Text extracted via OCR from the original document. May contain errors from the scanning process.
1
Schedule I(.1
2012
. nal K-1
L7 Amended IN
CRIB No 1545-0093
(Form 1086)
ro-orwwwrywr ems. or un
Department of Me Treasury
yes, owerwrig NOVEMBER 13, 2 012
Part lit Partner's Share of Current Year Income,
Deductions Credits, and Other Items
interrd Revenue Servite
....,,,, DECEMBER 31, 2012
1 OrdMar, bushes Income (toss) 15 Credds
Partner's Share of Income, Deductions,
I
0.
Credits, etc.
*See separate Instmettonll.
2 am mut rerii 'stow Inerriero.
I
—1 115 •
16 Foreign transactions
3
not rental Income (loss)
Part I , Information About the Partnership
,an
.
r
.
.
IdeAddead011
4 Guaranteed
BC
number
payments
r
a
rp s name, address, c4y, state, and ZIP code
6 Interest income
(la Ordinary dividends
270 LAFAYETTE STREET, SUITE 409
I
17 Alternative mh tax (AMT) dents
NEW YORK, NY 10012
IM Qualified dNIdends
)21j
151.
C IRS Center where partnershipMed return
j ...
E—FILE
7 Royatlies
i
14 Tax-exempt Income and
0 ra Check Orris la a publicly traded partnersMp (PTP)
8 Net shorkerm capital gain (loss)
1
nondeductible expenses
1
3.#3M„P
Oa Net long-temn capital gain dose)
krtormation About the Partner
—1,
mbar
se Collettittes (28%)
floss)
10 Psatusors
gah
1
artners name, address, city, state, and VP code
9c triveraphired sec 1250 gain
20 Other Informadon
10 Net tediOn 1231 gain (loss)
27 HIGH TECH BLVD.
THOMASVILLE
NC 27360
11 Other Income Nu)
0 ri General partner or LLC
, United partner or other MC
member-manager
member
H 0:4 Domestic partner
IN Foreign partner
PI what type of entity is Mk partner? PARTNERSHIP
12 Section 179 deduction
12 if MN partner is a renannInt plan (IRAMEPACeogleletc.), check here
EJ
J Partners share of moat, loss.and capital:
13 Calm deductkets
Beginning
Email
W* I
502.
Profit
1.5562250%1
1.5562250%
Loss
2.0080320%
2.0080320%
Capbl
2.0080320%
2.0080320% 14 Self-employment earnings (oss)
K Partners share ot tabilliss at year end:
L
.1
0.
Nonrecoune
$
211.
availed nonrecOuru financing
$
'See attached statement for addMonal Informalon.
Recourse
$
158,875.
L Partners capital accountancy:Jr.
Beginning capital account
$
Capital contributedduring the year
$
50,000. g
Current year Increase (decrease)
S
-1,652.
WIthchayraks & disMbutions .. ... .. ... .... ..
S(
)2
Ending capital account
$
48,348.i
cr Tax bass
=
amp
0
Seddon 704(b) book
Other (explain)
M Did the partner centre:ruts properly with a bull-in gain or loss?
C2 Fes
Er He
II Yes' attach statement r see Ann:dons)
21,4fr
Ol -03-13 LMA For Paperwork Reduction An Nonce, see Instructions for Form 1065.
IRS oowlormi065
Schedule K-1 (Form 1065) 2012
ISM
CONFIDENTIAL
SDNY_GM_00032028
EFTA_00 14264 I
EFTA01280121
SCHEDULE K-1
OTHER DEDUCTIONS, BOX 13, CODE W
DESCRIPTION
MOUNT
CONSULTING FEES
502.
TOTAL TO SCHEDULE K-1, BOX 13, CODE W
502.
SCHEDULE K-1
DESCRIPTION
AMOUNT
TOTALS
-1,115.
SCHEDULE K-1 INCOME SUBTOTAL
-1,115.
-502.
SCHEDULE K-1 DEDUCTIONS SUBTOTAL
-502.
NET INCOME (LOSS) PER SCHEDULE K-1
-1,617.
PREPAID RENT-CY
-35.
-35.
TOTAL TO SCHEDULE K-1, ITEM L
-1,652.
PARTNER NUMBER 1
CONFIDENTIAL
SONY_GM 00032029
EFTA 00142642
EFTA01280122
1
Schedule K-1 (Form 1065) 2012
Page 2
This list Identifies the codes used on Sisheds le K-1 icr all partners end provides summarized reporting Information for partners who file
Form 1040. For detailed reporting and filing Ink:emotion, see the separate Partners Instructions for Schedule K-1 and the Instruction:
tor your income tax return.
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3
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Met km
4
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C
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it
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9e
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10
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1'
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•
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F Ore Omen* 10,4)
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•
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I
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Fier a
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tem he ~Wei Ineloatfone
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SCWW.A. Pm' error 1041:4 ne29
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wr 2443. Pet 12
54. h. Patrort ~One
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Ste noPal:We !tone
Ste ao Pots'. netways
5.9eFwm 0933 InariatIons
Fam8933, be lb
Ft:~ •;03. 144 ' 7
Sto the PsInele ~at ow
14. adtedepow~ wrap twesl
emu d as re ...ear
179 ClOakStn Or fey imetrar-kw*draxitcm re
Ye Pewnwie MOM we !Were carp WM 91aahee
A Mt litle140 pm) Nan
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8
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Istowele
C Gram roatert meow
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M. Cm,
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•
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hem one-3908 to.. 10 1911
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Moral end aellamle blabs UM
211282
014113
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P Fonleribrel Sows mambo
O Core Nerolgr ~rem
17
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8 Iketra. non salcot e melba 737
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Poo to PWWWWWWIlOne
C Olher proada
24 Other Worneon
A
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E One SelfaCtf prop•ity
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F Reamlaeolkopinewne warp
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G Reap:" of km- same Man
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aim
CONFIDENTIAL
SONY_GM_00032030
EFTA_00142643
EFTA01280123
New York State Deoartment of Taxation end Finance
2012
New York Partner's Schedule K-1
Tax Law - Article 22 (Personal Income Tax)
IT-204-IP
Final K-1
For calendar year 2012 or tax year beginning
11- 13 -2012
and ending
12-31-2012
Amended K-1
Partners: Before completing your Income tax return. see Forty IT2044P4, Pertners Instnictions for Form IT-204-IP (avallabie at eninv.tax.ny.gov).
Partnership's information (see Instructions)
Partnership's name (a shown on Form IT•204)
Partnership's EIN
A Mart an X In the box If ekher applies to your entity
8 Tax shelter registration number. if any
C Business allocation. percentage
O
Publicly traded partnership
Partner's information (see instructions)
Partners name
Partners Stress
27 HIGH TECH BLVD.
City
State
THOMASVILLE
NC
ZIP code
27360
Portfoto itvestment partnership
C
Pansies Identifying number
CI The partner is a rive. en X tie ammonia* box)
C
General partner ceLLC member•manager au Waited partner or other LLC member
E What Is the tax filing status of the partner? visa en X s
ineerometw, a •PrAtilli
irtthidUal
Eststertrue [IC Partnership
F if the partner Is a disregarded entity or grantor trust.
enter the tax ID of the entity or individual reporting the Income, if known
0 Did the partner ael Its entre Hereon during the tax year?
0
Yes n
No
H Partner's there of profit. lose, and capital
Beginning
Ending
1) Profit
H1
1.5562
%
1.5562
%
2) Loss
H2
2.0080
%
2 . 00 80
%
3) Cope&
H3
2 . 00 80
%
2.0080
%
i
Partners share of liabritles at the end se the yew
1) Nonrecourse
ht
211 .
2) Qualified nonrecourse financing
12
3) Recourse
. 13
158,875.
J Panner's capital account analysis
1) Beginning capital account
. . .. .
. . .
.
41
2) Capital contributed during the year • cash . . . ........
J2
50,000.
3) Capital contributed during me year - PrOP.rtY
J3
4) Current yew Increase ;decrease)
J4
-1,652.
5) Withdrawals and datributions • Cash
J8
6) Withdrawals and cistrIbutions • property
J8
7) Ending capitol account
J7
48,348.
8) Method of accounting (maws X In the appropn'ate box)
al
Tax basis
El GASP
n
Book
=
Other (submit evrnenatfon)
K Resident status (mark en X Psi? boxes that apt
CI
NYS full•yeer resident
_I
Yonkers full-year resident
L.:
NYC fueyear resident
C
NYS pert•year resident
C
Yonkers partysar resident
C
NYC parhyear resident
DU NYS nonresident
C
Yonkers nonresident
L It the perMer WO Included In a group return, enter the speciW NYS identification number, If known
. L
114*12
CONFIDENTIAL
SONY_GM 00032031
EFTA 00142644
EFTA01280124
Page 2'l 4
IT-204-4P (2012)
II 1) Was Fonn (7.2868£ Ned with the pannerehipi
Ml Yes I=
No n
2) Was Forrn MTA-405-E filed with the polnershlp?
M2 Yes C
No E
N NYS sob-rioted tax paid on behalf of partner (from Form 1T-2658)
Date
Amount
1) Fax installment
2) Second installment
3) Third Instalment
N3
4) Fourth Installment
N4
Total NYS estimated tax peel on behalf of portner (add linos NI through N4)
N
0
Estimated MCTMT paid on behald panne, (from Form WA-405)
Date
Amount
1) First Installment
2) Second Installment
02
3) Third Installment
03
4) Fourth installment
04
Total estimated MCTMT paid on behalf of pannier (add Nees 01 through 04)
Partner's share of Income, deductions, etc.
A - Partnere distnbutIve share kerns
1 Ordinary business Income (lose)
1
B - Federal K-1 amount
C - New York State amount
2 Net rented real estate boom, Oast
2
-1,115.
2
3 Other net rental ir corns tosa)
3
3
4 Guaranteed payments
•
4
5 interest income
5
5
Ordnary cleckinds
e
8
7 Royeltke
7
7
8 Net shoe-teen capital gain taes)
8
8
9 Nei longtemt capital gain (Ices)
9
9
10 Net section 1231 pain (loss)
10
10
11 Other income Nest /dent*
11
11
12 Section 179 deduction
12
12
13 Other deductbna Identify:
SEE STATEMENT
13
502.
13
14 Tax preference items for minimum tax
ideate:
14
151 .
14
15 Net earnings (osa) from self-employment
15
15
le Tax-exempt income arid nondeductible expenses
18
18
17 DistributionS cash and marketable Securities
17
17
18 Cistributlons • otter property
18
18
I9 Other items not Included above that are required to be
reported separatelytopartners
19
19
!dents*:
Partner's share of New York modifications (see Instructions)
20 New York State additions
Number
A - Total amount
20e EA-
20b EA-
20c FA-
20d EA-
20e EA-
201 EA-
B - New York State allocated amount
21 Total adcttion modifications (total of caimn A 'Ines 20a thicvQ1, 2C0
21
2P8M2
CONFIDENTIAL
SDNY_CM_00032032
EFTA_G0 I 42645
EFTA01280125
IT-204-IP (2012)
II*. 3 of 4
Partner's share of New York modifications (continued)
22 New York State subtractions
Number
A • Total amount
22a ES-
22b ES-
22o ES-
22d ES-
22t. ES.
22i ES.
B - New York State allocated amount
23 Total sebtracticm modifications (total of column A, Roos 22a through 221)
23
24 Additions to fedeng Itemized deductions
Letter
Amount
24a
24b
24o
24d
24e
241
25 Total additions to fedora/ itemized deductions (odd fines 24a through 240
26 Subtractions from federal Itemized deductions
Letter
Amount
213a
266
26o
26d
26e
26f
27 Total subtractions from federal itemized deductions (add lines 26a through 261)
27
28 New York adjustments to tax preference items
Partner's other Information
29e Partner's share cf New York source gross Income
296 IACTD allocaton percentage (see Insructions)
.
Partner's credit information
Part 1 - Flow-through credit bases and factors
Brownfield redevelopment tax omit /Form IT-611 or IT-611.7)
A - Form IT-611
B - Form IT-611.1
30 Site preparation credit component
30
30
31 Tangible property credit component
31
31
32 On-sits groundwater remedation Credit component
32
32
221841
CONFIDENTIAL
SDNY_GM_00032033
EFTA _00142646
EFTA01280126
Page 4 cf 4
It-204-IP 0012)
Partner's credit Information (connnueo)
EZ capital tax credit (Fon" IT-602)
33 Contributions of money to EZ community development projects
93
34 Recapture of credit for investments in certified f2 businesses
36 Recapture of credit for contributions of money to EZ community development projects
35
QEZE tax reduction credit (Form ?•604)
36 OESE employment ncrease factor
30
37 OEZE zone a:location factor .
37
38 OEZE benefit pencd lector
30
Excelsior jobs program tax credit Fonn IT-607)
39 Excelsior loos tax credit component
311
40 Excelsior Investment tax credit component
40
41 Excelsior research and development tax credit component
41
42 Excelsior real properly tax credit component
42
Farmers' school tax credit (Form 1T-217)
43 Acres of CNEllifled agricultural property
43
44 Acres of qualified conservation property
44
46 noble school district property tams Oki
96
46 Acres of qualified agricultural property converted to nonquaklied use
46
Other flow-through credit bases and factors
Credit Oases
Code
Amount
Code
Amount
47a
47d
476
47e
47c
471
CrOcl t factors
Code
470
47h
Factor
Code
Factor
Code
Factor
471
47k
47J
471
Part 2 - Flow-through credits, addbacks and recaptures
48 Longterm care Insurance credit (Form IT-249)
48
49 investment credit ffncludng employment incentive cm* and historic bar relmblatation cruet Form IT-212)49
50 Research and development • Investment credit (Forrn 17-2 2)
50
51 Other flowtnrough credits
Code
Amount
Code
Amount
51a
51e
516
511
51e
51g
51d
51h
62 Addbacka of credits and •ecaptures
Code
Amount
Code
Amount
52a
52d
526
52a
52c
52f
289662
CONFIDENTIAL
SDNY_GM_00032034
EFTA_00 142647
EFTA01280127
NY IT-204-IP
DESCRIPTION
CONSULTING FEES
TOTAL TO FORM /T-204-IP, PAGE 2, LINE 13
AMOUNT FROM
NEW YORK
FEDERAL
STATE
SCHEDULE K-1
AMOUNT
502.
O.
502.
O.
PARTNER NUMBER 1
CONFIDENTIAL
SDNY_GM_00032035
EFTA 00142648
EFTA01280128
NO
(D-403)
R:4 I3D)
10-1142
2012PartwesShamof
WC.Income,AdJuMmeMs“mdCmdfts
North Carolina Department of Revenue
For calendar year
or fleCal year beginning
Partners I
Partner's Warne, Address, and ZIP Code
27 HIGH TECH BLVD
THOMASVILLE NC 27360
THERE
11 13 12
and ending
12 31 12
Federal
r
Partnerehip's Name, Address. and ZIP Code
270 LAFAYETTE STREET SUITE 409
NEW YORK
NY 10012
Peale/shies Pao Rats Share Items
All Partners
1. Share of partnership become (loss)
2. Add tons to income (loss)
a. Addidon Wham depredation
b. Other additions to Income (loss)
3. Deductons Man Income nose)
a. Nabs:non for bonus depredation
b. Other deductions from income (loss)
4. Share of tax credits
5. Sham of tax willefield from peonage compensation
dad for personal se dime Maned in N.C.
Nonresident* Only
6. Nonresident's share of N.C. taxable income (toss)
7. Nonresident's snare of net fax paid by me manager
of the partnership
Amount
Individuals Fab' Form
0400 Enler Amount on:
-1115
0
Page 2. Une 35
0
Page 2, Line 36
0
Pape 2, the 44e
0
Page 2. Une 49
0
Form 0400TC
0
Page 2, Line 23
0
Page 2, Lyre 51
0
Page 2. Une 24c
12-20-17
CONFIDENTIAL
SDNY_GM_00032036
EFTA_00 142649
EFTA01280129