Schedule K-1

Schedule K-1 (Form 1120S) Schedule K-1 S Corporation Additional Information For Boxes 8c and 10 through 17 1.• Keep for your records 2017 Name(s) Shown on Return Social Security Number S Corporation Name Box 8c : Unrecaptured section 1250 gain 1 Included in net section 1231 gain 2 Included in long-term gain — passed through from estate, trust. REIT or mutual fund 3 Included in long-term gain — from disposition of interest in a partnership Box 10 : Other income (loss) Code A : Other portfolio income (loss) 1 Income or loss from REMIC — residual holder 2 Excess inclusion from REMIC 3 Section 212 expense from REMIC 4 Other (enter description): 5 Total box 10, code A Code B : Involuntary conversions 1 Loss from casualty or theft of trade. business, rental, or royalty property 2 Loss from casualty or theft of income-producing and employee property 3 Gain from casualty or theft 4 Total box 10. code B Code E : Other Income 1 Recoveries (bad debt, prior tax, etc. reported on Form 1040, line 21) 2 Ordinary gain (loss) (reported on Form 4797. Part II) 3 Net short-term capital gain (loss) not portfolio income 4 Net long-term capital gain (loss) not portfolio income 5 Other nonpassive income (loss) to be reported on Schedule E, page 2 (enter description): 6 Other (enter description): 7 Total box 10. code E Box 11: Section 179 deduction 1 Section 179 carryover from prior year Form 4562 2 Section 179 deduction allowed per current year Form 4562 (see Help) 3 Reserved for future use 4 State section 179 expense information: State . . . State 179 deduction 8. Reserved. . . State . . . State 179 deduction 8. Reserved. . . State . . . State 179 deduction r. Reserved. . . State . . . State 179 deduction r. Reserved. . . EFTA01221966 Page 2 Corporation Name: Box 12 : Other deductions Code P : Domestic production activities information 1 Gross receipts 2 Cost of goods sold 3 Deductions - directly allocable . . 4 Deductions - not directly allocable 5 Form W-2 Wages All Sources Non- Domestic Production Domestic Production Total Oil Other than Oil Code O : Domestic production activities income 1 Oil-related qualified production activities income Code S : Other deductions 1 Other taxes 2 Other miscellaneous itemized deductions (2% floor) 3 State income tax withheld State name . . 4 Penalty on early withdrawal of savings 5 Other nonpassive deduction to be reported on Schedule E. page 2 (enter description): 6 Other (enter description): 7 Total box 12, code S ' Manually enter item here and on appropriate tax form or schedule. EFTA01221967 Page 3 Corporation Name: Box 13 : Credits Code E : Qualified rehabilitation expenditures (Additional information) 1 Select qualified rehabilitation expenditures property type . . . ► Codes F, G, M, and P : Other credits (Enter breakdown) Form Description Rental Real Estate Other Rental Other 5884 5884-A 6478 6765 6765 8820 8826 8830 8834 8835 8835 8844 8845 8846 8864 8874 8881 8882 8896 8900 8904 8906 8908 8910 8911 8923 8932 8933 8936 8941 Work opportunity credit Employee retention credit Alcohol and cellulosic biofuel fuel credit Credit for increasing research (GBC) Credit for increasing research (ESBC) Orphan drug credit Disabled access credit Enhanced Oil Recovery credit Qualified plug-in electric vehicle credit Renewable electricity production (Part I) Renewable electricity production (Part II) Empowerment zone and renewal community . . Indian employment credit Credit for employer social security and Medicare Biodiesel and renewable diesel fuels credit . . . New markets credit Small employer pension startup Credit for employer provided child care facilities Low sulfur diesel fuel credit Qualified railroad track maintenance credit . . . Oivgas production from marginal wells credit . . Distilled spirits credit Energy efficient home credit Alternative motor vehicle credit Alternative fuel vehicle refueling property credit Mine rescue team training credit Employer differential wage payments Carton dioxide sequestration Qualified plug-in electric drive vehicle credit . . Small employer health insurance premiums. . . . General credits from electing large partnerships Total of above credits for codes F, G, and P Amounts from box 13, codes F, G, and P EFTA01221968 I I Page 4 Corporation name: Box 14 : Foreign transactions Code F : Foreign gross Income from other categories 1 Select category ► Codes C, G, and H : Shareholder level foreign income and expense Enter U.S. and foreign source (see help) 1 Gross income sourced at shareholder level 2 Interest expense allocated at shareholder level 3 Other expenses allocated at shareholder level Total U.S. Source Foreign Codes L, M : Foreign taxes paid, Foreign taxes accrued 1 Date paid (if code L) or date accrued (if code M) (mmddyyyy) 2 To claim a credit for foreign taxes paid (if code L) or foreign taxes accrued (if code M): a Double click to link to a copy of Form 1116. Foreign Tax Credit ► AU BL j CL b Select country column for Form 1116: c If also filing Form 2555. Foreign Earned Income Exclusion, check if earned income from this activity is already entered on Form 2555 ► 3 To claim a deduction for foreign taxes paid (if code L) or foreign taxes accrued (if code M): a Check here to deduct foreign taxes (Schedule A, line 8) if there is NO foreign earned income from this activity reported on Form 2555 ► Box 15 : Alternative minimum tax (AMT) items Code B : Adjusted gain or loss 1 Adjustment to Section 1231 gain 2 Adjustment to unrecaptured Section 1250 gain 3 Total box 15. code B Code F : Other Alternative Minimum Tax (AMT) items 1 Incentive stock options 2 Tax-exempt interest from private activity bonds State name ► 3 Excess intangible drilling costs (IDCs) 4 Excess depletion. oil and gas 5 Accelerated depreciation of real property (before 1987) 6 Accelerated depreciation of leased property (before 1987) 7 Other (enter description): 8 Total box 15. code F Box 16 : Items affecting shareholder basis Code A : Tax-exempt Interest income 1 Tax-exempt interest income. Enter state(s) and amount(s). State Amount 2 Total box 16, code A EFTA01221969 Page 5 Corporation name: Box 17 : Other information Code D : Basis of Energy Property 1 Geothermal property 2 Solar property 3 Qualified fuel cell property: a Pre-10/4/08 b Post-10/3/08 4 Qualified microturbine property 5 Combined heat and power system property 11 Total box 17, code D Code R : Oil and Gas Depletion NOTE: Depletion expense related to Royalty Income should not be entered here. Enter The depletion expense directly on the Schedule E Worksheet that is linked to the royalty income. 1 Cost depletion 6 Qualified small wind energy property a 10/4/08 - 12/31/08 b Post-12/31/08 7 Geothermal heat pump systems 8 Qualified investment credit facility property Wind facility property (construction began during 9 2017) 10 Wind facility property (construction began during 2018) 2 Percentage depletion Code V: Other Information 1 Gross farming and fishing income 2 Qualifying advanced coal project credit (3468): a Basis of gasification combined cycle property b Basis of advanced coal property (Section 48A(d)(3)(B)(ii)) c Basis of advanced coal property (Section 48A(d)(3)(B)(iii)) 3 Qualifying gasification project credit (3468): a Basis of qualifying gasification property that separates at least 75% of emissions b Basis of qualifying gasification property other than above 4 Qualifying advanced energy project credit (3468) 5 Other • (enter description): Basis Capacity Capacity W / Horsepower) 6 Total box 17. code V Outside Expenses Self-employed health insurance for more-than-2% S corporation shareholders 1 Health insurance premiums paid or reimbursed by the S corporation that were not reported on Form 1095-A 2 Medicare wages (Form W-2, box 5) from this corporation Interest paid 1 Interest expense from debt used to finance acquisition of S Corporation shares ' Manually enter item here and on appropriate tax form or schedule. EFTA01221970