O Box 421688
Houston TX 77042
6. Indicate the accounting method used for book (tax) purposes:
D Cash
lXI Accrual
OOther (specify): _ _ _ _ _ _ _ _ _ _ _ _ __
7. Did the corporation file the following documents?:
(a) Informative Return (Forms 480.5, 480.6A, 48D.68) ..........................
(b) Withholding Statement (Form 499R-2/W-2PR) ................................. (7b)
8 if the gross income exceeds Sl,OOO,OOO, are nnancial
statements audited by a CPA licensed in Puerto Rico included with this
return? ................................................................................................. tal
9. Number of employees during the year:
0
1Q Did the corporation claim a deduction for expenses
with:
(a) Vessels?
(b) Living expenses?
(c) Employees ancnding conventions or meetings outside Pucllo Rico or
the United States? ..........................................................
11. Did the corporation distribute dividends other than stock dividends or
distributions in liquidation In excess of the corporation's current and
accumulated earnings?
12. Is the corporation a partner in any special partnership? ......... .
Name of special partnership _ _ _ _ _ _ _ __
Employer identification number _ _ _ _ _ _ _ __
13. Is the corporation a member of a controlled group? ................ ''"'t-L
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