CITY OF PARIS, KENTUCKY 
                       	
 Form OLF-4 Revised 8/89                             NET PROFITS LICENSE FEE RETURN 
 FISCAL YEAR ENDED           Important                                            QUESTIONS    (ANSWER FULLY) 
                                                                           A.     Name of Business 
 Mo.	Day	Year                                   Employer ID or Soc. Sec.   B      Date Business Stared in Paris 
                                                     Acct No,              C.     Was activity in Paris discontinued?    Yes     No 
                                                                           D.     If Organization was discontinues,state when 
                                                                                  Dissolution or Sale if by Sale Give Name and 
 PLEAE NOTIFY THIS OFF CE OF ANY CHANGE IN OWNWERSHIP OR                          Address of Successor 
 NAME AND ADDRESS SHOWN BELOW                                              E.     Did you have employees in Parisin	? Yes           No_ 
                                                                           F.     Basis on which this Return is prepared, Cash	Accrual 
 Name and Address of Business                                              G.     Check Which: Corporation         Sub-Chapter S 
                                                                                  _Partnership _      Individual Owner _  Fiduciary 
                                                                                        Other (state) 
                                                                           H.     Have Federal Authorities changed the Net Income as Originally Reported for Any 
                                                                                  Prior Year? Yes	No 
                                                                                  If Answer "YES", Attach Schedule of Changes for Each Year. 
                                                                      SCHEDULE A 
 I. Total Gross Receipts per Federal Return, Form                                                                DO NOT WRITE IN THIS SPACE 
 2. Total Business Deductionsper Federal Return	 
 3.Net Business Income perFederal Return      . 	 
 4. ADD items not deductible(Line F, ScheduleB)    	 
 5. Total (Line 3 plus Line4)	 
 6. DEDUCT items not subject(Line L, ScheduleB)	 
 7. ADJUSTED NET BUSINESSINCOME (Line 5 less Line 6)	 
 8. If Sch. C (Line 4) is used enter here AVERAGE PERCENTAGE	 
 9. NET PROFITS subjectto License Fee (Line7 X Line 8)	 
 10. License Fee at 1 1/2% of Line 9  
 11. Less Credits—MINIMUM      PAID             *ESTIMATE 
 12.Sub-total (Line 10 minusLine 11) 	                                                                           Make Checks Payable to City of Paris 
 13. Interest —FOR LATE    FILING— 1% per       month or portion of month of Line 12                             Mail to City of Paris 
 14.Penalty —FOR LATEFILING-10% of            Line 12	                                                                   Occupational License Dept. 
 15. BALANCE DUE (Lines      12 + 13 + 14)                                                                               525 High St. 
 16. If ESTIMATE overpaid    indicate Refund      Credit 
 • IF MINIMUM PAID IS MORE THAN LINE IS {Q RFUND OR CREDIT MAY BE TAKEN FORTHAT        DIFFERENCE                        Paris, KY 40361 

                                                                      SCHEDULE          B 
    NOTE: ADD AND/OR DEDUCT ONLY THOSE ITEMS WHICH ARE INCLUDED IN CALCULATING NET INCOME PER FEDERAL RETURN 
                      ITEMS  NOT DEDUCTIBLE—ADD                                                         ITEMS NOT SUBJECT—DEDUCT 
 A.State or Local taxes basedon income                                               G.Interest *	 
 B.Capital Gain	                                                                     H.Royalties on Patents, Copyrights	 
 C.Net Operating Loss Deduction	.                                                    I.Dividends 	 
 D.Partners' Salaries (attach  schedule)	                                            J.Capital Loss	 
 E.Other items (list)	.                                                              K.Other —e.g., Alcoholic Bev. Net. etc. 
 F. TOTAL ADDITIONS (enter on Line 4)                                                            (attach schedule) 
                                                                                     L. TOTAL DEDUCTIONS     (enter on Line 6) . 
                                                                                     *EXCLUDABLE if the principal business activity is NOT investments. 
                                                                      SCHEDULE C 
                                          Business Allocation Percentage, Divide (Col A by (Col B) to obtain decimal 
 ALLOCATION FACTORS                                                               Column A                         Column B                  Column C 
                                                                                  Paris Factor               TOTAL FACTOR              PERCENTAGE 

 I. Total Gross Business Receipts	                                                                      S 
 2.Total Wages, Salaries and Other Personal Service ......	                                             S 
    (Compensation Paid to Employees) 
 3. TOTAL PERCENTS       	                                                                                                                                        % 
 4.AVERAGE PERCENTAGE (Line 3 divided by number o f percents) Enter on Line	8 ...                                                                                 % 

 I hereby certify that the statements made herein and in any supporting schedules are true, correct,       and complete to    the best of my knowledge. 
                                                                Return must 
                                              	Be Signed		 
 Signature  of Individual Preparing Return                                 Signature of Taxpayer                                       Date 

                               If receipt is  desired, return copy of this form and enclose self addressed, stamped envelope. 
                                      OFFICE HOURS 8:00-5:00 MON—FRI	Telephone 859- 987-2110 
       This return must be filed and  paid in full on or before APRIL 15, 2016, or     within 105 days after close of fiscal year, sale, liquidation or transfer.